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Comparison of Alemtuzumab and Rebif® Efficacy in Multiple Sclerosis, Study One (CARE-MS I)
This study is ongoing, but not recruiting participants.
First Received: September 13, 2007   Last Updated: December 1, 2009   History of Changes
Sponsor: Genzyme
Collaborator: Bayer
Information provided by: Genzyme
ClinicalTrials.gov Identifier: NCT00530348
  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 III

Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
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

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: 581
Study Start Date: September 2007
Estimated Study Completion Date: May 2011
Estimated Primary Completion Date: May 2011 (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.
interferon beta-1a (Rebif ®) 44mcg: 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 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, all patients who receive alemtuzumab will be followed in an extension study 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 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
Please refer to this study by its ClinicalTrials.gov identifier: NCT00530348

  Show 101 Study Locations
Sponsors and Collaborators
Genzyme
Bayer
Investigators
Study Director: Medical Monitor Genzyme
  More Information

Publications:
Responsible Party: Genzyme Corporation ( Medical Monitor )
Study ID Numbers: CAMMS323, ISRCTN21534255,, ACTRN12608000435381
Study First Received: September 13, 2007
Last Updated: December 1, 2009
ClinicalTrials.gov Identifier: NCT00530348     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;   Croatia: Ministry of Health and Social Care;   Serbia and Montenegro: Agency for Drugs and Medicinal Devices;   Ukraine: State Pharmacological Center - Ministry of Health;   Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica;   Russia: Ministry of Health and Social Development of the Russian Federation;   Mexico: Federal Commission for Sanitary Risks Protection;   Brazil: National Health Surveillance Agency

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 February 04, 2010