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Comparison of Alemtuzumab and Rebif® Efficacy in Multiple Sclerosis, Study Two (CARE-MS II)
This study is ongoing, but not recruiting participants.
First Received: October 22, 2007   Last Updated: October 28, 2009   History of Changes
Sponsor: Genzyme
Collaborator: Bayer
Information provided by: Genzyme
ClinicalTrials.gov Identifier: NCT00548405
  Purpose

The purpose of this study is to establish the efficacy and safety of two different doses 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 received an adequate trial of disease-modifying therapies but continued to relapse while being treated, and who meet a minimum severity of disease as measured by MRI. 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 III

Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Official Title: Phase 3 Randomized, Rater- and Dose-Blinded Study Comparing 2 Annual Cycles of IV 12 mg and 24 mg Alemtuzumab to 3x Weekly SC Interferon Beta-1a (Rebif®) in Relapsing-Remitting Multiple Sclerosis Patients Who Have Relapsed on Therapy

Resource links provided by NLM:


Further study details as provided by Genzyme:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • Proportion of patients who are relapse free at Year 2 [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Change from baseline in EDSS [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Acquisition of disability as measured by change from baseline in MSFC [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Percent change from baseline in MRI-T2 hyperintense lesion volume at Year 2 [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Enrollment: 840
Study Start Date: October 2007
Estimated Study Completion Date: April 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
alemtuzumab 12 mg: Experimental 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
alemtuzumab 24mg: Experimental Biological: alemtuzumab
24 mg per day administered through IV, once a day for 5 consecutive days at Month 0 and 24 mg per day administered through IV, once a day for 3 consecutive days at Month 12 Note: The 24 mg alemtuzumab dose is closed to enrollment.
interferon beta-1a (Rebif ®): Active Comparator 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 will be randomized in a 2:2:1 ratio to receive 12 mg alemtuzumab, 24 mg alemtuzumab or Rebif® (ie, 2 given 12 mg or 24 mg 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, all patients who receive alemtuzumab will be followed in an extension study (CAMMS03409 NCT00930553) for safety and efficacy assessments. Patients who receive Rebif® and complete 2 years on study may be eligible to receive alemtuzumab in an extension study.

  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis of MS and MRI scan demonstrating white matter lesions attributable to MS
  • Onset of MS symptoms within 10 years
  • EDSS score 0.0 to 5.0
  • ≥2 MS attacks within 24 months, with ≥1 attack within 12 months
  • ≥1 MS attack (relapse)during treatment with a beta interferon therapy or glatiramer acetate after having been on that therapy for at least 6 months within 10 years

Exclusion Criteria:

  • Previous treatment with alemtuzumab
  • Previous treatment with any investigational drug (i.e. a medication that is not approved at any dose or for any indication)
  • Treatment with natalizumab, methotrexate, azothioprine or cyclosporine in the past 6 months
  • Previous treatment with mitoxantrone, cyclophosphamide, cladribine, rituximab, or any other immunosuppressive, or cytotoxic therapy (other than steroid treatment)
  • 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 or previous participation in CAMMS323
  • 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
Please refer to this study by its ClinicalTrials.gov identifier: NCT00548405

