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Brimonidine Tartrate for the Treatment of Injection Related Erythema (BRITE)

Primary Purpose

Relapsing-Remitting Multiple Sclerosis (RRMS)

Status
Withdrawn
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
peginterferon beta-1a
brimonidine tartrate
Vehicle Gel
Sponsored by
Biogen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Relapsing-Remitting Multiple Sclerosis (RRMS) focused on measuring erythema, PLEGRIDY, injection site reaction (ISR), MS, RRMS

Eligibility Criteria

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

Key Inclusion Criteria:

  • RRMS patients naïve to treatment with SC interferon or oral and/or IV DMT for which PLEGRIDY is deemed necessary by the treating physician.
  • Patient willing and able to complete PSA and PAA questionnaires with minimal assistance.

Key Exclusion Criteria:

  • Known allergy to any interferon or any component of peginterferon beta-1a.
  • Patients with hypersensitivity to Brimonidine topical gel.
  • Patients with other skin disorders.
  • History of previous treatment with Brimonidine tartrate.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    brimonidine tartrate

    Vehicle Gel

    Arm Description

    Participants will apply gel to injection site erythema area after IRE development post peginterferon beta-1a injection

    Participants will apply vehicle gel placebo to injection site erythema area after IRE development post peginterferon beta-1a injection

    Outcomes

    Primary Outcome Measures

    Change in either Clinician's Erythema Assessment (CEA) or Patient Erythema Self-Assessment (PSA) scale measured as at least 1-grade improvement on CEA and/or at least 1-grade improvement on PSA scale assessed by the physician and participant
    Investigator will evaluate participant's erythema (redness) at the site of injection on a scale of 0 (clear) to 4 (severe) with higher scores indicating higher levels of erythema. Participants rate erythema at the site of injection on a scale of 0 (clear) to 4 (severe) with higher scores indicating higher levels of erythema.

    Secondary Outcome Measures

    Composite change in both CEA and PSA scale measured as at least 1-grade improvement on CEA and 1-grade improvement on PSA respectively
    This composite endpoint is considered to be sensitive enough and directly correlated with participants' satisfaction therapy outcomes.
    Composite change in both CEA and PSA scale measured as at least 2-grade improvement on CEA and 2-grade improvement on PSA
    Participant's self-assessment of satisfaction with the overall appearance of their skin by using a Patient's Assessment of Appearance (PAA) grading scale
    PAA satisfaction score will describe how satisfied the participants are with the overall appearance of skin on a scale of 0 (very satisfied) to 4 (very dissatisfied).

    Full Information

    First Posted
    October 1, 2015
    Last Updated
    April 21, 2016
    Sponsor
    Biogen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02568111
    Brief Title
    Brimonidine Tartrate for the Treatment of Injection Related Erythema
    Acronym
    BRITE
    Official Title
    Brimonidine Tartrate for the Treatment of Injection Related Erythema Associated With Sub-cutaneous Administration of Peginterferon Beta-1a (BRITE)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2016
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    February 2016 (undefined)
    Primary Completion Date
    August 2016 (Anticipated)
    Study Completion Date
    August 2016 (Anticipated)

    3. Sponsor/Collaborators

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

    4. Oversight

    5. Study Description

    Brief Summary
    The primary objective of this study is to evaluate the Injection Related Erythema (IRE) mitigation effect of a single administration of brimonidine tartrate in comparison with a vehicle gel (placebo). The secondary study objectives are to evaluate the IRE mitigation effect of a single administration of brimonidine tartrate in comparison with a vehicle gel on a more stringent definition scale, in accordance with the primary endpoint of the original brimonidine pivotal trials and participants' satisfaction with the overall appearance of their skin.
    Detailed Description
    Participants naïve to treatment with subcutaneous (SC) interferons or oral Disease Modifying Therapy (DMT) who are about to start PLEGRIDY PEN therapy will be screened for participation in this Phase IV trial. Participants will remain on Plegridy therapy as prescribed by their physician. Plegridy will not be provided to participants by Biogen as a part of this study.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Relapsing-Remitting Multiple Sclerosis (RRMS)
    Keywords
    erythema, PLEGRIDY, injection site reaction (ISR), MS, RRMS

    7. Study Design

    Primary Purpose
    Supportive Care
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    brimonidine tartrate
    Arm Type
    Experimental
    Arm Description
    Participants will apply gel to injection site erythema area after IRE development post peginterferon beta-1a injection
    Arm Title
    Vehicle Gel
    Arm Type
    Placebo Comparator
    Arm Description
    Participants will apply vehicle gel placebo to injection site erythema area after IRE development post peginterferon beta-1a injection
    Intervention Type
    Drug
    Intervention Name(s)
    peginterferon beta-1a
    Other Intervention Name(s)
    PEGylated Interferon Beta-1a, PEG IFN β-1a, Plegridy, BIIB017
    Intervention Description
    SC administration as prescribed by the physician- initial dose of 63 μg followed by 94 μg dose on day 15 and 125 μg on day 29
    Intervention Type
    Drug
    Intervention Name(s)
    brimonidine tartrate
    Other Intervention Name(s)
    Mirvaso
    Intervention Description
    Applied to injection site as specified in the treatment arm. Commercially available Mirvaso (Brimonidine tartrate) gel will be provided by Galderma.
    Intervention Type
    Drug
    Intervention Name(s)
    Vehicle Gel
    Intervention Description
    Matched placebo applied to injection site as specified in the treatment arm. Matching vehicle gel will be provided by Galderma.
    Primary Outcome Measure Information:
    Title
    Change in either Clinician's Erythema Assessment (CEA) or Patient Erythema Self-Assessment (PSA) scale measured as at least 1-grade improvement on CEA and/or at least 1-grade improvement on PSA scale assessed by the physician and participant
    Description
    Investigator will evaluate participant's erythema (redness) at the site of injection on a scale of 0 (clear) to 4 (severe) with higher scores indicating higher levels of erythema. Participants rate erythema at the site of injection on a scale of 0 (clear) to 4 (severe) with higher scores indicating higher levels of erythema.
    Time Frame
    Before and after 6 hours of gel application
    Secondary Outcome Measure Information:
    Title
    Composite change in both CEA and PSA scale measured as at least 1-grade improvement on CEA and 1-grade improvement on PSA respectively
    Description
    This composite endpoint is considered to be sensitive enough and directly correlated with participants' satisfaction therapy outcomes.
    Time Frame
    Before and after 6 hours of gel application
    Title
    Composite change in both CEA and PSA scale measured as at least 2-grade improvement on CEA and 2-grade improvement on PSA
    Time Frame
    Before and after 6 hours of gel application
    Title
    Participant's self-assessment of satisfaction with the overall appearance of their skin by using a Patient's Assessment of Appearance (PAA) grading scale
    Description
    PAA satisfaction score will describe how satisfied the participants are with the overall appearance of skin on a scale of 0 (very satisfied) to 4 (very dissatisfied).
    Time Frame
    Before and after 6 hours of gel application

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Key Inclusion Criteria: RRMS patients naïve to treatment with SC interferon or oral and/or IV DMT for which PLEGRIDY is deemed necessary by the treating physician. Patient willing and able to complete PSA and PAA questionnaires with minimal assistance. Key Exclusion Criteria: Known allergy to any interferon or any component of peginterferon beta-1a. Patients with hypersensitivity to Brimonidine topical gel. Patients with other skin disorders. History of previous treatment with Brimonidine tartrate. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Director
    Organizational Affiliation
    Biogen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Brimonidine Tartrate for the Treatment of Injection Related Erythema

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