An Intravenous Infusion Study of rHIgM22 in Patients With Multiple Sclerosis

NCT ID: NCT01803867

Last Updated: 2015-02-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2015-01-31

Brief Summary

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This is a Phase I, multi-center, double-blind, randomized, placebo-controlled, dose-escalation study designed to evaluate safety, tolerability, pharmacokinetics, and immunogenicity of single intravenous (IV) administrations of rHIgM22 in patients with all clinical presentations of MS.

Detailed Description

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Conditions

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Multiple Sclerosis

Keywords

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MS Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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rHIgM22

Cohorts 1-5: In each dosing cohort, the first 2 eligible patients will be enrolled and randomized 1:1 to receive rHIgM22 or placebo, and monitored for safety for a minimum of 7 days before the remaining 8 patients in the cohort are randomized (7 active: 1 placebo) and dosed.

Expanded Cohort: Upon establishment of a Maximally Tolerated Dose (MTD), a new group of 21 patients will be enrolled in an Expansion Cohort. Randomly assigned in a 1:1:1 ratio to 1 of 3 treatment groups: placebo, Investigational Product (IP) at MTD, or IP at one full dose level lower than MTD.

Group Type PLACEBO_COMPARATOR

rHIgM22

Intervention Type DRUG

Administered via IV infusion

Interventions

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rHIgM22

Administered via IV infusion

Intervention Type DRUG

Other Intervention Names

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M22

Eligibility Criteria

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Inclusion Criteria

* Able to give written informed consent, with adequate cognitive function to sign the IRBapproved informed consent
* Meet diagnostic criteria for MS, as defined by revised (2010) McDonald criteria
* Man or woman aged 18 to 70 years, inclusive
* Women of childbearing potential must have a negative serum pregnancy test at the Screening Visit and
* Women of childbearing potential and engaged in heterosexual relations must agree to practice adequate contraception for at least 60 days after study dosing. Women of childbearing potential and not engaged in heterosexual relations or not practicing adequate contraception must agree to remain abstinent for at least 60 days after study dosing practice adequate contraception for the duration of the study
* Agree to remain in the hospital for the 48 hour post infusion observation period, and can be contacted in case of an emergency once discharged

Exclusion Criteria

* Serum creatinine ≥1.5 mg/dL
* Aspartate aminotransferase (AST), Alanine aminotransferase (ALT) or alkaline phosphatase ≥1.5 times the upper limit of normal
* Angina, uncontrolled hypertension, clinically significant cardiac arrhythmias (including atrial fibrillation), any other clinically significant cardiovascular abnormality or clinically significant abnormal ECG
* Immune-mediated disorder other than MS that in the Investigator's judgment, may affect the interpretation of results or the patient's ability to safely complete the study
* Any clinically significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, allergic or anaphylactic reasons, or other major diseases (other than MS), that in the Investigator's judgment, may affect the interpretation of results or patient's ability to safely complete the study. This includes a suicide attempt within the past 1 year or severe suicidal ideation within the past 6 months or patients who in the opinion of the Investigator are at significant risk of suicidal behavior
* MS relapse within 30 days prior to screening or treatment with systemic (oral, IV or IM) corticosteroids, except for minimally absorbed topical or inhalational preparations, within the 30 days prior to the Screening Visit
* Initiation of interferon-beta 1b (Betaseron,a extavia), interferon beta-1a (Avonex, a Rebif a), glatiramer acetate (copaxone), natalizumab (Tysabri), or fingolimod (Gilenya), or dimethyl fumarate (Tecfidera ®) within the 90 days prior to the Screening Visit, or any change in the dosing regimen of these drugs within the 30 days prior to the Screening Visit. Initiation of teriflunomide (AUBAGIO®) or any change in the dosing regimen of this drug within 90 days prior to the Screening Visit.
* Treatment with any of the following medications within the 12 months prior to Day 1 of the study: daclizumab, azathioprine, methotrexate, IV immunoglobulin, plasmaphoresis, or mycophenolate mofetil; or discontinuation of teriflunomide (AUBAGIO®) within 12 months prior to Day 1.
* History of clinically significant infusion reactions with administration of biologics, including plasma exchange, intravenous immunoglobulin, and other monoclonal antibodies such as natalizumab (Tysabri)
* Prior treatment with total lymphoid irradiation, T cell or T-cell receptor vaccination, alemtuzumab, mitoxantrone, cyclophosphamide, or rituximab
* Received any investigational agent or therapy up to 30 days or 4 pharmacokinetic half-lives (whichever is longer) prior to Screening Visit or plans to enroll in another investigational trial at any time during this study
* Contraindication to brain MRI or inability to tolerate brain MRI
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PRA Health Sciences

INDUSTRY

Sponsor Role collaborator

Acorda Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Enrique Carrazana, MD

Role: STUDY_DIRECTOR

Acorda Therapeutics

Locations

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Acorda Investigational Site

Long Beach, California, United States

Site Status

Acorda Investigational Site

Palo Alto, California, United States

Site Status

Acorda Investigational Site

Sacramento, California, United States

Site Status

Acorda Investigational Site

Stanford, California, United States

Site Status

Acorda Investigational Site

Aurora, Colorado, United States

Site Status

Acorda Investigational Site

Centennial, Colorado, United States

Site Status

Acorda Investigational Site

Indianapolis, Indiana, United States

Site Status

Acorda Investigational Site

Kansas City, Kansas, United States

Site Status

Acorda Investigational Site

Baltimore, Maryland, United States

Site Status

Acorda Investigational Site

St Louis, Missouri, United States

Site Status

Acorda Investigational Site

Rochester, New York, United States

Site Status

Acorda Investigational Site

Providence, Rhode Island, United States

Site Status

Acorda Investigational Site

Knoxville, Tennessee, United States

Site Status

Acorda Investigational Site

Dallas, Texas, United States

Site Status

Acorda Investigational Site

Burlington, Vermont, United States

Site Status

Acorda Investigational Site

Seattle, Washington, United States

Site Status

Acorda Investigational Site

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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IM22-MS-1004

Identifier Type: -

Identifier Source: org_study_id