REFLEX
(2014)Objective
Interferon Beta-1a - To compare brain MRI outcomes in patients presenting with clinically isolated syndromes suggestive of multiple sclerosis treated with two dose-frequencies of subcutaneous interferon beta-1a (44 mg three times a week or once a week) versus placebo over 24 months
Study Summary
⢠Three times weekly dosing showed 48% reduction in CUA lesions compared to once weekly (p=0.002)
⢠All new lesion types (T2, T1 hypointense, Gd+) significantly reduced with both active treatments vs placebo (pā¤0.004)
Intervention
Subcutaneous interferon beta-1a 44 mg administered either three times a week or once a week for up to 24 months
Inclusion Criteria
Age 18-50 years, EDSS 0.0-5.0, single demyelinating event suggestive of MS within 60 days prior to study entry, ā„2 clinically silent lesions on T2-weighted brain MRI (ā„3 mm), at least one ovoid/periventricular/infratentorial
Study Design
Arms: Three parallel arms (1:1:1): IFN β-1a 44 mg SC three times weekly (n=171), IFN β-1a 44 mg SC once weekly (n=175), placebo (n=171)
Patients per Arm: 171 in three times weekly group, 175 in once weekly group, 171 in placebo group
Outcome
⢠New T2 lesions reduced 57-70%, T1 hypointense 37-57%, Gd+ lesions 76-92% vs placebo
⢠Proportion free from new lesions higher in three times weekly group; well tolerated with no new safety signals