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Completed

NCT Number: NCT01403376

Study to Investigate the Immune Response to Influenza Vaccine in Patients With Multiple Sclerosis on Teriflunomide

Primary Objective:

Assess the antibody response to influenza vaccine in patients with relapsing form of multiple sclerosis (RMS) treated with teriflunomide compared to a reference population.

Secondary Objectives:

* Assess the effect of teriflunomide on immunoglobulin levels; * Assess the safety of influenza vaccination in patients with RMS treated with teriflunomide.

The reference population was defined as multiple sclerosis (MS) patients with a stable treatment with interferon-β-1. Antibody response was measured using hemagglutination inhibition assay (HIA) and the hemagglutinin antigens representing the stains of H3N2, H1N1, and B as present in the influenza vaccine used.

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Key information

Age range

18 year–59 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Investigational Site Number 040001, Vienna, Austria

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About this study

The maximum duration of the study period for a participant was approximatively 49 days broken down as follows:

  • Screening period of up to 21 days;
  • Influenza vaccination at Day 1;
  • Follow-up period of 28 days (±2 days).

MS treatment (Teriflunomide or interferon-β-1) was to be continued during the course of the study.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patient <60 years old with relapsing multiple sclerosis (RMS) either treated for at least 6 months with 7 or 14 mg teriflunomide in one of the studies LTS6048 or LTS6050, or treated with a stable dose of interferon-β-1 for at least 6 months.

Exclusion criteria

  • Concomitant infectious pathology at the time of vaccination;
  • MS relapse within 1 month before vaccination;
  • Systemic corticosteroids within 1 month before the vaccination;
  • Any contraindication to influenza vaccine;
  • Any vaccination within the last 6 months;
  • Prior use of any investigational drug or participation to a clinical trial within 1 year (only for patients under interferon-β-1);
  • Prior or concomitant use (for a minimum of 1 year before study entry) of cladribine, mitoxantrone, or other immunosuppressant agents such as azathioprine, cyclophosphamide, cyclosporin, methotrexate, mycophenolate, natalizumab (Tysabri®), leflunomide or fingolimod or other immunomodulator/immunosuppressant in development;
  • Prior or concomitant use of glatiramer acetate within 1 year before study entry;
  • Prior or concomitant use of intravenous immunoglobulins within 3 months before study entry;
  • Pregnant or breast feeding women;
  • Woman of childbearing potential without adequate contraception.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

Teriflunomide

Drug

Film-coated tablet

Oral administration

Other names: HMR1726

Interferon-β-1

Drug

Powder for reconstitution, of any licensed strength for either intramuscular or subcutaneous injection

Other names: Rebif®, Avonex®, Betaseron®, Betaferon®, Extavia®, Genfaxone®

influenza vaccine

Biological

Inactivated, split-virion influenza vaccine 2011-2012

One administration by intramuscular or intradermal route as per product specification

Primary outcomes

  1. Percentage of Participants With Antibody Titer ≥40 at 28 Days Post Vaccination

    Time frame: 28 days post vaccination

    For each viral strain (H1N1, H3N2, and B), the antibody titer, level of antibodies in blood sample when exposed to antigen, was calculated as the mean of two replicates. If the titer was below or above the limit of detection, the threshold value was used.

    The percentage of participants achieving a titer of 40 or more, as well as the 90% confidence interval (CI) using normal approximation were calculated for each strain and treatment group.

Secondary outcomes

  1. Percentage of Participants With 2 Fold or More Increase in Antibody Titer at 28 Days Post Vaccination

    Time frame: pre vaccination (baseline) and 28 days post vaccination

    Percentages of participants with an increase from baseline of 2-fold or more in antibody titers and 90% CIs using normal approximation were calculated for each strain and treatment group.

  2. Percentage of Participants With 4 Fold or More Increase in Antibody Titer at 28 Days Post Vaccination

    Time frame: pre vaccination (baseline) and 28 days post vaccination

    Percentages of participants with an increase from baseline of 4-fold or more in antibody titers and 90% CIs using normal approximation were calculated for each strain and treatment group.

  3. Geometric Mean of Titers (GMT) Ratio Post/Pre Vaccination

    Time frame: pre vaccination (baseline) and 28 days post vaccination

  4. Immunoglobulin Levels

    Time frame: pre vaccination (baseline) and 28 days post vaccination

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

Study to Investigate the Immune Response to Influenza Vaccine in Patients With Multiple Sclerosis on Teriflunomide Treatment and Using a Population of Patients With Multiple Sclerosis as a Reference

Acronym: TERIVA

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
Jul 27, 2011
Registry last updated
Feb 18, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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