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Interferon β-1a

Phase 3

Multiple Sclerosis | Small molecule | Immunology |Sanofi|Last Updated: Jun 13, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment324
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00883337A Study Comparing the Effectiveness and Safety of Teriflunomide and Interferon Beta-1a in Patients With Relapsing Multiple SclerosisPHASE3 COMPLETED 324Apr 1, 2009May 1, 2015Jun 13, 201654 Belgium, Canada +11
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Study Endpoints
Primary Endpoints
Core Treatment Period: Overview of Failures
Core treatment period between 48 and 118 weeks depending on when the participant was enrolled

Failure was defined as the first occurence of confirmed relapse or permanent treatment discontinuation (for any cause) which ever came first. If no events occurred, the participant was considered free of failure. Each episode of relapse - appearance, or worsening of a clinical symptom that was stable for at least 30 days, that persisted for a minimum of 24 hours in the absence of fever - was to be confirmed by an increase in Expanded Disability Status Scale \[EDSS\] score or Functional System scores.

Core Treatment Period: Time to Failure: Kaplan-Meier Estimates of the Rate of Failure at Timepoints
Core treatment period between 48 and 118 weeks depending on when the participant was enrolled

Probability of disability progression at 24, 48 and 96 weeks was estimated using Kaplan-Meier method on the time to failure defined as the time from randomization to failure. Participants free of failure were censored at the date of last treatment. Kaplan-Meier method consists in computing probabilities of non occurrence of event at any observed time of event and multiplying successive probabilities for time ≤t by any earlier computed probabilities to estimate the probability of being event-free for the amount of time t. Probability of event at time t is 1 minus the probability of being event-free for the amount of time t.

Secondary Endpoints
Core Treatment Period: Annualized Relapse Rate [ARR] - Poisson Regression Estimates
Core treatment period between 48 and 118 weeks depending on when the participant was enrolled
Core Treatment Period: Change From Baseline in Fatigue Impact Scale (FIS) Total Score
Baseline (before randomization) and 48 weeks
Core Treatment Period: Treatment Satisfaction Questionnaire for Medication [TSQM] Scores
48 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Teriflunomide 7 mg / 14 mgEXPERIMENTALTeriflunomide 7 mg once daily (core treatment period) and teriflunomide 14 mg once daily (extended treatment period).
Teriflunomide 14 mg / 14 mgEXPERIMENTALTeriflunomide 14 mg once daily (core treatment period) and teriflunomide 14 mg once daily (extension treatment period).
IFN-β-1a / 14 mgACTIVE_COMPARATORInterferon β-1a 3 times a week (core treatment period) and teriflunomide 14 mg once daily (extended treatment period).
Interventions
NameTypeDescription
Interferon β-1aDRUGSterile preservative-free solution packaged in graduated pre-filled syringes Subcutaneous injection Ascending doses from 8.8 to 44 mcg according to local standard for Rebif®
TeriflunomideDRUGFilm-coated tablet Oral administration
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites54

Inclusion Criteria: * Relapsing form of MS meeting McDonald's criteria for MS diagnosis and Expanded Disability Status Scale \[EDSS\] score ≤5.5 at screening visit. Exclusion Criteria: * Significantly impaired bone marrow function or, significant anemia, leukopenia or thrombocytopenia; * Persiste...

Countries:BelgiumCanadaCzechiaFranceGermanyGreeceHungaryItalyPolandSpainSwitzerlandTunisiaUnited Kingdom
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