Relapsing Remitting Multiple SclerosisPhase 2NCT01963611
Efficacy, Safety, and Tolerability of Plovamer Acetate (Pathway 1)
A Phase 2 study testing Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg and Plovamer acetate 3 mg in people with Relapsing Remitting Multiple Sclerosis, run by EMD Serono at 118 sites in 17 countries.
Trial summary
This is a Phase 2, randomized, rater-blinded, 5-arm, parallel-group trial that will test 4 doses of plovamer acetate against the active comparator Copaxone in subjects with Relapsing Remitting Multiple Sclerosis (RRMS). The trial will be conducted on an outpatient basis for minimum treatment duration of 40 weeks. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Relapsing Remitting Multiple Sclerosis
- What is being tested?
- Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg and Plovamer acetate 3 mg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 255 participants
- Where
- 118 sitesin 17 countries
- Study dates
- Oct 2013to Mar 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male or female, between the ages of 18 and 60 years
- Subject is able to learn and self-administer subcutaneous injections (a care-giver may be trained to inject the subject)
- Subjects must have a current diagnosis of Relapsing Remitting Multiple Sclerosis (RRMS) (according to the 2010 McDonald MS diagnostic criteria)
- Other protocol defined inclusion criteria could apply
Who cannot join
- Any multiple sclerosis categorized as primary progressive, secondary progressive or progressive relapsing
- Allergy to mannitol, plovamer acetate, Copaxone (glatiramer acetate), Gd contrast for MRI
- Any requirement for continuous systemic glucocorticoid administration during the trial period. (Note: Treatment with interferons such as Avonex®, Rebif®, or Betaseron® will be allowed until the baseline visit, as no wash-out period is needed)
- Contraindication to Copaxone use
- Other protocol defined exclusion criteria could apply
Trial locations and contacts
118 sites in 17 countries.
118 sites in 17 countries
United States35 sites
Research site
Baltimore, Maryland, 21287
Research site
Charlotte, North Carolina, 28209
Research site
Cincinnati, Ohio, 45206
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Columbus, Georgia, 31909
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Dayton, Ohio, 45417
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Detroit, Michigan, 48202-2689
Research Site
Detroit, Michigan, 97205
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Dover, Delaware, 19901
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Elk Grove Village, Illinois, 60007
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Fairfield, Connecticut, 06824
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Golden Valley, Minnesota, 55422
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Hickory, North Carolina, 28602
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Indianapolis, Indiana, 46256
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Matthews, North Carolina, 28105
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Miami, Florida, 33136
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Naples, Florida, 34102
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Nashville, Tennessee, 37205
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New Bedford, Massachusetts, 02740
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Plainview, New York, 11803
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Pompano Beach, Florida, 33060
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Raleigh, North Carolina, 27607-6010
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Redding, California, 96001
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Roanoke, Virginia, 24018
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Rome, Georgia, 30165
Research Site
Round Rock, Texas, 78681
Research Site
San Antonio, Texas, 78258
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San Diego, California, 92117
Research site
San Diego, California, 92128
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Sarasota, Florida, 34233
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St Louis, Missouri, 63110
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Sunrise, Florida, 33351
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Tacoma, Washington, 98405
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Willow Grove, Pennsylvania, 19090
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Wilmington, North Carolina, 28401
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Worcester, Massachusetts, 01655
Russia10 sites
Research site
Krasnoyarsk
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Kursk
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Moscow
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Nizhny Novgorod
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Novosibirsk
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Rostov-on-Don
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Saint Petersburg
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Saransk
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Ufa
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Yekaterinburg
Italy8 sites
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Castelfiorentino
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Catania
Research site
Cefalù
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Milan
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Modena
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Montichiari
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Parma
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Roma
Mexico7 sites
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Cuautitlán Izcalli
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León
