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Phase IV, multicenter, open label, randomized study of Rebif® 44 mcg administered three times per week by subcutaneous injection compared with no treatment in the therapy of relapsing multiple sclerosis after mitoxantrone - Deescalation to Rebif® after Mitoxantrone therapy (REMAIN study)

Phase IV, multicenter, open label, randomized study of Rebif® 44 mcg administered three times per week by subcutaneous injection compared with no treatment in the therapy of relapsing multiple sclerosis after mitoxantrone - Deescalation to Rebif® after Mitoxantrone therapy (REMAIN study)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2005-001026-89-DE
Enrollment
100
Registered
2005-05-13
Start date
2005-07-14
Completion date
Unknown
Last updated
2013-01-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Relapsing-remitting multiple sclerosis (RRMS) or secondary progressive multiple sclerosis (SPMS) with relapses MedDRA version: 7.1 Level: LLT Classification code 10028245

Interventions

Trade Name: Rebif Product Name: Rebif 8,8 µg, Rebif 22µg Pharmaceutical Form: Solution for injection INN or Proposed INN: Interferon beta-1 a Concentration unit: µg microgram(s) Concentration type: eq

Sponsors

Serono GmbH
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Definite RRMS or SPMS with relapses - EDSS 1-6 - Escalation to mitoxantrone due to relapse activity or MRI activity during last year prior to mitoxantrone or EDSS progression combined with relapse activity or MRI activity during last year prior to mitoxantrone (not due to EDSS progression exclusively) - Last mitoxantrone treatment between >= 1 and 5.5) within the last 9 months - Subject should be free of relapses over the last 6 months Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - Subject received any cytokine or anti-cytokine therapy within the 3 months prior to Study Day 1 (SD1, week 0) - Subject was escalated to mitoxantrone due to EDSS progression only (without any relapse or MRI activity during the last year prior to mitoxantrone - Subject has Primary Progressive MS - Subject has Secondary Progressive MS without superimposed relapses - Subject received immunmodulatory treatment other than IFN-beta, glatirameracetat, azatriopine, immunglobulins, or no treatment before mitoxantrone - Subject has previously received total lymphoid irradiation - Subject received oral or systemic corticosteroids or ACTH within 30 days of SD1 - Subject received intravenous immunoglobulins or underwent plasmapheresis within the 6 months prior to SD1 - Subject received immunomodulatory or immunosuppressive therapy (including but not limited to cyclophosphamide, cyclosporin, methotrexate, azathioprine, linomide, teriflunomide, laquinimod, Campath) within the 12 months prior to SD1 - Subject requires chronic or monthly pulse corticosteroids during the study - Subject received any investigational drug or experimental procedure within 12 month of SD1 (Week 0) or is currently participating in another clinical trial - Subject suffers from major medical or psychiatric illness (e.g. severe depression and/or suicide risk) that in the opinion of the investigator creates undue risk to the subject or could affect compliance with the study protocol - Known clinically significant cardiac or other systemic diseases - Previous treatment with natalizumab - Subject suffers from epilepsy without adeqaute therapeutic control of attacks - Subject has inadequate bone marrow reserve, defined as a white blood cell count less than 0.5 times the lower limit of normal and platelet count <100x103/µl. - Subject suffers from the following concurrent autoimmune diseases: SLE, ITP, Rheumatoid arthritis, Crohn´s Disease, Diabetes mellitus.

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective of the study is to asses if treatment with Rebif 44 mcg three times per week compared with subjects not treated during 96 weeks can maintain or prolong clinical or MRI stability after previous treatment with mitoxantrone.;Secondary Objective: The main secondary objective of the study is to compare the mean number of T2 active lesions, defined as new or enlarging T2 lesions, per subject per scan during 96 weeks of treatment with Rebif 44 mcg three times per week with subjects not treated.;Primary end point(s): The primary outcome measure will be time to first relapse on study in subjects treated with Rebif 44 mcg three times per week compared with subjects not treated over 96 weeks.

Countries

Germany

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026