Comparison of Alemtuzumab and Rebif® Efficacy in Multiple Sclerosis, Study One (CARE-MS I)
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Purpose
The purpose of this study is to establish the efficacy and safety of alemtuzumab as a treatment for relapsing-remitting multiple sclerosis (MS), in comparison with Rebif® (interferon beta-1a). The study will enroll patients who have not previously received treatment to suppress MS, except steroids. Patients will have monthly laboratory tests and comprehensive testing every 3 months.
| Condition | Intervention | Phase |
|---|---|---|
|
Multiple Sclerosis, Relapsing-Remitting |
Biological: alemtuzumab Biological: interferon beta-1a (Rebif®) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase 3 Randomized, Rater-Blinded Study Comparing Two Annual Cycles of Intravenous Alemtuzumab to Three-Times Weekly Subcutaneous Interferon Beta-1a (Rebif®) in Treatment-Naïve Patients With Relapsing-Remitting Multiple Sclerosis |
- Time to Sustained Accumulation of Disability (SAD) [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Relapse Rate [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Proportion of patients who are relapse free at Year 2 [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Change from baseline in Expanded Disability Status Scale (EDSS) [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Acquisition of disability as measured by change from baseline in Multiple Sclerosis Functional Composite (MSFC) [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Percent change from baseline in magnetic resonance imaging (MRI)-T2 hyperintense lesion volume at Year 2 [ Time Frame: 2 years ] [ Designated as safety issue: No ]
| Enrollment: | 581 |
| Study Start Date: | September 2007 |
| Study Completion Date: | May 2011 |
| Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: alemtuzumab 12 mg |
Biological: 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 days at Month 12.
|
| Active Comparator: interferon beta-1a (Rebif ®) 44mcg |
Biological: interferon beta-1a (Rebif®)
44 mcg administered 3-times weekly by SC injections for 2 years
|
Detailed Description:
Every patient will receive active treatment; there is no placebo. Patients who qualify will be randomly assigned to treatment with either alemtuzumab or Rebif® at a 2:1 ratio (ie, 2 given alemtuzumab for every 1 given Rebif®). Alemtuzumab will be administered in two annual cycles, once at the beginning of the study and again 1 year later. Rebif® will be self-injected 3 times per week for 2 years. All patients will be required to return to their study site every 3 months for neurologic assessment. In addition, safety-related laboratory tests will be performed at least monthly. Participation in this study will end 2 years after the start of treatment for each patient. Additionally, patients who receive alemtuzumab may be followed in CAMMS03409 (NCT 00930553) an extension study for safety and efficacy assessments. Patients who receive Rebif® and complete 2 years on study may be eligible to receive alemtuzumab on the extension study.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosis of MS and cranial MRI scan demonstrating white matter lesions attributable to MS within 5 years
- Onset of MS symptoms within 5 years
- EDSS score 0.0 to 3.0
- ≥2 MS attacks within 24 months, with ≥1 attack within 12 months
Exclusion Criteria:
- Received prior therapy for MS other than corticosteroids
- Exposure to immunosuppressive or immunomodulatory agents other than systemic corticosteroid treatment
- Received treatment with a monoclonal antibody for any reason
- Previous treatment with any investigational drug (i.e. medication that is not approved at any dose for any indication)
- Has any progressive form of MS
- Any disability acquired from trauma or another illness that could interfere with evaluation of disability due to MS
