Multiple SclerosisPhase 4TERI-PRONCT01895335
Using Patient Reported Outcomes (PROs) to Evaluate Teriflunomide Treatment in Relapsing Multiple Sclerosis (RMS) Patients
A Phase 4 study testing Teriflunomide in people with Multiple Sclerosis, run by Sanofi at 169 sites in 14 countries.
Trial summary
Primary Objective: To describe efficacy, tolerability and convenience of teriflunomide treatment through the evaluation of Participant Reported Outcomes (PROs). Secondary Objectives: To describe disease progression using PROs. To describe clinical outcomes (ie, treated relapses) in teriflunomide treated participant. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- Teriflunomide
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,001 participants
- Where
- 169 sitesin 14 countries
- Study dates
- Jun 2013to Nov 2015
- Phase
- Phase 4
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants with a relapsing form of multiple sclerosis (RMS) having signed written informed consent.
Who cannot join
- According to local labelling,
- Less than 18 years of age,
- Current or history of receiving teriflunomide,
- Previous treatment with leflunomide within 6 months prior to baseline,
- Participants with preexisting acute or chronic liver disease, or those with serum alanine aminotransferase (ALT) greater than 2 times the upper limit of normal (ULN),
- Known history of active tuberculosis (TB) or latent TB infection, either diagnosed by standard medical practice or guidelines (including skin or blood test, chest X-ray, or as appropriate per local practice),
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- Known history of severe immunodeficiency, acquired immunodeficiency syndrome (AIDS), bone marrow disease, acute or severe active infections,
- Women who were pregnant or breast-feeding,
- Female participants with a positive pregnancy test at screening or women of child-bearing potential who did not agree to use reliable contraception throughout the course of the study,
- Male participants (only when required according to local labeling): unwilling to use reliable contraception during the course of the study,
- Additional exclusion criteria applicable for Europe (EU) countries (in accordance with contraindications of EU summary of product characteristics [SmPC]):
- Participants with significantly impaired bone marrow function or significant anaemia, leukopenia, neutropenia or thrombocytopenia,
- Participants with severe active infection until resolution,
- Participants with severe renal impairment undergoing dialysis, because insufficient clinical experience was available in this participant group,
- Participants with severe hypoproteinaemia, e.g. in nephrotic syndrome.
- Hypersensitivity to the active substance or to any of the excipients,
- Other additional contraindications per local labeling.
- The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
169 sites in 14 countries.
169 sites in 14 countries
United States75 sites
Investigational Site Number 840084
Asheville, North Carolina, 28806
Investigational Site Number 840002
Atlanta, Georgia, 30318
Investigational Site Number 840077
Birmingham, Alabama, 35209
Investigational Site Number 840041
Bismarck, North Dakota
Investigational Site Number 840097
Boulder, Colorado, 80304
Investigational Site Number 840024
Bradenton, Florida, FL
Investigational Site Number 840003
Canton, Ohio, 44718
Investigational Site Number 840078
Charlotte, North Carolina, 28204
Investigational Site Number 840086
Chesterfield, Missouri, 63017
Investigational Site Number 840089
Clearwater, Florida, 33756
Investigational Site Number 840073
Clinton Township, Michigan, 48035
Investigational Site Number 840055
Coconut Creek, Florida, 33073
Investigational Site Number 840040
Colorado Springs, Colorado, 80907
Investigational Site Number 840072
Cranston, Rhode Island, 02920
Investigational Site Number 840007
Cullman, Alabama
Investigational Site Number 840060
Dallas, Texas, 75246
Investigational Site Number 840009
Dayton, Ohio
Investigational Site Number 840046
