A Safety Study of Combination Treatment With Avonex and Zocor in Relapsing Remitting Multiple Sclerosis

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: NCT00242268
Recruitment Status : Unknown
Verified September 2005 by Alabama Neurology Associates, PC.
Recruitment status was:  Recruiting
First Posted : October 20, 2005
Last Update Posted : December 7, 2005
Information provided by:
Alabama Neurology Associates, PC

October 19, 2005
October 20, 2005
December 7, 2005
October 2005
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  • 1. To evaluate the safety of combining Avonex with Zocor for a period of fourteen months in patients with RRMS
  • 2. To evaluate the effect of treatment on MRI, specifically new or enlarging T2 lesions burden
Same as current
Complete list of historical versions of study NCT00242268 on Archive Site
  • 1. To evaluate the effect on Relapse Rates
  • 2. To evaluate the effect on disease progression as measured with EDSS and MSFC
Same as current
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A Safety Study of Combination Treatment With Avonex and Zocor in Relapsing Remitting Multiple Sclerosis
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The purpose of this study is to determine if using Avonex in combination with Zocor is a safe and effective therapy for subjects with relapsing remitting multiple sclerosis.

Multiple Sclerosis (MS) is an inflammatory demyelinating disease of the Central Nervous System (CNS). There are many forms of MS; althoughthe majority are Relapsing Remitting (RRMS) representing approximately 80% of the cases. The disease appears to be more inflammatory in RRMS as manisfested by an increase inGadolinium enhancement on MRI and an increase in inflammatory bioassay markers.

Zocor is in a class of drugs (statins) that are used to lower cholesterol. Statins also have an anti-inflammatory effect on the CNS. Zocor has been shown in a small clinical trial to reduce the number of new MRI-detected brain lesions over a six month treatment period in patients with RRMS. This study is to evaluate the safety of combining Avonex with Zocor for a a period of fourteen months in patients with RRMS and to evaluate the effect of treatment on new or enlarging lesions as measured by MRI.

Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment
Relapsing Remitting Multiple Sclerosis
Drug: Simvastatin
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Unknown status
Same as current
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Inclusion Criteria:

  1. Male or non-pregnant females age 18-55 who have clinically and laboratory definite relapsing-remitting MS using the MacDonald criteria.
  2. Subjects must be taking some form of interferon therapy (Rebif, Avonex or Betaseron) for a duration of 12 months with documented breakthrough disease as defined:

    • or = 1 documented clinical relapse in past 12 months while on interferon therapy. For eligibility, a pre-study relapse is defined as neurologic symptoms and signs documented by review of the history with the subject or in the medical record, of sufficient severity and duration to be determined by the investigator as consistent with an acute MS relapse.

    The relapse does not need to have been treated to qualify. the timing of the relapse is defined based on the onset of symptoms.


    > or = 1 documented Gd-enhancing lesion on cranial or spinal MRI. The presence of a Gd-enhancing lesion must be documented either by a report in the medical record or review of the films by the investigator.

  3. The Kurtzke EDSS score must be between 0- 5.0.
  4. All subjects must give written consent prior to evaluation and testing.

Exclusion Criteria:

  1. Subjects with primary or secondary progressive MS.
  2. Female patients may not be pregnant, attempting pregnancy or breastfeeding.
  3. Female subjects must use an acceptable form of contraception during the study as defined by the investigators. The rhythm method is not to be used as the sole method of contraception.
  4. Subjects unwilling or unable to give informed consent.
  5. Subjects that are NAB+ (titers > or = 20).
  6. Abnormal baseline blood test exceeding any of the limits defined below:

    1. ALT or AST > 2x upper limit of normal (ULN)
    2. CPK > 2x upper limit of normal (ULN)
    3. Total WBC < 3,000/mm3
  7. No chronic infections (including HIV and Hepatitis B/C) may be present.
Sexes Eligible for Study: All
18 Years to 55 Years   (Adult)
Contact information is only displayed when the study is recruiting subjects
United States
IST 03-09
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Alabama Neurology Associates, PC
Principal Investigator: Emily S. Riser, MD
Alabama Neurology Associates, PC
September 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP