E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10063399 |
E.1.2 | Term | Relapsing-remitting multiple sclerosis |
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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 |
Primary objective: To determine whether DAC HYP, when compared to placebo, is effective in reducing the rate of relapse between baseline and week 52
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E.2.2 | Secondary objectives of the trial |
To determine whether DAC HYP is effective in: - Reducing the number of new Gd-enhancing lesions over 5 brain MRI scans at weeks 8,12,16,20 and 24 (calculated as the sum of these 5 MRIs) in a subset of subjects - Reducing the number of new or newly-enlarging T2 hyperintense lesions at Week 52 - Reducing the proportion of relapsing subjects between baseline amd week 52 -Improving quality of life as measured by the MSIS-29 physical score at week 24 compared to baseline |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Must give written informed consent and any authorizations required by local law (e.g., Protected Health Information [PHI]). 2. Must be 18 to 55 years of age, inclusive, at the time of informed consent. 3. Must have a confirmed diagnosis of relapsing-remitting MS according to McDonald criteria #1-4 (Polman et al, 2005; Section 22). 4. Must have a baseline EDSS between 0.0 and 5.0, inclusive. 5. Must meet either of the following 2 criteria: • Have experienced at least 1 relapse within the 12 months prior to randomization, with a cranial MRI demonstrating lesion(s) consistent with MS (it is not necessary to obtain a current scan if a scan performed previously is available from the subject’s history; if a scan is not available from the subject’s history, then the baseline scan may be used). For inclusion purposes, a relapse is defined as neurologic signs and/or symptoms documented by a neurologist in the medical record and of at least 24 Time since relapse should be measured from the time of relapse onset, OR • Show evidence of Gd-enhancing lesions of the brain on an MRI performed within the 6 weeks prior to randomization (if scan is not available from the subject’s history, then baseline scan may be used). 6. Must be disqualified from standard treatment for MS (sites in Poland only). Candidates in Poland must be from one of the following patient populations: • Patients who rejected standard treatment for MS, • Patients with contraindications for using standard treatment for MS, • Patients for whom standard treatment for MS has proven ineffective, • Patients who are on the waiting list for state-funded standard treatment for MS, but who will not receive standard treatment for the duration of the study (15 months). 7. Male subjects and female subjects of child-bearing potential must be willing to practice effective contraception during the study and be willing and able to continue contraception for 4 months after their last dose of study treatment. |
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E.4 | Principal exclusion criteria |
Medical History 1. Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS (as defined by Lublin and Reingold, 2001 [Section 23]). These conditions require the presence of continuous clinical disease worsening over a period of at least 3 months. Patients with these conditions may also have superimposed relapses, but are distinguished from relapsing-remitting patients by the lack of clinically stable periods or clinical improvement. 2. History of malignancy; however, subjects with a history of excised or treated basal cell carcinoma or fewer than 3 squamous cell carcinomas are eligible to participate in this study. 3. History of severe allergic or anaphylactic reactions or known drug hypersensitivity. 4. History of abnormal laboratory results that, in the opinion of the investigator, are indicative of any significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal, neurologic (other than MS), and/or other major disease that would preclude administration of DAC HYP. 5. History of human immunodeficiency virus (HIV) or other immunodeficient conditions. 6. History of drug or alcohol abuse (as defined by the Investigator) within the 2 years prior to randomization. 7. An MS relapse that has occurred within the 50 days prior to randomization AND/OR the subject has not stabilized from a previous relapse prior to randomization. 8. Positive for hepatitis C virus (HCV) antibody and/or positive for hepatitis B surface antigen (HBsAg) at Screening. 9. Varicella or herpes zoster virus infection or any severe viral infection within 6 weeks before Screening. 10. Exposure to varicella zoster virus within 21 days before Screening. 11. Any of the following abnormal blood tests at Screening: • Hemoglobin ≤9.0 g/dL • Platelets ≤100 × 10^9/L • Lymphocytes ≤1.0 × 10^9/L • Neutrophils ≤1.5 × 10^9 /L • Alanine aminotransferase/serum glutamate pyruvate transaminase (ALT/SGPT), aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT), or gamma-glutamyl-transferase >2 times the upper limit of normal (ULN) • Serum creatinine >ULN. Treatment History 12. Any previous treatment with DAC HYP or Zenapax®. 13. Any of the following types of live virus vaccine from 4 weeks before randomization: measles/mumps/rubella vaccine, varicella zoster virus vaccine, oral polio vaccine, and nasal influenza vaccine. Use of these vaccines, however, by other members of the subject’s household does not affect the eligibility of subjects to enroll or continue in the study. 14. Infection (viral, fungal, bacterial) requiring hospitalization or intravenous (IV) antibiotics within 8 weeks before randomization. 15. Elective surgery performed from 2 weeks prior to randomization or scheduled through the end of the study. 16. Prior treatment with any of the following: • total lymphoid irradiation • cladribine • mitoxantrone • T-cell or T-cell receptor vaccination • any therapeutic monoclonal antibody, except natalizumab or rituximab. 17. Prior treatment with cyclophosphamide or rituximab within 1 year prior to randomization. 18. Prior treatment with any of the following medications or procedures within the 6 months prior to randomization: • natalizumab • cyclosporine • azathioprine • methotrexate • intravenous immunoglobulin (IVIg) • plasmapheresis or cytapheresis. 19. Prior treatment with any of the following within the 3 months prior to randomization: • SC or oral glatiramer acetate • IFN-alpha • IFN-beta (subjects who are positive for neutralizing antibodies to IFN-beta may receive IFN-beta treatment up to 2 weeks prior to randomization). 20. Treatment with any of the following medications within the 30 days prior to randomization: • IV corticosteroid treatment • oral corticosteroid treatment • 4-aminopyridine or related products. Miscellaneous 21. Female subjects considering becoming pregnant while in the study. 22. Female subjects who are currently pregnant or breastfeeding. 23. Previous participation in this study. 24. Subjects for whom MRI is contraindicated, i.e., have pacemakers or other contraindicated implanted metal devices, are allergic to gadolinium, or have claustrophobia that cannot be medically managed. 25. Current enrollment in any other investigational drug study or participation in any other investigational study within 6 months prior to randomization. 26. Unwillingness or inability to comply with the requirements of the protocol, including the presence of any condition (physical, mental, or social) that is likely to affect the subject’s ability to comply with the protocol. 27. Other unspecified reasons that, in the opinion of the Investigator and/or Biogen Idec, make the subject unsuitable for enrollment. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the annualised relapse rate between baseline and week 52 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
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 | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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 | Yes |
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.8.4.1 | Number of sites anticipated in Member State concerned | 11 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 41 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
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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End of the trial is defined as last subject, last visit. |
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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 | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 3 |