Real-Life Outcomes of Multiple Sclerosis Treatment With Rebif (RLO)
Primary Purpose
Multiple Sclerosis
Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
MACFIMS
MSQoL-54
Sponsored by
About this trial
This is an interventional other trial for Multiple Sclerosis focused on measuring Multiple Sclerosis, Patient-reported outcomes, Employment status, Quality of Life, Cognition, Rebif
Eligibility Criteria
Inclusion Criteria:
- Patients with CIS or definite MS (RRMS or SPMS);
- Patients seen at our Clinic within the last 2 years;
- Patients untreated, or treated with either low dose or high dose Rebif for at least two years;
- Patients between 18 to 60 years old at time of treatment initiation;
- EDSS ≤ 5.5 at treatment initiation;
- Patients able to read and write in French.
Exclusion Criteria:
- Patients diagnosed with primary progressive MS;
- Patients treated with other DMD, other than Rebif;
- Co-existence of other diseases that could influence outcomes.
Sites / Locations
- CHUM
Arms of the Study
Arm 1
Arm 2
Arm Type
Other
Other
Arm Label
Treatment with Rebif
Never treated
Arm Description
Patients treated with Rebif only, for at least two years, and for up to 18 years
Patients never treated with a disease-modifying drug (DMD)
Outcomes
Primary Outcome Measures
Employment status
The primary endpoint is the proportion of patients in each group belonging in the employment categories listed below:
Never worked
Work status unchanged
Work status changed: Not due to MS / Due to MS
Sub-groups:
Full employment with accommodations
Part-time employment
Complete invalidity
Patient retired
Secondary Outcome Measures
Quality of life
The MSQoL-54 scores of the Rebif treated patient group compared to the never treated patient group.
Cognitive function
The comparison of the score of each patient group using the MACFIMS cognitive function tests.
Full Information
NCT ID
NCT02377323
First Posted
July 31, 2014
Last Updated
May 23, 2017
Sponsor
Centre hospitalier de l'Université de Montréal (CHUM)
Collaborators
EMD Serono Canada Inc.
1. Study Identification
Unique Protocol Identification Number
NCT02377323
Brief Title
Real-Life Outcomes of Multiple Sclerosis Treatment With Rebif
Acronym
RLO
Official Title
Real-Life Outcomes of Multiple Sclerosis Treatment With Rebif on Employment Status, Quality of Life and Cognition: a Pilot Study
Study Type
Interventional
2. Study Status
Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
January 2014 (Actual)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
December 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Centre hospitalier de l'Université de Montréal (CHUM)
Collaborators
EMD Serono Canada Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine whether Rebif has an impact on employment status, quality of life and cognition.
Detailed Description
With this study the investigator plans to evaluate the impact of Rebif on the Real-Life Outcomes (RLO) of Multiple Sclerosis (MS) patients followed at the Clinic within the last two years, and with a follow-up of up to 18 years.
The investigator will evaluate the employment outcomes with a questionnaire designed to document eventual changes in the employment status and other variables in the work conditions of the study participants.
Furthermore, to evaluate the quality of life (QoL),eligible patients will be asked to complete the Multiple Sclerosis Quality of Life (MSQOL)-54 Instrument, contains 52 items distributed into 12 scales, and two single items. This MS-specific QoL assessment tool uses the Short Form Health Survey (SF-36) as its generic core measure and includes 18 additional items under the following categories: health distress, sexual function, satisfaction with sexual function (one item), overall quality of life, cognitive function, energy, pain, and social function.
A sub-group of patients will be selected to come to the clinic to undergo the cognitive portion of the study, using the well-known and validated battery of tests named Minimal Assessment of Cognitive Function in MS (MACFIMS battery).
Socio-demographic data on education level, marital and family life will also be collected. All questionnaires (including the MSQoL-54) will be available by means of an online survey.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
Multiple Sclerosis, Patient-reported outcomes, Employment status, Quality of Life, Cognition, Rebif
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
296 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment with Rebif
Arm Type
Other
Arm Description
Patients treated with Rebif only, for at least two years, and for up to 18 years
Arm Title
Never treated
Arm Type
Other
Arm Description
Patients never treated with a disease-modifying drug (DMD)
Intervention Type
Other
Intervention Name(s)
MACFIMS
Intervention Description
Cognitive evaluation of 50 participants
Intervention Type
Other
Intervention Name(s)
MSQoL-54
Intervention Description
Quality of life questionnaires
Primary Outcome Measure Information:
Title
Employment status
Description
The primary endpoint is the proportion of patients in each group belonging in the employment categories listed below:
Never worked
Work status unchanged
Work status changed: Not due to MS / Due to MS
Sub-groups:
Full employment with accommodations
Part-time employment
Complete invalidity
Patient retired
Time Frame
baseline
Secondary Outcome Measure Information:
Title
Quality of life
Description
The MSQoL-54 scores of the Rebif treated patient group compared to the never treated patient group.
