Trial Outcomes & Findings for Evaluation of the Onset of Action in Highly Active MS (MAGNIFY) (NCT NCT03364036)

NCT ID: NCT03364036

Last Updated: 2023-03-16

Results Overview

CUA lesions were measured by using MRI scans.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

270 participants

Primary outcome timeframe

Baseline period (the period screening to Baseline), Period 1 (Month 1-6)

Results posted on

2023-03-16

Participant Flow

A total of 270 participants were enrolled in the study from different trial sites across14 countries (Austria, Germany, Hungary, Poland, Czechia, Italy, Spain, France, United Kingdom of Great Britain and Northern Ireland, Finland, Sweden, Israel, Australia and Canada).

Participant milestones

Participant milestones
Measure
Experimental: Mavenclad®
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Overall Study
STARTED
270
Overall Study
Full Analysis Set (FAS)
270
Overall Study
COMPLETED
270
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of the Onset of Action in Highly Active MS (MAGNIFY)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental: Mavenclad®
n=270 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Age, Continuous
37.7 Years
STANDARD_DEVIATION 9.75 • n=5 Participants
Sex: Female, Male
Female
180 Participants
n=5 Participants
Sex: Female, Male
Male
90 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
246 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
17 Participants
n=5 Participants
Race (NIH/OMB)
Other · American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Other · Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Other · Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Other · Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
Other · White
225 Participants
n=5 Participants
Race (NIH/OMB)
Other · More than one race
12 Participants
n=5 Participants
Race (NIH/OMB)
Other · Unknown or Not Reported
30 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline period (the period screening to Baseline), Period 1 (Month 1-6)

Population: FAS included all participants from the ITT set who received at least one dose of the study treatment. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure.

CUA lesions were measured by using MRI scans.

Outcome measures

Outcome measures
Measure
Experimental: Mavenclad®
n=252 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 1 (Month 1-6)
-1.211 lesions
Standard Deviation 3.4413

PRIMARY outcome

Timeframe: Baseline period (the period screening to Baseline), Period 2 (Month 2-6)

Population: FAS included all participants from the ITT set who received at least one dose of the study treatment. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure.

CUA lesions were measured by using MRI scans.

Outcome measures

Outcome measures
Measure
Experimental: Mavenclad®
n=252 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 2 (Month 2-6)
-1.521 lesions
Standard Deviation 4.0558

PRIMARY outcome

Timeframe: Baseline period (the period screening to Baseline), Period 3 (Month 3-6)

Population: FAS included all participants from the ITT set who received at least one dose of the study treatment. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure.

CUA lesions were measured by using MRI scans.

Outcome measures

Outcome measures
Measure
Experimental: Mavenclad®
n=246 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 3 (Month 3-6)
-1.499 lesions
Standard Deviation 3.4244

SECONDARY outcome

Timeframe: Baseline, Month 3, 6, 12, 15, 18 and 24

Population: FAS included all participants from the ITT set who received at least one dose of the study treatment. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure and "Number Analyzed" signifies those participants who were evaluable at specified categories.

B cell population counts are: CD19 B cells (TBNK panel), CD20 B cells (B cell panel), Memory B cells (B cell panel), Activated B cells (B cell panel), Total plasma cells (B cell panel), Short-lived plasma cells (B cell panel), Naïve B cells (B cell panel), Transitional B cells (B cell panel), and Regulatory B cells (B cell panel).

