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CLARITY - Safety and Efficacy of Oral Cladribine in Subjects With Relapsing-Remitting MS
This study is ongoing, but not recruiting participants.
Sponsored by: EMD Serono
Information provided by: EMD Serono
ClinicalTrials.gov Identifier: NCT00213135
  Purpose

The purpose of the study is to determine if cladribine is a safe and effective treatment for relapsing-remitting MS


Condition Intervention Phase
Multiple Sclerosis, Relapsing-Remitting
Drug: Cladribine
Other: Placebo
Phase III

MedlinePlus related topics: Multiple Sclerosis
Drug Information available for: Cladribine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase III, Randomized, Double-Blind, Three-Arm, Placebo-Controlled, Multi-Center Study to Evaluate the Safety and Efficacy of Oral Cladribine in Subjects With Relapsing-Remitting Multiple Sclerosis

Further study details as provided by EMD Serono:

Primary Outcome Measures:
  • To evaluate the efficacy of cladribine versus placebo in the reduction of qualifying relapse rate during 96 weeks of treatment in subjects with RRMS. [ Time Frame: During 96 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To assess the effect of cladribine on progression of disability in subjects with RRMS [ Time Frame: At 96 weeks ] [ Designated as safety issue: Yes ]

Enrollment: 1326
Study Start Date: January 2005
Estimated Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Cladribine
Cladribine low dose (0.875 mg/kg/cycle)
2: Experimental Drug: Cladribine
Cladribine high dose (0.875 mg/kg/cycle)
3: Placebo Comparator Other: Placebo
Placebo

Detailed Description:

This will be a randomized, double-blind, three-arm, placebo-controlled, multi-center study. The study will include a pre-study evaluation period (up to 28 days prior to the start of treatment); an initial treatment period during Year 1; and a retreatment period during Year 2.

During the initial treatment period in Year 1, eligible subjects will be equally randomised by a central randomisation system to receive either a) cladribine at a low dose (0.875 mg/kg/cycle for two cycles + placebo for two cycles); b) cladribine at a high dose (0.875 mg/kg/cycle for four cycles); or c) placebo (four cycles). During the retreatment period in Year 2, subjects will receive either a) cladribine at a low dose (0.875 mg/kg/cycle for two cycles); or b) placebo (two cycles).

For all randomized subjects, there will be a rescue option of treatment with Rebif (44 mcg three times a week (tiw)) if the subject experiences more than one qualifying relapse, and/or experiences a sustained increase in their EDSS of ³one point, or ³1.5 points if baseline EDSS was 0, (over a period of three months or greater), during a calendar year beginning at Week 24.

To maintain the blind, there will be a Treating Physician who will view clinical laboratory results and assess AEs and safety information, and an independent blinded Evaluating Physician who will perform neurological exams. A central neuroradiology center, also blinded to treatment, will assess MRI evaluations.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 18 -65 years of age
  • Definite MS according to the McDonald criteria
  • Relapsing-remitting disease with 1 or more relapses within 12 months
  • No relapse within 28 days
  • MRI consistent with MS
  • EDSS from 0-5.5
  • Weigh between 40-120 kg
  • Males and females must use contraception

Exclusion Criteria:

  • Pregnant or breast feeding
  • 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
  • Compromised immune function or infection, or prior use of medications that altered the immune system
  • Significant clinical or laboratory abnormalities at the screening visit (abnormal platelet, neutrophil or white blood cell counts)
  • Prior or current history of malignancy
  • History of blood disorders after immunosuppressive therapy
  • Systemic disease or psychiatric disorder that might interfere with subject safety, compliance or evaluation of MS
  • Use of any investigational drug or experimental procedure within 6 months
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00213135

Locations
Switzerland
Local Medical Information Office
Geneva, Switzerland
Sponsors and Collaborators
EMD Serono
Investigators
Study Director: Steven Greenberg, M.D. EMD Serono, Inc.
  More Information

Responsible Party: Merck Serono International SA, an affiliate of Merck KGaA Darmstadt, Germany ( Stephanie Roberts, MSc., Clinical Trial Leader )
Study ID Numbers: 25643
Study First Received: September 13, 2005
Last Updated: September 29, 2008
ClinicalTrials.gov Identifier: NCT00213135  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Cladribine
Autoimmune Diseases
Multiple Sclerosis
Demyelinating Diseases
Demyelinating Autoimmune Diseases, CNS
Demyelinating diseases
Sclerosis
Multiple Sclerosis, Relapsing-Remitting
Autoimmune Diseases of the Nervous System

Additional relevant MeSH terms:
Pathologic Processes
Immunologic Factors
Immune System Diseases
Antineoplastic Agents
Therapeutic Uses
Physiological Effects of Drugs
Nervous System Diseases
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009