Evaluation of Safety, Tolerability, and PK of VX15/2503 In Patients With MS
Primary Purpose
Multiple Sclerosis
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
VX15/2503
Placebo
Sponsored by

About this trial
This is an interventional treatment trial for Multiple Sclerosis focused on measuring VX15/2503, Semaphorin 4D, SEMA4D, CD100, safety, tolerability, pharmacokinetics, immunogenicity, multiple sclerosis, monoclonal antibody
Eligibility Criteria
Inclusion Criteria:
- Patients 18-60 years of age who have been diagnosed with MS for at least 1 year as defined by the 2010 revisions to the McDonald criteria
- Has an EDSS score of 0 to 6.5 inclusive at screening
- Has a body mass index of 18 to 32 kg/m2
- Is willing to undergo and has no contraindications to brain MRI
- Willing to use a medically acceptable method of contraception throughout the study period and for 6 months after the dose of VX15/2503, unless patient is surgically sterile or postmenopausal. Women of childbearing potential must have started using adequate contraception at least 2 months before the Day 1 visit.
- Male patients must agree to defer from donating sperm for 6 months after VX15/2503 administration
- Women of childbearing potential must have a negative serum pregnancy test at screening, which will be confirmed at baseline using a urine test before administration of VX15/2503
- Is willing to forego other forms of experimental treatment during the study
Exclusion Criteria:
- Had an MS relapse that did not stabilize within the 30 days before the start of screening.
- Has any clinically significant cardiac, endocrine, hematologic, hepatic, immunologic, metabolic, urologic/gynecologic, pulmonary, neurologic, psychiatric, or renal conditions; has a history of relevant clinically significant allergic or anaphylactic reactions; or has any other clinically significant major disease that, as assessed by the investigator, would pose a risk to patient safety or interfere with the study evaluations, procedures, or completion
- Has any clinically significant laboratory value outside the normal range for MS patients at screening, or has abnormal hematologic, renal, or hepatic function based on laboratory tests
- Is a pregnant or breastfeeding woman
- Has received treatment with any MS disease-modifying therapy other than interferon beta or glatiramer acetate within 3 months prior to dosing
- Has been treated with natalizumab, daclizumab, or fingolimod for any indication within 6 months prior to dosing
- Has had any prior treatment with alemtuzumab, rituximab, mitoxantrone, total lymphoid irradiation, bone marrow transplantation, or T cell or T cell receptor vaccination
- Has received any experimental agent within 6 months prior to dosing, or within a period equivalent to 5 half-lives of the agent (whichever is longer); or is currently involved in any other research study
- Has undergone any major surgical procedure within the 4 weeks prior to dosing
- Has a history of congestive heart failure (New York Heart Association Class III to IV), symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention, or myocardial infarction within 6 months prior to dosing
- Has a clinically significant ECG finding at screening
- Has a known or suspected human immunodeficiency virus (HIV) or hepatitis B or hepatitis C infection
- Has a known or suspected allergy to Gd or other contraindication to brain MRI
- Has a history of an opportunistic infection or a history of acute infection requiring systemic antibiotics, antivirals, or antifungals within 6 weeks prior to dosing (antiinfective therapy must have been completed at least 4 weeks prior to dosing)
- Has any other intercurrent illness or condition, including alcohol or drug dependence as determined by the investigator, which could impact the patient's compliance with or ability to complete the study
- History of seizure disorder or unexplained blackouts or history of seizure within 3 months of screening
- History of suicidal ideation within 3 months prior to screening, episode of severe depression within 3 months prior to screening
- Has a sensitivity to VX15/2503 or the ingredients or excipients of VX15/2503, or known or suspected sensitivity to mammalian cell-derived products
- Has donated or lost more than 1 unit of blood in the 60 days prior to screening
Sites / Locations
- North Central Neurology Associates, PC
- University of Colorado Hospital, Aschutz Inpatient Pavilion
- Indiana University Health Neuroscience Center
- University of Kansas Medical Center
- Wayne State University - University Health Center
- MS Center of Northeastern NY/Empire Neurology
- University of Rochester Medical Center
- The Neurological Institute, PA
- The Cleveland Clinic Foundation
- Swedish Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
VX15/2503
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Safety/Tolerability as determined by number of patients with adverse events
Secondary Outcome Measures
Half-life of VX15/2503
Peak plasma concentration (Cmax) of VX15/2503
Area under the plasma concentration versus time curve (AUC) of VX15/2503
Number of patients who develop anti-drug antibody
Full Information
NCT ID
NCT01764737
First Posted
January 3, 2013
Last Updated
February 5, 2015
Sponsor
Vaccinex Inc.
