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Multiple Sclerosis, Relapsing-RemittingPhase 4NCT02019550

Rebif® Rebidose® Versus Rebiject II® Ease-of-Use

A Phase 4 study testing Rebif Rebidose and Rebiject II in people with Multiple Sclerosis, Relapsing-Remitting, run by EMD Serono at 21 sites 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 is a Phase 4, prospective, open-label, randomized, cross-over, multicenter trial to evaluate ease-of-use with Rebif® Rebidose® and Rebiject II® autoinjectors in subjects with relapsing remitting multiple sclerosis (RRMS). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Multiple Sclerosis, Relapsing-Remitting
What is being tested?
Rebif Rebidose and Rebiject II
Could I receive a placebo?
No, everyone receives an active treatment
How many people
97 participants
Where
21 sitesUnited States
Study dates
Mar 2014to Jan 2016
Phase
Phase 4
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects, 18 to 65 years of age inclusive, at the time of informed consent signature
  • Diagnosis of RRMS
  • Receiving Rebif®, 44 microgram subcutaneously three times a week, by manual injection for at least 12 weeks before the screening assessment and previous use of either Rebif® Rebidose® or Rebiject II® devices is acceptable if they have not been using them for the past 12 weeks prior to study entry and if, in the judgment of the investigator, the subjects are not experienced users
  • Subject is capable of self-injecting using Rebif® Rebidose® and Rebiject II® injection devices
  • Subject is willing and able to comply with the study procedures for the duration of the trial
  • Signed, informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization before any trial-related activities are performed
Show all 9Show fewer
  • Female subjects of childbearing potential must have a negative pregnancy test at screening to be included in the trial and must be willing to avoid pregnancy by using a highly effective method of contraception
  • Outpatient status at the time of screening
  • Stable disease status without a history of surgical procedure or hospitalization within 30 days prior to Study Day 1, and with no surgical intervention planned for the duration of the study

Who cannot join

  • Received MS therapy other than Rebif® within the 12 weeks before screening or at any time during the trial
  • Inadequate liver function and bone marrow reserve as defined in the protocol
  • Current complete transverse myelitis, bilateral optic neuritis, or neuromyelitis optica
  • History of injection-site necrosis within 12 months before study entry
  • History of alcohol or drug abuse in the past year
  • Any autoimmune disorder, except for thyroid disease stable on medication
Show all 21Show fewer
  • Subject having moderate to severe renal impairment, in the Investigator's opinion.
  • Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS
  • Participation in another clinical trial within the past 30 days or an interventional trial for MS in the past 12 weeks
  • Use of high-dose steroids within 14 days of screening
  • Currently experiencing moderate to severe active inflammatory skin disease at sites of expected Rebif® injections
  • History of clinically significant lipoatrophy at sites of expected Rebif® injections, in the investigator's opinion
  • Current major depression or suicidal ideation or suicide attempt in the past year
  • Experiencing spasticity which in the opinion of the Investigator, could interfere with self-injections
  • Pregnant or lactating
  • Inability to self-inject or visual impairment which, in the opinion of the Investigator, is severe enough, even with correction, to impede the subject's participation in this study
  • Upper extremity deficit which, in the opinion of the Investigator, is severe enough to impede the subject's participation in this study
  • Cognitive deficit which, in the opinion of the Investigator, is severe enough to impede the subject's participation in this study
  • Subject-reported reason that he/she cannot complete the 8-week study
  • Any other medical condition, which in the opinion of the Investigator makes the subject unsuitable for this study
  • Known hypersensitivity to the trial treatment

Trial locations and contacts

21 sites in 1 country.

21 sites in 1 country

United States21 sites
  • Research Site

    Atlanta, Georgia, 30327

  • Research site

    Cullman, Alabama, 35058

  • Research Site

    Dayton, Ohio, 45417

  • Research Site

    Dover, Delaware, 19901

  • Research site

    Fort Collins, Colorado, 80528

  • Research site

    Foxborough, Massachusetts, 02035

  • Research site

    Golden Valley, Minnesota, 55422

  • Research Site

    Greensburg, Pennsylvania, 15601

  • Research Site

    Hickory, North Carolina, 28602

  • Research Site

    Indianapolis, Indiana, 46256

  • Research Site

    Knoxville, Tennessee, 37934

  • Research site

    Mansfield, Texas, 76063

  • Research Site

    Miami, Florida, 33136

  • Research Site

    Newport Beach, California, 92663

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Patchogue, New York, 11772

  • Research site

    Spartanburg, South Carolina, 29307

  • Research Site

    Stratford, New Jersey, 08084

  • Research site

    Sunrise, Florida, 33351

  • Research Site

    Tuscon, Arizona, 85718

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Phase IV, Randomized, Prospective, US-based, Multicenter, Cross-over Study Evaluating Subject Ease-of-use With Rebif® Rebidose® and Rebiject II® Autoinjectors in Subjects With Relapsing Remitting Multiple Sclerosis (RRMS) Treated With REBIF® 44 mcg Subcutaneously Three Times a Week

