El objetivo primario del estudio es evaluar la eficacia clínica de Rebif® 44 microgramos (mcg) tres veces por semana en comparación con Copaxone® 20 miligramos (mg) diariamente en sujetos con esclerosis múltiple remitente.

Elegibilidad

Edad mínima: 18 YearsEdad máxima: 60 YearsSexo: ALL

Criterios de inclusión

Be between 18 and 60 years of age
Have definite relapsing multiple sclerosis
Have had one or more relapses within the prior 12 months
Must be in a clinically stable or improving neurological state during the four weeks prior to Study Day 1
Expanded Disability Status Scale (EDSS) score from 0 to 5.5, inclusive
If female, she must either be post-menopausal or surgically sterilized; or use a hormonal contraceptive, intra uterine device, diaphragm with spermicide, or condom with spermicide, for the duration of the study; and be neither pregnant nor breast-feeding
Confirmation that the subject is not pregnant must be established by a negative serum human chorionic gonadotropin (hCG) pregnancy test within 7 days of Study Day 1 and a negative urine pregnancy test on Study Day 1. A pregnancy test is not required if the subject is post-menopausal or surgically sterilized
Be willing and able to comply with the protocol for the duration of the study
Voluntarily provide written informed consent and, for USA sites only, a subject authorization under Health Insurance Portability and Accountability Act (HIPAA), prior to any study-related procedure that is not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to their future medical care

Criterios de exclusión

Have secondary progressive multiple sclerosis (SPMS) or primary progressive MS (PPMS)
Prior use of any interferon or glatiramer acetate
Have had treatment with oral or systemic corticosteroids or adrenocorticotrophic hormone (ACTH) within 4 weeks of Study Day 1 and within 7 days prior to the Day 1 magnetic resonance imaging (MRI)
Have a psychiatric disorder that is unstable or would preclude safe participation in the study.
Have significant leukopenia (white blood cell count \< 0.5 times the lower limit of normal of the central laboratory) within 7 days of Study Day 1.
Have elevated liver function tests (alanine aminotransferase \[AST\], aspartate aminotransferase \[ALT\], alkaline phosphatase \> 2.0 times the upper limit of normal \[ULN\] of the central laboratory, or total bilirubin \> 1.5 times the ULN of the central laboratory) within 7 days of Study Day 1 or a history of hepatitis (including infectious or drug-induced)
Prior cytokine or anti-cytokine therapy within 3 months prior to Study Day 1
Prior use of immunomodulatory or immunosuppressive therapy (including but not limited to cyclophosphamide, cyclosporin, methotrexate, azathioprine, linomide, mitoxantrone) within the 12 months prior to Study Day 1
Prior use of cladribine or have received total lymphoid irradiation
Have allergy or hypersensitivity to human serum albumin, mannitol, glatiramer acetate, natural or recombinant interferon-β, or any other components of the study drugs or gadolinium diethylenetriaminepentaacetic acid
Have taken intravenous immunoglobulin or any other investigational drug or taken part in any experimental procedure in the 6 months prior to Study Day 1.
Presence of systemic disease that might interfere with subject safety, compliance or evaluation of the condition under study (e.g. insulin-dependent diabetes, Lyme disease, clinically significant cardiac disease, human immunodeficiency virus \[HIV\], human T-cell lymphotrophic virus type I \[HTLV-1\])
Have had plasma exchange in 3 months prior to Study Day 1.

Intervenciones

drug

Rebif®

Subjects will be administered with Rebif® (Recombinant interferon beta-1a) as subcutaneous (SC) injection at a dose of 44 microgram (mcg) three times weekly (tiw).

drug

Copaxone®

Subjects will be administered with Copaxone® (Glatiramer acetate) as subcutaneous (SC) injection at a dose of 20 milligram (mg) once daily (qd).

Ubicaciones

Servicio de Neurologia

Buenos Aires, Argentina

Departmento Enfermedades Desmielinizantes

Buenos Aires, Argentina

Servicio de Neurologia Departmento Enfermedades Desmielinizantes

Buenos Aires, Argentina

Seccion Neurolgia Instituto INEBA

Buenos Aires, Argentina

Fundacion Rosarina de Neurorehabilitacion

Rosario, Argentina

Dept Neurologia Sanatorio Britanico de Rosario

Rosario, Argentina

Resumen

Elegibilidad

Criterios de inclusión

Criterios de exclusión

Intervenciones

Rebif®

Copaxone®

Ubicaciones

Servicio de Neurologia

Departmento Enfermedades Desmielinizantes

Servicio de Neurologia Departmento Enfermedades Desmielinizantes

Seccion Neurolgia Instituto INEBA

Fundacion Rosarina de Neurorehabilitacion

Dept Neurologia Sanatorio Britanico de Rosario

Patrocinadores