CompletedPhase 2Relapsing MSNCT00220779

What it found

Missed its main goal

The main measure did not show a significant benefit.

MeasureEstimate95% CIp
Percentage of Relapse Free Subjects (no Relapse) 0.221
Percentage of Relapse Free Subjects (no Relapse) 0.471

Statistical analysis as posted on ClinicalTrials.gov.

What was tested

Treatment tested

  • Human immunoglobulin g

    Replacement therapy, immunomodulatory effects

Placebo or sham

  • Albumin (Human) 25%, United States Pharmacopeia (USP)

Results by group

Percentage of Relapse Free Subjects (no Relapse)

12 months

GroupValueIntervalNumber analysed
IGIV-C 0.2 g/kg bw/Infusion (2 mL/kg bw)56.8 percentage of participants44
IGIV-C 0.4 g/kg bw/Infusion (4 mL/kg bw)59.5 percentage of participants42
Placebo (0.1% Albumin) 4 mL/kg bw/Infusion68.3 percentage of participants41
IGIV-C 0.2 g/kg bw/Infusion (2 mL/kg bw)43.2 percentage of participants44
IGIV-C 0.4 g/kg bw/Infusion (4 mL/kg bw)40.5 percentage of participants42
Placebo (0.1% Albumin) 4 mL/kg bw/Infusion31.7 percentage of participants41

p = 0.221

Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.

Safety

GroupParticipants at riskSerious adverse eventsDeaths
IGIV-C 0.2 g/kg bw/Infusion (2 mL/kg bw)452 (4.4%)
IGIV-C 0.4 g/kg bw/Infusion (4 mL/kg bw)422 (4.8%)
Placebo (0.1% Albumin) 4 mL/kg bw/Infusion411 (2.4%)

As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.

What it measured

Main measures

  • Percentage of Relapse Free Subjects (no Relapse)

    12 months

    Relapses

Other measures (1)

  • Effect on the Combined Unique Lesion Activity on Magnetic Resonance Imaging (MRI)

    1 year

    MRI lesions

Who could take part

Relapsing MS · 18 to 55

Inclusion Criteria: * Symptoms consistent with Multiple Sclerosis up to 5 years * Diagnosis of multiple sclerosis according to McDonald criteria. * Diagnosis of relapsing-remitting (RR) multiple sclerosis (MS) (Defined as periods of worsening of neurological function with full recovery or with sequelae and residual deficit upon recovery; periods between disease relapses characterized by lack of disease progression * Kurtzke Extended Disability Status Scale (EDSS) \< 5.0 * At least 1 defined and documented relapse during the last year. Prior relapses where symptoms were due solely to a change in Bowel/Bladder Function or Cognitive Function will not be considered relapses as defined by this protocol and therefore not counted for inclusion into the study. * Females or males; females of childbearing potential must use adequate contraception * Clinically stable for at least 30 days prior to entry * At least 9 hyperintense T2 lesions on MRI or 1 Gd-enhancing lesion according to McDonald/Barkhof dissemination-in-space criteria at entry * Patients who have been informed about available treatments and decided, not to go on these treatments * Written informed consent obtained prior to the initiation of any study related procedures Exclusion Criteria: * Females who are pregnant, breast feeding, or if, of childbearing potential, unwilling to practice adequate contraception throughout the study * Prior therapy with azathioprine or any immunosuppressant agents within 6 months prior to study entry * Prior steroid, methylprednisolone or adrenocorticotropic hormone (ACTH) therapy within 30 days prior to study entry * Therapy with interferons (Betaseron®, Avonex®, Rebif®), glatiramer acetate (Copaxone®) or IGIV within 3 months prior to study entry or during the study * Use of an investigational compound within 6 months prior to study entry * Previous lymphoid irradiation or prior to treatment with cyclophosphamide, methotrexate or mitoxantrone * Cardiac insufficiency (NYHA III/IV), cardiomyopathy, significant cardiac dysrhythmia requiring treatment, unstable or advanced ischemic heart disease (CCS III or IV), or malignant hypertension * History of renal insufficiency or serum creatinine levels greater than 2.5 mg/dL (221 µmol/L) * Known selective immunoglobulin A (IgA) deficiency or known antibodies to IgA * Conditions whose symptoms and effects could alter protein catabolism and/or immunoglobulin G (IgG) utilization (e.g., protein-losing enteropathies, nephrotic syndrome) * Any medical, psychiatric or other circumstances which impede or restrict the patient's participation in the study or any contraindication to contrast enhanced MRI (e.g.,pacemaker, aortic clip or any metal implant) * Patients with clinically significant medical conditions including, but not limited to cardiac, pulmonary, hepatic, hematological (e.g. known coagulation disorder, history of deep venous thrombosis and/or pulmonary embolism), endocrine,or renal dysfunction, autoimmune disorders, severe environmental allergies or chronic infections

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

The trial will study 2 doses of Immune Globulin Intravenous (Human), 10% Caprylate/Chromatography Purified (IGIV-C) for the number of relapses that occur in a 1 year treatment period.

Papers

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Related trials

History

    1. Started

      Dec 2002

    2. Main results due

      Feb 2005

    3. Finished

      Feb 2005

    4. Results posted

      Apr 2014

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