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CTRI Number  CTRI/2009/091/000690 [Registered on: 12/10/2009]
Last Modified On: 18/08/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To determine if treatment with BIIB017 can decrease the number of MS relapses during a certain time period for patients with RMS. Other goals of the study are to determine if, over time, BIIB017 treatment can decrease the number of certain types of brain lesions commonly seen in MS patients and slow down the time it takes for MS to get worse. 
Scientific Title of Study   A Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study to Evaluate the Efficacy and Safety of PEGylated Interferon Beta-1a (BIIB017) in Subjects With Relapsing Multiple Sclerosis. Acronym: ADVANCE 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
105MS301  Protocol Number 
2008-006333-27  EudraCT 
NCT00906399  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Mamta Madaan 
Designation  Senior Clinical Trial Lead 
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Biogen Idec Biotech India Pvt. Ltd.
14th floor, Vatika Towers B, Sector 54
Gurgaon
HARYANA
122002
India 
Phone  0124-4572314  
Fax  0124-4572333  
Email  mamta.madaan@biogenidec.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anjali Nagpal 
Designation  Medical Affairs Country Head 
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Biogen Idec Biotech India Pvt. Ltd.
12th floor, Vatika Towers B, Sector 54
Gurgaon
HARYANA
122002
India 
Phone  0124-4572304  
Fax  0124-4572333  
Email  anjali.nagpal@biogenidec.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Mamta Madaan 
Designation  Clinical Reseach Country Head  
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Biogen Idec Biotech India Pvt. Ltd.
14th floor, Vatika Towers B, Sector 54
Gurgaon
HARYANA
122002
India 
Phone  0124-4572341  
Fax  0124-4572333  
Email  mamta.madaan@biogenidec.com  
 
Source of Monetary or Material Support  
Biogen Idec Innovation House 70 Norden Road Maidenhead Berkshire SL4 6AY 
 
Primary Sponsor
Modification(s)  
Name  Biogen Idec 
Address  Innovation House 70 Norden Road Maidenhead, Berkshire United Kingdom SL6 4AY  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
None   
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 21  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manjari Tripathi  All India Institute of Medical Sciences  Department of Neurology,AIIMS, Ansari Nagar, New Delhi 1
South
DELHI 
01126588248
01126588166
manjari.tripathi@gmail.com 
Dr Vardharjulu  Bangalore Clinisearch  No:416, 4th cross, 2nd block,Kalyan Nagar
Bangalore
KARNATAKA 
9916512825
80-25459006
gowrisankarcr@gmail.com 
Dr Chandrashekhar Meshram   Brain And Mind Institute  B-101, Neeti Gaurav Complex, Ramdespeth
Nagpur
MAHARASHTRA 
0712-2451626
0712-2451626
drmeshram@hotmail.com 
Dr Pawan Ojha   Brain Centre  C2/6/0:3,Sector 2, Opp Abbott Hotel
Mumbai
MAHARASHTRA 
022-27820818
022-27822468
ptojha@yahoo.co.in 
Dr Joy Desai  Clinical trial office, R. No-24, 2nd floor, Physiotherapy Dept.,Jaslok Hospital and Research Centre  15, Dr. G. Deshmukh Marg
Mumbai
MAHARASHTRA 
022-66573365
022-23526282
desaijoy@gmail.com 
Dr Manoj Gulhane   Curie Manavata Cancer Centre  Opposite Mahamarg Bus Stand, Mumbai Naka
Nashik
MAHARASHTRA 
9822196080
02532594866
mngulhane@hotmail.com 
Dr Rahul Kulkami  Deenanath Mangeshkar Hospital and Research Centre  Department of Neurology Eradwane
Pune
MAHARASHTRA 
9822012588
020-66023012
rahulneuro@vsnl.net 
Dr Sudhir Kothari   Deprt of Neurology, Poona Hospital and Research Centre  27 Sadashiv Peth
Pune
MAHARASHTRA 
9822719440
020-24320681
sudhirkothari@gmail.com 
Dr Anshu Rohatgi   Dept of Neurology, Sir Ganga Ram Hospital  Old Rajinder Nagar
New Delhi
DELHI 
011-42251439
011-45041726
rohatgianshu@yahoo.com 
Dr Ratnavalli Ellajosyula   Dept. of Neurology, Manipal Hospital  98 Rustom Bagh, Airport Road
Bangalore
KARNATAKA 
080-25023273
080-25207181
ratnavalli@yahoo.co.uk 
Dr Pravar Passi  Greater Kailash Hospital  11/2, Old Palasia,
Indore
MADHYA PRADESH 
09826047847
0-7314043923
pravarpassi@gmail.com 
Dr Lekha Pandit  Justice K. S. Hegde Charitable Hospital  Department of Neurology,Deralakatte
Bangalore
KARNATAKA 
09845084343
08242203747
panditmng@gmail.com 
Dr Prabhjeet Singh  K D Hospital  7 Circular Road ,
Amritsar
PUNJAB 
0183-2566737
01832220795
drprabhjeet75@yahoo.co.in 
Dr Krishnan Vijayan   Kovai Medical Centre & Hospital  Department of Neurology,3209,Avanashi Road
Coimbatore
TAMIL NADU 
04224323202
04222627782
kalyani_vijayan@rediffmail.com 
Dr J D Mukherji   Max Superspeciality Hospital  Department of Neurology,1, Press Enclave Raod, Saket
New Delhi
DELHI 
011-66113073
011-26514040
jd.mukherji@maxhealthcare.com 
Dr Shalin Shah  Neurology Centre  206-7-8 Sangini Complex,Near Parimal Crossing,Ellisbridge
Ahmadabad
GUJARAT 
09825465067
07926405758
drshalinshah@yahoo.co.in 
Dr Bhawna Sharma  Sawai Man Singh Hospital  Department of Neurology, Jawaharlal Nehru Marg,
Jaipur
RAJASTHAN 
09829219314
01412561286
sharmadrbhawna@gmail.com 
Dr Pahari Ghosh  Sri Aurobindo Sevakendra  1 H Gariahat Road,Jodhpur Park-700068
Kolkata
WEST BENGAL 
09831023296
033-24990059
pahari_ghosh@vsnl.net 
Dr Sridharan Ramaratnam   The Nerve Centre  New 15,Old 25, Parthasarathypuram,T. Nagar
Chennai
TAMIL NADU 
09841098257
044-28143365
rsridharan52@gmail.com 
Dr Shamsher Dwivedee   Vidhya Sagar Institute of Mental Health and Neurosciences  1, Institutional Area,Nehru Nagar
New Delhi
DELHI 
09810084300
01129849036
sdclinical@gmail.com 
Dr Gurav Dave  Well Care Hospital  25-New Jagnath Road,Near Brahmakumari Temple
Rajkot
GUJARAT 
09825328029
0281-2468684
drdave.wellcare@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 21  
Name of Committee  Approval Status 
Bangalore Central Ethics Committee  Approved 
Central Ethics Committee Mangalore  Approved 
Central India Medical Research Ethics Committee Nagpur  Approved 
Deenath Mangeshkar Hospital And Research Centre  Approved 
Ethics Committee - Sir Ganga Ram Hospital  Approved 
Ethics Committee Poona Hospital Research Centre  Approved 
Ethics Committee Vidyasagar Institute Of Mental Health And Neuro-Science  Approved 
Ethics Committee, Jaslok Hospital and Research Centre  Approved 
Ethics Committee, SMS Medical College and attached Hospital, Jaipure  Approved 
Greater Kailash Hospital Ethics Committe for human subject research  Approved 
independent Ethics Committee for Research on human subjects used by Dr. Sridharan, Chennai  Approved 
Independent Ethics Committee of Sri Aurobindo Seva Kendra   Approved 
Independent Ethics Committee used by Dr. Pawan Ojha, Brain Center, Mumbai   Approved 
Institutes Ethics Committee, AIIMS New Delhi  Approved 
Institutional Ethics Committee Manipal Hospital and Manipal Heart Foundation  Approved 
KMCH Ethics Committee  Approved 
Manavata Professional Ethics Committee  Approved 
Max Healthcare Ethics Committee  Approved 
SAHEB Central Ethics Committee  Approved 
Sujalam Ethics Committee  Approved 
Wellcare Research Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Relapsing Multiple Sclerosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BIIB017  125 mcg BIIB017 SC every 2 weeks for 96 weeks 
Intervention  BIIB017  125 mcg BIIB017 SC every 4 weeks for 96 weeks 
Comparator Agent  Placebo  SC Placebo every 2 weeks for 48 weeks 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Day(s)
Age To  65.00 Day(s)
Gender  Both 
Details  1. Aged 18 to 65 years old, inclusive, at the time of informed consent.

