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Comparison of Alemtuzumab and Rebif Efficacy in Multiple Sclerosis, Study Two

A Phase 3 Randomized, Rater- and Dose-Blinded Study Comparing Two Annual Cycles of Intravenous Low- and High-Dose Alemtuzumab to Three-Times Weekly Subcutaneous Interferon Beta-1a (Rebif) in Patients with Relapsing-Remitting Multiple Sclerosis Who Have Relapsed on Therapy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON27332
Enrollment
700
Registered
2008-09-29
Start date
2007-10-20
Completion date
Unknown
Last updated
2024-02-28

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

Conditions

Multiple Sclerosis, Relapsing-Remitting

Interventions

Experimental intervention 1: alemtuzumab: 12 mg per day administered through IV, once a day for 5 consecutive days at Month 0 and 12 mg per day administered through IV, once a day for 3 consecutive d

Sponsors

Genzyme Corporation
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Age 18 - 55 years old 2. Diagnosis of MS and MRI scan demonstrating white matter lesions attributable to MS 3. Onset of MS symptoms within 10 years 4. EDSS score 0.0 to 5.0 5. Greater than or equal to 2 MS attacks within 24 months, with greater than or equal to 1 attack within 12 months 6. Greater than or equal to 1 MS attack (relapse) during treatment with a beta interferon therapy or glatiramer acetate after being on that therapy for at least 6 months within 10 years.

Exclusion criteria

Exclusion criteria: 1. Previous treatment with alemtuzumab 2. Previous treatment with any investigational drug (i.e. medication that is not approved at any dose or for any indication) 3. Treatment with natalizumab, methotrexate, azothioprine or cyclosporine in the past 6 months 4. Previous treatment with mitoxantrone, cyclophosphamide, cladribine, rituximab or any other immunosuppressive or cytotoxic therapy (other than steroid treatment) 5. Any progressive form of MS 6. Any progressive form of MS 7. Any disability acquired from trauma or another illness that could interfere with evaluation of disability due to MS 8. Major systemic disease that cannot be treated or adequately controlled by therapy 9. Active infection or high risk for infection 10. Autoimmune disorder (other than MS) 11. Impaired hepatic or renal function 12. History of malignancy, except basal skin cell carcinoma 13. Medical, psychiatric, cognitive, or other conditions that compromise the patient's ability to understand the patient information, to give informed consent, to comply with the trial protocol, or to complete the study 14. Of childbearing potential with a positive serum pregnancy test, pregnant, or lactating 15. Current participation in another clinical study or previous participation in CAMMS323 16. Previous hypersensitivity reaction to any immunoglobulin product 17. Known allergy or intolerance to interferon beta, human albumin, or mannitol 18. Intolerance of pulsed corticosteroids, especially a history of steroid psychosis 19. Inability to self-administer subcutaneous (SC) injections or receive SC injections from caregiver 20. Inability to undergo MRI with gadolinium administration 21. Unwilling to use a reliable and acceptable contraceptive method throughout the study period (fertile patients only).

Design outcomes

Primary

MeasureTime frame
- Time to Sustained Accumulation of Disability (SAD) [Time Frame: 2 years] - Relapse Rate [Time Frame: 2 years] (Rater-blinding of efficacy outcomes)

Secondary

MeasureTime frame
- Proportion of patients who are relapse free at Year 2 [Time Frame: 2 years] - Change from baseline in EDSS [Time Frame: 2 years] - Acquisition of disability as measured by change from baseline in MSFC [Time Frame: 2 years] - Percent change from baseline in MRI-T2 hyperintense lesion volume at Year 2 [Time Frame: 2 years] (Rater-blinding of efficacy outcomes)

Contacts

Public ContactGenzyme Europe B.V.

Genzyme Europe BV Gooimeer 10

eumedinfo@genzyme.com

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)