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Study to Evaluate the Efficacy and Safety of Dimethyl Fumarate (Tecfidera) and Peginterferon Beta-1a (Plegridy) for the Treatment of Relapsing-Remitting Multiple Sclerosis in Pediatric Participants

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ClinicalTrials.gov Identifier: NCT03870763
Recruitment Status : Recruiting
First Posted : March 12, 2019
Last Update Posted : March 24, 2021
Sponsor:
Information provided by (Responsible Party):
Biogen

Study Description
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Brief Summary:
The main objective of the study is to evaluate the efficacy of dimethyl fumarate (Tecfidera) and peginterferon beta-1a (Plegridy), both compared with placebo, in pediatric participants with RRMS. The other objectives of this study are to evaluate the safety and tolerability of dimethyl fumarate and peginterferon beta-1a and to assess the effect of dimethyl fumarate and peginterferon beta-1a, both compared with placebo, on additional clinical and radiological measures of disease activity.

Condition or disease Intervention/treatment Phase
Multiple Sclerosis, Relapsing-Remitting Drug: Dimethyl Fumarate Drug: Peginterferon Beta-1a Drug: Placebo Phase 3

Detailed Description:
Participants will be randomized in a 1:2:2 ratio to receive the double-blind study treatment (Dimethyl Fumarate, Peginterferon Beta-1a, and placebo). Participants experiencing a confirmed relapse or disability progression or high lesion burden on MRI will have the option to discontinue the blinded study treatment and switch to an alternative therapy or open-label BG00012.
Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 260 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double-Blind, Double-Dummy, Placebo-Controlled, 3-Arm, Parallel Group Study in Pediatric Subjects Aged 10 Through 17 Years to Evaluate the Efficacy and Safety of BG00012 and BIIB017 for the Treatment of Relapsing-Remitting Multiple Sclerosis
Actual Study Start Date : March 19, 2019
Estimated Primary Completion Date : November 30, 2021
Estimated Study Completion Date : November 30, 2021

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Dimethyl Fumarate 240 mg
Participants will receive dimethyl fumarate 240 milligrams (mg) capsule twice daily (BID) orally and placebo subcutaneous (SC) injection every 2 weeks for up to 96 weeks (2 years).
 Drug: Dimethyl Fumarate
Administered as specified in the treatment arm.
Other Names:
  • Tecfidera
  • BG00012
Experimental: Peginterferon Beta-1a 125 µg
Participants will receive peginterferon beta-1a 125 micrograms (µg) SC injection every 2 weeks and placebo capsule BID orally for up to 96 weeks (2 years).
 Drug: Peginterferon Beta-1a
Administered as specified in the treatment arm.
Other Names:
  • Plegridy
  • BIIB017
Placebo Comparator: Placebo
Participants will receive placebo SC injection every 2 weeks and placebo capsule BID orally for up to 96 weeks (2 years)
 Drug: Placebo
Administered as specified in the treatment arm.


Outcome Measures
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Primary Outcome Measures :
  1. Time to First Relapse [ Time Frame: Baseline up to Week 96 ]
    A clinical relapse is defined as new or recurrent neurological symptoms, not associated with fever, lasting for at least 24 hours, and followed by a period of 30 days of stability or improvement.


Secondary Outcome Measures :
  1. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [ Time Frame: Baseline up to Week 100 ]
    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; Initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug up to the end of study (up to Week 100).

  2. Number of New or Newly Enlarging T2 Hyperintense Lesions on Brain Magnetic Resonance Imaging (MRI) Scans [ Time Frame: Weeks 48 and 96 ]
    The number of new or newly enlarging T2 hyperintense lesions will be summarized by treatment group and timepoint.

  3. Number of Galdolinium(Gd)-Enhancing Lesions [ Time Frame: Weeks 48 and 96 ]
    The number of Gd-enhancing lesions will be summarized by treatment group and timepoint.

  4. Annualized Relapse Rate [ Time Frame: Weeks 48 and 96 ]
    A clinical relapse was defined as new or recurrent neurological symptoms, not associated with fever, lasting for at least 24 hours, and followed by a period of 30 days of stability or improvement. Annualized Relapse Rate is defined as the average number of confirmed relapses per year.