- Major systemic disease that cannot be treated or adequately controlled by therapy
- Active infection or high risk for infection
- Autoimmune disorder (other than MS)
- Impaired hepatic or renal function
- History of malignancy, except basal skin cell carcinoma
- 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
- Known bleeding disorder
- Of childbearing potential with a positive serum pregnancy test, pregnant or lactating
- Current participation in another clinical study
- Previous hypersensitivity reaction to any immunoglobulin product
- Known allergy or intolerance to interferon beta, human albumin, or mannitol
- Intolerance of pulsed corticosteroids, especially a history of steroid psychosis
- Inability to self-administer subcutaneous (SC) injections or receive SC injections from caregiver
- Inability to undergo MRI with gadolinium administration
- Unwilling to use a reliable and acceptable contraceptive method throughout the study period (fertile patients only)
Contacts and Locations
Hide Study Locations| United States, Alabama | |
| North Central Neurology Associates, P.C. | |
| Cullman, Alabama, United States | |
| United States, Arizona | |
| Barrow Neurology Clinics at St. Joseph's Hospital and Medical Center | |
| Phoenix, Arizona, United States | |
| Mayo Clinic Arizona | |
| Scottsdale, Arizona, United States | |
| Northwest NeuroSpecialists, PLLC | |
| Tucson, Arizona, United States | |
| United States, Colorado | |
| Advanced Neurosciences Research LLC | |
| Fort Collins, Colorado, United States | |
| United States, Florida | |
| Neurological Associates | |
| Pompano Beach, Florida, United States | |
| Axiom Clinical Research of Florida | |
| Tampa, Florida, United States | |
| United States, Idaho | |
| Eastern Idaho Neurological Associates | |
| Idaho Falls, Idaho, United States | |
| United States, Illinois | |
| Consultants in Neurology, Ltd. | |
| Northbrook, Illinois, United States | |
| United States, Indiana | |
| Fort Wayne Neurological Center | |
| Fort Wayne, Indiana, United States | |
| United States, Kansas | |
| University of Kansas Medical Center | |
| Kansas City, Kansas, United States | |
| MidAmerica Neuroscience Institute | |
| Lenexa, Kansas, United States | |
| United States, Kentucky | |
| Associates in Neurology, PSC | |
| Lexington, Kentucky, United States | |
| University of Louisville, Kentucky Neuroscience Research | |
| Louisville, Kentucky, United States | |
| United States, Louisiana | |
| Louisiana State University Health Sciences Center | |
| Shreveport, Louisiana, United States | |
| United States, Massachusetts | |
| UMass Memorial Health Care | |
| Worcester, Massachusetts, United States | |
| United States, Michigan | |
| University of Michigan Department of Neurology | |
| Ann Arbor, Michigan, United States | |
| Wayne State University | |
| Detroit, Michigan, United States | |
| United States, New Hampshire | |
| Dartmouth-Hitchcock Medical Center | |
| Lebanon, New Hampshire, United States | |
| United States, New York | |
| Empire Neurology PC | |
| Latham, New York, United States | |
| NYU Hospital of Joint Diseases | |
| New York, New York, United States | |
| Comprehensive Multiple Sclerosis Care Center at South Shore Neurologic Associates, P.C. | |
| Patchogue, New York, United States | |
| University of Rochester Medical Center | |
| Rochester, New York, United States | |
| United States, North Carolina | |
| Carolinas Medical Center (CMC)/Neurosciences & Spine Institute (NSSI) | |
| Charlotte, North Carolina, United States | |
| United States, Ohio | |
| The Ohio State University Medical Center, Multiple Sclerosis Center | |
| Columbus, Ohio, United States | |
| Oak Clinic for Multiple Sclerosis | |
| Uniontown, Ohio, United States | |
| United States, Oklahoma | |
| MS Center of Oklahoma | |
| Oklahoma City, Oklahoma, United States | |