Outcome measures

Outcome measures
Measure
Experimental: Mavenclad®
n=204 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD19 B cells (TBNK panel), Month 3
-80.14 Percent change
Interval -85.85 to -73.65
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD19 B cells (TBNK panel), Month 6
-60.60 Percent change
Interval -72.43 to -45.62
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD19 B cells (TBNK panel), Month 12
-26.88 Percent change
Interval -46.67 to -3.7
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD19 B cells (TBNK panel), Month 15
-77.24 Percent change
Interval -85.64 to -65.59
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD19 B cells (TBNK panel), Month 18
-55.30 Percent change
Interval -69.55 to -39.3
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD19 B cells (TBNK panel), Month 24
-27.65 Percent change
Interval -46.11 to 1.77
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD20 B cells (B cell panel), Month 3
-80.50 Percent change
Interval -86.46 to -74.23
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD20 B cells (B cell panel), Month 6
-60.32 Percent change
Interval -71.94 to -43.77
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD20 B cells (B cell panel), Month 12
-24.56 Percent change
Interval -45.77 to -2.54
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD20 B cells (B cell panel), Month 15
-77.11 Percent change
Interval -85.54 to -65.25
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD20 B cells (B cell panel), Month 18
-54.21 Percent change
Interval -68.62 to -36.91
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
CD20 B cells (B cell panel), Month 24
-24.77 Percent change
Interval -43.43 to 8.84
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Memory B cells (B cell panel), Month 3
-92.69 Percent change
Interval -95.56 to -88.52
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Memory B cells (B cell panel), Month 6
-91.56 Percent change
Interval -94.14 to -86.8
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Memory B cells (B cell panel), Month 12
-86.90 Percent change
Interval -91.57 to -80.14
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Memory B cells (B cell panel), Month 15
-96.47 Percent change
Interval -97.75 to -93.25
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Memory B cells (B cell panel), Month 18
-94.67 Percent change
Interval -96.7 to -91.41
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Memory B cells (B cell panel), Month 24
-89.29 Percent change
Interval -93.61 to -84.91
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Activated B cells (B cell panel), Month 3
-74.02 Percent change
Interval -83.29 to -61.45
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Activated B cells (B cell panel), Month 6
-60.91 Percent change
Interval -74.77 to -38.25
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Activated B cells (B cell panel), Month 12
-28.82 Percent change
Interval -52.68 to -1.85
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Activated B cells (B cell panel), Month 15
-73.02 Percent change
Interval -83.81 to -62.22
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Activated B cells (B cell panel), Month 18
-51.87 Percent change
Interval -65.0 to -28.54
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Activated B cells (B cell panel), Month 24
-15.95 Percent change
Interval -40.82 to 29.33
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Total plasma cells (B cell panel), Month 3
-66.62 Percent change
Interval -82.38 to -33.69
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Total plasma cells (B cell panel), Month 6
-59.00 Percent change
Interval -78.63 to -28.51
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Total plasma cells (B cell panel), Month 12
-54.75 Percent change
Interval -71.43 to -19.03
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Total plasma cells (B cell panel), Month 15
-78.02 Percent change
Interval -89.68 to -60.13
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Total plasma cells (B cell panel), Month 18
-72.39 Percent change
Interval -84.71 to -57.31
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Total plasma cells (B cell panel), Month 24
-62.47 Percent change
Interval -80.79 to -36.26
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Short-lived plasma cells (B cell panel), Month 3
-68.18 Percent change
Interval -84.72 to -43.46
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Short-lived plasma cells (B cell panel), Month 6
-56.55 Percent change
Interval -77.83 to -31.98
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Short-lived plasma cells (B cell panel), Month 12
-56.70 Percent change
Interval -76.2 to -23.22
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Short-lived plasma cells (B cell panel), Month 15
-82.96 Percent change
Interval -93.23 to -69.9
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Short-lived plasma cells (B cell panel), Month 18
-79.54 Percent change
Interval -90.76 to -65.7
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Short-lived plasma cells (B cell panel), Month 24
-70.10 Percent change
Interval -83.17 to -45.12
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Naïve B cells (B cell panel), Month 3
-75.87 Percent change
Interval -84.21 to -66.18
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Naïve B cells (B cell panel), Month 6
-45.87 Percent change
Interval -61.72 to -24.82
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Naïve B cells (B cell panel), Month 12
1.63 Percent change
Interval -20.85 to 35.59
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Naïve B cells (B cell panel), Month 15
-69.17 Percent change
Interval -79.4 to -51.59
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Naïve B cells (B cell panel), Month 18
-39.73 Percent change
Interval -57.61 to -5.27
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Naïve B cells (B cell panel), Month 24
10.85 Percent change
Interval -21.0 to 45.19
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Transitional B cells (B cell panel), Month 3
-4.06 Percent change
Interval -38.65 to 56.25
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Transitional B cells (B cell panel), Month 6
14.82 Percent change
Interval -28.68 to 63.34
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Transitional B cells (B cell panel), Month 12
11.92 Percent change
Interval -26.75 to 64.99
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Transitional B cells (B cell panel), Month 15
28.69 Percent change
Interval -29.88 to 92.02
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Transitional B cells (B cell panel), Month 18
11.27 Percent change
Interval -22.94 to 67.22
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Transitional B cells (B cell panel), Month 24
6.30 Percent change
Interval -27.06 to 69.12
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Regulatory B cells (B cell panel), Month 3
110.73 Percent change
Interval 17.78 to 290.5
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Regulatory B cells (B cell panel), Month 6
92.95 Percent change
Interval 19.07 to 231.41
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Regulatory B cells (B cell panel), Month 12
30.64 Percent change
Interval -18.33 to 134.17
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Regulatory B cells (B cell panel), Month 15
91.57 Percent change
Interval 15.05 to 288.71
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Regulatory B cells (B cell panel), Month 18
33.83 Percent change
Interval -21.55 to 150.29
Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
Regulatory B cells (B cell panel), Month 24
1.62 Percent change
Interval -36.85 to 98.81