This is a Phase 4, prospective, open-label, randomized, cross-over, multicenter trial to evaluate ease-of-use with Rebif® Rebidose® and Rebiject II® autoinjectors in subjects with relapsing remitting multiple sclerosis (RRMS). Subjects will participate in the study for up to 10 weeks (including screening and treatment periods). The treatment period will last 8 weeks and include 12 self-injections using the Rebif® Rebidose® device and 12 self-injections using the Rebiject II® device.

Being tested
Rebif Rebidose, Rebiject II
Keywords
Multiple Sclerosis, Relapsing-Remitting, Rebif®Rebidose®, Rebiject II®
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.

  • Rebif RebidoseDevice

    Rebif 44 mcg will be injected subcutaneously three times a week using Rebif Rebidose self-injector device.

  • Rebiject IIDevice

    Rebif 44 mcg will be injected subcutaneously three times a week using Rebiject II self-injector device.

Study groups in NCT02019550
Study groupRoleWhat they receive
First Rebif Rebidose, Then Rebiject IIExperimentalSubjects will self-inject Rebif at a dose of 44 microgram (mcg) subcutaneously three times a week by using Rebif Rebidose self-injector device in Treatment Period 1 for 4 weeks followed by self-injecting Rebif at a dose of 44 mcg subcutaneously three times a week by using Rebiject II self-injector device in Treatment Period 2 (4 weeks) for the next 4 weeks.
Receives: Device: Rebif Rebidose; Device: Rebiject II
First Rebiject II, Then Rebif RebidoseExperimentalSubjects will self-inject Rebif at a dose of 44 mcg subcutaneously three times a week by using Rebiject II self-injector device in Treatment Period 1 for 4 weeks followed by self-injecting Rebif at a dose of 44 mcg subcutaneously three times a week by using Rebif Rebidose self-injector device in Treatment Period 2 for the next 4 weeks.
Receives: Device: Rebif Rebidose; Device: Rebiject II

What is being measured

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

  1. Percentage of Subjects Rating Each Device as "Easy/Very Easy to Use" Based on User Trial Questionnaire (UTQ) at Week 4

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their overall experience with using the device as "very difficult", "difficult", "neither easy nor difficult", "easy", or "very easy". Percentage of subjects who rated the overall use of device as "easy" or "very easy" were reported. Here results are presented by device sequence.

    Measured: Week 4

  2. Percentage of Subjects Rating Each Device as "Easy/Very Easy to Use" Based on User Trial Questionnaire (UTQ) at Week 8

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their overall experience with using the device as "very difficult", "difficult", "neither easy nor difficult", "easy", or "very easy". Percentage of subjects who rated the overall use of device as "easy" or "very easy" were reported. Here results are presented by device sequence.

    Measured: Week 8

  3. Percentage of Subjects Rating Each Device as "Easy/Very Easy to Use" Based on User Trial Questionnaire (UTQ) up to Week 8

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their overall experience with using the device as "very difficult", "difficult", "neither easy nor difficult", "easy", or "very easy". Percentage of subjects who rated the overall use of device as "easy" or "very easy" were reported. Here results are presented by device used.

    Measured: Baseline up to Week 8

Secondary outcomes (14)
  1. Number of Subjects Rating Each Device on Level of Satisfaction With Using the Device While Traveling Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their level of satisfaction with using the device while traveling (defined as being away from home overnight). Subjects assessed if they were satisfied with their ability to use the device while traveling overnight as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  2. Percentage of Subjects Rating Each Device on Amount of Time Needed to Complete the Injection Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their level of satisfaction with respect to the amount of time it took to complete injection with the device. Subjects assessed if they were satisfied as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  3. Percentage of Subjects Rating Each Device on Number of Steps Involved in Completing the Injection Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their level of satisfaction with respect to number of steps it took to complete an injection with the device. Subjects assessed if they were satisfied as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  4. Percentage of Subjects Rating Each Device on Ease of Holding Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their overall experience with holding the device as "very difficult", "difficult", "neither easy nor difficult", "easy", or "very easy". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  5. Number of Subjects Rating Each Device on Level of Satisfaction With Using the Device Away From Home Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their level of satisfaction with using the device while away from home. Subjects assessed if they were satisfied with their ability to use the device while away from home as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  6. Percentage of Subjects Rating Each Device on Level of Convenience of Using the Device Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their level of convenience of using the device as "Extremely inconvenient", "Somewhat inconvenient", "Neutral/no opinion", "Somewhat convenient", or "Extremely convenient". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  7. Percentage of Subjects Rating Each Device on Level of Convenience of Storing the Device Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess how convenient it was to store the injection device. Subjects responded as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree" that the device was convenient to store.