Collaborators
PRA Health Sciences
1. Study Identification
Unique Protocol Identification Number
NCT01764737
Brief Title
Evaluation of Safety, Tolerability, and PK of VX15/2503 In Patients With MS
Official Title
A Phase I, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Ascending Single-Dose Study Of The Safety, Tolerability, And Pharmacokinetics Of Intravenous VX15/2503 In Patients With Multiple Sclerosis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
December 2012 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vaccinex Inc.
Collaborators
PRA Health Sciences
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and tolerability of IV administration of VX15/2503 in patients with multiple sclerosis. The escalation part of the study will determine the maximum tolerated dose (MTD) or the Maximum Administered Dose if no MTD is found.
Detailed Description
VX15/2503-N-101 is a single ascending dose-escalation, randomized, double-blinded, placebo-controlled study to evaluate the safety and tolerability of IV-administered VX15/2503 in patients with multiple sclerosis. This will be accomplished by using a dose escalation procedure starting at a low dose of VX15/2503 and will continue based on predefined parameters until the maximum tolerated dose is identified. Patients will be randomized at a 4:1 ratio to receive VX15/2503 to placebo. The patients and the study team will be blinded to the treatment that each patient receives.
The study drug, VX15/2503, is a humanized monoclonal antibody that binds to the semaphorin 4D (SEMA4D; CD100) antigen. Experimental evidence suggest that antibody neutralization of SEMA4D may represent a new therapeutic strategy for treating multiple sclerosis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
VX15/2503, Semaphorin 4D, SEMA4D, CD100, safety, tolerability, pharmacokinetics, immunogenicity, multiple sclerosis, monoclonal antibody
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Actual)
8. Arms, Groups, and Interventions
Arm Title
VX15/2503
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
VX15/2503
Intervention Description
single dose intravenous administration
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
single dose intravenous administration
Primary Outcome Measure Information:
Title
Safety/Tolerability as determined by number of patients with adverse events
Time Frame
Up to 12 weeks depending on dose cohort
Secondary Outcome Measure Information:
Title
Half-life of VX15/2503
Time Frame
Up to 12 weeks depending on dose cohort
Title
Peak plasma concentration (Cmax) of VX15/2503
Time Frame
Up to 12 weeks depending on dose cohort
Title
Area under the plasma concentration versus time curve (AUC) of VX15/2503
Time Frame
Up to 12 weeks depending on dose cohort
Title
Number of patients who develop anti-drug antibody
Time Frame
Up to 12 weeks depending on dose cohort
Other Pre-specified Outcome Measures:
Title
Cellular Semaphorin 4D (SEMA4D; CD100) percent saturation
Time Frame
Up to 12 weeks depending on dose cohort
Title
VX15/2503 dose level vs serum SEMA4D levels
Time Frame
Up to 12 weeks depending on dose cohort
Title
Change in magnetic resonance imaging (MRI) parameters as compared to VX15/2503 dose level
Description
MRI parameters:
Number of T1 gadolinium (Gd)-enhancing lesions
Number of T2 lesions
Total volume of T1 and T2 lesions if the investigational site has the imaging processing capability
Time Frame
Screening to 4 weeks post-dose
Title
VX15/2503 dose vs the change in Kurtzke Expanded Disability Status Scale
Time Frame
Up to 12 weeks depending on dose cohort
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients 18-60 years of age who have been diagnosed with MS for at least 1 year as defined by the 2010 revisions to the McDonald criteria
Has an EDSS score of 0 to 6.5 inclusive at screening
Has a body mass index of 18 to 32 kg/m2
Is willing to undergo and has no contraindications to brain MRI
Willing to use a medically acceptable method of contraception throughout the study period and for 6 months after the dose of VX15/2503, unless patient is surgically sterile or postmenopausal. Women of childbearing potential must have started using adequate contraception at least 2 months before the Day 1 visit.
Male patients must agree to defer from donating sperm for 6 months after VX15/2503 administration
Women of childbearing potential must have a negative serum pregnancy test at screening, which will be confirmed at baseline using a urine test before administration of VX15/2503
Is willing to forego other forms of experimental treatment during the study
Exclusion Criteria:
Had an MS relapse that did not stabilize within the 30 days before the start of screening.
