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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03364036
Registration number
NCT03364036
Ethics application status
Date submitted
1/12/2017
Date registered
6/12/2017
Date last updated
16/03/2023
Titles & IDs
Public title
Evaluation of the Onset of Action in Highly Active MS (MAGNIFY)
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Scientific title
A 2-year Prospective Study to Evaluate the Onset of Action of Mavenclad® in Subjects With Highly Active Relapsing Multiple Sclerosis (MAGNIFY)
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Secondary ID [1]
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2017-002631-42
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Secondary ID [2]
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MS700568_0022
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Universal Trial Number (UTN)
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Trial acronym
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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
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Mavenclad®
Experimental: Mavenclad® -
Treatment: Drugs: Mavenclad®
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 1 (Month 1-6)
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Assessment method [1]
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CUA lesions were measured by using MRI scans.
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Timepoint [1]
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Baseline period (the period screening to Baseline), Period 1 (Month 1-6)
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Primary outcome [2]
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Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 2 (Month 2-6)
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Assessment method [2]
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CUA lesions were measured by using MRI scans.
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Timepoint [2]
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Baseline period (the period screening to Baseline), Period 2 (Month 2-6)
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Primary outcome [3]
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Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 3 (Month 3-6)
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Assessment method [3]
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CUA lesions were measured by using MRI scans.
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Timepoint [3]
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Baseline period (the period screening to Baseline), Period 3 (Month 3-6)
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Secondary outcome [1]
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Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
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Assessment method [1]
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B cell population counts are: CD19 B cells (TBNK panel), CD20 B cells (B cell panel), Memory B cells (B cell panel), Activated B cells (B cell panel), Total plasma cells (B cell panel), Short-lived plasma cells (B cell panel), Naïve B cells (B cell panel), Transitional B cells (B cell panel), and Regulatory B cells (B cell panel).
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Timepoint [1]
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Baseline, Month 3, 6, 12, 15, 18 and 24
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Secondary outcome [2]
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Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
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Assessment method [2]
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T cell population counts are: Total CD4 T cells (TBNK panel), CD4 Th1 cells (T cell panel), CD4 Th17 T cells (T cell panel), CD4 Regulatory T cells (T cell panel), and Total CD8 T cells (TBNK panel).
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Timepoint [2]
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Baseline, Month 3, 6, 12, 15, 18 and 24
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Secondary outcome [3]
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Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
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Assessment method [3]
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NK cell population counts are: CD16+ CD56+ NK Cells, CD16+ NK Cells, NK p46 cells, CD16lowCD56bright, and CD16brightCD56dim.
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Timepoint [3]
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Baseline, Month 3, 6, 12, 15, 18 and 24.
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Eligibility
Key inclusion criteria
* Highly active RMS as defined by:
* One relapse in the previous year and at least 1 T1 Gadolinium (Gd)+ lesion or 9 or more T2 lesions, while on therapy with other disease modifying drugs (DMDs)
* Two or more relapses in the previous year, whether on DMD treatment or not.
* Expanded Disability Status Scale (EDSS) score less than equals to (<=) 5.0.
* Other protocol defined inclusion criteria could apply.
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Minimum age
18
Years
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Maximum age
No limit
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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
* Previous exposure to drugs such as fingolimod, natalizumab, alemtuzumab, mitoxantrone and ocrelizumab.
* Positive hepatitis C or hepatitis B surface antigen test and/or hepatits B core antibody test for immunoglobulin G (IgG) and/or immunoglobulin M (IgM).
* Current or previous history of immune deficiency disorders including a positive human immunodeficiency virus (HIV) result.
* Currently receiving immunosuppressive or myelosuppressive therapy with, for example, monoclonal antibodies, methotrexate, cyclophosphamide, cyclosporine or azathioprine, or chronic use of corticosteroids.
* History of tuberculosis , presence of active tuberculosis, or latent tuberculosis
* Evidence or suspect of Progressive Multifocal Leukoencephalopathy (PML) in Magnetic Resonance Imaging (MRI).
* Active malignancy or history of malignancy.
