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Study to Evaluate the Maintenance of Efficacy When Transitioning From Anti-CD20 Therapy to Ublituximab (ENHANCE)

Primary Purpose

Relapsing Multiple Sclerosis

Status
Recruiting
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Ublituximab
Sponsored by
TG Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsing Multiple Sclerosis

Eligibility Criteria

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

Inclusion Criteria: Diagnosis of RMS (2017 Revised McDonald criteria) within prior 10 years. Participants currently treated with ocrelizumab must have received 2 fully infused initial 300 mg ocrelizumab IV infusions and at least 1 fully infused 600 mg ocrelizumab IV infusion 6 months later (+/- one month). The last ocrelizumab dose must have occurred 5-9 months prior to baseline (i.e., first dose/Week 1 Day 1 [W1D1]). Participants currently being treated with rituximab must have received at least 2 full infusions of rituximab 500 mg - 1000 mg IV every 6 months (+/- one month) or initial loading regimens of rituximab (i.e., 500 mg - 1000 mg on Day 1 and on Day 15), and at least 1 fully infused rituximab dose (i.e., 500 mg - 1000 mg) 6 months later (+/- one month). The last full rituximab dose must have occurred within 5-9 months prior to baseline (i.e., first dose/W1D1). Expanded Disability Status Scale (EDSS) score ≤ 5.5 at screening. Neurologically stable for > 30 days prior to first dose of ublituximab. Exclusion Criteria: Suboptimal response to anti-CD20 therapy in the prior 6 months defined as Documented MRI worsening (≥ 2 active T1-weighted Gd-enhancing lesions, any new or enlarging T2 lesions assessed from a standard of care MRI) and/or Clinical worsening as measured by EDSS or any clinical measure documented. Documented relapse within the 12 months prior to W1D1. History of severe or life-threatening IRR on prior anti-CD20 therapy. Primary-progressive multiple sclerosis (PPMS) or inactive Secondary Progressive MS (SPMS). Active chronic (or stable but treated with immune therapy) disease of the immune system other than MS (e.g., rheumatoid arthritis, scleroderma, Sjögren's syndrome, Crohn's disease, ulcerative colitis, etc.) or immunodeficiency syndrome (hereditary immune deficiency, drug-induced immune deficiency, etc.). Current evidence or known history of clinically significant infection, including: chronic, recurrent, or ongoing active viral, bacterial, or fungal infectious disease requiring long term systemic treatment such as, but not limited to chronic urinary tract infection, chronic pulmonary infection with bronchiectasis, tuberculosis, or active hepatitis C virus (HCV). Previous serious opportunistic or atypical infection. Evidence of chronic active or history of hepatitis B virus (HBV) infection as evidenced by a detectable hepatitis B surface antigen (HBsAg), or positive hepatitis B core antibody (HBcAb), or chronic hepatitis C infection. Participants with positive hepatitis C virus antibody (HCV Ab) are eligible only if polymerase chain reaction (PCR) is negative for HCV ribonucleic acid (RNA). History or evidence (clinical, radiological, or biomarker) of suspected or confirmed progressive multifocal leukoencephalopathy (PML). Receipt of any live or live-attenuated vaccines (including vaccines for varicella-zoster virus or measles) within 4 weeks prior to first study drug administration. Participants requiring frequent and chronic use of high-dose corticosteroids. Participants requiring treatment with intravenous immune globulin (IVIG) for decreased immunoglobulins within the 12 months prior to W1D1. Any active malignancies other than adequately treated basal, squamous cell or in situ carcinoma. Participants who have ever received alemtuzumab, cyclophosphamide, mitoxantrone, cladribine, or daclizumab.

