multiple sclerosis MedDRA version: 19.0 Level: PT Classification code 10048393 Term: Multiple sclerosis relapse System Organ Class: 10029205 - Nervous system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Male or female patients aged 18 to 55 years (inclusive) at screening •Diagnosis of MS according to the 2010 Revised McDonald criteria •Relapsing form of MS: relapsing-remitting course (RRMS), or secondary progressive course with disease activity (relapsing SPMS) •Disability status at Screening with an EDSS score of 0 to 5.5 (inclusive) •At least 1 documented relapse during the previous 1 year OR at least 2 documented relapses during the previous 2 years OR a positive GdE MRI scan during the year prior to randomization and including screening. •Neurologically stable within 1 month prior to randomization Please see protocol for complete detailed list of inclusion criteria 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 900 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: •Patients with primary progressive MS or SPMS without disease activity •Disease duration of more than 10 years in patients with EDSS score of 2 or less •Pregnant or nursing (lactating) women •women of child bearing potential not using highly effective contraception •Patients with an active chronic disease •Patients with active systemic infections, or history of or known presence of recurrent or chronic infection •Have received any live or live-attenuated vaccines within 2 months prior to randomization •Have been treated with medications as specified within the timeframes specified (e.g. ofatumumab, rituximab, ocrelizumab, alemtuzumab, natalizumab, cyclophosphamide, teriflunomide, etc) •Any other disease or condition which could interfere with participation in the study according to the study protocol, or with the ability of the patients to cooperate and comply with the study procedures. Please see protocol for complete detailed list of exclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Demonstrate that ofatumumab 20 mg sc once every 4 (q4) weeks is superior to teriflunomide 14 mg po once daily in reducing the frequency of confirmed relapses as evaluated by the annualized relapse rate (ARR) in patients with relapsing MS.;Secondary Objective: Key secondary objectives To evaluate if ofatumumab is superior to teriflunomide on: 1. Time to disability worsening as measured by 3-month confirmed worsening (3mCDW) on EDSS 2. Number of T1 GdE lesions per MRI scan 3. Number of new or enlarging T2 lesions on MRI per year (annualized T2 lesion rate) 4. Time to disability worsening as measured by 6-month confirmed worsening (6mCDW) on EDSS 5. Rate of brain volume loss (BVL) based on assessments of percentage brain volume change from baseline 6. Time to disability improvement, as measured by 6-month confirmed improvement (6mCDI) on EDSS See protocol for complete list of secondary objectives.;Primary end point(s): Demonstrate that ofatumumab 20 mg sc once every 4 (q4) weeks is superior to teriflunomide 14 mg po once daily in reducing the frequency of confirmed relapses as evaluated by the annualized relapse rate (ARR) in patients with relapsing MS.;Timepoint(s) of evaluation of this end point: Up to 30 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): -Time to disability worsening as measured by 3-month confirmed worsening (3mCDW) on The Expanded Disability Status Scale (EDSS). -Time to disability worsening as measured by 6-month confirmed worsening (6mCDW) on EDSS. -Time to disability improvement as measured by 6-month confirmed improvement (6mCDI) on EDSS. -Number of T1 Gd-enhancing lesions per MRI scan. -Number of new or enlarging T2 lesions on MRI per year (annualized T2 lesion rate). -Rate of brain volume loss (BVL) based on assessments of percentage brain volume change from baseline.;Timepoint(s) of evaluation of this end point: Up to 30 months | — |
Countries
Argentina, Australia, Belgium, Bulgaria, Canada, Chile, Croatia, Czech Republic, Denmark, Estonia, France, Germany, Greece, Hungary, India, Israel, Korea, Republic of, Kuwait, Mexico, Netherlands, Poland, Russian Federation, Saudi Arabia, Slovakia, Spain, Sweden, Switzerland, Thailand, Turkey, United Kingdom, United States
Contacts
Novartis Pharma AG