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Study of the Safety and Efficacy of MLN1202 in Patients in Multiple Sclerosis

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
MLN1202
Sponsored by
Millennium Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis

Eligibility Criteria

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

Inclusion Criteria:

Each patient was to have met all of the following inclusion criteria to be enrolled in the study:

  • 18 years of age or older
  • Diagnosis of relapsing-remitting multiple sclerosis (RRMS)
  • An Expanded Disability Status Score (EDCC) of 0 to 5.5, inclusive
  • Be willing and able to comply with the protocol for the duration of the study period
  • Be willing to use adequate "double-barrier" contraceptive methods for the duration of the study period
  • If female, must be neither pregnant or breast-feeding
  • Written informed consent
  • To be enrolled in the treatment phase of the study each patient must have a total of at least 2 new gadolinium-diethylenetriamine pentaacetic acid (Gd)-enhancing lesions seen over the series of 3 pretreatment magnetic resonance imaging (MRI)s.

Exclusion Criteria:

Patients meeting any of the following exclusion criteria were not to be enrolled in the study:

  • Diagnosis of primary progressive multiple sclerosis (PPMS) or secondary progressive multiple sclerosis (SPMS)
  • Received any investigational drug or experimental procedure within 3 months prior to study day 0
  • If the patient has received disease-modifying treatments they must be discontinued prior to study day 0 as follows:

    1. Cyclophosphamide or mitoxantrone- 6 months prior
    2. Interferons, glatiramer acetate and azathioprine- 12 weeks prior
    3. Methotrexate, IV immunoglobulin, cyclosporin, plasma exchange or corticosteroids- 8 weeks prior
  • Never have been exposed to Tysabri® (natalizumab)or any other VLA-4 (α4β1)antagonist
  • Have an active infection or be considered to be at high risk for developing an infection
  • Have a history of hepatitis B, C or human immunodeficiency virus (HIV)
  • Have a chest X-ray within 6 months of study day 0 with clinically significant findings or abnormalities
  • Have inadequate renal or hepatic function
  • Have a known history of cancer, except for distant history (>10 years) of carcinoma in situ of the cervix or adequately treated basal cell carcinoma of the skin
  • Received any live, attenuated vaccinations within 30 days prior to study day 0
  • Have a history of illicit drug or alcohol abuse within 5 years of study day 0
  • Have a history of hypersensitivity to prior monoclonal antibody (mAb) treatment
  • Have a history of allergy or sensitivity to Gd
  • Have a history that would preclude serial MRI scans

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    MLN1202

    Arm Description

    Outcomes

    Primary Outcome Measures

    To determine the safety and tolerability of MLN1202 in patients with relapsing-remitting multiple sclerosis (RRMS)
    Vital sign measurement, physical examinations, multiple sclerosis (MS) relapses, changes in expanded disability status scale (EDSS) scores and standard laboratory test results, as well as the incidence of adverse events and serious adverse events
    To determine the efficacy of MLN1202 in patients with RRMS
    Comparing the mean number of new gadolinium-diethylenetriamine pentaacetic acid (Gd)-enhancing lesions on magnetic resonance imaging (MRI) scans during the pretreatment phase with the mean number of new Gd-enhancing lesions found during the treatment phase

    Secondary Outcome Measures

    Full Information

    First Posted
    September 9, 2010
    Last Updated
    September 9, 2010
    Sponsor
    Millennium Pharmaceuticals, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01199640
    Brief Title
    Study of the Safety and Efficacy of MLN1202 in Patients in Multiple Sclerosis
    Official Title
    A Phase 2a Magnetic Resonance Imaging Study of the Safety and Efficacy of MLN1202 in Patients in Multiple Sclerosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2005 (undefined)
    Primary Completion Date
    July 2007 (Actual)
    Study Completion Date
    October 2007 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Millennium Pharmaceuticals, Inc.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This was a phase 2a study of MLN1202 to determine safety, tolerability and initial efficacy in patients with relapsing-remitting multiple sclerosis (RRMS). It was conducted in 2 dose cohorts enrolling a total of 50 patients. Efficacy was assessed by comparing the numbers of new gadolinium-enhancing brain lesions during the screening and treatment periods.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Multiple Sclerosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    50 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    MLN1202
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    MLN1202
    Intervention Description
    Patients received 5 intravenous (IV) infusions of the study drug. The first 3 infusions were administered at 15-day intervals, followed by 2 infusions at 30-day intervals. Patients were randomized to receive 1 of 2 doses of MLN1202 (4mg/kg or 8mg/kg).
    Primary Outcome Measure Information:
    Title
    To determine the safety and tolerability of MLN1202 in patients with relapsing-remitting multiple sclerosis (RRMS)
    Description
    Vital sign measurement, physical examinations, multiple sclerosis (MS) relapses, changes in expanded disability status scale (EDSS) scores and standard laboratory test results, as well as the incidence of adverse events and serious adverse events
    Time Frame
    Day 61- Day 330
    Title
    To determine the efficacy of MLN1202 in patients with RRMS
    Description
    Comparing the mean number of new gadolinium-diethylenetriamine pentaacetic acid (Gd)-enhancing lesions on magnetic resonance imaging (MRI) scans during the pretreatment phase with the mean number of new Gd-enhancing lesions found during the treatment phase
    Time Frame
    Day 0- Day 180

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Each patient was to have met all of the following inclusion criteria to be enrolled in the study: 18 years of age or older Diagnosis of relapsing-remitting multiple sclerosis (RRMS) An Expanded Disability Status Score (EDCC) of 0 to 5.5, inclusive Be willing and able to comply with the protocol for the duration of the study period Be willing to use adequate "double-barrier" contraceptive methods for the duration of the study period If female, must be neither pregnant or breast-feeding Written informed consent To be enrolled in the treatment phase of the study each patient must have a total of at least 2 new gadolinium-diethylenetriamine pentaacetic acid (Gd)-enhancing lesions seen over the series of 3 pretreatment magnetic resonance imaging (MRI)s. Exclusion Criteria: Patients meeting any of the following exclusion criteria were not to be enrolled in the study: Diagnosis of primary progressive multiple sclerosis (PPMS) or secondary progressive multiple sclerosis (SPMS) Received any investigational drug or experimental procedure within 3 months prior to study day 0 If the patient has received disease-modifying treatments they must be discontinued prior to study day 0 as follows: Cyclophosphamide or mitoxantrone- 6 months prior Interferons, glatiramer acetate and azathioprine- 12 weeks prior Methotrexate, IV immunoglobulin, cyclosporin, plasma exchange or corticosteroids- 8 weeks prior Never have been exposed to Tysabri® (natalizumab)or any other VLA-4 (α4β1)antagonist Have an active infection or be considered to be at high risk for developing an infection Have a history of hepatitis B, C or human immunodeficiency virus (HIV) Have a chest X-ray within 6 months of study day 0 with clinically significant findings or abnormalities Have inadequate renal or hepatic function Have a known history of cancer, except for distant history (>10 years) of carcinoma in situ of the cervix or adequately treated basal cell carcinoma of the skin Received any live, attenuated vaccinations within 30 days prior to study day 0 Have a history of illicit drug or alcohol abuse within 5 years of study day 0 Have a history of hypersensitivity to prior monoclonal antibody (mAb) treatment Have a history of allergy or sensitivity to Gd Have a history that would preclude serial MRI scans
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Millennium Pharmaceuticals, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Study of the Safety and Efficacy of MLN1202 in Patients in Multiple Sclerosis

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