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México
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Mexico City
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Monterrey
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Morelia
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Tlalnepantla
Poland7 sites
Research site
Gdansk
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Katowice
Research site
Lodz
Research site
Olsztyn
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Poznan
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Rzeszów
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Warsaw
Ukraine7 sites
Research site
Dnipropetrovsk
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Ivano-Frankivsk
Research site
Kyiv
Research site
Lutsk
Research site
Simferopol
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Vinnytsia
Research site
Zaporizhzhya
Czechia6 sites
Research site
Brno
Research site
Havířov
Research site
Hradec Králové
Research site
Jihlava
Research site
Olomouc
Research site
Prague
Spain6 sites
Research site
Aranjuez
Research site
Córdoba
Research site
Madrid
Research site
Móstoles
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Santander
Research site
Zaragoza
Turkey (Türkiye)6 sites
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Diyarbakır
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Edirne
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Istanbul
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Kocaeli
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Mersin
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Samsun
United Kingdom5 sites
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Exeter
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Hull
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Sheffield
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Southampton
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Stoke-on-Trent
Hungary4 sites
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Budapest
Research site
Debrecen
Research site
Esztergom
Research site
Miskolc
Bulgaria3 sites
Research site
Blagoevgrad
Research site
Dupnitsa
Research site
Sofia
South Africa3 sites
Research site
Cape Town
Research site
Durban
Research site
Pretoria
About this study
Official title: A Phase II, Randomized, Multi-center, Parallel-group, Rater-blinded Study to Evaluate the Efficacy, Safety and Tolerability of 0.5 mg, 3 mg, 10 mg and 20 mg Plovamer Acetate Doses Compared to Copaxone in Patients With Relapsing Remitting Multiple Sclerosis
This is a Phase 2, randomized, rater-blinded, 5-arm, parallel-group trial that will test 4 doses of plovamer acetate against the active comparator Copaxone in subjects with Relapsing Remitting Multiple Sclerosis (RRMS). The trial will be conducted on an outpatient basis for minimum treatment duration of 40 weeks.
- Conditions
- Relapsing Remitting Multiple Sclerosis
- Being tested
- Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg, Plovamer acetate 3 mg, Plovamer acetate 10 mg, Plovamer acetate 20 mg
- Keywords
- Multiple Sclerosis, Relapsing Remitting, Plovamer acetate, Copaxone
- 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.
Plovamer acetate 0.5 milligram (mg)Drug
Plovamer acetate was administered at a dose of 0.5 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.
Copaxone 20 mgDrug
Plovamer acetate was administered at a dose of 3 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.
Plovamer acetate 3 mgDrug
Plovamer acetate was administered at a dose of 10 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.
Plovamer acetate 10 mgDrug
Plovamer acetate was administered as two subcutaneous injection of 10 mg weekly for 40 weeks up to a maximum of 14 months.
Plovamer acetate 20 mgDrug
Copaxone was administered at a dose of 20 mg as subcutaneous injection once daily for 40 weeks up to a maximum of 14 months.
| Study group | Role | What they receive |
|---|---|---|
| Plovamer acetate 0.5 milligram (mg) | Experimental | Plovamer acetate was administered at a dose of 0.5 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. Receives: Drug: Plovamer acetate 0.5 milligram (mg) |
| Plovamer acetate 3 mg | Experimental | Plovamer acetate was administered at a dose of 3 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. Receives: Drug: Plovamer acetate 3 mg |
| Plovamer acetate 10 mg | Experimental | Plovamer acetate was administered at a dose of 10 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. Receives: Drug: Plovamer acetate 10 mg |
| Plovamer acetate 20 mg | Experimental | Plovamer acetate was administered as two subcutaneous injection of 10 mg weekly for 40 weeks up to a maximum of 14 months. Receives: Drug: Plovamer acetate 20 mg |
| Copaxone 20 mg | Active comparator | Copaxone was administered at a dose of 20 mg as subcutaneous injection once daily for 40 weeks up to a maximum of 14 months. Receives: Drug: Copaxone 20 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Number of Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions per Subject and Scan was calculated using 5 serial magnetic resonance imaging (MRI) scans.
Measured: Baseline , Week 12, 24, 28, 32, 36, 40
Secondary outcomes (9)
Mean Annualized Relapse Rate (ARR)
Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. These new or worsening symptoms should be noted by the patient and must be accompanied by at least one of the following: An increase of greater than or equal to (>=) 1 grade in >=2 functional scales of the Expanded Disability Status Scale (EDSS) or an increase of >=2 grades in 1 functional scale of the EDSS or an increase of >= 0.5 or an increase of >=1.0 in EDSS if the previous EDSS was 0. Annualized Relapse Rate was calculated as = 365.25 x (Number of relapses during Treatment Period) per (Number of days on treatment during Treatment Period).