SECONDARY outcome

Timeframe: Baseline, Month 3, 6, 12, 15, 18 and 24

Population: FAS included all participants from the ITT set who received at least one dose of the study treatment. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure and "Number Analyzed" signifies those participants who were evaluable at specified categories.

T cell population counts are: Total CD4 T cells (TBNK panel), CD4 Th1 cells (T cell panel), CD4 Th17 T cells (T cell panel), CD4 Regulatory T cells (T cell panel), and Total CD8 T cells (TBNK panel).

Outcome measures

Outcome measures
Measure
Experimental: Mavenclad®
n=204 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD4 T cells (TBNK panel), Month 3
-48.60 Percent change
Interval -62.55 to -37.05
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD4 T cells (TBNK panel), Month 6
-47.18 Percent change
Interval -59.72 to -34.68
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD4 T cells (TBNK panel), Month 12
-40.16 Percent change
Interval -55.59 to -27.74
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD4 T cells (TBNK panel), Month 15
-69.04 Percent change
Interval -79.78 to -58.61
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD4 T cells (TBNK panel), Month 18
-66.98 Percent change
Interval -75.03 to -55.24
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD4 T cells (TBNK panel), Month 24
-57.51 Percent change
Interval -67.54 to -47.47
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th1 cells (T cell panel), Month 3
-44.35 Percent change
Interval -61.62 to -30.01
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th1 cells (T cell panel), Month 6
-43.20 Percent change
Interval -56.95 to -28.94
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th1 cells (T cell panel), Month 12
-35.55 Percent change
Interval -50.76 to -17.71
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th1 cells (T cell panel), Month 15
-63.68 Percent change
Interval -77.41 to -51.43
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th1 cells (T cell panel), Month 18
-63.01 Percent change
Interval -74.41 to -49.62
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th1 cells (T cell panel), Month 24
-52.86 Percent change
Interval -62.71 to -40.22
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th17 T cells (T cell panel), Month 3
-33.09 Percent change
Interval -53.72 to -15.56
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th17 T cells (T cell panel), Month 6
-30.26 Percent change
Interval -46.84 to -10.7
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th17 T cells (T cell panel), Month 12
-18.39 Percent change
Interval -38.1 to 10.51
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th17 T cells (T cell panel), Month 15
-44.57 Percent change
Interval -59.51 to -28.43
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th17 T cells (T cell panel), Month 18
-42.77 Percent change
Interval -55.47 to -18.37
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Th17 T cells (T cell panel), Month 24
-31.74 Percent change
Interval -46.81 to -3.84
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Regulatory T cells (T cell panel), Month 3
-25.98 Percent change
Interval -42.82 to -11.42
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Regulatory T cells (T cell panel), Month 6
-29.84 Percent change
Interval -41.82 to -11.66
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Regulatory T cells (T cell panel), Month 12
-25.60 Percent change
Interval -38.18 to -10.45
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Regulatory T cells (T cell panel), Month 15
-48.40 Percent change
Interval -59.8 to -35.82
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Regulatory T cells (T cell panel), Month 18
-48.73 Percent change
Interval -60.71 to -34.86
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
CD4 Regulatory T cells (T cell panel), Month 24
-40.30 Percent change
Interval -52.78 to -27.15
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD8 T cells (TBNK panel), Month 3
-42.33 Percent change
Interval -54.55 to -22.17
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD8 T cells (TBNK panel), Month 6
-39.42 Percent change
Interval -52.98 to -19.88
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD8 T cells (TBNK panel), Month 12
-36.28 Percent change
Interval -51.42 to -15.79
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD8 T cells (TBNK panel), Month 15
-57.08 Percent change
Interval -69.2 to -38.74
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD8 T cells (TBNK panel), Month 18
-54.44 Percent change
Interval -67.77 to -35.12
Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
Total CD8 T cells (TBNK panel), Month 24
-45.93 Percent change
Interval -58.41 to -30.17

