Management Of The Infusion-Associated Reactions In RRMS Patients Treated With LEMTRADA (EMERALD)
Primary Purpose
Relapsing-remitting Multiple Sclerosis
Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Alemtuzumab GZ402673
cetirizine
ranitidine
methylprednisolone
methylprednisolone
aciclovir
esomeprazole
ibuprofen
paracetamol
Sponsored by
About this trial
This is an interventional treatment trial for Relapsing-remitting Multiple Sclerosis
Eligibility Criteria
Inclusion criteria:
- Adult RRMS patients who will be initiating treatment with Lemtrada according to local approved label.
- Signed written informed consent.
Exclusion criteria:
- Previously treated with LEMTRADA.
- Contraindications to LEMTRADA according to the labeling in the country.
- Any known contraindications to the symptomatic therapy used in the infusion management guidance based on their local approved label.
- Currently participating in another investigational interventional study.
- Any technical/administrative reason that makes it impossible to enroll the patient in the study.
- Patient is the Investigator or any Sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol.
- Patient who has withdrawn consent before enrollment (starting from signed informed consent form).
- Despite screening of the patient, enrolment is stopped at the study level.
- Woman of childbearing potential not protected by highly-effective method(s) of birth control (as defined in a local protocol amendment in case of specific local requirement) and/or who are unwilling or unable to be tested for pregnancy.
- Pregnancy (defined as positive beta human chorionic gonadotropin (β-HCG) blood test), breast feeding.
- Known infection with latent tuberculosis or active tuberculosis.
- Known infection with Hepatitis B, Hepatitis C.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Sites / Locations
- Investigational Site Number 056002
- Investigational Site Number 056001
- Investigational Site Number 250009
- Investigational Site Number 250005
- Investigational Site Number 250001
- Investigational Site Number 250006
- Investigational Site Number 250010
- Investigational Site Number 250007
- Investigational Site Number 250008
- Investigational Site Number 250004
- Investigational Site Number 250003
- Investigational Site Number 250002
- Investigational Site Number 528001
- Investigational Site Number 528002
- Investigational Site Number 724001
- Investigational Site Number 724005
- Investigational Site Number 724002
- Investigational Site Number 724006
- Investigational Site Number 724003
- Investigational Site Number 724004
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
GZ402673 LEMTRADA
Arm Description
First course: Intravenous infusion for 5 consecutive days. Second course (will occur 12 months after the first course of treatment): Intravenous infusion for 3 consecutive days.
Outcomes
Primary Outcome Measures
Proportion of IARs that are graded mild according to the Common Toxicity Criteria (CTC). An IAR is any adverse event occurring during or within 24 hours of LEMTRADA infusion.
Proportion of IARs
Proportion and type of serious IARs
Proportion by type (as defined by clinical symptoms)
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02205489
Brief Title
Management Of The Infusion-Associated Reactions In RRMS Patients Treated With LEMTRADA
Acronym
EMERALD
Official Title
Single Arm Study To Assess Comprehensive Infusion Guidance For The Management Of The Infusion- Associated Reactions (IARs) In Relapsing-Remitting Multiple Sclerosis (RRMS) Patients Treated With LEMTRADA
Study Type
Interventional
2. Study Status
Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
October 2014 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genzyme, a Sanofi Company
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Primary Objective:
To assess the distribution of IARs by severity grade when LEMTRADA is administered to RRMS patients who will be medicated according to specified algorithm designed to manage infusion associated reactions.
Detailed Description
The total duration of participation in the study per patient is approximately 13.5 months.
After the end of the second course of LEMTRADA treatment, patients will be followed by their physician in a regular healthcare setting until 48 months safety monitoring period is completed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsing-remitting 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
58 (Actual)
8. Arms, Groups, and Interventions
Arm Title
GZ402673 LEMTRADA
Arm Type
Experimental
Arm Description
First course: Intravenous infusion for 5 consecutive days. Second course (will occur 12 months after the first course of treatment): Intravenous infusion for 3 consecutive days.
