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CLARITY - Safety and Efficacy of Oral Cladribine in Subjects With Relapsing-remitting MS
This study has been completed.
First Received: September 13, 2005   Last Updated: December 11, 2009   History of Changes
Sponsor: 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

Study Type: Interventional
Study Design: Allocation: Randomized
Control: Placebo Control
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
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

Resource links provided by NLM:


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
Study Completion Date: December 2008
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 for two cycles (total dose: 1.75 mg7kg
2: Experimental Drug: Cladribine
Cladribine high dose: 0.875 mg/kg/cycle for four cycles (total dose: 3.50 mg/kg)
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

Sponsors and Collaborators
EMD Serono
Investigators
Study Director: Steven J. Greenberg, M.D. EMD Serono, Inc.
  More Information

No publications provided by EMD Serono

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):
Responsible Party: EMD Serono Inc ( Steven J. Greenberg, M.D., Senior Medical Director )
ClinicalTrials.gov Identifier: NCT00213135     History of Changes
Other Study ID Numbers: 25643
Study First Received: September 13, 2005
Last Updated: December 11, 2009
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Multiple Sclerosis
Sclerosis
Multiple Sclerosis, Relapsing-Remitting
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Autoimmune Diseases
Immune System Diseases
Pathologic Processes
Cladribine
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on September 01, 2010