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RNF

Phase 3

Multiple Sclerosis | Small molecule | Neurology |Merck & Company, Inc.|Last Updated: Mar 8, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment919

FDA Designations

No designations recorded

Clinical trial landscape

RNF · 2 trials · 2 indications

Phase 3 2
NCT00813709Long-term Follow-Up of Patients Who Participated in Study 27025 (REFLEX)Multiple Sclerosis
COMPLETED402 Analytics
NCT00404352REbif FLEXible Dosing in Early Multiple Sclerosis (MS)Multiple Sclerosis
COMPLETED517 Analytics
PHASE3COMPLETED
Long-term Follow-Up of Patients Who Participated in Study 27025 (REFLEX)
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
REbif FLEXible Dosing in Early Multiple Sclerosis (MS)
Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Conversion to Clinically Definite Multiple Sclerosis (CDMS) Defined by Either a Second Attack or a Sustained Increase (Greater Than or Equal to 1.5 Points) in the Expanded Disability Status Scale (EDSS) Score up to 36 Months
Baseline (Day 1 of Study 27025) up to 36 Months

CDMS was defined by the occurrence of a second attack or relapse over 36 months in participants who presented with clinically isolated syndrome (CIS) accompanied by an abnormal magnetic resonance imaging (MRI) scan. EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis \[MS\]) was calculated. Time to conversion to CDMS was represented by Kaplan-Meier estimates of the cumulative percentage (%) of participants with CDMS.

Time to Conversion to Multiple Sclerosis (MS) According to the McDonald Criteria (2005)
Various time points from randomization up to 24 months

The McDonald criteria use dissemination in time and space established by magnetic resonance image (MRI) findings to provide a clinical diagnosis for MS. Dissemination in time is established by a new time constant 2 (T2) or gadolinium-enhancing (Gd+) lesion found on a repeat MRI. Dissemination in space is established by the presence of any 3 of the following: 1 Gd+ lesion or 9 T2 bright lesions if there is no enhancement; greater than or equal to 1 infratentorial lesion; greater than or equal to 1 juxtacortical lesion; greater than or equal to 3 periventricular lesions.

Secondary Endpoints

Time to Confirmed Expanded Disability Status Scale (EDSS) Progression up to 36 Months
Baseline (Day 1 of Study 27025) up to 36 Months
Number of Combined Unique Active (CUA) Lesions, New Time Constant 2 (T2) Lesions, New Gadolinium Enhanced (Gd+) Lesions and New Time Constant 1 (T1) Lesions Per Participant Per Scan at Month 36
Month 36
Change From Baseline in Time Constant 1 (T1) Hypointense Lesion Volume and Time Constant 2 (T2) Lesion Volume at Month 36
Baseline (Day 1 of Study 27025), Month 36
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RNF 44 mcg thrice weeklyACTIVE_COMPARATOR -
RNF 44 mcg once weekly and placeboACTIVE_COMPARATOR -
Placebo/RNF 44 mcg thrice weeklyACTIVE_COMPARATOR -
RNF 44 mcg three times weeklyACTIVE_COMPARATOR -
RNF 44 mcg once weekly and placebo twice weekly for blindingACTIVE_COMPARATOR -
Placebo three times weeklyPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
RNFDRUGSingle dose of RNF will be administered subcutaneously three times weekly at least 48 hours apart at a starting dose of 8.8 microgram (mcg) for first 2 weeks followed by 22 mcg for next 2 weeks and finally 44 mcg until 60 months.
PlaceboDRUGSingle dose matching placebo will be administered subcutaneously twice weekly. Placebo is supplied as a transparent, sterile solution for injection in pre-filled syringes matching the RNF pre-filled syringes, each containing 0.5 milliliter (mL).
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites57

Inclusion Criteria: * Reach scheduled end of study in Study 27025 (REFLEX) (completion of 24 months participation) * Medical assessment by the Investigator/treating physician from study 27025 that there is no objection to the subject's participation in this extension trial considering the medical e...

Countries:ArgentinaAustriaBelgiumBulgariaCanadaCroatiaCzechiaEstoniaFinlandFranceGermanyGreeceIsraelItalyLatviaLebanonMoroccoPolandPortugalRomaniaRussiaSerbiaSlovakiaSpainAustraliaSaudi ArabiaTurkey (Türkiye)
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Frequently asked questions about RNF

What is RNF used for in Multiple Sclerosis?

RNF is an investigational small molecule being developed for the treatment of Multiple Sclerosis. It is currently in Phase 3 clinical development, with completed trials evaluating its use in patients with early Multiple Sclerosis and Clinically Isolated Syndrome.

Who makes RNF?

RNF is being developed by Merck & Company, Inc., which trades under the ticker MRK. The company is conducting Phase 3 clinical trials to evaluate the drug for the treatment of Multiple Sclerosis.

What phase is RNF in?

RNF is in Phase 3 clinical development for Multiple Sclerosis. Two Phase 3 trials have been completed, with a total enrollment of 919 participants. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is RNF in?

RNF has been studied in two completed Phase 3 trials. The first, NCT00404352, enrolled 517 participants with Multiple Sclerosis. The second, NCT00813709, enrolled 402 participants with Multiple Sclerosis or Clinically Isolated Syndrome and was a long-term follow-up study.

Is RNF a randomized controlled trial drug?

Yes, RNF has been evaluated in randomized, double-blind, placebo-controlled Phase 3 trials. These trials enrolled a total of 919 participants across multiple countries, including the United States and various European nations.