Brimonidine Tartrate for the Treatment of Injection Related Erythema (BRITE)
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ClinicalTrials.gov Identifier: NCT02568111 |
Recruitment Status :
Withdrawn
First Posted : October 5, 2015
Last Update Posted : April 25, 2016
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The primary objective of this study is to evaluate the Injection Related Erythema (IRE) mitigation effect of a single administration of brimonidine tartrate in comparison with a vehicle gel (placebo).
The secondary study objectives are to evaluate the IRE mitigation effect of a single administration of brimonidine tartrate in comparison with a vehicle gel on a more stringent definition scale, in accordance with the primary endpoint of the original brimonidine pivotal trials and participants' satisfaction with the overall appearance of their skin.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Relapsing-Remitting Multiple Sclerosis (RRMS) | Drug: peginterferon beta-1a Drug: brimonidine tartrate Drug: Vehicle Gel | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 0 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Triple (Participant, Care Provider, Investigator) |
Primary Purpose: | Supportive Care |
Official Title: | Brimonidine Tartrate for the Treatment of Injection Related Erythema Associated With Sub-cutaneous Administration of Peginterferon Beta-1a (BRITE) |
Study Start Date : | February 2016 |
Estimated Primary Completion Date : | August 2016 |
Estimated Study Completion Date : | August 2016 |

Arm | Intervention/treatment |
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Experimental: brimonidine tartrate
Participants will apply gel to injection site erythema area after IRE development post peginterferon beta-1a injection
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Drug: peginterferon beta-1a
SC administration as prescribed by the physician- initial dose of 63 μg followed by 94 μg dose on day 15 and 125 μg on day 29
Other Names:
Drug: brimonidine tartrate Applied to injection site as specified in the treatment arm. Commercially available Mirvaso (Brimonidine tartrate) gel will be provided by Galderma.
Other Name: Mirvaso |
Placebo Comparator: Vehicle Gel
Participants will apply vehicle gel placebo to injection site erythema area after IRE development post peginterferon beta-1a injection
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Drug: peginterferon beta-1a
SC administration as prescribed by the physician- initial dose of 63 μg followed by 94 μg dose on day 15 and 125 μg on day 29
Other Names:
Drug: Vehicle Gel Matched placebo applied to injection site as specified in the treatment arm. Matching vehicle gel will be provided by Galderma. |
- Change in either Clinician's Erythema Assessment (CEA) or Patient Erythema Self-Assessment (PSA) scale measured as at least 1-grade improvement on CEA and/or at least 1-grade improvement on PSA scale assessed by the physician and participant [ Time Frame: Before and after 6 hours of gel application ]Investigator will evaluate participant's erythema (redness) at the site of injection on a scale of 0 (clear) to 4 (severe) with higher scores indicating higher levels of erythema. Participants rate erythema at the site of injection on a scale of 0 (clear) to 4 (severe) with higher scores indicating higher levels of erythema.
- Composite change in both CEA and PSA scale measured as at least 1-grade improvement on CEA and 1-grade improvement on PSA respectively [ Time Frame: Before and after 6 hours of gel application ]This composite endpoint is considered to be sensitive enough and directly correlated with participants' satisfaction therapy outcomes.
- Composite change in both CEA and PSA scale measured as at least 2-grade improvement on CEA and 2-grade improvement on PSA [ Time Frame: Before and after 6 hours of gel application ]
- Participant's self-assessment of satisfaction with the overall appearance of their skin by using a Patient's Assessment of Appearance (PAA) grading scale [ Time Frame: Before and after 6 hours of gel application ]PAA satisfaction score will describe how satisfied the participants are with the overall appearance of skin on a scale of 0 (very satisfied) to 4 (very dissatisfied).

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- RRMS patients naïve to treatment with SC interferon or oral and/or IV DMT for which PLEGRIDY is deemed necessary by the treating physician.
- Patient willing and able to complete PSA and PAA questionnaires with minimal assistance.
Key Exclusion Criteria:
- Known allergy to any interferon or any component of peginterferon beta-1a.
- Patients with hypersensitivity to Brimonidine topical gel.
- Patients with other skin disorders.
- History of previous treatment with Brimonidine tartrate.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

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 ClinicalTrials.gov identifier (NCT number): NCT02568111
Study Director: | Medical Director | Biogen |
Responsible Party: | Biogen |
ClinicalTrials.gov Identifier: | NCT02568111 |
Other Study ID Numbers: |
NLD-PEG-14-10784 2015-002159-89 ( EudraCT Number ) |
First Posted: | October 5, 2015 Key Record Dates |
Last Update Posted: | April 25, 2016 |
Last Verified: | April 2016 |
erythema PLEGRIDY injection site reaction (ISR) MS RRMS |
Multiple Sclerosis Multiple Sclerosis, Relapsing-Remitting Erythema Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System Nervous System Diseases Demyelinating Diseases Autoimmune Diseases Immune System Diseases Skin Diseases Skin Manifestations Interferons Interferon-beta Interferon beta-1a |
Brimonidine Tartrate Antineoplastic Agents Antiviral Agents Anti-Infective Agents Immunologic Factors Physiological Effects of Drugs Antihypertensive Agents Adrenergic alpha-2 Receptor Agonists Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Adjuvants, Immunologic |