SECONDARY outcome

Timeframe: Baseline, Month 3, 6, 12, 15, 18 and 24.

Population: FAS included all participants from the ITT set who received at least one dose of the study treatment. Here, "Number of participants analyzed" signifies those participants who were evaluable for this outcome measure and "Number Analyzed" signifies those participants who were evaluable at specified categories.

NK cell population counts are: CD16+ CD56+ NK Cells, CD16+ NK Cells, NK p46 cells, CD16lowCD56bright, and CD16brightCD56dim.

Outcome measures

Outcome measures
Measure
Experimental: Mavenclad®
n=203 Participants
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NK p46 cells, Month 6
-22.38 Percent change
Interval -45.67 to 21.71
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NK p46 cells, Month 12
29.49 Percent change
Interval -18.73 to 116.77
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NK p46 cells, Month 15
28.42 Percent change
Interval -11.69 to 97.64
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NK p46 cells, Month 18
71.73 Percent change
Interval 2.68 to 154.75
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NK p46 cells, Month 24
77.70 Percent change
Interval 18.42 to 175.01
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16low CD56bright, Month 3
-8.94 Percent change
Interval -36.65 to 31.46
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16low CD56bright, Month 6
3.72 Percent change
Interval -26.06 to 42.24
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ CD56- NK cells, Month 3
3.08 Percent change
Interval -32.82 to 48.59
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ CD56- NK cells, Month 6
-8.88 Percent change
Interval -35.6 to 40.41
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ CD56- NK cells, Month 12
9.44 Percent change
Interval -38.02 to 65.9
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ CD56- NK cells, Month 15
27.70 Percent change
Interval -24.44 to 104.4
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ CD56- NK cells, Month 18
7.89 Percent change
Interval -31.6 to 55.64
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ CD56- NK cells, Month 24
-21.64 Percent change
Interval -50.92 to 38.15
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ NK cells, Month 3
-32.50 Percent change
Interval -49.49 to -12.61
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ NK cells, Month 6
-21.78 Percent change
Interval -44.93 to 1.81
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ NK cells, Month 12
-8.10 Percent change
Interval -33.88 to 14.37
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ NK cells, Month 15
-28.56 Percent change
Interval -48.73 to -4.9
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ NK cells, Month 18
-21.47 Percent change
Interval -40.28 to 2.74
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16+ NK cells, Month 24
-13.76 Percent change
Interval -35.92 to 12.58
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NK p46 cells, Month 3
-20.85 Percent change
Interval -47.77 to 17.63
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16low CD56bright, Month 12
2.56 Percent change
Interval -20.62 to 41.41
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16low CD56bright, Month 15
4.77 Percent change
Interval -23.35 to 49.22
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16low CD56bright, Month 18
30.13 Percent change
Interval -8.52 to 75.67
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16low CD56bright, Month 24
17.21 Percent change
Interval -20.09 to 82.09
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16bright CD56dim, Month 3
-36.13 Percent change
Interval -55.16 to -14.13
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16bright CD56dim, Month 6
-25.61 Percent change
Interval -46.87 to 1.97
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16bright CD56dim, Month 12
-11.05 Percent change
Interval -38.53 to 16.63
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16bright CD56dim, Month 15
-35.05 Percent change
Interval -55.45 to -8.85
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16bright CD56dim, Month 18
-24.99 Percent change
Interval -45.87 to -0.29
Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
CD16bright CD56dim, Month 24
-12.94 Percent change
Interval -37.36 to 10.95

