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Relapsing-Remitting Multiple SclerosisPhase 2SOLARNCT01285401

Supplementation of VigantOL® Oil Versus Placebo as Add-on in Patients With Relapsing Remitting Multiple Sclerosis Receiving Rebif® Treatment

A Phase 2 study testing VigantOL oil plus interferon beta-1a (Rebif) and Interferon beta-1a (Rebif®) alone in people with Relapsing-Remitting Multiple Sclerosis, run by Merck KGaA, Darmstadt, Germany at 38 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The drug being tested is called VigantOL® oil - a very effective form of Vitamin D hormone supplement (cholecalciferol). Low levels of Vitamin D have been described to be associated with a higher risk of developing Multiple Sclerosis (MS), and it is known that up to 90% of patients with Multiple Sclerosis have Vitamin… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Relapsing-Remitting Multiple Sclerosis
What is being tested?
VigantOL oil plus interferon beta-1a (Rebif) and Interferon beta-1a (Rebif®) alone
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
260 participants
Where
38 sitesin 12 countries
Study dates
Feb 2011to May 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Diagnosis of a relapsing-remitting form of MS
  • Brain and/or spinal MRI with findings typical of MS
  • A first clinical event prior to Screening.
  • Disease activity
  • Expanded Disability Status Scale (EDSS) score of less than, or equal to 4.0 at Screening.
  • Currently treated with interferon-beta-1a 44mg (tiw) sc
  • Willingness and ability to comply with the protocol
  • Written informed consent

Who cannot join

  • Pregnancy and lactation period
  • Any disease other than MS that could better explain signs and symptoms.
  • Complete transverse myelitis or bilateral optic neuritis.
  • Currently receiving or use at any time of monoclonal antibodies, mitoxantrone, cytotoxic or immunosuppressive therapy (excluding systemic steroids and adrenocorticotrophic hormone [ACTH]), B cell modulating therapies (e.g. RituxiMab or BelimuMab), total lymphoid irradiation or bone marrow transplantation.
  • Use of any cytokine other than interferon or anti-cytokine therapy, intravenous immunoglobulin, plasmapheresis, or any investigational drug or experimental procedure
  • Use of oral or systemic corticosteroids or ACTH
Show all 28Show fewer
  • Have abnormalities of Vitamin D related hormonal system other than low dietary intake or decreased sun exposure, i.e. primary hyperparathyroidism or granulomatous disorders.
  • Have an urine calcium/creatinine (mmol/mmol) ratio greater than 1.0 or hypercalcaemia
  • Are taking medications that influence Vitamin D metabolism other than corticosteroids, e.g., phenytoin, barbiturates, thiazide diuretics and cardiac glycosides.
  • Are taking more than 1000 IU (25 µg) of Vitamin D supplement daily.
  • Have conditions with increased susceptibility to hypercalcaemia, e.g., known arrhythmia or heart disease, treatment with Digitalis, or Hydrochlorothiazide and those who suffer from nephrolithiasis.
  • Have inadequate liver function
  • Moderate to severe renal impairment
  • Inadequate bone marrow reserve
  • History or presence of serious or acute heart disease such as uncontrolled cardiac dysrhythmia or arrhythmia, uncontrolled angina pectoris, cardiomyopathy, or uncontrolled congestive heart failure (NYHA class 3 or 4).
  • History or presence of severe depression, history of suicide attempt, or current suicidal ideation.
  • Epilepsy or seizures not adequately controlled by treatment.
  • Current or past alcohol or drug abuse.
  • Any major medical or psychiatric illness (such as psychosis, bipolar disorder) that in the opinion of the Investigator could create undue risk to the subject or could affect adherence with the trial protocol.
  • Known contra-indication to treatment with vitamin D
  • Known hypersensitivity to interferon or its excipient(s)
  • Known hypersensitivity to gadolinium.
  • Any other condition that would prevent the subject from undergoing an MRI scan.
  • Signs and symptoms suggestive of transmissible spongiform encephalopathy, or family members who suffer(ed) from such.
  • Positive HIV, hepatitis C, or hepatitis B (HBsAg and HBc antibody) serology (test performed at screening).
  • Legal incapacity or limited legal capacity.
  • Another current autoimmune disease, except diabetes.
  • Have experienced a relapse within 30 days.