    Measured: Weeks 4 and 8

  8. Percentage of Subjects Rating Each Device on Minimization of Safety Hazards Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess whether the device features help minimize safety hazards. Subjects responded as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  9. Percentage of Subjects Rating Each Device on Amount of Needle Anxiety While Using the Device Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their level of anxiety while giving themselves an injection with device. Subjects assessed their anxiety as "Not at all anxious", "A little anxious", "Moderately anxious", "Very anxious", "Extremely anxious". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  10. Percentage of Subjects Rating Each Device on Level of Satisfaction With Information Provided by the Trainer Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess whether the trainer provided easily understandable, unbiased and practical information about proper injection. Subjects responded as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  11. Percentage of Subjects Rating Each Device on Likelihood of Recommending the Device to Others Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked they would recommend injection device to others needing REBIF therapy. Subjects responded as "Very unlikely", "Unlikely", "Neutral/no opinion", "Likely", "Very likely". Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  12. Percentage of Subjects Rating Each Device on Overall Satisfaction With the Injection Device Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their overall satisfaction with using the device. Subjects responded as "Strongly disagree", "Disagree", "Neither agree nor disagree", "Agree", "Strongly agree" that they were satisfied with the device. Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  13. Percentage of Subjects Rating Each Device on Ease of Use Based on User Trial Questionnaire (UTQ)

    The UTQ is a tool used to assess the ease-of-use of a device by the subject. Subjects were asked to assess their overall experience with using the device as "very difficult", "difficult", "neither easy nor difficult", "easy", or "very easy". Percentage of subjects who rated the overall use of device as very difficult", "difficult" or "neither easy nor difficult" were reported. Here results are presented by device sequence.

    Measured: Weeks 4 and 8

  14. Change From Baseline in Multiple Sclerosis International Quality of Life (MusiQoL) Scores to Week 8

    The MusiQoL is a validated 31-item questionnaire describing 9 dimensions named according to its constitutive items:activities of daily living (8 items);psychological well-being (4 items);symptoms (3 items);friends relationships (4 items);family relationships (3 items);satisfaction with health care (RHCS 3 items);sentimental and sexual life (2 items);coping (2 items);and rejection (2 items). Each of the questions was answered using a 6-point Likert scale, defined as 1-Never/Not at all, 2-Rarely/A little, 3-Sometimes/Somewhat, 4-Often/A lot, 5-Always/Very much and 6-Not applicable. The scores of each dimension were obtained by computing mean of the item scores of dimension with negatively worded item scores reversed so that higher scores indicated higher health-related QoL. All 9 dimension scores were linearly transformed to a 0-100 scale,where higher score=higher health-related QoL. Global index score was computed as mean of the 9 dimension scores (range 0-100;higher score=higher QoL).

    Measured: Baseline, up to Week 8

Timeline

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

  1. First posted24 Dec 2013 (estimated)
  2. Study startMar 2014
  3. Primary completionJan 2016
  4. Study completionJan 2016

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
Crossover
Masking
None (open label)
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02019550
Sponsor's protocol ID
200136-573
Status last verified
Jan 2017
First submitted
18 Dec 2013
Last updated
7 Mar 2017
Data monitoring committee
No

Publications

  • Wray S, Hayward B, Dangond F, Singer B. Ease of use of two autoinjectors in patients with multiple sclerosis treated with interferon beta-1a subcutaneously three times weekly: results of the randomized, crossover REDEFINE study. Expert Opin Drug Deliv. 2018 Feb;15(2):127-135. doi: 10.1080/17425247.2018.1407755. Epub 2017 Dec 5.

    PubMed 29206056

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Rebif Rebidose and Rebiject II in people with Multiple Sclerosis, Relapsing-Remitting, run by EMD Serono at 21 sites 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 9 inclusion and 21 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 7 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites 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.

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?

Yes. Results are posted in the registry (first posted 7 Mar 2017). 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?

Percentage of Subjects Rating Each Device as "Easy/Very Easy to Use" Based on User Trial Questionnaire (UTQ) at Week 4 (time frame: Week 4). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02019550, which also lists 1 linked publication.

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 7 Mar 2017.

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