Adverse Events

Experimental: Mavenclad®

Serious events: 14 serious events
Other events: 225 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Experimental: Mavenclad®
n=270 participants at risk
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Cardiac disorders
Left ventricular dysfunction
0.37%
1/270 • From baseline up to Month 45
Eye disorders
Diplopia
0.37%
1/270 • From baseline up to Month 45
Eye disorders
Eye haemorrhage
0.37%
1/270 • From baseline up to Month 45
Eye disorders
Eye pain
0.37%
1/270 • From baseline up to Month 45
Gastrointestinal disorders
Gastritis
0.37%
1/270 • From baseline up to Month 45
Infections and infestations
Vestibular neuronitis
0.37%
1/270 • From baseline up to Month 45
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Papillary thyroid cancer
0.37%
1/270 • From baseline up to Month 45
Nervous system disorders
Cerebrovascular accident
0.74%
2/270 • From baseline up to Month 45
Nervous system disorders
Dizziness
0.37%
1/270 • From baseline up to Month 45
Surgical and medical procedures
Carotid endarterectomy
0.37%
1/270 • From baseline up to Month 45
Ear and labyrinth disorders
Vertigo
0.37%
1/270 • From baseline up to Month 45
Injury, poisoning and procedural complications
Hip fracture
0.37%
1/270 • From baseline up to Month 45
Injury, poisoning and procedural complications
Overdose
0.37%
1/270 • From baseline up to Month 45
Nervous system disorders
Ischaemic stroke
0.37%
1/270 • From baseline up to Month 45
Renal and urinary disorders
Nephrolithiasis
0.37%
1/270 • From baseline up to Month 45
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.37%
1/270 • From baseline up to Month 45
Skin and subcutaneous tissue disorders
Skin lesion
0.37%
1/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Interspinous osteoarthritis
0.37%
1/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.37%
1/270 • From baseline up to Month 45

Other adverse events

Other adverse events
Measure
Experimental: Mavenclad®
n=270 participants at risk
Participants received Mavenclad® 3.5 milligram per kilogram (mg/kg) of body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.
Gastrointestinal disorders
Diarrhoea
9.6%
26/270 • From baseline up to Month 45
General disorders
Fatigue
11.5%
31/270 • From baseline up to Month 45
Infections and infestations
Nasopharyngitis
21.1%
57/270 • From baseline up to Month 45
Infections and infestations
Urinary tract infection
11.9%
32/270 • From baseline up to Month 45
Skin and subcutaneous tissue disorders
Alopecia
7.8%
21/270 • From baseline up to Month 45
Gastrointestinal disorders
Nausea
11.5%
31/270 • From baseline up to Month 45
Infections and infestations
Oral herpes
7.4%
20/270 • From baseline up to Month 45
Infections and infestations
Upper respiratory tract infection
10.0%
27/270 • From baseline up to Month 45
Blood and lymphatic system disorders
Lymphopenia
10.4%
28/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Arthralgia
7.0%
19/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Back pain
11.1%
30/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Muscle Spasm
6.3%
17/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Neck Pain
5.2%
14/270 • From baseline up to Month 45
Musculoskeletal and connective tissue disorders
Pain in extrimity
8.1%
22/270 • From baseline up to Month 45
Nervous system disorders
Dizziness
7.4%
20/270 • From baseline up to Month 45
Nervous system disorders
Headache
32.2%
87/270 • From baseline up to Month 45
Nervous system disorders
Paraesthesia
5.6%
15/270 • From baseline up to Month 45
Psychiatric disorders
Anxiety
5.9%
16/270 • From baseline up to Month 45
Psychiatric disorders
Insomnia
5.9%
16/270 • From baseline up to Month 45

Additional Information

Communication Center

Merck KGaA, Darmstadt, Germany

Phone: +49-6151-72-5200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place