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Multiple SclerosisNCT02749396

EPID Multiple Sclerosis Pregnancy Study

An observational study of Multiple Sclerosis, run by Bayer at 1 site in Finland.

Completed

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

Official record
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Trial summary

Multiple Sclerosis (MS) is the most common chronic neurologic disability in young adult females in their childbearing ages. Little evidence is available regarding the association between exposure to IFN-beta (β) products and adverse pregnancy outcomes. Read more about this study

Who is it for?
Any age, women onlyHealthy volunteers can take part
Conditions the study is for
Multiple Sclerosis
What is being tested?
Betaseron (Interferon beta-1b, BAY86-5046), Bayer HealthCare AG, Extavia (interferon beta-1b), Novartis Pharma AG and Rebif (interferon beta-1a), Merck Serono Europe Ltd
How many people
2,089 participants
Where
1 siteFinland
Study dates
2 May 2016to 14 Aug 2018
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 Any age
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: The target study population consists of Finnish, Swedish and Norwegian women diagnosed with MS who have been pregnant during the study period from 1996 to 2014. The pregnancy may have resulted in an induced abortion, spontaneous abortion, ectopic pregnancy, stillbirth, or live birth during the study period.

Who may be able to join

  • Women who have had a pregnancy with a recorded outcome consisting of an induced abortion, spontaneous abortion, ectopic pregnancy, or birth during the study period in FIN, SWE or NOR with the event being documented in the relevant databases.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

Finland1 site
  • Many locations

    Multiple Locations

Other trials in Finland

About this study

Official title: Pregnancy Outcomes in Multiple Sclerosis Populations Exposed and Unexposed to Interferon β - a Register-based Study in the Nordic Countries

Multiple Sclerosis (MS) is the most common chronic neurologic disability in young adult females in their childbearing ages. Little evidence is available regarding the association between exposure to IFN-beta (β) products and adverse pregnancy outcomes. Therefore the four marketing holders of IFN-β are conducting a European-wide IFN-β pregnancy registry. Additionally, the Committee for Medicinal Products for Human Use (CHMP) has requested a study to enable identification of pregnancy outcomes in the MS population unexposed to IFN-β products for comparison with the ongoing European IFN-β Pregnancy Registry.

Read the detailed description

Information will be obtained from the Drugs and Pregnancy Project database (DPP - FIN) and the Medical Birth Register (MBR - SWE, NOR). The Finnish DPP and Norwegian MBR include information on all stillbirths of foetuses with a birth weight of at least 500 g or with a gestational age of at least 22+0 Gestational Week (GW). The Swedish MBR includes data on stillbirths after 28 GW

The estimated number of pregnancies in MS patients needed is 1671, encompassing data from:

  1. FIN: 1 January 1996 - 31 December 2014; ii) SWE: 1 July 2005 - 31 December 2014; iii) NOR: 1 January 2004 - 31 December 2014.
Being tested
Betaseron (Interferon beta-1b, BAY86-5046), Bayer HealthCare AG, Extavia (interferon beta-1b), Novartis Pharma AG, Rebif (interferon beta-1a), Merck Serono Europe Ltd, Plegridy (peginterferon beta-1a), Biogen Idec Ltd, Avonex (interferon beta-1a), Biogen Idec Ltd
Medical subject headings
Multiple Sclerosis

What participants receive

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

  • Betaseron (Interferon beta-1b, BAY86-5046), Bayer HealthCare AGDrug

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

  • Extavia (interferon beta-1b), Novartis Pharma AGDrug

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

  • Rebif (interferon beta-1a), Merck Serono Europe LtdDrug

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

  • Plegridy (peginterferon beta-1a), Biogen Idec LtdDrug

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

  • Avonex (interferon beta-1a), Biogen Idec LtdDrug

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

  • MSDMDs other than Betaseron (Interferon beta-1b, BAY86-5046)Drug

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

  • No MSDMDs therapy (control)Other

    Information will be obtained from the databses DPP (FIN) and MBR (SWE, NOR)

