Nanocort in Acute Exacerbation of Relapsing-Remitting Multiple Sclerosis (MS)
A Randomized, International, Multi Centre Study to Assess the Efficacy and Safety of Intravenous PEG-liposomal Prednisolone Sodium Phosphate (Nanocort®) vs Intravenous Methylprednisolone (Solu-Medrol®) Treatment in Patients With Acute Exacerbation of Relapsing-remitting Multiple Sclerosis or in Patients With Clinically Isolated Syndrome (CIS)
2 other identifiers
interventional
15
3 countries
8
Brief Summary
Patients with an acute exacerbation of Relapsing-Remitting Multiple Sclerosis or with Clinically Isolated Syndrome receive either one single infusion of Nanocort or three daily infusions of SoluMedrol. Main objective is to assess the occurrence of new gadolinium-enhanced T1-weighted lesions at week 8 vs week 1 after treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Dec 2009
8 active sites
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
December 1, 2009
CompletedFirst Submitted
Initial submission to the registry
December 20, 2009
CompletedFirst Posted
Study publicly available on registry
December 24, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2011
CompletedOctober 6, 2016
October 1, 2016
1.9 years
December 20, 2009
October 5, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in gadolinium-enhanced T1-weighted lesions according to the McDonald criteria (2005) from Day 8 to Week 8.
8 weeks
Secondary Outcomes (5)
Change in gadolinium-enhanced T1-weighted lesions according to the McDonald criteria (2005) from Day 8 to Week 4.
4 weeks
Quality of life measured by changes in MSIS-29
12 weeks
Clinical response measured by changes in MSFC
12 weeks
Plasma levels of free prednisolone and prednisolone phosphate
12 weeks
Occurrence of adverse events
12 weeks
Study Arms (2)
Nanocort
EXPERIMENTALPEG-liposomal prednisolone sodium phosphate (Nanocort) 300 mg intravenous (IV), single dose 500 ml infusion over at least 2 hours on day 1
Solu-Medrol
ACTIVE COMPARATORMethylprednisolone (Solu-Medrol) 1 g, IV, infusion over 2 hours on days 1, 2 and 3
Interventions
PEG-liposomal prednisolone sodium phosphate 300 mg intravenous (IV), single dose 500 ml infusion over at least 2 hours on day 1
Methylprednisolone 1 g, IV, infusion over 2 hours on days 1, 2 and 3
Eligibility Criteria
You may qualify if:
- Diagnosis of RRMS (per McDonald criteria, 2005) with dissemination in time and space OR a diagnosis of CIS confirmed by MRI. Patients with CIS who only have optic neuritis will be excluded from this study
- A maximum Expanded Disability Status Scale (EDSS) score of ≤ 6
- New neurological symptoms or exacerbation of prior neurological symptoms of over 24 hours duration but \<7 days duration, verified by neurological examination
You may not qualify if:
- Primary progressive MS.
- Secondary progressive MS without superimposed relapses.
- Received systemic corticosteroids within 4 weeks of screening for treatment of MS or other conditions.
- any contraindication for treatment with (systemic) corticosteroids
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Galapagos NVlead
Study Sites (8)
Departement Neurologie AZ St Jan AV
Bruges, 8000, Belgium
Nationaal MS Centrum
Melsbroek, 1820, Belgium
Revalidatie & MS-centrum Overpelt
Overpelt, B-3900, Belgium
Krankenhaus Hohe Warte, Neurologische Klinik
Bayreuth, 95445, Germany
St. Josef Hospital der Ruhr
Bochum, 44791, Germany
Klinikum Rechts der Isar der technischen Universitaet Muenchen, Neurologische Klinik und Poliklinik
München, 81675, Germany
Uniwersytecki Szpital Kliniczny w Białymstoku
Bialystok, 15-276, Poland
Diagnomed-Clinical Research Sp. z o.o.
Katowice, 40-594, Poland
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Johan Beetens, PhD
Galapagos NV
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 20, 2009
First Posted
December 24, 2009
Study Start
December 1, 2009
Primary Completion
November 1, 2011
Study Completion
November 1, 2011
Last Updated
October 6, 2016
Record last verified: 2016-10