* Other protocol defined exclusion criteria could apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/05/2018
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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
21/02/2022
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Sample size
Target
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Accrual to date
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Final
270
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Liverpool Hospital - Sydney
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John Hunter Hospital - Hunter Region Mail Centre
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Recruitment hospital [3]
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Perron Institute - Neurology - Nedlands
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Recruitment hospital [4]
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The Alfred Hospital - Prahran
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Recruitment postcode(s) [1]
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2170 - Sydney
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Recruitment postcode(s) [2]
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2310-2305 - Hunter Region Mail Centre
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment postcode(s) [4]
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3181 - Prahran
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Klagenfurt am Wörthersee
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Austria
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Salzburg
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Canada
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British Columbia
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Canada
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Ontario
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Canada
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Edmonton
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Canada
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Montreal
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Czechia
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Pardubický Kraj
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Czechia
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Brno-Bohunice
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Czechia
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Brno
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Czechia
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Chocen
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Czechia
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Praha 5
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Finland
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Helsinki
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Finland
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Tampere
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Finland
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Turku
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France
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Ille Et Vilaine
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France
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Lille cedex
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France
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NICE Cedex 1
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France
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Nimes Cedex
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France
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Nimes
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France
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Poissy Cedex
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France
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Strasbourg
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Germany
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Bonn
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Germany
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Dresden
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Germany
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Erbach
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Germany
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Essen
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Germany
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Hamburg
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Germany
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Hannover
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Germany
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Leipzig
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Germany
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Munster
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Hungary
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Szeged
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Israel
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Ashkelon
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Israel
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Haifa
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Israel
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Tel-Hashomer
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Italy
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Chieti
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Italy
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Napoli
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Italy
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Roma
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Italy
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Siena
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Poland
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Lubelskie
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Poland
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Katowice
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Poland
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Zabrze
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Spain
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Vizcaya
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Spain
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Madrid
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Spain
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Sevilla
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Spain
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Valencia
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Sweden
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Göteborg
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Sweden
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Stockholm
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United Kingdom
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Wales
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United Kingdom
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Birmingham
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United Kingdom
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Sheffield
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Merck KGaA, Darmstadt, Germany
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The main purpose of the study was to determine the onset of Mavenclad® action by frequent magnetic resonance imaging (MRI) assessment of the combined unique active (CUA) lesions in participants with highly active relapsing multiple sclerosis (MS).
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Trial website
https://clinicaltrials.gov/study/NCT03364036
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Trial related presentations / publications
de Stefano N, Barkhof F, Montalban X, Achiron A, Derfuss T, Chan A, Hodgkinson S, Prat A, Leocani L, Schmierer K, Sellebjerg F, Vermersch P, Wiendl H, Keller B, Roy S; MAGNIFY-MS Study Group. Early Reduction of MRI Activity During 6 Months of Treatment With Cladribine Tablets for Highly Active Relapsing Multiple Sclerosis: MAGNIFY-MS. Neurol Neuroimmunol Neuroinflamm. 2022 Jun 14;9(4):e1187. doi: 10.1212/NXI.0000000000001187. Print 2022 Jul. Erratum In: Neurol Neuroimmunol Neuroinflamm. 2022 Oct 20;9(6):e200061. doi: 10.1212/NXI.0000000000200061. Schmierer K, Wiendl H, Oreja-Guevara C, Centonze D, Chudecka A, Roy S, Boschert U. Varicella zoster virus and influenza vaccine antibody titres in patients from MAGNIFY-MS who were treated with cladribine tablets for highly active relapsing multiple sclerosis. Mult Scler. 2022 Nov;28(13):2151-2153. doi: 10.1177/13524585221099413. Epub 2022 Jun 7. No abstract available.
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Public notes
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Contacts
Principal investigator
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Medical Responsible
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Address
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Merck KGaA, Darmstadt, Germany
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Phone
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/36/NCT03364036/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/36/NCT03364036/SAP_002.pdf
Results publications and other study-related documents
Type
Citations or Other Details
Journal
de Stefano N, Barkhof F, Montalban X, Achiron A, D...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT03364036
Download to PDF