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Multiple SclerosisNCT05576779

Characterization of Early Patients Initiating Ofatumumab for Treatment of Multiple Sclerosis.

An observational study of Multiple Sclerosis, run by Novartis Pharmaceuticals at 1 site in United States.

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

This was a retrospective cohort study utilizing secondary data from IQVIA's open source pharmacy claims database (i.e., IQVIA LRx) selecting patients with prescription claims for ofatumumab or other DMTs of interest. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
Ofatunumab
How many people
2,101 participants
Where
1 siteUnited States
Study dates
3 Dec 2020to 31 Dec 2021
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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with prescription claims for ofatumumab or other DMTs of interest.

Who may be able to join

  • Patients with ≥ 1 prescription for ofatumumab in the LRx/Dx database were included. The date of the first observed prescription within the index window served as the index date.
  • -. Patients with a diagnosis of COVID-19 or a COVID-19 vaccination any time during the study period.
  • Patients with linkage to the Dx database.

Who cannot join

  • No exclusion criteria were applied to patients in the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis Investigative Site

    East Hanover, New Jersey, 07936-1080

Other trials in United States

About this study

Official title: Characterization of Early Patients Initiating Ofatumumab for Treatment of Multiple Sclerosis in the Real-World

This was a retrospective cohort study utilizing secondary data from IQVIA's open source pharmacy claims database (i.e., IQVIA LRx) selecting patients with prescription claims for ofatumumab or other DMTs of interest.

Read the detailed description

The date of first ofatumumab prescription claim or other DMT of interest was defined as the index date. No post-index requirements were imposed.

Patients were linked to IQVIA's open source medical claims databases (Dx) to obtain patient clinical characteristics.

The initial data were extracted in October 2020. The data and results were refreshed in April 2021 and July 2021 to allow for assessment of changes in characteristics at 6 and 9 months post-launch.

Being tested
Ofatunumab
Keywords
Multiple sclerosis,, ofatumumab,, disease-modifying therapy,, COVID-19
Medical subject headings
Multiple Sclerosis, COVID-19

What participants receive

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

  • OfatunumabOther

    All eligible patients with at least 1 claim for ofatumumab observed during the index period were included in the ofatumumab cohort

Study groups in NCT05576779
Study groupRoleWhat they receive
Ofatumumaball eligible patients with at least 1 claim for ofatumumab observed during the index period were included in the ofatumumab cohort
Receives: Other: Ofatunumab
Non-ofatumumabpatients with no evidence of ofatumumab during the index period were included in the non-ofatumumab cohort and included in subgroups based on the index medication: Siponimod, Ocrelizumab, Dimethyl fumarate, Glatiramer acetate

What is being measured

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

  1. Proportion of patients initiating ofatumumab based on DMT use

    The primary measure was pre-index treatment status of patients initiating ofatumumab, measured as proportion (n, %) of DMT-naïve and DMT-experienced patients among patients initiating ofatumumab based on DMT use in the 12-month pre-index period.

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

Secondary outcomes (34)
  1. Age

    Age information was reported

    Measured: Index date, defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  2. Gender

    Gender information was reported

    Measured: Index date, defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  3. Number of patients: Geographic region

    Northeast, Midwest, South, West, Unknown

    Measured: Index date, defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  4. Number of patients: State level (Geographic region)

    The geographical heat map of ofatumumab utilization at the state level was presented.

    Measured: Index date, defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  5. Number of patients: Insurance type

    Cash, Commercial, Medicare, Medicare Part D, Medicaid, Unknown

    Measured: Index date, defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  6. Number of patients: Payer

    CVS, Aetna etc

    Measured: Index date, defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  7. Follow-up time

    Ofatumumab persistence was assessed over the variable follow-up time.

    Measured: Variable Post-index period, where index date was defined as date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  8. Number of patients: Pre-index Charlson comorbidity index (CCI)

    Charlson Comorbidity Index predicts the ten-year mortality for a patient who may have a range of comorbid conditions. omorbidity was assessed using the Charlson Comorbidity Index (CCI), categorized as low (0-1) and high (≥2)

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  9. Number of patients: Pre-index comorbidities

    Number of patients with list of comorbidities were reported

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  10. Number of patients with a relapse in inpatient settings

    Number of patients with MS relapses were reported

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  11. Number of patients with a relapse in outpatient settings

    Number of patients with MS relapses were reported

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  12. Number of relapses in all patients

    Number of patients with MS relapses were reported

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  13. Number of relapses in patients with at least 1 relapse

    Number of patients with MS relapses were reported

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  14. Claims-Based Disability Score

    Pre-index MS-related symptoms and secondary conditions (n, %) based on a Claims-Based Disability Score (e.g., sensory problems, eye symptoms, pyramidal symptoms, bladder/bowel symptoms, fatigue/malaise, muscular weakness, durable medical equipment utilization.

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  15. Number of pre-index Brain and Spinal MRI scans

    Categorized as: No MRI, 1, 2, 3+

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  16. Number of patients: Hepatitis B virus screening

    Yes/No

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  17. Number of patients: Quantitative serum immunoglobulin screening

    Yes/No

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  18. Number of patients: Pre-index flu shot

    Yes/No

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  19. Number of patients: Post-index flu shot

    Yes/No

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  20. Pre-index: Number of patients with COVID-19 diagnosis

    Yes/No

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  21. Post-index: Number of patients with COVID-19 diagnosis

    Yes/No

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  22. Days between COVID-19 diagnosis and initiation of ofatumumab

    Days between COVID-19 diagnosis and initiation of ofatumumab were reported

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  23. Pre-index: Number of patients with COVID-19 vaccination

    Yes/No

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  24. Post-index: Number of patients with COVID-19 vaccination

    Yes/No

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  25. Days between COVID-19 vaccination and initiation of ofatumumab

    Days between COVID-19 vaccination and initiation of ofatumumab were reported.

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  26. Proportion of patients with steroid use or antihistamine as pre-medication with ofatumumab first dose

    E.g. diphenhydramine, dexamethasone and other steroids. pre-medication was defined as medication observed within two days of ofatumumab initiation.

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  27. Pre-index HCRU: Number of patients with an inpatient visit

    Number of patients with an inpatient visits were reported to report the pre-index healthcare resource utilization

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  28. Pre-index HCRU: Number of patients with an ED visit

    Number of patients with an ED visit were reported to report the pre-index healthcare resource utilization

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  29. Pre-index HCRU: Number of patients with an outpatient visit

    Number of patients with an outpatient visit were reported to report the pre-index healthcare resource utilization

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  30. Pre-index HCRU: Number of patients with a pharmacy claim

    Number of patients with a pharmacy claim were reported to report the pre-index healthcare resource utilization

    Measured: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)

  31. Post-index HCRU: Number of patients with an inpatient visit

    Number of patients with an inpatient visits were reported to report the post-index healthcare resource utilization accrued while on ofatumumab

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  32. Post-index HCRU: Number of patients with an ED visit

    Number of patients with an ED visit were reported to report the post-index healthcare resource utilization accrued while on ofatumumab

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  33. Post-index HCRU: Number of patients with an outpatient visit

    Number of patients with an outpatient visit were reported to report the post-index healthcare resource utilization accrued while on ofatumumab

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

  34. Post-index HCRU: Number of patients with a pharmacy claim

    Number of patients with a pharmacy claim were reported to report the post-index healthcare resource utilization accrued while on ofatumumab

    Measured: Variable Post-index period, where index date was defined as Date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts) (01/08/2019 - 31/05/2021)

Timeline

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

  1. First posted13 Oct 2022
  2. Study start3 Dec 2020
  3. Primary completion31 Dec 2021
  4. Study completion31 Dec 2021

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
2,101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05576779
Sponsor's protocol ID
COMB157GUS11
Status last verified
Nov 2022
First submitted
10 Oct 2022
Last updated
8 Nov 2022
Results posted
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Multiple Sclerosis, run by Novartis Pharmaceuticals at 1 site 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 3 inclusion and 1 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 Nov 2022. 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 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?

Proportion of patients initiating ofatumumab based on DMT use (time frame: 12-months prior to index date, where index date was defined as the date of first ofatumumab claim (or other DMT of interest for non-ofa cohorts)). 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 Nov 2022; AzTrials last refreshed its copy on 8 Nov 2026.

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