Study groups in NCT02749396
Study groupRoleWhat they receive
IFN-β / Cohort 1Exposure to IFN-β only
Receives: Drug: Betaseron (Interferon beta-1b, BAY86-5046), Bayer HealthCare AG; Drug: Extavia (interferon beta-1b), Novartis Pharma AG; Drug: Rebif (interferon beta-1a), Merck Serono Europe Ltd; Drug: Plegridy (peginterferon beta-1a), Biogen Idec Ltd; Drug: Avonex (interferon beta-1a), Biogen Idec Ltd
IFN-β + other MSDMDs / Cohort 2Women with MS exposed to IFN-β regardless of exposure to other MSDMDs
Receives: Drug: Betaseron (Interferon beta-1b, BAY86-5046), Bayer HealthCare AG; Drug: Extavia (interferon beta-1b), Novartis Pharma AG; Drug: Rebif (interferon beta-1a), Merck Serono Europe Ltd; Drug: Avonex (interferon beta-1a), Biogen Idec Ltd; Drug: MSDMDs other than Betaseron (Interferon beta-1b, BAY86-5046)
No MSDMDs / Cohort 3Women with MS exposed with no exposure to any MSDMDs
Receives: Other: No MSDMDs therapy (control)
No IFN-β + other MSDMDs / Cohort 4Women with MS exposed to IFN-β exposure regardless of exposure to other MSDMDs
Receives: Drug: MSDMDs other than Betaseron (Interferon beta-1b, BAY86-5046)
Other MSDMDs / Cohort 5Women with MS exposed to other MSDMD only excluding IFN-β or glatiramer acetate (Copaxone) or dimethyl fumarate (Tecfidera)
Receives: Drug: MSDMDs other than Betaseron (Interferon beta-1b, BAY86-5046)
Control / Cohort 6Women from the general population without MS

What is being measured

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

  1. Serious adverse pregnancy outcome due to different regimes of IFN-β exposure defined as a composite endpoint including presence of elective Termination of Pregnancy due to Foetal Anomaly (TOPFA), Major Congenital Anomaly (MCA) or stillbirth

    Cohort 1: Exposure to IFN-β only Cohort 2: All patients with IFN-β exposure regardless of exposure to other MS Disease Modifying Drug (MSDMDs) Cohort 3: No exposure to any MSDMDs Cohort 4: All patients with no IFN-β exposure regardless of exposure to other MSDMDs

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  2. Elective TOPFA for other reasons than IFN-β exposure

    Cohort 1: Exposure to IFN-β only Cohort 2: All patients with IFN-β exposure regardless of exposure to other MS Disease Modifying Drug (MSDMDs) Cohort 3: No exposure to any MSDMDs Cohort 4: All patients with no IFN-β exposure regardless of exposure to other MSDMDs

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  3. Elective termination for other reasonsthan IFN-β exposure

    Cohort 1: Exposure to IFN-β only Cohort 2: All patients with IFN-β exposure regardless of exposure to other MS Disease Modifying Drug (MSDMDs) Cohort 3: No exposure to any MSDMDs Cohort 4: All patients with no IFN-β exposure regardless of exposure to other MSDMDs

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  4. Stillbirth due to different regimes of IFN-β exposure

    Cohort 1: Exposure to IFN-β only Cohort 2: All patients with IFN-β exposure regardless of exposure to other MS Disease Modifying Drug (MSDMDs) Cohort 3: No exposure to any MSDMDs Cohort 4: All patients with no IFN-β exposure regardless of exposure to other MSDMDs

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  5. Live birth while different regimes of IFN-β exposure

    Cohort 1: Exposure to IFN-β only Cohort 2: All patients with IFN-β exposure regardless of exposure to other MS Disease Modifying Drug (MSDMDs) Cohort 3: No exposure to any MSDMDs Cohort 4: All patients with no IFN-β exposure regardless of exposure to other MSDMDs