Denver, Colorado, CO
Investigational Site Number 840100
East Setauket, New York, 11733-345
Investigational Site Number 840016
Englewood, Colorado, 80113
Investigational Site Number 840094
Fort Collins, Colorado, 80528
Investigational Site Number 840012
Fort Wayne, Indiana
Investigational Site Number 840107
Foxborough, Massachusetts, 02035
Investigational Site Number 840049
Freehold, New Jersey, 07728
Investigational Site Number 840018
Fullerton, California, 92835
Investigational Site Number 840037
Fullerton, California, 92835
Investigational Site Number 840068
Golden Valley, Minnesota, 55422
Investigational Site Number 840098
Golden Valley, Minnesota, 55422
Investigational Site Number 840020
Henderson, Nevada, 89012
Investigational Site Number 840070
Henrico, Virginia, 23226
Investigational Site Number 840104
Hialeah, Florida, 33013
Investigational Site Number 840010
Indianapolis, Indiana
Investigational Site Number 840026
Lincoln, Nebraska, 68521
Investigational Site Number 840108
Long Beach, California, 90806
Investigational Site Number 840034
Louisville, Kentucky, 40207
Investigational Site Number 840075
Macon, Georgia, 31210
Investigational Site Number 840052
Mansfield, Texas, 76063
Investigational Site Number 840101
Miami Lakes, Florida, 33014
Investigational Site Number 840038
Milwaukee, Wisconsin, 53215
Investigational Site Number 840112
Milwaukee, Wisconsin
Investigational Site Number 840053
Monaca, Pennsylvania, 15061
Investigational Site Number 840079
Morgantown, West Virginia, 26506-9180
Investigational Site Number 840048
Nashville, Tennessee, 37215
Investigational Site Number 840076
Neenah, Wisconsin, 54956
Investigational Site Number 840064
New York, New York, 14203
Investigational Site Number 840005
New York, New York
Investigational Site Number 840014
Newport Beach, California, 92663
Investigational Site Number 840019
Oceanside, California, 92056
Investigational Site Number 840011
Ormond Beach, Florida
Investigational Site Number 840056
Philadelphia, Pennsylvania, 19107
Investigational Site Number 840087
Phoenix, Arizona, 85004
Investigational Site Number 840114
Phoenix, Arizona, 85008
Investigational Site Number 840021
Phoenix, Arkansas
Investigational Site Number 840042
Raliegh, North Carolina
Investigational Site Number 840109
Richmond, Virginia, 23298
Investigational Site Number 840017
Roanoke, Virginia, 24018
Investigational Site Number 840047
Rockport, Maine, 04843
Investigational Site Number 840028
San Antonio, Texas, 78229
Investigational Site Number 840105
Sanford, North Carolina
Investigational Site Number 840059
Sarasota, Florida, 34239
Investigational Site Number 840071
Schenectady, New York, 12308
Investigational Site Number 840080
Scottsdale, Arizona, 85258
Investigational Site Number 840069
Spokane, Washington, 99220-3649
Investigational Site Number 840030
Springfield, Massachusetts, 01104
Investigational Site Number 840058
St Louis, Missouri, 63110
Investigational Site Number 840008
St. Petersburg, Florida
Investigational Site Number 840091
Staten Island, New York, 10306
Investigational Site Number 840081
Sunrise, Florida, 33351
Investigational Site Number 840045
Syracuse, New York, 13202
Investigational Site Number 840044
Toms River, New Jersey, 08755
Investigational Site Number 840032
Tucson, Arizona, 85704
Investigational Site Number 840035
Tullahoma, Tennessee, 37388
Investigational Site Number 840054
Vienna, Virginia, 22182
Investigational Site Number 840074
Wilmington, North Carolina, 28401
Investigational Site Number 840090
Winston-Salem, North Carolina, 27103
France37 sites
Investigational Site Number 250002
Agen, 47923
Investigational Site Number 250003
Aix-en-Provence, 13616
Investigational Site Number 250004
Albi, 81000
Investigational Site Number 250005
Amiens, 80054
Investigational Site Number 250006
Bayonne, 64109
Investigational Site Number 250007
Bordeaux, 33000
Investigational Site Number 250008
Caen, 14000
Investigational Site Number 250009
Cahors, 46005
Investigational Site Number 250011
Chambéry, 73000
Investigational Site Number 250012
