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A Study to Evaluate the Safety, Tolerability and Efficacy of AIN457 in Patients With Relapsing-remitting Multiple Sclerosis

An Open Label Extension Study to Evaluate the Safety, Tolerability and Efficacy of AIN457 in Patients With Relapsing-remitting Multiple Sclerosis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01433250
Enrollment
39
Registered
2011-09-13
Start date
2012-02-29
Completion date
2014-06-30
Last updated
2016-03-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Multiple Sclerosis

Keywords

Multiple Sclerosis,, demyelinating autoimmune diseases,, interleukin-17,, monoclonal human antibody

Brief summary

The study will assess the long-term safety and tolerability of AIN457 in patients with relapsing-remitting multiple sclerosis (RRMS). In addition the long-term pattern of maintenance of efficacy and health related quality of life will be explored.

Interventions

DRUGAIN457

(10mg/kg i.v.).

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No

Inclusion criteria

1\. Was exposed to AIN457 or placebo in study CAIN457B2201 and completed the CAIN457B2201 study, up to at and including Visit 10 (week 24).

Exclusion criteria

1. Have been treated with: * immunosuppressive medications such as azathioprine or methotrexate within 1 month prior to enrollment, if lymphocyte count normal. * immunoglobulins and/or monoclonal antibodies (with the exception of AIN457) within 2 month prior to enrollment, or if the immunosuppressive effects are likely to persist at enrollment (such as presence of B cell depletion after rituximab treatment). 2. Have received total lymphoid irradiation, bone marrow transplantation, alemtuzumab, cladribine, cyclophosphamide, mitoxantrone or other immunosuppressive treatments with long-lasting (over 6 months) or permanent effects. 3. Have received any live or live attenuated vaccines (including live vaccines for varicella-zoster virus or measles) within 2 months prior to enrollment. 4. A diagnosis of chronic disease of the immune system other than MS, or of an immunodeficiency syndrome. 5. Current severe depression. 6. Pregnant or nursing (lactating) women. 7. Malignancy diagnosed since enrollment in the core study (except for successfully-treated basal or squamous cell carcinoma of skin). 8. A new diagnosis of diabetes 9. Positive testing for tuberculosis (QuantiFeron or chest X-ray). 10. Subjects with clinically significant cardiac abnormalities 11. Unable or unwilling to undergo multiple venipunctures 12. Unable to undergo MRI scans due to newly acquired claustrophobia or metallic implants incompatible with MRI. Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Measure: Number of Subjects With Adverse Events, Number of Abnormalities in Safety Assessments97 weeksSafety outcomes will be described in Adverse events section as there was not an efficacy primary outcome

Secondary

MeasureTime frameDescription
Distribution of Patients With Relapses to End of Study (EOS) (All Subjects)week 97Description: number of relapses based on neurological assessments and EDSS
Number Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweeks 13,25,37,53,73 and 97Measures of absolute number of gadolinium \[Gd\]-enhancing lesions on T1-weighted scans
Number Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweeks 13,25,37,53,73 and 97Measures of absolute number of gadolinium \[Gd\]-enhancing lesions on T2-weighted lesions
Change in Brain Volume at End of Study.week 97Change in volume from start to end of study
Measure of Disability: Expanded Disability Status Scale (EDSS).Baseline to week 97The EDSS is a scale for assessing neurological impairment in MS (Kurtzke 1983) including (1) a series of scores in each of eight functional systems, and (2) the EDSS steps (ranging from 0 (normal) to 10 (death due to MS). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions.

Countries

Czechia, Russia, Ukraine

Participant flow

Participants by arm

ArmCount
AIN457/ AIN457
AIN in core study , continued AIN in extension study
22
Placebo/AIN457
Placebo for core study and AIN in extension study
17
Total39

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyProtocol Violation01
Overall StudyWithdrawal by Subject32

Baseline characteristics

CharacteristicAIN457/ AIN457Placebo/AIN457Total
Age, Continuous36.1 Years
STANDARD_DEVIATION 10
34.2 Years
STANDARD_DEVIATION 8.71
35.3 Years
STANDARD_DEVIATION 9.39
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants16 Participants36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants1 Participants2 Participants
Sex: Female, Male
Female
12 Participants12 Participants24 Participants
Sex: Female, Male
Male
10 Participants5 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 177 / 22
serious
Total, serious adverse events
0 / 172 / 22

Outcome results

Primary

Measure: Number of Subjects With Adverse Events, Number of Abnormalities in Safety Assessments

Safety outcomes will be described in Adverse events section as there was not an efficacy primary outcome

Time frame: 97 weeks

ArmMeasureValue (NUMBER)
AIN/AINMeasure: Number of Subjects With Adverse Events, Number of Abnormalities in Safety Assessments12 participants
PBO/AINMeasure: Number of Subjects With Adverse Events, Number of Abnormalities in Safety Assessments8 participants
Secondary

Change in Brain Volume at End of Study.

