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Trial registered on ANZCTR
Registration number
ACTRN12607000184471
Ethics application status
Not yet submitted
Date submitted
27/03/2007
Date registered
29/03/2007
Date last updated
10/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Avonex dose titration study in Multiple Sclerosis
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Scientific title
An open-label study to assess the severity of episodes of flu-like symptoms associated with Avonex therapy in patients with Multiple Sclerosis
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Universal Trial Number (UTN)
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Trial acronym
TODAY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multiple Sclerosis
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Condition category
Condition code
Neurological
1794
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0
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Multiple sclerosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects will be randomised to either treatment or control groups. Total time on study for each subject will be 12 weeks.
Treatment group will initiate at 50% of approved dose of interferon beta-1a (Avonex) (15 micrograms once weekly) into the muscle for weeks one and two. They will then receive 75% of the approved dose (22.5 micrograms) for weeks three and four. Subjects will then switch to full dose therapy at week five (30 micrograms once weekly) and will receive this dose for a further eight weeks (weeks 5-12 inclusive).
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Intervention code [1]
1672
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Treatment: Drugs
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Comparator / control treatment
Control group will initiate interferon beta-1a (Avonex) into the muscle at full dose (30 micrograms once weekly) from the outset and will be monitored for twelve weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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To assess the average severity of episodes of flu-like symptoms during the 4 week titration phase.
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Assessment method [1]
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Timepoint [1]
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Flu-like symptoms will be recorded daily by participants, and reviewed weekly during the first 4 weeks of study by study nurses
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Secondary outcome [1]
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To assess the mean duration of episodes of flu-like symptoms
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Assessment method [1]
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Timepoint [1]
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During the 4 week titration phase (monitored weeksly during this time).
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Secondary outcome [2]
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To assess the mean severity and duration of flu-like symptoms episodes during the post-titration phase.
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Assessment method [2]
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Timepoint [2]
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5-12 weeks (monitored once at the end of week 12).
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Secondary outcome [3]
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To assess the number of episodes of flu-like symptoms post-injection during post-titration phase.
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Assessment method [3]
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Timepoint [3]
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Monitored once at the end of week 12.
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Secondary outcome [4]
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To assess the number of episodes of flu-like symptoms post-injection during titration phase.
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Assessment method [4]
4331
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Timepoint [4]
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Monitored once at the end of week 12.
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Secondary outcome [5]
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To assess the use of anti-pyretic medication for flu-like symptom control during titration phase.
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Assessment method [5]
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Timepoint [5]
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Monitored weekly during weeks 1-5.
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Eligibility
Key inclusion criteria
Clinically definite Relapsing-Remitting Multiple Sclerosis (RRMS) who are ambulatory, able and willing to use liquid AVONEX® (hereafter to be referred to as AVONEX) formulation and who have consented to participate in this study.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subjects will be excluded if they have contraindications to interferon-beta therapy, or other significant medical conditions which, in the opinion of the PI would exclude the subject from participating, including clinically infectious illnesses within 30 days prior to randomisation. Subjects who have previously, or are currently, receiving interferon-beta therapy are eligible for this study provided they have not received AVONEX therapy within 3 months prior to randomisation.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation of treatment is random and is concealed by way of sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using procedures such as coin-tossing and dice-rolling
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Biogen Idec Australia Pty Ltd
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Biogen Idec Australia Pty Ltd
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Address
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Country
United States of America
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Summary
Brief summary
This study is intended to investigate whether starting at a fraction of the full dose of interferon beta-1a (Avonex) treatment for relapsing and remitting Multiple Sclerosis and increasing up to the full dose over a month produces fewer flu-like symptoms than starting at the full dose of the same treatment
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Stephen Blair
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Address
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Biogen Idec Australia Pty Ltd
Suite 2, Level 4
123 Epping Road
North Ryde NSW 2113
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Country
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Australia
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Phone
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+61 2 88753908
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Fax
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+61 2 98891162
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Stephen Blair
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Address
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Biogen Idec Australia Pty Ltd
Suite 2
Level 4
123 Epping Road
North Ryde NSW 2113
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Country
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Australia
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Phone
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+61 2 88753908
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Fax
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+61 2 98891162
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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