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Using Patient Reported Outcomes (PROs) to Evaluate Teriflunomide Treatment in Relapsing Multiple Sclerosis (RMS) Patients (TERI-PRO)

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Teriflunomide
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

Participants with a relapsing form of multiple sclerosis (RMS) having signed written informed consent.

Exclusion criteria:

  • According to local labelling,
  • Less than 18 years of age,
  • Current or history of receiving teriflunomide,
  • Previous treatment with leflunomide within 6 months prior to baseline,
  • Participants with preexisting acute or chronic liver disease, or those with serum alanine aminotransferase (ALT) greater than 2 times the upper limit of normal (ULN),
  • Known history of active tuberculosis (TB) or latent TB infection, either diagnosed by standard medical practice or guidelines (including skin or blood test, chest X-ray, or as appropriate per local practice),
  • Known history of severe immunodeficiency, acquired immunodeficiency syndrome (AIDS), bone marrow disease, acute or severe active infections,
  • Women who were pregnant or breast-feeding,
  • Female participants with a positive pregnancy test at screening or women of child-bearing potential who did not agree to use reliable contraception throughout the course of the study,
  • Male participants (only when required according to local labeling): unwilling to use reliable contraception during the course of the study,
  • Additional exclusion criteria applicable for Europe (EU) countries (in accordance with contraindications of EU summary of product characteristics [SmPC]):

    • Participants with significantly impaired bone marrow function or significant anaemia, leukopenia, neutropenia or thrombocytopenia,
    • Participants with severe active infection until resolution,
    • Participants with severe renal impairment undergoing dialysis, because insufficient clinical experience was available in this participant group,
    • Participants with severe hypoproteinaemia, e.g. in nephrotic syndrome.
  • Hypersensitivity to the active substance or to any of the excipients,
  • Other additional contraindications per local labeling.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840077
  • Investigational Site Number 840007
  • Investigational Site Number 840087
  • Investigational Site Number 840114
  • Investigational Site Number 840080
  • Investigational Site Number 840032
  • Investigational Site Number 840021
  • Investigational Site Number 840018
  • Investigational Site Number 840037
  • Investigational Site Number 840108
  • Investigational Site Number 840014
  • Investigational Site Number 840019
  • Investigational Site Number 840097
  • Investigational Site Number 840040
  • Investigational Site Number 840046
  • Investigational Site Number 840016
  • Investigational Site Number 840094
  • Investigational Site Number 840024
  • Investigational Site Number 840089
  • Investigational Site Number 840055
  • Investigational Site Number 840104
  • Investigational Site Number 840101
  • Investigational Site Number 840011
  • Investigational Site Number 840059
  • Investigational Site Number 840008
  • Investigational Site Number 840081
  • Investigational Site Number 840002
  • Investigational Site Number 840075
  • Investigational Site Number 840012
  • Investigational Site Number 840010
  • Investigational Site Number 840034
  • Investigational Site Number 840047
  • Investigational Site Number 840107
  • Investigational Site Number 840030
  • Investigational Site Number 840073
  • Investigational Site Number 840068
  • Investigational Site Number 840098
  • Investigational Site Number 840086
  • Investigational Site Number 840058
  • Investigational Site Number 840026
  • Investigational Site Number 840020
  • Investigational Site Number 840049
  • Investigational Site Number 840044
  • Investigational Site Number 840100
  • Investigational Site Number 840005
  • Investigational Site Number 840064
  • Investigational Site Number 840071
  • Investigational Site Number 840091
  • Investigational Site Number 840045
  • Investigational Site Number 840084
  • Investigational Site Number 840078
  • Investigational Site Number 840042
  • Investigational Site Number 840105
  • Investigational Site Number 840074
  • Investigational Site Number 840090
  • Investigational Site Number 840041
  • Investigational Site Number 840003
  • Investigational Site Number 840009
  • Investigational Site Number 840053
  • Investigational Site Number 840056
  • Investigational Site Number 840072
  • Investigational Site Number 840048
  • Investigational Site Number 840035
  • Investigational Site Number 840060
  • Investigational Site Number 840052
  • Investigational Site Number 840028
  • Investigational Site Number 840070
  • Investigational Site Number 840109
  • Investigational Site Number 840017
  • Investigational Site Number 840054
  • Investigational Site Number 840069
  • Investigational Site Number 840079
  • Investigational Site Number 840038
  • Investigational Site Number 840112
  • Investigational Site Number 840076
  • Investigational Site Number 040-001
  • Investigational Site Number 040-002
  • Investigational Site Number 056006
  • Investigational Site Number 056001
  • Investigational Site Number 056003
  • Investigational Site Number 056002
  • Investigational Site Number 056007
  • Investigational Site Number 056008
  • Investigational Site Number 056009
  • Investigational Site Number 056005
  • Investigational Site Number 124006
  • Investigational Site Number 124007
  • Investigational Site Number 152003
  • Investigational Site Number 152001
  • Investigational Site Number 152005
  • Investigational Site Number 246004
  • Investigational Site Number 246005
  • Investigational Site Number 246006
  • Investigational Site Number 246001
  • Investigational Site Number 246003
  • Investigational Site Number 250002
  • Investigational Site Number 250003
  • Investigational Site Number 250004
  • Investigational Site Number 250005
  • Investigational Site Number 250006
  • Investigational Site Number 250007
  • Investigational Site Number 250008
  • Investigational Site Number 250009
  • Investigational Site Number 250011
  • Investigational Site Number 250012
  • Investigational Site Number 250001
  • Investigational Site Number 250015
  • Investigational Site Number 250017
  • Investigational Site Number 250018
  • Investigational Site Number 250019
  • Investigational Site Number 250020
  • Investigational Site Number 250021
  • Investigational Site Number 250022
  • Investigational Site Number 250023
  • Investigational Site Number 250024
  • Investigational Site Number 250025
  • Investigational Site Number 250026
  • Investigational Site Number 250027
  • Investigational Site Number 250028
  • Investigational Site Number 250016
  • Investigational Site Number 250029
  • Investigational Site Number 250043
  • Investigational Site Number 250031
  • Investigational Site Number 250032
  • Investigational Site Number 250033
  • Investigational Site Number 250030
  • Investigational Site Number 250035
  • Investigational Site Number 250037
  • Investigational Site Number 250038
  • Investigational Site Number 250039
  • Investigational Site Number 250040
  • Investigational Site Number 250013
  • Investigational Site Number 276001
  • Investigational Site Number 276003
  • Investigational Site Number 276004
  • Investigational Site Number 300002
  • Investigational Site Number 300001
  • Investigational Site Number 300005
  • Investigational Site Number 300004
  • Investigational Site Number 380008
  • Investigational Site Number 380009
  • Investigational Site Number 380002
  • Investigational Site Number 380001
  • Investigational Site Number 380004
  • Investigational Site Number 380006
  • Investigational Site Number 380005
  • Investigational Site Number 578002
  • Investigational Site Number 578003
  • Investigational Site Number 578001
  • Investigational Site Number 724002
  • Investigational Site Number 724010
  • Investigational Site Number 724008
  • Investigational Site Number 724001
  • Investigational Site Number 724004
  • Investigational Site Number 724006
  • Investigational Site Number 724007
  • Investigational Site Number 724005
  • Investigational Site Number 752001
  • Investigational Site Number 752003
  • Investigational Site Number 752002
  • Investigational Site Number 826-005
  • Investigational Site Number 826-003
  • Investigational Site Number 826-007
  • Investigational Site Number 826-008
  • Investigational Site Number 826-010
  • Investigational Site Number 826-009
  • Investigational Site Number 826-001
  • Investigational Site Number 826-006
  • Investigational Site Number 826-004

