Ignite Creation Date:
2025-12-24 @ 9:19 PM
Ignite Modification Date:
2025-12-25 @ 7:06 PM
Study NCT ID:
NCT04676204
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2022-08-31
First Post:
2020-11-25
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Relationship Between Oral DMT Burden and Adherence in MS
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D009103', 'term': 'Multiple Sclerosis'}, {'id': 'D055118', 'term': 'Medication Adherence'}], 'ancestors': [{'id': 'D020278', 'term': 'Demyelinating Autoimmune Diseases, CNS'}, {'id': 'D020274', 'term': 'Autoimmune Diseases of the Nervous System'}, {'id': 'D009422', 'term': 'Nervous System Diseases'}, {'id': 'D003711', 'term': 'Demyelinating Diseases'}, {'id': 'D001327', 'term': 'Autoimmune Diseases'}, {'id': 'D007154', 'term': 'Immune System Diseases'}, {'id': 'D010349', 'term': 'Patient Compliance'}, {'id': 'D010342', 'term': 'Patient Acceptance of Health Care'}, {'id': 'D000074822', 'term': 'Treatment Adherence and Compliance'}, {'id': 'D015438', 'term': 'Health Behavior'}, {'id': 'D001519', 'term': 'Behavior'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D017338', 'term': 'Cladribine'}, {'id': 'D000069462', 'term': 'Dimethyl Fumarate'}, {'id': 'D000068876', 'term': 'Fingolimod Hydrochloride'}, {'id': 'C527525', 'term': 'teriflunomide'}, {'id': 'C000607776', 'term': 'ozanimod'}, {'id': 'C000722501', 'term': 'diroximel fumarate'}], 'ancestors': [{'id': 'D015762', 'term': '2-Chloroadenosine'}, {'id': 'D000241', 'term': 'Adenosine'}, {'id': 'D011684', 'term': 'Purine Nucleosides'}, {'id': 'D011687', 'term': 'Purines'}, {'id': 'D006574', 'term': 'Heterocyclic Compounds, 2-Ring'}, {'id': 'D000072471', 'term': 'Heterocyclic Compounds, Fused-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}, {'id': 'D003839', 'term': 'Deoxyadenosines'}, {'id': 'D003853', 'term': 'Deoxyribonucleosides'}, {'id': 'D009705', 'term': 'Nucleosides'}, {'id': 'D009706', 'term': 'Nucleic Acids, Nucleotides, and Nucleosides'}, {'id': 'D012263', 'term': 'Ribonucleosides'}, {'id': 'D005650', 'term': 'Fumarates'}, {'id': 'D003998', 'term': 'Dicarboxylic Acids'}, {'id': 'D000144', 'term': 'Acids, Acyclic'}, {'id': 'D002264', 'term': 'Carboxylic Acids'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D013110', 'term': 'Sphingosine'}, {'id': 'D000605', 'term': 'Amino Alcohols'}, {'id': 'D000438', 'term': 'Alcohols'}, {'id': 'D011409', 'term': 'Propylene Glycols'}, {'id': 'D006018', 'term': 'Glycols'}, {'id': 'D000588', 'term': 'Amines'}]}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2020-07-13', 'size': 189298, 'label': 'Informed Consent Form', 'hasIcf': True, 'hasSap': False, 'filename': 'ICF_000.pdf', 'typeAbbrev': 'ICF', 'uploadDate': '2020-11-25T23:13', 'hasProtocol': False}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'OTHER'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 323}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'ENROLLING_BY_INVITATION', 'startDateStruct': {'date': '2020-09-25', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2022-08', 'completionDateStruct': {'date': '2026-07-11', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2022-08-28', 'studyFirstSubmitDate': '2020-11-25', 'studyFirstSubmitQcDate': '2020-12-16', 'lastUpdatePostDateStruct': {'date': '2022-08-31', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2020-12-19', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-11-19', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Medication Burden', 'timeFrame': '24-months', 'description': 'Identification of medication burden will be calculated into indices of pre-workup and monitoring time, refill and administration and side-effects. This will allow the development of an indices of overall perceived burden, as well as sub-indices of specific perceived burden.'}, {'measure': 'Medication Adherence (MPR)', 'timeFrame': '24-months', 'description': 'Identification of medication adherence, persistence and switching between oral DMTs will be calculated as the medication possession ratio (MPR) collected from pharmaceutical benefit scheme claims over the 24-month enrollment period. In addition, basic self-reported adherence and discontinuation will be collected.'}, {'measure': 'Medication Adherence (PDC)', 'timeFrame': '24-months', 'description': 'Identification of medication adherence, persistence and switching between oral DMTs will be calculated as the proportion of days covered (PDC) collected from pharmaceutical benefit scheme claims over the 24-month enrollment period. In addition, basic self-reported adherence and discontinuation will be collected.'}], 'secondaryOutcomes': [{'measure': 'Multiple Sclerosis Quality of Life-54 (MSQOL-54)', 'timeFrame': '24-Months', 'description': 'The Multiple Sclerosis Quality of Life-54 (MSQOL-54) is a structured, self-report questionnaire examining quality of life that contains 54-items, generating 12 subscales with two summary scores (physical health and mental health) and two additional single-item measures (satisfaction with sexual function and change in health). In scoring the MSQOL-54, two summary scores (physical and mental health) are produced from a weighted combination of scale scores, where scale scores range from 0 to 100, with higher scale score indicating improved quality of life. Quality of life (QoL) is being utilised as an outcome measure to identify whether QoL is predicted by 24-month MPR/PDC adherence and persistence.'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': True, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Multiple Sclerosis', 'Adherence', 'Treatment Burden', 'Disease Modifying Therapy', 'Oral', 'Cladribine', 'Dimethyl fumarate', 'Fingolimod', 'Teriflunomide', 'Ozanimod', 'Diroximel Fumarate'], 'conditions': ['Multiple Sclerosis', 'Adherence, Medication']}, 'descriptionModule': {'briefSummary': 'STATURE is a prospective observational six-arm translation multi-site study that will run for approx. 4.5 years. The primary aim is to measure treatment burden and its relationship to medication adherence across six self-administered oral disease-modifying therapies (cladribine, dimethyl fumarate, fingolimod, teriflunomide, ozanimod, and diroximel fumarate) in multiple sclerosis (MS). The information gained will assist prescribing decision-making; accounting for medication burden at a patient level and potential implications on medication adherence and persistence, thus minimising primary and secondary healthcare costs. Three-hundred and twenty-three individuals with MS will be recruited into the study. Patient-reported outcome measures will be administered via Qualtrics, a secure online data collection tool. Medicare and pharmaceutical benefits scheme (PBS) data will also be collected.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '99 Years', 'minimumAge': '18 Years', 'samplingMethod': 'PROBABILITY_SAMPLE', 'studyPopulation': 'Three-hundred and twenty-three people with MS, who have recently commenced (\\<2-months) one of the six oral DMTs under investigation during routine clinical care', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n* 18 years or older.\n* A confirmed diagnosis of multiple sclerosis.\n* Commencement (switching or newly prescribed) of one of the 6 following DMTs within the previous 2-months: cladribine, dimethyl fumarate, fingolimod, teriflunomide, ozanimod, diroximel fumarate.\n* Able to read and write in English.\n* Access to an internet connection and computer facilities, required to complete assessments.\n\nExclusion Criteria:\n\n* Use of any other DMT than cladribine, dimethyl fumarate, fingolimod, teriflunomide, ozanimod, diroximel fumarate.\n* Comorbid neurological condition.\n* Severe cognitive or psychological dysfunction deemed to interfere with the person's ability to undertake study requirements, as determined by their MS clinic treatment team (neurologist; MS nurse)."