Multiple Sclerosis
Conditions
Keywords
Pregnancy, Relapsing forms of MS
Brief summary
The primary objectives of the study are to estimate the risk of major congenital malformations (MCMs) in infants born to women with multiple sclerosis (MS) who were exposed to diroximel fumarate (DRF) at any time from 2 weeks after the first day of their last menstrual period (LMP) up through the first trimester of pregnancy and to comparatively evaluate pregnancy outcomes with MCMs in women with MS who were exposed to DRF at any time from 2 weeks after the first day of their LMP through the first trimester of pregnancy with the following: i) women with MS who were unexposed to disease modifying therapies (DMTs) and, ii) women with MS who were exposed to other DMTs (e.g., Avonex and Tysabri Pregnancy Registries). The secondary objective of the study is to evaluate pregnancy outcomes in women with DRF exposure at any time from 2 weeks after the first day of their LMP through the end of pregnancy compared with the following: i) women with MS who were unexposed to DMTs, ii) women with dimethyl fumarate (DMF) exposure, iii) women with MS who were exposed to other DMTs (e.g., Avonex and Tysabri Pregnancy Registries), and iv) women without MS (e.g., women from external, general population comparators).
Interventions
Sponsors
Biogen
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
Key Inclusion Criteria: * Participant must have a diagnosis of MS * Documentation that the participant was one of the following: 1. exposed to DRF at any time from 2 weeks after the first day of their LMP (i.e., conception date) up through any time during pregnancy. (If exact exposure dates are unknown, the reporter must be able to specify or estimate trimester of exposure). 2. unexposed to any DMT during pregnancy, defined as having never received DMT therapy; discontinued treatment with DRF at least 1 day before 2 weeks after the first day of their LMP (i.e., conception date); or discontinued a non Registry-specified MS DMT more than 5 times its half-life prior to 2 weeks after the first day of their LMP (i.e., conception date) * Participants with knowledge of the outcome of the pregnancy (e.g., pregnancy loss or live birth) Key
Exclusion criteria
\- None NOTE: Other protocol defined Inclusion criteria may apply
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Major Congenital Malformations (MCMs) | Up to 52 weeks postdelivery | MCMs include abnormalities in structural development that are medically or cosmetically significant are present at birth, and persist in postnatal life unless or until repaired as evaluated by independent advisors used throughout the registry. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Molar Pregnancies | Up to 9 months of pregnancy | — |
| Number of Elective or Therapeutic Terminations | Up to 9 months of pregnancy | Elective or therapeutic pregnancy termination is any induced or voluntary fetal loss during pregnancy. It will be subclassified as elective or therapeutic pregnancy terminations as whether it was due to a fatal anomaly or not. |
| Number of Spontaneous Abortions | Before 22 weeks of gestation | Spontaneous abortion is defined as any loss of a fetus due to natural causes before 22 weeks of gestation. |
| Number of Fetal Deaths Including Still Birth | At or after 22 weeks of gestation | Fetal death or stillbirth refers to the death of a fetus prior to complete expulsion or extraction from its mother at or after 22 weeks of gestation. Death is indicated by the fact that, after such separation, the fetus does not show any evidence of life (e.g., heartbeat, umbilical cord pulsation, or definite movement of voluntary muscles). Fetal death occurring at or after 22 weeks but before 28 weeks of gestation is considered an early fetal loss. Fetal death occurring at or after 28 weeks is considered a late fetal loss. |
| Number of Live Births | Up to delivery (approximately 10 months) | A live birth refers to a complete expulsion or extraction from its mother of a surviving neonate breathing, or showing any other evidence of life, such as heartbeat, umbilical cord pulsation, or definite movement of voluntary muscles, whether the umbilical cord has been cut or the placenta is attached. Any live birth before 37 weeks of gestation will be considered premature birth. Any live birth at or after 37 weeks but before 42 weeks of gestation will be considered full-term birth. Any live birth at or after 42 weeks of gestation will be considered post-term birth. |
| Number of Maternal Deaths | Up to 12 weeks postdelivery | Maternal death is death of a pregnant woman during pregnancy, labor, or delivery. Registry will also report maternal deaths that occur up to 12 weeks postdelivery. |
| Number of Ectopic Pregnancies | Up to 9 months of pregnancy | — |
| Number of Perinatal Deaths | At or after 28 days to 12 weeks postdelivery | Perinatal death is death occurring at or after 28 days of life and prior to 12 weeks of life. |
| Number of Infant Deaths | Between 12 to 52 weeks postdelivery | Infant death is death occurring between 12 and 52 weeks of life, inclusive. |
| Number of Serious or Opportunistic Infections in Liveborn Children | Up to 52 weeks postdelivery | — |
| Number of Infants with Abnormal Postnatal Growth and Development | Up to 52 weeks postdelivery | Infant growth measurements will be used to estimate gender-specific weight-for-length, head circumference-for-age, length-for-age, and weight-for-age percentiles. Developmental milestones (i.e., social/emotional, language/communication, neurocognitive, movement/physical development) will be used to determine results of infant status (i.e., below, above, or at age-appropriate achievement). |
| Number of Participants with Pregnancy Complications | Up to 9 months of pregnancy | Pregnancy complications may include incidences of pre-eclampsia, eclampsia, pregnancy-induced hypertension, preterm labor, gestational diabetes and placenta previa. |
| Number of Neonatal Deaths | Prior to 28 days postdelivery | Neonatal death is death occurring in a neonate prior to 28 days of life. |
Countries
Australia, Germany, Ireland, Spain, Switzerland, United States
Contacts
Primary ContactUS Biogen Clinical Trial Center
Backup ContactGlobal Biogen Clinical Trial Center
Outcome results
None listed