Proof of Concept Study Evaluating RNS60 in the Treatment of Relapsing Remitting Multiple Sclerosis
Primary Purpose
Relapsing Remitting Multiple Sclerosis
Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RNS60 125 ml
RNS60 250 ml
Interferon beta 1a
Sponsored by
About this trial
This is an interventional treatment trial for Relapsing Remitting Multiple Sclerosis focused on measuring Relapsing remitting multiple sclerosis, RR-MS
Eligibility Criteria
Inclusion Criteria:
- Males or females, aged between 18 and 50 years.
- Diagnosis of RR-MS according to McDonald 2010 diagnostic criteria with a prior brain MRI that demonstrates lesions consistent with RRMS, both within the past year.
- No evidence of relapse during the 60 days prior to enrollment.
- EDSS score of 0-5 at screening.
- Women of childbearing potential who have a negative pregnancy test (serum HCG) at screening.
- Men or women of reproductive potential who commit to use adequate contraception during the study and for 1 month following the last day of treatment.
- Subjects must be capable of understanding the purpose and risks of the study and provide written, informed consent.
Exclusion Criteria:
- Diagnosis of Secondary Progressive MS, Primary Progressive MS or Progressive Relapsing MS.
- Normal baseline brain MRI.
- History of any clinically significant autoimmune disease: inflammatory bowel disease, diabetes, lupus or severe asthma.
- Current or prior malignancies (excluding non-melanoma skin carcinoma or in situ carcinoma of the cervix that has been adequately treated.)
- Significant organ dysfunction, including cardiac, renal (eGFR ≤ 60 ml/min.), liver, central nervous system, pulmonary, vascular, gastrointestinal, endocrine, or metabolic (e.g., creatinine ≥ 1.6 mg/dL; ALT or AST ≥ 1.5x the upper limit of normal), history of myocardial infarction, congestive heart failure, or arrhythmias within 6 months prior to enrollment.
- Steroid therapy within 60 days prior to enrollment, with the exception of corticosteroids or ACTH for relapse treatment during the course of the study.
- Known allergy to Gadolinium-DTPA
- Therapy with any immunomodulatory drugs within 3 months prior to enrollment, including but not limited to interferons, glatiramir acetate, BG-12, teriflunomide, laquinimod and IV immunoglobulin.
- Treatment at any time with immunosuppressive drugs such as cladribine, total lymphoid irradiation, monoclonal antibody treatment, mitoxantrone, Tysabri, fingolimod, cytoxan, methotrexate.
- Participation in any investigational therapy within one year prior to enrollment, unless given approval by PI.
- Known or suspected current or past alcohol or drug abuse within one year prior to enrollment.
- Any medical, psychiatric or other condition that could result in a subject not being able to comply with protocol requirements.
Sites / Locations
- Mt. Sinai School of Medicine
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
RNS60 125 ml
RNS60 250 ml
Interferon beta-1a
Arm Description
125 ml of RNS60 administered weekly by IV infusion
250 ml of RNS60 administered weekly by IV infusion
Weekly dose of 30 mcg Interferon beta-1a (Avonex) administered by intramuscular injection.
Outcomes
Primary Outcome Measures
Change in number of GAD-enhancing lesions from baseline
Cumulative number of GAD-enhancing lesions by MRI at months 3, 4, 5, and 6
Secondary Outcome Measures
Change in number of T2 lesions from baseline
Cumulative number of new or newly enlarged T2 lesions over 6 months of treatment
Brain volume
Brain volume by MRI over 6 months of treatment
T2 lesion volume
T2 lesion volume by MRI over 6 months of treatment
Annualized Relapse Rate
Annualized Relapse Rate over 6 months
Expanded Disability Status Scale (EDSS), change from baseline
Progression of disability as assessed by the Expanded Disability Status Scale at months 3 and 6.
Multiple Sclerosis Functional Composite, change from baseline
Progression of disability as assessed by the Multiple Sclerosis Functional Composite tool at months 3 and 6 months.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01714089
Brief Title
Proof of Concept Study Evaluating RNS60 in the Treatment of Relapsing Remitting Multiple Sclerosis
Official Title
A Phase II Study Evaluating RNS60 Compared to Interferon Beta-1a (Avonex) for the Treatment of Relapsing Remitting Multiple Sclerosis
Study Type
Interventional
2. Study Status
Record Verification Date
April 2016
Overall Recruitment Status
Withdrawn
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Revalesio Corporation
4. Oversight
5. Study Description
Brief Summary
The purpose of this study is to determine whether RNS60 is effective in the treatment of RR-MS compared to interferon beta-1a.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsing Remitting Multiple Sclerosis
Keywords
Relapsing remitting multiple sclerosis, RR-MS
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RNS60 125 ml
Arm Type
Experimental
Arm Description
125 ml of RNS60 administered weekly by IV infusion
Arm Title
RNS60 250 ml
Arm Type
Experimental
Arm Description
250 ml of RNS60 administered weekly by IV infusion
Arm Title
Interferon beta-1a
Arm Type
Active Comparator
Arm Description
Weekly dose of 30 mcg Interferon beta-1a (Avonex) administered by intramuscular injection.
