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Relapsing Remitting Multiple SclerosisPhase 2NCT01963611

Efficacy, Safety, and Tolerability of Plovamer Acetate (Pathway 1)

A Phase 2 study testing Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg and Plovamer acetate 3 mg in people with Relapsing Remitting Multiple Sclerosis, run by EMD Serono at 118 sites in 17 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a Phase 2, randomized, rater-blinded, 5-arm, parallel-group trial that will test 4 doses of plovamer acetate against the active comparator Copaxone in subjects with Relapsing Remitting Multiple Sclerosis (RRMS). The trial will be conducted on an outpatient basis for minimum treatment duration of 40 weeks. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Relapsing Remitting Multiple Sclerosis
What is being tested?
Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg and Plovamer acetate 3 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
255 participants
Where
118 sitesin 17 countries
Study dates
Oct 2013to Mar 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Male or female, between the ages of 18 and 60 years
  • Subject is able to learn and self-administer subcutaneous injections (a care-giver may be trained to inject the subject)
  • Subjects must have a current diagnosis of Relapsing Remitting Multiple Sclerosis (RRMS) (according to the 2010 McDonald MS diagnostic criteria)
  • Other protocol defined inclusion criteria could apply

Who cannot join

  • Any multiple sclerosis categorized as primary progressive, secondary progressive or progressive relapsing
  • Allergy to mannitol, plovamer acetate, Copaxone (glatiramer acetate), Gd contrast for MRI
  • Any requirement for continuous systemic glucocorticoid administration during the trial period. (Note: Treatment with interferons such as Avonex®, Rebif®, or Betaseron® will be allowed until the baseline visit, as no wash-out period is needed)
  • Contraindication to Copaxone use
  • Other protocol defined exclusion criteria could apply

Trial locations and contacts

118 sites in 17 countries.

118 sites in 17 countries

United States35 sites
  • Research site

    Baltimore, Maryland, 21287

  • Research site

    Charlotte, North Carolina, 28209

  • Research site

    Cincinnati, Ohio, 45206

  • Research site

    Columbus, Georgia, 31909

  • Research site

    Dayton, Ohio, 45417

  • Research site

    Detroit, Michigan, 48202-2689

  • Research Site

    Detroit, Michigan, 97205

  • Research site

    Dover, Delaware, 19901

  • Research site

    Elk Grove Village, Illinois, 60007

  • Research site

    Fairfield, Connecticut, 06824

  • Research site

    Golden Valley, Minnesota, 55422

  • Research site

    Hickory, North Carolina, 28602

  • Research site

    Indianapolis, Indiana, 46256

  • Research site

    Matthews, North Carolina, 28105

  • Research site

    Miami, Florida, 33136

  • Research site

    Naples, Florida, 34102

  • Research site

    Nashville, Tennessee, 37205

  • Research site

    New Bedford, Massachusetts, 02740

  • Research site

    Plainview, New York, 11803

  • Research site

    Pompano Beach, Florida, 33060

  • Research site

    Raleigh, North Carolina, 27607-6010

  • Research site

    Redding, California, 96001

  • Research site

    Roanoke, Virginia, 24018

  • Research site

    Rome, Georgia, 30165

  • Research Site

    Round Rock, Texas, 78681

  • Research Site

    San Antonio, Texas, 78258

  • Research site

    San Diego, California, 92117

  • Research site

    San Diego, California, 92128

  • Research site

    Sarasota, Florida, 34233

  • Research site

    St Louis, Missouri, 63110

  • Research site

    Sunrise, Florida, 33351

  • Research site

    Tacoma, Washington, 98405

  • Research site

    Willow Grove, Pennsylvania, 19090

  • Research site

    Wilmington, North Carolina, 28401

  • Research site

    Worcester, Massachusetts, 01655

Other trials in United States

Russia10 sites
  • Research site

    Krasnoyarsk

  • Research site

    Kursk

  • Research site

    Moscow

  • Research site

    Nizhny Novgorod

  • Research site

    Novosibirsk

  • Research site

    Rostov-on-Don

  • Research site

    Saint Petersburg

  • Research site

    Saransk

  • Research site

    Ufa

  • Research site

    Yekaterinburg

Other trials in Russia

Italy8 sites
  • Research site

    Castelfiorentino

  • Research site

    Catania

  • Research site

    Cefalù

  • Research site

    Milan

  • Research site

    Modena

  • Research site

    Montichiari

  • Research site

    Parma

  • Research site

    Roma

Other trials in Italy

Mexico7 sites
  • Research site

    Cuautitlán Izcalli

  • Research site

    León

  • Research site

    México

  • Research site

    Mexico City

  • Research site

    Monterrey

  • Research site

    Morelia

  • Research site

    Tlalnepantla

Other trials in Mexico

Poland7 sites
  • Research site

    Gdansk

  • Research site

    Katowice

  • Research site

    Lodz

  • Research site

    Olsztyn

  • Research site

    Poznan

  • Research site

    Rzeszów

  • Research site

    Warsaw

Other trials in Poland

Ukraine7 sites
  • Research site

    Dnipropetrovsk

  • Research site

    Ivano-Frankivsk

  • Research site

    Kyiv

  • Research site

    Lutsk

  • Research site

    Simferopol

  • Research site

    Vinnytsia

  • Research site

    Zaporizhzhya

Other trials in Ukraine

Czechia6 sites
  • Research site

    Brno

  • Research site

    Havířov

  • Research site

    Hradec Králové

  • Research site

    Jihlava

  • Research site

    Olomouc

  • Research site

    Prague

Other trials in Czechia

Spain6 sites
  • Research site

    Aranjuez

  • Research site

    Córdoba

  • Research site

    Madrid

  • Research site

    Móstoles

  • Research site

    Santander

  • Research site

    Zaragoza

Other trials in Spain

Turkey (Türkiye)6 sites
  • Research site

    Diyarbakır

  • Research site

    Edirne

  • Research site

    Istanbul

  • Research site

    Kocaeli

  • Research site

    Mersin

  • Research site

    Samsun

Other trials in Turkey (Türkiye)

United Kingdom5 sites
  • Research site

    Exeter

  • Research site

    Hull

  • Research site

    Sheffield

  • Research site

    Southampton

  • Research site

    Stoke-on-Trent

Other trials in United Kingdom

Hungary4 sites
  • Research site

    Budapest

  • Research site

    Debrecen

  • Research site

    Esztergom

  • Research site

    Miskolc

Other trials in Hungary

Bulgaria3 sites
  • Research site

    Blagoevgrad

  • Research site

    Dupnitsa

  • Research site

    Sofia

Other trials in Bulgaria

Croatia3 sites
  • Research site

    Osijek

  • Research site

    Varaždin

  • Research site

    Zagreb

Other trials in Croatia

Finland3 sites
  • Research site

    Kuopio

  • Research site

    Oulu

  • Research site

    Turku

Other trials in Finland

Serbia3 sites
  • Research site

    Belgrade

  • Research site

    Kragujevac

  • Research site

    Niš

Other trials in Serbia

South Africa3 sites
  • Research site

    Cape Town

  • Research site

    Durban

  • Research site

    Pretoria

Other trials in South Africa

Greece2 sites
  • Research site

    Athens

  • Research site

    Thessaloniki

Other trials in Greece

About this study

Official title: A Phase II, Randomized, Multi-center, Parallel-group, Rater-blinded Study to Evaluate the Efficacy, Safety and Tolerability of 0.5 mg, 3 mg, 10 mg and 20 mg Plovamer Acetate Doses Compared to Copaxone in Patients With Relapsing Remitting Multiple Sclerosis

This is a Phase 2, randomized, rater-blinded, 5-arm, parallel-group trial that will test 4 doses of plovamer acetate against the active comparator Copaxone in subjects with Relapsing Remitting Multiple Sclerosis (RRMS). The trial will be conducted on an outpatient basis for minimum treatment duration of 40 weeks.

Being tested
Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg, Plovamer acetate 3 mg, Plovamer acetate 10 mg, Plovamer acetate 20 mg
Keywords
Multiple Sclerosis, Relapsing Remitting, Plovamer acetate, Copaxone
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis

What participants receive

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

  • Plovamer acetate 0.5 milligram (mg)Drug

    Plovamer acetate was administered at a dose of 0.5 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.

  • Copaxone 20 mgDrug

    Plovamer acetate was administered at a dose of 3 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.

  • Plovamer acetate 3 mgDrug

    Plovamer acetate was administered at a dose of 10 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.

  • Plovamer acetate 10 mgDrug

    Plovamer acetate was administered as two subcutaneous injection of 10 mg weekly for 40 weeks up to a maximum of 14 months.

  • Plovamer acetate 20 mgDrug

    Copaxone was administered at a dose of 20 mg as subcutaneous injection once daily for 40 weeks up to a maximum of 14 months.

Study groups in NCT01963611
Study groupRoleWhat they receive
Plovamer acetate 0.5 milligram (mg)ExperimentalPlovamer acetate was administered at a dose of 0.5 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.
Receives: Drug: Plovamer acetate 0.5 milligram (mg)
Plovamer acetate 3 mgExperimentalPlovamer acetate was administered at a dose of 3 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.
Receives: Drug: Plovamer acetate 3 mg
Plovamer acetate 10 mgExperimentalPlovamer acetate was administered at a dose of 10 mg as weekly subcutaneous injection for 40 weeks up to a maximum of 14 months.
Receives: Drug: Plovamer acetate 10 mg
Plovamer acetate 20 mgExperimentalPlovamer acetate was administered as two subcutaneous injection of 10 mg weekly for 40 weeks up to a maximum of 14 months.
Receives: Drug: Plovamer acetate 20 mg
Copaxone 20 mgActive comparatorCopaxone was administered at a dose of 20 mg as subcutaneous injection once daily for 40 weeks up to a maximum of 14 months.
Receives: Drug: Copaxone 20 mg

What is being measured

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

  1. Mean Number of Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan

    Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions per Subject and Scan was calculated using 5 serial magnetic resonance imaging (MRI) scans.

    Measured: Baseline , Week 12, 24, 28, 32, 36, 40

Secondary outcomes (9)
  1. Mean Annualized Relapse Rate (ARR)

    Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. These new or worsening symptoms should be noted by the patient and must be accompanied by at least one of the following: An increase of greater than or equal to (>=) 1 grade in >=2 functional scales of the Expanded Disability Status Scale (EDSS) or an increase of >=2 grades in 1 functional scale of the EDSS or an increase of >= 0.5 or an increase of >=1.0 in EDSS if the previous EDSS was 0. Annualized Relapse Rate was calculated as = 365.25 x (Number of relapses during Treatment Period) per (Number of days on treatment during Treatment Period).

    Measured: Baseline up to Week 40

  2. Percentage of Subjects Remaining Relapse-Free

    Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. These new or worsening symptoms should be noted by the patient and must be accompanied by at least one of the following: An increase of greater than or equal to (>=) 1 grade in >=2 functional scales of the Expanded Disability Status Scale (EDSS) or an increase of >=2 grades in 1 functional scale of the EDSS or an increase of >= 0.5 or an increase of >=1.0 in EDSS if the previous EDSS was 0.

    Measured: Baseline up to Week 40

  3. Mean Number of New T1 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan

    T1 Gd-enhancing lesions per subject and scan was measured using 5 serial MRI scans.

    Measured: Weeks 12, 24, 28, 32, 36, 40

  4. Mean Number of New or Enlarging Time Constant 2 (T2) Lesions Per Subject and Scan

    New or enlarging Time Constant 2 (T2) lesions per subject and scan was calculated using 5 serial MRI scans.

    Measured: Weeks 12, 24, 28, 32, 36,40

  5. Mean Number of New, Unenhancing T1 Lesions (Black Holes) Per Subject and Scan

    New, unenhancing T1 lesions (Black Holes) per subject and scan was calculated using 5 Serial MRIs.

    Measured: Weeks 12, 24, 28, 32, 36, 40

  6. Mean Change From Baseline in Volume of T1 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan

    Change from baseline in volume of T1 Gd-enhancing lesions per subject was calculated using 5 Serial MRI Scans.

    Measured: Baseline, Weeks 12, 24, 28, 32, 36, 40

  7. Mean Change From Baseline in Volume of T2 Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan

    Change from baseline per subjects in volume of T2 Gd-enhancing lesions was calculated using 5 series MRI scan.

    Measured: Baseline, Weeks 12, 24, 28, 32, 36, 40

  8. Time to First Relapse

    Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. These new or worsening symptoms should be noted by the patient and must be accompanied by at least one of the following: An increase of greater than or equal to (>=) 1 grade in >=2 functional scales of the Expanded Disability Status Scale (EDSS) or an increase of >=2 grades in 1 functional scale of the EDSS or an increase of >= 0.5 or an increase of >=1.0 in EDSS if the previous EDSS was 0.

    Measured: Baseline up to Week 40

  9. Mean Change From Baseline in Brain Volume Per Subject

    Change from baseline in brain volume per subject was calculated using 5 series MRI scan.

    Measured: Baseline, Weeks 24, 28, 32, 36, 40

Timeline

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

  1. First posted16 Oct 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionMar 2015
  4. Study completionMar 2015

Why it stopped: Study was terminated based on sponsor discretion.

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01963611
Sponsor's protocol ID
EMR200575-001
Other IDs
2013-002283-25
Status last verified
Apr 2016
First submitted
11 Oct 2013
Last updated
11 May 2016
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Plovamer acetate 0.5 milligram (mg), Copaxone 20 mg and Plovamer acetate 3 mg in people with Relapsing Remitting Multiple Sclerosis, run by EMD Serono at 118 sites in 17 countries.

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: stopped early, as of the sponsor's last update on 11 May 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 118 sites in United States, Russia, Italy, Mexico, Poland and 12 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 May 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Mean Number of Time Constant 1 (T1) Gadolinium (Gd)-Enhancing Lesions Per Subject and Scan (time frame: Baseline , Week 12, 24, 28, 32, 36, 40). 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 11 May 2016.

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