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Relapsing Remitting Multiple SclerosisPhase 4PLENONCT03177083

Evaluate Safety/Tolerability in Portuguese Participants With RRMS Transitioning From Current Therapy

A Phase 4 study testing peginterferon beta-1a, interferon beta-1a and interferon beta-1b in people with Relapsing Remitting Multiple Sclerosis, run by Biogen at 15 sites in Portugal.

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

The primary objective of the study is to evaluate safety and tolerability as defined by the frequency of the adverse events (AEs) of flu-like symptoms (FLS) [chills, pyrexia, myalgia, and asthenia], injection site reactions (ISRs), and injection site reaction pain (ISR-P), over 24 weeks of treatment (the active… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Relapsing Remitting Multiple Sclerosis
What is being tested?
peginterferon beta-1a, interferon beta-1a and interferon beta-1b
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
15 sitesPortugal
Study dates
30 Jan 2017to 26 Oct 2020
Phase
Phase 4
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A confirmed diagnosis of RRMS, as defined by McDonald criteria (2017).
  • An EDSS score between 0 and 5.0.
  • All female participants of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 3 months after their last dose of study treatment.
  • On continual treatment for ≥6 months with a single current SC IFN-β therapy, including IFN-β-1b 0.25 mg SC every other day or IFN-β-1a 22 μg or 44 μg SC 3 times weekly

Who cannot join

  • Known history of human immunodeficiency virus.
  • Known history of or positive test result for antibodies to hepatitis C, or current hepatitis B infection (defined as positive for hepatitis B surface antigen [HBsAg] and/or positive for hepatitis B core antibody [HBcAb]) at Screening. Participants with immunity to hepatitis B from either active vaccination (defined as negative HBsAg, positive hepatitis B surface antibody [HBsAb], and negative HBcAb) or from previous natural infection (defined as negative HBsAg, positive HBsAb immunoglobulin G, and positive HBcAb) are eligible to participate in the study (definitions are based on the Centers for Disease Control and Prevention's interpretation of the hepatitis B serology panel [CDC 2007]).
  • An MS relapse that has occurred within the 50 days prior to randomization and/or lack of stabilization from a previous relapse prior to randomization (Day 1).
  • Any previous treatment with PLEGRIDY.
  • NOTE: Other protocol defined Inclusion/Exclusion may apply

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

Portugal15 sites
  • Hospital Fernando Fonseca

    Amadora, 2720-276

  • Hospital de Braga

    Braga, 4710-243

  • Centro Hospitalar Cova da Beira

    Covilha, 6200-251

  • Hospital Evora

    Evora, 7000-811

  • Hospital Dr. Nelio Mendonça

    Funchal, 9004-514

  • Hospital da Senhora da Oliveira

    Guimarães, 4835-044

  • Centro Hospitalar de Leiria

    Leiria, 2410-197

  • Hospital Egas Moniz

    Lisbon, 1349-019

  • Hospital da Luz

    Lisbon, 1500-650

  • Centro Hospitalar Lisboa Norte - Hosp Santa Maria

    Lisbon, 1649-035

  • Hospital Beatriz Ângelo, EPE

    Loures, 2674-514

  • ULS Matosinhos

    Matosinhos Municipality, 4464-513

  • Hospital Santo Antonio

    Porto, 4099-001

  • Hospital de Sao Sebastiao

    Santa Maria da Feira, 4520-211

  • Hospital Viana do Castelo

    Viana do Castelo, 4904-858

Other trials in Portugal

About this study

Official title: Open-label, Randomized, 2-arm, Active Comparator Study to Evaluate Safety and Tolerability in Portuguese Patients With Relapsing Remitting Multiple Sclerosis (MS) Transitioning From Current Subcutaneous Interferon Therapy to Peginterferon Beta 1a (PLEGRIDY™)

The primary objective of the study is to evaluate safety and tolerability as defined by the frequency of the adverse events (AEs) of flu-like symptoms (FLS) [chills, pyrexia, myalgia, and asthenia], injection site reactions (ISRs), and injection site reaction pain (ISR-P), over 24 weeks of treatment (the active comparator period) with PLEGRIDY 125 microgram (μg) subcutaneous (SC) every 2 weeks versus current SC IFN-β therapy in participants with Relapsing Remitting Multiple Sclerosis (RRMS).

