Rebif Advanced Magnetic Resonance Imaging (MRI) and Immunology Pilot Trial
Rebif Advanced Magnetic Resonance Imaging (MRI) and Immunology Pilot Trial
The purpose of this trial is to evaluate the effects of Rebif® 44 mcg subcutaneous (sc) three
 times a week (tiw) on a) remyelination/demyelination, b) lesion and brain volume, c) central
 nervous system (CNS) iron deposition, and d) immune status in subjects with
 relapsing-remitting multiple sclerosis (RRMS) RRMS via several MRI techniques.
Inclusion Criteria:

 1. Male and female subjects, 18-65 years of age, inclusive, at the time of informed
 consent signature

 2. RRMS diagnosed according to the McDonald criteria, treatment naïve or currently using
 any of the FDA-approved DMDs (excluding natalizumab (Tysabri®), mitoxantrone or
 Rebif®)

 3. Have a disease duration of up to twenty years

 4. Be willing and able to comply with the study procedures for the duration of the trial

 5. Have given written informed consent and signed Health Insurance Portability and
 Accountability Act (HIPAA) Authorization before any study- related activities are
 carried out

 6. Female subjects must not be either pregnant or breast-feeding and must lack
 childbearing potential, as defined by either:

 The following inclusion criteria must be fulfilled by the Healthy Control subjects:

 1. Male and female subjects, 18-65 years of age, inclusive, at the time of informed
 consent signature

 2. Be willing and able to comply with the study procedures for the duration of the trial

 3. Have given written informed consent and signed Health Insurance Portability and
 Accountability Act (HIPAA) Authorization before any study- related activities are
 carried out

 4. Female subjects must not be either pregnant or breast-feeding and must lack
 childbearing potential, as defined by either:

 Exclusion Criteria:

 1. Have received treatment within three months prior to Screening with interferon-beta-1a
 (Rebif®), IVIG or plasmapheresis

 2. Have received treatment within thirty days prior to screening with immunosuppressant
 agents (e.g. including but not limited to mitoxantrone, cyclophosphamide, cladribine,
 fludarabine, cyclosporine or total body irradiation) or any other concomitant
 immunomodulatory therapies (e.g., azathioprine, methotrexate, CellCept®, natalizumab,
 alemtuzumab/Campath and other immunomodulators/monoclonal agents)

 3. Have had a relapse within thirty days prior to the Screening Visit

 4. Have received steroid treatment within thirty days prior to the initial MRI scan date
 at Study Day 1

 5. Have inadequate liver function, defined by a alanine aminotransferase (ALT) > 2.5x
 upper limit of normal (ULN), or alkaline phosphatase > 2.5x ULN, or total bilirubin >
 1.5x ULN

 6. Have inadequate bone marrow reserve, defined as a total white blood cell count < 3.0x
 109/L, platelet count < 75x109/L, hemoglobin < 100g/L

 7. Have complete transverse myelitis or simultaneous-onset bilateral optic neuritis

 8. Have a history of alcohol or drug abuse

 9. Have thyroid dysfunction

 10. Have moderate to severe renal impairment

 11. Have a major medical or psychiatric illness that in the opinion of the investigator
 creates undue risk to the subject or could affect compliance with the study protocol

 12. Have a history of seizures not adequately controlled by treatment

 13. Have serious or acute cardiac disease, such as uncontrolled dysrhythmias, uncontrolled
 angina pectoris, cardiomyopathy, or uncontrolled congestive heart failure

 14. Have, in the opinion of the investigator, any visual, physical or cognitive impairment
 that would preclude the subject from complying with the study protocol

 15. Have a known hypersensitivity or allergy to interferon-beta or any of the excipients

 16. Have received an investigational drug or experimental procedure within the past thirty
 days

 17. Are pregnant or attempting to conceive

 The following exclusion criteria must be fulfilled by the Healthy Control subjects:

 1. Have met any of the above noted criteria