NCT01939002

Brief Summary

The primary objective of this study is to determine the proportion of participants with relapsing multiple sclerosis who experience new and/or increased flu-like symptoms (FLS) after transitioning from nonpegylated IFN-β therapies to peginterferon beta-1a (BIIB017). Secondary objectives are: to determine the severity and frequency (measured by flu-like symptom score \[FLS-S\]) of FLS in these participants; to determine the duration (measured in number of hours) of FLS in these participants; to determine the effect of BIIB017 on other participant-reported outcomes, including treatment satisfaction (measured with the Treatment Satisfaction Questionnaire for Medication \[TSQM\]) and disability status (measured with the Patient Determined Disease Steps \[PDDS\]) over a 56-week period; to determine whether interferon-related FLS result in missed days of work/daily activities (e.g., absenteeism); to assess the use of additional medications (in addition to current medications used to treat FLS) to relieve BIIB017-related FLS; to determine the incidence of adverse events throughout the study period; to characterize the immunogenicity profiles of participants switching from prior IFN-β therapy to BIIB017.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
251

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Nov 2013

Geographic Reach
1 country

38 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

August 23, 2013

Completed
19 days until next milestone

First Posted

Study publicly available on registry

September 11, 2013

Completed
2 months until next milestone

Study Start

First participant enrolled

November 1, 2013

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2015

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2015

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

January 25, 2017

Completed
Last Updated

January 25, 2017

Status Verified

November 1, 2016

Enrollment Period

1.9 years

First QC Date

August 23, 2013

Results QC Date

October 6, 2016

Last Update Submit

November 30, 2016

Conditions

Keywords

flu-like symptoms

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants Experiencing New or Increased FLS During the First 8 Weeks: Overall Population

    The total Flu-like Symptoms Score (FLS-S) is the sum of all 4 symptom scores (muscle aches, chills, fatigue and fever), each rated from 0 (absent) to 3 (severe), with a range of 0-12 with 0 indicating no FLS and 12 indicating severe FLS. New or increased FLS is defined as an FLS overall score of 2 points or greater over Screening. Pre-dose data were not used; up to 48-hour data after dosing were used. Overall score was imputed as the average score after dose.

    during the first 8 weeks of treatment

Secondary Outcomes (30)

  • Percentage of Participants Experiencing New or Increased FLS During the First 8 Weeks: Between FLS Management Arms

    during the first 8 weeks of treatment

  • Percentage of Participants With Any FLS in the 4-Week Run-In Period, During the First 8 Weeks of Treatment, and During 48 Weeks of Treatment

    4-week run-in period, first 8 weeks of treatment, 48 weeks of treatment

  • Shift in Percentage of Participants With Any FLS From 4-Week Run-In Period to the First 8 Weeks

    4-week run-in period, first 8 weeks of treatment

  • Shift in Percentage of Participants With Any FLS From 4-Week Run-In Period to 48 Weeks

    4-week run-in period, 48 weeks of treatment

  • Summary of Severity of FLS (Per FLS-S) in the First 8 Weeks Compared to 4-Week Run-In Period Between Arms

    4-week run-in period, first 8 weeks of treatment

  • +25 more secondary outcomes

Study Arms (2)

BIIB017 plus current FLS therapy

EXPERIMENTAL

Following a 4-week run-in period (starting 1 day after the Screening Visit) in which participants administer non-pegylated IFN therapy, participants receive BIIB017 at an initial dose of 63 μg followed by 94 μg dose at Week 2 and 125 μg every 2 weeks from Week 4 to Week 46, plus current FLS management regimen as determined by the clinician.

Drug: BIIB017

BIIB017 plus naproxen

EXPERIMENTAL

Following a 4-week run-in period (starting 1 day after the Screening Visit) in which participants administer non-pegylated IFN therapy, participants receive BIIB017 at an initial dose of 63 μg followed by 94 μg dose at Week 2 and 125 μg every 2 weeks from Week 4 to Week 46, plus 500 mg naproxen administered twice daily up to 24 hours prior to BIIB017 treatment and continuing for 48 hours following the BIIB017 injection for the first 8 weeks of treatment, and as recommended by the treating physician subsequently.

