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Immunotherapy With BHT-3009 Alone or Combined With Atorvastatin in Patients With Multiple Sclerosis

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BHT-3009-01
Sponsored by
Bayhill Therapeutics
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring multiple sclerosis, relapsing-remitting, secondary progressive

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Definite diagnosis of multiple sclerosis by the McDonald criteria. Patients with relapsing remitting MS or secondary progressive MS are eligible. 1-5 gadolinium enhancing (Gd+) lesions on the first Screening MRI or relapse in the previous 2 years, or disease worsening in the previous 2 years Clinically stable for > 1 month before screening evaluation and during screening. Patients who are stable on approved therapy are eligible only if they have intolerable side effects or other medical reasons for discontinuing approved therapy. Off interferon for > 1 month before screening evaluation. Off immunosuppressive and cytotoxic therapy (e.g. mitoxantrone, cladrabine) >12 months or > 6 months with CD4 count > 400. EDSS ≥ 2.5 and < 7.0. Female or male, age > 18 years. Able to give informed consent. WBC and platelets in normal range, hemoglobin > 10.0 g/dl. AST, ALT, bilirubin < upper limit of normal. Creatinine < upper limit of normal. CPK < upper limit of normal. Exclusion Criteria: High-dose corticosteroids (e.g. >500 mg methylprednisolone or equivalent) within previous month. >5 Gd+ lesions on the first Screening MRI. Previous vaccine therapy, stem cell transplantation or total lymphoid radiation. Glatiramer within previous 12 months. Treatment with any statin in the previous 6 months or elevated cholesterol that requires treatment with a statin. Pregnant or lactating women. Unwilling to use a medically acceptable form of birth control. History of positive test for HIV, hepatitis B or hepatitis C. Clinically significant ECG abnormalities. Medical condition or social circumstances that would in the opinion of the investigator prevent full participation in the trial or evaluation of study endpoints. Implanted pacemakers, defibrillators or other metallic objects on or inside the body that limit performing MRI scans. History of intolerable adverse events with statin therapy.

Sites / Locations

  • Barrow Neurology Clinics
  • USC, LAC & USC Medical Center
  • University of British Columbia, MS Research
  • Montreal Neurological Institute, Clinical Research Unit and MS clinic

Outcomes

Primary Outcome Measures

Evaluate safety of BHT-3009 alone and when combined with atorvastatin in patients with multiple sclerosis.
Determine dose of BHT-3009 and regimen for phase II testing.

Secondary Outcome Measures

Describe effect of treatment on antibody and T cell responses to myelin basic protein (MBP).
Describe clinical course of treated patients.
Explore biomarkers of MS activity

Full Information

First Posted
February 17, 2005
Last Updated
April 4, 2008
Sponsor
Bayhill Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00103974
Brief Title
Immunotherapy With BHT-3009 Alone or Combined With Atorvastatin in Patients With Multiple Sclerosis
Official Title
A Phase I Trial of Immunotherapy With BHT-3009 Alone or Combined With Atorvastatin in Patients With Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2008
Overall Recruitment Status
Completed
Study Start Date
July 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 2007 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Bayhill Therapeutics

4. Oversight

5. Study Description

Brief Summary
This research study is being done to evaluate the safety of BHT-3009 alone and when combined with atorvastatin (Lipitor) in patients with multiple sclerosis (MS).
Detailed Description
This research study is being done to evaluate the safety of BHT-3009 alone and when combined with atorvastatin (Lipitor) in patients with multiple sclerosis (MS). Patients with MS are thought to have an immune response that attacks certain proteins in the brain, including myelin basic protein. (Myelin basic protein is a protein that makes up part of the outside layer of nerve cells.) BHT-3009 is an investigational immunotherapy product that is designed to alter the immune response to myelin basic protein and make the response less harmful. BHT-3009 contains the DNA (gene) for myelin basic protein. Three different doses of BHT-3009 will be tested to determine if there are any differences in safety or effects on immunity. This is the first clinical research study of BHT-3009. Laboratory studies have shown that BHT-3009 and atorvastatin given together alters the immune response to myelin basic protein and makes the response less harmful.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
multiple sclerosis, relapsing-remitting, secondary progressive

