Extension to the MAGNIFY MS Trial on Mavenclad® (Magnify MS Extension)
A 2-year Extension Study to Evaluate Long-term Effectiveness of Mavenclad® in Participants Who Have Completed Trial MS700568_0022 (MAGNIFY MS) (Magnify MS Extension)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Liverpool, Australia
- Liverpool Hospital
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New Lambton, Australia
- John Hunter Hospital
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Klagenfurt, Austria
- Klinikum Klagenfurt
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Salzburg, Austria
- Paracelsus Medical University Salzburg
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Edmonton, Canada
- University of Alberta
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London, Canada
- Children's Hospital, London Health Sciences Centre- Pediatrics
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Montreal, Canada
- Montreal Neurological Hospital
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Vancouver, Canada
- MS Clinical Trials Group
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Brno, Czechia
- Fakultni nemocnice Brno
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Brno, Czechia
- Fakultni nemocnice u sv. Anny v Brne
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Hradec Kralove, Czechia
- FN Hradec Kralove
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Pardubice, Czechia
- Nemocnice Pardubickeho kraje, a.s. Pardubicka nemocnice
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Praha 5, Czechia
- Fakultni nemocnice v Motole
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Tampere, Finland
- Tampere University Hospital
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Turku, Finland
- Turku University Hospital
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Montpellier, France
- CHU de Montpellier Hôpital Gui de Chauliac- Département de Neurologie
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Nice, France
- CHU Nice - Hôpital Pasteur
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Nimes, France
- CHU Nîmes
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Poissy Cedex, France
- CHU de Poissy
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Rennes Cedex 9, France
- CHU de Pontchaillou
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Strasbourg Cedex, France
- Hôpital Civil
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Dresden, Germany
- Universitatsklinikum Carl Gustav Carus
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Essen, Germany
- Universitätsklinikum Essen
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Hamburg, Germany
- Neurologische Praxis Eppendorf
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Hannover, Germany
- Medizinische Hochschule Hannover
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Leipzig, Germany
- Klinik und Poliklinik für Neurologie
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Szeged, Hungary
- Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpo
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Ashkelon, Israel
- Barzilai Medical Center
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Haifa, Israel
- Rambam MC
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Tel-Hashomer, Israel
- Sheba Medical Centre
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Chieti, Italy
- Università "G. D'Annunzio" Chieti-Pescara Ospedale Cliniciz
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Napoli, Italy
- Dipartimento di internistica clinica e sperimentale "Flaviano Magrassi"Università degli studi della Campania "Luigi Vanvitelli"
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Pozzilli, Italy
- IRCSS Neuromed Istituto Neurologico Mediterraneo
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Katowice, Poland
- Samodzielny Publiczny Szpital Kliniczny nr 7 SUM
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Lublin, Poland
- Indywidualna Praktyka Lekarska prof. Konrad Rejdak
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Zabrze, Poland
- Samodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Stanislawa Szyszko SUM w Katowicach
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Baracaldo, Spain
- Hospital De Cruces
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Castilleja de la Cuesta, Spain
- Hospital Vithas Nisa Sevilla
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Madrid, Spain
- Hospital Clinico San Carlos
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Majadahonda, Spain
- Hospital Universitario Puerta de Hierro Majadahonda
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Valencia, Spain
- Hospital La Fe
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Göteborg, Sweden
- Sahlgrenska Universitetssjukhus
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Stockholm, Sweden
- Akademiskt Specialist Centrum - Centrum för Neurologi,
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Birmingham, United Kingdom
- Queen Elizabeth Hospital
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Cardiff, United Kingdom
- University Hospital of Wales
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Sheffield, United Kingdom
- Sheffield Teaching Hospitals Sheffield
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants of the MAGNIFY Multiple Sclerosis (MS) trial who received at least a single dose of cladribine tablets during the MAGNIFY MS trial and data on Magnetic resonance imaging (MRI) is available/acquired from at least parent study Month 18 or Month 24 visit and Expanded Disability Status Scale (EDSS) and relapse from parent study Month 24 visit
- Capable of giving signed informed consent
Exclusion Criteria:
- Participant is considered by the Investigator, for any reason, to be an unsuitable candidate for the study
- Participation in other studies/trials
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Mavenclad®
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No intervention was administered as a part of this study.
Participants who had received Mavenclad® up to 2 years (Year 1 and 2) in the parent study MS700568_0022 (NCT03364036) were enrolled into this extension study and will be assessed up to 2 years follow-up (Year 3 and 4).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With No Evidence of Disease Activity (Three Parameter [NEDA-3]) During Year 3 to 4
Time Frame: Year 3 to 4 after the initial dose of Mavenclad® tablets in parent study
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The definition of NEDA-3 encompasses a combination of the following 3 related measures of disease activity: No relapses, no confirmed disability progression sustained for 12 weeks as measured on EDSS, and no magnetic resonance imaging (MRI) disease activity, defined as no gadolinium-enhancing (GdE) lesions and no new or enlarging T2 lesions.
NEDA-3 was analyzed with the Kaplan-Meier (KM) time-to-event method to reduce the impact of unknown/missing information.
EDSS assesses disability in 8 functional systems.
An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated.
An EDSS progression was defined as an increase of the EDSS score of at least 1.5 point compared to baseline for participants with a baseline EDSS of 0. For participants with an EDSS score between 0.5 and 4.5 at baseline (SD1), EDSS progression was defined as an increase of at least 1 point.
For participants with baseline EDSS score of 5, EDSS progression was defined as an increase of at least 0.5.
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Year 3 to 4 after the initial dose of Mavenclad® tablets in parent study
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants With No Evidence of Disease Activity (Three Parameter [NEDA-3]) at Year 3 and at Year 4
Time Frame: At Year 3 and 4 after the initial dose of Mavenclad® tablets in parent study
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The definition of NEDA-3 encompasses a combination of the following 3 related measures of disease activity: No relapses, no confirmed disability progression sustained for 12 weeks as measured on EDSS, and no magnetic resonance imaging (MRI) disease activity, defined as no gadolinium-enhancing (GdE) lesions and no new or enlarging T2 lesions.
NEDA-3 was analyzed with the Kaplan-Meier (KM) time-to-event method to reduce the impact of unknown/missing information.
EDSS assesses disability in 8 functional systems.
An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated.
An EDSS progression was defined as an increase of the EDSS score of at least 1.5 point compared to baseline for participants with a baseline EDSS of 0. For participants with an EDSS score between 0.5 and 4.5 at baseline (SD1), EDSS progression was defined as an increase of at least 1 point.
For participants with baseline EDSS score of 5, EDSS progression was defined as an increase of at least 0.5.
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At Year 3 and 4 after the initial dose of Mavenclad® tablets in parent study
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Percentage of Participants With No Evidence of Disease Activity (Three Parameter [NEDA-3]) After the Start of Study Medication During the Parent Study Until the End of Year 3 and Year 4
Time Frame: After the initial dose of Mavenclad® tablets in parent study until the end of Year 3 and 4
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The definition of NEDA-3 encompasses a combination of the following 3 related measures of disease activity: No relapses, no confirmed disability progression sustained for 12 weeks as measured on EDSS, and no magnetic resonance imaging (MRI) disease activity, defined as no gadolinium-enhancing (GdE) lesions and no new or enlarging T2 lesions.
NEDA-3 was analyzed with the Kaplan-Meier (KM) time-to-event method to reduce the impact of unknown/missing information.
EDSS assesses disability in 8 functional systems.
An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated.
An EDSS progression was defined as an increase of the EDSS score of at least 1.5 point compared to baseline for participants with a baseline EDSS of 0. For participants with an EDSS score between 0.5 and 4.5 at baseline (SD1), EDSS progression was defined as an increase of at least 1 point.
For participants with baseline EDSS score of 5, EDSS progression was defined as an increase of at least 0.5.
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After the initial dose of Mavenclad® tablets in parent study until the end of Year 3 and 4
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Percentage of Participants Remaining Three Parameter No Evidence of Disease Activity (NEDA-3) During Year 3 or 4 Among Those With NEDA-3 During Year 1 or 2
Time Frame: At Year 3 and 4 after the initial dose of Mavenclad® tablets in parent study
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The definition of NEDA-3 encompasses a combination of the following 3 related measures of disease activity: No relapses, no confirmed disability progression sustained for 12 weeks as measured on EDSS, and no magnetic resonance imaging (MRI) disease activity, defined as no gadolinium-enhancing (GdE) lesions and no new or enlarging T2 lesions.
NEDA-3 was analyzed with the Kaplan-Meier (KM) time-to-event method to reduce the impact of unknown/missing information.
EDSS assesses disability in 8 functional systems.
An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated.
An EDSS progression was defined as an increase of the EDSS score of at least 1.5 point compared to baseline for participants with a baseline EDSS of 0. For participants with an EDSS score between 0.5 and 4.5 at baseline (SD1), EDSS progression was defined as an increase of at least 1 point.
For participants with baseline EDSS score of 5, EDSS progression was defined as an increase of at least 0.5.
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At Year 3 and 4 after the initial dose of Mavenclad® tablets in parent study
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Time to First Disease Activity During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad tablets in parent study until the end of extension study (approximately 2 years)
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Time to first disease activity is defined as the time to first occurrence of either qualifying relapse, or 6-month confirmed disability progression (6mCDP), or new or enlarging T2-hyperintense lesions (active T2 lesions), or new T1 Gd+ lesions.
The 6MCDP during Extension Study Period is defined as sustained increase in EDSS score that started during the Period.
Six-month CDP was considered.
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From Month 24 after the initial dose of Mavenclad tablets in parent study until the end of extension study (approximately 2 years)
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Time to First Disease Activity During up to Parent and Extension Study Period (4 Years)
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to first disease activity is defined as the time to first occurrence of either qualifying relapse, or 6MCDP, or new or enlarging T2-hyperintense lesions (active T2 lesions), or new T1 Gd+ lesions.
The 6MCDP during Extension Study Period is defined as sustained increase in EDSS score that started during the Period.
Six-month CDP was considered.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to First New or Enlarging T2 Lesion During Extension Study Period
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time taken for newly enlarging T2 lesions to show up is measured by follow-up MRI.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to First New T1 Gadolinium Enhancing (Gd+) Lesion During Parent and Extension Study Period
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time taken for newly enlarging T1 Gadolinium Enhancing (Gd+) Lesion to show up is measured by follow-up MRI.
Kaplan - Meier estimates were used for calculation of data.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to First Confirmed Disability Progression (CDP) as Measured by Expanded Disability Status Scale (EDSS) During Parent and Extension Study Period
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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EDSS assesses disability in 8 functional systems.
An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated.
An EDSS progression was defined as an increase of the EDSS score of at least 1.5 point compared to baseline for participants with a baseline EDSS of 0. For participants with an EDSS score between 0.5 and 4.5 at baseline (SD1), EDSS progression was defined as an increase of at least 1 point.
For participants with baseline EDSS score of 5, EDSS progression was defined as an increase of at least 0.5.
Kaplan - Meier estimates were used for calculation of data.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to First Qualifying Relapse During Parent and Extension Study Period
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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A qualifying relapse is defined as new, worsening or recurrent neurological symptoms attributed to Multiple Sclerosis (MS) that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days.
Kaplan - Meier estimates were used for calculation of data.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to Recurrent Qualifying Relapse During Parent and Extension Study Period
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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A qualifying relapse is defined as new, worsening or recurrent neurological symptoms attributed to Multiple Sclerosis (MS) that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days.
Kaplan - Meier estimates were used for calculation of data.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to Treatment Start With Other Disease Modifying Drugs (DMDs) During Parent and Extension Study Period
Time Frame: From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to Treatment Start with Other Disease Modifying Drugs (DMDs) During Parent and Extension Study Period.
Kaplan - Meier estimates were used for calculation of data.
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From the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 4 years)
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Time to First New or Enlarging T2 Lesion During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time taken for newly enlarging T2 Gadolinium Enhancing (Gd+) Lesion to show up is measured by follow-up MRI.
Kaplan - Meier estimates were used for calculation of data.
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From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time to First New T1 Gadolinium Enhancing (Gd+) Lesion During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time taken for newly enlarging T1 Gadolinium Enhancing (Gd+) Lesion to show up is measured by follow-up MRI.
Kaplan - Meier estimates were used for calculation of data.
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From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time to First Confirmed Disability Progression (CDP) as Measured by Expanded Disability Status Scale (EDSS) During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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The EDSS is an ordinal clinical rating scale in half-point increments.
It assesses the following eight functional systems, areas of the central nervous system that control bodily functions: Pyramidal (ability to walk), Cerebellar (coordination), Brain stem (speech and swallowing), Sensory (touch and pain), Bowel and bladder functions, Visual, Mental, Other (includes any other neurological findings due to Multiple Sclerosis [MS]).
EDSS overall score ranging from 0 (normal) to 10 (death due to MS).
The 6MCDP during Extension Study Period is defined as sustained increase in EDSS score that started during the Period.
Six-month CDP was considered.
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From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time to First Qualifying Relapse During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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A qualifying relapse is defined as new, worsening or recurrent neurological symptoms attributed to Multiple Sclerosis (MS) that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days.
Kaplan - Meier estimates were used for calculation of data.
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From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time to Recurrent Qualifying Relapse During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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A qualifying relapse is defined as new, worsening or recurrent neurological symptoms attributed to Multiple Sclerosis (MS) that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days.
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From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time to Treatment Start With Other Disease Modifying Drugs (DMDs) During Extension Study Period
Time Frame: From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Time to Treatment Start with Other Disease Modifying Drugs (DMDs) During Parent and Extension Study Period.
Kaplan - Meier estimates were used for calculation of data.
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From Month 24 after the initial dose of Mavenclad® tablets in parent study until the end of extension study (approximately 2 years)
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Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: From Month 24 after the initial dose of Mavenclad tablets in parent study until the end of extension study (approximately 2 years)
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An adverse event (AE) was defined as any untoward medical occurrence in a participant.
An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a study intervention.
A serious adverse event (SAE) was any untoward medical occurrence that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important.
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From Month 24 after the initial dose of Mavenclad tablets in parent study until the end of extension study (approximately 2 years)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Medical Responsible, Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Pathologic Processes
- Autoimmune Diseases
- Immune System Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Multiple Sclerosis
- Sclerosis
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Physiological Effects of Drugs
- Cladribine
Other Study ID Numbers
Other Study ID Numbers
- MS700568_0157
- 2020-003995-42 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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