Last reviewed · How we verify

NCT00203021

Glatiramer Acetate (Copaxone®) Study to Follow Participants From the First Original Study for Safety and Effectiveness

Completed Phase 4 Results posted Last updated 18 February 2020
What this trial tests

Phase 4 trial testing Glatiramer acetate in Relapsing-Remitting Multiple Sclerosis in 208 participants. Completed in 28 February 2018.

Timeline
26 March 1994
Primary endpoint
28 February 2018
28 February 2018

Quick facts

Lead sponsorTeva Branded Pharmaceutical Products R&D, Inc.
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment208
Start date26 March 1994
Primary completion28 February 2018
Estimated completion28 February 2018
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Teva Branded Pharmaceutical Products R&D, Inc. — full company profile →

Who can join

18 and older, any sex, with Relapsing-Remitting Multiple Sclerosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Adverse Events (AEs) Primary · Baseline up to Month 288

An AE was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious AEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. Any AEs included both serious and non-serious AEs. A summary of other non-serious AE

Any AEs
GroupValue95% CI
Glatiramer Acetate: Delayed Start107
Glatiramer Acetate: Early Start100
Serious AEs
GroupValue95% CI
Glatiramer Acetate: Delayed Start44
Glatiramer Acetate: Early Start38
Change From Baseline in Kurtzke Expanded Disability Status Scale (EDSS) Score at Month 288 Primary · Baseline, Month 288

The EDSS uses an ordinal scale to assess neurologic impairment in Multiple Sclerosis based on a neurological examination. Scores in each of 7 functional systems (Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, and Cerebral) and an ambulation score were combined to determine the total EDSS score, ranging from 0 (normal) to 10 (death due to Multiple Sclerosis).

Baseline
GroupValue95% CI
Glatiramer Acetate: Delayed Start2.34± 1.599
Glatiramer Acetate: Early Start2.23± 1.406
Change at Month 288
GroupValue95% CI
Glatiramer Acetate: Delayed Start1.64± 1.962
Glatiramer Acetate: Early Start1.06± 1.896

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to Month 288. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Glatiramer Acetate: Delayed Start
Serious: 44/107 (41%)
Deaths: 4/107
Glatiramer Acetate: Early Start
Serious: 38/101 (38%)
Deaths: 1/101

Serious adverse events (192 terms)

ReactionSystemGlatiramer Acetate: Delaye…Glatiramer Acetate: Early …
Chest painGeneral disorders
Urinary tract infectionInfections and infestations
DehydrationMetabolism and nutrition disorders
DepressionPsychiatric disorders
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Atrial fibrillationCardiac disorders
Femur fractureInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
SeizureNervous system disorders
AnaemiaBlood and lymphatic system disorders
Myocardial infarctionCardiac disorders
DiarrhoeaGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
VomitingGastrointestinal disorders
CholecystitisHepatobiliary disorders
CellulitisInfections and infestations
InfectionInfections and infestations
Kidney infectionInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
FallInjury, poisoning and procedural complications
Intentional overdoseInjury, poisoning and procedural complications
Road traffic accidentInjury, poisoning and procedural complications
Toxicity to various agentsInjury, poisoning and procedural complications
Other adverse events (167 terms — click to expand)

ReactionSystemGlatiramer Acetate: Delaye…Glatiramer Acetate: Early …
Injection site erythemaGeneral disorders
Upper respiratory tract infectionInfections and infestations
FatigueGeneral disorders
Injection site painGeneral disorders
Urinary tract infectionInfections and infestations
HeadacheNervous system disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
HypoaesthesiaNervous system disorders
DepressionPsychiatric disorders
DizzinessNervous system disorders
SinusitisInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
FallInjury, poisoning and procedural complications
Injection site swellingGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
InfluenzaInfections and infestations
ParaesthesiaNervous system disorders
NasopharyngitisInfections and infestations
NauseaGastrointestinal disorders
Micturition urgencyRenal and urinary disorders
AnxietyPsychiatric disorders
DiarrhoeaGastrointestinal disorders
ContusionInjury, poisoning and procedural complications
Balance disorderNervous system disorders
Injection site massGeneral disorders
PollakiuriaRenal and urinary disorders
Injection site pruritusGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Vision blurredEye disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
Muscle spasticityNervous system disorders
BronchitisInfections and infestations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
FlushingVascular disorders
RashSkin and subcutaneous tissue disorders
Injection site indurationGeneral disorders
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Chest pain, Urinary tract infection, Dehydration, Depression, Uterine leiomyoma, Atrial fibrillation, Femur fracture, Tibia fracture.

Data from ClinicalTrials.gov NCT00203021 adverse events section.

Sponsor's own description

This open-label extension study will evaluate the long-term safety of glatiramer acetate and its effect on the neurologic course of participants with relapsing-remitting multiple sclerosis (RRMS). Participants have scheduled visits every 3 months to assess glatiramer acetate safety and their Multiple Sclerosis (MS) status.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A pharmacogenetic signature of high response to Copaxone in late-phase clinical-trial cohorts of multiple sclerosis.
    Ross CJ, Towfic F, Shankar J, Laifenfeld D, et al · · 2017 · cited 17× · PMID 28569182 · DOI 10.1186/s13073-017-0436-y
  2. Effect of switching glatiramer acetate formulation from 20 mg daily to 40 mg three times weekly on immune function in multiple sclerosis.
    Ito K, Ito N, Yadav SK, Suresh S, et al · · 2021 · cited 2× · PMID 34377526 · DOI 10.1177/20552173211032323

Verify or expand the search:

Other trials of Glatiramer acetate

Trials testing the same drug.

Other recruiting trials for Relapsing-Remitting Multiple Sclerosis

Currently open trials in the same condition.

Other Teva Branded Pharmaceutical Products R&D, Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00203021.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing