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AVONEX® Combination Trial - "ACT"
This study has been completed.
First Received: May 27, 2005   Last Updated: May 5, 2008   History of Changes
Sponsored by: Biogen Idec
Information provided by: Biogen Idec
ClinicalTrials.gov Identifier: NCT00112034
  Purpose

The purpose of this study is to determine the efficacy and safety of combination therapy with AVONEX plus low dose oral methotrexate (MTX), every other month courses of intravenous methylprednisolone (IVMP), or both in patients with continued disease activity on AVONEX monotherapy.


Condition Intervention Phase
Multiple Sclerosis, Relapsing-Remitting
Drug: Methotrexate
Drug: IV methylprednisolone
Phase IV

Study Type: Interventional
Study Design: Randomized, Double-Blind, Placebo Control, Factorial Assignment, Safety/Efficacy Study
Official Title: A Multi-Center, Randomized, Blinded, Parallel-Group Study of AVONEX Compared With AVONEX in Combination With Oral Methotrexate, Intravenous Methylprednisolone, or Both in Subjects With Relapsing Remitting MS Who Have Breakthrough Disease on AVONEX Monotherapy.

Resource links provided by NLM:


Further study details as provided by Biogen Idec:

Primary Outcome Measures:
  • Brain MRI lesion activity measured by the combined number of T2-hyperintense lesions at Month 12 that are new or enlarged since Baseline
  • effectiveness of AVONEX® and IVMP plus MTX in trying to reduce lesion activity on brain MRI

Secondary Outcome Measures:
  • Gadolinium enhancing lesion number on brain MRI, relapse rate, MS Functional Composite change, whole brain atrophy progression

Estimated Enrollment: 350
Study Start Date: June 2003
Study Completion Date: May 2007
Primary Completion Date: June 2006 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age 18 to 55, inclusive
  • Diagnosis of MS
  • A relapsing-remitting course
  • Expanded Disability Status Scale (EDSS) score 0.0-5.5 inclusive at Baseline
  • Currently receiving AVONEX® therapy
  • Treated with AVONEX® for at least 6 consecutive months prior
  • Breakthrough disease (clinical relapse or gadolinium-enhancing MRI lesion) during the prior 12 months, at least 6 months after initiating AVONEX therapy.

Exclusion Criteria:

  • History of cirrhosis, chronic hepatitis, or currently active hepatitis
  • History of poorly-controlled hypertension, diabetes mellitus, or peptic ulcer disease
  • History of aseptic bone necrosis, osteoporosis, or osteoporosis-related bone fracture
  • History of steroid-induced psychosis.
  • History of or abnormal laboratory results indicating significant illness
  • History of severe allergic or anaphylactic reactions or known drug hypersensitivity or intolerance to MTX, IVMP, or AVONEX®.
  • History of allergy to albumin
  • History of any episode of suicidal ideation or severe depression within 3 months of the Screening Visit.
  • History of seizure within 3 months prior to the Screening Visit.
  • Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS
  • MS relapse with onset within 60 days prior to the Baseline Visit
  • Any metallic or electronic material or device in the body, or condition that precludes the subject from undergoing MRI with gadolinium administration
  • A clinically significant infectious illness (e.g., cellulitis, abscess, pneumonia, septicemia) within 30 days of the Screening Visit
  • Abnormal blood tests, performed at the Screening Visit, which exceed any of the limits defined by the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00112034

Locations
United States, Ohio
MS Academic Coordinating Center
Cleveland, Ohio, United States, 44195
Sponsors and Collaborators
Biogen Idec
Investigators
Principal Investigator: Jeffrey A. Cohen, MD The Cleveland Clinic
  More Information

No publications provided

Responsible Party: Biogen Idec ( Dennis Cunningham, Associate Director, Medical Affairs )
Study ID Numbers: C-865
Study First Received: May 27, 2005
Last Updated: May 5, 2008
ClinicalTrials.gov Identifier: NCT00112034     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Biogen Idec:
Multiple Sclerosis
Relapsing-Remitting
AVONEX
Combination
Methotrexate
IV Methylprednisolone
IVMP
ACT
MTX

Study placed in the following topic categories:
Antimetabolites
Anti-Inflammatory Agents
Immunologic Factors
Methylprednisolone
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Folate
Antiemetics
Prednisolone acetate
Hormones
Neuroprotective Agents
Multiple Sclerosis, Relapsing-Remitting
Vitamin B9
Multiple Sclerosis
Interferon beta 1a
Methotrexate
Autoimmune Diseases of the Nervous System
Methylprednisolone Hemisuccinate
Autoimmune Diseases
Antineoplastic Agents, Hormonal
Demyelinating Diseases
Interferons
Adjuvants, Immunologic
Interferon-beta
Methylprednisolone acetate
Sclerosis
Folinic Acid
Folic Acid Antagonists
Glucocorticoids
Immunosuppressive Agents

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Antimetabolites
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Methylprednisolone
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Antiemetics
Prednisolone acetate
Reproductive Control Agents
Hormones
Neuroprotective Agents
Multiple Sclerosis, Relapsing-Remitting
Pathologic Processes
Multiple Sclerosis
Therapeutic Uses
Abortifacient Agents
Interferon beta 1a
Methotrexate
Dermatologic Agents
Nucleic Acid Synthesis Inhibitors
Autoimmune Diseases of the Nervous System
Methylprednisolone Hemisuccinate
Autoimmune Diseases
Antineoplastic Agents, Hormonal
Immune System Diseases
Demyelinating Diseases
Nervous System Diseases

ClinicalTrials.gov processed this record on August 30, 2009