Efficacy and Safety of BCD-063 and Copaxone-Teva in Patients With Relapsing-Remitting Multiple Sclerosis
Primary Purpose
Relapsing-remitting Multiple Sclerosis
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
BCD-063
Copaxone-Teva
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Relapsing-remitting Multiple Sclerosis focused on measuring Equivalence, BCD-063, Copaxone-Teva
Eligibility Criteria
Inclusion Criteria:
- Previously diagnosed multiple sclerosis (MS, McDonald criteria 2005);
- Disease more, than 1 year prior to inclusion;
- Presence of 1 relapse previously OR at least 1 Gd+ lesion in T1 regimen;
- EDSS 0-5,5;
- Absence of exacerbations for 4 weeks prior to inclusion;
- Readiness of patients (both genders) to use reliable methods of contraception (at least 1 barrier method in combination with: spermicides, intrauterine device/oral contraceptives)
Exclusion Criteria:
- Secondary progressive and primary progressive forms of multiple sclerosis;
- Other diseases (except multiple sclerosis), which may affect the assessment of the severity of the symptoms of the underlying disease: mask, amplify, modify the symptoms of the underlying disease or cause the clinical manifestations and changes in the data of laboratory and instrumental methods of investigation similar to those of multiple sclerosis;
- Any acute or chronic infection in the acute stage;
- Verified HIV, hepatitis B and C, syphilis;
Metabolic abnormalities (disorders), which manifest themselves as:
- raising the general level of creatinine is more than 2 times over the upper limit of the normal range;
- increase in transaminases (ALT, AST) or gamma-glutamyltransferase more than 2.5 times over the upper limit of the normal range;
- Violation of bone marrow function as reducing the total number of leukocytes <3000 /mcl, or a platelet count <125000 /mcl, hemoglobin concentration reduction, or <100 g / l;
- EDSS> 5,5 points;
- Liver disease in the stage of decompensation;
- Congestive heart failure, or not controlled by a drug therapy angina or arrhythmia;
- Pregnancy, breast-feeding or planned pregnancy during the study period;
- Use of any time prior to study any drug for modifying multiple sclerosis: interferon beta-1a, interferon beta-1b, glatiramer acetate, azathioprine, corticosteroids and immunomodulators (except for treating exacerbations corticosteroids), drugs and monoclonal antibodies, cytotoxic and / or immunosuppressive drugs, including, but not limited to drugs: mitoxantrone, cyclophosphamide, cyclosporine, fingolimod, cladribine; or total lymphoid irradiation system;
- System (IV, oral) corticosteroids within 30 days prior to the screening visit;
- Intolerance or allergy to glatiramer acetate, mannitol or other components of the BCD-063 preparations or Copaxone®-Teva;
- History of drug addiction, alcoholism and abuse of drugs;
- Contraindications to MRI (gadolinium allergic to or intolerant of closed spaces, any renal failure, which may interfere with the removal of gadolinium - an acute or chronic renal failure);
- Any malignancies, including in anamnesis;
- Vaccination within 4 weeks prior to study entry (prior to randomization);
- Participation in any other clinical trial within 30 days prior to screening or simultaneous participation in other clinical trials;
- Previous participation in this study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
BCD-063 (glatiramer acetate)
Copaxone-Teva (glatiramer acetate)
Placebo
Arm Description
Subcutaneous injection of glatiramer acetate BCD-063 subcutaneously every day
Subcutaneous injection of glatiramer acetate Copaxone-Teva subcutaneously every day
Subcutaneous injection of mannitol 40 mg, water for injections till 1 ml, every day
Outcomes
Primary Outcome Measures
Cumulative Unique Activity lesions
Cumulative Unique Activity (CUA) detected by MRI
Secondary Outcome Measures
Annual relapse rate
Relapse per patient per year
Proportion of patients without relapses
Proportion of patients without confirming relapses with magnetic resonance imaging (MRI)
Changing in volume of hypointense T1 lesions
Changing in volume of T2 lesions
Amount of new or extended lesions in T2 regimen
Patients proportion without lesions
T1 lesions amount
Expanded Disability Status Scale dynamics
Expanded Disability Status Scale (EDSS) scale count at 24th and 48th week, comparing count at week 24 to week 48 for each group
Progression on Multiple Sclerosis Functional Composite scale comparing to the baseline
Risk of relapse
Relative Risk Ratio for relapse in each group
Time till the first relapse
Multiple Sclerosis Functional Composite scale dynamics
Multiple Sclerosis Functional Composite (MSFC) scale count at 24th and 48th week, comparing count at week 24 to week 48 for each group
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02753088
Brief Title
Efficacy and Safety of BCD-063 and Copaxone-Teva in Patients With Relapsing-Remitting Multiple Sclerosis
Official Title
International, Multicentre, Double-blind, Placebo-controlled, Comparative, Randomized Study to Compare Efficacy and Safety of the Generic Drug BCD-063 (CJSC "BIOCAD", Russia) and Copaxone®-Teva ("Teva Pharmaceutical Industries Limited", Israel) in Patients With Relapsing-remitting Multiple Sclerosis
Study Type
Interventional
2. Study Status
Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
October 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
Biocad
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of the clinical study of the medicinal product for medical use: to compare efficacy and safety of the generic drug BCD-063 and Copaxone®-Teva in patients with relapsing-remitting multiple sclerosis.
Period of the clinical study of the medicinal product for medical use: from June 10, 2013 to March 23, 2016.
Number of patients, involved into the study of the medicinal product for medical use: 158 patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsing-remitting Multiple Sclerosis
Keywords
Equivalence, BCD-063, Copaxone-Teva
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
158 (Actual)
8. Arms, Groups, and Interventions
Arm Title
BCD-063 (glatiramer acetate)
Arm Type
Experimental
Arm Description
Subcutaneous injection of glatiramer acetate BCD-063 subcutaneously every day
Arm Title
Copaxone-Teva (glatiramer acetate)
Arm Type
Active Comparator
Arm Description
Subcutaneous injection of glatiramer acetate Copaxone-Teva subcutaneously every day
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subcutaneous injection of mannitol 40 mg, water for injections till 1 ml, every day
Intervention Type
Drug
Intervention Name(s)
BCD-063
Other Intervention Name(s)
glatiramer acetate
Intervention Type
Drug
Intervention Name(s)
Copaxone-Teva
Other Intervention Name(s)
glatiramer acetate
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
mannitol
Primary Outcome Measure Information:
Title
Cumulative Unique Activity lesions
Description
Cumulative Unique Activity (CUA) detected by MRI
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Annual relapse rate
Description
Relapse per patient per year
Time Frame
48 weeks
Title
Proportion of patients without relapses
Description
Proportion of patients without confirming relapses with magnetic resonance imaging (MRI)
Time Frame
48 weeks
Title
Changing in volume of hypointense T1 lesions
Time Frame
48 weeks
Title
Changing in volume of T2 lesions
Time Frame
48 weeks
Title
Amount of new or extended lesions in T2 regimen
Time Frame
48 weeks
Title
Patients proportion without lesions
Time Frame
48 weeks
Title
T1 lesions amount
Time Frame
48 weeks
Title
Expanded Disability Status Scale dynamics
Description
Expanded Disability Status Scale (EDSS) scale count at 24th and 48th week, comparing count at week 24 to week 48 for each group
Time Frame
Week 24, Week 48
Title
Progression on Multiple Sclerosis Functional Composite scale comparing to the baseline
Time Frame
48 weeks
Title
Risk of relapse
Description
Relative Risk Ratio for relapse in each group
Time Frame
48 weeks
Title
Time till the first relapse
Time Frame
48 weeks
Title
Multiple Sclerosis Functional Composite scale dynamics
Description
Multiple Sclerosis Functional Composite (MSFC) scale count at 24th and 48th week, comparing count at week 24 to week 48 for each group
Time Frame
24, 48 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Previously diagnosed multiple sclerosis (MS, McDonald criteria 2005);
Disease more, than 1 year prior to inclusion;
Presence of 1 relapse previously OR at least 1 Gd+ lesion in T1 regimen;
EDSS 0-5,5;
Absence of exacerbations for 4 weeks prior to inclusion;
Readiness of patients (both genders) to use reliable methods of contraception (at least 1 barrier method in combination with: spermicides, intrauterine device/oral contraceptives)
Exclusion Criteria:
Secondary progressive and primary progressive forms of multiple sclerosis;
Other diseases (except multiple sclerosis), which may affect the assessment of the severity of the symptoms of the underlying disease: mask, amplify, modify the symptoms of the underlying disease or cause the clinical manifestations and changes in the data of laboratory and instrumental methods of investigation similar to those of multiple sclerosis;
Any acute or chronic infection in the acute stage;
Verified HIV, hepatitis B and C, syphilis;
Metabolic abnormalities (disorders), which manifest themselves as:
raising the general level of creatinine is more than 2 times over the upper limit of the normal range;
increase in transaminases (ALT, AST) or gamma-glutamyltransferase more than 2.5 times over the upper limit of the normal range;
Violation of bone marrow function as reducing the total number of leukocytes <3000 /mcl, or a platelet count <125000 /mcl, hemoglobin concentration reduction, or <100 g / l;
EDSS> 5,5 points;
Liver disease in the stage of decompensation;
Congestive heart failure, or not controlled by a drug therapy angina or arrhythmia;
Pregnancy, breast-feeding or planned pregnancy during the study period;
Use of any time prior to study any drug for modifying multiple sclerosis: interferon beta-1a, interferon beta-1b, glatiramer acetate, azathioprine, corticosteroids and immunomodulators (except for treating exacerbations corticosteroids), drugs and monoclonal antibodies, cytotoxic and / or immunosuppressive drugs, including, but not limited to drugs: mitoxantrone, cyclophosphamide, cyclosporine, fingolimod, cladribine; or total lymphoid irradiation system;
System (IV, oral) corticosteroids within 30 days prior to the screening visit;
Intolerance or allergy to glatiramer acetate, mannitol or other components of the BCD-063 preparations or Copaxone®-Teva;
History of drug addiction, alcoholism and abuse of drugs;
Contraindications to MRI (gadolinium allergic to or intolerant of closed spaces, any renal failure, which may interfere with the removal of gadolinium - an acute or chronic renal failure);
Any malignancies, including in anamnesis;
Vaccination within 4 weeks prior to study entry (prior to randomization);
Participation in any other clinical trial within 30 days prior to screening or simultaneous participation in other clinical trials;
Previous participation in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roman A. Ivanov, PhD
Organizational Affiliation
Biocad
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Efficacy and Safety of BCD-063 and Copaxone-Teva in Patients With Relapsing-Remitting Multiple Sclerosis
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