Time Frame
Baseline
Title
Cognitive function
Description
The comparison of the score of each patient group using the MACFIMS cognitive function tests.
Time Frame
Baseline
Other Pre-specified Outcome Measures:
Title
Clinical variables - Composite measure
Description
The comparison of the clinical variables such as the Kurtzke Expanded Disability Status Scale (EDSS), relapse-rate, MS course and, when available, magnetic resonance imaging (MRI) of each patient group.
Time Frame
baseline
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with CIS or definite MS (RRMS or SPMS);
Patients seen at our Clinic within the last 2 years;
Patients untreated, or treated with either low dose or high dose Rebif for at least two years;
Patients between 18 to 60 years old at time of treatment initiation;
EDSS ≤ 5.5 at treatment initiation;
Patients able to read and write in French.
Exclusion Criteria:
Patients diagnosed with primary progressive MS;
Patients treated with other DMD, other than Rebif;
Co-existence of other diseases that could influence outcomes.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pierre Duquette, MD
Organizational Affiliation
Centre hospitalier de l'Université de Montréal (CHUM)
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHUM
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H2L 4M1
Country
Canada
12. IPD Sharing Statement
Citations:
PubMed Identifier
19847899
Citation
Trojano M, Pellegrini F, Paolicelli D, Fuiani A, Zimatore GB, Tortorella C, Simone IL, Patti F, Ghezzi A, Zipoli V, Rossi P, Pozzilli C, Salemi G, Lugaresi A, Bergamaschi R, Millefiorini E, Clerico M, Lus G, Vianello M, Avolio C, Cavalla P, Lepore V, Livrea P, Comi G, Amato MP; Italian Multiple Sclerosis Database Network (MSDN) Group. Real-life impact of early interferon beta therapy in relapsing multiple sclerosis. Ann Neurol. 2009 Oct;66(4):513-20. doi: 10.1002/ana.21757.
Results Reference
background
PubMed Identifier
23244804
Citation
Glanz BI, Degano IR, Rintell DJ, Chitnis T, Weiner HL, Healy BC. Work productivity in relapsing multiple sclerosis: associations with disability, depression, fatigue, anxiety, cognition, and health-related quality of life. Value Health. 2012 Dec;15(8):1029-35. doi: 10.1016/j.jval.2012.07.010. Epub 2012 Oct 25.
Results Reference
background
PubMed Identifier
20350069
Citation
Krokavcova M, Nagyova I, Van Dijk JP, Rosenberger J, Gavelova M, Middel B, Szilasiova J, Gdovinova Z, Groothoff JW. Self-rated health and employment status in patients with multiple sclerosis. Disabil Rehabil. 2010;32(21):1742-8. doi: 10.3109/09638281003734334.
Results Reference
background
PubMed Identifier
12897387
Citation
Roessler RT, Rumrill PD Jr. Multiple sclerosis and employment barriers: a systemic perspective on diagnosis and intervention. Work. 2003;21(1):17-23.
Results Reference
background
Citation
Beatty WW, Hames KA, Blanco CR, et al. Demographic, clinical and cognitive characteristics of multiple sclerosis patients who continue to work. J Neurol Rehab 1995; 9:167-73.
Results Reference
background
PubMed Identifier
20084515
Citation
Simmons RD, Tribe KL, McDonald EA. Living with multiple sclerosis: longitudinal changes in employment and the importance of symptom management. J Neurol. 2010 Jun;257(6):926-36. doi: 10.1007/s00415-009-5441-7. Epub 2010 Jan 19.
Results Reference
background
PubMed Identifier
3156140
Citation
Larocca N, Kalb R, Scheinberg L, Kendall P. Factors associated with unemployment of patients with multiple sclerosis. J Chronic Dis. 1985;38(2):203-10. doi: 10.1016/0021-9681(85)90093-1.
Results Reference
background
PubMed Identifier
16193900
Citation
Smith MM, Arnett PA. Factors related to employment status changes in individuals with multiple sclerosis. Mult Scler. 2005 Oct;11(5):602-9. doi: 10.1191/1352458505ms1204oa.
Results Reference
background
PubMed Identifier
7572062
Citation
Verdier-Taillefer MH, Sazdovitch V, Borgel F, Cesaro P, Kurtz A, Millet MF, Roullet E, Marteau R. Occupational environment as risk factor for unemployment in multiple sclerosis. Acta Neurol Scand. 1995 Jul;92(1):59-62. doi: 10.1111/j.1600-0404.1995.tb00467.x.
Results Reference
background
PubMed Identifier
20802029
Citation
Glad SB, Nyland H, Aarseth JH, Riise T, Myhr KM. How long can you keep working with benign multiple sclerosis? J Neurol Neurosurg Psychiatry. 2011 Jan;82(1):78-82. doi: 10.1136/jnnp.2010.210732. Epub 2010 Aug 27.
