The vaccinations are being used to investigate immunological memory following treatment of multiple sclerosis with the lympho-depleting humanised monoclonal antibody alemtuzumab. MedDRA version: 9.1 Level: PT Classification code 10063399 Term: Relapsing-remitting multiple sclerosis MedDRA version: 9.1 Level: PT Classification code 10063400 Term: Secondary progressive multiple sclerosis MedDRA version: 9.1 Level: LLT Classification code 10046859 Term: Vaccination
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male or non-pregnant, non-lactating female patients, 18 to 50 years of age (inclusive) • Diagnosis of MS using the McDonald’s criteria10 • Received alemtuzumab at least 4 weeks previously • If receiving Revaxis must have been previously vaccinated against tetanus (for the tetanus vaccine to stimulate the desired recall response) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Previously received Haemophilus b or pneumococcal vaccines or have had Haemophilus or pneumococcal disease (these antigens are intended to be novel to the subject’s immune system) • Allergy to a component in any of the vaccines • Previous or current immune thrombocytopaenic purpura (ITP) or haemolytic anaemia. • Received a diphtheria or tetanus toxoid vaccine within the last 5 years; only applicable if the patient will be given Revaxis (vaccination recommended after 5 years to minimise adverse events) • Guillain-Barré syndrome or brachial neuritis due to a previous vaccine • Acute severe febrile illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of the trial is to determine if vaccinations are effective in patients with multiple sclerosis who have been treated with the lympho-depleting humanised monoclonal antibody alemtuzumab. The primary outcome measure will be the antibody response to each vaccine measured at 4 weeks post-vaccination.;Secondary Objective: The secondary outcome measures will be the level of antibodies to measles, mumps, rubella, varicella zoster and Epstein-Barr viruses, before and after treatment and the effect of vaccination on lymphocyte reconstitution. ;Primary end point(s): The primary outcome measure will be the antibody response to each vaccine measured at 4 weeks (+/- 7 days) post-vaccination. | — |
Countries
United Kingdom