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Teriflunomide

Arm Description

Teriflunomide 14 mg or 7 mg according to local labelling once daily (QD) orally for 48 weeks.

Outcomes

Primary Outcome Measures

Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4 - Assessment of Global Satisfaction Subscale Score With Teriflunomide Treatment at Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14). Primary outcome was the global satisfaction score. The score of the corresponding item was added based on the algorithm to create a score of 0 to 100. Higher score indicated greater satisfaction in that domain.

Secondary Outcome Measures

Change From Baseline in TSQM Scores in Participants Switching From Another Disease Modifying Therapy (DMT) at Week 4 and Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions: 12-14). For each of the 4 domains the scores of the corresponding items were added based on an algorithm to create a score of 0 to 100. Higher scores indicated greater satisfaction .
Change From Week 4 in TSQM Scores in Naïve Participants to Week 48
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions: 12-14). For each of the 4 domains the scores of the corresponding items were added based on an algorithm to create a score of 0 to 100. Higher scores indicated greater satisfaction.
Change From Baseline in Disease Progression Using Patient Determined Disease Steps (PDDS) Score at Week 48
PDDS scale developed to assess the disability in Multiple Sclerosis (MS) participants and in assessing disease progression that focuses mainly on how participants walk. PDDS scale consists of 0 = normal; 1 = mild disability; 2 = moderate disability; 3 = gait disability; 4 = early cane; 5 = late cane; 6 = bilateral support; 7 = wheelchair/scooter and 8 = bedridden. A higher score represented higher level of disability.
Change From Baseline in Multiple Sclerosis Performance Scale (MSPS) Score at Week 24 and Week 48
MSPS was a self-reported measure for MS associated disability in which participants were asked to indicate the category that best described their condition during the past month on the following 8 subscales: mobility, hand function, vision, fatigue, cognitive symptoms, bladder/bowel, sensory symptoms and spasticity symptoms. MSPS used a single question to assess each of 8 subscales. All of the subscales ranged from 0= normal to 5= total disability, except mobility subscale which ranged from 0= normal to 6=total disability. Total MSPS score ranged from 0 =normal to 41=greater disability, where higher score reflected greater disability.
Annualized Treated Relapse Rate
Annualized treated relapse rate was defined as the total number of treated relapses during the study treatment period divided by the total number participants-years of treatment. Only events occurred during the treatment period (first drug administration to last drug administration) were considered for analysis.
Time to Relapse: Kaplan-Meier Estimates of the Probability of Treated Relapse at Week 4, Week 24 and Week 48
A treated relapse was defined as a relapse treated by a systemic corticosteroid treatment or by another DMT. If a participant had no treated relapse before treatment discontinuation/completion, then the participant was considered as free of treated relapse until the date of treatment discontinuation/completion. Only treated relapse occurred during the treatment period (first drug administration to last drug administration) were considered for analysis. Kaplan-Meier method was used to estimate the probability of treated MS relapse at 4, 24 and 48 weeks.
Change From Baseline in Cognition Measured by Symbol Digit Modalities Test (SDMT) Score at Week 48
SDMT measures the time to pair abstract symbols with specific numbers. It is a simple substitution task that gives the examinee 90 seconds to pair specific numbers with given geometric figures as a measure for screening cognitive impairment. The score is computed as a ratio of number of correct responses divided by the total number of responses. The test score range from 0 (worst outcome) to 1 (best outcome). Higher scores are indicative of better cognition function.
Overview of Adverse Events (AEs)
Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during from first study drug intake up to 112 days after last intake for participant with no accelerated elimination procedure (AEP) or to last AEP follow up visit for participants with AEP. A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.
Percentage of Participants With Treatment Compliance of ≥80% During the Study Treatment Period
Percentage of compliance for a participant was defined as the number of days that the participant was compliant (1 tablet/day) divided by the exposure duration in days (from the first dose administration to the last dose administration) times 100.
Duration of Teriflunomide Treatment Exposure
Duration of exposure was defined as last dose date - first dose date + 1 day, regardless of unplanned intermittent discontinuations and regardless of dosage administered (14 mg or 7 mg).
Change From Baseline in Multiple Sclerosis International Quality of Life (MusiQoL) Score at Week 48
The MusiQoL is a quality of life questionnaire that consists of 31 questions, divided into 9 dimensions: activities of daily living, physiological well-being, symptoms, relationship with friends, relationship with family, sentimental and sexual life, coping, rejection and relationship with healthcare system. All the 9 dimension scores and the global scores are linearly transformed and standardized on 0 (worst outcome) -100 (best outcome) scale. Higher scores represents higher quality of life.
Change From Baseline in Stern Leisure Activity Scale at Week 48
The Stern Leisure Activity Scale is a self-reported scale that consists of 13 questions assessing the participant's participation in leisure activities during the preceding month. One point is given for participation in each of the 13 activities and an aggregate score (range from 0 to 13) is obtained. ≤ 6 score is considered as low leisure activity and > 6 score as high leisure activity.
Expanded Disability Status Scale (EDSS) Score at Baseline and Week 48
EDSS is a method of quantifying disability in MS participants and monitoring changes in the level of disability over time. EDSS quantifies disability in 8 functional systems: pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual, cerebral, and other. EDSS scale ranges from 0 to 10 in 0.5 unit increments that represents higher levels of disability. EDSS score 1.0 to 4.5 refers to people with MS who are fully ambulatory; EDSS score 5.0 to 9.5 refers to impairment to ambulation; EDSS score 10 refers to death due to MS.

Full Information

First Posted
July 3, 2013
Last Updated
October 10, 2016
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT01895335
Brief Title
Using Patient Reported Outcomes (PROs) to Evaluate Teriflunomide Treatment in Relapsing Multiple Sclerosis (RMS) Patients
Acronym
TERI-PRO
Official Title
A Prospective, Single-Arm, Clinical-Setting Study to Describe Efficacy, Tolerability and Convenience of Teriflunomide Treatment Using Patient Reported Outcomes (PROs) in Relapsing Multiple Sclerosis (RMS) Patients
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: To describe efficacy, tolerability and convenience of teriflunomide treatment through the evaluation of Participant Reported Outcomes (PROs). Secondary Objectives: To describe disease progression using PROs. To describe clinical outcomes (ie, treated relapses) in teriflunomide treated participant. To describe the change in cognition in teriflunomide treated participants. To describe safety of teriflunomide in participant treated (based on adverse events reporting). To describe adherence and persistence to teriflunomide treatment. To describe quality of life, activity and leisure over the period of teriflunomide treatment. To compare Participant Determined Disease Steps (PDDS) and Expanded Disability Status Scale (EDSS) in assessing Multiple Sclerosis (MS) disease progression.
Detailed Description
The total duration of the study per participant was up to 50 or 54 weeks (if accelerated elimination procedure performed): Screening: up to 2 weeks Teriflunomide treatment: 48 weeks Accelerated elimination procedure: 4 weeks when performed An accelerated elimination procedure at any time after discontinuation of teriflunomide treatment was possible and it was particularly recommended for women of child-bearing potential.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1001 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Teriflunomide
Arm Type
Experimental
Arm Description
Teriflunomide 14 mg or 7 mg according to local labelling once daily (QD) orally for 48 weeks.
Intervention Type
Drug
Intervention Name(s)
Teriflunomide
Other Intervention Name(s)
HMR1726, Aubagio®
Intervention Description
Pharmaceutical form: film-coated tablet; Route of administration: oral
Primary Outcome Measure Information:
Title
Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4 - Assessment of Global Satisfaction Subscale Score With Teriflunomide Treatment at Week 48
Description
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14). Primary outcome was the global satisfaction score. The score of the corresponding item was added based on the algorithm to create a score of 0 to 100. Higher score indicated greater satisfaction in that domain.
Time Frame
Week 48
Secondary Outcome Measure Information:
Title
Change From Baseline in TSQM Scores in Participants Switching From Another Disease Modifying Therapy (DMT) at Week 4 and Week 48
Description
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions: 12-14). For each of the 4 domains the scores of the corresponding items were added based on an algorithm to create a score of 0 to 100. Higher scores indicated greater satisfaction .
Time Frame
Baseline, Week 4, Week 48
Title
Change From Week 4 in TSQM Scores in Naïve Participants to Week 48
Description
TSQM version 1.4 is a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions: 12-14). For each of the 4 domains the scores of the corresponding items were added based on an algorithm to create a score of 0 to 100. Higher scores indicated greater satisfaction.
Time Frame
Week 4, Week 48
Title
Change From Baseline in Disease Progression Using Patient Determined Disease Steps (PDDS) Score at Week 48
Description
PDDS scale developed to assess the disability in Multiple Sclerosis (MS) participants and in assessing disease progression that focuses mainly on how participants walk. PDDS scale consists of 0 = normal; 1 = mild disability; 2 = moderate disability; 3 = gait disability; 4 = early cane; 5 = late cane; 6 = bilateral support; 7 = wheelchair/scooter and 8 = bedridden. A higher score represented higher level of disability.
Time Frame
Baseline, Week 48
Title
Change From Baseline in Multiple Sclerosis Performance Scale (MSPS) Score at Week 24 and Week 48
Description
MSPS was a self-reported measure for MS associated disability in which participants were asked to indicate the category that best described their condition during the past month on the following 8 subscales: mobility, hand function, vision, fatigue, cognitive symptoms, bladder/bowel, sensory symptoms and spasticity symptoms. MSPS used a single question to assess each of 8 subscales. All of the subscales ranged from 0= normal to 5= total disability, except mobility subscale which ranged from 0= normal to 6=total disability. Total MSPS score ranged from 0 =normal to 41=greater disability, where higher score reflected greater disability.
Time Frame
Baseline, Week 24, Week 48
Title
Annualized Treated Relapse Rate
Description
Annualized treated relapse rate was defined as the total number of treated relapses during the study treatment period divided by the total number participants-years of treatment. Only events occurred during the treatment period (first drug administration to last drug administration) were considered for analysis.
Time Frame
Baseline up to end of treatment (up to Week 48)
Title
Time to Relapse: Kaplan-Meier Estimates of the Probability of Treated Relapse at Week 4, Week 24 and Week 48
Description
A treated relapse was defined as a relapse treated by a systemic corticosteroid treatment or by another DMT. If a participant had no treated relapse before treatment discontinuation/completion, then the participant was considered as free of treated relapse until the date of treatment discontinuation/completion. Only treated relapse occurred during the treatment period (first drug administration to last drug administration) were considered for analysis. Kaplan-Meier method was used to estimate the probability of treated MS relapse at 4, 24 and 48 weeks.
Time Frame
Baseline up to end of treatment (up to Week 48)
Title
Change From Baseline in Cognition Measured by Symbol Digit Modalities Test (SDMT) Score at Week 48
Description
SDMT measures the time to pair abstract symbols with specific numbers. It is a simple substitution task that gives the examinee 90 seconds to pair specific numbers with given geometric figures as a measure for screening cognitive impairment. The score is computed as a ratio of number of correct responses divided by the total number of responses. The test score range from 0 (worst outcome) to 1 (best outcome). Higher scores are indicative of better cognition function.
Time Frame
Baseline, Week 48
Title
Overview of Adverse Events (AEs)
Description
Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during from first study drug intake up to 112 days after last intake for participant with no accelerated elimination procedure (AEP) or to last AEP follow up visit for participants with AEP. A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.
Time Frame
From first study drug intake up to 112 days after last intake for participant with no AEP or to last AEP follow up visit for participants with AEP
Title
Percentage of Participants With Treatment Compliance of ≥80% During the Study Treatment Period
Description
Percentage of compliance for a participant was defined as the number of days that the participant was compliant (1 tablet/day) divided by the exposure duration in days (from the first dose administration to the last dose administration) times 100.
Time Frame
Baseline up to end of treatment (up to Week 48)
Title
Duration of Teriflunomide Treatment Exposure
Description
Duration of exposure was defined as last dose date - first dose date + 1 day, regardless of unplanned intermittent discontinuations and regardless of dosage administered (14 mg or 7 mg).
Time Frame
Baseline up to end of treatment (up to Week 48)
Title
Change From Baseline in Multiple Sclerosis International Quality of Life (MusiQoL) Score at Week 48
Description
The MusiQoL is a quality of life questionnaire that consists of 31 questions, divided into 9 dimensions: activities of daily living, physiological well-being, symptoms, relationship with friends, relationship with family, sentimental and sexual life, coping, rejection and relationship with healthcare system. All the 9 dimension scores and the global scores are linearly transformed and standardized on 0 (worst outcome) -100 (best outcome) scale. Higher scores represents higher quality of life.
Time Frame
Baseline, Week 48
Title
Change From Baseline in Stern Leisure Activity Scale at Week 48
Description
The Stern Leisure Activity Scale is a self-reported scale that consists of 13 questions assessing the participant's participation in leisure activities during the preceding month. One point is given for participation in each of the 13 activities and an aggregate score (range from 0 to 13) is obtained. ≤ 6 score is considered as low leisure activity and > 6 score as high leisure activity.
Time Frame
Baseline, Week 48
Title
Expanded Disability Status Scale (EDSS) Score at Baseline and Week 48
Description
EDSS is a method of quantifying disability in MS participants and monitoring changes in the level of disability over time. EDSS quantifies disability in 8 functional systems: pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual, cerebral, and other. EDSS scale ranges from 0 to 10 in 0.5 unit increments that represents higher levels of disability. EDSS score 1.0 to 4.5 refers to people with MS who are fully ambulatory; EDSS score 5.0 to 9.5 refers to impairment to ambulation; EDSS score 10 refers to death due to MS.
Time Frame
Baseline, Week 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Participants with a relapsing form of multiple sclerosis (RMS) having signed written informed consent. Exclusion criteria: According to local labelling, Less than 18 years of age, Current or history of receiving teriflunomide, Previous treatment with leflunomide within 6 months prior to baseline, Participants with preexisting acute or chronic liver disease, or those with serum alanine aminotransferase (ALT) greater than 2 times the upper limit of normal (ULN), Known history of active tuberculosis (TB) or latent TB infection, either diagnosed by standard medical practice or guidelines (including skin or blood test, chest X-ray, or as appropriate per local practice), Known history of severe immunodeficiency, acquired immunodeficiency syndrome (AIDS), bone marrow disease, acute or severe active infections, Women who were pregnant or breast-feeding, Female participants with a positive pregnancy test at screening or women of child-bearing potential who did not agree to use reliable contraception throughout the course of the study, Male participants (only when required according to local labeling): unwilling to use reliable contraception during the course of the study, Additional exclusion criteria applicable for Europe (EU) countries (in accordance with contraindications of EU summary of product characteristics [SmPC]): Participants with significantly impaired bone marrow function or significant anaemia, leukopenia, neutropenia or thrombocytopenia, Participants with severe active infection until resolution, Participants with severe renal impairment undergoing dialysis, because insufficient clinical experience was available in this participant group, Participants with severe hypoproteinaemia, e.g. in nephrotic syndrome. Hypersensitivity to the active substance or to any of the excipients, Other additional contraindications per local labeling. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 840077
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Investigational Site Number 840007
City
Cullman
State/Province
Alabama
Country
United States
Facility Name
Investigational Site Number 840087
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85004
Country
United States
Facility Name
Investigational Site Number 840114
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85008
Country
United States
Facility Name
Investigational Site Number 840080
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
Investigational Site Number 840032
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Investigational Site Number 840021
City
Phoenix
State/Province
Arkansas
Country
United States
Facility Name
Investigational Site Number 840018
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
Investigational Site Number 840037
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
Investigational Site Number 840108
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Investigational Site Number 840014
City
Newport Beach
State/Province
California
ZIP/Postal Code
92663
Country
United States
Facility Name
Investigational Site Number 840019
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Investigational Site Number 840097
City
Boulder
State/Province
Colorado
ZIP/Postal Code
80304
Country
United States
Facility Name
Investigational Site Number 840040
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80907
Country
United States
Facility Name
Investigational Site Number 840046
City
Denver
State/Province
Colorado
ZIP/Postal Code
CO
Country
United States
Facility Name
Investigational Site Number 840016
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80113
Country
United States
Facility Name
Investigational Site Number 840094
City
Fort Collins
State/Province
Colorado
ZIP/Postal Code
80528
Country
United States
Facility Name
Investigational Site Number 840024
City
Bradenton
State/Province
Florida
ZIP/Postal Code
FL
Country
United States
Facility Name
Investigational Site Number 840089
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Investigational Site Number 840055
City
Coconut Creek
State/Province
Florida
ZIP/Postal Code
33073
Country
United States
Facility Name
Investigational Site Number 840104
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33013
Country
United States
Facility Name
Investigational Site Number 840101
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Investigational Site Number 840011
City
Ormond Beach
State/Province
Florida
Country
United States
Facility Name
Investigational Site Number 840059
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239
Country
United States
Facility Name
Investigational Site Number 840008
City
St. Petersburg
State/Province
Florida
Country
United States
Facility Name
Investigational Site Number 840081
City
Sunrise
State/Province
Florida
ZIP/Postal Code
33351
Country
United States
Facility Name
Investigational Site Number 840002
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30318
Country
United States
Facility Name
Investigational Site Number 840075
City
Macon
State/Province
Georgia
ZIP/Postal Code
31210
Country
United States
Facility Name
Investigational Site Number 840012
City
Fort Wayne
State/Province
Indiana
Country
United States
Facility Name
Investigational Site Number 840010
City
Indianapolis
State/Province
Indiana
Country
United States
Facility Name
Investigational Site Number 840034
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40207
Country
United States
Facility Name
Investigational Site Number 840047
City
Rockport
State/Province
Maine
ZIP/Postal Code
04843
Country
United States
Facility Name
Investigational Site Number 840107
City
Foxboro
State/Province
Massachusetts
ZIP/Postal Code
02035
Country
United States
Facility Name
Investigational Site Number 840030
City
Springfield
State/Province
Massachusetts
ZIP/Postal Code
01104
Country
United States
Facility Name
Investigational Site Number 840073
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48035
Country
United States
Facility Name
Investigational Site Number 840068
City
Golden Valley
State/Province
Minnesota
ZIP/Postal Code
55422
Country
United States
Facility Name
Investigational Site Number 840098
City
Golden Valley
State/Province
Minnesota
ZIP/Postal Code
55422
Country
United States
Facility Name
Investigational Site Number 840086
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
Facility Name
Investigational Site Number 840058
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Investigational Site Number 840026
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68521
Country
United States
Facility Name
Investigational Site Number 840020
City
Henderson
State/Province
Nevada
ZIP/Postal Code
89012
Country
United States
Facility Name
Investigational Site Number 840049
City
Freehold
State/Province
New Jersey
ZIP/Postal Code
07728
Country
United States
Facility Name
Investigational Site Number 840044
City
Toms River
State/Province
New Jersey
ZIP/Postal Code
08755
Country
United States
Facility Name
Investigational Site Number 840100
City
East Setauket
State/Province
New York
ZIP/Postal Code
11733-345
Country
United States
Facility Name
Investigational Site Number 840005
City
New York
State/Province
New York
Country
United States
Facility Name
Investigational Site Number 840064
City
NY
State/Province
New York
ZIP/Postal Code
14203
Country
United States
Facility Name
Investigational Site Number 840071
City
Schenectady
State/Province
New York
ZIP/Postal Code
12308
Country
United States
Facility Name
Investigational Site Number 840091
City
Staten Island
State/Province
New York
ZIP/Postal Code
10306
Country
United States
Facility Name
Investigational Site Number 840045
City
Syracuse
State/Province
New York
ZIP/Postal Code
13202
Country
United States
Facility Name
Investigational Site Number 840084
City
Asheville
State/Province
North Carolina
ZIP/Postal Code
28806
Country
United States
Facility Name
Investigational Site Number 840078
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Investigational Site Number 840042
City
Raliegh
State/Province
North Carolina
Country
United States
Facility Name
Investigational Site Number 840105
City
Sanford
State/Province
North Carolina
Country
United States
Facility Name
Investigational Site Number 840074
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
Investigational Site Number 840090
City
Winston Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Investigational Site Number 840041
City
Bismarck
State/Province
North Dakota
Country
United States
Facility Name
Investigational Site Number 840003
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Investigational Site Number 840009
City
Dayton
State/Province
Ohio
Country
United States
Facility Name
Investigational Site Number 840053
City
Monaca
State/Province
Pennsylvania
ZIP/Postal Code
15061
Country
United States
Facility Name
Investigational Site Number 840056
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Investigational Site Number 840072
City
Cranston
State/Province
Rhode Island
ZIP/Postal Code
02920
Country
United States
Facility Name
Investigational Site Number 840048
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Investigational Site Number 840035
City
Tullahoma
State/Province
Tennessee
ZIP/Postal Code
37388
Country
United States
Facility Name
Investigational Site Number 840060
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Investigational Site Number 840052
City
Mansfield
State/Province
Texas
ZIP/Postal Code
76063
Country
United States
Facility Name
Investigational Site Number 840028
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Investigational Site Number 840070
City
Henrico
State/Province
Virginia
ZIP/Postal Code
23226
Country
United States
Facility Name
Investigational Site Number 840109
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States
Facility Name
Investigational Site Number 840017
City
Roanoke
State/Province
Virginia
ZIP/Postal Code
24018
Country
United States
Facility Name
Investigational Site Number 840054
City
Vienna
State/Province
Virginia
ZIP/Postal Code
22182
Country
United States
Facility Name
Investigational Site Number 840069
City
Spokane
State/Province
Washington
ZIP/Postal Code
99220-3649
Country
United States
Facility Name
Investigational Site Number 840079
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506-9180
Country
United States
Facility Name
Investigational Site Number 840038
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53215
Country
United States
Facility Name
Investigational Site Number 840112
City
Milwaukee
State/Province
Wisconsin
Country
United States
Facility Name
Investigational Site Number 840076
City
Neenah
State/Province
Wisconsin
ZIP/Postal Code
54956
Country
United States
Facility Name
Investigational Site Number 040-001
City
Linz
Country
Austria
Facility Name
Investigational Site Number 040-002
City
Wien
Country
Austria
Facility Name
Investigational Site Number 056006
City
Brasschaat
ZIP/Postal Code
2930
Country
Belgium
Facility Name
Investigational Site Number 056001
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Investigational Site Number 056003
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
Facility Name
Investigational Site Number 056002
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
Facility Name
Investigational Site Number 056007
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Investigational Site Number 056008
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Investigational Site Number 056009
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Investigational Site Number 056005
City
Melsbroek
ZIP/Postal Code
1820
Country
Belgium
Facility Name
Investigational Site Number 124006
City
Cambridge
ZIP/Postal Code
N1R7L6
Country
Canada
Facility Name
Investigational Site Number 124007
City
St. John
ZIP/Postal Code
E2L 4L2
Country
Canada
Facility Name
Investigational Site Number 152003
City
Concepcion
Country
Chile
Facility Name
Investigational Site Number 152001
City
Santiago
Country
Chile
Facility Name
Investigational Site Number 152005
City
Santiago
Country
Chile
Facility Name
Investigational Site Number 246004
City
Hämeenlinna
ZIP/Postal Code
13530
Country
Finland
Facility Name
Investigational Site Number 246005
City
Kuopio
Country
Finland
Facility Name
Investigational Site Number 246006
City
Oulu
ZIP/Postal Code
90220
Country
Finland
Facility Name
Investigational Site Number 246001
City
Turku
ZIP/Postal Code
20520
Country
Finland
Facility Name
Investigational Site Number 246003
City
Turku
ZIP/Postal Code
20520
Country
Finland
Facility Name
Investigational Site Number 250002
City
Agen Cedex
ZIP/Postal Code
47923
Country
France
Facility Name
Investigational Site Number 250003
City
Aix En Provence
ZIP/Postal Code
13616
Country
France
Facility Name
Investigational Site Number 250004
City
Albi
ZIP/Postal Code
81000
Country
France
Facility Name
Investigational Site Number 250005
City
Amiens Cedex 1
ZIP/Postal Code
80054
Country
France
Facility Name
Investigational Site Number 250006
City
Bayonne
ZIP/Postal Code
64109
Country
France
Facility Name
Investigational Site Number 250007
City
Bordeaux
ZIP/Postal Code
33000
Country
France
Facility Name
Investigational Site Number 250008
City
Caen
ZIP/Postal Code
14000
Country
France
Facility Name
Investigational Site Number 250009
City
CAHORS Cedex 9
ZIP/Postal Code
46005
Country
France
Facility Name
Investigational Site Number 250011
City
Chambery
ZIP/Postal Code
73000
Country
France
Facility Name
Investigational Site Number 250012
City
Colmar
ZIP/Postal Code
68024
Country
France
Facility Name
Investigational Site Number 250001
City
Dijon
ZIP/Postal Code
21000
Country
France
Facility Name
Investigational Site Number 250015
City
GRENOBLE cedex
ZIP/Postal Code
38043
Country
France
Facility Name
Investigational Site Number 250017
City
Le Mans Cedex 9
ZIP/Postal Code
72037
Country
France
Facility Name
Investigational Site Number 250018
City
Lille Cedex
ZIP/Postal Code
59037
Country
France
Facility Name
Investigational Site Number 250019
City
Limoges Cedex
ZIP/Postal Code
87000
Country
France
Facility Name
Investigational Site Number 250020
City
Lyon Cedex 03
ZIP/Postal Code
69275
Country
France
Facility Name
Investigational Site Number 250021
City
Marseille
ZIP/Postal Code
13008
Country
France
Facility Name
Investigational Site Number 250022
City
Metz-Tessy
ZIP/Postal Code
74370
Country
France
Facility Name
Investigational Site Number 250023
City
Montbeliard
ZIP/Postal Code
25200
Country
France
Facility Name
Investigational Site Number 250024
City
MONTPELLIER Cedex 5
ZIP/Postal Code
34295
Country
France
Facility Name
Investigational Site Number 250025
City
Mulhouse
ZIP/Postal Code
68100
Country
France
Facility Name
Investigational Site Number 250026
City
Nancy
Country
France
Facility Name
Investigational Site Number 250027
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
Investigational Site Number 250028
