Success of Titration, Analgesics, and B.E.T.A Nurse Support on Acceptance Rates in Early Multiple Sclerosis (MS) Treatment With Betaseron (START)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00461396
Recruitment Status : Completed
First Posted : April 18, 2007
Last Update Posted : April 8, 2011
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Brief Summary:
  • The primary aim of this study is to evaluate the impact of titration, analgesics, and 12 month telephone follow-up period from the B.E.T.A nurse program upon adherence to treatment with Betaseron in patients with a first clinical demyelinating event suggestive of Multiple Sclerosis (MS) and patients with onset of RRMS within the past 12 months
  • Secondary outcomes include analysis of the following parameters: progression of clinical severity by the expanded disability status scale (EDSS score), health related quality of life (HrQoL), and safety.
  • Exploratory outcomes include changes over time in cytokine and neurotrophic factor production by immune cells and visual function as assessed by visual examination, OCT measurements and a neuro-ophthalmologic Health-Related Quality of Life questionnaire (NEI-VFQ-25) with 10-item supplement.

Condition or disease Intervention/treatment
Multiple Sclerosis Multiple Sclerosis, Relapsing-Remitting Drug: Interferon-1beta (Betaseron, BAY86-5046)

Study Type : Observational
Actual Enrollment : 104 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Open-Label, Multicenter, Observational, Phase IV Study to Evaluate the Adherence to Treatment With 250mcg (8MIU) IFNB-1b (Betaseron®) Given Subcutaneous Every Other Day Over a Period of up to 12 Months in Patients With a First Clinical Demyelinating Event Suggestive of Multiple Sclerosis and Patients With Onset of Relapsing-Remitting Multiple Sclerosis (RRMS) Within the Past 12 Months
Study Start Date : May 2007
Actual Primary Completion Date : June 2009
Actual Study Completion Date : November 2009

Resource links provided by the National Library of Medicine

Group/Cohort Intervention/treatment
Group 1 Drug: Interferon-1beta (Betaseron, BAY86-5046)
Male and females, 18 to 50 years of age, after a first clinical demyelinating event suggestive of multiple sclerosis or with onset of RRMS within the past 12 months

Primary Outcome Measures :
  1. Evaluate the impact of titration, analgesics and 12-month BETA nurse follow-up on adherence to Betaseron treatment [ Time Frame: 12 months ]

Secondary Outcome Measures :
  1. Extended Disability Status Scale (EDSS) [ Time Frame: 12 months ]
  2. Functional Assessment in Multiple Sclerosis (FAMS) [ Time Frame: 12 months ]
  3. Cytokine and neurotrophic factor production [ Time Frame: 12 months ]
  4. Visual function assessed by OCT and NEI-VFQ-25 (25-Item National Eye Institute Visual Functioning Questionnaire) [ Time Frame: 18 months ]

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Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Community sample

Inclusion Criteria:

  • Have no cognitive impairment that may prevent patient from completing questionnaires, as assessed by examining physicians during screening
  • Diagnosis of early (<1 year since onset) RRMS, or a first clinical episode suggestive of demyelinating disease (not explained by other conditions) within the last 90 days prior to screening
  • Presence of at least 2 typical MS lesions by brain MRI
  • Kurtzke Expanded Disability Status Scale (EDSS) score of 0 - 4.0
  • Willing to enroll into the MS Pathways support program and by doing so agree to be trained, and have follow-up phone calls, by a B.E.T.A. nurse

Exclusion Criteria:

  • Any disease other than multiple sclerosis that would better explain the patient's neurological signs and symptoms
  • Complete transverse myelitis or simultaneous onset of optic neuritis
  • Diagnosis of Primary progressive MS, secondary Progressive MS, relapsing progressive MS or a diagnosis of relapsing remitting MS for greater than 12 months
  • Clinically significant heart disease such as uncontrolled cardiac dysrhythmias, uncontrolled angina pectoris, cardiomyopathy, or uncontrolled heart failure
  • History of severe, uncontrolled, or untreated depression, attempted suicide or suicidal ideation
  • Uncontrolled seizure disorder
  • History or hypergammaglobulinemia
  • Known hypersensitivity to IFNB-1b or other human proteins including albumin
  • Known allergy to Gadolinium-DTPA documented prior to study entry
  • Known general hypersensitivity to all analgesic / antiinflammatory agents (NSAIDs)
  • Participation in any MS clinical study within the past six months
  • Pre-treatment with any of the following substances prior to study enrollment within said time period:

    • At any time: any IFN, glatiramer acetate (Copaxone), total lymphoid irradiation, anti-lymphocyte monoclonal antibody treatment (i.e. anti-CD4, anti-CD52 (alemtuzumab), anti-VLA4 (natalizumab), mitoxantrone, cyclophosphamide, azathioprine, IVIG, cyclosporine A, methotrexate, or any other immunomodulating or immunosuppressive agent including other recombinant or non-recombinant cytokines
    • 3 months prior to study entry: any other treatment known to be used for putative or experimental MS treatment. Any presumed immunomodulating agent (e.g. statins) not described in this protocol
  • History of alcohol or substance abuse (within the past 5 years)
  • Inability or unwillingness to administer subcutaneous injections either by self or by caregiver
  • Clinically significant hepatic, renal, or bone marrow dysfunction as defined by any of the following laboratory evaluations:

    • Hepatic dysfunction: AST (SGOT) > 3x the upper limit of normal or total bilirubin > 2x upper limit of normal
    • Renal dysfunction: creatinine > 1.8 mg/dl
    • Bone marrow dysfunction: Hb < 8.5 g/dl, WBC < 2.5x10^9/L, or platelet count < 125x10^9/L
  • Patients participating in the exploratory substudy should be excluded if they meet any of the following:

    • Known history of chronic glaucoma, ocular hypertension, ischemic optic neuropathy, temporal arteritis, pseudopapilledema, retinitis pigmentosa, traumatic optic neuropathy, toxic optic neuropathy, pernicious anemia, or Leber's hereditary optic neuritis

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00461396

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Sponsors and Collaborators
Study Director: Bayer Study Director Bayer

Additional Information:
Responsible Party: Medical Director, Bayer Healthcare Pharmaceuticals Inc. Identifier: NCT00461396     History of Changes
Other Study ID Numbers: 14465
First Posted: April 18, 2007    Key Record Dates
Last Update Posted: April 8, 2011
Last Verified: April 2011

Keywords provided by Bayer:
Relapsing-Remitting Multiple Sclerosis
First demyelinating event
MRI features consistent with MS

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