Relapsing-Remitting Multiple Sclerosis MedDRA version: 14.1 Level: PT Classification code 10063399 Term: Relapsing-remitting multiple sclerosis System Organ Class: 10029205 - Nervous system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Confirmed Relapsing-Remitting Multiple Sclerosis (RRMS) according to revised 2010 McDonald criteria and brain lesions consistent with MS -At least 2 documented relapses within the past 3 years prior to screening or at least one documented relapse within 1 year prior to screening -Kurtzke Expanded Disability Status Scale (EDSS) between 0.0 and 5.0 at screening -At least 1 but not more than 15 gadolinium enhancing lesion(s)by cranial MRI at screening -Subjects that have 0-15 gadolinium enhancing lesion(s) - Male and female subjects must be willing to use effective methods of contraception -Willing to forego other forms of experimental treatment for RRMS during the study -Adequate peripheral venous access 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 512 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Subjects who are unable to undergo cranial MRI scan -History of hypersensitivity to Gd containing MRI contrast agents -History of hypersensitivity to natural or recombinant interferon beta or any other component of the formulation of Avonex or discontinuation from treatment with Avonex due to associated adverse event -Receiving monthly methylprednisone or equivalent glucocorticoid for disease modification for RRMS -Known sensitivity to acetaminophen/paracetamol, diphenhydramine or equivalent antihistamine, and methylprednisolone or equivalent glucocorticoid -Diagnosis of a non-RRMS neuro-inflammatory or demyelinating disease -Any concomitant disease that may require chronic treatment with IV or oral corticosteroids or immunosuppressants during the course of the study -History of primary immunodeficiency -Positive serology for hepatitis B and C -Any serious herpes infection at any time prior to randomization, including but not limited to disseminated herpes, herpes encephalitis, recurrent herpes zoster (defined as 2 episodes within 2 years) or ophthalmic herpes -Any herpes zoster infection that has not completely resolved within 12 weeks prior to signing of the informed consent form -Evidence of active tuberculosis (TB), either treated or untreated, or latent TB without completion of an appropriate course of treatment or appropriate ongoing prophylactic treatment -Known active, clinically significant infections -History of PML -History of cancer, apart from squamous or basal cell carcinoma of the skin treated with documented success of curative therapy > 3 months before randomization into the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1) To evaluate the safety and tolerability of ascending doses of MEDI-551 in adult subjects with RRMS (Phase 1) 2) To compare the effect of MEDI-551 versus Avonex on the proportion of relapse free subjects at Week 48 (Phase 2) ;Secondary Objective: 1) To compare the effect of MEDI-551 versus Avonex on the mean cumulative Gd enhanced MRI T1 brain lesions at Weeks 24 and 48 (Phase 2) 2) To evaluate the effect of MEDI-551 on the Symbol Digit Modalities Test (SDMT; Phase 1/Phase 2) 3) To evaluate the PK and IM of MEDI-551 in the subject population (Phase 1/Phase 2) 4) To describe the PD effect of MEDI-551 by assessing B-cell depletion/repletion in the peripheral blood (Phase 1/Phase 2) 5) To evaluate the safety of MEDI-551 (Phase 2);Primary end point(s): Phase I - To evaluate the safety and tolerability of ascending doses of MEDI-551 in adult subjects with relapsing-remitting multiple sclerosis (RRMS) Phase II - To compare the effect of MEDI-551 versus Avonex on the proportion of relapse free subjects ;Timepoint(s) of evaluation of this end point: Phase I - Day 1 to Day 169 Phase II - Day 337 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - To compare the effect of MEDI-551 versus Avonex on the mean cumulative gadolinium enhancing lesion(s) - To evaluate the effect of MEDI-551 on the Symbol Digit Modalities Test (SDMT) - To evaluate the pharmacokinetics (PK) and immunogenicity (IM) of MEDI-551 in the subject population - To describe the pharmacodynamic (PD) effects of MEDI-551 - To evaluate the safety of MEDI-551 ;Timepoint(s) of evaluation of this end point: Day 1 to Days 169/337 | — |
Countries
Austria, Canada, Czech Republic, Denmark, France, Germany, Hungary, Ireland, Israel, Italy, Netherlands, Poland, Russian Federation, Spain, Sweden, Switzerland, Turkey, Ukraine, United Kingdom, United States
Contacts
MedImmune LLC