ClinicalTrials.gg
CompletedNCT02921035Updated Apr 4, 2022

Non-interventional Study to Assess Adherence to Treatment for Patients With RMS (MAIN-MS)

An observational study in Relapsing Multiple Sclerosis (RMS), sponsored by Merck KGaA, Darmstadt, Germany. Completed at 41 sites in 13 countries. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-04-04.

Sponsored by Merck KGaA, Darmstadt, Germany · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
594
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This is an open label, non randomized, uncontrolled, multicenter, single arm observational study. In this study, the enrolled subjects will be treated with Rebif human serum albumin (HSA)-free formulation (with or without RebiSmart) 44 microgram (mcg), subcutaneous (sc), thrice in a week (tiw) for 24 months.

02

Conditions studied

  • Relapsing Multiple Sclerosis (RMS)

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Keywords

  • Relapsing Multiple Sclerosis
  • Interferon beta-1a
  • Rebif®
  • Morisky Green Levine Medication Adherence Scale
03

In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's enrollment of 594 is above the median of 100 across 970 observational studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Merck KGaA, Darmstadt, Germany is the lead sponsor of 275 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Subjects diagnosed with RMS and who are treatment naïve or on other disease modifying drugs (DMDs) will be enrolled into the study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female subjects aged more than or equal to (>=) 18 years and less than or equal to (\<=) 60 years at the time of Rebif introduction
  • Subjects diagnosed with RMS according to the revised McDonald criteria (2010)
  • Treatment naïve or subjects on other DMDs who will switch to Rebif.
  • Subjects will receive 1st Rebif 44 mcg dose after signing
  • Subjects willing and able to provide signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Have any to treatment with IFN beta-1a sc according to European summary of product characteristics (EU SPC)/prescribed information
  • Subjects participating in other clinical studies/trials
  • Any female subject of who is not on
  • Subjects refusal to participate in the study.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
594 participants (actual)
Patient registry
No

Groups and cohorts

  • Relapsing Multiple Sclerosis (RMS) group

    Subjects diagnosed with RMS who are prescribed Rebif (Interferon beta-1a)

    Drug: Rebif (Interferon beta-1a)

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage adherence of subjects on Rebif, using the Morisky Green Levine Medication Adherence Scale (MGLS) Score

    MGLS is a four item self-reported questionnaire to assess medication adherence. It consists of four questions/items evaluating drug intake habits in subjects on chronic therapies with a scoring scheme of "Yes" = 1 (no adherence) and "No" = 0 (adherence). The items are summed to give an overall score, which ranges from 0 to 4 where high adherence=0, medium adherence=1-2 or low adherence=3-4.

    Time frame: Month 24

Secondary outcomes

  1. Percentage of subjects on Rebif who discontinued the treatment

    Time frame: up to 24 months

  2. Time to treatment discontinuation

    Time frame: up to 24 months

  3. Reason for treatment discontinuation

    The reason for treatment discontinuation will includes: adverse event, lost to follow-up, lack of efficacy, protocol noncompliance, progressive disease, withdrew consent, death, frequency, unrealistic expectations, other

    Time frame: up to 24 months

  4. Percentage of relapse-free subjects

    Time frame: Month 24

  5. Percentage of subjects with expanded disability status scale (EDSS) progression

    EDSS is used for multiple sclerosis disability assessment. It is a 10 point scale, where 0 indicates normal motor skills, and 10 indicates patient's death. EDSS progression is defined as one point increase sustained for at least three months.

    Time frame: Month 24

  6. Number of subjects with suspected adverse drug reactions (ADRs) related to Rebif treatment and concomitant therapy over the 24 months of the study

    Time frame: Up to 24 months

  7. Percentage of relapse-free subjects based on MGLS Score

    Time frame: Up to 24 month

07

Study locations

41 sites
  • Research site
    Alger, Algeria
  • Research site
    Annaba, Algeria
  • Research site
    Blida, Algeria
  • Research site
    Oran, Algeria
  • Research site
    Setif, Algeria
  • Research site
    Tizi Ouzou, Algeria
  • Research site
    Mendoza, Argentina
  • Research site
    Rosario, Argentina
  • Research site
    Tucuman, Argentina
  • Research site
    Manamah, Bahrain
  • Research site
    Sofia, Bulgaria
  • Research site
    Alexandria, Egypt
  • Research site 1
    Cairo, Egypt
  • Research site 2
    Cairo, Egypt
  • Research site
    Mansoura, Egypt
  • Research site 1
    Budapest, Hungary
  • Research site 2
    Budapest, Hungary
  • Research site 3
    Budapest, Hungary
  • Research site
    Esztergom, Hungary
  • Research site
    Isfahan, Iran, Islamic Republic of
  • Research site
    Tehran, Iran, Islamic Republic of
  • Research site 2
    Seoul, Korea, Republic of
  • Research site
    Kuwait, Kuwait
  • Research site 1
    Beirut, Lebanon
  • Research site 2
    Beirut, Lebanon
  • Research site
    Casablanca, Morocco
  • Research site
    Fés, Morocco
  • Research site
    Marrakech, Morocco
  • Research site 1
    Rabat, Morocco
  • Research site 2
    Rabat, Morocco
  • Research site 3
    Rabat, Morocco
  • Research site
    Gdańsk, Poland
  • Research site
    Katowice, Poland
  • Research site
    Lublin, Poland
  • Research site
    Rybnik, Poland
  • Research site
    Warszawa, Poland
  • Research site
    Łódź, Poland
  • Research site
    Dammam, Saudi Arabia
  • Research site
    Jeddah, Saudi Arabia
  • Research site
    Khober, Saudi Arabia
  • Research site
    Riyadh, Saudi Arabia
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2016 to primary completion in Jul 2020, 48 months.

Of 91 industry-sponsored observational studies under Multiple Sclerosis, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 81. This study's 48 months is close to that.

Counting every sponsor, half of 425 studies reached it within 41 months; a quarter within 15 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 29, 2016
First posted
Sep 30, 2016
StartActual
Jun 30, 2016
Primary completionActual
Jul 27, 2020
CompletionActual
Jul 27, 2020
Last update
Apr 4, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02921035
Collaborators
Merck Serono Middle East FZ LLC
Responsible party
Sponsor
First posted
Sep 30, 2016
Start date
Jun 30, 2016
Primary completion
Jul 27, 2020
Completion
Jul 27, 2020
Last update
Apr 4, 2022

Study contacts

Merck Serono Middle East FZ-LLC
study director · an affiliate of Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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