Has any clinically significant cardiac, endocrine, hematologic, hepatic, immunologic, metabolic, urologic/gynecologic, pulmonary, neurologic, psychiatric, or renal conditions; has a history of relevant clinically significant allergic or anaphylactic reactions; or has any other clinically significant major disease that, as assessed by the investigator, would pose a risk to patient safety or interfere with the study evaluations, procedures, or completion
Has any clinically significant laboratory value outside the normal range for MS patients at screening, or has abnormal hematologic, renal, or hepatic function based on laboratory tests
Is a pregnant or breastfeeding woman
Has received treatment with any MS disease-modifying therapy other than interferon beta or glatiramer acetate within 3 months prior to dosing
Has been treated with natalizumab, daclizumab, or fingolimod for any indication within 6 months prior to dosing
Has had any prior treatment with alemtuzumab, rituximab, mitoxantrone, total lymphoid irradiation, bone marrow transplantation, or T cell or T cell receptor vaccination
Has received any experimental agent within 6 months prior to dosing, or within a period equivalent to 5 half-lives of the agent (whichever is longer); or is currently involved in any other research study
Has undergone any major surgical procedure within the 4 weeks prior to dosing
Has a history of congestive heart failure (New York Heart Association Class III to IV), symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention, or myocardial infarction within 6 months prior to dosing
Has a clinically significant ECG finding at screening
Has a known or suspected human immunodeficiency virus (HIV) or hepatitis B or hepatitis C infection
Has a known or suspected allergy to Gd or other contraindication to brain MRI
Has a history of an opportunistic infection or a history of acute infection requiring systemic antibiotics, antivirals, or antifungals within 6 weeks prior to dosing (antiinfective therapy must have been completed at least 4 weeks prior to dosing)
Has any other intercurrent illness or condition, including alcohol or drug dependence as determined by the investigator, which could impact the patient's compliance with or ability to complete the study
History of seizure disorder or unexplained blackouts or history of seizure within 3 months of screening
History of suicidal ideation within 3 months prior to screening, episode of severe depression within 3 months prior to screening
Has a sensitivity to VX15/2503 or the ingredients or excipients of VX15/2503, or known or suspected sensitivity to mammalian cell-derived products
Has donated or lost more than 1 unit of blood in the 60 days prior to screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Leonard, PhD
Organizational Affiliation
Vaccinex Inc.
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Keith R Edwards, MD, FAAD
Organizational Affiliation
MS Center of Northeastern NY/Empire Neurology
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Christopher C LaGanke, MD
Organizational Affiliation
North Central Neurology Associates, PC
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
T H Rao, MD
Organizational Affiliation
The Neurological Institute, PA
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lawrence M Samkoff, MD
Organizational Affiliation
University of Rochester
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lael A Stone, MD
Organizational Affiliation
The Cleveland Clinic
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Omar Khan, MD
Organizational Affiliation
Wayne State University - University Health Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sharon Lynch, MD
Organizational Affiliation
University of Kansas Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
David H Mattson, MD
Organizational Affiliation
Indiana University Health Neuroscience Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Timothy Vollmer, MD
Organizational Affiliation
University of Colorado Hospital, Anschutz Inpatient Pavilion
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Pavle Repovic, MD
Organizational Affiliation
Swedish Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
North Central Neurology Associates, PC
City
Cullman
State/Province
Alabama
ZIP/Postal Code
35058
Country
United States
Facility Name
University of Colorado Hospital, Aschutz Inpatient Pavilion
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Indiana University Health Neuroscience Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Wayne State University - University Health Center
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
MS Center of Northeastern NY/Empire Neurology
City
Latham
State/Province
New York
ZIP/Postal Code
12110
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
The Neurological Institute, PA
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
The Cleveland Clinic Foundation
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Swedish Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98122
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
28642891
Citation
LaGanke C, Samkoff L, Edwards K, Jung Henson L, Repovic P, Lynch S, Stone L, Mattson D, Galluzzi A, Fisher TL, Reilly C, Winter LA, Leonard JE, Zauderer M. Safety/tolerability of the anti-semaphorin 4D Antibody VX15/2503 in a randomized phase 1 trial. Neurol Neuroimmunol Neuroinflamm. 2017 Jun 16;4(4):e367. doi: 10.1212/NXI.0000000000000367. eCollection 2017 Jul.
Results Reference
derived
PubMed Identifier
25082288
Citation
Worzfeld T, Offermanns S. Semaphorins and plexins as therapeutic targets. Nat Rev Drug Discov. 2014 Aug;13(8):603-21. doi: 10.1038/nrd4337.
Results Reference
derived
Learn more about this trial
Evaluation of Safety, Tolerability, and PK of VX15/2503 In Patients With MS
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