Colmar, 68024
Investigational Site Number 250001
Dijon, 21000
Investigational Site Number 250015
Grenoble, 38043
Investigational Site Number 250017
Le Mans, 72037
Investigational Site Number 250018
Lille, 59037
Investigational Site Number 250019
Limoges, 87000
Investigational Site Number 250020
Lyon, 69275
Investigational Site Number 250021
Marseille, 13008
Investigational Site Number 250022
Metz-Tessy, 74370
Investigational Site Number 250023
Montbéliard, 25200
Investigational Site Number 250024
Montpellier, 34295
Investigational Site Number 250025
Mulhouse, 68100
Investigational Site Number 250026
Nancy
Investigational Site Number 250027
Nantes, 44093
Investigational Site Number 250028
Nîmes, 30029
Investigational Site Number 250016
Paris, 75013
Investigational Site Number 250029
Paris, 75970
Investigational Site Number 250043
Pau, 64000
Investigational Site Number 250031
Quimper, 29000
Investigational Site Number 250032
Reims, 51100
Investigational Site Number 250033
Rouen, 76000
Investigational Site Number 250030
Saint-Germain-en-Laye, 78100
Investigational Site Number 250035
Strasbourg, 67091
Investigational Site Number 250037
Toulouse, 31200
Investigational Site Number 250038
Tours, 37044
Investigational Site Number 250039
Valence, 26953
Investigational Site Number 250040
Valenciennes, 59322
Investigational Site Number 250013
Vichy, 03201
United Kingdom9 sites
Investigational Site Number 826-005
Birmingham, B152TH
Investigational Site Number 826-003
Brighton, BN25BE
Investigational Site Number 826-007
Glasgow, G116NT
Investigational Site Number 826-008
Leeds, LS13EX
Investigational Site Number 826-010
Leicester, LE54PW
Investigational Site Number 826-009
London, SW170QT
Investigational Site Number 826-001
Norwich, nr34dg
Investigational Site Number 826-006
Romford, RM70AG
Investigational Site Number 826-004
Salford, M68HD
Belgium8 sites
Investigational Site Number 056006
Brasschaat, 2930
Investigational Site Number 056001
Brussels, 1200
Investigational Site Number 056003
Edegem, 2650
Investigational Site Number 056002
Kortrijk, 8500
Investigational Site Number 056007
Leuven, 3000
Investigational Site Number 056008
Liège, 4000
Investigational Site Number 056009
Liège, 4000
Investigational Site Number 056005
Melsbroek, 1820
Spain8 sites
Investigational Site Number 724004
A Coruña, 15006
Investigational Site Number 724002
Barcelona, 08035
Investigational Site Number 724010
Córdoba, 14004
Investigational Site Number 724008
Donostia / San Sebastian, 20014
Investigational Site Number 724001
El Palmar (murcia), 30120
Investigational Site Number 724006
Santiago de Compostela, 15706
Investigational Site Number 724007
Valencia, 46009
Investigational Site Number 724005
Valladolid, 47011
Italy7 sites
Investigational Site Number 380008
Ancona, 60126
Investigational Site Number 380009
Bari, 70124
Investigational Site Number 380002
Gallarate (VA), 21013
Investigational Site Number 380001
Milan, 20132
Investigational Site Number 380004
Milan, 20133
Investigational Site Number 380006
Naples, 80138
Investigational Site Number 380005
Orbassano (TO), 10043
Finland5 sites
Investigational Site Number 246004
Hämeenlinna, 13530
Investigational Site Number 246005
Kuopio
Investigational Site Number 246006
Oulu, 90220
Investigational Site Number 246001
Turku, 20520
Investigational Site Number 246003
Turku, 20520
Greece4 sites
Investigational Site Number 300002
Athens, 11521
Investigational Site Number 300001
Athens, 11525
Investigational Site Number 300005
Larissa, 41110
Investigational Site Number 300004
Thessaloniki, 546 36
Chile3 sites
Investigational Site Number 152003
Concepción
Investigational Site Number 152001
Santiago
Investigational Site Number 152005
Santiago
Germany3 sites
Investigational Site Number 276001
Bergisch Gladbach, 51429
Investigational Site Number 276003
Berlin, 12099
Investigational Site Number 276004
Freiburg im Breisgau, 79098
Norway3 sites
Investigational Site Number 578002
Bergen, 5021
Investigational Site Number 578003
Namsos, 7800
