NCT04997148

Brief Summary

The main purpose of this study was to investigate the effectiveness of cladribine tablets in a UK real-world setting.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
116

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Aug 2021

Typical duration for all trials

Geographic Reach
1 country

8 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 3, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 9, 2021

Completed
2 days until next milestone

Study Start

First participant enrolled

August 11, 2021

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 14, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 14, 2023

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

December 18, 2024

Completed
Last Updated

December 18, 2024

Status Verified

December 1, 2024

Enrollment Period

2.1 years

First QC Date

August 3, 2021

Results QC Date

September 17, 2024

Last Update Submit

December 13, 2024

Conditions

Keywords

Multiple SclerosisMavenclad ®Cladribine

Outcome Measures

Primary Outcomes (6)

  • Annualized Relapse Rate in the Year Prior to Treatment Initiation With Cladribine Tablets

    The annualized relapse rate for a participant is defined here as the number of clinician's confirmed relapses that occurred in the year prior to the date of Cladribine tablet initiation.

    1 Year prior to date of Cladribine tablet initiation

  • Annualized Relapse Rate in the Year One After Treatment Initiation With Cladribine Tablets

    The annualized relapse rate for a participant is defined here as the number of clinician's confirmed relapses that occurred in Year 1 after treatment initiation with Cladribine tablets.

    Year 1 after treatment initiation with Cladribine tablets

  • Annualized Relapse Rate in the Year 2 After Treatment Initiation With Cladribine Tablets

    The annualized relapse rate for a participant is defined here as the number of clinician's confirmed relapses that occurred in Years 2 after treatment initiation with Cladribine tablets.

    Year 2 after treatment initiation with Cladribine tablets

  • Annualized Relapse Rate in the Year 3 After Treatment Initiation With Cladribine Tablets

    The annualized relapse rate for a participant is defined here as the number of clinician's confirmed relapses that occurred in Year 3 after treatment initiation with Cladribine tablets.

    Year 3 after treatment initiation with Cladribine tablets

  • Annualized Relapse Rate in the Year 4 After Treatment Initiation With Cladribine Tablets

    The annualized relapse rate for a participant is defined here as the number of clinician's confirmed relapses that occurred in Years 4 after treatment initiation with Cladribine tablets.

    Year 4 after treatment initiation with Cladribine tablets

  • Annualized Relapse Rate in the Year 5 After Treatment Initiation With Cladribine Tablets

    The annualized relapse rate for a participant is defined here as the number of clinician's confirmed relapses that occurred in Year 5 after treatment initiation with Cladribine tablets.

    Year 5 after treatment initiation with Cladribine tablets

Secondary Outcomes (7)

  • Relapse-Free Rate in Each Year After Initiation of Cladribine Tablet Treatment

    Year 1, 2, 3, 4 and 5 after treatment initiation with Cladribine tablets until relapse or death

  • Time From Cladribine Tablet Initiation to First Relapse

    up to maximum 5 years after treatment initiation with Cladribine tablets

  • Number of Participants Who Discontinued Cladribine Tablets

    From Cladribine treatment initiation up to end of Cladribine treatment (assessed up end of Treatment Year 2)

  • Number of Participants Who Received Subsequent Disease-modifying Therapies (DMTs) After Cladribine Tablets Discontinuation/Treatment Completion

    From Cladribine treatment initiation up to end of Cladribine treatment (assessed up end of Treatment Year 2)

  • Number of Participants With Disability Progression Assessed by Expanded Disease Severity Scale (EDSS) at Treatment Initiation and Start of Treatment Year 2

    At Treatment Initiation and Start of Treatment Year 2

  • +2 more secondary outcomes

Study Arms (1)

Cladribine

No intervention was administered as a part of this study. Participants with Highly-active Disease Relapsing-remitting Multiple Sclerosis (HDA-RRMS), who completed at least Year 1 of treatment with cladribine tablets in routine clinical practice were enrolled into this study and assessed up to maximum 5 years after cladribine tablets initiation.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants with HDA-RRMS who initiated treatment with cladribine tablets.

You may qualify if:

  • Physician diagnosis of HDA-RRMS as defined by clinical or radiological features
  • Treatment initiation with cladribine tablet monotherapy on or after 22 August 2017 and at least 3 years before enrolment
  • Completion of Year 1 treatment of cladribine tablets (Week 1 and Week 2 treatment, per recommended dose in Year 1: 1.75 milligrams per kilogram \[mg/kg\] body weight, cumulatively)

You may not qualify if:

  • Received cladribine tablet treatment within an interventional clinical trial during the study period
  • Received treatment with any investigational therapy for RRMS in the 6 months prior to cladribine tablet treatment initiation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

University Hospitals Coventry and Warwickshire- Neurology

Coventry, United Kingdom

Location

NHS Lanarkshire Health Board- Department of Neurology

Glasgow, United Kingdom

Location

Queen Elizabeth University Hospital

Glasgow, United Kingdom

Location

University Hospitals of Leicester NHS Trust

Leicester, United Kingdom

Location

Barking Havering and Redbridge University Hospitals NHS Trust

London, United Kingdom

Location

University College London UCL

London, United Kingdom

Location

Nottingham City Hospital (2655)

Nottingham, United Kingdom

Location

Salford Royal

Salford, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Multiple Sclerosis, Relapsing-RemittingMultiple Sclerosis

Condition Hierarchy (Ancestors)

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

Limitations and Caveats

Potential limitations include the retrospective study design, and that data was limited by control over patient assessment as patient monitoring and diagnostics were per standard of care.

Results Point of Contact

Title
Communication Center
Organization
Merck Healthcare KGaA, Darmstadt Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Study Officials

  • Medical Responsible

    Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
OTHER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 3, 2021

First Posted

August 9, 2021

Study Start

August 11, 2021

Primary Completion

September 14, 2023

Study Completion

September 14, 2023

Last Updated

December 18, 2024

Results First Posted

December 18, 2024

Record last verified: 2024-12

Locations