NCT01911767

Brief Summary

The primary objective of the study is to prospectively evaluate pregnancy outcomes in women with multiple sclerosis who were exposed to a Registry-specified Biogen Multiple Sclerosis product during the eligibility window for that product. The Registry-specified Biogen MS products being studied are dimethyl fumarate, and Pegylated human interferon beta-1a. The secondary objective of the study is to prospectively evaluate pregnancy outcomes in women with MS who were unexposed to disease-modifying therapies (DMTs).

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
408

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2013

Longer than P75 for all trials

Geographic Reach
10 countries

15 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 25, 2013

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 30, 2013

Completed
3 months until next milestone

Study Start

First participant enrolled

October 30, 2013

Completed
8.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 10, 2022

Completed
Last Updated

June 21, 2022

Status Verified

June 1, 2022

Enrollment Period

8.3 years

First QC Date

July 25, 2013

Last Update Submit

June 17, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • Pregnancy Loss

    * Elective or therapeutic pregnancy terminations (any induced or voluntary fetal loss during pregnancy) * Spontaneous abortions (\<22 weeks of gestation) * Fetal death, including stillbirths (fetuses born dead at \>=22 weeks of gestation), which will be further classified as follows: * early fetal loss (fetal death occurring at \>=22 weeks but \<28 weeks of gestation) * late fetal loss (occurring at \>=28 weeks of gestation)

    During pregnancy up to 52 weeks post-delivery

  • Live Birth

    * Premature birth (delivered \<37 weeks) * Full-term birth (delivered \>=37 weeks)

    During pregnancy up to 52 Weeks Post-Delivery

Study Arms (3)

Dimethyl fumarate

Exposure to dimethyl fumarate since the first day of her last menstrual period (LMP) prior to conception or at any time during pregnancy

Drug: Dimethyl fumarate

Peginterferon beta-1a

Exposure to Peginterferon beta-1a since 17 days prior to the first day of her LMP prior to conception or at any time during pregnancy.

Drug: Peginterferon beta-1a

Disease Modifying Therapy (DMT) Unexposed

Never received DMT therapy; discontinued treatment with any DMT at least more than 5× half-life prior to Day 1 of her LMP and throughout the entire pregnancy.

Interventions

Administered as specified in treatment arm.

Also known as: Tecfidera, BG00012, DMF
Dimethyl fumarate

Administered as specified in treatment arm.

Also known as: Plegridy, BIIB017
Peginterferon beta-1a

Eligibility Criteria

Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Within each product cohort, approximately 310 to 375 pregnant women exposed to a Registry-specified Biogen MS product will be enrolled in order to observe 300 prospective pregnancy outcomes. The infants born to these women will also be part of the population studied. Patients with prenatal testing prior to enrollment (with the exception of a first trimester ultrasound to date the pregnancy) will not be counted towards the 300 prospective pregnancy outcomes.

You may qualify if:

  • Patient consent
  • Patient has a diagnosis of MS.
  • Documentation that the patient was exposed to a Registry-specified Biogen MS product during the eligibility window for that product.
  • DMF: Exposure since the first day of her last menstrual period (LMP) prior to conception or at any time during pregnancy.
  • Peginterferon beta-1a: Exposure since 17 days prior to the first day of her LMP prior to conception or at any time during pregnancy.
  • DMT unexposed pregnancy cohort: Never received DMT therapy
  • Patient agrees to sign the Release of Medical Information Form, thereby permitting the Registry to contact her health care provider (HCP(s)) and the pediatric HCP for medical information.

You may not qualify if:

  • The outcome of the pregnancy (i.e., pregnancy loss or live birth) must not be known at the time of enrollment.
  • Initial maternal health assessment upon confirmation of pregnancy does not preclude participation in the Registry unless a patient tests positive for a medical condition associated with negative pregnancy outcomes (e.g., toxoplasmosis screen and syphilis \[venereal disease research laboratory test and rapid plasma reagin test\] blood screen) in the opinion of the healthcare provider (HCP).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Research Site

Cambridge, Massachusetts, 02139-1955, United States

Location

Research Site

Box Hill, Victoria, 3128, Australia

Location

Research Site

Cambridge, Massachusetts, 02139-1955, Canada

Location

Research Site

Bron, Cedex, 69677, France

Location

Research Site

Bochum, Nordrhein Wesfalen, 44791, Germany

Location

Research Site

Dublin, D04 T6F4, Ireland

Location

Research Site

Florence, 50134, Italy

Location

Research Site

Genova, 16132, Italy

Location

Research Site

Milan, 20132, Italy

Location

Research Site

Palermo, 90146, Italy

Location

Research Site

Roma, 00152, Italy

Location

Research Site

Bialystok, 15-276, Poland

Location

Research Site

Madrid, 28034, Spain

Location

Research Site

Málaga, 29010, Spain

Location

Research Site

Salford, Greater Manchester, M6 8HD, United Kingdom

Location

Related Publications (1)

  • Hellwig K, Rog D, McGuigan C, Houtchens MK, Bruen DR, Mokliatchouk O, Branco F, Peng X, Everage NJ. Interim Analysis of Pregnancy Outcomes After Exposure to Dimethyl Fumarate in a Prospective International Registry. Neurol Neuroimmunol Neuroinflamm. 2021 Nov 23;9(1):e1114. doi: 10.1212/NXI.0000000000001114. Print 2022 Jan.

MeSH Terms

Conditions

Multiple Sclerosis

Interventions

Dimethyl Fumaratepeginterferon beta-1a

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

FumaratesDicarboxylic AcidsAcids, AcyclicCarboxylic AcidsOrganic Chemicals

Study Officials

  • Medical Director

    Biogen

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
52 Weeks
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 25, 2013

First Posted

July 30, 2013

Study Start

October 30, 2013

Primary Completion

February 10, 2022

Study Completion

February 10, 2022

Last Updated

June 21, 2022

Record last verified: 2022-06

Locations