Trial locations and contacts

38 sites in 12 countries.

38 sites in 12 countries

Germany10 sites
  • Research Site

    Bad Neustadt / Saale

  • Research Site

    Bamberg

  • Research Site

    Berlin

  • Research Site

    Cologne

  • Research Site

    Erlangen

  • Research Site

    Freiburg im Breisgau

  • Research Site

    Hanover

  • Research Site

    Münster

  • Research Site

    Regensburg

  • Research Site

    Rostock

Other trials in Germany

Denmark5 sites
  • Research Site

    Esbjerg

  • Research Site

    Glostrup Municipality

  • Research Site

    Sønderborg

  • Research Site

    Vejle

  • Research Site

    Viborg

Other trials in Denmark

Netherlands5 sites
  • Research Site

    Amsterdam

  • Research Site

    Gouda

  • Research Site

    Nieuwegein

  • Research Site

    Rotterdam

  • Research Site

    Sittard

Other trials in Netherlands

Switzerland5 sites
  • Research Site

    Bern

  • Research Site

    Lausanne

  • Research Site

    Lugano

  • Research Site

    Sankt Gallen

  • Research Site

    Zurich

Other trials in Switzerland

Norway3 sites
  • Research Site

    Bergen

  • Research Site

    Lørenskog

  • Research Site

    Tromsø

Other trials in Norway

Portugal3 sites
  • Research Site

    Amadora

  • Research Site

    Lisbon

  • Research Site

    Porto

Other trials in Portugal

Finland2 sites
  • Research Site

    Helsinki

  • Research Site

    Turku

Other trials in Finland

Austria1 site
  • Research Site

    Vienna

Other trials in Austria

Estonia1 site
  • Research Site

    Tallinn

Other trials in Estonia

Italy1 site
  • Research Site

    Cefalù

Other trials in Italy

Latvia1 site
  • Research Site

    Riga

Other trials in Latvia

Lithuania1 site
  • Research Site

    Kaunas

Other trials in Lithuania

About this study

Official title: A Three Arm, Randomized, Double Blind, Placebo Controlled, Multicenter, Phase II Study to Evaluate the Efficacy of Vigantol® Oil as Add on Therapy in Subjects With Relapsing Remitting Multiple Sclerosis Receiving Treatment With 44mg Tiw of Rebif®

The drug being tested is called VigantOL® oil - a very effective form of Vitamin D hormone supplement (cholecalciferol). Low levels of Vitamin D have been described to be associated with a higher risk of developing Multiple Sclerosis (MS), and it is known that up to 90% of patients with Multiple Sclerosis have Vitamin D deficiency.

Rebif® is known to be an effective treatment for slowing down the progression of MS. The purpose of this research trial is to evaluate if VigantOL® oil on top of Rebif® has any benefit on the progression of MS compared to Rebif® and placebo.

Read more

Disease activity will be assessed by clinical examination and Magnetic Resonance Imaging (MRI). The planned study treatment duration for each study participant is 48 weeks, and the study consists of a total of 8 visits. Study participants who are already passed Week 48 at the time of approval of Protocol Amendment 5 will have a study duration of 96 weeks and a total of 12 visits.

During the study, the participant will undergo physical examination, neurological assessments, safety assessments, blood tests and urinalysis (including pregnancy tests).

Being tested
VigantOL oil plus interferon beta-1a (Rebif), Placebo plus interferon beta-1a (Rebif), Interferon beta-1a (Rebif®) alone
Keywords
Multiple Sclerosis, Rebif, VigantOL® oil, Vitamin D, Add-on treatment
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VigantOL oil plus interferon beta-1a (Rebif)Drug

    VigantOL oil 6,670 International Units per day (IU/d) (167 microgram per day [mcg/day]), was administered orally for 4 weeks followed by 14,007 IU/d (350 mcg/d) administered orally for 44 weeks on top of Rebif 44mcg three times per week (tiw) administered subcutaneously.

  • Placebo plus interferon beta-1a (Rebif)Drug

    Matching placebo daily, orally administered matched placebo for 48 weeks on top of Rebif 44 mcg tiw.

  • Interferon beta-1a (Rebif®) aloneBiological

    Rebif® 44 mcg tiw, sub-cutaneously alone.

Study groups in NCT01285401
Study groupRoleWhat they receive
VigantOL® oilExperimentalVigantOL oil plus Rebif in subjects with 25-hydroxy-vitamin D plasma levels below 150 nmol/L
Receives: Drug: VigantOL oil plus interferon beta-1a (Rebif)
PlaceboPlacebo comparatorPlacebo daily plus Rebif in subjects with 25-hydroxy-vitamin D plasma levels below 150 nmol/L
Receives: Drug: Placebo plus interferon beta-1a (Rebif)
RebifExperimentalRebif alone in subjects with 25-hydroxy-vitamin D plasma levels equal or higher than 150 nmol/L
Receives: Biological: Interferon beta-1a (Rebif®) alone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Subjects With Disease Activity Free Status up to Week 48

    Disease activity free status was defined as absence of any of the clinical and imaging parameters related to the assessment of disease activity; no relapses, no expanded disability status scale (EDSS) progression and no new gadolinium (Gd)-enhancing or relaxation time 2 (T2) magnetic resonance imaging (MRI) lesions.

    Measured: Up to Week 48

Secondary outcomes (15)
  1. Percentage of Relapse-free Subjects at Week 48

    A relapse was defined as the development of new or the exacerbation of existing neurological symptoms or signs, in the absence of fever, lasting for 24 hours and with a previous period for more than 30 days with a stable or an improving condition.

    Measured: Week 48

  2. Percentage of Subjects Free From Any Expanded Disability Status Scale (EDSS) Progression at Week 48

    EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. A confirmed EDSS progression was defined EDSS greater than or equal to 1.0 point confirmed during a visit performed 6 months later. An EDSS progression was defined as an increase of the EDSS score of at least 1.0 point compared to baseline (SD1) for subjects with a baseline EDSS ≤ 4.0. For subjects with an EDSS score of 0 at baseline (SD1), EDSS progression was defined as an increase of at least 1.5 points. A confirmed EDSS progression was defined as an EDSS progression confirmed after 24 weeks.

    Measured: Week 48

  3. Number od Subjects With Confirmed EDSS Progression

    EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. A confirmed EDSS progression was defined EDSS greater than or equal to 1.0 point confirmed during a visit performed 6 months later. An EDSS progression was defined as an increase of the EDSS score of at least 1.0 point compared to baseline (SD1) for subjects with a baseline EDSS ≤ 4.0. For subjects with an EDSS score of 0 at baseline (SD1), EDSS progression was defined as an increase of at least 1.5 points. A confirmed EDSS progression was defined as an EDSS progression confirmed after 24 weeks.

    Measured: Baseline upto 48 Weeks

  4. Cumulative Number of Relaxation Time 1 (T1) Gadolinium Enhancing Lesions at Week 48

    Measured: 48 Weeks

  5. Mean Number of Combined Unique Active (CUA) Lesions Per Subject Per Scan at Week 48

    CUA lesions was defined as new T1 (Gd enhancing) lesions, new Relaxation time 2 (T2) lesions, or enlarging T2 lesions.

    Measured: 48 Weeks

  6. Cumulative Number of New Combined Unique Active (CUA) Lesions at Week 48

    CUA lesions was defined as new T1 (Gd enhancing) lesions, new T2 lesions, or enlarging T2 lesions.

    Measured: 48 Weeks

  7. Mean Change From Baseline in the Total Volume of T2 Lesions at Week 48 (T2 Burden of Disease)

    Measured: Baseline, 48 Weeks

  8. Percentage of Subjects Free From T1 Gadolinium Enhancing Lesions at Week 48

    Measured: 48 Weeks

  9. Percentage of Subjects Free From New T1 Hypointense Lesions (Black Holes) at Week 48

    Measured: 48 Weeks

  10. Percentage of New T1 Hypointense Lesions (Black Holes) at Week 48 Within the Subgroup of New or Enlarging Non-enhancing T2 Lesions

    Measured: 48 Weeks

  11. Number of Subjects With Relapse

    Relapse was defined as neurological abnormality, either newly appearing or re-appearing, with abnormality specified by both as neurological abnormality separated by at least 30 days from onset of a preceding MS attack and Neurological abnormality lasting for at least 24 hours, absence of fever or known infection greater than 37.5 degree centigrade /99.5 degree fahrenheit , objective neurological impairment, correlating with the subject's reported symptoms, defined as either increase in at least one of the functional systems of the EDSS or increase of the total EDSS score and occurrence of paraesthesia, fatigue, mental symptoms, and/or vegetative symptoms without any additional symptom will not be classified as an MS attack.

