Multiple Sclerosis Clinical Trial
Official title:
Optimizing IFN Beta - 1B Dose
BetaferonR is effective in reducing relapse rate and MRI T2-weighted lesion frequency in MS
patients at the dose of 8 MIU on alternate days (THE IFNB MS Study Group, 1993). Relapse
rate is reduced by 30-35% (The IFNB MS Study Group, 1993), MRI activity is decreased up to
100% in most cases (Stone et al 1995). In some patients, however, MRI activity still occurs
or reappears during treatment (Stone et al 1995). MRI activity has been demonstrated to
correlate with relapse occurrence (McFarland et al, 1992; Miller et al, 1996), and in some
patients relapses still occur during IFN beta treatment. In other patients relapses may
occur in association with the appearance, after 9-18 months of treatment, of anti-IFN beta
NAB (The IFNB M S Study Group, 1995).
This protocol hypothesizes that the dose of 12 MIU BetaferonR on alternate days has more
pronounced MRI and clinical effects in MS patients than that of 8 MIU. MS patients who do
not respond to 8 MIU may take advantage of a higher dose. We, therefore decided to assess
MRI effects after increasing the Betaferon dose (12 MIU) in RRMS patients showing a residual
MRI activity (at least one new Gd enhancing lesion) during six months of standard Betaferon
dose treatment (8 MIU).
Comparing the frequency of new Gd enhancing lesions in a group of patients presenting a residual MRI activity during the last four months of the six month standard dose (8MIU) Betaferon treatment randomized to continue the standard dose or to increase the dose to 12 MIU Betaferon ;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Treatment
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