2. Must have a confirmed diagnosis of relapsing MS, as defined by McDonald criteria #1-4.

3. Must have an EDSS score between 0.0 and 5.0.

4. Must have experienced at least 2 relapses that have been medically documented within the last 3 years with one occurring in the last 12 months. 
 
ExclusionCriteria 
Details  1. Other chronic disease of immune system, malignancies, urologic, pulmonary, gastrointestinal disease 2. Pregnant or nursing women Other protocol-defined, Inclusion/ exclusion criteria may apply. 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To determine the efficacy of BIIB017 in reducing the Annualized Relapse Rate (ARR) in subjects with RMS at 1 year compared to placebo.  1 year 
 
Secondary Outcome  
Outcome  TimePoints 
To determine whether BIIB017, at 1 year when compared with placebo, is effective in reducing the total number new brain lesions, reducing the proportion of subjects who relapsed, improving quality of life, and slowing the progression of disability.  1 year 
 
Target Sample Size
Modification(s)  
Total Sample Size="1500"
Sample Size from India="170" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
11/12/2009 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  01/05/2009 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This study is a multicenter, randomized, double-blind, parallel- group, placebo- controlled study to evaluate the efficacy and safety of PEGylated Interferon Beta-1a (BIIB017) (125 mcg SC) in two dosing frequencies (every 2 weeks and every 4 weeks) in subjects with relapsing multiple sclerosis. The study will be conducted in approximately 30 countries and approximately 225 sites globally. Approximately 1260 subjects are planned to participate in this trial. The primary outcome measure is to determine the efficacy of BIIB017 in reducing the Annualized Relapse Rate (ARR) in subjects with RMS at 1 year compared to placebo. The secondary outcomes are to determine whether BIIB017, at 1 year when compared with placebo, is effective in reducing the total number new brain lesions, reducing the proportion of subjects who relapsed, improving quality of life, and slowing the progression of disability. India has contributed 170 patients and all the patients are in the follow up phase of the study.  
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