Investigational Site Number 578001
Oslo, 0407
Sweden3 sites
Investigational Site Number 752001
Karlstad, 65185
Investigational Site Number 752003
Kungsbacka, 43480
Investigational Site Number 752002
Motala, 59185
Austria2 sites
Investigational Site Number 040-001
Linz
Investigational Site Number 040-002
Vienna
Canada2 sites
Investigational Site Number 124006
Cambridge, N1R7L6
Investigational Site Number 124007
St. John's, E2L 4L2
About this study
Official title: A Prospective, Single-Arm, Clinical-Setting Study to Describe Efficacy, Tolerability and Convenience of Teriflunomide Treatment Using Patient Reported Outcomes (PROs) in Relapsing Multiple Sclerosis (RMS) Patients
Primary Objective:
To describe efficacy, tolerability and convenience of teriflunomide treatment through the evaluation of Participant Reported Outcomes (PROs).
Read more
Secondary Objectives:
To describe disease progression using PROs. To describe clinical outcomes (ie, treated relapses) in teriflunomide treated participant.
To describe the change in cognition in teriflunomide treated participants. To describe safety of teriflunomide in participant treated (based on adverse events reporting).
To describe adherence and persistence to teriflunomide treatment. To describe quality of life, activity and leisure over the period of teriflunomide treatment.
To compare Participant Determined Disease Steps (PDDS) and Expanded Disability Status Scale (EDSS) in assessing Multiple Sclerosis (MS) disease progression.
Read the detailed description
The total duration of the study per participant was up to 50 or 54 weeks (if accelerated elimination procedure performed):
Screening: up to 2 weeks Teriflunomide treatment: 48 weeks Accelerated elimination procedure: 4 weeks when performed
An accelerated elimination procedure at any time after discontinuation of teriflunomide treatment was possible and it was particularly recommended for women of child-bearing potential.
- Conditions
- Multiple Sclerosis
- Being tested
- Teriflunomide
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TeriflunomideDrug
Also called HMR1726, Aubagio®
Pharmaceutical form: film-coated tablet; Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Teriflunomide | Experimental | Teriflunomide 14 mg or 7 mg according to local labelling once daily (QD) orally for 48 weeks. Receives: Drug: Teriflunomide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4 - Assessment of Global Satisfaction Subscale Score With Teriflunomide Treatment at Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14).
Primary outcome was the global satisfaction score. The score of the corresponding item was added based on the algorithm to create a score of 0 to 100. Higher score indicated greater satisfaction in that domain.
Measured: Week 48
Secondary outcomes (13)
Change From Baseline in TSQM Scores in Participants Switching From Another Disease Modifying Therapy (DMT) at Week 4 and Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions: 12-14). For each of the 4 domains the scores of the corresponding items were added based on an algorithm to create a score of 0 to 100. Higher scores indicated greater satisfaction .
Measured: Baseline, Week 4, Week 48
Change From Week 4 in TSQM Scores in Naïve Participants to Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions: 12-14). For each of the 4 domains the scores of the corresponding items were added based on an algorithm to create a score of 0 to 100. Higher scores indicated greater satisfaction.
Measured: Week 4, Week 48
Change From Baseline in Disease Progression Using Patient Determined Disease Steps (PDDS) Score at Week 48
PDDS scale developed to assess the disability in Multiple Sclerosis (MS) participants and in assessing disease progression that focuses mainly on how participants walk. PDDS scale consists of 0 = normal; 1 = mild disability; 2 = moderate disability; 3 = gait disability; 4 = early cane; 5 = late cane; 6 = bilateral support; 7 = wheelchair/scooter and 8 = bedridden. A higher score represented higher level of disability.
