Relapsing-Remitting Multiple Sclerosis
Conditions
Keywords
Phase 2b Tovaxin, Clinically Isolated Syndrome (CIS), Relapse-Remitting Multiple Sclerosis (RR-MS)
Brief summary
This is a 1 year study to evaluate the efficacy, safety, and tolerability of Tovaxin T cell therapy in subjects with a clinically isolated syndrome (CIS) and relapse-remitting multiple sclerosis (RR-MS).
Detailed description
A 2 arm, 52 week parallel-group of Tovaxin versus placebo in subjects with CIS or RR-MS. Subjects who provide written, informed consent will complete screening and procurement assessments and provide blood to be used for vaccine production. Eligible subjects will be enrolled to receive either Tovaxin or placebo and will complete baseline assessments. Randomization and enrolled subjects will receive study treatment by subcutaneous injections at weeks 0, 4, 8, 12, and 24. Subjects will be monitored by CBC, serum chemistries, urinalysis, Expanded Disability Status Scale (EDSS), MSFC, MSQLI, magnetic resonance imaging (MRI), and monitor myelin reactive T cells for safety, efficacy, and tolerability of Tovaxin.
Interventions
subcutaneous injections administered by healthcare provider at weeks 0, 4, 8, 12, and 24
subcutaneous injections administered by healthcare provider at weeks 0, 4, 8, 12, and 24
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 18 to 55 years old * Presence of myelin reactive T cells at screening * Diagnosis of CIS with screening MRI that fulfils the Barkhof criteria - dissemination in space * Diagnosis of MS within the past 10 years according to the McDonald criteria (2005) * Baseline EDSS score between 0 and 5.5 inclusively
Exclusion criteria
* Unable to produce T cell vaccine * Disease-modifying treatment for MS during the last 30 days and 60 days for steroidal treatments * Diagnosis of progressive-relapsing, secondary progressive, or primary progressive MS * Planned pregnancy, currently pregnant, or breastfeeding * Any prior treatment with total lymphoid irradiation, cladribine, T cell or T cell receptor vaccination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the efficacy, safety, and tolerability of Tovaxin TCV in subjects with CIS or RR-MS | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate biomarkers of efficacy of Tovaxin TCV and effects of Tovaxin TCV on epitope spreading | 1 year |
Countries
United States