AzTrials
AzTrials

Multiple Sclerosis, Relapsing-RemittingPhase 2/3NCT02744222

Comparative Clinical Trial to Evaluate Efficacy, Safety and Tolerance of BCD-054 and Avonex® for Treatment of Patients With Remitting-relapsing Multiple Sclerosis

A Phase 2/3 study testing BCD-054 180 mcg, Avonex® and BCD-054 240 mcg in people with Multiple Sclerosis, Relapsing-Remitting, run by Biocad at 1 site in Russia.

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

An International Multicenter Double-blind Placebo-controlled Randomized Study to Compare the Efficacy, Safety and Tolerability of BCD-054 (JSC BIOCAD, Russia), 180 μg and 240 μg, versus Avonex® (Biogen Idec Ltd., UK) in Patients with Relapsing-remitting Multiple Sclerosis Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Multiple Sclerosis, Relapsing-Remitting
What is being tested?
BCD-054 180 mcg, Avonex® and BCD-054 240 mcg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
399 participants
Where
1 siteRussia
Study dates
10 Aug 2017to 6 Jul 2020
Phase
Phase 2/3
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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Signed informed consent to participate in the study;
  • Men and women aged from 18 to 60 years (inclusive) on the day of signing informed consent;
  • Confirmed diagnosis of relapsing-remitting multiple sclerosis (according to McDonald criteria 2010) ;
  • Documentary evidence that within the last 12 months before signing informed consent the patient had:
  • At least 1 relapse, or
  • At least 1 Gadolinium enhancing T1-weighted lesion or 1 new T2-weighted lesion in dynamics.
Show all 9Show fewer
  • The patient should be neurologically stable during 30 days before signing informed consent (i.e. the patient should not have any new or aggravated neurological symptoms, as told by the patient); or the patient's condition should be completely stabilized since the last relapse, and the duration of stabilization should be at least 30 days) ;
  • Patients of childbearing potential and their partners with preserved reproductive function must implement reliable contraceptive methods starting from signing informed consent to 4 weeks after the last dose of study therapy. This requirement does not apply to patients after operative sterilization. Reliable contraception methods include one barrier method in combination with one of the following: spermicides, intrauterine device/oral contraceptives;
  • Total EDSS score of 0 to 5.5 inclusive (assessed by the Assessing Neurologist).

Who cannot join

  • Primary or secondary progressive MS;
  • Other conditions (except for multiple sclerosis) that can affect the assessment of MS symptoms: to mask, aggravate, change symptoms of multiple sclerosis, result in clinical signs or laboratory instrumental findings suggesting multiple sclerosis;
  • A relapse during the screening period ;
  • Any acute infections, relapses of chronic infections or any other chronic diseases that are present on the day of signing informed consent and can, as judged by the Investigator, negatively affect the patient's safety during the study treatment;
  • HIV, hepatitis B, hepatitis C, or syphilis ;
  • Metabolic abnormalities (disorders) manifesting as:
Show all 31Show fewer
  • baseline creatinine levels increased more than 2-fold vs. upper limit of normal;
  • baseline urea levels increased more than 3-fold vs. upper limit of normal;
  • baseline ALT, AST or GGT levels increased more than 2.5-fold vs. upper limit of normal;
  • baseline bilirubin levels increased more than 1.5-fold vs. upper limit of normal;
  • Baseline leukocyte counts lower than <3.0 × 109/L, platelet counts lower than <125 × 109/L or hemoglobin levels <100 g/L;
  • A history of severe depression, suicidal thoughts or suicide attempts ;
  • Signs of clinically significant depression (baseline Beck's score of more than 15);
  • A history of hypothyroidism/hyperthyroidism and/or baseline abnormalities of TSH levels vs. lower or upper limits of normal;
  • Epilepsy;
  • Pregnancy, lactation or planned pregnancy over the entire study period;
  • A history of use:
  • any time before signing informed consent: disease-modifying interferon beta drugs (interferon beta-1a, interferon beta-1b),
  • within 30 days before signing informed consent: glatiramer acetate;
  • within 6 months before signing informed consent: monoclonal antibodies, cytotoxic and/or immunosuppressive drugs, including but not limited to mitoxantrone, cyclophosphamide, cyclosporine, fingolimod, cladribine; or total lymphoid irradiation;
  • Systemic (i.v. or oral) corticosteroids used within 30 days before signing informed consent;
  • A history of intolerance of or allergy to pegylated proteins, interferon beta or other ingredients of BCD-054/Avonex®;
  • Known alcoholic or drug dependency or signs of present alcoholic/drug dependence that, in the Investigator's opinion, can be contraindications for study therapy of multiple sclerosis with interferon beta-1a or limit treatment compliance;
  • Inability to follow the Protocol procedures (in the Investigator's opinion).
  • Contraindications to MRI or use of gadolinium-containing contrast agents:
  • Metal foreign objects in the body: magnetic implants, ferromagnetic clips for cerebral vessels, artificial heart valves, electronic middle ear implants, pacemakers;
  • A history of allergy to gadolinium or gadolinium-containing contrast agents;
  • с) Fear of cramped spaces; d) Kidney function impairment with a risk of delayed gadolinium elimination (creatinine level increased to more than 2 x upper limit of normal); e) Documented diagnosis of sickle cell or hemolytic anemia, hemoglobinopathy.
  • Any malignancies or a history of malignancies, except for cured basal cell carcinoma or cervical cancer in situ;
  • Vaccination within 4 weeks before signing informed consent (as told by the patient);
  • Participation in other clinical studies within 90 months before signing informed consent.

