Evaluation of Safety, Tolerability, and PK of VX15/2503 In Patients With MS
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Purpose
The purpose of this study is to evaluate the safety and tolerability of IV administration of VX15/2503 in patients with multiple sclerosis. The escalation part of the study will determine the maximum tolerated dose (MTD).
| Condition | Intervention | Phase |
|---|---|---|
|
Multiple Sclerosis |
Drug: VX15/2503 Drug: Placebo |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase I, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Ascending Single-Dose Study Of The Safety, Tolerability, And Pharmacokinetics Of Intravenous VX15/2503 In Patients With Multiple Sclerosis |
- Safety/Tolerability as determined by number of patients with adverse events [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: Yes ]
- Half-life of VX15/2503 [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
- Peak plasma concentration (Cmax) of VX15/2503 [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
- Area under the plasma concentration versus time curve (AUC) of VX15/2503 [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
- Number of patients who develop anti-drug antibody [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
- Cellular Semaphorin 4D (SEMA4D; CD100) percent saturation [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
- VX15/2503 dose level vs serum SEMA4D levels [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
- Change in magnetic resonance imaging (MRI) parameters as compared to VX15/2503 dose level [ Time Frame: Screening to 4 weeks post-dose ] [ Designated as safety issue: Yes ]
MRI parameters:
- Number of T1 gadolinium (Gd)-enhancing lesions
- Number of T2 lesions
- Total volume of T1 and T2 lesions if the investigational site has the imaging processing capability
- VX15/2503 dose vs the change in Kurtzke Expanded Disability Status Scale [ Time Frame: Up to 12 weeks depending on dose cohort ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 50 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: VX15/2503 |
Drug: VX15/2503
single dose intravenous administration
|
| Experimental: Placebo |
Drug: Placebo
single dose intravenous administration
|
Detailed Description:
VX15/2503-N-101 is a single ascending dose-escalation, randomized, double-blinded, placebo-controlled study to evaluate the safety and tolerability of IV-administered VX15/2503 in patients with multiple sclerosis. This will be accomplished by using a dose escalation procedure starting at a low dose of VX15/2503 and will continue based on predefined parameters until the maximum tolerated dose is identified. Patients will be randomized at a 4:1 ratio to receive VX15/2503 to placebo. The patients and the study team will be blinded to the treatment that each patient receives.
The study drug, VX15/2503, is a humanized monoclonal antibody that binds to the semaphorin 4D (SEMA4D; CD100) antigen. Experimental evidence suggest that antibody neutralization of SEMA4D may represent a new therapeutic strategy for treating multiple sclerosis.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients 18-60 years of age who have been diagnosed with MS for at least 1 year as defined by the 2010 revisions to the McDonald criteria
- Has an EDSS score of 0 to 6.5 inclusive at screening
- Has a body mass index of 18 to 32 kg/m2
- Is willing to undergo and has no contraindications to brain MRI
- Willing to use a medically acceptable method of contraception throughout the study period and for 6 months after the dose of VX15/2503, unless patient is surgically sterile or postmenopausal. Women of childbearing potential must have started using adequate contraception at least 2 months before the Day 1 visit.
- Male patients must agree to defer from donating sperm for 6 months after VX15/2503 administration
- Women of childbearing potential must have a negative serum pregnancy test at screening, which will be confirmed at baseline using a urine test before administration of VX15/2503
- Is willing to forego other forms of experimental treatment during the study
Exclusion Criteria:
- Had an MS relapse that did not stabilize within the 30 days before the start of screening.
- Has any clinically significant cardiac, endocrine, hematologic, hepatic, immunologic, metabolic, urologic/gynecologic, pulmonary, neurologic, psychiatric, or renal conditions; has a history of relevant clinically significant allergic or anaphylactic reactions; or has any other clinically significant major disease that, as assessed by the investigator, would pose a risk to patient safety or interfere with the study evaluations, procedures, or completion
- Has any clinically significant laboratory value outside the normal range at screening, or has abnormal hematologic, renal, or hepatic function based on laboratory tests alanine
- Is a pregnant or breastfeeding woman
- Has received treatment with any MS disease-modifying therapy other than interferon beta or glatiramer acetate within 3 months prior to dosing
- Has been treated with natalizumab, daclizumab, or fingolimod for any indication within 6 months prior to dosing
- Has had any prior treatment with alemtuzumab, rituximab, mitoxantrone, total lymphoid irradiation, bone marrow transplantation, or T cell or T cell receptor vaccination
- Has received any experimental agent within 6 months prior to dosing, or within a period equivalent to 5 half-lives of the agent (whichever is longer); or is currently involved in any other research study
- Has undergone any major surgical procedure within the 4 weeks prior to dosing
- Has a history of congestive heart failure (New York Heart Association Class III to IV), symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention, or myocardial infarction within 6 months prior to dosing
- Has a clinically significant ECG finding at screening
- Has a known or suspected human immunodeficiency virus (HIV) or hepatitis B or hepatitis C infection
- Has a known or suspected allergy to Gd or other contraindication to brain MRI
- Has a history of an opportunistic infection or a history of acute infection requiring systemic antibiotics, antivirals, or antifungals within 6 weeks prior to dosing (antiinfective therapy must have been completed at least 4 weeks prior to dosing)
- Has any other intercurrent illness or condition, including alcohol or drug dependence as determined by the investigator, which could impact the patient's compliance with or ability to complete the study
- History of seizure disorder or unexplained blackouts or history of seizure within 3 months of screening
- History of suicidal ideation within 3 months prior to screening, episode of severe depression within 3 months prior to screening
- Has a sensitivity to VX15/2503 or the ingredients or excipients of VX15/2503, or known or suspected sensitivity to mammalian cell-derived products
- Has donated or lost more than 1 unit of blood in the 60 days prior to screening
Contacts and Locations| United States, Alabama | |
| North Central Neurology Associates, PC | Recruiting |
| Cullman, Alabama, United States, 35058 | |
| Contact: Amanda Farmer 256-739-1210 afarmer@prn-inc.net | |
| Principal Investigator: Christopher C Laganke, MD | |
| United States, New York | |
| Empire Neurology, PC | Recruiting |
| Latham, New York, United States, 12110 | |
| Contact: Judy Button 518-785-1000 ext 103 jbutton@tristateneuro.com | |
| Principal Investigator: Keith R Edwards, MD, FAAD | |
| United States, North Carolina | |
| The Neurological Institute, PA | Recruiting |
| Charlotte, North Carolina, United States, 28204 | |
| Contact: Manisha Yadav 704-335-6483 | |
| Principal Investigator: T H Rao, MD | |
| Study Director: | John E Leonard, PhD | Vaccinex Inc. |
| Principal Investigator: | Keith R Edwards, MD, FAAD | Empire Neurology, PC |
| Principal Investigator: | Christopher C Laganke, MD | North Central Neurology Associates, PC |
| Principal Investigator: | T H Rao, MD | The Neurological Institute, PA |
More Information
No publications provided
| Responsible Party: | Vaccinex Inc. |
| ClinicalTrials.gov Identifier: | NCT01764737 History of Changes |
| Other Study ID Numbers: | VX15/2503-N-101 |
| Study First Received: | January 3, 2013 |
| Last Updated: | January 7, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Vaccinex Inc.:
|
VX15/2503 Semaphorin 4D SEMA4D CD100 safety |
tolerability pharmacokinetics immunogenicity multiple sclerosis monoclonal antibody |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis 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 13, 2013