Multiple Sclerosis Clinical Trial
An Extension Protocol for Multiple Sclerosis Patients Who Participated in Genzyme-Sponsored Studies of Alemtuzumab
Summary
This open-label, rater-blinded extension study enrolled participants who had relapsing-remitting multiple sclerosis (RRMS) and who participated in one of three prior Genzyme-sponsored studies of alemtuzumab (CAMMS223 [NCT00050778], CAMMS323 [NCT00530348] also known as CARE-MS I, or CAMMS324 [NCT00548405] also known as CARE-MS II). The purposes of this study were:
To examine the long term safety and efficacy of alemtuzumab treatment in participants who received alemtuzumab as their study treatment in one of the prior studies.
To examine the safety and efficacy of initial alemtuzumab treatment in this study for participants who received Rebif® (interferon beta-1a) as their study treatment in one of the prior studies.
To determine the safety and efficacy of additional "as needed" alemtuzumab treatment courses. This applied both to participants who received alemtuzumab for the first time in one of the prior studies or for the first time in this extension study.
Full Description
Alemtuzumab treatment was on a fixed schedule of two treatment courses a year apart for participants who received Rebif® in one of the prior Genzyme-sponsored studies of alemtuzumab or on an as needed schedule (e.g. due to documented evidence of resumed Multiple Sclerosis [MS] activity) for participants who had already completed a fixed schedule of treatment with alemtuzumab in one of the prior Genzyme-sponsored studies. There was no comparison treatment in this study. All participants were required to return to their study site every 3 months for neurologic and other assessments. In addition, safety-related laboratory tests and surveys were performed at least monthly. Participation in the extension study was at least 48 months from enrollment. Study duration could be extended to allow participants to remain in the study until a follow-up study was available in their country or through month 60 (month 72 in USA), whichever occurred first.
Eligibility Criteria
Inclusion Criteria:
1.Received alemtuzumab in CAMMS323 or CAMMS324, completed the 2-year study period, and had not subsequently received disease modifying treatments (other than glatiramer acetate or interferon beta); or
2.Received Rebif® in CAMMS323 or CAMMS324, completed the 2-year study period, and had not subsequently received alternative disease modifying treatments (other than glatiramer acetate or another interferon beta); or
3.Participated in CAMMS223.
NOTE: Criteria 1 and 2 above meant that participants who enrolled in CAMMS323 or CAMMS324 but did not complete the 2-year study period or went on to receive non-study drug DMTs after randomization were not eligible for inclusion in the Extension Study. Participants who enrolled in CAMMS324 after participation in CAMMS223 must meet criteria 1 or 2 to be eligible for inclusion in the Extension Study.
Exclusion Criteria:
Any alemtuzumab participant from CAMMS223, CAMMS323, or CAMMS324 who had received alemtuzumab off-label (ie, outside of one of the prior Genzyme-sponsored studies), or was participating in any other investigational study, unless approved by Genzyme. In addition, these participants must be screened for disqualifying safety concerns before receiving alemtuzumab retreatment.
Any Rebif® participants from CAMMS223, CAMMS323, or CAMMS324 who met any of the following criteria. In addition, these participants must be screened for disqualifying safety concerns before receiving alemtuzumab treatment. a) Did not wish to receive alemtuzumab; b) Ongoing participation in any other investigational study, unless approved by Genzyme; c) Had received alemtuzumab off-label (ie, outside of one of the prior Genzyme-sponsored studies); d) Known bleeding disorder or therapeutic anticoagulation; e) Diagnosis of idiopathic thrombocytopenia purpura or other autoimmune hematologic abnormality; f) History of malignancy, except basal cell skin carcinoma; g) Intolerance of pulsed corticosteroids, especially a history of steroid psychosis h) Significant Autoimmune disorder (other than MS); i) Major psychiatric disorder or epileptic seizures not adequately controlled by treatment; j) Active infection or high risk for infection k) Unwilling to use a reliable and acceptable contraceptive method during and for at least 6 months following each alemtuzumab treatment cycle (fertile participants only).
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There is 1 Location for this study
Cullman Alabama, , United States
Phoenix Arizona, , United States
Phoenix Arizona, , United States
Scottsdale Arizona, , United States
Tucson Arizona, , United States
Berkeley California, , United States
La Habra California, , United States
Los Angeles California, , United States
Pasadena California, , United States
Stanford California, , United States
Aurora Colorado, , United States
Fort Collins Colorado, , United States
New Haven Connecticut, , United States
Washington, D.C. District of Columbia, , United States
Jacksonville Florida, , United States
Maitland Florida, , United States
Pompano Beach Florida, , United States
Sarasota Florida, , United States
Tampa Florida, , United States
Tampa Florida, , United States
Atlanta Georgia, , United States
Atlanta Georgia, , United States
Chicago Illinois, , United States
Northbrook Illinois, , United States
Fort Wayne Indiana, , United States
Indianapolis Indiana, , United States
Des Moines Iowa, , United States
Des Moines Iowa, , United States
Kansas City Kansas, , United States
Lenexa Kansas, , United States
Lexington Kentucky, , United States
Louisville Kentucky, , United States
Baltimore Maryland, , United States
Boston Massachusetts, , United States
Worcester Massachusetts, , United States
Ann Arbor Michigan, , United States
Clinton Michigan, , United States
Detroit Michigan, , United States
Grand Rapids Michigan, , United States
Traverse City Michigan, , United States
Kansas City Missouri, , United States
Reno Nevada, , United States
Lebanon New Hampshire, , United States
Teaneck New Jersey, , United States
Albuquerque New Mexico, , United States
Latham New York, , United States
Mineola New York, , United States
New York New York, , United States
New York New York, , United States
Patchogue New York, , United States
Rochester New York, , United States
Syracuse New York, , United States
Chapel Hill North Carolina, , United States
Winston-Salem North Carolina, , United States
Cleveland Ohio, , United States
Uniontown Ohio, , United States
Oklahoma City Oklahoma, , United States
Allentown Pennsylvania, , United States
Providence Rhode Island, , United States
Cordova Tennessee, , United States
Franklin Tennessee, , United States
Knoxville Tennessee, , United States
Nashville Tennessee, , United States
Houston Texas, , United States
Round Rock Texas, , United States
San Antonio Texas, , United States
San Antonio Texas, , United States
Vienna Virginia, , United States
Seattle Washington, , United States
Buenos Aires , , Argentina
Concord New South Wales, , Australia
Kogarah New South Wales, , Australia
Liverpool New South Wales, , Australia
Westmead New South Wales, , Australia
Southport Queensland, , Australia
Hobart Tasmania, , Australia
Fitzroy Victoria, , Australia
Heidelberg Victoria, , Australia
Parkville Victoria, , Australia
Auchenflower QLD , , Australia
Woodville, SA , , Australia
Vienna , , Austria
Brussel , , Belgium
Esneux , , Belgium
Leuven , , Belgium
Porto Alegre , , Brazil
Recife, PE , , Brazil
São Paulo, SP , , Brazil
São Paulo,SP , , Brazil
Calgary Alberta, , Canada
Kingston Ontario, , Canada
Gatineau Quebec, , Canada
Greenfield Park Quebec, , Canada
Montreal Quebec, , Canada
London, ON , , Canada
Ottawa, Ontario , , Canada
Vancouver, BC , , Canada
Osijek , , Croatia
Rijeka , , Croatia
Varazdin , , Croatia
Zagreb , , Croatia
Zagreb , , Croatia
Zagreb , , Croatia
Brno , , Czechia
Hradec Kralove , , Czechia
Prague , , Czechia
Teplice , , Czechia
Copenhagen , , Denmark
Ã…rhus C , , Denmark
Dijon Cedex , , France
Paris Cedex 13 , , France
Rennes Cedex 9 , , France
Strasbourg Cedex , , France
Toulouse Cedex 9 , , France
Bonn DE, , Germany
Berlin-Mitte , , Germany
Dresden , , Germany
Frankfurt am Main , , Germany
Hamburg , , Germany
Hannover , , Germany
Hennigsdorf , , Germany
Ingolstadt , , Germany
München , , Germany
Rostock , , Germany
Ulm , , Germany
Wermsdorf , , Germany
Ein Karem, Jerusalem , , Israel
Ramat Gan , , Israel
Tel Aviv , , Israel
Cagliari , , Italy
Gallarate (Varese) , , Italy
Orbassano (TO) , , Italy
Roma , , Italy
Chihuahua, CHH , , Mexico
Mexico City, DFE , , Mexico
Den Bosch , , Netherlands
Sittard-Geleen , , Netherlands
Krakow , , Poland
Lodz , , Poland
Lublin , , Poland
Poznan , , Poland
Warsaw , , Poland
Kazan , , Russian Federation
Moscow , , Russian Federation
Moscow , , Russian Federation
Moscow , , Russian Federation
Nizhny Novgorod , , Russian Federation
Novosibirsk , , Russian Federation
Pyatigorsk , , Russian Federation
Samara , , Russian Federation
St. Petersburg , , Russian Federation
St. Petersburg , , Russian Federation
St. Petersburg , , Russian Federation
St. Petersburg , , Russian Federation
Ufa , , Russian Federation
Belgrade , , Serbia
Belgrade , , Serbia
Kragujevac , , Serbia
Nis , , Serbia
Novi Sad , , Serbia
Barcelona , , Spain
Madrid , , Spain
Málaga , , Spain
Seville , , Spain
Göteborg , , Sweden
Umeå , , Sweden
Kharkov , , Ukraine
Kiev-21 , , Ukraine
Kiev , , Ukraine
Lviv , , Ukraine
Bristol , , United Kingdom
Cambridge , , United Kingdom
Cardiff , , United Kingdom
London , , United Kingdom
Salford , , United Kingdom
Sheffield , , United Kingdom
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