Being tested
peginterferon beta-1a, interferon beta-1a, interferon beta-1b
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.

  • peginterferon beta-1aDrug

    Also called PLEGRIDY, BIIB017

    SC every 2 weeks

  • interferon beta-1aDrug

    Also called Rebif

    Per Summary of Product Characteristics (SMPC)

  • interferon beta-1bDrug

    Also called Betaferon, Extavia

    Per SMPC

Study groups in NCT03177083
Study groupRoleWhat they receive
peginterferon beta-1aActive comparatorNot described
Receives: Drug: peginterferon beta-1a
Current TherapyActive comparatorNot described
Receives: Drug: interferon beta-1a; Drug: interferon beta-1b

What is being measured

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

  1. Combined Counts of Adverse Events (AEs) of Flu-Like Symptoms (FLS)

    FLS as defined by chills, pyrexia, myalgia, and asthenia

    Measured: Up to Week 24

  2. Combined Counts of AEs of Injection Site Reactions (ISRs)

    Defined as a post-application assessment score ≥2 in participant assessments using the Patient's Erythema Self-Assessment 1 (PSA) scale

    Measured: Up to Week 24

  3. Combined Counts of AEs of Injection Site Reactions (ISRs)

    Defined as a post-application assessment score ≥2 in clinician assessments using the Clinician Erythema Assessment (CEA) scale

    Measured: Up to Week 24

  4. Combined Counts of AEs of ISR Pain (ISRP)

    Defined as visual analog scale (VAS) associated with ISR ≥1 immediately after injection or 30 minutes post-injection

    Measured: Up to Week 24

Secondary outcomes (32)
  1. Change in Participant-Reported Treatment Satisfaction Using Treatment Satisfaction Questionnaire for Medication (TSQM-9) in Participants Treated with PLEGRIDY Versus Current SC IFN-β

    A questionnaire assessing patient satisfaction with drug on 3 scales: effectiveness, convenience, and global satisfaction

    Measured: Baseline to Week 24

  2. Change in Participant-Reported Treatment Satisfaction Using TSQM-9 in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A questionnaire assessing patient satisfaction with drug on 3 scales: effectiveness, convenience, and global satisfaction

    Measured: Week 24 and Week 48

  3. Change in Participant-Reported Outcome (PRO) Measures in EuroQol Group 5-Dimension 3-Level Version (EQ-5D-3L) Index in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    The EQ-5D-3L is a standardized instrument for use as a measure of health outcome. It is a health questionnaire that consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems.

    Measured: Baseline and Week 24

  4. Change in PRO Measures in EQ-5D-3L Index in Participants Continuously Treated with PLEGRIDY Versus Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    The EQ-5D-3L is a standardized instrument for use as a measure of health outcome. It is a health questionnaire that consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems.

    Measured: Week 24, Week 48 and Week 72

  5. Change in PRO Measures in EQ-5D-3L Index in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    The EQ-5D-3L is a standardized instrument for use as a measure of health outcome. It is a health questionnaire that consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems.

    Measured: Baseline, Week 24, Week 48 and Week 72

  6. Change in PRO Measures in Work Productivity and Activity Impairment Questionnaire: Multiple Sclerosis V2.1 (WPAI: MS) Score in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    The Work Productivity and Activity Impairment (WPAI) questionnaire is a validated instrument to measure impairments in work and activities. The WPAI yields four types of scores: 1. Absenteeism (work time missed) 2. Presenteesism (impairment at work / reduced on-the-job effectiveness) 3. Work productivity loss (overall work impairment / absenteeism plus presenteeism) 4. Activity Impairment. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.

    Measured: Baseline and Week 24

  7. Change in PRO Measures in WPAI: MS Score in Participants Continuously Treated with PLEGRIDY Versus Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    The Work Productivity and Activity Impairment (WPAI) questionnaire is a validated instrument to measure impairments in work and activities. The WPAI yields four types of scores: 1. Absenteeism (work time missed) 2. Presenteesism (impairment at work / reduced on-the-job effectiveness) 3. Work productivity loss (overall work impairment / absenteeism plus presenteeism) 4. Activity Impairment. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.