    Measured: Baseline upto 48 weeks

  12. Annualized Relapse Rate at Week 48

    Relapse was defined as neurological abnormality, either newly appearing or re-appearing, with abnormality specified by both as neurological abnormality separated by at least 30 days from onset of a preceding MS attack and Neurological abnormality lasting for at least 24 hours, absence of fever or known infection greater than 37.5 degree centigrade /99.5 degree fahrenheit , objective neurological impairment, correlating with the subject's reported symptoms, defined as either increase in at least one of the functional systems of the EDSS or increase of the total EDSS score and occurrence of paraesthesia, fatigue, mental symptoms, and/or vegetative symptoms without any additional symptom will not be classified as an MS attack.

    Measured: 48 weeks

  13. Total Number of Reported Relapses at All Time Points up to 48 Weeks

    Relapse was defined as neurological abnormality, either newly appearing or re-appearing, with abnormality specified by both as neurological abnormality separated by at least 30 days from onset of a preceding MS attack and Neurological abnormality lasting for at least 24 hours, absence of fever or known infection greater than 37.5 degree centigrade /99.5 degree fahrenheit , objective neurological impairment, correlating with the subject's reported symptoms, defined as either increase in at least one of the functional systems of the EDSS or increase of the total EDSS score and occurrence of paraesthesia, fatigue, mental symptoms, and/or vegetative symptoms without any additional symptom will not be classified as an MS attack.

    Measured: 48 weeks

  14. Percentage of Subjects Treated With Glucocorticoids Due to Relapses

    Relapse was defined as neurological abnormality, either newly appearing or re-appearing, with abnormality specified by both as neurological abnormality separated by at least 30 days from onset of a preceding MS attack and Neurological abnormality lasting for at least 24 hours, absence of fever or known infection greater than 37.5 degree centigrade /99.5 degree fahrenheit , objective neurological impairment, correlating with the subject's reported symptoms, defined as either increase in at least one of the functional systems of the EDSS or increase of the total EDSS score and occurrence of paraesthesia, fatigue, mental symptoms, and/or vegetative symptoms without any additional symptom will not be classified as an MS attack.

    Measured: Baseline upto 48 weeks

  15. Mean Change From Baseline in the Total Volume of T1 Hypo Intense Lesions at Week 48

    Measured: Baseline, 48 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2011 (estimated)
  2. Study startFeb 2011
  3. Primary completionApr 2015
  4. Study completionMay 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
260 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01285401
Sponsor's protocol ID
EMR 200136-532
Other IDs
2010-020328-23
Acronym
SOLAR
Status last verified
Oct 2016
First submitted
26 Jan 2011
Last updated
28 Nov 2016
Data monitoring committee
Yes

Publications

  • Hupperts R, Smolders J, Vieth R, Holmoy T, Marhardt K, Schluep M, Killestein J, Barkhof F, Beelke M, Grimaldi LME; SOLAR Study Group. Randomized trial of daily high-dose vitamin D3 in patients with RRMS receiving subcutaneous interferon beta-1a. Neurology. 2019 Nov 12;93(20):e1906-e1916. doi: 10.1212/WNL.0000000000008445. Epub 2019 Oct 8.

    PubMed 31594857

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VigantOL oil plus interferon beta-1a (Rebif) and Interferon beta-1a (Rebif®) alone in people with Relapsing-Remitting Multiple Sclerosis, run by Merck KGaA, Darmstadt, Germany at 38 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in Germany, Denmark, Netherlands, Switzerland, Norway and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Jul 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Subjects With Disease Activity Free Status up to Week 48 (time frame: Up to Week 48). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01285401, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Nov 2016.

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