City
Nimes
ZIP/Postal Code
30029
Country
France
Facility Name
Investigational Site Number 250016
City
PARIS Cedex 13
ZIP/Postal Code
75013
Country
France
Facility Name
Investigational Site Number 250029
City
PARIS Cedex 20
ZIP/Postal Code
75970
Country
France
Facility Name
Investigational Site Number 250043
City
Pau
ZIP/Postal Code
64000
Country
France
Facility Name
Investigational Site Number 250031
City
Quimper
ZIP/Postal Code
29000
Country
France
Facility Name
Investigational Site Number 250032
City
Reims
ZIP/Postal Code
51100
Country
France
Facility Name
Investigational Site Number 250033
City
Rouen
ZIP/Postal Code
76000
Country
France
Facility Name
Investigational Site Number 250030
City
St Germain En Laye
ZIP/Postal Code
78100
Country
France
Facility Name
Investigational Site Number 250035
City
Strasbourg
ZIP/Postal Code
67091
Country
France
Facility Name
Investigational Site Number 250037
City
Toulouse
ZIP/Postal Code
31200
Country
France
Facility Name
Investigational Site Number 250038
City
Tours
ZIP/Postal Code
37044
Country
France
Facility Name
Investigational Site Number 250039
City
Valence Cedex 9
ZIP/Postal Code
26953
Country
France
Facility Name
Investigational Site Number 250040
City
Valenciennes
ZIP/Postal Code
59322
Country
France
Facility Name
Investigational Site Number 250013
City
VICHY Cedex
ZIP/Postal Code
03201
Country
France
Facility Name
Investigational Site Number 276001
City
Bergisch-Gladbach
ZIP/Postal Code
51429
Country
Germany
Facility Name
Investigational Site Number 276003
City
Berlin
ZIP/Postal Code
12099
Country
Germany
Facility Name
Investigational Site Number 276004
City
Freiburg
ZIP/Postal Code
79098
Country
Germany
Facility Name
Investigational Site Number 300002
City
Athens
ZIP/Postal Code
11521
Country
Greece
Facility Name
Investigational Site Number 300001
City
Athens
ZIP/Postal Code
11525
Country
Greece
Facility Name
Investigational Site Number 300005
City
Larissa
ZIP/Postal Code
41110
Country
Greece
Facility Name
Investigational Site Number 300004
City
Thessaloniki
ZIP/Postal Code
546 36
Country
Greece
Facility Name
Investigational Site Number 380008
City
Ancona
ZIP/Postal Code
60126
Country
Italy
Facility Name
Investigational Site Number 380009
City
Bari
ZIP/Postal Code
70124
Country
Italy
Facility Name
Investigational Site Number 380002
City
Gallarate (VA)
ZIP/Postal Code
21013
Country
Italy
Facility Name
Investigational Site Number 380001
City
Milano
ZIP/Postal Code
20132
Country
Italy
Facility Name
Investigational Site Number 380004
City
Milano
ZIP/Postal Code
20133
Country
Italy
Facility Name
Investigational Site Number 380006
City
Napoli
ZIP/Postal Code
80138
Country
Italy
Facility Name
Investigational Site Number 380005
City
Orbassano (TO)
ZIP/Postal Code
10043
Country
Italy
Facility Name
Investigational Site Number 578002
City
Bergen
ZIP/Postal Code
5021
Country
Norway
Facility Name
Investigational Site Number 578003
City
Namsos
ZIP/Postal Code
7800
Country
Norway
Facility Name
Investigational Site Number 578001
City
Oslo
ZIP/Postal Code
0407
Country
Norway
Facility Name
Investigational Site Number 724002
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Investigational Site Number 724010
City
Córdoba
ZIP/Postal Code
14004
Country
Spain
Facility Name
Investigational Site Number 724008
City
Donostia
ZIP/Postal Code
20014
Country
Spain
Facility Name
Investigational Site Number 724001
City
El Palmar (MURCIA)
ZIP/Postal Code
30120
Country
Spain
Facility Name
Investigational Site Number 724004
City
La Coruña
ZIP/Postal Code
15006
Country
Spain
Facility Name
Investigational Site Number 724006
City
Santiago de Compostela
ZIP/Postal Code
15706
Country
Spain
Facility Name
Investigational Site Number 724007
City
Valencia
ZIP/Postal Code
46009
Country
Spain
Facility Name
Investigational Site Number 724005
City
Valladolid
ZIP/Postal Code
47011
Country
Spain
Facility Name
Investigational Site Number 752001
City
Karlstad
ZIP/Postal Code
65185
Country
Sweden
Facility Name
Investigational Site Number 752003
City
Kungsbacka
ZIP/Postal Code
43480
Country
Sweden
Facility Name
Investigational Site Number 752002
City
Motala
ZIP/Postal Code
59185
Country
Sweden
Facility Name
Investigational Site Number 826-005
City
Birmingham
ZIP/Postal Code
B152TH
Country
United Kingdom
Facility Name
Investigational Site Number 826-003
City
Brighton
ZIP/Postal Code
BN25BE
Country
United Kingdom
Facility Name
Investigational Site Number 826-007
City
Glasgow
ZIP/Postal Code
G116NT
Country
United Kingdom
Facility Name
Investigational Site Number 826-008
City
Leeds
ZIP/Postal Code
LS13EX
Country
United Kingdom
Facility Name
Investigational Site Number 826-010
City
Leicester
ZIP/Postal Code
LE54PW
Country
United Kingdom
Facility Name
Investigational Site Number 826-009
City
London
ZIP/Postal Code
SW170QT
Country
United Kingdom
Facility Name
Investigational Site Number 826-001
City
Norwich
ZIP/Postal Code
nr34dg
Country
United Kingdom
Facility Name
Investigational Site Number 826-006
City
Romford
ZIP/Postal Code
RM70AG
Country
United Kingdom
Facility Name
Investigational Site Number 826-004
City
Salford
ZIP/Postal Code
M68HD
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
31005729
Citation
Coyle PK, Khatri B, Edwards KR, Meca-Lallana JE, Cavalier S, Rufi P, Benamor M, Poole EM, Robinson M, Gold R. Teriflunomide real-world evidence: Global differences in the phase 4 Teri-PRO study. Mult Scler Relat Disord. 2019 Jun;31:157-164. doi: 10.1016/j.msard.2019.03.022. Epub 2019 Mar 30.
Results Reference
derived
PubMed Identifier
29055438
Citation
Coyle PK, Khatri B, Edwards KR, Meca-Lallana JE, Cavalier S, Rufi P, Benamor M, Brette S, Robinson M, Gold R; Teri-PRO Trial Group. Patient-reported outcomes in relapsing forms of MS: Real-world, global treatment experience with teriflunomide from the Teri-PRO study. Mult Scler Relat Disord. 2017 Oct;17:107-115. doi: 10.1016/j.msard.2017.07.006. Epub 2017 Jul 6.
Results Reference
derived

Learn more about this trial

Using Patient Reported Outcomes (PROs) to Evaluate Teriflunomide Treatment in Relapsing Multiple Sclerosis (RMS) Patients

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