A Phase II Study Comparing Low- and High-Dose Alemtuzumab and High-Dose Rebif® in Patients With Early, Active Relapsing-Remitting Multiple Sclerosis
Multiple Sclerosis, Relapsing-Remitting
About this trial
This is an interventional treatment trial for Multiple Sclerosis, Relapsing-Remitting focused on measuring Multiple Sclerosis, Active Relapsing-Remitting Multiple Sclerosis
Eligibility Criteria
Inclusion Criteria: Signed informed consent form (ICF) Male or non-pregnant, non-lactating female participants, 18 to 50 years of age (inclusive) as of signing the ICF Diagnosis of MS per McDonald's update of the Poser criteria, including cranial MRI consistent with those criteria (McDonald, 2001, Ann Neurol) Onset of first MS symptoms within 3 years prior to Screening as of signing the ICF Expanded Disability Status Scale (EDSS) score 0.0 to 3.0 (inclusive) at the screening and Baseline visits At least 2 completed clinical episodes of MS in the 2 years prior to study entry (that is, the initial event if within 2 years of study entry plus at least 1 relapse, or at least 2 relapses if the initial event was between 2 and 3 years prior to study entry) In addition to the clinical criteria, at least 1 enhancing lesion on any 1 of up to 4 screening gadolinium-enhanced MRI brain scans during a maximum 3-month run-in period (inclusive of the Month 0 Baseline scan) Exclusion Criteria: Previous immunotherapy for MS other than steroids, including treatment with interferons, intravenous immunoglobulin (IVIG), glatiramer acetate, and mitoxantrone Personal history of thyroid autoimmune disease Personal history of clinically significant autoimmune disease (for example, inflammatory bowel disease, diabetes, lupus, severe asthma) History of thyroid carcinoma (previous thyroid adenoma was acceptable and was not considered an exclusion criterion) History of malignancy (except for basal cell skin carcinoma if disease-free for at least 5 years) Any disability acquired from trauma or another illness that, in the opinion of the Investigator, interfered with evaluation of disability due to MS Previous treatment with alemtuzumab History of anaphylaxis following exposure to humanized monoclonal antibodies Inability to undergo MRI with gadolinium administration Female participants of childbearing potential with a positive serum pregnancy test at screening or Baseline Male and female participants who did not agree to use effective contraceptive method(s) during the study Impaired renal function (that is, serum creatinine greater than or equal to 2 times the upper limit of normal [ULN]) Untreated, major depressive disorder Epileptic seizures that were not adequately controlled by treatment Suicidal ideation Major systemic disease or other illness that, in the opinion of the Investigator, have compromised participant safety or interfered with the interpretation of study results Abnormal CD4 count or significantly abnormal thyroid function; presence of anti-thyroid stimulating hormone (TSH) receptor antibodies; known seropositivity for human immunodeficiency (HIV) Intolerance of pulsed corticosteroids, especially a history of steroid psychosis Presence of a monoclonal paraprotein Participants who had any form of MS other than relapsing-remitting Participants currently participating in a clinical study of an experimental or unapproved/unlicensed therapy
Sites / Locations
- Mayo Clinic Scottsdale Arizona
- Clinical Trials, Inc
- East Bay Physicians Medical Group
- Nerve Pro Research
- Neuro-Therapeutics, Inc.
- Neurological Research Institute of the East Bay
- Neurologic Research Institute/Mile High Research Center
- Neurological Service of Orlando
- Neurological Associates/ Research Dept.
- Neurology Clinical Research, Inc.
- Axiom Clinical Research of Florida
- Medical Research and Health Education
- Consultants in Neurology, Ltd
- Fort Wayne Neurological Center
- Associate in Neurology
- University of Maryland -Maryland Center for MS
- Wayne State University Department of Neurology
- Michigan Institute for Neurological Disorders
- Michigan Medical P.C. Neurology
- Mayo Clinic Rochester Department of Neurology
- Nevada Neurological Consultants, Ltd.
- University Hospital an Medical Center
- ALL-Trials Clinical Research, LLC
- Neurological Associates of Tulsa, Inc
- Neurosciencies and Pain Research
- Neurology, PC
- Baylor College of Medicine
- Dallas Neurological Associate
- Central Texas Neurology Consultants PA
- Integra Clinical Research, LLC
- Neurology Center of San Antonio
- Department of Neurology, University Hospital "Osijek"
- Department of Neurology, Clinical Hospital Centre "Rijeka"
- Department of Neurology, Clinical Hospital Centre "Zagreb"
- Department of Neurology, General Hospital "Sveti Duh"
- Department of Neurology, University Hopsital "Sestre Milosrdnice"
- Centrum Neurologii Klinicznej
- Samodzielny Publiczny Zakład Opieki Zdrowotnej
- Klinika Neurologii
- Oddzial Kliniczny Neurologii
- Instytut Psychiatrii i Neurologii
- Katedra i Klinika Neurologii
- Russian State Medical University
- Neurology Scientific Center RAMS
- Moscow City Hospital #11
- Moscow City Hospital #61
- Institute of Human brain RAS
- St. Petersburg State Pavlov Medical University
- Addenbrooke's Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Interferon Beta-1a
Alemtuzumab 12 mg
Alemtuzumab 24 mg