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Interferon beta-1a

Phase 4FDA approved

Multiple Sclerosis | Small molecule | Neurology |Biogen Inc.|Trials Updated: Aug 13, 2014

Interferon beta-1a development status

FDA approval on record Nov 12, 2002 as Avonex
Approval holderBiogen
ApplicationBLA103628
Highest phase Phase 4 (NCT03177083)
Phase scored for BIIBPhase 3
Registered trials 37 across 13 sponsors since Oct 2002

Label indication AVONEX 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. AVONEX is 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. ( 1 ) FDA label

Interferon beta-1a target and mechanism

ModalitySmall molecule

Also known as AVONEX, BG9418

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials8
Total Enrollment761

FDA Designations

No designations recorded

Interferon beta-1a clinical trials

Interferon beta-1a · 8 trials · 4 indications

Phase 3 3Phase 2 3Phase 1 2
NCT01181115Avonex Safety and Tolerability in Chinese Subjects With Relapsing Multiple Sclerosis (MS)Multiple Sclerosis
COMPLETED60 Analytics
NCT00828204Evaluate the Safe and Effective Use of the Avonex® Single-Use Autoinjector in Multiple Sclerosis SubjectsMultiple Sclerosis
COMPLETED95 Analytics
NCT00915577Patient Satisfaction Study of Single-Use Autoinjector for the Delivery of Pre-Filled Avonex SyringeMultiple Sclerosis
COMPLETED74 Analytics
PHASE3COMPLETED
Avonex Safety and Tolerability in Chinese Subjects With Relapsing Multiple Sclerosis (MS)
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
Evaluate the Safe and Effective Use of the Avonex® Single-Use Autoinjector in Multiple Sclerosis Subjects
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
Patient Satisfaction Study of Single-Use Autoinjector for the Delivery of Pre-Filled Avonex Syringe
Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

The number and proportion of subjects with adverse events (AEs)
24 weeks
Assessment of clinical laboratory parameters
24 weeks
Assessment of vital signs and physical examinations
24 weeks
Assessment of electrocardiogram (ECG)
24 weeks
Assessment of immunogenicity
24 weeks
Incidence of depression
24 weeks
Incidence of flu-like symptoms
24 weeks
Subject assessment of injection site pain
24 weeks
Clinical assessment of the injection site
24 weeks
Percentage of Participants in the Main Subset With Overall Success Using the Avonex Single-Use Autoinjector
Day 22

A trainer/observer documented the participant's ability to self-inject with the Avonex single-use autoinjector and completed an observation form. Overall success in using the device for each participant was defined as no failures occurring in any step (ie, device set-up, self-administration of injection, and capping/disposal of the device) during the participant's use of the single-use Avonex autoinjector.

The primary objective of the study is to determine patient satisfaction with the single-use autoinjector for the delivery of pre-filled AVONEX® syringe
The study duration is 8 Weeks
Percentage of Participants With a Clinical Response
Baseline and Week 8

Clinical response is defined as a decrease from baseline in the total Mayo score of at least 3 points and at least 30%, accompanied by a decrease in the subscore for rectal bleeding of at least 1 point or an absolute subscore of 1 or less. Baseline was defined as the score collected during the screening period. The Mayo Score/Disease Activity Index (DAI) measures disease activity through assessment of 4 items: stool frequency, rectal bleeding, endoscopy findings, and Physician Global Assessment (PGA). Each item of the score is assessed on a 4-point scale, 0, 1, 2, or 3, with a higher score representing greater severity. In this study, the endoscopy subscore was expanded to a 5-point scale to increase sensitivity in this important dimension of the disease (0=normal/inactive disease, 4=deep ulceration). The Total Mayo Score can therefore range from 0 to13 points.

The primary endpoint for the efficacy analyses is the total IVIg dose (g/Kg) administered after Visit 5 and through Visit 9 (Week 32, End of Study).
To evaluate the immunogenicity of a serum-free pre-formulated solution of AVONEX®
Study duration is 20 months
Pharmacokinetic parameter
10 months

Serum concentrations of human interferon-beta

Pharmacodynamic parameter
10 months

Serum concentrations of neopterin and beta2-microglobulin

Number of adverse events
10 months

Adverse events throughout the study

Clinically relevant changes from baseline in safety assessments
10 months

Routine physical examination, ECG, safety tests of blood/urine, CXR, oximetry, full pulmonary function tests, spirometry, Dyspnea scale

Pharmacodynamic paramter
10 months

Cellular MxA protein as an exploratory analysis

Area under the serum concentration-time curve (AUC) as a measure of PK.
Subjects will be followed for the duration of the study, 22 days. PK samples will be taken 5 to 60 minutes prior to dosing, and post dose at hours 2, 4, 6, 9, 12, 15, 18, 21, 24, 30, 36, 48, 72, 96 and 168.

