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Combination Therapy Using Cellcept and Rebif in RRMS
This study is currently recruiting participants.
Verified by Ohio State University, February 2008
Sponsors and Collaborators: Ohio State University
EMD Serono
Pfizer
Information provided by: Ohio State University
ClinicalTrials.gov Identifier: NCT00618527
  Purpose

The purpose of this trial is to examine the benefits of early combination of CellCept® with Rebif® in long-term management of patients with multiple sclerosis. Quantitation of mRNA for MxA gene from ex-vivo lymphocytes obtained from patients receiving both drugs or interferon alone will be used to gauge the usefulness of this combination therapy. In addition we will examine the safety of combination of mycophenylate mofetil and interferon beta 1a in treatment of multiple sclerosis.

This is a pilot study to examine if the combination of CellCept® with Rebif® will prove to be useful in the early treatment of patients with MS. Up-regulation of the MxA gene following the administration of Rebif® will be used as a surrogate marker of interferon bioactivity. This in turn could serve as a surrogate marker of interferon efficacy in these patients.

The null hypothesis is that there will not be any difference in the proportion of patients that produce MxA gene transcripts in the Rebif® group as compared to the group that received Rebif® with CellCept® at the end of this study (1 year).

The alternate hypothesis is that the combination of CellCept® with Rebif® will prove to be useful in prolonging the efficacy of interferon. In other words, the combination will result in a significant proportion of patients in the treatment group continuing to produce MxA as compared to the proportion of patients producing MxA in the Rebif® arm.


Condition Intervention Phase
Multiple Sclerosis
Drug: mycophenalate mofetil (Cellcept)
Drug: human interferon beta 1a (Rebif)
Phase 0

MedlinePlus related topics: Multiple Sclerosis
Drug Information available for: Mycophenolate Mofetil Mycophenolate mofetil hydrochloride Interferons Interferon beta Interferon-beta Interferon beta 1a
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Combination Therapy Using Mycophenylate Mofetil (CellCept) and Human Interferon beta1a (Rebif) in Early Treatment of Multiple Sclerosis

Further study details as provided by Ohio State University:

Primary Outcome Measures:
  • mRNA for MxA gene levels [ Time Frame: Day 0, Week 4, Week 16, Week 28, Week 40, Week 52 ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: August 2006
Estimated Study Completion Date: August 2009
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Rebif with Cellcept
Drug: mycophenalate mofetil (Cellcept)
1 gram po, bid
Drug: human interferon beta 1a (Rebif)
44mcg sq injection every other day
2: Placebo Comparator
Rebif alone
Drug: human interferon beta 1a (Rebif)
44mcg sq injection every other day

  Show Detailed Description

  Eligibility

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

Inclusion Criteria:

  • diagnosed with relapsing remitting multiple sclerosis
  • eligible to initiate interferon therapy
  • between he ages of 18-65, inclusive

Exclusion Criteria:

  • have received corticosteroids within 30 days prior to study start
  • have ever recieved cyclophosphamide or mitoxantrone
  • have recieved Imuran or methotrexate in the last 3 months
  • females that are pregnant or breastfeeding are excluded
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00618527

Contacts
Contact: Jessi Fleck, CCRC 614-293-6486 jessi.fleck@osumc.edu

Locations
United States, Ohio
The Ohio State University Multiple Sclerosis Center Recruiting
Columbus, Ohio, United States, 43221
Principal Investigator: Kottil W. Rammohan, MD            
Sponsors and Collaborators
Ohio State University
EMD Serono
Pfizer
Investigators
Principal Investigator: Kottil W Rammohan, MD The Ohio State University Medical Center
  More Information

The OSU MS Center  This link exits the ClinicalTrials.gov site

Responsible Party: The Ohio State University Medical Center ( Kottil W. Rammohan, MD )
Study ID Numbers: 2006H0039
Study First Received: February 6, 2008
Last Updated: February 19, 2008
ClinicalTrials.gov Identifier: NCT00618527  
Health Authority: United States: Institutional Review Board

Keywords provided by Ohio State University:
relapsing remitting multiple sclerosis
multiple sclerosis

Study placed in the following topic categories:
Interferon Type I, Recombinant
Autoimmune Diseases
Demyelinating Diseases
Interferons
Interferon-beta
Sclerosis
Demyelinating diseases
Multiple Sclerosis, Relapsing-Remitting
Multiple Sclerosis
Interferon beta 1a
Mycophenolate mofetil
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System

Additional relevant MeSH terms:
Anti-Infective Agents
Immune System Diseases
Immunologic Factors
Antineoplastic Agents
Growth Substances
Nervous System Diseases
Physiological Effects of Drugs
Adjuvants, Immunologic
Immunosuppressive Agents
Antiviral Agents
Angiogenesis Inhibitors
Pharmacologic Actions
Pathologic Processes
Therapeutic Uses
Growth Inhibitors
Angiogenesis Modulating Agents

ClinicalTrials.gov processed this record on January 16, 2009