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NOGO-A in Multiple Sclerosis FTIH

Primary Purpose

Multiple Sclerosis

Status
Terminated
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Placebo
GSK1223249
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring Safety, GSK1223249, Pharmacokinetics, Single dose escalation, anti-GSK1223249 antibodies, Multiple Sclerosis

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Suitable as determined by the Principal Investigator, based on his/her overall evaluation. A patient with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
  • Diagnosed with a relapsing form of MS defined as either
  • Relapsing Remitting MS according to revised McDonald Criteria [McDonald, 2001; Polman, 2005] plus any one of the following:

Occurrence of at least one relapse in the previous 12 months OR at least 2 relapses in the previous 24 months OR at least one documented Gd-enhancing lesion by magnetic resonance imaging (MRI) within 12 months prior to screening.

OR

-Secondary Progressive MS, plus any one of the following: Occurrence of at least one relapse in the previous 12 months OR at least 2 relapses in the previous 24 months OR at least one documented Gd-enhancing lesion by magnetic resonance imaging (MRI) within 12 months prior to screening.

  • Expanded Disability Status Scale (EDSS) score ≤5.5
  • Male or female between 18 and 55 years of age inclusive, at the time of signing the informed consent.

Exclusion Criteria:

  • Abnormal baseline blood tests
  • Treatment with interferon-beta-1b (Betaferon), interferon-beta-1a (Rebif or Avonex), or glatiramer acetate (Copaxone) within 90 days of dosing.
  • Treatment with methylprednisolone or any other systemic steroids within 60 days of dosing.
  • Treatment within the past 12 months or currently with any of the following agents: cyclosporine, azathioprine, methotrexate, cladribine, natalizumab (Tysabri®) or other monoclonal antibodies, murine protein, T-cell vaccination, plasmapheresis, IVI gG, ,stem cell transplantation.
  • History of intolerance to acetominophen, ibuprofen, naproxen or any other non-steroidal anti-inflammatory agent which would preclude use of at least one of these during the study.
  • Previous history of anaphylaxis, severe allergic reaction, or hypersensitivity to albumin or a protein-based therapeutic, including natalizumab (Tysabri) or any other monoclonal antibody. History of hypersensitivity to any of the components of the formulation.
  • A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result.
  • Patients with evidence of dementia or psychiatric illness which, in the Investigator's opinion, is likely to prevent them from a full understanding of and/or compliance with the study requirements and procedures.

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Subjects receiving GSK1223249 in cohort 1

Subjects receiving placebo in cohort 1

Subjects receiving GSK1223249 in cohort 2

Subjects receiving placebo in cohort 2

Subjects receiving GSK1223249 in cohort 3

Subjects receiving placebo in cohort 3

Subjects receiving GSK1223249 in cohort 4

Subjects receiving placebo in cohort 4

Subjects receiving GSK1223249 in cohort 5

Subjects receiving placebo in cohort 5

Arm Description

Eligible subjects will receive intravenous infusion of GSK1223249 with a starting dose of 0.02 milligrams per kilograms, followed by 0.2, 2, 10 and 30 milligrams per kilograms, administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 0.2 milligrams per kilograms administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 2 milligrams per kilograms administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 10 milligrams per kilograms administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 30 milligrams per kilograms administered by a programmable syringe pump.

Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.

Outcomes

Primary Outcome Measures

The preliminary safety and tolerability of single doses of GSK1223249
changes in Vital signs, Electocardiogram, safety laboratory samples, adverse event (AE), neurological examination and MS relapses

Secondary Outcome Measures

Single dose pharmacokinetics.
(AUC(0-∞)