    Measured: Week 24, Week 48 and Week 72

  8. Change in PRO Measures in WPAI: MS Score in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    The Work Productivity and Activity Impairment (WPAI) questionnaire is a validated instrument to measure impairments in work and activities. The WPAI yields four types of scores: 1. Absenteeism (work time missed) 2. Presenteesism (impairment at work / reduced on-the-job effectiveness) 3. Work productivity loss (overall work impairment / absenteeism plus presenteeism) 4. Activity Impairment. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity.

    Measured: Baseline, Week 24, Week 48 and Week 72

  9. Percentage of Participants with Changes in Clinical Status Assessed Using the Expanded Disability Status Scale (EDSS)

    The EDSS measures disability status on a scale ranging from 0 to 10, with higher scores indicating more disability. Scoring is based on measures of impairment in eight functional systems on examination by a neurologist.

    Measured: Week 48

  10. Change in PRO Measures in 12-Item Short Form Survey (SF-12) Score in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    A short form survey with 12 questions selected from the SF-36 Health Survey. The questions are weighted and summed to create two scales on physical and mental functioning. Physical Composite Scores (PCS) and Mental Composite Scores (MCS) range from 0 to 100, where a zero indicates the lowest level of health and 100 indicates the highest level of health.

    Measured: Baseline and Week 24

  11. Change in PRO Measures in SF-12 Score in Participants Continuously Treated with PLEGRIDY Versus Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A short form survey with 12 questions selected from the SF-36 Health Survey. The questions are weighted and summed to create two scales on physical and mental functioning. Physical Composite Scores (PCS) and Mental Composite Scores (MCS) range from 0 to 100, where a zero indicates the lowest level of health and 100 indicates the highest level of health.

    Measured: Week 24, Week 48 and Week 72

  12. Change in PRO Measures in SF-12 Score in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A short form survey with 12 questions selected from the SF-36 Health Survey. The questions are weighted and summed to create two scales on physical and mental functioning. Physical Composite Scores (PCS) and Mental Composite Scores (MCS) range from 0 to 100, where a zero indicates the lowest level of health and 100 indicates the highest level of health.

    Measured: Baseline, Week 24, Week 48 and Week 72

  13. Change in PRO Measures in Fatigue Severity Scale (FSS) Score in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    A 9-item questionnaire that measures the severity of fatigue and functionality. Each question is scored on a scale of 1 to 7, where 1 equals strongly disagree and 7 equals strongly agree. A higher total score indicates greater fatigue severity and impairment.

    Measured: Baseline and Week 24

  14. Change in PRO Measures in FSS Score in Participants Continuously Treated with PLEGRIDY Versus Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A 9-item questionnaire that measures the severity of fatigue and functionality. Each question is scored on a scale of 1 to 7, where 1 equals strongly disagree and 7 equals strongly agree. A higher total score indicates greater fatigue severity and impairment.

    Measured: Week 24, Week 48 and Week 72

  15. Change in PRO Measures in FSS Score in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A 9-item questionnaire that measures the severity of fatigue and functionality. Each question is scored on a scale of 1 to 7, where 1 equals strongly disagree and 7 equals strongly agree. A higher total score indicates greater fatigue severity and impairment.

    Measured: Baseline, Week 24, Week 48 and Week 72

  16. Change in PRO Measures in Hospital Anxiety And Depression Scale (HADS) Score in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    A 14-item self-rating scale that assesses anxiety and depression. Each question is scored on a scale ranging from 0 to 3. Responses are summed to provide separate scores for anxiety and depression that range from 0 to 21. For each corresponding subscale, a total score of 0-7 equals normal, 8-10 equals borderline case, and 11-21 equals case.

    Measured: Baseline and Week 24

  17. Change in PRO Measures in HADS Score in Participants Continuously Treated with PLEGRIDY Versus Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A 14-item self-rating scale that assesses anxiety and depression. Each question is scored on a scale ranging from 0 to 3. Responses are summed to provide separate scores for anxiety and depression that range from 0 to 21. For each corresponding subscale, a total score of 0-7 equals normal, 8-10 equals borderline case, and 11-21 equals case.