Change in volume from start to end of study

Time frame: week 97

ArmMeasureValue (MEAN)Dispersion
AIN/AINChange in Brain Volume at End of Study.-14.8968 mlStandard Deviation 63.73027
PBO/AINChange in Brain Volume at End of Study.-30.4346 mlStandard Deviation 31.218
Secondary

Distribution of Patients With Relapses to End of Study (EOS) (All Subjects)

Description: number of relapses based on neurological assessments and EDSS

Time frame: week 97

ArmMeasureValue (NUMBER)
AIN/AINDistribution of Patients With Relapses to End of Study (EOS) (All Subjects)9 Participants
PBO/AINDistribution of Patients With Relapses to End of Study (EOS) (All Subjects)5 Participants
Secondary

Measure of Disability: Expanded Disability Status Scale (EDSS).

The EDSS is a scale for assessing neurological impairment in MS (Kurtzke 1983) including (1) a series of scores in each of eight functional systems, and (2) the EDSS steps (ranging from 0 (normal) to 10 (death due to MS). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions.

Time frame: Baseline to week 97

Population: Not all patients may have been available at all time points for EDSS evaluation

ArmMeasureGroupValue (NUMBER)
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 2.04 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 4.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 3.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 2.04 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 3.51 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 2.51 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 4.00 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 2.52 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 5.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 4.52 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 5.52 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 3.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 6.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 1.00 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 4.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 1.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 5.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 1.51 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 4.53 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 2.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 3.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 3.00 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 5.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 4.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 6.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 5.51 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 5.50 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 6.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 2.05 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 6.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score1.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 1.52 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 6.51 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 2.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 3.52 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 2.52 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 3.00 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 11 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 3.51 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 1.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 4.02 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 1.55 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 4.50 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 1.53 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 5.50 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 1.54 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 6.01 participants
AIN/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 6.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 1.02 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 1.55 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 2.02 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 2.51 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 3.04 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 3.50 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 4.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 4.52 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 5.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Baseline score 6.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 12 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 1.55 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 2.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 2.51 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 3.04 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 4.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 4.51 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 5.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 5.51 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 6.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK25 score 6.50 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 1.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 1.53 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 2.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 3.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 3.50 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 4.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 5.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 5.50 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).Safety Week 53 score 6.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 1.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 1.55 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 2.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 3.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 4.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 5.50 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).WK73 score 6.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score1.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 1.55 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 2.01 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 2.51 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 3.03 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 3.50 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 4.00 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 4.51 participants
PBO/AINMeasure of Disability: Expanded Disability Status Scale (EDSS).End of treatment score 5.51 participants
Secondary

Number Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRI

Measures of absolute number of gadolinium \[Gd\]-enhancing lesions on T1-weighted scans

Time frame: weeks 13,25,37,53,73 and 97

ArmMeasureGroupValue (MEAN)
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 13 T1 (n=22, 16)0.8 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 25 T1 (n=22, 16)0.6 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 37 T1 (n=22, 15)1.0 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 53 T1 (n=14, 6)0.3 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIwk 73 T1 (n=11,9)0.6 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIEOT (n=15,13)0.7 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIwk 73 T1 (n=11,9)0.2 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 13 T1 (n=22, 16)2.0 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 53 T1 (n=14, 6)0.3 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 25 T1 (n=22, 16)1.9 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIEOT (n=15,13)0.5 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T1 Weighted MRIweek 37 T1 (n=22, 15)0.8 lesions
Secondary

Number Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRI

Measures of absolute number of gadolinium \[Gd\]-enhancing lesions on T2-weighted lesions

Time frame: weeks 13,25,37,53,73 and 97

ArmMeasureGroupValue (MEAN)
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 13 T2 (n=22, 16)1.3 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 25 T2 (n=22, 16)0.8 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 37 T2 (n=22, 15)1.3 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 53 T2 (n=14, 6)0.4 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIwk 73 T2 (n=11,9)1.3 lesions
AIN/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIEOT T2 (n=15,13)1.1 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIwk 73 T2 (n=11,9)0.9 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 13 T2 (n=22, 16)2.2 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 53 T2 (n=14, 6)0.7 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 25 T2 (n=22, 16)2.4 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIEOT T2 (n=15,13).07 lesions
PBO/AINNumber Lesions Measured in the Brain by Magnetic Resonance Imaging. T2 Weighted MRIweek 37 T2 (n=22, 15)1.3 lesions

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026