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  6. MCA due to different regimes of IFN-β exposure

    Cohort 1: Exposure to IFN-β only Cohort 2: All patients with IFN-β exposure regardless of exposure to other MS Disease Modifying Drug (MSDMDs) Cohort 3: No exposure to any MSDMDs Cohort 4: All patients with no IFN-β exposure regardless of exposure to other MSDMDs

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  7. Comparison of the prevalence of serious adverse pregnancy outcome due to different regimes of IFN-β exposure defined as a composite endpoint including elective TOPFA, MCA or stillbirth

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3) and
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  8. Comparison of the prevalence of elective termination for other reasons than due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3) and
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  9. Comparison of the prevalence of stillbirth due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3) and
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  10. Comparison of the prevalence of live birth due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3) and
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  11. Comparison of the prevalence of MCA due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3) and
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  12. Comparison of the prevalence of Elective TOPFA due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3) and
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

Secondary outcomes (7)
  1. Comparison of the prevalence of ectopic pregnancies due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3),
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)
    3. Women with MS exposed to IFN-β regardless of exposure to other MSDMDs (cohort 2) vs. unexposed to any MSDMDs (cohort 3)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  2. Comparison of the prevalence of spontaneous abortions due to different regimes of IFN-β exposure

    1. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to any MSDMDs (cohort 3),
    2. Women with MS exposed to IFN-β only (cohort 1) vs. unexposed to IFN-β regardless of exposure to other MSDMDs (cohort 4)
    3. Women with MS exposed to IFN-β regardless of exposure to other MSDMDs (cohort 2) vs. unexposed to any MSDMDs (cohort 3)

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  3. Prevalence of elective TOPFA stratified by specific patient characteristics

    Patient characteristics:

    country, year of pregnancy outcome, chronic diseases, exposure to any teratogenic medications, time since MS diagnosis, duration of MS treatment, maternal age, gestational age, weight of the newborn

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  4. Prevalence of stillbirth stratified by specific patient characteristics

    Patient characteristics: country, year of pregnancy outcome, chronic diseases, exposure to any teratogenic medications, time since MS diagnosis, duration of MS treatment, maternal age, gestational age, weight of the newborn

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  5. Prevalence of live birth stratified by specific patient characteristics

    Patient characteristics: country, year of pregnancy outcome, chronic diseases, exposure to any teratogenic medications, time since MS diagnosis, duration of MS treatment, maternal age, gestational age, weight of the newborn

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  6. Prevalence of MCA stratified by specific patient characteristics

    Patient characteristics: country, year of pregnancy outcome, chronic diseases, exposure to any teratogenic medications, time since MS diagnosis, duration of MS treatment, maternal age, gestational age, weight of the newborn

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

  7. Comparison of the prevalence of ectopic pregnancies due to different regimes of IFN-β exposure

    Patient characteristics: country, year of pregnancy outcome, chronic diseases, exposure to any teratogenic medications, time since MS diagnosis, duration of MS treatment, maternal age, gestational age, weight of the newborn

    Measured: Retrospective Data analysis: MS patients data encompassing approximately 19 years

Timeline

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

  1. First posted25 Apr 2016 (estimated)
  2. Study start2 May 2016
  3. Primary completion14 Aug 2018
  4. Study completion14 Aug 2018

Resources

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
2,089 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02749396
Sponsor's protocol ID
18219
Status last verified
Aug 2019
First submitted
20 Apr 2016
Last updated
14 Aug 2019
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Multiple Sclerosis, run by Bayer at 1 site in Finland.

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 0 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 14 Aug 2019. 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 Finland. 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?

Serious adverse pregnancy outcome due to different regimes of IFN-β exposure defined as a composite endpoint including presence of elective Termination of Pregnancy due to Foetal Anomaly (TOPFA), Major Congenital Anomaly (MCA) or stillbirth (time frame: Retrospective Data analysis: MS patients data encompassing approximately 19 years). The study lists 12 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 14 Aug 2019.

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