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CompletedNCT00473213OptimsUpdated May 14, 2007

Optimizing IFN Beta - 1B Dose

A Phase 3 interventional study of Interferon Beta 1 in Multiple Sclerosis, sponsored by University of Turin, Italy. Completed. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2007-05-14.

Sponsored by University of Turin, Italy · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
217
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
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Study summary

BetaferonR is effective in reducing relapse rate and MRI T2-weighted lesion frequency in MS patients at the dose of 8 MIU on alternate days (THE IFNB MS Study Group, 1993). Relapse rate is reduced by 30-35% (The IFNB MS Study Group, 1993), MRI activity is decreased up to 100% in most cases (Stone et al 1995). In some patients, however, MRI activity still occurs or reappears during treatment (Stone et al 1995). MRI activity has been demonstrated to correlate with relapse occurrence (McFarland et al, 1992; Miller et al, 1996), and in some patients relapses still occur during IFN beta treatment. In other patients relapses may occur in association with the appearance, after 9-18 months of treatment, of anti-IFN beta NAB (The IFNB M S Study Group, 1995).

This protocol hypothesizes that the dose of 12 MIU BetaferonR on alternate days has more pronounced MRI and clinical effects in MS patients than that of 8 MIU. MS patients who do not respond to 8 MIU may take advantage of a higher dose. We, therefore decided to assess MRI effects after increasing the Betaferon dose (12 MIU) in RRMS patients showing a residual MRI activity (at least one new Gd enhancing lesion) during six months of standard Betaferon dose treatment (8 MIU).

Read the detailed description

Comparing the frequency of new Gd enhancing lesions in a group of patients presenting a residual MRI activity during the last four months of the six month standard dose (8MIU) Betaferon treatment randomized to continue the standard dose or to increase the dose to 12 MIU Betaferon

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Conditions studied

  • Multiple Sclerosis

Keywords

  • Multiple Sclerosis
  • Interferon
  • Magnetic Resonance
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In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 217 is above the median of 50 across 2,342 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

University of Turin, Italy is the lead sponsor of 206 studies on the registry; 34 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Written informed consent obtained.
  2. Age between 18 and 50 years inclusive.
  3. Male and female patients.
  4. Clinically definite or laboratory supported definite RR MS (Poser et al, 1983) for not less than 2 year.
  5. Two clinically documented relapses during the preceding 24 months.
  6. No relapse or relapse related neurological deterioration for at least 30 days prior to entry in the study.
  7. Patients EDSS score from 1 to 3.5 (probably to be extended to 5.5).
  8. MRI activity. At least one enhancing lesion during the baseline MRI run-in study .
  9. Women capable of having children must agree to use adequate con-traceptive methods (condoms with spermicides, IUCD, oral contraceptives or other adequate barrier contraception).
  10. Caregivers agreement to assist the patient to comply with study requirements, if neces-sary (e.g. study drug administration, visits to center).

Exclusion criteria

Exclusion Criteria:

  1. Any form of Multiple Sclerosis other than relapsing-remitting.
  2. Any other disease which could better explain the patient's signs and symptoms.
  3. Any other disabling condition, which could interfere with the clinical evaluation.
  4. Pregnancy or lactation.
  5. Medical psychiatric, or other conditions that compromise patient's ability to give informed consent, to comply with the trial protocol, or to complete the study.
  6. Alcohol or drug abuse in the 90 days preceding screening visit.
  7. Uncontrolled clinically significant heart diseases, i.e., cardiac arrhythmias, uncon-trolled angina pectoris, uncompensated congestive heart failure
  8. Clinically significant liver, renal and bone marrow dysfunction as defined by the ran-ges of laboratory evaluations. The following ranges (see table 1) for key laboratory evaluations will be considered as adequate for inclusion:
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single
Enrollment
217 participants (actual)

Interventions

  • DrugInterferon Beta 1
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What researchers measure

Primary outcomes

  1. the effects of BetaferonR on MRI enhancing lesion frequency are detectable very early.Differently from clinical effects on relapse rate, BetaferonR administration results in an almost immediate reduction of enhancing lesion frequency at MRI.

    Time frame: two year

Secondary outcomes

  1. Monitoring MRI effects (evaluating the number of total active lesions, areas of gadolinium-enhancing, T1 hypointense, and T2 hyperintense lesions)Monitoring clinical effects (relapse frequency and severity, changes in EDSS)

    Time frame: two years

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Durelli L, Bongioanni MR, Ferrero B, Oggero A, Marzano A, Rizzetto M. Interferon treatment for multiple sclerosis: autoimmune complications may be lethal. Neurology. 1998 Feb;50(2):570-1. doi: 10.1212/wnl.50.2.570. No abstract available. PubMed 9484407 ↗
  • Durelli L, Barbero P, Cucci A, Ferrero B, Ricci A, Contessa G, De Mercanti S, Ripellino P, Lapuma D, Viglietta E, Bergui M, Versino E, Clerico M; OPTIMS Trial NAb Sub-Study Group. Neutralizing antibodies in multiple sclerosis patients treated with 375 micrograms interferon-beta-1b. Expert Opin Biol Ther. 2009 Apr;9(4):387-97. doi: 10.1517/14712590902762781. PubMed 19278300 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2007, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00473213
Lead sponsor
University of Turin, Italy
Collaborators
Dimensione Ricerca s.r.l.
First posted
May 14, 2007
Start date
Sep 1999
Completion
Feb 2004
Last update
May 14, 2007

Study contacts

Luca Durelli, Prophessor
study chair · Università degli studi di Torino-Clinica Neurologica I , Via Cherasco 15 10100 Torino
Antonio Carolei, M D
principal investigator · Ospedale Nuovo San Salvatore-Clinica Neurologica .Località Coppito.67100 L'Aquila
Roberto Cavallo, M.D.
principal investigator · Ospedale Mafggiore San Giovanni Bosco,Divisione di Neurologia Piazza Donatori del Sangue, 3 10154 Torino
Vittorio Cosi, Prophessor
principal investigator · Università degli Studi di Parma .Dipartimento di Scienze Neurologiche.Via Palestro 3 27100 Pavia
Luciano Deotto, M.D.
principal investigator · Ospedale Civile Maggiore, Divisione Neurologica, Piazzale Stefani1 37134 Verona
Claudio Geda, M.D.
principal investigator · Ospedale Civile di Chivasso.Divisione di Neurologia10034 Chivasso Torino
Giorgio gIULIANI, M.D
principal investigator · Ospedale Generale di Macerata,Servizio di Neurofisiopatologia, Via Santa Lucia 1 62100 Macerata.
Angelo Ghezzi, M.D.
principal investigator · Ospedale SAntonio Abate Servizio recupero Neurologico. Centro Studi S.M. Via Pastore 4 21013 Gallarate (VA)
Roberto Cotrufo, M.D.
principal investigator · Policlinico II Università degli Studi di Napoli. Dipartimento di Neurologia.Piazza Miraglia 2 80138 Napoli
Luigi Murri, Prophessor
principal investigator · Università degli Studi di Pisa Clinica Neurologica, Via Roma 67 56100 Pisa
Domenico Caputo, M.D.
principal investigator · Istituto Don Carlo Gnocchi Divisione Neurologica Riabilitativa. Via Capecelatro 66 20148 Milano
Enrico Montanari, M.D.
principal investigator · Ospedale Civile di Fidenza, Divisione di Neurologia Via Borghesi 1, 43036 Fidenza (Pr)
Franco Perla, M.D.
principal investigator · Ospedale S. Croce e Carle Divisione di Neurologia, Via Michele Coppino 26, 12100 Cuneo
Federico Piccoli, Prophessor
principal investigator · Università degli Studi di Palermo Istituto di Neuropsichiatria, Via Gaetano della Loggia 90129 Palermo
Alessandra Protti, M.D.
principal investigator · Ospedale Niguarda Cà Granda Divisione Neurologica, Piazza Benefattori 3, 20100 Milano
Giovanni Meola, Prophessor
principal investigator · Ospedale Clinico San Donato Neurologia, Via Morandi 30, 20097 San Donato Milanese
Arturo Reggio, Prophessor
principal investigator · Policlinico Universitario Centro Sclerosi Multipla, Via S.Sofia 78, 95185 Catania
MariaRosa Rottoli, M.D.
principal investigator · Ospedali Riuniti di Bergamo Divisione di Neurologia.Largo Barozzi.124100 Bergamo
Elio Scarpini, M.D
principal investigator · Università Degli Studi di Milano Istituto di Clinica Neurologica .Via Francesco Sforza 35 20122 Milano
Andrea Spissu, M.D.
principal investigator · Azienda Ospedaliera G. Brotzu Divisione di Neurologia. Via G. Peretti 90134 Cagliari
Francesco Teatini, M.D.
principal investigator · Ospedale Generale di Bolzano Divisione di Neurologia Via Lorenz Bohler 5 39100 Bolzano
Riccardo Urciuoli, M.D-
principal investigator · Ospedale Silvestrini Divisione di Neurologia 06156 Loc S Andrea delle Fratte Perugia
Luisa Motti, M.D
principal investigator · Centro Sclerosi Multipla Divisione di Neurologia Arcispedale S.Maria Nuova, Viale Risorgimento 57 42100 Reggio Emilia
Ruggero Capra, M.D.
principal investigator · Centro Regionale Sclerosi Multipla Piazzale Spitali Civili 1 25123 Brescia

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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