Trial locations and contacts

1 site in 1 country.

Russia1 site
  • State Budgetary Healthcare Institution of Nizhny Novgorod region " "Regional Clinical Hospital N.A. Semashko, Nizhny Novgorod"

    Nizhny Novgorod

Other trials in Russia

About this study

Official title: An International Multicenter Double-blind Placebo-controlled Randomized Study to Compare the Efficacy, Safety and Tolerability of BCD-054 (JSC BIOCAD, Russia), 180 μg and 240 μg, Versus Avonex® (Biogen Idec Ltd., UK) in Patients With Relapsing-remitting Multiple Sclerosis

An International Multicenter Double-blind Placebo-controlled Randomized Study to Compare the Efficacy, Safety and Tolerability of BCD-054 (JSC BIOCAD, Russia), 180 μg and 240 μg, versus Avonex® (Biogen Idec Ltd., UK) in Patients with Relapsing-remitting Multiple Sclerosis

Being tested
BCD-054 180 mcg, Avonex®, BCD-054 240 mcg, Placebo
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting

What participants receive

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

  • BCD-054 180 mcgBiological

    Also called pegylated interferon beta-1a

    180 mcg intramuscularly once every two weeks

  • Avonex®Biological

    Also called interferon beta-1a

    30 mcg intramuscularly once a week

  • BCD-054 240 mcgBiological

    Also called pegylated interferon beta-1a

    240 mcg intramuscularly once every two weeks

  • PlaceboOther

    intramuscularly once a week (0,5 ml)

Study groups in NCT02744222
Study groupRoleWhat they receive
BCD-054, 180 mcg, biweeklyExperimentalPatients of Groups 1 will receive blinded BCD-054 180 mcg intramuscularly once every two weeks for the first 52 weeks (including a 4-week titration phase from Week 0 to Week 3 inclusive). Between every two injections of the active drug, once every 2 weeks, patients will receive intramuscular injections of placebo.From Week 53 until Week 100, patients of Groups 1 will receive open-label BCD-054 180 mcg or 240 mcg intramuscularly once every 2 weeks
Receives: Biological: BCD-054 180 mcg
BCD-054, 240 mcg, biweeklyExperimentalPatients of Groups 2 will receive blinded BCD-054 240 mcg intramuscularly once every two weeks for the first 52 weeks (including a 4-week titration phase from Week 0 to Week 3 inclusive). Between every two injections of the active drug, once every 2 weeks, patients will receive intramuscular injections of placebo.From Week 53 until Week 100, patients of Groups 2 will receive open-label BCD-054 180 mcg or 240 mcg intramuscularly once every 2 weeks
Receives: Biological: BCD-054 240 mcg
Avonex®, 30 mcg, weeklyActive comparatorPatients of Group 3 (reference group) will receive blinded Avonex® 30 mcgintramuscularly once a week for the first 52 weeks (including a 4-week titration phase from Week 0 to Week 3 inclusive).
Receives: Biological: Avonex®
Placebo, 0,5 ml, weeklyPlacebo comparatorPatients of Group 4 (placebo) will receive blinded placebo once a week for the first 20 weeks (including a 4-week titration phase from Week 0 to Week 3 inclusive)
Receives: Other: Placebo