Eligibility Criteria
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Ages Eligible for Study:   10 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Key Inclusion Criteria:

  • Must have a diagnosis of RRMS as defined by the revised consensus definition for pediatric MS
  • Must have an EDSS score between 0.0 and 5.0.
  • Must have a body weight of ≥30 kg
  • Must have experienced ≥1 relapse in the 12 months prior to randomization (Day 1), or must have evidence of asymptomatic disease activity seen on MRI in the 6 months prior to randomization, or ≥2 relapses in the 24 months prior to randomization (Day 1). Relapse is defined as the occurrence of a clinical demyelination event regardless of whether the event is a first or subsequent demyelinating event.

Key Exclusion Criteria:

  • Participants having primary progressive, secondary progressive, or progressive RMS.
  • Disorders mimicking MS, such as other demyelinating disorders, systemic autoimmune disorders, metabolic disorders, and infectious disorders.
  • History of clinically significant cardiovascular, pulmonary, GI, hepatic, renal, endocrinologic, hematologic, immunologic, metabolic, dermatologic, growth, developmental, psychiatric (including depression), neurologic (other than MS), and/or other major disease and/or laboratory abnormality indicative thereof, that would preclude participation in a clinical study
  • Occurrence of an MS relapse within the 30 days prior to randomization (Day 1) and/or the subject has not stabilized from a previous relapse prior to randomization

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Contacts and Locations
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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 ClinicalTrials.gov identifier (NCT number): NCT03870763


Contacts
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Contact: US Biogen Clinical Trial Center 866-633-4636 clinicaltrials@biogen.com
Contact: Global Clinical Trial Center clinicaltrials@biogen.com

Locations
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United States, North Carolina
Research Site Recruiting
Raleigh, North Carolina, United States, 27607
Colombia
Research Site Recruiting
Medellín, Colombia
Estonia
Research Site Recruiting
Tallinn, Estonia, 11315
Hungary
Research Site Recruiting
Budapest, Hungary, 1083
Jordan
Research Site Recruiting
Ar-Ramtha, Jordan
Korea, Republic of
Research Site Recruiting
Seoul, Korea, Republic of, 06351
Malaysia
Research Site Recruiting
Petaling Jaya, Selangor, Malaysia
Research Site Recruiting
Seberang Jaya, Malaysia
Mexico
Research Site Recruiting
Federal District, Mexico
Research Site Recruiting
Guadalajara, Mexico
Research Site Recruiting
Morelia, Mexico
Saudi Arabia
Research Site Active, not recruiting
Dammam, Saudi Arabia
Research Site Active, not recruiting
Riyadh, Saudi Arabia
Taiwan
Research Site Recruiting
Taipei, Taiwan, 10002
Research Site Recruiting
Taoyuan, Taiwan, 333
Thailand
Research Site Recruiting
Bangkok, Thailand
Tunisia
Research Site Active, not recruiting
Mannouba, Tunisia
Research Site Active, not recruiting
Monastir, Tunisia
Research Site Active, not recruiting
Sfax, Tunisia
Research Site Active, not recruiting
Tunis, Tunisia
Turkey
Research Site Recruiting
Ankara, Turkey
Research Site Recruiting
Izmir, Turkey
Research Site Recruiting
Samsun, Turkey
Sponsors and Collaborators
Biogen
Investigators
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Study Director: Medical Director Biogen
More Information
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Responsible Party: Biogen
ClinicalTrials.gov Identifier: NCT03870763    
Other Study ID Numbers: 800MS301
2018-000516-22 ( EudraCT Number )
First Posted: March 12, 2019    Key Record Dates
Last Update Posted: March 24, 2021
Last Verified: March 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on http://clinicalresearch.biogen.com/
URL: https://vivli.org/

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Biogen:
Pediatric, Multiple Sclerosis
Additional relevant MeSH terms:
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Multiple Sclerosis
Multiple Sclerosis, Relapsing-Remitting
Sclerosis
Pathologic Processes
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
 Autoimmune Diseases
Immune System Diseases
Dimethyl Fumarate
Dermatologic Agents
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs