An Observational Study to Evaluate Quality of Life (QoL) and Influence of Cognitive Status on QoL in Patients With Relapsing-Remitting Multiple Sclerosis (RRMS) During 2 Years Treatment With Rebif New Formulation (RNF)
Information source: Merck KGaA
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Multiple Sclerosis, Relapsing-Remitting
Phase: N/A
Status: Completed
Sponsored by: Merck KGaA Official(s) and/or principal investigator(s): Zbigniew Stelmasiak, Prof., Principal Investigator, Affiliation: Medical University, Department of Neurology, Lublin, Poland
Summary
This is a prospective, non-interventional, multicenter study to evaluate quality of life
(QoL) and influence of cognitive status on QoL in subjects with relapsing-remitting multiple
sclerosis (RRMS) during two years of treatment with Rebif New Formulation (RNF).
Clinical Details
Official title: Prospective, Non-interventional, Multicenter Study to Evaluate QoL and Influence of Cognitive Status on QoL in Patients With RRMS During 2 Years Treatment With RNF
Study design: Observational Model: Cohort, Time Perspective: Prospective
Primary outcome: Quality of Life
Secondary outcome: Assessment of Cognitive StatusInfluence of cognitive impairment on QoL in subjects with RRMS Assessment of Expanded Disability Status Scale Assessment of number of relapses Assessment of results of Evoked Potentials (visual, auditory, somatosensory/ if they are routinely done) Assessment of Magnetic Resonance Imaging results
Detailed description:
Multiple sclerosis (MS) is an acquired demyelinating disease of unclear etiology, occurring
mainly in adults. Multiple sclerosis occurs in 30-100 people per 100 000. Usually the
disease attacks young adults aged between 20 and 40 years. The peak of this occurrence is in
the population of 30-35 year olds.
The main feature of the disease is multifocal (disseminated) injury of the central nervous
system. The injury causes various neurological symptoms and signs that go on and off
(relapsing-remitting form) or progress steadily, and with time cause irreversible damage of
the nervous system and permanent disability. In neuropsychological studies, 40-65% of MS
subjects show cognitive impairment with prominent involvement of memory, sustained attention
and information processing speed. Multiple sclerosis subjects with different disease courses
have different cognitive profiles.
Cognitive dysfunction can have a dramatic impact on a subject's QoL, influencing the
fulfillment in work and social life, independently from physical disability. The methodology
of cognitive status assessment in MS is based on established sets of tests, which could be
conduced by qualified neurophysiologists. There is a need of simple test that could be
quickly conducted by every physician, providing information of cognitive status/ or one of
its parameters (attention/concentration). That kind of information could be immediately used
by the physician during the visit to adjust the way of taking history or giving advices to
subjects.
During the last 10 years there's been an enormous progress in the MS treatment. New drugs
appeared that proved to diminish clinical activity of the disease and slow its progress.
Early treatment with disease modifying therapies may reduce cognitive impairment or slow
down the progression of cognitive deficits.
The scope of this study is to evaluate the cognitive status (attention/concentration) and
the influence of cognitive impairment on QoL in subjects with RRMS during two years of
treatment with RNF.
OBJECTIVES
Primary objective:
- To evaluate the QoL in subjects with RRMS during two years of treatment with RNF
Secondary objectives:
- To evaluate the cognitive status (attention/concentration) and the influence of
cognitive impairment on QoL in subjects with RRMS during two years of treatment with
RNF Subjects will be treated according to widely-acknowledged standards for MS
treatment and the choice of drug will depend solely on medical indications. The
potential subjects will have been prescribed Rebif for the first time by their treating
physicians and will then be given the option to enter in this observational study. As
this is purely an observational study, the subjects will be followed by their treating
physicians, according to current medical practice and Rebif SmPC (Summary of Product
Characteristics) requirements (i. e monitoring of thyroid and liver enzymes prior to the
start of therapy, and hepatic function at months 1, 3, 6 and periodically thereafter,
prescription of antipyretics etc.) After each control visit, the treating physician
will complete subject's observations chart. The planned schedule of visits will be
identical to the routine schedule of control visits dictated by the National Health
Found: 1st Visit - 3 months after RNF therapy start, 2nd Visit - after 6 months, 3rd
Visit - after 9 months, 4th Visit - after 12 months, 5th Visit - after 18 months, 6th
Visit - after 24 months.
"0" visit - doctors will be asked to complete data from subjects history (doctors will be
given the proposal of testing (MusiQoL[Multiple Sclerosis International Quality of Life],
MMSE [Mini Mental State Examination] and 10-PCT [10-Point Clock Test]) most subjects on the
visit when the disease-modifying drugs [DMD] therapy is instituted).
Eligibility
Minimum age: 18 Years.
Maximum age: N/A.
Gender(s): Both.
Criteria:
There are no specific inclusion/exclusion criteria as the trial is a non-interventional,
observational study. The criteria are based on SmPC and criteria of Polish National Found
Programme of RRMS Patients Treatment:
Inclusion Criteria:
- Subjects aged above 18 years
- Subjects with clinically diagnosed RRMS which is characterised by two or more acute
exacerbations in the previous two years
- Subjects who has never been treated with Rebif (previous treatment with other DMDs
will not be regarded as an exclusion criterion)
- Written consent to cooperation made by the environmental nurse who takes care about
subject in hospital as well as in his home
- Score of 21 or more points, according to National Heath Found Patient inclusion
criteria for the 2 years program of MS treatment with interferon beta
Exclusion Criteria:
Exclusion criteria conform with Rebif's registered contraindications, described in an Sm
PC approved by Ministry of Health.
- Interferon beta-1a is contraindicated during pregnancy
- Interferon beta-1a is contraindicated in subjects with confirmed hypersensitivity to
natural or recombined interferon beta, or to any of the adjuvant substances
- Interferon beta-1a is contraindicated in subjects with severe depression and/or
suicidal thoughts
Locations and Contacts
Medical University, Department of Neurology, Lublin, Poland
Additional Information
Starting date: November 2010
Last updated: January 31, 2014
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