Intervention Type
Drug
Intervention Name(s)
RNS60 125 ml
Intervention Type
Drug
Intervention Name(s)
RNS60 250 ml
Intervention Type
Drug
Intervention Name(s)
Interferon beta 1a
Primary Outcome Measure Information:
Title
Change in number of GAD-enhancing lesions from baseline
Description
Cumulative number of GAD-enhancing lesions by MRI at months 3, 4, 5, and 6
Time Frame
3, 4, 5, and 6 months
Secondary Outcome Measure Information:
Title
Change in number of T2 lesions from baseline
Description
Cumulative number of new or newly enlarged T2 lesions over 6 months of treatment
Time Frame
Months 3, 4, 5, and 6
Title
Brain volume
Description
Brain volume by MRI over 6 months of treatment
Time Frame
6 months
Title
T2 lesion volume
Description
T2 lesion volume by MRI over 6 months of treatment
Time Frame
6 month
Title
Annualized Relapse Rate
Description
Annualized Relapse Rate over 6 months
Time Frame
6 months
Title
Expanded Disability Status Scale (EDSS), change from baseline
Description
Progression of disability as assessed by the Expanded Disability Status Scale at months 3 and 6.
Time Frame
3, 6 months
Title
Multiple Sclerosis Functional Composite, change from baseline
Description
Progression of disability as assessed by the Multiple Sclerosis Functional Composite tool at months 3 and 6 months.
Time Frame
3, 6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males or females, aged between 18 and 50 years.
Diagnosis of RR-MS according to McDonald 2010 diagnostic criteria with a prior brain MRI that demonstrates lesions consistent with RRMS, both within the past year.
No evidence of relapse during the 60 days prior to enrollment.
EDSS score of 0-5 at screening.
Women of childbearing potential who have a negative pregnancy test (serum HCG) at screening.
Men or women of reproductive potential who commit to use adequate contraception during the study and for 1 month following the last day of treatment.
Subjects must be capable of understanding the purpose and risks of the study and provide written, informed consent.
Exclusion Criteria:
Diagnosis of Secondary Progressive MS, Primary Progressive MS or Progressive Relapsing MS.
Normal baseline brain MRI.
History of any clinically significant autoimmune disease: inflammatory bowel disease, diabetes, lupus or severe asthma.
Current or prior malignancies (excluding non-melanoma skin carcinoma or in situ carcinoma of the cervix that has been adequately treated.)
Significant organ dysfunction, including cardiac, renal (eGFR ≤ 60 ml/min.), liver, central nervous system, pulmonary, vascular, gastrointestinal, endocrine, or metabolic (e.g., creatinine ≥ 1.6 mg/dL; ALT or AST ≥ 1.5x the upper limit of normal), history of myocardial infarction, congestive heart failure, or arrhythmias within 6 months prior to enrollment.
Steroid therapy within 60 days prior to enrollment, with the exception of corticosteroids or ACTH for relapse treatment during the course of the study.
Known allergy to Gadolinium-DTPA
Therapy with any immunomodulatory drugs within 3 months prior to enrollment, including but not limited to interferons, glatiramir acetate, BG-12, teriflunomide, laquinimod and IV immunoglobulin.
Treatment at any time with immunosuppressive drugs such as cladribine, total lymphoid irradiation, monoclonal antibody treatment, mitoxantrone, Tysabri, fingolimod, cytoxan, methotrexate.
Participation in any investigational therapy within one year prior to enrollment, unless given approval by PI.
Known or suspected current or past alcohol or drug abuse within one year prior to enrollment.
Any medical, psychiatric or other condition that could result in a subject not being able to comply with protocol requirements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fred Lublin, MD, PhD
Organizational Affiliation
Mt. Sinai School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mt. Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Proof of Concept Study Evaluating RNS60 in the Treatment of Relapsing Remitting Multiple Sclerosis
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