  Hide Study Locations
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
Hope Research Institute
Phoenix, Arizona, United States
Mayo Clinic Arizona, Department of Neurology
Scottsdale, Arizona, United States
Northwest NeuroSpecialists, PLLC
Tucson, Arizona, United States
United States, California
Neuro-Therapeutics, Inc
Pasadena, California, United States
Neurology Center of North Orange County
La Habra, California, United States
Department of Neurology, Keck School of Medicine, University of Southern California
Los Angeles, California, United States
UC Davis Medical Center
Sacramento, California, United States
Stanford University Medical Center
Stanford, California, United States
East Bay Physicians Medical Group/Sutter East Bay Medical Foundation
Berkeley, California, United States
United States, Colorado
University of Colorado Hospital Anschutz Outpatient Pavilioin
Aurora, Colorado, United States
Colorado Neurological Consultants
Denver, Colorado, United States
Advanced Neurosciences Research LLC
Fort Collins, Colorado, United States
United States, Connecticut
Yale University Multiple Sclerosis Center
New Haven, Connecticut, United States
United States, District of Columbia
George Washington University Medical Faculty Associates
Washington, District of Columbia, United States
United States, Florida
University of Florida Neuroscience Institute
Jacksonville, Florida, United States
University of South Florida Medical Clinics
Tampa, Florida, United States
Neurological Associates
Pompano Beach, Florida, United States
Negroski, Stein, Sutherland and Hanes Neurology
Sarasota, Florida, United States
Axiom Clinical Research of Florida
Tampa, Florida, United States
Neurology Associates, P.A.
Maitland, Florida, United States
United States, Georgia
Shephard Center Inc
Atlanta, Georgia, United States
The Emory Clinic
Atlanta, Georgia, United States
United States, Idaho
Eastern Idaho Neurological Associates
Idaho Falls, Idaho, United States
United States, Illinois
University of Chicago Medical Center
Chicago, Illinois, United States
Consultants in Neurology, Ltd
Northbrook, Illinois, United States
United States, Indiana
Fort Wayne Neurological Center
Fort Wayne, Indiana, United States
Indiana University Hospital
Indianapolis, Indiana, United States
United States, Iowa
Ruan Neurology Clinic and Research Center
Des Moines, Iowa, United States
Iowa Health Physicians
Des Moines, Iowa, 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, Massachusetts
Caritas St. Elizabeth's Hospital Medical Center
Boston, Massachusetts, United States
Springfield Neurology Associates, LLC
Springfield, Massachusetts, United States
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
Michigan Medical, PC
Grand Rapids, Michigan, United States
Michigan Neurology Associates, P.C.
St. Clair Shores, Michigan, United States
North Michigan Neurology
Traverse City, Michigan, United States
Henry Ford Hospital
Detroit, Michigan, United States
United States, Mississippi
Tupelo Neurology Clinic, PA
Tupelo, Mississippi, United States
United States, Missouri
Saint Luke's Hospital
Kansas City, Missouri, United States
Minor Procedures Center
St. Louis, Missouri, United States
United States, Montana
Montana Neurobehavioral Specialists
Missoula, Montana, United States
United States, Nevada
Neurology Physicians
Reno, Nevada, United States
United States, New Hampshire
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States
United States, New Jersey
MS Center at Holy Name Hospital
Teaneck, New Jersey, United States
United States, New Mexico
University of New Mexico Hospital
Albuquerque, New Mexico, United States
United States, New York
Empire Neurology PC
Latham, New York, United States
Winthrop University Hospital
Mineola, New York, United States
NYU Hospital of Joint Diseases
New York, New York, United States
Mount Sinai School of Medicine, Corinne Goldsmith Dickinson Center for Multiple Sclerosis
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
SUNY Upstate Medical University
Syracuse, New York, United States
United States, North Carolina
University of North Caroline-Chapel Hill, Department of Neurology
Chapel Hill, North Carolina, United States
Wake Forest University Health Science
Winston-Salem, North Carolina, United States
United States, Ohio
The Cleveland Clinic Mellen Center
Cleveland, Ohio, United States
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, Mercy Health Center
Oklahoma City, Oklahoma, United States
United States, Pennsylvania
Lehigh Valley Hospital, Neuroscience and Pain Research
Allentown, Pennsylvania, United States
North Shore Clinical Associates
Erie, Pennsylvania, United States
Kaufmann Medical Building, Department of Neurology
Pittsburgh, Pennsylvania, United States
University of Pittsburg
Pittsburg, Pennsylvania, United States
United States, Rhode Island
Rhode Island Hospital and The Neurology Foundation, Inc
Providence, Rhode Island, United States
United States, Tennessee
Neurology Clinic, P.C.
Cordova, Tennessee, United States
Sibyl Wray, MD Neurology, PC
Knoxville, Tennessee, United States
Advanced Neurosciences Institute
Nashville, Tennessee, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
United States, Texas
University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, United States
Central Texas Neurology Consultants
Round Rock, Texas, United States
Neurology Center of San Antonio
San Antonio, Texas, United States
Integra Clinical Research
San Antonio, Texas, United States
United States, Virginia
MS Center of Greater Washington
Vienna, Virginia, United States
United States, Washington
Swedish Neuroscience Institute
Seattle, Washington, United States
Virginia Mason Medical Center
Seattle, Washington, United States
Argentina, Capital Federal- Buenos Aires
