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Selective Estrogen Receptor Modulator

Bazedoxifene Acetate for Multiple Sclerosis (ReWRAP Trial)

Phase 2
Recruiting
Led By Riley M Bove, MD MMSc
Research Sponsored by Riley Bove, MD
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
RNFL > 70 microns on SD-OCT in the same eye meeting criteria for latency delay (sufficient axons)
EDSS 0-6.0 (inclusive)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months
Awards & highlights

ReWRAP Trial Summary

This trial will study the effects of bazedoxifene on myelin in women with RRMS.

Who is the study for?
This trial is for women aged 45-65 with relapsing-remitting multiple sclerosis (RRMS) who have been on stable immunomodulatory therapy. They must not be pregnant, planning pregnancy, or breastfeeding and should use effective contraception. Participants cannot have severe myopia, a history of certain cancers or thromboembolism, untreated B12 deficiency or hypothyroidism, significant cardiac issues, or drug/alcohol abuse in the past year.Check my eligibility
What is being tested?
The study tests bazedoxifene acetate's ability to repair nerve insulation (remyelination) in RRMS patients over six months. It uses electrophysiological techniques and MRI while participants continue their standard MS treatments. Women can't join other drug studies during this time.See study design
What are the potential side effects?
Potential side effects may include increased risk of blood clots (venous thromboembolism), hypersensitivity reactions like angioedema or anaphylaxis due to estrogens or bazedoxifene ingredients, and possibly undiagnosed uterine bleeding.

ReWRAP Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My eye test shows enough nerve fibers.
Select...
My disability level allows me to walk at least with a cane.
Select...
I have been officially diagnosed with relapsing-remitting MS.
Select...
I am a woman aged 45-65 or over 40 and post-menopausal.

ReWRAP Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
P100 Latency on Full Field Visual Evoked Potential

Side effects data

From 2010 Phase 3 trial • 7609 Patients • NCT00205777
35%
Arthralgia
34%
Back pain
33%
Pain
29%
Flu syndrome
25%
Infection
25%
Abdominal pain
23%
Headache
22%
Accidental injury
22%
Hypertension
19%
Constipation
13%
Leg cramps
12%
Asthenia
12%
Diarrhea
12%
Vasodilatation
11%
Peripheral edema
11%
Urinary tract infection
10%
Dyspepsia
10%
Cough increased
10%
Dizziness
9%
Bronchitis
9%
Pharyngitis
9%
Nausea
9%
Arthrosis
9%
Insomnia
8%
Chest pain
8%
Neck pain
8%
Vertigo
8%
Cervix disorder
7%
Depression
7%
Upper respiratory infection
7%
Pruritus
6%
Hypercholesteremia
6%
Breast disorder
6%
Cystitis
6%
Vomiting
6%
Myalgia
6%
Anxiety
6%
Sinusitis
6%
Vaginitis
5%
Anorexia
5%
Gastritis
5%
Cataract specified
5%
Adverse event associated with miscellaneous factors
5%
Hyperlipemia
4%
Hyperglycemia
4%
Gastroenteritis
4%
Paresthesia
4%
Rash
4%
Dysuria
4%
Pneumonia
1%
Cerebrovascular accident
1%
Deep vein thrombosis
1%
Overdose
1%
Angina pectoris
1%
Skin carcinoma
1%
Cholelithiasis
1%
Gastrointestinal carcinoma
100%
80%
60%
40%
20%
0%
Study treatment Arm
Placebo
Raloxifene 60 mg (Core Study)
Bazedoxifene 20 mg
Bazedoxifene 40/ 20 mg

ReWRAP Trial Design

2Treatment groups
Experimental Treatment
Group I: Group BExperimental Treatment1 Intervention
Group B is the "delayed-start" group and will receive a total of 3 months of BZA -- 3 months of placebo, followed by 3 months of BZA
Group II: Group AExperimental Treatment1 Intervention
Group A is the "early-start" group and will receive a total of 6 months of BZA -- 3 months of BZA, followed by 3 months BZA
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Bazedoxifene Acetate
2001
Completed Phase 3
~7610

Find a Location

Who is running the clinical trial?

Riley Bove, MDLead Sponsor
1 Previous Clinical Trials
40 Total Patients Enrolled
1 Trials studying Multiple Sclerosis
40 Patients Enrolled for Multiple Sclerosis
Riley M Bove, MD MMScPrincipal InvestigatorUniversity of California, San Francisco

Media Library

Bazedoxifene Acetate (Selective Estrogen Receptor Modulator) Clinical Trial Eligibility Overview. Trial Name: NCT04002934 — Phase 2
Multiple Sclerosis Research Study Groups: Group B, Group A
Multiple Sclerosis Clinical Trial 2023: Bazedoxifene Acetate Highlights & Side Effects. Trial Name: NCT04002934 — Phase 2
Bazedoxifene Acetate (Selective Estrogen Receptor Modulator) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04002934 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there still openings for participation in this experiment?

"Affirmative. Clinicaltrials.gov reveals that the recruiting process for this investigation is currently underway, having first been posted on September 10th 2019 and last edited on March 21st 2022. The study requires 50 participants at 1 facility to take part in it."

Answered by AI

Has Bazedoxifene Acetate been validated for use by the Food & Drug Administration?

"Drawing from the evidence available, our team at Power assigned bazedoxifene acetate a rating of 2 out of 3 on the safety scale. This is because it has only reached phase 2 trials; meaning while there's some data confirming its security, none can yet attest to its efficacy."

Answered by AI

Is the age criterion of this trial open to geriatric patients?

"This trial requires that participants be between 40 and 65 years of age. Separately, there are 43 studies which cater to individuals under 18 while another 398 trials involve patients over the retirement threshold."

Answered by AI

Could you discuss any additional research that has been conducted with Bazedoxifene Acetate?

"Currently, there are 11 ongoing clinical trials of Bazedoxifene Acetate with 1 trial in its final phase. With 24 different centres currently running studies for this drug, Boston is one of the leading cities offering these experiments."

Answered by AI

What is the scope of this clinical trial in terms of participants?

"Affirmative. Records on clinicaltrials.gov prove that this trial, initially posted to the database on September 10th 2019, is actively recruiting participants and has been recently updated on March 21st 2022. The study requires 50 patients at a single medical centre."

Answered by AI

Is this the inaugural attempt at conducting such a trial?

"Presently, 11 clinical trials for Bazedoxifene Acetate are being conducted across 18 cities in 5 countries. Pfizer initiated the first study of this drug back in 2017 and it completed Phase 2 approval with 160 participants involved. Since then, additional 20 studies have been launched."

Answered by AI

Would I be able to partake in this medical experiment?

"This clinical trial seeks 50 patients aged between 40 and 65 that have a documented diagnosis of acute relapsing multiple sclerosis. In addition, those enrolled must adhere to additional criteria such as usage of contraception with low failure rates for premenopausal women, electrophysiological evidence of demyelination in one eye on VEP tests, > 70 microns RNFL detected through SD-OCT scans in the same eye meeting latency delay criteria, no changes or planned switch within immunomodulatory therapy 6 months prior to screening, understanding/signing informed consent forms, and an EDSS score ranging from 0-6.0 ("

Answered by AI
~9 spots leftby Apr 2025