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Double
Allocation
Randomized
Enrollment
30 (false)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
BHT-3009-01
Primary Outcome Measure Information:
Title
Evaluate safety of BHT-3009 alone and when combined with atorvastatin in patients with multiple sclerosis.
Title
Determine dose of BHT-3009 and regimen for phase II testing.
Secondary Outcome Measure Information:
Title
Describe effect of treatment on antibody and T cell responses to myelin basic protein (MBP).
Title
Describe clinical course of treated patients.
Title
Explore biomarkers of MS activity

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Definite diagnosis of multiple sclerosis by the McDonald criteria. Patients with relapsing remitting MS or secondary progressive MS are eligible. 1-5 gadolinium enhancing (Gd+) lesions on the first Screening MRI or relapse in the previous 2 years, or disease worsening in the previous 2 years Clinically stable for > 1 month before screening evaluation and during screening. Patients who are stable on approved therapy are eligible only if they have intolerable side effects or other medical reasons for discontinuing approved therapy. Off interferon for > 1 month before screening evaluation. Off immunosuppressive and cytotoxic therapy (e.g. mitoxantrone, cladrabine) >12 months or > 6 months with CD4 count > 400. EDSS ≥ 2.5 and < 7.0. Female or male, age > 18 years. Able to give informed consent. WBC and platelets in normal range, hemoglobin > 10.0 g/dl. AST, ALT, bilirubin < upper limit of normal. Creatinine < upper limit of normal. CPK < upper limit of normal. Exclusion Criteria: High-dose corticosteroids (e.g. >500 mg methylprednisolone or equivalent) within previous month. >5 Gd+ lesions on the first Screening MRI. Previous vaccine therapy, stem cell transplantation or total lymphoid radiation. Glatiramer within previous 12 months. Treatment with any statin in the previous 6 months or elevated cholesterol that requires treatment with a statin. Pregnant or lactating women. Unwilling to use a medically acceptable form of birth control. History of positive test for HIV, hepatitis B or hepatitis C. Clinically significant ECG abnormalities. Medical condition or social circumstances that would in the opinion of the investigator prevent full participation in the trial or evaluation of study endpoints. Implanted pacemakers, defibrillators or other metallic objects on or inside the body that limit performing MRI scans. History of intolerable adverse events with statin therapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Frank Valone, MD
Organizational Affiliation
Bayhill Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Barrow Neurology Clinics
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
USC, LAC & USC Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
University of British Columbia, MS Research
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6T 2B5
Country
Canada
Facility Name
Montreal Neurological Institute, Clinical Research Unit and MS clinic
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3A 2B4
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
17698695
Citation
Bar-Or A, Vollmer T, Antel J, Arnold DL, Bodner CA, Campagnolo D, Gianettoni J, Jalili F, Kachuck N, Lapierre Y, Niino M, Oger J, Price M, Rhodes S, Robinson WH, Shi FD, Utz PJ, Valone F, Weiner L, Steinman L, Garren H. Induction of antigen-specific tolerance in multiple sclerosis after immunization with DNA encoding myelin basic protein in a randomized, placebo-controlled phase 1/2 trial. Arch Neurol. 2007 Oct;64(10):1407-15. doi: 10.1001/archneur.64.10.nct70002. Epub 2007 Aug 13.
Results Reference
derived
Links:
URL
http://www.webconferences.com/nihoba/ppt/633_RAC%20Vollmer%20present%206.8.04.pdf
Description
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Immunotherapy With BHT-3009 Alone or Combined With Atorvastatin in Patients With Multiple Sclerosis

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