Results Reference
background
PubMed Identifier
1823781
Citation
Rao SM, Leo GJ, Ellington L, Nauertz T, Bernardin L, Unverzagt F. Cognitive dysfunction in multiple sclerosis. II. Impact on employment and social functioning. Neurology. 1991 May;41(5):692-6. doi: 10.1212/wnl.41.5.692.
Results Reference
background
PubMed Identifier
14617435
Citation
Benito-Leon J, Morales JM, Rivera-Navarro J, Mitchell A. A review about the impact of multiple sclerosis on health-related quality of life. Disabil Rehabil. 2003 Dec 2;25(23):1291-303. doi: 10.1080/09638280310001608591.
Results Reference
background
PubMed Identifier
1449401
Citation
Rudick RA, Miller D, Clough JD, Gragg LA, Farmer RG. Quality of life in multiple sclerosis. Comparison with inflammatory bowel disease and rheumatoid arthritis. Arch Neurol. 1992 Dec;49(12):1237-42. doi: 10.1001/archneur.1992.00530360035014.
Results Reference
background
PubMed Identifier
17310341
Citation
Kobelt G, Berg J, Lindgren P, Kerrigan J, Russell N, Nixon R. Costs and quality of life of multiple sclerosis in the United Kingdom. Eur J Health Econ. 2006 Sep;7 Suppl 2:S96-104. doi: 10.1007/s10198-006-0380-z.
Results Reference
background
PubMed Identifier
15777478
Citation
Solari A. Role of health-related quality of life measures in the routine care of people with multiple sclerosis. Health Qual Life Outcomes. 2005 Mar 18;3:16. doi: 10.1186/1477-7525-3-16.
Results Reference
background
PubMed Identifier
16643953
Citation
Amato MP, Zipoli V, Portaccio E. Multiple sclerosis-related cognitive changes: a review of cross-sectional and longitudinal studies. J Neurol Sci. 2006 Jun 15;245(1-2):41-6. doi: 10.1016/j.jns.2005.08.019. Epub 2006 Apr 27.
Results Reference
background
PubMed Identifier
2027484
Citation
Rao SM, Leo GJ, Bernardin L, Unverzagt F. Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology. 1991 May;41(5):685-91. doi: 10.1212/wnl.41.5.685.
Results Reference
background
PubMed Identifier
7848126
Citation
Amato MP, Ponziani G, Pracucci G, Bracco L, Siracusa G, Amaducci L. Cognitive impairment in early-onset multiple sclerosis. Pattern, predictors, and impact on everyday life in a 4-year follow-up. Arch Neurol. 1995 Feb;52(2):168-72. doi: 10.1001/archneur.1995.00540260072019.
Results Reference
background
PubMed Identifier
9117376
Citation
Kujala P, Portin R, Ruutiainen J. The progress of cognitive decline in multiple sclerosis. A controlled 3-year follow-up. Brain. 1997 Feb;120 ( Pt 2):289-97. doi: 10.1093/brain/120.2.289.
Results Reference
background
PubMed Identifier
2086726
Citation
Jennekens-Schinkel A, Laboyrie PM, Lanser JB, van der Velde EA. Cognition in patients with multiple sclerosis After four years. J Neurol Sci. 1990 Nov;99(2-3):229-47. doi: 10.1016/0022-510x(90)90158-j.
Results Reference
background
PubMed Identifier
11594918
Citation
Amato MP, Ponziani G, Siracusa G, Sorbi S. Cognitive dysfunction in early-onset multiple sclerosis: a reappraisal after 10 years. Arch Neurol. 2001 Oct;58(10):1602-6. doi: 10.1001/archneur.58.10.1602.
Results Reference
background
PubMed Identifier
16981607
Citation
Benedict RH, Cookfair D, Gavett R, Gunther M, Munschauer F, Garg N, Weinstock-Guttman B. Validity of the minimal assessment of cognitive function in multiple sclerosis (MACFIMS). J Int Neuropsychol Soc. 2006 Jul;12(4):549-58. doi: 10.1017/s1355617706060723.
Results Reference
background
PubMed Identifier
10467384
Citation
Fischer JS, LaRocca NG, Miller DM, Ritvo PG, Andrews H, Paty D. Recent developments in the assessment of quality of life in multiple sclerosis (MS). Mult Scler. 1999 Aug;5(4):251-9. doi: 10.1177/135245859900500410.
Results Reference
background
PubMed Identifier
7613530
Citation
Vickrey BG, Hays RD, Harooni R, Myers LW, Ellison GW. A health-related quality of life measure for multiple sclerosis. Qual Life Res. 1995 Jun;4(3):187-206. doi: 10.1007/BF02260859.
Results Reference
background
Learn more about this trial
Real-Life Outcomes of Multiple Sclerosis Treatment With Rebif
We'll reach out to this number within 24 hrs