Sites / Locations

  • TG Therapeutics Investigational Trial SiteRecruiting
  • TG Investigational SiteRecruiting
  • TG Therapeutics Investigational Trial SiteRecruiting
  • TG Therapeutics Investigational Trial SiteRecruiting
  • TG Investigational SiteRecruiting
  • TG Therapeutics Investigational Trial SiteRecruiting
  • TG Therapeutics Investigational Trial SiteRecruiting
  • TG Therapeutics Investigational Trial SiteRecruiting
  • TG Therapeutics Investigational Trial SiteRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Ublituximab

Arm Description

Participants will be transitioned from current anti-CD20 therapy to receive ublituximab 450 milligram (mg) intravenous (IV) infusion over varying infusion durations on Day 1 of Week 1 and ublituximab 450 mg IV infusion over 1 hour in Week 24.

Outcomes

Primary Outcome Measures

Percentage of Participants With No Change or Reduction in Number of T1 Gd-Enhancing Lesions From Baseline to Week 48
The Gd-enhancing T1 lesions will be evaluated using magnetic resonance imaging (MRI) technique.

Secondary Outcome Measures

Percentage of Participants Free of T1 Gd-Enhancing Lesions
The Gd-enhancing T1 lesions will be evaluated using MRI technique.
Percentage of Participants Experiencing Infusion Related Reactions (IRRs)
IRRs are defined as infusion related adverse events (AEs) that occur within one day of an infusion and resolve within 7 days. IRRs will be reported by investigator.
Treatment Satisfaction Questionnaire for Medication (TSQM-9) Scores
The TSQM-9 is a 9-item questionnaire with 3 domains: Satisfaction, convenience, and effectiveness.

Full Information

First Posted
May 18, 2023
Last Updated
October 20, 2023
Sponsor
TG Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05877963
Brief Title
Study to Evaluate the Maintenance of Efficacy When Transitioning From Anti-CD20 Therapy to Ublituximab (ENHANCE)
Official Title
Evaluating the Maintenance of Efficacy When Transitioning From Anti-CD20 Therapy to Ublituximab
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 13, 2023 (Actual)
Primary Completion Date
June 2025 (Anticipated)
Study Completion Date
June 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
TG Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary purpose of this phase 3b study is to assess the maintenance of efficacy after transition from current anti-CD20 therapy to ublituximab, as measured by T1 Gadolinium (Gd)-enhancing lesions.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
300 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Ublituximab
Arm Type
Experimental
Arm Description
Participants will be transitioned from current anti-CD20 therapy to receive ublituximab 450 milligram (mg) intravenous (IV) infusion over varying infusion durations on Day 1 of Week 1 and ublituximab 450 mg IV infusion over 1 hour in Week 24.
Intervention Type
Biological
Intervention Name(s)
Ublituximab
Other Intervention Name(s)
TG-1101, BRIUMVI
Intervention Description
Administered as an IV infusion.
Primary Outcome Measure Information:
Title
Percentage of Participants With No Change or Reduction in Number of T1 Gd-Enhancing Lesions From Baseline to Week 48
Description
The Gd-enhancing T1 lesions will be evaluated using magnetic resonance imaging (MRI) technique.
Time Frame
Baseline up to Week 48
Secondary Outcome Measure Information:
Title
Percentage of Participants Free of T1 Gd-Enhancing Lesions
Description
The Gd-enhancing T1 lesions will be evaluated using MRI technique.
Time Frame
Week 48
Title
Percentage of Participants Experiencing Infusion Related Reactions (IRRs)
Description
IRRs are defined as infusion related adverse events (AEs) that occur within one day of an infusion and resolve within 7 days. IRRs will be reported by investigator.
Time Frame
Up to Week 48
Title
Treatment Satisfaction Questionnaire for Medication (TSQM-9) Scores
Description
The TSQM-9 is a 9-item questionnaire with 3 domains: Satisfaction, convenience, and effectiveness.
Time Frame
Weeks 24 and 48

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: Diagnosis of RMS (2017 Revised McDonald criteria) within prior 10 years. Participants currently treated with ocrelizumab must have received 2 fully infused initial 300 mg ocrelizumab IV infusions and at least 1 fully infused 600 mg ocrelizumab IV infusion 6 months later (+/- one month). The last ocrelizumab dose must have occurred 5-9 months prior to baseline (i.e., first dose/Week 1 Day 1 [W1D1]). Participants currently being treated with rituximab must have received at least 2 full infusions of rituximab 500 mg - 1000 mg IV every 6 months (+/- one month) or initial loading regimens of rituximab (i.e., 500 mg - 1000 mg on Day 1 and on Day 15), and at least 1 fully infused rituximab dose (i.e., 500 mg - 1000 mg) 6 months later (+/- one month). The last full rituximab dose must have occurred within 5-9 months prior to baseline (i.e., first dose/W1D1). Expanded Disability Status Scale (EDSS) score ≤ 5.5 at screening. Neurologically stable for > 30 days prior to first dose of ublituximab. Exclusion Criteria: Suboptimal response to anti-CD20 therapy in the prior 6 months defined as Documented MRI worsening (≥ 2 active T1-weighted Gd-enhancing lesions, any new or enlarging T2 lesions assessed from a standard of care MRI) and/or Clinical worsening as measured by EDSS or any clinical measure documented. Documented relapse within the 12 months prior to W1D1. History of severe or life-threatening IRR on prior anti-CD20 therapy. Primary-progressive multiple sclerosis (PPMS) or inactive Secondary Progressive MS (SPMS). Active chronic (or stable but treated with immune therapy) disease of the immune system other than MS (e.g., rheumatoid arthritis, scleroderma, Sjögren's syndrome, Crohn's disease, ulcerative colitis, etc.) or immunodeficiency syndrome (hereditary immune deficiency, drug-induced immune deficiency, etc.). Current evidence or known history of clinically significant infection, including: chronic, recurrent, or ongoing active viral, bacterial, or fungal infectious disease requiring long term systemic treatment such as, but not limited to chronic urinary tract infection, chronic pulmonary infection with bronchiectasis, tuberculosis, or active hepatitis C virus (HCV). Previous serious opportunistic or atypical infection. Evidence of chronic active or history of hepatitis B virus (HBV) infection as evidenced by a detectable hepatitis B surface antigen (HBsAg), or positive hepatitis B core antibody (HBcAb), or chronic hepatitis C infection. Participants with positive hepatitis C virus antibody (HCV Ab) are eligible only if polymerase chain reaction (PCR) is negative for HCV ribonucleic acid (RNA). History or evidence (clinical, radiological, or biomarker) of suspected or confirmed progressive multifocal leukoencephalopathy (PML). Receipt of any live or live-attenuated vaccines (including vaccines for varicella-zoster virus or measles) within 4 weeks prior to first study drug administration. Participants requiring frequent and chronic use of high-dose corticosteroids. Participants requiring treatment with intravenous immune globulin (IVIG) for decreased immunoglobulins within the 12 months prior to W1D1. Any active malignancies other than adequately treated basal, squamous cell or in situ carcinoma. Participants who have ever received alemtuzumab, cyclophosphamide, mitoxantrone, cladribine, or daclizumab.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
TG Therapeutics Clinical Support Team
Phone
1-877-555-8489
Email
clinicalsupport@tgtxinc.com
Facility Information:
Facility Name
TG Therapeutics Investigational Trial Site
City
Cullman
State/Province
Alabama
ZIP/Postal Code
35058
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Investigational Site
City
Fort Collins
State/Province
Colorado
ZIP/Postal Code
80528
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Therapeutics Investigational Trial Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Therapeutics Investigational Trial Site
City
Foxboro
State/Province
Massachusetts
ZIP/Postal Code
02035
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Investigational Site
City
Farmington
State/Province
Michigan
ZIP/Postal Code
48334
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Therapeutics Investigational Trial Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63131
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Therapeutics Investigational Trial Site
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37922
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Therapeutics Investigational Trial Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84103
Country
United States
Individual Site Status
Recruiting
Facility Name
TG Therapeutics Investigational Trial Site
City
Vienna
State/Province
Virginia
ZIP/Postal Code
22182
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Evaluate the Maintenance of Efficacy When Transitioning From Anti-CD20 Therapy to Ublituximab (ENHANCE)

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