    Measured: Week 24, Week 48 and Week 72

  18. Change in PRO Measures in HADS Score in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A 14-item self-rating scale that assesses anxiety and depression. Each question is scored on a scale ranging from 0 to 3. Responses are summed to provide separate scores for anxiety and depression that range from 0 to 21. For each corresponding subscale, a total score of 0-7 equals normal, 8-10 equals borderline case, and 11-21 equals case.

    Measured: Baseline, Week 24, Week 48 and Week 72

  19. Participants Adherence to Study Treatment as Measured by Treatment Adherence Questionnaire

    A questionnaire assessing adherence and the reasons for not taking drug at the recommended frequency of administration.

    Measured: Week 24 and Week 72

  20. Participants Adherence to Study Treatment as Measured by Returned Injection Pens

    Treatment adherence surveillance

    Measured: Week 24 and Week 72

  21. Participants Adherence to Study Treatment as Measured by Treatment Adherence Questionnaire in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    A questionnaire assessing adherence and the reasons for not taking drug at the recommended frequency of administration.

    Measured: Baseline, Week 24, Week 48 and Week 72

  22. Participants Adherence to Study Treatment as Measured by Returned Injection Pens in Participants Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    Treatment adherence surveillance

    Measured: Baseline, Week 24, Week 48 and Week 72

  23. Proportion of Pain-Free Participants Immediately After Injection (Defined as 0 mm for All Full-Dose Injections on VAS of Participant-Reported Pain) at End Of the Comparator Period in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    0 mm for all full-dose injections on Visual Analog Scale (VAS) of participant-reported pain.

    Measured: Week 24

  24. Proportion of Pain-Free Participants 30 Minutes after Injection (Defined as 0 mm for All Full-Dose Injections on VAS of Participant-Reported Pain) at End of the Comparator Period in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    0 mm for all full-dose injections on (VAS) of participant-reported pain.

    Measured: Week 24

  25. Average Change in Participant-Reported VAS Pain Score from Pre-Injection to 30 Minutes Post-Injection in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    Measured by participant-reported VAS pain score

    Measured: Week 24

  26. Average Change in Participant-Reported VAS Pain Score from Pre-Injection to Immediate Post-Injection in Participants Treated with PLEGRIDY Versus Current SC IFN-Β

    Measured by participant-reported VAS pain score

    Measured: Week 24

  27. Percentage of Participants with Changes in Relapse Activity

    Measured by change of ARR pre-study to on-study ARR

    Measured: Week 72

  28. Annualized Relapse Rate (ARR) in Participants in the Overall Population

    Calculated by dividing the total number of participant relapses by the total number of participant years at risk.

    Measured: Week 72

  29. Proportion of Relapsed Participants in Overall Population

    Proportion of total study participants who experienced a confirmed clinical relapse during the study.

    Measured: Week 72

  30. Percentage of Participants with an Adverse Event (AE), Serious AE, and Discontinuations of Study Treatment due to an AE in Participants Treated with PLEGRIDY Versus Current SC IFN-β

    Safety surveillance

    Measured: Week 24

  31. Percentage of Participants with an AE, Serious AE, and Discontinuation of Study Treatment due to an AE Continuously Treated with PLEGRIDY

    Safety surveillance

    Measured: Week 24, Week 48 and Week 72

  32. Percentage of Participants with an AE, Serious AE, and Discontinuation of Study Treatment due to an AE Who Switched from Current SC IFN-Β Therapy to PLEGRIDY at the End of the Comparator Period

    Safety surveillance

    Measured: Week 24, Week 48 and Week 72

Timeline

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

  1. First posted6 Jun 2017
  2. Study start30 Jan 2017
  3. Primary completion26 Oct 2020
  4. Study completion26 Oct 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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03177083
Sponsor's protocol ID
PRT-PEG-15-10880
Other IDs
2016-000434-21, 2016
Acronym
PLENO
Status last verified
Nov 2020
First submitted
26 Jan 2017
Last updated
25 Nov 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing peginterferon beta-1a, interferon beta-1a and interferon beta-1b in people with Relapsing Remitting Multiple Sclerosis, run by Biogen at 15 sites in Portugal.

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: finished, as of the sponsor's last update on 25 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Portugal. 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?

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?

Combined Counts of Adverse Events (AEs) of Flu-Like Symptoms (FLS) (time frame: Up to Week 24). The study lists 4 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 25 Nov 2020.

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