Full Information

First Posted
June 9, 2011
Last Updated
September 19, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01424423
Brief Title
NOGO-A in Multiple Sclerosis FTIH
Official Title
A Randomized, Single-blind (Investigator and Subject), Placebo-controlled, Single Ascending Dose Study Exploring the Preliminary Safety, Tolerability, and Pharmacokinetics of GSK1223249 Administered by Intravenous (IV) Infusion to Subjects With Relapsing Forms of Multiple Sclerosis, Not on Disease Modifying Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Terminated
Study Start Date
February 11, 2010 (Actual)
Primary Completion Date
August 26, 2010 (Actual)
Study Completion Date
August 26, 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The drug being tested in this study is GSK1223249. The drug works by inhibiting a protein that prevents nerve growth. The trial is expected to involve approximately 36 patients. The study objective is to investigate the tolerability, safety and the way the body handles GSK1223249 after a range of single doses in patients with Multiple Sclerosis (MS).
Detailed Description
This is a phase I study of GSK1223249. The study design is randomized, placebo-controlled, double-blind, sequential dose escalation, single dose administration. Approximately 36 patients with relapsing forms of Multiple Sclerosis (having had at least two relapses over the previous 24 months, OR at least one relapse within the last 12 months, OR having had at least one documented gadolinium-enhancing lesion on brain magnetic resonance imaging (MRI) within 12 months prior to Screening) will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
Safety, GSK1223249, Pharmacokinetics, Single dose escalation, anti-GSK1223249 antibodies, Multiple Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
3 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Subjects receiving GSK1223249 in cohort 1
Arm Type
Experimental
Arm Description
Eligible subjects will receive intravenous infusion of GSK1223249 with a starting dose of 0.02 milligrams per kilograms, followed by 0.2, 2, 10 and 30 milligrams per kilograms, administered by a programmable syringe pump.
Arm Title
Subjects receiving placebo in cohort 1
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.
Arm Title
Subjects receiving GSK1223249 in cohort 2
Arm Type
Experimental
Arm Description
Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 0.2 milligrams per kilograms administered by a programmable syringe pump.
Arm Title
Subjects receiving placebo in cohort 2
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.
Arm Title
Subjects receiving GSK1223249 in cohort 3
Arm Type
Experimental
Arm Description
Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 2 milligrams per kilograms administered by a programmable syringe pump.
Arm Title
Subjects receiving placebo in cohort 3
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.
Arm Title
Subjects receiving GSK1223249 in cohort 4
Arm Type
Experimental
Arm Description
Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 10 milligrams per kilograms administered by a programmable syringe pump.
Arm Title
Subjects receiving placebo in cohort 4
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.
Arm Title
Subjects receiving GSK1223249 in cohort 5
Arm Type
Experimental
Arm Description
Eligible subjects will receive intravenous infusion of GSK1223249 with a dose of 30 milligrams per kilograms administered by a programmable syringe pump.
Arm Title
Subjects receiving placebo in cohort 5
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive intravenous infusion of placebo, administered by a programmable syringe pump.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Intervention Type
Drug
Intervention Name(s)
GSK1223249
Intervention Description
I.V. Infusion
Primary Outcome Measure Information:
Title
The preliminary safety and tolerability of single doses of GSK1223249
Description
changes in Vital signs, Electocardiogram, safety laboratory samples, adverse event (AE), neurological examination and MS relapses
Time Frame
screening, baseline (pre-dose) and up to 84 days post dose
Secondary Outcome Measure Information:
Title
Single dose pharmacokinetics.
Description
(AUC(0-∞)
Time Frame
screening, baseline (pre-dose) and up to 84 days post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Suitable as determined by the Principal Investigator, based on his/her overall evaluation. A patient with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures. Diagnosed with a relapsing form of MS defined as either Relapsing Remitting MS according to revised McDonald Criteria [McDonald, 2001; Polman, 2005] plus any one of the following: Occurrence of at least one relapse in the previous 12 months OR at least 2 relapses in the previous 24 months OR at least one documented Gd-enhancing lesion by magnetic resonance imaging (MRI) within 12 months prior to screening. OR -Secondary Progressive MS, plus any one of the following: Occurrence of at least one relapse in the previous 12 months OR at least 2 relapses in the previous 24 months OR at least one documented Gd-enhancing lesion by magnetic resonance imaging (MRI) within 12 months prior to screening. Expanded Disability Status Scale (EDSS) score ≤5.5 Male or female between 18 and 55 years of age inclusive, at the time of signing the informed consent. Exclusion Criteria: Abnormal baseline blood tests Treatment with interferon-beta-1b (Betaferon), interferon-beta-1a (Rebif or Avonex), or glatiramer acetate (Copaxone) within 90 days of dosing. Treatment with methylprednisolone or any other systemic steroids within 60 days of dosing. Treatment within the past 12 months or currently with any of the following agents: cyclosporine, azathioprine, methotrexate, cladribine, natalizumab (Tysabri®) or other monoclonal antibodies, murine protein, T-cell vaccination, plasmapheresis, IVI gG, ,stem cell transplantation. History of intolerance to acetominophen, ibuprofen, naproxen or any other non-steroidal anti-inflammatory agent which would preclude use of at least one of these during the study. Previous history of anaphylaxis, severe allergic reaction, or hypersensitivity to albumin or a protein-based therapeutic, including natalizumab (Tysabri) or any other monoclonal antibody. History of hypersensitivity to any of the components of the formulation. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result. Patients with evidence of dementia or psychiatric illness which, in the Investigator's opinion, is likely to prevent them from a full understanding of and/or compliance with the study requirements and procedures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Heidelberg
State/Province
Victoria
ZIP/Postal Code
VIC 3084
Country
Australia

12. IPD Sharing Statement

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NOGO-A in Multiple Sclerosis FTIH

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