ATX-MS-1467 in Patients With Relapsing Forms of Multiple Sclerosis
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Purpose
Phase 1 study to assess the safety and biological activity of ATX-MS-1467 in patients with relapsing forms of multiple sclerosis. This will be an open label upward dose titration involving injections on 9 occasions, each two weeks apart. After dosing is complete there will be a 22 week follow up period. Blood samples will be drawn throughout the study to monitor safety and the body's response to the injections and MRI scans will be performed on several occasions to follow the course of the multiple sclerosis during the trial.
| Condition | Intervention | Phase |
|---|---|---|
|
Relapsing Remitting Multiple Sclerosis |
Biological: ATX-MS-1467 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | SAFETY AND PROOF OF PRINCIPLE STUDY OF ATX-MS-1467 IN PATIENTS WITH RELAPSING MULTIPLE SCLEROSIS: OPEN LABEL UPWARD TITRATION OVER FIVE DOSE LEVELS AND USING TWO ROUTES OF ADMINISTRATION (INTRADERMAL AND SUBCUTANEOUS). |
- Adverse events [ Time Frame: 48 weeks ] [ Designated as safety issue: Yes ]Occurrence of treatment related AEs, SAEs, and laboratory abnormalities compared to baseline.
- MRI scans [ Time Frame: 48 weeks ] [ Designated as safety issue: Yes ]General MRI evaluation of brain lesions for numbers of gadolinium enhancing lesions during the study.
- Injection site reactions [ Time Frame: 20 weeks ] [ Designated as safety issue: Yes ]Injection site reactions as reported by the subjects in the diary card.
- Immunology [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]Proliferation responses to myelin basic protein and cytokine release
| Estimated Enrollment: | 40 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Intradermal injection
Injections will be given by the intradermal route
|
Biological: ATX-MS-1467
Disease specific immune modulating treatment for multiple sclerosis
|
|
Experimental: Subcutaneous injection
Injections will be given by the subcutaneous route
|
Biological: ATX-MS-1467
Disease specific immune modulating treatment for multiple sclerosis
|
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
1. Patients who have definite relapsing multiple sclerosis disease as defined by the McDonald criteria (McDonald et al., 2001 and 2005) and as assessed by a neurologist.
2. HLA DRB1*15 positive.
3. High baseline levels of T-cell proliferation in response to myelin basic protein, defined as >1000 cpm with a >3 stimulation index compared to background.
4. Disease duration equal to or less than 10 years (from the first clinical event).
5. At least one documented relapse in the previous 12 months or two relapses within the previous 24 months prior to screening.
6. Must be in a clinically stable or improving neurological state during the 28 days preceding Screening.
7. EDSS score < 5.5.
Exclusion Criteria:
- 1. Subjects treated with β-interferon, plasma exchange, intravenous gamma globulin within the 3 months prior to Study Day 1 2. Subjects treated with glatiramer acetate at any time in the past 3. Subjects who have been treated with parenteral steroids or adrenocorticotropic hormone within 3 months days prior to Study Day 1 4. Prior treatment with: cytotoxic agents (including but not limited to cladribine, mitoxantrone, cyclophosphamide, azathioprine, methotrexate), fingolimod, laquinimod, teriflunomide, total lymphoid irradiation, stem cell or bone marrow transplantation, or monoclonal antibody therapy (including natalizumab, daclizumab, alemtuzumab) 5. Prior use of disease related T-cell vaccine or peptide-tolerising agent to treat MS 6. Use of any investigational drug or experimental procedure within 6 months prior to Study Day 1 including cytokine or anti-cytokine therapy
Contacts and Locations| Russian Federation | |
| Municipal Healthcare Institution "City Clinical Hospital #3", Department of neurology | |
| Chelyabinsk, Russian Federation, 454136 | |
| State Medical Institution "Republican Clinical Hospital of rehabilitation treatment of Ministry of Healthcare of Tatarstan Republic", Republican clinicodiagnostic center of demyelinating diseases of Ministry of Healthcare of Tatarstan Republic | |
| Kazan, Russian Federation, 420021 | |
| State Educational Institution of Higher Professional Education "1st Moscow State Medical University n.a. I.M. Sechenov of Ministry of Healthcare and Social Development of the Russian Federation, Department of new drugs research | |
| Moscow, Russian Federation, 119991 | |
| State Healthcare Institution 'Rostov Regional Clinical Hospital' Center of Neurology | |
| Rostov-on-Don, Russian Federation, 344015 | |
| LLC "International Clinic MEDEM", Department of functional diagnostics | |
| Saint Petersburg, Russian Federation, 191025 | |
| State Educational Institution of Higher Professional Education "St. Petersburg State Medical University n.a. I.V. Pavlov of Roszdrav", Department of neurology with clinic | |
| Saint Petersburg, Russian Federation, 197022 | |
| State Healthcare Institution "Samara Regional Clinical Hospital n.a. M.I. Kalinin", Department of neurosurgery | |
| Samara, Russian Federation, 443095 | |
| State Educational Institution of Higher Professional Education Saratov State Medical University | |
| Saratov, Russian Federation, 410012 | |
| State Educational Institution of Higher Professional Education "Smolensk State Medical Academy of Roszdrav", Department of neurology and neurosurgery based at State Healthcare Institution "Smolensk Regional Clinical Hospital" | |
| Smolensk, Russian Federation | |
| St. Petersburg State Healthcare Institution "City multifield hospital #2", Department of neurology #2 | |
| St Petersburg, Russian Federation, 194354 | |
| Institution of the Russian Academy of Science "Institute of Human Brain of RAS", Neuroimmunology Laboratory | |
| St Petersburg, Russian Federation, 197376 | |
| United Kingdom | |
| North Staffordshire Royal Infirmary | |
| Stoke on Trent, Staffordshire, United Kingdom, ST4 7LN | |
| National Hospital for Neurology & Neurosurgery | |
| London, United Kingdom, WC1N 3BG | |
| Queen's Medical Centre | |
| Nottingham, United Kingdom, NG7 2UH | |
| Peninsula Medical School | |
| Plymouth, United Kingdom, PL6 8BX | |
| Royal Hallamshire Hospital | |
| Sheffield, United Kingdom, S10 2 JF | |
| Principal Investigator: | Jeremy Chataway | National Hospital for Neurology and Neurosurgery London |
More Information
Additional Information:
No publications provided
| Responsible Party: | Apitope Technology (Bristol) Ltd. |
| ClinicalTrials.gov Identifier: | NCT01097668 History of Changes |
| Other Study ID Numbers: | ATX-MS-1467-002 |
| Study First Received: | March 31, 2010 |
| Last Updated: | August 1, 2012 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency Russian Republic: Ministry of Health and Social Development of the Russian Federation |
Keywords provided by Apitope Technology (Bristol) Ltd.:
|
Multiple sclerosis Immunomodulation Phase 1 |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis Multiple Sclerosis, Relapsing-Remitting Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System |
Nervous System Diseases Demyelinating Diseases Autoimmune Diseases Immune System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on June 17, 2013