Ignite Creation Date:
2024-05-05 @ 11:54 AM
Last Modification Date:
2024-10-26 @ 9:16 AM
Study NCT ID:
NCT00176592
Status:
COMPLETED
Last Update Posted:
2021-11-16
First Post:
2005-09-13
Brief Title:
Phase IV Study Betaseron Versus Copaxone for Relapsing Remitting or CIS Forms of MS Using Triple Dose Gad 3 T MRI
Sponsor:
University of Medicine and Dentistry of New Jersey
Organization:
Rutgers The State University of New Jersey
Study Overview
Official Title:
Phase IV Rater-blinded Randomized Study Comparing 250 mg of Betaseron With 20 mg of Copaxone in Patients With the Relapsing-remittingRR or CIS Forms of ms Using 3 Tesla3T Magnetic Resonance Imaging MRI With Triple-dose Gadolinium
Status:
COMPLETED
Status Verified Date:
2021-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
BECOME
Brief Summary:
This is the first comparison of efficacy of Betaseron and Copaxone for treatment of relapsing forms of MS
Detailed Description:
We propose to perform a head to head comparison of Interferon beta and Copaxone for treatment of patients with CIS and RR forms of MS using acute changes on MRI as primary outcome The study will be performed at the two clinical practice sites of the Multiple Sclerosis Center at University of Medicine and Dentistry New Jersey-New Jersey Medical School One of the two FDA approved preparations of higher dose interferon beta Betaseron will be compared at standard dose every other day QOD 250 ug subcutaneouslySQ with Copaxone at 20mg SQ daily QD in 70 to 80 patients Although the current approved plan is to perform monthly MRIs for 1 year followed by another MRI at 2 years the protocol has been changed to continue performing monthly MRIs during the second year of the study for all patients who complete their first year and up to January 31 2006 when the study will end The study uses brain imaging with 3 Tesla MRI with triple dose Gadolinium for primary and secondary outcomes and several clinical and cognitive measures for secondary outcomes The sample size was estimated to detect a 40-50 difference in the number of active MS lesions by MRI between the two arms at 1 year follow up consistent with the primary outcome measure The primary outcome measure is the number of combined-active lesions by monthly MRI at the conclusion of the study which includes contrast enhancing lesions and non-enhancing lesions on long Time repetition TR scans that have appeared since the most recent examination Several secondary MRI outcome measures are studied in addition to the number of enhancing lesions and the number of new lesions on long TR images We will examine the number of patients who remain combined-active disease-free for the duration of the study and the number of combined-active disease-free scans Apart from these traditional methods of analysis by a reader who will be blinded to patient clinical status and therapy objective volumetric analysis will be carried out Making use of both automated and manual techniques we will determine the overall burden of disease the volume of lesions on long TR scans the burden of active disease the volume of brain enhancement and the burden of chronic disease the volume of lesions that are markedly hypointense on T1 Another MRI outcome measures will be detection of diffusion anisotropy differences MR spectroscopy and magnetization transfer ratio as summarized in Appendix 5 These new techniques have shown promise for detecting disease that cannot be detected with conventional MRI 13 37
In addition to MRI several clinical and cognitive outcome measures will be used for secondary analysis These include the number and severity of relapses measured by different methods and change in disability measured by the Expanded Disability Status Scale EDSS the Neurological Rating Scale and the Multiple Sclerosis Functional Composite MSFC The cognitive measures will be the subjects neurocognitive function measured by standard neurocognitive examination obtained by a licensed neuropsychologist and the Cognitive Stability Index CSI a novel Internet-based test of cognitive function in addition to the Paced Auditory Serial Addition Test PASATwhich is a component of the MSFC
In addition to MRI several clinical and cognitive outcome measures will be used for secondary analysis These include the number and severity of relapses measured by different methods and change in disability measured by the Expanded Disability Status Scale EDSS the Neurological Rating Scale and the Multiple Sclerosis Functional Composite MSFC The cognitive measures will be the subjects neurocognitive function measured by standard neurocognitive examination obtained by a licensed neuropsychologist and the Cognitive Stability Index CSI a novel Internet-based test of cognitive function in addition to the Paced Auditory Serial Addition Test PASATwhich is a component of the MSFC
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 0120020167 | OTHER | Rutgers | None |