Measured: Baseline, Week 48
Change From Baseline in Multiple Sclerosis Performance Scale (MSPS) Score at Week 24 and Week 48
MSPS was a self-reported measure for MS associated disability in which participants were asked to indicate the category that best described their condition during the past month on the following 8 subscales: mobility, hand function, vision, fatigue, cognitive symptoms, bladder/bowel, sensory symptoms and spasticity symptoms. MSPS used a single question to assess each of 8 subscales. All of the subscales ranged from 0= normal to 5= total disability, except mobility subscale which ranged from 0= normal to 6=total disability. Total MSPS score ranged from 0 =normal to 41=greater disability, where higher score reflected greater disability.
Measured: Baseline, Week 24, Week 48
Annualized Treated Relapse Rate
Annualized treated relapse rate was defined as the total number of treated relapses during the study treatment period divided by the total number participants-years of treatment. Only events occurred during the treatment period (first drug administration to last drug administration) were considered for analysis.
Measured: Baseline up to end of treatment (up to Week 48)
Time to Relapse: Kaplan-Meier Estimates of the Probability of Treated Relapse at Week 4, Week 24 and Week 48
A treated relapse was defined as a relapse treated by a systemic corticosteroid treatment or by another DMT. If a participant had no treated relapse before treatment discontinuation/completion, then the participant was considered as free of treated relapse until the date of treatment discontinuation/completion. Only treated relapse occurred during the treatment period (first drug administration to last drug administration) were considered for analysis. Kaplan-Meier method was used to estimate the probability of treated MS relapse at 4, 24 and 48 weeks.
Measured: Baseline up to end of treatment (up to Week 48)
Change From Baseline in Cognition Measured by Symbol Digit Modalities Test (SDMT) Score at Week 48
SDMT measures the time to pair abstract symbols with specific numbers. It is a simple substitution task that gives the examinee 90 seconds to pair specific numbers with given geometric figures as a measure for screening cognitive impairment. The score is computed as a ratio of number of correct responses divided by the total number of responses. The test score range from 0 (worst outcome) to 1 (best outcome). Higher scores are indicative of better cognition function.
Measured: Baseline, Week 48
Overview of Adverse Events (AEs)
Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during from first study drug intake up to 112 days after last intake for participant with no accelerated elimination procedure (AEP) or to last AEP follow up visit for participants with AEP. A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.
Measured: From first study drug intake up to 112 days after last intake for participant with no AEP or to last AEP follow up visit for participants with AEP
Percentage of Participants With Treatment Compliance of ≥80% During the Study Treatment Period
Percentage of compliance for a participant was defined as the number of days that the participant was compliant (1 tablet/day) divided by the exposure duration in days (from the first dose administration to the last dose administration) times 100.
Measured: Baseline up to end of treatment (up to Week 48)
Duration of Teriflunomide Treatment Exposure
Duration of exposure was defined as last dose date - first dose date + 1 day, regardless of unplanned intermittent discontinuations and regardless of dosage administered (14 mg or 7 mg).
Measured: Baseline up to end of treatment (up to Week 48)
Change From Baseline in Multiple Sclerosis International Quality of Life (MusiQoL) Score at Week 48
The MusiQoL is a quality of life questionnaire that consists of 31 questions, divided into 9 dimensions: activities of daily living, physiological well-being, symptoms, relationship with friends, relationship with family, sentimental and sexual life, coping, rejection and relationship with healthcare system. All the 9 dimension scores and the global scores are linearly transformed and standardized on 0 (worst outcome) -100 (best outcome) scale. Higher scores represents higher quality of life.
Measured: Baseline, Week 48
Change From Baseline in Stern Leisure Activity Scale at Week 48
The Stern Leisure Activity Scale is a self-reported scale that consists of 13 questions assessing the participant's participation in leisure activities during the preceding month. One point is given for participation in each of the 13 activities and an aggregate score (range from 0 to 13) is obtained. ≤ 6 score is considered as low leisure activity and > 6 score as high leisure activity.
Measured: Baseline, Week 48
Expanded Disability Status Scale (EDSS) Score at Baseline and Week 48
EDSS is a method of quantifying disability in MS participants and monitoring changes in the level of disability over time. EDSS quantifies disability in 8 functional systems: pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual, cerebral, and other. EDSS scale ranges from 0 to 10 in 0.5 unit increments that represents higher levels of disability. EDSS score 1.0 to 4.5 refers to people with MS who are fully ambulatory; EDSS score 5.0 to 9.5 refers to impairment to ambulation; EDSS score 10 refers to death due to MS.
Measured: Baseline, Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jul 2013 (estimated)
- Study startJun 2013
- Primary completionNov 2015
- Study completionNov 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,001 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01895335
- Sponsor's protocol ID
- LPS13567
- Other IDs
- U1111-1139-8730
- Acronym
- TERI-PRO
- Status last verified
- Oct 2016
- First submitted
- 3 Jul 2013
- Last updated
- 6 Dec 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Coyle PK, Khatri B, Edwards KR, Meca-Lallana JE, Cavalier S, Rufi P, Benamor M, Poole EM, Robinson M, Gold R. Teriflunomide real-world evidence: Global differences in the phase 4 Teri-PRO study. Mult Scler Relat Disord. 2019 Jun;31:157-164. doi: 10.1016/j.msard.2019.03.022. Epub 2019 Mar 30.
PubMed 31005729Coyle PK, Khatri B, Edwards KR, Meca-Lallana JE, Cavalier S, Rufi P, Benamor M, Brette S, Robinson M, Gold R; Teri-PRO Trial Group. Patient-reported outcomes in relapsing forms of MS: Real-world, global treatment experience with teriflunomide from the Teri-PRO study. Mult Scler Relat Disord. 2017 Oct;17:107-115. doi: 10.1016/j.msard.2017.07.006. Epub 2017 Jul 6.
PubMed 29055438
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Single-Arm, Clinical-Setting Study to Describe Efficacy, Tolerability and Convenience of Teriflunomide Treatment Using Patient Reported Outcomes (PROs) in Relapsing Multiple Sclerosis (RMS) Patients
- ClinicalTrials.gov ID
- NCT01895335
- Acronym / sponsor ID
- TERI-PRO / LPS13567
- Conditions
- Multiple Sclerosis
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,001 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Jun 2013
- Primary completion
- Nov 2015 (actual)
- Study completion
- Nov 2015 (actual)
- First posted
- 10 Jul 2013 (estimated)
- Results
- Posted 6 Dec 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To describe efficacy, tolerability and convenience of teriflunomide treatment through the evaluation of Participant Reported Outcomes (PROs).
Secondary Objectives:
To describe disease progression using PROs. To describe clinical outcomes (ie, treated relapses) in teriflunomide treated participant.
To describe the change in cognition in teriflunomide treated participants. To describe safety of teriflunomide in participant treated (based on adverse events reporting).
To describe adherence and persistence to teriflunomide treatment. To describe quality of life, activity and leisure over the period of teriflunomide treatment.
To compare Participant Determined Disease Steps (PDDS) and Expanded Disability Status Scale (EDSS) in assessing Multiple Sclerosis (MS) disease progression.
Detailed description
The total duration of the study per participant was up to 50 or 54 weeks (if accelerated elimination procedure performed):
Screening: up to 2 weeks Teriflunomide treatment: 48 weeks Accelerated elimination procedure: 4 weeks when performed
An accelerated elimination procedure at any time after discontinuation of teriflunomide treatment was possible and it was particularly recommended for women of child-bearing potential.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Teriflunomide | Experimental | Drug: TeriflunomideTeriflunomide 14 mg or 7 mg according to local labelling once daily (QD) orally for 48 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Participants with a relapsing form of multiple sclerosis (RMS) having signed written informed consent.
Key exclusion criteria (18 listed)
- According to local labelling,
- Less than 18 years of age,
- Current or history of receiving teriflunomide,
- Previous treatment with leflunomide within 6 months prior to baseline,
- Participants with preexisting acute or chronic liver disease, or those with serum alanine aminotransferase (ALT) greater than 2 times the upper limit of normal (ULN),
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TeriflunomideAlso: HMR1726, Aubagio®Pharmaceutical form: film-coated tablet; Route of administration: oral | Drug | Teriflunomide |
Primary outcome
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4 - Assessment of Global Satisfaction Subscale Score With Teriflunomide Treatment at Week 48
Time frame: Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14). Primary outcome was the global satisfaction score. The score of the corresponding item was added based on the algorithm to create a score of 0 to 100. Higher score indicated greater satisfaction in that domain.
13 secondary outcomes
Change From Baseline in TSQM Scores in Participants Switching From Another Disease Modifying Therapy (DMT) at Week 4 and Week 48
Time frame: Baseline, Week 4, Week 48
Change From Week 4 in TSQM Scores in Naïve Participants to Week 48
Time frame: Week 4, Week 48
Change From Baseline in Disease Progression Using Patient Determined Disease Steps (PDDS) Score at Week 48
Time frame: Baseline, Week 48
Change From Baseline in Multiple Sclerosis Performance Scale (MSPS) Score at Week 24 and Week 48
Time frame: Baseline, Week 24, Week 48
Annualized Treated Relapse Rate
Time frame: Baseline up to end of treatment (up to Week 48)
Time to Relapse: Kaplan-Meier Estimates of the Probability of Treated Relapse at Week 4, Week 24 and Week 48
Time frame: Baseline up to end of treatment (up to Week 48)
Change From Baseline in Cognition Measured by Symbol Digit Modalities Test (SDMT) Score at Week 48
Time frame: Baseline, Week 48
Overview of Adverse Events (AEs)
Time frame: From first study drug intake up to 112 days after last intake for participant with no AEP or to last AEP follow up visit for participants with AEP
Percentage of Participants With Treatment Compliance of ≥80% During the Study Treatment Period
Time frame: Baseline up to end of treatment (up to Week 48)
Duration of Teriflunomide Treatment Exposure
Time frame: Baseline up to end of treatment (up to Week 48)
Change From Baseline in Multiple Sclerosis International Quality of Life (MusiQoL) Score at Week 48
Time frame: Baseline, Week 48
Change From Baseline in Stern Leisure Activity Scale at Week 48
Time frame: Baseline, Week 48
Expanded Disability Status Scale (EDSS) Score at Baseline and Week 48
Time frame: Baseline, Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31005729Coyle PK, Khatri B, Edwards KR, Meca-Lallana JE, Cavalier S, Rufi P, Benamor M, Poole EM, Robinson M, Gold R. Teriflunomide real-world evidence: Global differences in the phase 4 Teri-PRO study. Mult Scler Relat Disord. 2019 Jun;31:157-164. doi: 10.1016/j.msard.2019.03.022. Epub 2019 Mar 30.
- Derived from this study: PubMed 29055438Coyle PK, Khatri B, Edwards KR, Meca-Lallana JE, Cavalier S, Rufi P, Benamor M, Brette S, Robinson M, Gold R; Teri-PRO Trial Group. Patient-reported outcomes in relapsing forms of MS: Real-world, global treatment experience with teriflunomide from the Teri-PRO study. Mult Scler Relat Disord. 2017 Oct;17:107-115. doi: 10.1016/j.msard.2017.07.006. Epub 2017 Jul 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
169 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Teriflunomide in people with Multiple Sclerosis, run by Sanofi at 169 sites in 14 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 1 inclusion and 18 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 6 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 169 sites in United States, France, United Kingdom, Belgium, Spain and 9 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 6 Dec 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?
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4 - Assessment of Global Satisfaction Subscale Score With Teriflunomide Treatment at Week 48 (time frame: 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 NCT01895335, which also lists 2 linked publications.
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 6 Dec 2016.