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Interferon beta 1b

Phase 4FDA approved

HIV Infections | Small molecule | Infectious Disease |Bayer AG|Trials Updated: Oct 29, 2015

Interferon beta 1b development status

FDA approval on record Mar 14, 2003 as Betaseron
Approval holderBayer Healthcare Pharms
ApplicationBLA103471
Highest phase Phase 4 run by Novartis Pharmaceuticals (NCT01333501)
Phase scored for BAYRYPhase 3
Registered trials 1 across 1 sponsor since Apr 2011

Label indication BETASERON is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. BETASERON is an interferon beta indicated for the treatment of relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive… FDA label

Success Probability

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Market & Valuation

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Trial Design

Double-BlindUNCONTROLLED
Total Trials7
Total Enrollment4,372

FDA Designations

No designations recorded

Interferon beta 1b clinical trials

Interferon beta 1b · 7 trials · 5 indications

Phase 3 5Phase 2 2
NCT00459667BEYOND Follow-up: Betaferon®/Betaseron® Efficacy Yielding Outcomes of a New DoseMultiple Sclerosis, Relapsing-Remitting
COMPLETED1,420 Analytics
NCT00370071Open Label Study to Evaluate Effect, Safety and Tolerability of Betaferon Standard Dose of 250µg in Patients of Chinese Origin With Multiple SclerosisMultiple Sclerosis
COMPLETED39 Analytics
NCT00099502BEYOND: Betaferon/Betaseron Efficacy Yielding Outcomes of a New Dose in Multiple Sclerosis (MS) PatientsMultiple Sclerosis, Relapsing-Remitting
COMPLETED2,244 Analytics
NCT00185211BENEFIT Study (Betaferon® / Betaseron® in Newly Emerging Multiple Sclerosis for Initial Treatment) and BENEFIT Follow-up StudyMultiple Sclerosis
COMPLETED468 Analytics
NCT00002238Phase III Randomized Double-Blind Placebo Controlled Study To Evaluate the Safety and Efficacy of Betaseron in AIDS and Advanced ARC Patients Receiving a Reduced-Dose AZT RegimenHIV Infections
COMPLETED- Analytics
PHASE3COMPLETED
BEYOND Follow-up: Betaferon®/Betaseron® Efficacy Yielding Outcomes of a New Dose
Multiple Sclerosis, Relapsing-RemittingUnlock trial analytics
PHASE3COMPLETED
Open Label Study to Evaluate Effect, Safety and Tolerability of Betaferon Standard Dose of 250µg in Patients of Chinese Origin With Multiple Sclerosis
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
BEYOND: Betaferon/Betaseron Efficacy Yielding Outcomes of a New Dose in Multiple Sclerosis (MS) Patients
Multiple Sclerosis, Relapsing-RemittingUnlock trial analytics
PHASE3COMPLETED
BENEFIT Study (Betaferon® / Betaseron® in Newly Emerging Multiple Sclerosis for Initial Treatment) and BENEFIT Follow-up Study
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
Phase III Randomized Double-Blind Placebo Controlled Study To Evaluate the Safety and Efficacy of Betaseron in AIDS and Advanced ARC Patients Receiving a Reduced-Dose AZT Regimen
HIV InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Flu-like-syndrome
309 days

The variable "Flu-like-syndrome" will consist of a combination of MedDRA terms (Preferred Terms and Lower Level Terms) indicative for this condition.

Injection-site Reactions
309 days

The variable "Injection-site reactions" will consist of a combination of MedDRA terms (Preferred Terms only) indicative for this condition.

Liver Enzyme Elevations
309 days

The variable "Liver enzyme elevations" will consist of a combination of MedDRA terms (Preferred Terms only) indicative for this condition.

Hematological Abnormalities
309 days

The variable "Hematological abnormalities" will consist of a combination of MedDRA terms (Preferred Terms only) indicative for this condition.

Difference Between the Number of Newly Active Lesions in Magnetic Resonance Imaging (MRI) Per Three Months During the 6-month Treatment Period and the Number of Newly Active Lesions During 3-month Pre-treatment
after 6 months of treatment as compared to 3-month pre-treatment

The primary efficacy variable was calculated by subtracting the number of newly active lesions during the 3-month pre-treatment period from the cumulative number of newly active lesions during the 6-month treatment period divided by 2 (number of newly active lesions per three months, new lesion frequency per 3 months)

Hazard ratio for relapses
During the first and during the second 52 weeks
Time to Clinically Definite Multiple Sclerosis (CDMS) Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With CDMS at Selected Points in Time
up to 60 months after start of treatment

CDMS could be reached due to a qualifying relapse or sustained progression of 1.5 points on the expanded disability status scale (EDSS) as compared to the lowest EDSS obtained during screening or Day 1. The validity of CDMS diagnoses was confirmed by a central committee. The EDSS scale quantifies disability in MS in 8 functional systems, values vary between 0="normal neurological examination" and 10="death due to MS" measured in half-points on an ordinal scale. Time to CDMS = date of CDMS - date of Day 1 + 1 or time to CDMS = date of last clinical visit - date of Day 1 + 1 (right-censored)

Time to Confirmed Expanded Disability Status Scale (EDSS) Progression Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With Confirmed EDSS Progression at Selected Points in Time
up to 60 months after start of treatment

EDSS progression was defined as an increase in the expanded disability status scale (EDSS) of 1.0 point compared to the lowest EDSS score obtained during the screening or baseline visit, if this score was \<= 5.5. A confirmed EDSS progression status was defined as an EDSS progression observed at two consecutive scheduled visits at least 140 days apart from each other. The EDSS scale is a method of quantifying disability in multiple sclerosis in eight functional systems and values vary between 0="normal neurological examination" and 10="death due to MS" measured in half-points on a scale.

Functional Assessment of Multiple Sclerosis (FAMS) Trial Outcome Index (TOI) at Month 60
60 months after start of treatment

As an index of health related quality of life in people diagnosed with MS, the FAMS Trial Outcome Index covers overall physical health (sum of sub-scale scores Mobility, Symptoms, Thinking/Fatigue, Additional Concerns) with a score range from 0 to 148. A higher score reflects a higher overall physical health as reported by patients.

Safety and Tolerability as Defined by the Number of Subjects With Flu-like Syndrome, Fever, Myalgia, Injection Site Reactions, Injection Site Reactions Pain, Asthenia, Headache, Liver Function Abnormalities, and Bone Marrow Function Abnormalities
At End of Study Visit (week 234)

Outcome measures are given as the number of patients with common toxicity by the Common Toxicity Criteria (CTC). Toxicity grading is: Grade 1: no study drug action recommended, Grade 2: Dose reduction or interruption of study treatment should be considered (grade 2 Lymphocyte toxicity required no study drug action), Grade 3: Dose reduction or interruption should be considered; interruption is recommended, and Grade 4: Interruption of study drug is recommended (Grade 4 laboratory toxicity was reported as a serious adverse event). Liver and bone marrow abnormalities are measured by lab tests.

Presence of Adenovirus, Enterovirus and/or Parvovirus in endomyocardium
12 weeks after the end of a 24 weeks treatment

