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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT04746976
Other study ID # US-VUM-11760
Secondary ID
Status Terminated
Phase
First received
Last updated
Start date March 1, 2021
Est. completion date April 14, 2023

Study information

Verified date May 2023
Source Biogen
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The primary objective of the study is to characterize the persistence to therapy in participants with relapsing forms of multiple sclerosis (RMS) treated with diroximel fumarate (DRF) in routine clinical practice. The secondary objectives of the study are to assess short-term persistence to treatment; to assess long-term persistence on treatment; to assess the effect of DRF on relapses; to assess the impact of DRF on cognition; to assess the impact of DRF on participant reported outcomes (PROs) and to explore the real-world safety profile of DRF (ie, gastrointestinal [GI] tolerability, lymphocyte dynamics, adverse events [AEs] leading to discontinuation, and serious adverse events [SAEs]).


Recruitment information / eligibility

Status Terminated
Enrollment 75
Est. completion date April 14, 2023
Est. primary completion date April 14, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Key Inclusion Criteria: - Have a diagnosis of MS and satisfy the approved therapeutic indication for DRF per the USPI. - DRF prescribed and planned to be initiated within 60 days after enrollment. Key Exclusion Criteria: - History of gastric bypass or required use of feeding tubes. - Have received prior treatment with DRF. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Diroximel Fumarate
As described in the arm.

Locations

Country Name City State
United States Beth Israel Deaconess Medical Center Boston Massachusetts
United States Jacobs School of Medicine and Biomedical Sciences Buffalo New York
United States Geisinger Medical Center Danville Pennsylvania
United States Glendale Neurological Associates, PC Farmington Michigan
United States CentraState Healthcare System - Linda Cardinale MS Center Freehold New Jersey
United States Cone Health Greensboro North Carolina
United States UTHealth Neurosciences Texas Medical Center II Houston Texas
United States St. Luke's Neurology Kansas City Missouri
United States Hope Neurology Knoxville Tennessee
United States MS Center at St Barnabas Livingston New Jersey
United States Norton Neuroscience Institute Louisville Kentucky
United States Multiple Sclerosis Center JSUMC Neptune New Jersey
United States Riverside Neurology Specialists Newport News Virginia
United States Memorial Healthcare Owosso Michigan
United States Providence Brain and Spine Institute Portland Oregon
United States Providence Medical Research Center Spokane Washington
United States MedStar Georgetown University Hospital Washington District of Columbia
United States Regina Berkovich MD Phd Inc West Hollywood California

Sponsors (1)

Lead Sponsor Collaborator
Biogen

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants on Treatment with DRF at 1 Year 1 year
Secondary Percentage of Participants on Treatment with DRF at 3 Months 3 months
Secondary Percentage of Participants on Treatment with DRF at 2 Years 2 years
Secondary Annualized Relapse Rate (ARR) with DRF At 1 and 2 years
Secondary Percentage of Participants Relapsed At 1 and 2 years
Secondary Change in Processing Speed Test (PST) Score from Baseline PST measures mental processing speed. The PST will be assessed using multiple sclerosis performance test (MSPT). The participants will be shown some symbols and corresponding numbers. The participants will be then asked to input the numbers corresponding to the given symbols in empty rows. Higher number of correct responses indicates better cognition Baseline up to 2 years
Secondary Change in Score for Each Domain of Quality of Life in Neurological Disorders (Neuro- QoL™) Questionnaire Neuro-QOL uses a T score which has a mean of 50 and SD of 10, based on the norming sample used. All Neuro-QOL banks and scales are scored such that a high score reflects more of what is being measured. Baseline up to 2 years
Secondary Change in Disability, as Measured by Patient Determined Disease Steps (PDDS) The PDDS has nine ordinal levels ranging between 0 (normal) and 8 (bedridden). Higher scores indicate greater disability. Baseline up to 2 years
Secondary Change in Work Productivity and Activity Impairment Due to Multiple Sclerosis (WPAI- MS) Scores from Baseline The Work Productivity and Activity Impairment (WPAI) questionnaire is a validated instrument to measure impairments in work and activities. The WPAI yields four types of scores: 1. Absenteeism (work time missed) 2. Presenteesism (impairment at work / reduced on-the-job effectiveness) 3. Work productivity loss (overall work impairment / absenteeism plus presenteeism) 4. Activity Impairment. Higher numbers indicate greater impairment and less productivity. Baseline up to 2 years
Secondary Number of Participants with Gastrointestinal (GI) Adverse Events (AEs) An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Up to 32 months
Secondary Number of Participants with AEs Leading to Treatment Discontinuation An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. Up to 32 months
Secondary Number of Participants with Serious Adverse Events (SAEs) An SAE is any untoward medical occurrence that at any dose results in death, in the view of the investigator, places the participant at immediate risk of death, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect or is a medically important event. Up to 32 months
Secondary Number of Participants categorized by the types of actions taken to mitigate GI AEs The actions taken will include temporary dose reduction, temporary dose interruption, initiation of concomitant GI medication, taking DRF dose with food, permanent discontinuation, or other action. Up to 32 months
Secondary Median Absolute Lymphocyte Count (ALC) Over Time Baseline up to 2 years
Secondary Percent Change in Median ALC from Baseline Baseline up to 2 years
Secondary Number of Participants with Lymphopenia According to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI/CTCAE)Severity Grading Up to 32 months
See also
  Status Clinical Trial Phase
Terminated NCT04948606 - Exploring Diroximel Fumarate Real-world Experience in Canada and Israel