Simvastatin as an Add-on Treatment to Interferon-beta-1a for the Treatment of Relapsing-Remitting Multiple Sclerosis
SIMCOMBIN
A Multi-centre, Double Blind, Randomised, Placebo Controlled, Parallel Group Study Investigating Simvastatin as an Add-on Treatment IM Administered Interferon-beta-1a for the Treatment of Relapsing-Remitting Multiple Sclerosis
1 other identifier
interventional
380
1 country
1
Brief Summary
This study is to find out if there is any benefit to adding Simvastatin to Interferon-beta-1a in patients with Multiple Sclerosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 multiple-sclerosis
Started Feb 2006
Longer than P75 for phase_4 multiple-sclerosis
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2006
CompletedFirst Submitted
Initial submission to the registry
June 25, 2007
CompletedFirst Posted
Study publicly available on registry
June 27, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2010
CompletedOctober 15, 2010
October 1, 2010
4.2 years
June 25, 2007
October 14, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The time to first documented relapse
months 4, 6, 9, 12, and every 3 months from months 18-39
Secondary Outcomes (3)
3Annual rate of documented relapses after randomisation
months 4, 6, 9, 12, and every 3 months from months 18-39
Number of new and/or enlarging lesions on T2-weighted MRI based on MRI done 12 months following randomisation compared with MRI done at time of randomisation
month 15
Proportion of patients without disease activity after randomisation (i.e. no relapses, no increase in EDSS score and no increase in enlarging or new T2 lesions).
months 4, 6, 9, 12, and every 6 months from months 18-39
Study Arms (2)
1
EXPERIMENTALinterferon beta-1a and Simvastatin
2
PLACEBO COMPARATORInterferon beta-1a and Placebo
Interventions
Eligibility Criteria
You may qualify if:
- Is between the age of 18 and 55 years (both included)
- Relapsing-remitting MS according to Poser criteria (CDMS or LSDMS) 22 or definite MS according to McDonald criteria 23
- Disability equivalent to an EDSS of 5.5 or less 21
- Clinical activity defined as at least one reported or documented relapse within the last year
- Patient must be prepared to and considered able to follow the protocol during the whole study period and to attend the planned visits, even if the treatment has to be withdrawn
You may not qualify if:
- Any condition that might give rise to similar symptoms as MS
- History of major depression
- Alcohol or drug dependency
- Cardiac insufficiency, cardiomyopathy, significant cardiac dysrhythmia, unstable or advanced ischemic heart disease (NYHA III or IV)
- Significant hypertension (BP \> 180/110 mmHg)
- Renal insufficiency defined as serum creatinine \> 1.5 times the upper normal reference limit
- Total plasma cholesterol \< 3.5 mmol/L
- Any medical illness requiring treatment with systemic corticosteroids
- Any systemic disease that can influence the patient's safety and compliance, or the evaluation of the disability
- Women who are pregnant, breast-feeding or have the possibility for pregnancy during the study. To avoid pregnancy, women have to be postmenopausal, surgically sterile, sexually inactive or practice reliable contraception
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Biogenlead
Study Sites (1)
Coordinating Research Site
Copenhagen, Denmark
Related Publications (1)
Sorensen PS, Lycke J, Eralinna JP, Edland A, Wu X, Frederiksen JL, Oturai A, Malmestrom C, Stenager E, Sellebjerg F, Sondergaard HB; SIMCOMBIN study investigators. Simvastatin as add-on therapy to interferon beta-1a for relapsing-remitting multiple sclerosis (SIMCOMBIN study): a placebo-controlled randomised phase 4 trial. Lancet Neurol. 2011 Aug;10(8):691-701. doi: 10.1016/S1474-4422(11)70144-2.
PMID: 21742556DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
June 25, 2007
First Posted
June 27, 2007
Study Start
February 1, 2006
Primary Completion
April 1, 2010
Study Completion
April 1, 2010
Last Updated
October 15, 2010
Record last verified: 2010-10