Intervention Type
Drug
Intervention Name(s)
Alemtuzumab GZ402673
Other Intervention Name(s)
Lemtrada
Intervention Description
Pharmaceutical form:concentration for solution Route of administration: intravenous infusion
Intervention Type
Drug
Intervention Name(s)
cetirizine
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
ranitidine
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
methylprednisolone
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
methylprednisolone
Intervention Description
Pharmaceutical form:solution Route of administration: intravenous
Intervention Type
Drug
Intervention Name(s)
aciclovir
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
esomeprazole
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
ibuprofen
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
paracetamol
Intervention Description
Pharmaceutical form:tablet Route of administration: oral
Primary Outcome Measure Information:
Title
Proportion of IARs that are graded mild according to the Common Toxicity Criteria (CTC). An IAR is any adverse event occurring during or within 24 hours of LEMTRADA infusion.
Time Frame
up to 30 days in the first treatment course and the second treatment course, respectively
Title
Proportion of IARs
Time Frame
up to 30 days in the first treatment course and the second treatment course, respectively
Title
Proportion and type of serious IARs
Time Frame
up to 30 days in the first treatment course and the second treatment course, respectively
Title
Proportion by type (as defined by clinical symptoms)
Time Frame
up to 30 days in the first treatment course and the second treatment course, respectively
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Adult RRMS patients who will be initiating treatment with Lemtrada according to local approved label.
Signed written informed consent.
Exclusion criteria:
Previously treated with LEMTRADA.
Contraindications to LEMTRADA according to the labeling in the country.
Any known contraindications to the symptomatic therapy used in the infusion management guidance based on their local approved label.
Currently participating in another investigational interventional study.
Any technical/administrative reason that makes it impossible to enroll the patient in the study.
Patient is the Investigator or any Sub-investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol.
Patient who has withdrawn consent before enrollment (starting from signed informed consent form).
Despite screening of the patient, enrolment is stopped at the study level.
Woman of childbearing potential not protected by highly-effective method(s) of birth control (as defined in a local protocol amendment in case of specific local requirement) and/or who are unwilling or unable to be tested for pregnancy.
Pregnancy (defined as positive beta human chorionic gonadotropin (β-HCG) blood test), breast feeding.
Known infection with latent tuberculosis or active tuberculosis.
Known infection with Hepatitis B, Hepatitis C.
The above information is not intended to contain all considerations relevant to a patient'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 056002
City
Brugge
ZIP/Postal Code
8000
Country
Belgium
Facility Name
Investigational Site Number 056001
City
Brussels
ZIP/Postal Code
1070
Country
Belgium
Facility Name
Investigational Site Number 250009
City
Dijon
ZIP/Postal Code
21000
Country
France
Facility Name
Investigational Site Number 250005
City
Lille Cedex
ZIP/Postal Code
59037
Country
France
Facility Name
Investigational Site Number 250001
City
Lyon Bron
ZIP/Postal Code
69677
Country
France
Facility Name
Investigational Site Number 250006
City
Nancy
Country
France
Facility Name
Investigational Site Number 250010
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
Investigational Site Number 250007
City
Nimes
ZIP/Postal Code
30029
Country
France
Facility Name
Investigational Site Number 250008
City
PARIS Cedex 20
ZIP/Postal Code
75970
Country
France
Facility Name
Investigational Site Number 250004
City
RENNES Cedex 9
ZIP/Postal Code
35033
Country
France
Facility Name
Investigational Site Number 250003
City
Strasbourg Cedex 2
ZIP/Postal Code
67098
Country
France
Facility Name
Investigational Site Number 250002
City
Toulouse
ZIP/Postal Code
31200
Country
France
Facility Name
Investigational Site Number 528001
City
Breda
ZIP/Postal Code
4818CK
Country
Netherlands
Facility Name
Investigational Site Number 528002
City
Rotterdam
ZIP/Postal Code
3079DZ
Country
Netherlands
Facility Name
Investigational Site Number 724001
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Investigational Site Number 724005
City
Bilbao
ZIP/Postal Code
48013
Country
Spain
Facility Name
Investigational Site Number 724002
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Investigational Site Number 724006
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Investigational Site Number 724003
City
Sevilla
ZIP/Postal Code
41071
Country
Spain
Facility Name
Investigational Site Number 724004
City
Valencia
ZIP/Postal Code
46009
Country
Spain
12. IPD Sharing Statement
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Management Of The Infusion-Associated Reactions In RRMS Patients Treated With LEMTRADA
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