What is being measured

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

  1. Time to first relapse after 52 weeks of blinded treatment with BCD-054 or Avonex

    Time to first relapse after 52 weeks of blinded treatment with BCD-054 or Avonex

    Measured: Week 52

Secondary outcomes (23)
  1. CUA

    Measured: Week 20, Week 52, Week 104

  2. Proportion of patients without contrast-enhancing lesions

    Measured: Week 20, Week 52, Week 104

  3. Number of new or enlarging T2-weighted lesions

    Measured: Week 20, Week 52, Week 104

  4. Proportion of patients without new or enlarging T2-weighted lesions

    Measured: Week 20, Week 52, Week 104

  5. Changes in T2-weighted lesion volume

    Measured: Week 20, Week 52, Week 104

  6. Changes in hypointense T1-weighted lesion volume

    Measured: Week 20, Week 52, Week 104

  7. Annual average frequency of relapses

    Measured: Week 20, Week 52, Week 104

  8. Proportion of relapse-free patients

    Measured: Week 20, Week 52, Week 104

  9. Proportion of patients with sustained disability progression

    Measured: Week 20, Week 52, Week 104

  10. Expanded Disability Status Scale (EDSS)

    Measured: Week 20, Week 52, Week 104

  11. Timed 25-Foot Walk

    Measured: Week 20, Week 52, Week 104

  12. 9-Hole Peg Test (9 HPT)

    Measured: Week 20, Week 52, Week 104

  13. Symbol Digit Modalities Test (SDMT)

    Measured: Week 20, Week 52, Week 104

  14. The proportion of patients who developed AEs/SAEs that, in the Investigator's opinion, are related to BCD-054 or Avonex®

    Measured: Week12, Week 20, Week 52, Week 104

  15. The proportion of patients, in each group, who developed СТСАЕ v. 4.03 Grade 3-4 AEs that, in the Investigator's opinion, are related to BCD-054 or Avonex®

    Measured: Week12, Week 20, Week 52, Week 104

  16. The proportion of patients, in each group, who discontinued the study due to AEs/SAEs

    Measured: Week12, Week 20, Week 52, Week 104

  17. The proportion of BAb- and NAb-positive patients

    Measured: Week 20, Week 52, Week 104

  18. AUC (0-168 hours)

    Area under the IFN-β1а concentration vs. time curve to 168 h (AUC(0-168)) with the first full dose of BCD-054 or Avonex® (Week 4)

    Measured: from 0 to 168 hours after the first full dose of BCD-054 or Avonex® (Week 4)

  19. AUC (0-336 hours)

    Area under the IFN-β1а concentration vs. time curve to 336 h (AUC(0-336)) with the first full dose of BCD-054 or Avonex® (Week 4)

    Measured: from 0 to 336 hours after the first full dose of BCD-054 or Avonex® (Week 4)

  20. AUCss (0-168 hours, 0-336 hours)

    AUCss (0-168 hours, 0-336 hours) - area under curve "concentration - time" from 0 to 168 hours and from 0 to 336 hours(since the introduction of 17 injections, in steady state conditions)

    Measured: from 0 to 168 hours and from 0 to 336 hours since the introduction of 17 injections

  21. AUECss (0-168 hours, 0-336 hours)

    AUECss (0-168 hours, 0-336 hours) - area under effect curve "concentration of MxA-protein/neopterin - time" from 0 to 168 hours and from 0 to 336 hours (since the introduction of 17 injections, in steady state conditions)

    Measured: from 0 to 168 hours and from 0 to 336 hours after isince the introduction of 17 injections

  22. AUEC (0-168 hours)

    Area under the effect (concentration of MxA protein/neopterin) vs. time curve to 168 h (AUC(0-168)) with the first full dose of BCD-054 or Avonex® (Week 4

    Measured: from 0 to 168 hours after the first full dose of BCD-054 or Avonex® (Week 4)

  23. AUEC (0-336 hours)

    Area under the effect (concentration of MxA protein/neopterin) vs. time curve to 336 h (AUEC(0-336)) with the first full dose of BCD-054 or Avonex® (Week 4)

    Measured: from 0 to 336 hours after the first full dose of BCD-054 or Avonex® (Week 4)

Timeline

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

  1. First posted20 Apr 2016 (estimated)
  2. Study start10 Aug 2017
  3. Primary completion23 Nov 2018
  4. Study completion6 Jul 2020

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
399 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02744222
Sponsor's protocol ID
BCD-054-2
Status last verified
Sep 2021
First submitted
3 Apr 2016
Last updated
8 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing BCD-054 180 mcg, Avonex® and BCD-054 240 mcg in people with Multiple Sclerosis, Relapsing-Remitting, run by Biocad at 1 site in Russia.

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 9 inclusion and 31 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 8 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Russia. 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 combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

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?

Time to first relapse after 52 weeks of blinded treatment with BCD-054 or Avonex (time frame: Week 52). 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 8 Sep 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in