}, 'identificationModule': {'nctId': 'NCT04676204', 'acronym': 'STATURE', 'briefTitle': 'Relationship Between Oral DMT Burden and Adherence in MS', 'organization': {'class': 'OTHER', 'fullName': 'Monash University'}, 'officialTitle': 'STATURE: A Prospective Observational Study of the relationShip beTween Oral DMT bURden and adhErence in People With MS', 'orgStudyIdInfo': {'id': 'STATURE01'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'Cladribine', 'description': 'Participants with MS commencing cladribine disease modifying treatment as clinically prescribed.', 'interventionNames': ['Drug: Cladribine']}, {'label': 'Dimethyl Fumarate', 'description': 'Participants with MS commencing dimethyl fumarate disease modifying treatment as clinically prescribed.', 'interventionNames': ['Drug: Dimethyl fumarate']}, {'label': 'Fingolimod', 'description': 'Participants with MS commencing fingolimod disease modifying treatment as clinically prescribed.', 'interventionNames': ['Drug: Fingolimod']}, {'label': 'Teriflunomide', 'description': 'Participants with MS commencing teriflunomide disease modifying treatment as clinically prescribed.', 'interventionNames': ['Drug: Teriflunomide']}, {'label': 'Ozanimod', 'description': 'Participants with MS commencing Ozanimod disease modifying treatment as clinically prescribed.', 'interventionNames': ['Drug: Ozanimod']}, {'label': 'Diroximel Fumarate', 'description': 'Participants with MS commencing diroximel fumarate disease modifying treatment as clinically prescribed.', 'interventionNames': ['Drug: Diroximel fumarate']}], 'interventions': [{'name': 'Cladribine', 'type': 'DRUG', 'otherNames': ['Mavenclad'], 'description': 'Cladribine is a purine antimetabolite indicated for the treatment of relapsing forms of multiple sclerosis, to include relapsing-remitting disease and active secondary progressive disease, in adults.', 'armGroupLabels': ['Cladribine']}, {'name': 'Dimethyl fumarate', 'type': 'DRUG', 'otherNames': ['Tecfidera'], 'description': 'Dimethyl fumarate is indicated for the treatment of relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults', 'armGroupLabels': ['Dimethyl Fumarate']}, {'name': 'Fingolimod', 'type': 'DRUG', 'otherNames': ['Gilenya'], 'description': 'Fingolimod is a sphingosine 1-phosphate receptor modulator indicated for the treatment of patients with relapsing forms of multiple sclerosis to reduce the frequency of clinical exacerbations and to delay the accumulation of physical disability.', 'armGroupLabels': ['Fingolimod']}, {'name': 'Teriflunomide', 'type': 'DRUG', 'otherNames': ['Aubagio'], 'description': 'Teriflunomide is a pyrimidine synthesis inhibitor indicated for the treatment of patients with relapsing forms of multiple sclerosis.', 'armGroupLabels': ['Teriflunomide']}, {'name': 'Ozanimod', 'type': 'DRUG', 'otherNames': ['Zeposia'], 'description': 'Ozanimod is a sphingosine-1-phosphate receptor modulator indicated for the treatment of patients with relapsing forms of multiple sclerosis.', 'armGroupLabels': ['Ozanimod']}, {'name': 'Diroximel fumarate', 'type': 'DRUG', 'otherNames': ['Vumerity'], 'description': 'Diroximel fumarate is indicated for the treatment of relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.', 'armGroupLabels': ['Diroximel Fumarate']}]}, 'contactsLocationsModule': {'locations': [{'zip': '3800', 'city': 'Melbourne', 'state': 'Victoria', 'country': 'Australia', 'facility': 'Monash University', 'geoPoint': {'lat': -37.814, 'lon': 144.96332}}], 'overallOfficials': [{'name': 'Ernest Butler, PhD; MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Monash University; Monash Health'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Monash University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Principle Investigator', 'investigatorFullName': 'Ernest Butler', 'investigatorAffiliation': 'Monash University'}}}}