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A Phase II Study Comparing Low- and High-Dose Alemtuzumab and High-Dose Rebif® in Patients With Early, Active Relapsing-Remitting Multiple Sclerosis

Primary Purpose

Multiple Sclerosis, Relapsing-Remitting

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Interferon beta-1a
Alemtuzumab 12 mg
Alemtuzumab 24 mg
Sponsored by
Genzyme, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis, Relapsing-Remitting focused on measuring Multiple Sclerosis, Active Relapsing-Remitting Multiple Sclerosis

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Signed informed consent form (ICF) Male or non-pregnant, non-lactating female participants, 18 to 50 years of age (inclusive) as of signing the ICF Diagnosis of MS per McDonald's update of the Poser criteria, including cranial MRI consistent with those criteria (McDonald, 2001, Ann Neurol) Onset of first MS symptoms within 3 years prior to Screening as of signing the ICF Expanded Disability Status Scale (EDSS) score 0.0 to 3.0 (inclusive) at the screening and Baseline visits At least 2 completed clinical episodes of MS in the 2 years prior to study entry (that is, the initial event if within 2 years of study entry plus at least 1 relapse, or at least 2 relapses if the initial event was between 2 and 3 years prior to study entry) In addition to the clinical criteria, at least 1 enhancing lesion on any 1 of up to 4 screening gadolinium-enhanced MRI brain scans during a maximum 3-month run-in period (inclusive of the Month 0 Baseline scan) Exclusion Criteria: Previous immunotherapy for MS other than steroids, including treatment with interferons, intravenous immunoglobulin (IVIG), glatiramer acetate, and mitoxantrone Personal history of thyroid autoimmune disease Personal history of clinically significant autoimmune disease (for example, inflammatory bowel disease, diabetes, lupus, severe asthma) History of thyroid carcinoma (previous thyroid adenoma was acceptable and was not considered an exclusion criterion) History of malignancy (except for basal cell skin carcinoma if disease-free for at least 5 years) Any disability acquired from trauma or another illness that, in the opinion of the Investigator, interfered with evaluation of disability due to MS Previous treatment with alemtuzumab History of anaphylaxis following exposure to humanized monoclonal antibodies Inability to undergo MRI with gadolinium administration Female participants of childbearing potential with a positive serum pregnancy test at screening or Baseline Male and female participants who did not agree to use effective contraceptive method(s) during the study Impaired renal function (that is, serum creatinine greater than or equal to 2 times the upper limit of normal [ULN]) Untreated, major depressive disorder Epileptic seizures that were not adequately controlled by treatment Suicidal ideation Major systemic disease or other illness that, in the opinion of the Investigator, have compromised participant safety or interfered with the interpretation of study results Abnormal CD4 count or significantly abnormal thyroid function; presence of anti-thyroid stimulating hormone (TSH) receptor antibodies; known seropositivity for human immunodeficiency (HIV) Intolerance of pulsed corticosteroids, especially a history of steroid psychosis Presence of a monoclonal paraprotein Participants who had any form of MS other than relapsing-remitting Participants currently participating in a clinical study of an experimental or unapproved/unlicensed therapy

Sites / Locations

  • Mayo Clinic Scottsdale Arizona
  • Clinical Trials, Inc
  • East Bay Physicians Medical Group
  • Nerve Pro Research
  • Neuro-Therapeutics, Inc.
  • Neurological Research Institute of the East Bay
  • Neurologic Research Institute/Mile High Research Center
  • Neurological Service of Orlando
  • Neurological Associates/ Research Dept.
  • Neurology Clinical Research, Inc.
  • Axiom Clinical Research of Florida
  • Medical Research and Health Education
  • Consultants in Neurology, Ltd
  • Fort Wayne Neurological Center
  • Associate in Neurology
  • University of Maryland -Maryland Center for MS
  • Wayne State University Department of Neurology
  • Michigan Institute for Neurological Disorders
  • Michigan Medical P.C. Neurology
  • Mayo Clinic Rochester Department of Neurology
  • Nevada Neurological Consultants, Ltd.
  • University Hospital an Medical Center
  • ALL-Trials Clinical Research, LLC
  • Neurological Associates of Tulsa, Inc
  • Neurosciencies and Pain Research
  • Neurology, PC
  • Baylor College of Medicine
  • Dallas Neurological Associate
  • Central Texas Neurology Consultants PA
  • Integra Clinical Research, LLC
  • Neurology Center of San Antonio
  • Department of Neurology, University Hospital "Osijek"
  • Department of Neurology, Clinical Hospital Centre "Rijeka"
  • Department of Neurology, Clinical Hospital Centre "Zagreb"
  • Department of Neurology, General Hospital "Sveti Duh"
  • Department of Neurology, University Hopsital "Sestre Milosrdnice"
  • Centrum Neurologii Klinicznej
  • Samodzielny Publiczny Zakład Opieki Zdrowotnej
  • Klinika Neurologii
  • Oddzial Kliniczny Neurologii
  • Instytut Psychiatrii i Neurologii
  • Katedra i Klinika Neurologii
  • Russian State Medical University
  • Neurology Scientific Center RAMS
  • Moscow City Hospital #11
  • Moscow City Hospital #61
  • Institute of Human brain RAS
  • St. Petersburg State Pavlov Medical University
  • Addenbrooke's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

