Status:

COMPLETED

A Safety and Efficacy Study of Oral Cladribine in Subjects With Relapsing-remitting Multiple Sclerosis (RRMS)

Lead Sponsor:

EMD Serono

Conditions:

Multiple Sclerosis, Relapsing-Remitting

Eligibility:

All Genders

18-65 years

Phase:

PHASE3

Brief Summary

The purpose of the study is to determine if cladribine tablets are a safe and effective treatment for relapsing-remitting multiple sclerosis (RRMS).

Detailed Description

This is a randomized, double-blind, three-arm, placebo-controlled, multi-center study. The study includes a pre-study evaluation period (up to 28 days prior to the start of treatment); an initial trea...

Eligibility Criteria

Inclusion

  • Male or female, between 18 and 65 years of age (inclusive, at time of informed consent)
  • Has definite MS according to the McDonald criteria
  • Has relapsing-remitting disease with 1 or more relapses within 12 months prior to Study Day 1
  • Must have been clinically stable and not has a relapse within 28 days prior to Study Day 1
  • Has MRI consistent with MS at the pre-study evaluation according to the Fazekas criteria
  • Has a EDSS score from 0 to 5.5, inclusive
  • Weighed between 40-120 kilogram (kg), inclusive
  • If female, she must:
  • be post-menopausal or surgically sterilized; or
  • uses a hormonal contraceptive, intra uterine device, diaphragm with spermicide, or condom with spermicide, for the duration of the study; and
  • be neither pregnant nor breast-feeding
  • If male, he must be willing to use contraception to avoid pregnancies
  • Be willing and able to comply with study procedures for the duration of the study
  • Voluntarily provides written informed consent, and for United states of America (USA) sites only, a subject authorization under Health Insurance Portability and Accountability Act (HIPAA)

Exclusion

  • Has secondary progressive MS (SPMS) or primary progressive MS (PPMS)
  • Prior use of disease modifying drugs (DMDs) within the last 3 months, or 2 or more prior treatment failures with DMDs on the basis of efficacy
  • Has significant leukopenia (white blood cell count less than 0.5 times the lower limit of normal of the central laboratory) within 28 days prior to Study Day 1
  • Has received cladribine, mitoxantrone, total lymphoid irradiation, myelosuppressive therapy, campath-1h, cyclophosphamide, azathioprine, methotrexate or natalizumab
  • Has received oral or systemic corticosteroids or adrenocorticotropic hormone within 28 days prior to Study Day 1
  • Has compromised immune function or infection
  • Has received oral or systemic corticosteroids or adrenocorticotropic hormone within 28 days prior to Study Day 1
  • Has received cytokine-based therapy, intravenous immunoglobulin therapy, or plasmapheresis within 3 months prior to Study Day 1
  • Has platelet and absolute neutrophil counts below the lower limit of normal range within 28 days prior to Study Day 1
  • Has prior or current history of malignancy
  • Has a history of persistent anemia, leukopenia, neutropenia, or thrombocytopenia after immunosuppressive therapy
  • Has systemic disease that, in the opinion of the Investigator, might interfere with subject safety, compliance or evaluation of the condition under Study (for example, insulin-dependent diabetes, Lyme disease, clinically significant cardiac, hepatic, or renal disease, Human Immunodeficiency Virus, or Human T-Cell Lymphotrophic Virus Type-1)
  • Has a psychiatric disorder that, in the opinion of the Investigator, was unstable or would preclude safe participation in the study
  • Has allergy or hypersensitivity to gadolinium, to cladribine or any of its excipients
  • Has used any investigational drug or experimental procedure within 6 months prior to Study Day 1

Key Trial Info

Start Date :

April 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2008

Estimated Enrollment :

1326 Patients enrolled

Trial Details

Trial ID

NCT00213135

Start Date

April 1 2005

End Date

November 1 2008

Last Update

February 7 2014

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