| United States, Pennsylvania | |
| Lehigh Valley Hospital, Neuroscience and Pain Research | |
| Allentown, Pennsylvania, United States | |
| United States, Tennessee | |
| Advanced Neurosciences Institute | |
| Franklin, Tennessee, United States | |
| Sibyl Wray, MD, Neurology, PC | |
| Knoxville, Tennessee, United States | |
| United States, Texas | |
| Baylor College of Medicine, Maxine Mesinger MS Clinic | |
| Houston, Texas, United States | |
| Central Texas Neurology Consultants | |
| Round Rock, Texas, United States | |
| Integra Clinical Research, L.L.C. | |
| San Antonio, Texas, United States | |
| Neurology Center of San Antonio | |
| San Antonio, Texas, United States | |
| Argentina | |
| DIABAID | |
| Capital Federal, Argentina | |
| Australia, Queensland | |
| The Wesley Research Institute | |
| Auchenflower, Queensland, Australia, 4066 | |
| Griffith University and Gold Coast Hospital | |
| Southport, Queensland, Australia | |
| Australia, South Australia | |
| Flinders Medical Center | |
| Bedford Park, South Australia, Australia | |
| The Queen Elizabeth Hospital | |
| Woodville South, South Australia, Australia | |
| Australia, Tasmania | |
| Royal Hobart Hospital, Tasmania | |
| Hobart, Tasmania, Australia, 7000 | |
| Australia, Victoria | |
| St Vincents Hospital | |
| Fitzroy, Victoria, Australia, 3065 | |
| Austin Health | |
| Heidelberg, Victoria, Australia, 3084 | |
| Royal Melbourne Hospital, Department of Neurology, Ward 4 East | |
| Parkville, Victoria, Australia, 3050 | |
| Australia | |
| Concord Repatriation General Hospital | |
| Concord, Australia | |
| Southern Neurology | |
| Kogarah, Australia | |
| Brazil | |
| Hospital Sao Lucas da PUC-RS | |
| Porto Alegre, RS, Brazil | |
| Hospital das Clinicas da Faculdade de Medicina da USP | |
| Sao Paulo, SP, Brazil | |
| Canada, Alberta | |
| Foothills Medical Center, MS Clinic, SSB | |
| Calgary, Alberta, Canada | |
| Canada, British Columbia | |
| UBC Hospital | |
| Vancouver, British Columbia, Canada | |
| Canada, Ontario | |
| The Ottawa Hospital, General Campus | |
| Ottawa, Ontario, Canada | |
| Canada, Quebec | |
| Clinique Nuero-outaouais | |
| Gatineau, Quebec, Canada | |
| Clinique Nuero rive-sud, Recherche sepmus inc. | |
| Greenfield park, Quebec, Canada | |
| Croatia | |
| Clinical Hospital Centre "Rijeka" | |
| Rijeka, Croatia | |
| General Hospital Varazdin | |
| Varazdin, Croatia | |
| General Hospital Sveti Duh | |
| Zagreb, Croatia | |
| Clinic of Neurology Clinical Hospital "Sestre milosrdnice" | |
| Zagreb, Croatia | |
| Clinic Hospital Centre | |
| Zareb, Croatia | |
| Czech Republic | |
| General University Hospital in Prague | |
| Prague, Czech Republic | |
| Hospital Teplice | |
| Teplice, Czech Republic | |
| France | |
| Hopital Purpan | |
| Toulouse, France | |
| Germany | |
| Judisches Krankenhaus Berlin | |
| Berlin-Mitte, Germany | |
| Hospital Neurologique et neuro-chirurgical Pierre Wertheimer | |
| Bron Cedex, Germany | |
| MS Zentrum | |
| Dresden, Germany | |
| Neurologische Klinik Heinrich-Heine-Universitat Dusseldorf | |
| Dusseldorf, Germany | |
| Klinkum der JW Goethe Universitat | |
| Frankfurt am Main, Germany | |
| Medizinische Hochshule Hannover | |
| Hannover, Germany | |
| Klinik Henningsdorf | |
| Henningsdorf, Germany | |
| Mexico | |
| Hospital Medica Sur | |
| Delegacion, Tlalpan, Mexico | |
| Hospital Angeles del Pedregal; Camino a Santa Teresa No. 1055 | |
| Mexico City, Mexico | |
| Poland | |
| Centrum Neurologii Klinicznej | |
| Krakow, Poland | |
| Samodzielny Publiczny ZOZ Uniwersytecki Szpital Kliniczny nr 1 UM w Lodzi | |
| Lodz, Poland | |
| Samodzielny Publiczny Szpital Kliniczny nr 4 | |
| Lublin, Poland | |
| Szpital Kliniczny im. Helidora Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu | |
| Poznan, Poland | |
| Russian Federation | |
| Research Medical Complex "Your Health" Ltd | |
