ClinicalTrials.gg
CompletedNCT04468165Updated Sep 22, 2023

Effectiveness and Safety of Generic Delayed-Release Dimethyl Fumarate (Sclera® or Marovarex ®, Hikma) in Routine Medical Practice in the Treatment of Relapsing-Remitting Multiple Sclerosis in MENA Region

An observational study in Relapsing Remitting Multiple Sclerosis, sponsored by Hikma Pharmaceuticals LLC. Completed at 6 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-22.

Sponsored by Hikma Pharmaceuticals LLC · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
160
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this observational study is to evaluate the effectiveness, safety and health related quality of life of Generic DMF (Sclera® or Marovarex ®, Hikma) in patients undergoing routine clinical care for RRMS in MENA Region

Read the detailed description

This is an observational, multi-center, prospective, cohort study, where no visits or intervention(s) additional to the daily practice will be performed. In the study sites, patients undergoing routine clinical care for RRMS and initiated treatment with Generic DMF (Sclera® or Marovarex ®, Hikma) in accordance with the approved SPC will be followed up and assessed for a total of 12 months.

02

Conditions studied

  • Relapsing Remitting Multiple Sclerosis

Keywords

  • Dimethyl Fumarate
  • Generic Dimethyl Fumarate
  • Delayed-Release Dimethyl Fumarate
  • Disease Modifying Treatments
  • Nervous System
  • Multiple Sclerosis
  • Relapsing-Remitting Multiple Sclerosis
  • Cohort Study
  • Observational Study
  • Effectiveness
  • Safety
  • Health Related Quality of life
03

In context

Multiple Sclerosis, Relapsing-Remitting

618 studies on the registry are indexed under Multiple Sclerosis, Relapsing-Remitting; 82 are open to participants now.

This study's enrollment of 160 is above the median of 120 across 157 observational studies indexed under Multiple Sclerosis, Relapsing-Remitting.

Browse Multiple Sclerosis, Relapsing-Remitting studies →

Lead sponsor

Hikma Pharmaceuticals LLC is the lead sponsor of 14 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients will be recruited from different sites in Jordan, Lebanon, Algeria, Egypt and KSA

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

  1. Patients who initiate treatment with Hikma Generic DMF at baseline in accordance with the approved Summary of Product Characteristics
  2. Age ≥ 18 years
  3. Patients who had a diagnosis of RRMS per 2010 or 2017 revised McDonald criteria who are :

    1. Newly diagnosed who had no prior DMT, or
    2. Switched patients who had ≥1 prior DMTs, other than DMF
  4. Patients who agree to participate in the study and provide a written

Exclusion criteria

Exclusion Criteria:

  1. Patients with previous exposure to DMF other than (Sclera® or Marovarex ®-Hikma), Fumaderm (fumaric acid esters), or compounded fumarates.
  2. Patients participating in other clinical studies
  3. Patients who meet any of the to the administration of the Study drug according to the approved Summary of Product Characteristics
Terms in these criteria, in plain language(2)

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.

05

Study design

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

Interventions

  • Gastro-resistant Hard Capsules. Each capsule contains 240mg or 120mg Dimethyl Fumarate

    Also known as: Sclera ®, Hikma, Marovarex ®, Hikma

06

What researchers measure

Primary outcomes

  1. The primary endpoint of the study is ARR (Annualized Relapse Rate) at 12 month.

    Relapses will be identified and recorded by Site investigators. A relapse is defined as any new or historical neurological symptom, not associated with fever or infection, lasting for at least 24 h and accompanied by new neurological signs. New or recurrent neurologic symptoms that occurred \<30 days after the onset of a relapse as defined earlier were considered part of the same relapse.

    Time frame: 12 Months

Secondary outcomes

  1. Proportion of patients with Adverse Events (AEs) and Serious Adverse Events (SAEs) (including laboratory abnormalities)

    Time frame: up to 12 months from Initiation of Hikma DMF

  2. Proportion of patients with AEs and SAEs (including laboratory abnormalities) leading to treatment discontinuation will be assessed

    Time frame: up to 12 months from Initiation of Hikma DMF

  3. Proportion of patients experiencing a relapse over the 12 months period from Initiation of Hikma DMF

    Time frame: up to 12 months from Initiation of Hikma DMF

  4. Time to First Relapse

    Time frame: up to 12 months from Initiation of Hikma DMF

  5. Proportion of patients with disability progression as measured by the EDSS over time

    Disability worsening is defined as 1.5-point increase (if baseline EDSS score was 0), 1.0-point increase (if baseline EDSS score was \< 5.5) or 0.5- point increase (if baseline EDSS score was ≥ 5.5) confirmed at least 6 months apart

    Time frame: up to 12 months from Initiation of Hikma DMF

  6. Change in Multiple Sclerosis Impact Scale-29 Items (MSIS-29) scores over time

    The 29-item Multiple Sclerosis Impact Scale (MSIS-29) is a patient-reported outcome measure to assess the impact of MS on day-to-day life during the past 2 weeks from a patient's perspective; it measures 20 physical items and 9 psychological items.

    Time frame: up to 12 months from Initiation of Hikma DMF

07

Study locations

6 sites
  • CHU Frantz FANON
    Blida, Algeria
  • Nedir Mohamed Hospital
    Tizi Ouzou, Algeria
  • New University Hospital
    Alexandria, Egypt
  • Demerdash hospital (Ain Shams University)
    Cairo, Egypt
  • Private Clinic
    Cairo, Egypt
  • King Abdullah University Hospital (KAUH)
    Ar Ramtha, Jordan
08

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 Feb 2021 to primary completion in Jul 2023, 28 months.

Of 26 industry-sponsored observational studies under Multiple Sclerosis, Relapsing-Remitting, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 55. This study's 28 months is close to that.

Counting every sponsor, half of 67 studies reached it within 41 months; a quarter within 23 and three quarters within 55.

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

Registered
Jul 8, 2020
First posted
Jul 13, 2020
StartActual
Feb 23, 2021
Primary completionActual
Jul 20, 2023
CompletionActual
Jul 20, 2023
Last update
Sep 22, 2023
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 Sep 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04468165
Responsible party
Sponsor
First posted
Jul 13, 2020
Start date
Feb 23, 2021
Primary completion
Jul 20, 2023
Completion
Jul 20, 2023
Last update
Sep 22, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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