DIABAID
Paraguay, Capital Federal- Buenos Aires, Argentina
Australia
Concord Repatriation General Hospital
Concord, Australia
Southern Neurology
Kogarah, Australia
Liverpool Hospital
Liverpool, Australia, 2170
St. Vincent's Hospital
Melbourne, Australia
Austin Health
Victoria, Australia
Westmead Hospital
Westmead, Australia
Australia, Queensland
The Wesley Research Institute
Auchenflower, Queensland, Australia, 4066
Griffith University and Gold Coast Hospital
Southport, Queensland, Australia
Australia, South Australia
The Queen Elizabeth Hospital
Woodville South, South Australia, Australia
Australia, Tasmania
Royal Hobart Hospital
Hobart, Tasmania, Australia, 7000
Australia, Victoria
Royal Melbourne Hospital
Parkville, Victoria, Australia, 3050
Belgium
UCL Saint Luc
Brussels, Belgium
CHU Ourthe Ambleve
Esneux, Belgium
UZ Leuven Gasthuisberg
Leuven, Belgium
Brazil
Hospital das Clinicas da Faculdade de Medicina da USP
Sao Paulo, Brazil
Brazil, PE
Hospital da Restauracai
Recife, PE, Brazil
Brazil, RS
Hospital Sao Lucas da PUC-RS
Porto Alegre, RS, Brazil
Brazil, Sao Paulo
Irmandade da Santa Casa de Misericordia de Sao Paulo
Vila Buarque, Sao Paulo, Brazil
Canada, British Columbia
UBC Hospital 2211 Westbrook Mall
Vancouver, British Columbia, Canada
Canada, Ontario
Multiple Sclerosis Clinic, Kingston General Hospital
Kingston, Ontario, Canada
London Health Sciences Centre- University Hospital
London, Ontario, Canada
Ottawa Hospital-General Campus
Ottawa, Ontario, Canada
Canada, Quebec
Clinique de neurologie de l'Outaouais
Gatineau, Quebec, Canada
Clinique Neuro rive-sud, Recherche sepmus inc
Greenfield park, Quebec, Canada
Hospital Maisonneuve-Rosemont
Montreal, Quebec, Canada
Croatia
Clinical Hospital Centre Rijeka
Rijeka, Croatia
General Hospital Varazdin
Varazdin, Croatia
Clinical Hospital Centre Zagreb
Zagreb, Croatia
Clinical Hospital Sveti Duh
Zagreb, Croatia
Clinical Hospital Sestre Milosrdnice
Zagreb, Croatia
Czech Republic
University Hospital Hradec, Kralove
Hradec Kralove, Czech Republic
St. Anne's University Hospital Brno
Pekarska, Czech Republic
General University Hospital in Prague
Prague, Czech Republic
Denmark
Aarhus Sygehus
Aarhus, Denmark
Righospitalet
Copenhagen, Denmark
Odense University Hospital
Odense, Denmark
France
Hopital Neurologique
Bron Cedex, France
Hospital General Service de Neurologie
Cedex, France
Hospital Roger Salengro
Cedex, France
Group Hospitalier Pitie Salpetriere
Cedex, France
CHU Pontchaillou
Rennes, France
France, Cedex
Hopital Civil
Strasbourg, Cedex, France
Germany
Klinik fur Neurologie Universitatsklinikum Bon
Bonn, Germany
Neurologische Universitasklink
Dresden, Germany
Neurologische Klinik
Dusseldorf, Germany
Medizinische Hochshule Hannover
Hannover, Germany
Krankenhaus Henningsdorf Abteilung fur Neurologie
Henningsdorf, Germany
Universitat Leipzig
Leipzig, Germany
Neurologiche Klinik und Poliklinik der TU Muenchen
Muenchen, Germany
Klinik und Poliklinik fur Neurologie der Universitat Rockstock
Rockstock, Germany
Universitatsklinik Ulm
Ulm, Germany
Fachkrankenhaus Hubertusburg GmbH
Wemsdorf, Germany
Israel
Haddasah Medical Organisation
Jerusalem, Israel
Souraski TA Medical Centre
Tel Aviv, Israel
Sheba Medical Centre
Tel Hashomer, Israel
Italy
Azienda Ospidaliera S. Antonio Abate di Gallarate
Gallarate, Italy
IRCCS San Raffaele Hospital
Milan, Italy
Spedali Civili Presidio di Montichiari
Montichiari, Italy
A.O.U.S. Luigi Gonzaga di Orbassano
Orbassano, Italy
Ospedale San Luigi Gonzaga
Orbassano, Italy
Azienda Ospidaliera S. Antonio Abate di Gallarate
Rome, Italy
Mexico
Hospital Angeles del Pedregal; Camino a Santa Teresa
Mexico City, Mexico
Ortiz Mena 2200 Col. Las Palmas
Chihuahua, Mexico
Mexico, Tlalpan
Hospital Medica Sur
Delegacion, Tlalpan, Mexico
Netherlands
Jeroen Bosch Ziekenhuis
Den Bosch, Netherlands
Faculty of Health Medicine and Life Science
Sittard, Netherlands
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
Samara Regional Clinical Hospital n.a. Kalinin
Samara, Russian Federation
Moscow City Hospital #11
Moscow, Russian Federation
Municipal City Hospital #33
Nizhny Novgorod, Russian Federation
Siberian District Medical Center
Novosibirsk, Russian Federation
Russian State Medical University
Moscow, Russian Federation
Nikolaevskaya Hospital
St. Petersburg, Russian Federation
St. Petersburg General Hospital No.2
St. Petersburg, Russian Federation
St. Petersburg Pavlov State Medical University
St. Petersburg, Russian Federation
Insitute of Human Brain RAS
St. Petersburg, Russian Federation
Serbia
Clinical Centre of Serbia
Belgrade, Serbia
Military Medical Academy
Belgrade, Serbia
Clinical Centre of Kragujevac
Kragujevac, Serbia
Clinical Centre Vjovodina Institute of Neurology
Novi Sad, Serbia
Spain
Hospital Vall d'Hebron
Barcelona, Spain
Hospital Clinico Universtitario San Carlos
Madrid, Spain
Hospital Carlos Haya
Malaga, Spain
Hospital University Virgen Macarena
Sevilla, Spain
Sweden
SU/Ostra sjukhuset Forskningsenheten
Gothenburg, Sweden
Norrlands Universitets sjukhus
Umea, Sweden
Ukraine
Institute of Neurology, Psychiatry and Narcology under the Academy of Medical Sciences of Ukraine
Kharkov, Ukraine
Kiev Municipal Clinical Hospital #4
Kiev, Ukraine
Danylo Halytsky National Medical University
Lviv, Ukraine
United Kingdom
Institute of Clinical Neurosciences Frenchay Hospital
Bristol, United Kingdom
Salford Royal Hospital
Salford, United Kingdom
Royal Hallamshire Hospital
Sheffield, United Kingdom
United Kingdom, England
Addenbrooke's Hospital, University Neurology unit
Cambridge, England, United Kingdom
The Royal London Hospital
London, England, United Kingdom
Sponsors and Collaborators
Genzyme
Bayer
Investigators
Study Director: Medical Monitor Genzyme Coorporation
  More Information