Measured: Baseline up to Week 40
Percentage of Subjects Remaining Relapse-Free
Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. These new or worsening symptoms should be noted by the patient and must be accompanied by at least one of the following: An increase of greater than or equal to (>=) 1 grade in >=2 functional scales of the Expanded Disability Status Scale (EDSS) or an increase of >=2 grades in 1 functional scale of the EDSS or an increase of >= 0.5 or an increase of >=1.0 in EDSS if the previous EDSS was 0.
Measured: Baseline up to Week 40
Mean Number of New T1 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
T1 Gd-enhancing lesions per subject and scan was measured using 5 serial MRI scans.
Measured: Weeks 12, 24, 28, 32, 36, 40
Mean Number of New or Enlarging Time Constant 2 (T2) Lesions Per Subject and Scan
New or enlarging Time Constant 2 (T2) lesions per subject and scan was calculated using 5 serial MRI scans.
Measured: Weeks 12, 24, 28, 32, 36,40
Mean Number of New, Unenhancing T1 Lesions (Black Holes) Per Subject and Scan
New, unenhancing T1 lesions (Black Holes) per subject and scan was calculated using 5 Serial MRIs.
Measured: Weeks 12, 24, 28, 32, 36, 40
Mean Change From Baseline in Volume of T1 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Change from baseline in volume of T1 Gd-enhancing lesions per subject was calculated using 5 Serial MRI Scans.
Measured: Baseline, Weeks 12, 24, 28, 32, 36, 40
Mean Change From Baseline in Volume of T2 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Change from baseline per subjects in volume of T2 Gd-enhancing lesions was calculated using 5 series MRI scan.
Measured: Baseline, Weeks 12, 24, 28, 32, 36, 40
Time to First Relapse
Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. These new or worsening symptoms should be noted by the patient and must be accompanied by at least one of the following: An increase of greater than or equal to (>=) 1 grade in >=2 functional scales of the Expanded Disability Status Scale (EDSS) or an increase of >=2 grades in 1 functional scale of the EDSS or an increase of >= 0.5 or an increase of >=1.0 in EDSS if the previous EDSS was 0.
Measured: Baseline up to Week 40
Mean Change From Baseline in Brain Volume Per Subject
Change from baseline in brain volume per subject was calculated using 5 series MRI scan.
Measured: Baseline, Weeks 24, 28, 32, 36, 40
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2013 (estimated)
- Study startOct 2013
- Primary completionMar 2015
- Study completionMar 2015
Why it stopped: Study was terminated based on sponsor discretion.
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.
- Other trials for Relapsing Remitting Multiple SclerosisStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 255 participants (actual)
Sponsor and investigators
- Lead sponsor
- EMD Serono
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Responsible, Study director, EMD Serono, Inc., Billerica MA, a subsidiary of Merck KGaA, Darmstadt, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01963611
- Sponsor's protocol ID
- EMR200575-001
- Other IDs
- 2013-002283-25
- Status last verified
- Apr 2016
- First submitted
- 11 Oct 2013
- Last updated
- 11 May 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 11 May 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Randomized, Multi-center, Parallel-group, Rater-blinded Study to Evaluate the Efficacy, Safety and Tolerability of 0.5 mg, 3 mg, 10 mg and 20 mg Plovamer Acetate Doses Compared to Copaxone in Patients With Relapsing Remitting Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT01963611
- Acronym / sponsor ID
- EMR200575-001
- Conditions
- Relapsing Remitting Multiple Sclerosis
- Keywords
- Multiple Sclerosis, Relapsing Remitting, Plovamer acetate, Copaxone
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was terminated based on sponsor discretion.
- Enrolment
- 255 participants (actual)
- Lead sponsor
- EMD SeronoIndustry (pharma, biotech, devices)
- Study start
- Oct 2013
- Primary completion
- Mar 2015 (actual)
- Study completion
- Mar 2015 (actual)
- First posted
- 16 Oct 2013 (estimated)
- Results
- Posted 11 May 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 2, randomized, rater-blinded, 5-arm, parallel-group trial that will test 4 doses of plovamer acetate against the active comparator Copaxone in subjects with Relapsing Remitting Multiple Sclerosis (RRMS). The trial will be conducted on an outpatient basis for minimum treatment duration of 40 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Plovamer acetate 0.5 milligram (mg) | Experimental | Drug: Plovamer acetate 0.5 milligram (mg)Plovamer acetate was administered at a dose of 0.5 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. |
| Plovamer acetate 3 mg | Experimental | Drug: Plovamer acetate 3 mgPlovamer acetate was administered at a dose of 3 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. |
| Plovamer acetate 10 mg | Experimental | Drug: Plovamer acetate 10 mgPlovamer acetate was administered at a dose of 10 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. |
| Plovamer acetate 20 mg | Experimental | Drug: Plovamer acetate 20 mgPlovamer acetate was administered as two subcutaneous injection of 10 mg weekly for 40 weeks up to a maximum of 14 months. |
| Copaxone 20 mg | Active comparator | Drug: Copaxone 20 mgCopaxone was administered at a dose of 20 mg as subcutaneous injection once daily for 40 weeks up to a maximum of 14 months. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Male or female, between the ages of 18 and 60 years
- Subject is able to learn and self-administer subcutaneous injections (a care-giver may be trained to inject the subject)
- Subjects must have a current diagnosis of Relapsing Remitting Multiple Sclerosis (RRMS) (according to the 2010 McDonald MS diagnostic criteria)
- Other protocol defined inclusion criteria could apply
Key exclusion criteria (5 listed)
- Any multiple sclerosis categorized as primary progressive, secondary progressive or progressive relapsing
- Allergy to mannitol, plovamer acetate, Copaxone (glatiramer acetate), Gd contrast for MRI
- Any requirement for continuous systemic glucocorticoid administration during the trial period. (Note: Treatment with interferons such as Avonex®, Rebif®, or Betaseron® will be allowed until the baseline visit, as no wash-out period is needed)
- Contraindication to Copaxone use
- Other protocol defined exclusion criteria could apply
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 |
|---|---|---|
| Plovamer acetate 0.5 milligram (mg)Plovamer acetate was administered at a dose of 0.5 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. | Drug | Plovamer acetate 0.5 milligram (mg) |
| Copaxone 20 mgPlovamer acetate was administered at a dose of 3 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. | Drug | Copaxone 20 mg |
| Plovamer acetate 3 mgPlovamer acetate was administered at a dose of 10 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months. | Drug | Plovamer acetate 3 mg |
| Plovamer acetate 10 mgPlovamer acetate was administered as two subcutaneous injection of 10 mg weekly for 40 weeks up to a maximum of 14 months. | Drug | Plovamer acetate 10 mg |
| Plovamer acetate 20 mgCopaxone was administered at a dose of 20 mg as subcutaneous injection once daily for 40 weeks up to a maximum of 14 months. | Drug | Plovamer acetate 20 mg |
Primary outcome
Mean Number of Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Time frame: Baseline , Week 12, 24, 28, 32, 36, 40
Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions per Subject and Scan was calculated using 5 serial magnetic resonance imaging (MRI) scans.
9 secondary outcomes
Mean Annualized Relapse Rate (ARR)
Time frame: Baseline up to Week 40
Percentage of Subjects Remaining Relapse-Free
Time frame: Baseline up to Week 40
Mean Number of New T1 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Time frame: Weeks 12, 24, 28, 32, 36, 40
Mean Number of New or Enlarging Time Constant 2 (T2) Lesions Per Subject and Scan
Time frame: Weeks 12, 24, 28, 32, 36,40
Mean Number of New, Unenhancing T1 Lesions (Black Holes) Per Subject and Scan
Time frame: Weeks 12, 24, 28, 32, 36, 40
Mean Change From Baseline in Volume of T1 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Time frame: Baseline, Weeks 12, 24, 28, 32, 36, 40
Mean Change From Baseline in Volume of T2 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan
Time frame: Baseline, Weeks 12, 24, 28, 32, 36, 40
Time to First Relapse
Time frame: Baseline up to Week 40
Mean Change From Baseline in Brain Volume Per Subject
Time frame: Baseline, Weeks 24, 28, 32, 36, 40
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 May 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Multiple Sclerosis
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.
Medical Responsible study director
EMD Serono, Inc., Billerica MA, a subsidiary of Merck KGaA, Darmstadt, Germany
118 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg and Plovamer acetate 3 mg in people with Relapsing Remitting Multiple Sclerosis, run by EMD Serono at 118 sites in 17 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 4 inclusion and 5 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: stopped early, as of the sponsor's last update on 11 May 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in United States, Russia, Italy, Mexico, Poland and 12 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 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 May 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?
Mean Number of Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan (time frame: Baseline , Week 12, 24, 28, 32, 36, 40). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 11 May 2016.