E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Relapsing Remitting Multiple Sclerosis (RRMS) |
sclerosi multipla recidivante remittente (RRMS). |
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E.1.1.1 | Medical condition in easily understood language |
Relapsing Remitting Multiple Sclerosis (RRMS) |
sclerosi multipla recidivante remittente (RRMS). |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10063399 |
E.1.2 | Term | Relapsing-remitting multiple sclerosis |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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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 |
The primary objective of this trial is to evaluate the efficacy of plovamer acetate (0.5 mg, 3 mg, 10 mg and 20 mg) administered as weekly SC injection vs. Copaxone 20 mg administered as daily SC injection after 40 weeks of treatment on the mean number of T1 gadolinium (Gd)-enhancing lesions per patient and scan on brain MRI scans at Weeks 24, 28, 32, 36, and 40 in patients with RRMS. |
Valutare l’efficacia di plovamer acetato (0,5 mg, 3 mg, 10 mg e 20 mg) somministrato in iniezioni sottocutanee (s.c.) settimanali rispetto a Copaxone (20 mg) somministrato come iniezione s.c. giornaliera dopo 40 settimane di trattamento sulla base del numero medio di lesioni captanti gadolinio (GD) pesate in T1 per paziente, e della scansione cerebrale mediante risonanza magnetica per immagini (RMI) alle Settimane 24, 28, 32, 36 e 40 in pazienti affetti da sclerosi multipla remittente recidivante (relapsing remitting multiple sclerosis, RRMS). |
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E.2.2 | Secondary objectives of the trial |
To evaluate the efficacy of plovamer acetate (0.5 mg, 3 mg, 10 mg and 20 mg), administered as weekly SC injection vs. Copaxone 20 mg administered as daily SC injection after 40 weeks of treatment |
Valutare l’efficacia di plovamer acetato (0,5 mg, 3 mg, 10 mg e 20 mg) somministrato in iniezioni s.c. settimanali rispetto a Copaxone (20 mg) somministrato come iniezione s.c. giornaliera s.c. dopo 40 settimane di trattamento. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Male or female, between the ages of 18 and 60 years.
2. Patient is able to learn and self-administer SC injections (a care-giver may be trained to inject the patient).
3. Patients must have a current diagnosis of RRMS (according to the 2010 McDonald MS diagnostic criteria).
Other protocol defined inclusion criteria could apply |
1. Pazienti maschi e femmine di età compresa tra 18 e 60 anni
2. Pazienti in grado di apprendere e di auto-somministrarsi iniezioni SC (un care-giver può essere formato per effettuare l’iniezione al paziente).
3. Pazienti con attuale diagnosi di RRMS (in base ai criteri diagnostici MS di McDonald 2010).
Potrebbero essere applicati altri criteri di inclusione definiti dal protocollo. |
|
E.4 | Principal exclusion criteria |
Patients are not eligible for this trial if they fulfill any of the following exclusion criteria:
1. Any MS categorized as primary progressive, secondary progressive and progressive relapsing.
2. Any relapse of MS within 30 days of the Baseline Visit 2.
3. Allergy to mannitol, plovamer acetate, Copaxone (glatiramer acetate), Gd contrast for MRI.
4. Systemic glucocorticoid therapy within 30 days of Baseline Visit 2. 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.)
5. Contraindication to Copaxone use.
Other protocol defined exclusion criteria could apply |
1. Qualsiasi SM classificata come progressiva primaria, secondaria progressiva e
progressiva recidivante.
2. Qualsiasi ricaduta di SM entro 30 giorni dalla visita 2 basale.
3. Allergia al mannitolo, plovamer acetato, Copaxone (glatiramer acetato),
Gd di contrasto per risonanza magnetica.
4. Terapia con glucocorticoidi sistemici entro 30 giorni dalla visita 2 basale. Qualsiasi
requisito per la continua somministrazione di glucocorticoidi sistemici
durante il periodo di prova. (Nota: Il trattamento con interferoni come
Avonex ®, Rebif ®, o Betaseron ® sarà consentito fino alla visita basale,
poichè non è necessario alcun periodo di wash-out.)
5. Controindicazione all'uso Copaxone.
Potrebbero essere applicati altri criteri di esclusione definiti dal protocollo.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the mean number of T1 Gd-enhancing lesions per patient per scan measured over 5 monthly visits (Weeks 24, 28, 32, 36 and 40).
|
Numero medio di nuove lesioni captanti il Gd pesate in T1 per paziente per scansione da 5 RMI seriali eseguite alle Settimane 24, 28, 32, 36 e 40. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
Mean Annualized Relapse Rate.
· Percentage of patients remaining relapse-free at
Week 40.
· Mean number of new T1 Gd-enhancing lesions per
patient and scan from 5 serial MRI scans performed on
Weeks 24, 28, 32, 36, and 40.
· Mean number of new or enlarging T2 lesions per patient and scan from 5 serial MRIs performed on Weeks 24, 28, 32, 36, and 40.
· Mean number of new, unenhancing T1 lesions (black holes) per patient and scan on MRI scans from 5 serial MRIs performed on Weeks 24, 28, 32, 36, and 40.
· Mean change in volume of T1 Gd-enhancing lesions per patient baseline vs. mean of 5 serial MRI scans performed on Weeks 24, 28, 32, 36, and 40.
· Mean change per patient in volume of T2 Gd-enhancing lesions baseline vs. last MRI scan performed between Weeks 24 and 40.
· Time to first relapse.
· Mean change in brain volume per patient baseline vs. last MRI performed between Weeks 24 and 40. |
• Tasso annuale di recidive (ARR) medio alla Settimana 40.
• Percentuale di pazienti rimasti privi di recidiva alla Settimana 40.
• Numero medio di nuove lesioni captanti il Gd pesate in T1 per paziente e scansione da 5 RMI seriali eseguite alle Settimane 24, 28, 32, 36 e 40.
• Numero medio di nuove lesioni o di lesioni in crescita pesate in T2 per paziente e scansione da 5 RMI seriali eseguite alle Settimane 24, 28, 32, 36 e 40.
• Numero medio di nuove lesioni non captanti pesate in T1 (buchi neri) per paziente e scansione da 5 RMI seriali eseguite alle Settimane 24, 28, 32, 36 e 40.
• Variazione media in volume di lesioni captanti il Gd pesate in T1 per paziente al basale rispetto alle scansioni medie di 5 RMI seriali eseguite alle Settimane 24, 28, 32, 36 e 40.
• Variazione media per paziente nel volume di lesioni captanti il Gd pesate in T2 al basale rispetto all’ultima scansione RMI eseguita tra le settimane 24 e 40.
• Tempo alla prima recidiva.
• Variazione media nel volume cerebrale per paziente al basale rispetto all’ultima RMI eseguita tra le Settimane 24 e 40.
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
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 |
Tolerability |
Tollerabilità |
|
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 | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
in cieco per colui che valuta (rater blinded) |
Rater blinded |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 5 |
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 | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 70 |
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 | No |
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 |
Bulgaria |
Colombia |
Czech Republic |
Finland |
Greece |
Hungary |
Italy |
Mexico |
Poland |
Serbia |
South Africa |
Spain |
Turkey |
United Kingdom |
United States |
Croatia |
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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
|
|
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 | 5 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 5 |