Publications:
Responsible Party: Genzyme Corporation ( Medical Monitor )
Study ID Numbers: CAMMS32400507, CAMMS324,, ISRCTN70702834,, ACTRN12608000426381,, NTR1469
Study First Received: October 22, 2007
Last Updated: October 28, 2009
ClinicalTrials.gov Identifier: NCT00548405     History of Changes
Health Authority: United States: Food and Drug Administration;   Canada: Health Canada;   Australia: Department of Health and Ageing Therapeutic Goods Administration;   Czech Republic: State Institute for Drug Control;   Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products;   Sweden: Medical Products Agency;   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   France: Afssaps - French Health Products Safety Agency;   Germany: Paul-Ehrlich-Institut;   Russia: Ministry of Health and Social Development of the Russian Federation;   Ukraine: State Pharmacological Center - Ministry of Health;   Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica;   Mexico: Federal Commission for Sanitary Risks Protection;   Brazil: National Health Surveillance Agency;   Italy: The Italian Medicines Agency;   Netherlands: Medical Ethics Review Committee (METC);   Spain: Spanish Agency of Medicines;   Belgium: Federal Agency for Medicinal Products and Health Products;   Switzerland: Swissmedic;   Austria: Federal Ministry for Health Family and Youth;   Denmark: Danish Medicines Agency;   Israel: Ministry of Health;   Serbia: Agency for Drugs and Medicincal Devices of Serbia

Keywords provided by Genzyme:
Multiple Sclerosis

Additional relevant MeSH terms:
Anti-Infective Agents
Autoimmune Diseases
Immunologic Factors
Demyelinating Diseases
Immune System Diseases
Antineoplastic Agents
Physiological Effects of Drugs
Nervous System Diseases
Interferons
Adjuvants, Immunologic
Interferon-beta
Sclerosis
Antiviral Agents
Multiple Sclerosis, Relapsing-Remitting
Pharmacologic Actions
Multiple Sclerosis
Pathologic Processes
Therapeutic Uses
Alemtuzumab
Interferon beta 1a
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System

ClinicalTrials.gov processed this record on November 25, 2009