Drug: BIIB017Drug: naproxen

Interventions

Also known as: Plegridy, peginterferon beta-1a, PEGylated interferon beta-1a, PEG IFN β-1a
BIIB017 plus current FLS therapyBIIB017 plus naproxen
Also known as: naproxen sodium, Aleve, NSAID, long-acting nonsteroidal anti-inflammatory drug
BIIB017 plus naproxen

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must have a confirmed diagnosis of relapsing forms of multiple sclerosis (MS), as defined by McDonald criteria #1-4 \[Polman 2005\]
  • Must have neurological findings consistent with an Expanded Disability Status Scale (EDSS) score of 0.0 - 5.0
  • Must be treated with IFN-β and must be receiving a stable dose of IFN-β for at least 4 months immediately prior to screening
  • All male patients and female patients of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 3 months after their last dose of study treatment.

You may not qualify if:

  • Primary progressive, secondary progressive, or progressive relapsing MS \[Lublin and Reingold 1996\]. 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 relapse but are distinguished from patients with relapsing MS by the lack of clinically stable periods or clinical improvement
  • History of severe allergic or anaphylactic reactions or known hypersensitivity to medication which might suggest potential for a reaction to IFN β-1a or polyethylene glycol
  • History of malignant disease, including solid tumors and hematologic malignancies (with the exception of basal cell and squamous cell carcinomas of the skin that have been completely excised and are considered cured)
  • History of seizure disorder or unexplained blackouts OR history of a seizure within 3 months prior to Baseline
  • Known allergy to any component of the BIIB017 formulation
  • An MS relapse that has occurred within the 50 days prior to Baseline (Day 1) and/or lack of stabilization from a previous relapse prior to Baseline.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (38)

Research Site

Gilbert, Arizona, 85234, United States

Location

Research Site

Phoenix, Arizona, 85004, United States

Location

Research Site

Phoenix, Arizona, 85018, United States

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Research Site

Tucson, Arizona, 85704, United States

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Research Site

Boulder, Colorado, 80301, United States

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Research Site

Fort Collins, Colorado, 80528, United States

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Research Site

Dover, Delaware, 19901, United States

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Research Site

Newark, Delaware, 19713, United States

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Research Site

Jacksonville, Florida, 32209, United States

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Research Site

Melbourne, Florida, 32901, United States

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Research Site

Tampa, Florida, 33609, United States

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Research Site

Atlanta, Georgia, 30327, United States

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Research Site

Kansas City, Kansas, 66160, United States

Location

Research Site

Lexington, Kentucky, 40513, United States

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Research Site

Louisville, Kentucky, 40207, United States

Location

Research Site

Boston, Massachusetts, 02135, United States

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Research Site

Lexington, Massachusetts, 02421, United States

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Research Site

Worcester, Massachusetts, 01655, United States

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Research Site

Detroit, Michigan, 48202, United States

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Research Site

Chesterfield, Missouri, 63017, United States

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Research Site

St Louis, Missouri, 63110, United States

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Research Site

Great Falls, Montana, 59405, United States

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Research Site

Lincoln, Nebraska, 68521, United States

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Research Site

Latham, New York, 12110, United States

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Research Site

Plainview, New York, 11803, United States

Location

Research Site

Asheville, North Carolina, 28806, United States

Location

Research Site

Akron, Ohio, 44320, United States

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Research Site

Dayton, Ohio, 45417, United States

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Research Site

Uniontown, Ohio, 44685, United States

Location

Research Site

Oklahoma City, Oklahoma, 73104, United States

Location

Research Site

Portland, Oregon, 97225, United States

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Research Site

Greenville, South Carolina, 29607, United States

Location

Research Site

Franklin, Tennessee, 37064, United States

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Research Site

Knoxville, Tennessee, 37934, United States

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Research Site

Salt Lake City, Utah, 84103, United States

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Research Site

Newport News, Virginia, 23601, United States

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Research Site

Roanoke, Virginia, 24018, United States

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Research Site

Spokane, Washington, 99202, United States

Location

MeSH Terms

Interventions

peginterferon beta-1aNaproxenAnti-Inflammatory Agents, Non-Steroidal

Intervention Hierarchy (Ancestors)

Naphthaleneacetic AcidsNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAnalgesics, Non-NarcoticAnalgesicsSensory System AgentsPeripheral Nervous System AgentsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and UsesAnti-Inflammatory AgentsTherapeutic UsesAntirheumatic Agents

Results Point of Contact

Title
Biogen Study Medical Director
Organization
Biogen

Study Officials

  • Medical Director

    Biogen

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 23, 2013

First Posted

September 11, 2013

Study Start

November 1, 2013

Primary Completion

October 1, 2015

Study Completion

November 1, 2015

Last Updated

January 25, 2017

Results First Posted

January 25, 2017

Record last verified: 2016-11

Locations