Multiple SclerosisREALIZENCT02519413
Tecfidera Lymphocyte Chart Review
An observational study of Multiple Sclerosis, run by Biogen at 10 sites in United States.
Trial summary
The primary objective of the study is to retrospectively investigate changes in lymphocyte counts and lymphocyte subtypes, with a focus on CD4+ and CD8+ T cells, in participants on Tecfidera therapy for at least 6 months. 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?
- dimethyl fumarate
- Type of treatment
- Pill or oral medicine
- How many people
- 483 participants
- Where
- 10 sitesUnited States
- Study dates
- Jul 2015to Feb 2016
- Phase
- Observational
- Are there results?
- None posted in the registry
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
Study population: This study will be conducted in patients with relapsing forms of multiple sclerosis (MS) who initiated Tecfidera treatment for the first time (treatment naïve) under routine clinical care. For inclusion in the study, patients' charts must have a baseline measurement for absolute lymphocyte count (ALC) and absolute CD4+ or CD8+ count within 6 months prior to Tecfidera initiation, and at least 1 measurement for ALC and absolute CD4+ or CD8+ count while on Tecfidera treatment for at least 6 months. For patients who discontinue Tecfidera, data will be collected for up to 6 months following Tecfidera discontinuation.
Who may be able to join
- Initiated Tecfidera treatment for the first time on or after 27 March 2013 and received at least 6 months of continuous treatment with Tecfidera
- Clinical diagnosis of a relapsing form of MS
- A baseline measurement for ALC and absolute CD4+ or CD8+ count within 6 months prior to Tecfidera initiation
- At least 1 measurement for ALC and absolute CD4+ or CD8+ count while on Tecfidera therapy for at least 6 months
Who cannot join
- Clinical diagnosis of human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) prior to Tecfidera initiation
- Participation in DEFINE 109MS301 (NCT00420212) or CONFIRM 109MS302 (NCT00451451)
- NOTE: Other protocol-defined inclusion/exclusion criteria may apply.
Trial locations and contacts
10 sites in 1 country.
10 sites in 1 country
United States10 sites
Research Site
Atlanta, Georgia, 30309
Research Site
Buffalo, New York, 14203
Research site
Homewood, Alabama, 35209
Research Site
Huntersville, North Carolina, 28078
Research Site
Milwaukee, Wisconsin, 53215
Research Site
Newport Beach, California, 92663
Research Site
Patchogue, New York, 11772
Research Site
Philadelphia, Pennsylvania, 19125
Research Site
Seattle, Washington, 98101
Research Site
Seattle, Washington, 98104
About this study
Official title: A Retrospective, Multi-Center, Observational Study to Assess the Effect of Tecfidera® Delayed-Release Capsules on Lymphocyte Subsets in Subjects With Relapsing Forms of Multiple Sclerosis (REALIZE)
The primary objective of the study is to retrospectively investigate changes in lymphocyte counts and lymphocyte subtypes, with a focus on CD4+ and CD8+ T cells, in participants on Tecfidera therapy for at least 6 months. The secondary objective is to investigate changes in lymphocyte subtypes other than CD4+ and CD8+ T cells.
- Conditions
- Multiple Sclerosis
- Being tested
- dimethyl fumarate
- Keywords
- lymphocyte, serious infections, opportunistic infections, Relapsing Forms
- Medical subject headings
- Multiple Sclerosis, Opportunistic Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
dimethyl fumarateDrug
Also called DMF; Tecfidera, BG00012
delayed release capsules
What is being measured
The primary outcome is the main question the study is designed to answer.
