E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Relapsing-remitting multiple sclerosis (R-R MS) |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 5.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10028245 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the effect of a daily oral dose of 600 mg glatiramer acetate on MRI disease activity as measured by the total number of T1 gadolinium-enhancing lesions in subjects with relapsing-remitting multiple sclerosis. |
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E.2.2 | Secondary objectives of the trial |
To evaluate the effect of a daily oral dose of 600 mg glatiramer acetate on the total number of new T2 lesions. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Clinically Definite Multiple Sclerosis (CDMS) as defined by Poser et al (Ann Neurol 1983;13:227-231) 2. Subjects must have had at least one T1 Gd-enhancing lesion in one of the pre-treatment MRI scans 3. Subjects must be of the relapsing-remitting (R-R) type (Neurol 1996;46:907-911) 4. Subjects must have had at least one documented relapse within one year prior to screening visit (week -10) 5. Subjects must be relapse-free for at least 30 days prior to screening visit (week -10) 6. Subjects must not have taken corticosteroids (intravenous, intramuscular and/or per os) for at least 30 days prior to screening visit (week -10) 7. Women of childbearing potential must practice an acceptable method of birth control 8. Subjects must be between the ages of 18 and 50 years inclusive 9. Subjects must be ambulatory, with a Kurtzke Expanded Disability Status Scale (EDSS) score of 0-5 inclusive 10. Subjects must be willing and able to give signed written informed consent prior to entering the study |
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E.4 | Principal exclusion criteria |
1. Pregnancy or lactation 2. Previous use of any formulation of Glatiramer Acetate 3. Use of cladribine within 2 years prior to screening visit (week -10) 4. Use of immunosuppressive (including mitoxantrone) or immunomodulating treatments within 6 months prior to screening visit (except for interferon agents) 5. Use of interferon agents within 60 days prior to screening visit 6. Chronic (more than 30 consecutive days) corticosteroid treatment (iv, im and/or po) within 6 months prior to screening visit 7. Use of experimental drugs within 6 months prior to screening visit (week -10) 8. Subjects with a clinically significant or unstable medical or surgical condition which would preclude safe and complete study participation. Such conditions may include cardiovascular, pulmonary, hepatic, gastrointestinal, renal or metabolic diseases or malignancies as determined by medical history, physical exam, laboratory tests, chest X-ray or ECG 9. Any medical or psychiatric conditions that affect the subject's ability to give informed consent or to complete the study, or if the subject is considered by the treating neurologist to be, for any other reason, an unsuitable candidate for this study 10. Subject's inability to undergo successful MRI scans 11. Known sensitivity to Gd |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary efficacy endpoint: Change in the sum of T1 Gd-enhancing lesions from pre-treatment (weeks -10 [screening], -6 and 0 [baseline]) to the last study trimester (weeks 28, 32 and 36 [termination]). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 11 |