Secondary Endpoints

Percentage of Patients With Neutralizing Antibody Titer to IFNB-1b of Different Cut-off Values
309 days
Difference Between the Number of New Gadolinium (Gd)-Enhancing Lesions Per 3 Months During the 6-month Treatment Period and the Number of New Gd-enhancing Lesions During 3-month Pre-treatment
after 6 months of treatment as compared to 3-month pre-treatment
Difference Between the Number of New or Enlarging T2 Lesions Per 3 Months During the 6-month Treatment Period and the Number of New or Enlarging T2 Lesions During 3-month Pre-treatment
after 6 months of treatment as compared to the 3-month pre-treatment
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IFNB-1b 500 mcgEXPERIMENTALInterferon beta 1b (\[IFNB 1b\] Betaseron) 500 mcg administered s.c. every other day (double blind)
IFNB-1b 250 mcgEXPERIMENTALInterferon beta 1b (\[IFNB 1b\] Betaseron) 250 mcg administered s.c. every other day (double blind)
IFNB-1b 250 mcg*EXPERIMENTALInterferon beta 1b (\[IFNB 1b\] Betaseron) 250 mcg administered s.c. every other day \*(Subjects who were administered Copaxone and subjects who had prematurely discontinued medication during BEYOND study.)
Interferon beta-1b (Betaseron, BAY86-5046)EXPERIMENTALInterferon beta-1b 250 μg (8 MIU) subcutaneously (sc) every other day (e.o.d.)
Arm 1EXPERIMENTAL -
Arm 2EXPERIMENTAL -
Arm 3ACTIVE_COMPARATOR -
Initial IFNB-1b (Interferon beta-1b)EXPERIMENTALInitial Betaferon/Betaseron treatment (Interferon beta-1b, IFNB-1b), 250 ug administered s.c. (subcutaneous) every other day, continued in Follow-up phase
Initial PlaceboEXPERIMENTALInitial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial)
ET: IFNB-1b 250 mcg => 250 mcgACTIVE_COMPARATORExtension Treatment 250 mcg continued
ET: IFNB-1b 500 mcg => 250 mcgEXPERIMENTALExtension Treatment 500 mcg reduced to 250 mcg
ET: IFNB-1b 500 mcg => 500 mcgEXPERIMENTALExtension Treatment 500 mcg continued
ET: IFNB-1b 250 mcg => 500 mcgEXPERIMENTALExtension Treatment 250 mcg increased to 500 mcg
Arm 4PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
Interferon beta-1b (Betaseron, BAY86-5046)DRUGPhase A: 250ug administrated s.c. every other day (double blind). For patients previously randomized in Bayer study 91162 to the same treatment. Phase B: All patients will receive 500µg s.c.every other day (open-label).
Interferon beta-1b (Betaferon/Betaseron, BAY86-5046)DRUG250mcg administered s.c. every other day
CopaxoneDRUG20 mg administered s.c. once daily.
Interferon beta-1bDRUG -
ZidovudineDRUG -
Interferon beta 1b (Betaseron, BAY86-5046)DRUG250 mcg administered s.c.(subcutaneous) every other day
PlaceboDRUG0.25 ml in week 1 and 0.50 ml in weeks 2 to 24 given subcutaneously every other day
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites184

Inclusion Criteria: * Completion of the BEYOND study 306440 as scheduled * Relapsing multiple sclerosis * Medical assessment by the investigator that there is no objection to the patient's participation in this trial considering the medical experience from study 306440. Special attention should be ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaDenmarkFinlandFranceGermanyGreeceHungaryIrelandIsraelItalyLatviaNetherlandsNorwayPolandRussiaSloveniaSpainSwedenSwitzerlandUkraineChinaCzechiaPortugalUnited Kingdom
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Frequently asked questions about Interferon beta 1b

What is Interferon beta 1b used for?

Interferon beta 1b is used to treat relapsing-remitting multiple sclerosis and is also being studied in chronic viral cardiomyopathies and HIV infections. It is a small molecule developed by Bayer AG under the ticker BAYRY. The multiple sclerosis indication has the most clinical trial activity, including Phase 3 studies.

Who makes Interferon beta 1b?

Interferon beta 1b is developed by Bayer AG, which trades under the ticker BAYRY. Bayer has sponsored multiple clinical trials of the drug, including the BEYOND follow-up study and an open-label study in Chinese patients with multiple sclerosis.

What phase is Interferon beta 1b in?

Interferon beta 1b is in Phase 2 development for cardiomyopathies and HIV infections, while it has been studied in Phase 3 trials for multiple sclerosis. The Phase 2 trial in chronic viral cardiomyopathy completed with 138 patients, and the Phase 3 multiple sclerosis trials have also completed.

What clinical trials is Interferon beta 1b in?

Interferon beta 1b has been evaluated in several completed trials, including NCT00459667 (BEYOND follow-up, Phase 3, 1,420 patients with relapsing-remitting multiple sclerosis), NCT00370071 (Phase 3, 39 patients in China), NCT00235989 (Phase 2 extension, 63 patients), and NCT00185250 (Phase 2, 138 patients with chronic viral cardiomyopathy).

Is Interferon beta 1b the same as Betaseron?

Yes, Interferon beta 1b is also known as Betaseron and Betaferon, and it has the development code BAY86-5046. These names refer to the same drug developed by Bayer AG. Betaseron and Betaferon are brand names used in different regions.