Estimated absolute lymphocyte count (ALC) change from baseline following Tecfidera initiation
Measured: 6 and 12 months
Estimated CD4+ count change from baseline following Tecfidera initiation
Measured: 6 and 12 months
Estimated CD8+ count change from baseline following Tecfidera initiation
Measured: 6 and 12 months
Secondary outcomes (8)
Raw absolute counts for leukocyte, lymphocyte, CD4+/CD8+ ratio following Tecfidera initiation
Measured: 6 and 12 months
Raw absolute counts for additional lymphocyte subsets (other than CD4+ and CD8+)
Measured: 6 and 12 months
Change from baseline for leukocyte, lymphocyte, CD4+/CD8+ ratio following Tecfidera initiation
Measured: 6 and 12 months
Change from baseline for additional lymphocyte subsets (other than CD4+and CD8+) following Tecfidera initiation
Measured: 6 and 12 months
Percentage change from baseline for leukocyte, lymphocyte, CD4+/CD8+ ratio following Tecfidera initiation
Measured: 6 and 12 months
Percentage change from baseline for additional lymphocyte subsets (other than CD4+and CD8+) following Tecfidera initiation
Measured: 6 and 12 months
Time to pre-determined lymphocyte counts following Tecfidera initiation
Measured: Up to 12 months
Potential predictors of low lymphocyte counts following Tecfidera initiation
Measured: 6 and 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Aug 2015 (estimated)
- Study startJul 2015
- Primary completionFeb 2016
- Study completionFeb 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- More trials run by BiogenThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 483 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02519413
- Sponsor's protocol ID
- 109MS419
- Acronym
- REALIZE
- Status last verified
- Aug 2016
- First submitted
- 16 Jul 2015
- Last updated
- 26 Aug 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Aug 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Retrospective, Multi-Center, Observational Study to Assess the Effect of Tecfidera® Delayed-Release Capsules on Lymphocyte Subsets in Subjects With Relapsing Forms of Multiple Sclerosis (REALIZE)
- ClinicalTrials.gov ID
- NCT02519413
- Acronym / sponsor ID
- REALIZE / 109MS419
- Conditions
- Multiple Sclerosis
- Keywords
- lymphocyte, serious infections, opportunistic infections, Relapsing Forms
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 483 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- Jul 2015
- Primary completion
- Feb 2016 (actual)
- Study completion
- Feb 2016 (actual)
- First posted
- 10 Aug 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to retrospectively investigate changes in lymphocyte counts and lymphocyte subtypes, with a focus on CD4+ and CD8+ T cells, in participants on Tecfidera therapy for at least 6 months. The secondary objective is to investigate changes in lymphocyte subtypes other than CD4+ and CD8+ T cells.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- This study will be conducted in patients with relapsing forms of multiple sclerosis (MS) who initiated Tecfidera treatment for the first time (treatment naïve) under routine clinical care. For inclusion in the study, patients' charts must have a baseline measurement for absolute lymphocyte count (ALC) and absolute CD4+ or CD8+ count within 6 months prior to Tecfidera initiation, and at least 1 measurement for ALC and absolute CD4+ or CD8+ count while on Tecfidera treatment for at least 6 months. For patients who discontinue Tecfidera, data will be collected for up to 6 months following Tecfidera discontinuation.
Key inclusion criteria (4 listed)
- Initiated Tecfidera treatment for the first time on or after 27 March 2013 and received at least 6 months of continuous treatment with Tecfidera
- Clinical diagnosis of a relapsing form of MS
- A baseline measurement for ALC and absolute CD4+ or CD8+ count within 6 months prior to Tecfidera initiation
- At least 1 measurement for ALC and absolute CD4+ or CD8+ count while on Tecfidera therapy for at least 6 months
Key exclusion criteria (3 listed)
- Clinical diagnosis of human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) prior to Tecfidera initiation
- Participation in DEFINE 109MS301 (NCT00420212) or CONFIRM 109MS302 (NCT00451451)
- NOTE: Other protocol-defined inclusion/exclusion criteria may 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 |
|---|---|---|
| dimethyl fumarateAlso: DMF; Tecfidera, BG00012delayed release capsules | Drug | – |
Primary outcome
Estimated absolute lymphocyte count (ALC) change from baseline following Tecfidera initiation
Time frame: 6 and 12 months
Estimated CD4+ count change from baseline following Tecfidera initiation
Time frame: 6 and 12 months
Estimated CD8+ count change from baseline following Tecfidera initiation
Time frame: 6 and 12 months
8 secondary outcomes
Raw absolute counts for leukocyte, lymphocyte, CD4+/CD8+ ratio following Tecfidera initiation
Time frame: 6 and 12 months
Raw absolute counts for additional lymphocyte subsets (other than CD4+ and CD8+)
Time frame: 6 and 12 months
Change from baseline for leukocyte, lymphocyte, CD4+/CD8+ ratio following Tecfidera initiation
Time frame: 6 and 12 months
Change from baseline for additional lymphocyte subsets (other than CD4+and CD8+) following Tecfidera initiation
Time frame: 6 and 12 months
Percentage change from baseline for leukocyte, lymphocyte, CD4+/CD8+ ratio following Tecfidera initiation
Time frame: 6 and 12 months
Percentage change from baseline for additional lymphocyte subsets (other than CD4+and CD8+) following Tecfidera initiation
Time frame: 6 and 12 months
Time to pre-determined lymphocyte counts following Tecfidera initiation
Time frame: Up to 12 months
Potential predictors of low lymphocyte counts following Tecfidera initiation
Time frame: 6 and 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Aug 2016.
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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.
Medical Director study director
Biogen
10 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Multiple Sclerosis, run by Biogen at 10 sites in United States.
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 3 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 26 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in United States. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Estimated absolute lymphocyte count (ALC) change from baseline following Tecfidera initiation (time frame: 6 and 12 months). The study lists 3 primary outcomes in all. 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 26 Aug 2016.