| Kazan, Russian Federation | |
| State Institution Scientific Neurology Center, RAMS | |
| Moscow, Russian Federation | |
| Moscow City Hospital #11 | |
| Moscow, Russian Federation | |
| Russian State Medical University | |
| Moscow, Russian Federation | |
| Municipal City Hospital #33 | |
| Nizhniy Novgorod, Russian Federation | |
| Siberian District Medical Center | |
| Novosibirsk, Russian Federation | |
| City Clinical Hospital #2 | |
| Pyatigorsk, Russian Federation | |
| Samara Regional Clinical Hospital n.a. Kalinin | |
| Samara, Russian Federation | |
| Nikolaevskaya Hospital | |
| St. Petersburg, Russian Federation | |
| St. Petersburg Pavlov State Medical University | |
| St. Petersburg, Russian Federation | |
| Institute of Human Brain RAS | |
| St. Petersburg, Russian Federation | |
| Republican Clinical Hospital | |
| Ufa, Russian Federation | |
| Serbia | |
| Clinical Centre Srbija, Institute of Neurology | |
| Belgrade, Serbia | |
| Military Medical Academy | |
| Belgrade, Serbia | |
| Clinical centre Kragujeva | |
| Kragujevac, Serbia | |
| Clinical Center Nis. Center for Neurology | |
| Nis, Serbia | |
| Clinical Centre Vjovodina Institute of Neurology | |
| Novi Sad, Serbia | |
| Sweden | |
| SU/Ostra sjukhuset MS Centrum | |
| Gotenborg, Sweden | |
| Ukraine | |
| Institute of Neurology, Psychiatry and Narcology under the Academy of Sciences of Ukraine Department of Neuroinfection and Multiple Sclerosis | |
| Kharkov, Ukraine | |
| Kiev Municipal Clinical Hospital #4 | |
| Kiev, Ukraine | |
| Hospoital of the Directorate of the Medical Corps within the Ukrainian Security Service, Neurology Department | |
| Kyiv, Ukraine | |
| Danylo Halytsky Lviv National Medical University | |
| Lviv, Ukraine | |
| United Kingdom | |
| Addenbrooke's Hospital | |
| Cambridge, England, United Kingdom | |
| The Royal London Hospital | |
| London, England, United Kingdom | |
| University Hospital of Wales, Clinical Research Facility | |
| Cardiff, Wales, United Kingdom | |
| Royal Hallamshire Hospital | |
| Sheffield, United Kingdom | |
| Study Director: | Medical Monitor | Genzyme |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Genzyme |
| ClinicalTrials.gov Identifier: | NCT00530348 History of Changes |
| Other Study ID Numbers: | CAMMS323, ISRCTN21534255, ACTRN12608000435381, CARE-MS I |
| Study First Received: | September 13, 2007 |
| Last Updated: | May 31, 2012 |
| Health Authority: | United States: Food and Drug Administration Brazil: National Health Surveillance Agency Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica Australia: Department of Health and Ageing Therapeutic Goods Administration Canada: Health Canada Croatia: Agency for Medicinal Product and Medical Devices Czech Republic: State Institute for Drug Control France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Germany: Paul-Ehrlich-Institut Mexico: Federal Commission for Protection Against Health Risks Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Russia: Ministry of Health of the Russian Federation Serbia and Montenegro: Agency for Drugs and Medicinal Devices Sweden: Medical Products Agency Ukraine: State Pharmacological Center - Ministry of Health United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Genzyme:
|
Multiple Sclerosis |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis Multiple Sclerosis, Relapsing-Remitting Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System Nervous System Diseases Demyelinating Diseases Autoimmune Diseases Immune System Diseases Pathologic Processes Interferon-beta Interferons Interferon beta 1a |
Campath 1G Antibodies, Neoplasm Alemtuzumab Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Immunologic Factors Physiological Effects of Drugs Antineoplastic Agents Adjuvants, Immunologic Immunosuppressive Agents |
ClinicalTrials.gov processed this record on May 16, 2013