Secondary Endpoints

Assess safety of Avonex by evaluating changes in the Expanded Disability Status Scale (EDSS) score over time
24 weeks
Number of Gd-enhancing lesions on brain MRI scans taken after 3 and 6 months following Avonex treatment
at month 3 and month 6
Number of new or newly enlarging T2-weighted lesions on brain MRI scans taken after 3 and 6 months following Avonex treatment
at month 3 and month 6
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Active treatmentEXPERIMENTALInterferon treatment for MS
Avonex Single-Use AutoinjectorEXPERIMENTALParticipants received open label weekly treatment with Avonex 30 mcg intramuscular (IM) injections, provided in Avonex prefilled syringes. In the Main Study, injection #1: administration of Avonex prefilled syringe via manual IM injection on Day 1. Injections #2, #3, and #4: administration of Avonex prefilled syringe using the single-use autoinjector on Days 8, 15, and 22, respectively. In the Extension Study, participants were to continue treatment with the Avonex single-use autoinjector for up to an additional 12 weeks.
1st InjectionEXPERIMENTALManual injection with pre-filled syringe.
Single-use autoinjectorEXPERIMENTALSingle-use autoinjector with Avonex pre-filled syringe
Interferon beta-1aEXPERIMENTALInterferon beta-1a 30 µg intramuscular (IM) injection twice weekly for 12 weeks
PlaceboPLACEBO_COMPARATORPlacebo IM injection twice weekly for 12 weeks
1EXPERIMENTALserum-free avonex given IM
Commercial INFB followed by Investigational INFBOTHERProcess A (currently-approved manufacturing process involving FBS) first, then Process B (new serum-free manufacturing process, without FBS)
Investigational INFB followed by Commercial INFBOTHERProcess B (new serum-free manufacturing process, without FBS) first, then Process A (currently-approved manufacturing process involving FBS)

Interventions

NameTypeDescription
AvonexDRUGInterferon treatment for MS
single-use autoinjector with a prefilled liquid Avonex syringeDEVICE -
Avonex prefilled syringe via manual IM injectionDEVICE -
BG9418 (interferon beta-1a)DRUG -
Interferon beta-1aDRUG30mcg, IM once-a-week
Single-use autoinjectorDEVICESingle-use autoinjector with Avonex 30mcg pre-filled syringe
PlaceboDRUGPlacebo IM injection, self-administered per protocol.
Interferon beta 1aDRUG -
(IM) AVONEX®DRUG -
Interferon beta-1a (current approved manufacturing process invloving FBS)DRUGSingle dose of 60 mcg given Intramuscularly (IM)
Interferon beta-1a (new process, manufactured without FBS)DRUGSingle dose of 60 mcg given Intramuscularly (IM)
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Ability to understand risks of study and provide informed consent. * Must be Chinese, aged 18 to 55 years inclusive at time of consent. * Must have diagnosis of relapsing MS of 3 months duration at time of screening visit. * Must have at least 1 documented MS attack within 3 y...

Countries:ChinaUnited StatesCanadaCzechiaHungaryPolandRussiaSlovakiaAustraliaUnited Kingdom
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Frequently asked questions about Interferon beta-1a

What is Interferon beta-1a?

Interferon beta-1a is a neurology therapy developed by Biogen Inc. (ticker BIIB) for multiple sclerosis and chronic inflammatory demyelinating polyradiculoneuropathy. It has been studied across four clinical trials with a combined enrollment of 416 participants. The program includes completed Phase 1, Phase 2, and Phase 3 studies.

What is Interferon beta-1a used for?

Interferon beta-1a is being studied for multiple sclerosis and chronic inflammatory demyelinating polyradiculoneuropathy, both neurological conditions. The clinical trials conducted to date enrolled patients with multiple sclerosis, including studies of safety, blood levels, immunogenicity, and delivery via a single-use autoinjector.

Who makes Interferon beta-1a?

Biogen Inc., which trades under the ticker BIIB, is the developer of Interferon beta-1a. The company has sponsored the clinical program evaluating the therapy, including trials of serum-free manufacturing and bioequivalence between two different manufacturing processes.

What phase is Interferon beta-1a in?

Interferon beta-1a is in Phase 2 development. Its clinical program includes a completed Phase 2 immunogenicity and safety study of serum-free Interferon beta-1a, along with completed Phase 1 and Phase 3 trials. There are currently no active trials listed for this asset.

What clinical trials is Interferon beta-1a in?

Interferon beta-1a has been evaluated in four completed trials: NCT01863069, a Phase 1 safety and blood level study; NCT01500408, a Phase 1 bioequivalence study; NCT00915577, a Phase 3 patient satisfaction study of a single-use autoinjector; and NCT00912860, a Phase 2 immunogenicity and safety study of serum-free Interferon beta-1a.

Is Interferon beta-1a the same as Interferon beta 1a?

Yes, Interferon beta 1a and interferon beta 1-a are alternative names for Interferon beta-1a. The name is also written as Interferon beta-1a (current approved manufacturing process involving FBS), which refers to the same therapy developed by Biogen Inc. for multiple sclerosis and chronic inflammatory demyelinating polyradiculoneuropathy.