Interferon Beta-1a

Alemtuzumab 12 mg

Alemtuzumab 24 mg

Arm Description

Outcomes

Primary Outcome Measures

Probability of Participants With Sustained Accumulation of Disability (SAD)
EDSS is an ordinal scale in half-point increments that quantifies disability in participants with MS. It assesses 7 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder and cerebral) as well as ambulation. EDSS total score: 0 (normal neurological examination) to 10 (death due to MS). As measured by EDSS score, SAD was defined as increase of at least 1.5 points for participants with Baseline score of 0 and increase of at least 1.0 point for participants with Baseline score of 1.0 or more; and the increase persisted for at least next the 2 scheduled assessments, that is, 6 consecutive months. The onset date of SAD was date of first EDSS assessment that began 6 month consecutive period of SAD. Participants who did not reach SAD endpoint were censored at their last visit. Probability of participants with SAD, estimated by Kaplan-Meier (KM) method, was reported.
Annualized Relapse Rate
Relapse was defined as new neurological symptoms or worsening of previous neurological symptoms with an objective change on neurological examination, attributable to multiple sclerosis that lasted for at least 48 hours, that were present at normal body temperature, and that were preceded by at least 30 days of clinical stability. Annualized relapse rate was estimated using a Poisson regression model with observed number of relapses as a dependent variable, the log total amount of follow-up from date of randomization for each participant as an offset variable and treatment group indicator as a covariate.

Secondary Outcome Measures

Probability of Participants Who Were Relapse Free at 3 Years After Initial Treatment
Participants were considered relapse free at Year 3 if they did not experience a relapse between randomization and study completion at 36 months. Participants who discontinued early were considered relapse free if they did not experience a relapse prior to discontinuation. Probability of participants who were relapse free at Year 3, estimated using the KM method, was reported.
Percent Change From Baseline in T1 Cerebral Volume at Year 3
Magnetic resonance imaging (MRI) T1 was used to determine rate of cerebral atrophy (decrease in cerebral/brain volume). Partial brain volumes were measured using the technique of Losseff et al. (1996). Percent change in cerebral volume at Year 3 was calculated from MRI-T1-weighted scans as: 100*([brain volume at Year 3] minus [brain volume at Baseline]) divided by [brain volume at Baseline]).
Percent Change From Baseline in MRI T2 Lesion Volume at Year 3
Percent change in lesion volume at Year 3 was calculated from MRI-T2-weighted scans as: 100*([lesion volume at Year 3] minus [lesion volume at Baseline]) divided by [lesion volume at Baseline]).

Full Information

First Posted
December 19, 2002
Last Updated
January 6, 2015
Sponsor
Genzyme, a Sanofi Company
Collaborators
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT00050778
Brief Title
A Phase II Study Comparing Low- and High-Dose Alemtuzumab and High-Dose Rebif® in Patients With Early, Active Relapsing-Remitting Multiple Sclerosis
Official Title
A Phase II, Randomized, Open-Label, Three-Arm Study Comparing Low- and High-Dose Alemtuzumab and High-Dose Subcutaneous Interferon Beta-1a (Rebif®) in Patients With Early, Active Relapsing-Remitting Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
December 2002 (undefined)
Primary Completion Date
September 2007 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genzyme, a Sanofi Company
Collaborators
Bayer

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This was a Phase II, randomized, open-label, rater-blinded, three-arm study comparing two different doses of alemtuzumab (Lemtrada™) and one dose of subcutaneous (SC) interferon beta-1a (Rebif®) in participants with early, active relapsing-remitting multiple sclerosis (MS) who had not been previously treated with MS therapies other than steroids. The study was conducted for an initial period of 3 years and a follow-up to 5 years or more.
Detailed Description
The aims of MS therapy are to prevent the progression of disease and accumulation of long-term disability. The hypothesis underlying this study was that aggressive treatment of inflammation in the brain early in the course of MS would protect the participant from disease progression and accumulating disability. This protocol compared two different doses of alemtuzumab and high-dose, high frequency of SC interferon beta-1a to evaluate the safety profiles of the respective treatments and to evaluate efficacy in terms of: Slowing the sustained accumulation of disability in participant with MS; Reducing the frequency of relapses experienced by participant with MS; and Reducing the harmful effects of MS on the brain, as assessed by magnetic resonance imaging (MRI) Participants who received alemtuzumab during the initial 36-month treatment period may have been eligible for re-treatment with alemtuzumab in the extension study CAMMS03409 (NCT00930553) to evaluate: How long the effects of prior alemtuzumab treatment lasted; If additional treatments with alemtuzumab continued to reduce the effects of MS; and What kind of side effects participants experienced upon retreatment with alemtuzumab

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis, Relapsing-Remitting
Keywords
Multiple Sclerosis, Active Relapsing-Remitting Multiple Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
334 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Interferon Beta-1a
Arm Type
Active Comparator
Arm Title
Alemtuzumab 12 mg
Arm Type
Experimental
Arm Title
Alemtuzumab 24 mg
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Interferon beta-1a
Other Intervention Name(s)
Rebif®
Intervention Description
Interferon beta-1a 44 microgram (mcg) subcutaneously 3-times weekly for 36 months.
Intervention Type
Biological
Intervention Name(s)
Alemtuzumab 12 mg
Other Intervention Name(s)
Lemtrada
Intervention Description
Alemtuzumab 12 milligram per day (mg/day) was given by intravenous infusion on 5 consecutive days during the first month and on 3 consecutive days at months 12 and 24 (the latter at the treating physicians' discretion if the cluster of differentiation 4+ [CD4+] T-cell count was >=100*10^6 cells per liter).
Intervention Type
Biological
Intervention Name(s)
Alemtuzumab 24 mg
Other Intervention Name(s)
Lemtrada
Intervention Description
Alemtuzumab 24 mg/day was given by intravenous infusion on 5 consecutive days during the first month and on 3 consecutive days at months 12 and 24 (the latter at the treating physicians' discretion if the CD4+ T-cell count was >=100*10^6 cells per liter).
Primary Outcome Measure Information:
Title
Probability of Participants With Sustained Accumulation of Disability (SAD)
Description
EDSS is an ordinal scale in half-point increments that quantifies disability in participants with MS. It assesses 7 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder and cerebral) as well as ambulation. EDSS total score: 0 (normal neurological examination) to 10 (death due to MS). As measured by EDSS score, SAD was defined as increase of at least 1.5 points for participants with Baseline score of 0 and increase of at least 1.0 point for participants with Baseline score of 1.0 or more; and the increase persisted for at least next the 2 scheduled assessments, that is, 6 consecutive months. The onset date of SAD was date of first EDSS assessment that began 6 month consecutive period of SAD. Participants who did not reach SAD endpoint were censored at their last visit. Probability of participants with SAD, estimated by Kaplan-Meier (KM) method, was reported.
Time Frame
Up to 3 years
Title
Annualized Relapse Rate
Description
Relapse was defined as new neurological symptoms or worsening of previous neurological symptoms with an objective change on neurological examination, attributable to multiple sclerosis that lasted for at least 48 hours, that were present at normal body temperature, and that were preceded by at least 30 days of clinical stability. Annualized relapse rate was estimated using a Poisson regression model with observed number of relapses as a dependent variable, the log total amount of follow-up from date of randomization for each participant as an offset variable and treatment group indicator as a covariate.
Time Frame
Up to 3 years
Secondary Outcome Measure Information:
Title
Probability of Participants Who Were Relapse Free at 3 Years After Initial Treatment
Description
Participants were considered relapse free at Year 3 if they did not experience a relapse between randomization and study completion at 36 months. Participants who discontinued early were considered relapse free if they did not experience a relapse prior to discontinuation. Probability of participants who were relapse free at Year 3, estimated using the KM method, was reported.
Time Frame
Year 3
Title
Percent Change From Baseline in T1 Cerebral Volume at Year 3
Description
Magnetic resonance imaging (MRI) T1 was used to determine rate of cerebral atrophy (decrease in cerebral/brain volume). Partial brain volumes were measured using the technique of Losseff et al. (1996). Percent change in cerebral volume at Year 3 was calculated from MRI-T1-weighted scans as: 100*([brain volume at Year 3] minus [brain volume at Baseline]) divided by [brain volume at Baseline]).
Time Frame
Baseline, Year 3
Title
Percent Change From Baseline in MRI T2 Lesion Volume at Year 3
Description
Percent change in lesion volume at Year 3 was calculated from MRI-T2-weighted scans as: 100*([lesion volume at Year 3] minus [lesion volume at Baseline]) divided by [lesion volume at Baseline]).
Time Frame
Baseline, Year 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent form (ICF) Male or non-pregnant, non-lactating female participants, 18 to 50 years of age (inclusive) as of signing the ICF Diagnosis of MS per McDonald's update of the Poser criteria, including cranial MRI consistent with those criteria (McDonald, 2001, Ann Neurol) Onset of first MS symptoms within 3 years prior to Screening as of signing the ICF Expanded Disability Status Scale (EDSS) score 0.0 to 3.0 (inclusive) at the screening and Baseline visits At least 2 completed clinical episodes of MS in the 2 years prior to study entry (that is, the initial event if within 2 years of study entry plus at least 1 relapse, or at least 2 relapses if the initial event was between 2 and 3 years prior to study entry) In addition to the clinical criteria, at least 1 enhancing lesion on any 1 of up to 4 screening gadolinium-enhanced MRI brain scans during a maximum 3-month run-in period (inclusive of the Month 0 Baseline scan) Exclusion Criteria: Previous immunotherapy for MS other than steroids, including treatment with interferons, intravenous immunoglobulin (IVIG), glatiramer acetate, and mitoxantrone Personal history of thyroid autoimmune disease Personal history of clinically significant autoimmune disease (for example, inflammatory bowel disease, diabetes, lupus, severe asthma) History of thyroid carcinoma (previous thyroid adenoma was acceptable and was not considered an exclusion criterion) History of malignancy (except for basal cell skin carcinoma if disease-free for at least 5 years) Any disability acquired from trauma or another illness that, in the opinion of the Investigator, interfered with evaluation of disability due to MS Previous treatment with alemtuzumab History of anaphylaxis following exposure to humanized monoclonal antibodies Inability to undergo MRI with gadolinium administration Female participants of childbearing potential with a positive serum pregnancy test at screening or Baseline Male and female participants who did not agree to use effective contraceptive method(s) during the study Impaired renal function (that is, serum creatinine greater than or equal to 2 times the upper limit of normal [ULN]) Untreated, major depressive disorder Epileptic seizures that were not adequately controlled by treatment Suicidal ideation Major systemic disease or other illness that, in the opinion of the Investigator, have compromised participant safety or interfered with the interpretation of study results Abnormal CD4 count or significantly abnormal thyroid function; presence of anti-thyroid stimulating hormone (TSH) receptor antibodies; known seropositivity for human immunodeficiency (HIV) Intolerance of pulsed corticosteroids, especially a history of steroid psychosis Presence of a monoclonal paraprotein Participants who had any form of MS other than relapsing-remitting Participants currently participating in a clinical study of an experimental or unapproved/unlicensed therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Genzyme, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Mayo Clinic Scottsdale Arizona
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Facility Name
Clinical Trials, Inc
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
East Bay Physicians Medical Group
City
Berkeley
State/Province
California
ZIP/Postal Code
94705
Country
United States
Facility Name
Nerve Pro Research
City
Irvine
State/Province
California
ZIP/Postal Code
92618
Country
United States
Facility Name
Neuro-Therapeutics, Inc.
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
Neurological Research Institute of the East Bay
City
Walnut Creek
State/Province
California
ZIP/Postal Code
938-1343
Country
United States
Facility Name
Neurologic Research Institute/Mile High Research Center
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Neurological Service of Orlando
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Neurological Associates/ Research Dept.
City
Pompano Beach
State/Province
Florida
ZIP/Postal Code
33060
Country
United States
Facility Name
Neurology Clinical Research, Inc.
City
Sunrise
State/Province
Florida
ZIP/Postal Code
3335-6637
Country
United States
Facility Name
Axiom Clinical Research of Florida
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Medical Research and Health Education
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31909
Country
United States
Facility Name
Consultants in Neurology, Ltd
City
Northbrook
State/Province
Illinois
ZIP/Postal Code
60062
Country
United States
Facility Name
Fort Wayne Neurological Center
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46805
Country
United States
Facility Name
Associate in Neurology
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40503
Country
United States
Facility Name
University of Maryland -Maryland Center for MS
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States
Facility Name
Wayne State University Department of Neurology
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Michigan Institute for Neurological Disorders
City
Farmington Hills
State/Province
Michigan
ZIP/Postal Code
48334
Country
United States
Facility Name
Michigan Medical P.C. Neurology
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49525
Country
United States
Facility Name
Mayo Clinic Rochester Department of Neurology
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Nevada Neurological Consultants, Ltd.
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89102
Country
United States
Facility Name
University Hospital an Medical Center
City
Stony Brook
State/Province
New York
ZIP/Postal Code
11794
Country
United States
Facility Name
ALL-Trials Clinical Research, LLC
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Neurological Associates of Tulsa, Inc
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74137
Country
United States
Facility Name
Neurosciencies and Pain Research
City
Allentown
State/Province
Pennsylvania
ZIP/Postal Code
18103-6296
Country
United States
Facility Name
Neurology, PC
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37934
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
Country
United States
Facility Name
Dallas Neurological Associate
City
Richardson
State/Province
Texas
ZIP/Postal Code
75080
Country
United States
Facility Name
Central Texas Neurology Consultants PA
City
Round Rock
State/Province
Texas
ZIP/Postal Code
78681
Country
United States
Facility Name
Integra Clinical Research, LLC
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78231
Country
United States
Facility Name
Neurology Center of San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78258
Country
United States
Facility Name
Department of Neurology, University Hospital "Osijek"
City
Osijek
Country
Croatia
Facility Name
Department of Neurology, Clinical Hospital Centre "Rijeka"
City
Rijeka
Country
Croatia
Facility Name
Department of Neurology, Clinical Hospital Centre "Zagreb"
City
Zagreb
Country
Croatia
Facility Name
Department of Neurology, General Hospital "Sveti Duh"
City
Zagreb
Country
Croatia
Facility Name
Department of Neurology, University Hopsital "Sestre Milosrdnice"
City
Zagreb
Country
Croatia
Facility Name
Centrum Neurologii Klinicznej
City
Krakow
Country
Poland
Facility Name
Samodzielny Publiczny Zakład Opieki Zdrowotnej
City
Lodz
Country
Poland
Facility Name
Klinika Neurologii
City
Lublin
Country
Poland
Facility Name
Oddzial Kliniczny Neurologii
City
Poznan
Country
Poland
Facility Name
Instytut Psychiatrii i Neurologii
City
Warszawa
Country
Poland
Facility Name
Katedra i Klinika Neurologii
City
Warszawa
Country
Poland
Facility Name
Russian State Medical University
City
Moscow
ZIP/Postal Code
117437
Country
Russian Federation
Facility Name
Neurology Scientific Center RAMS
City
Moscow
ZIP/Postal Code
125367
Country
Russian Federation
Facility Name
Moscow City Hospital #11
City
Moscow
Country
Russian Federation
Facility Name
Moscow City Hospital #61
City
Moscow
Country
Russian Federation
Facility Name
Institute of Human brain RAS
City
St. Petersburg
ZIP/Postal Code
197376
Country
Russian Federation
Facility Name
St. Petersburg State Pavlov Medical University
City
St. Petersburg
Country
Russian Federation
Facility Name
Addenbrooke's Hospital
City
Cambridge
State/Province
England
Country
United Kingdom

12. IPD Sharing Statement

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27000249
Citation
Fox EJ, Wynn D, Coles AJ, Palmer J, Margolin DH; CAMMS223 Investigators. Alemtuzumab improves neurological functional systems in treatment-naive relapsing-remitting multiple sclerosis patients. J Neurol Sci. 2016 Apr 15;363:188-94. doi: 10.1016/j.jns.2016.02.025. Epub 2016 Feb 12.
Results Reference
derived
Links:
URL
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/003718/WC500150521.pdf
Description
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/003718/WC500150521.pdf

Learn more about this trial

A Phase II Study Comparing Low- and High-Dose Alemtuzumab and High-Dose Rebif® in Patients With Early, Active Relapsing-Remitting Multiple Sclerosis

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