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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
Biocad
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsing-remitting Multiple Sclerosis focused on measuring Equivalence, BCD-063, Copaxone-Teva

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

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:

    1. raising the general level of creatinine is more than 2 times over the upper limit of the normal range;
    2. 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

    First Posted
    April 19, 2016
    Last Updated
    September 8, 2021
    Sponsor
    Biocad
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    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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