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Safety Study of Olesoxime in Patients With Stable Relapsing Remitting Multiple Sclerosis Treated With Interferon Beta. (MSREPAIR)

Primary Purpose

Relapsing Remitting Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
olesoxime (TRO19622)
placebo
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsing Remitting Multiple Sclerosis focused on measuring safety, multiple sclerosis, olesoxime, double-blind, randomized

Eligibility Criteria

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

Inclusion Criteria:

  • Men and women ≥ 18 years old
  • Diagnosed with Relapsing Remitting Multiple Sclerosis. Patients must be stable defined as free from relapsing episode for at least 6 months prior to Baseline
  • Patients must be treated with Interferon beta for at least one year
  • Patients must have an Expanded Disability Status Scale (EDSS) score ≤ 5
  • Female patients must be post-menopausal (defined as at least 12 months post cessation of menses), surgically sterile or, if of childbearing potential, using a reliable method of contraception for at least 3 months prior to Baseline and during the study. In addition, female patients must not be lactating
  • Patients must be able to understand and comply with study requirements
  • Patients must provide a written, dated and signed informed consent prior to any study procedure

Exclusion Criteria:

  • Any relapse of multiple sclerosis within the past 6 months prior to Screening Visit/Visit -1
  • Any change in Interferon treatment within the past year prior to Screening Visit (Visit -1)
  • Expected use of another disease modifying therapy from Screening Visit/Visit -1 to Visit 3/Final Visit
  • Patients unable to undergo MRI scan
  • Current or expected use of a medication that could interfere with olesoxime pharmacology (e.g. tamoxifen)
  • Current or expected use of lipid lowering agents (ezetimibe, bile salt chelators, fibrates, phytosterols) other than statins
  • Known hypersensitivity to olesoxime or any of its components
  • History of alcohol or drug abuse within the last 6 months, or addiction within the last 2 years prior to Baseline Visit
  • Positive urinary pregnancy test at Baseline Visit
  • History of hepatitis B/C or HIV positive serology
  • Hepatic impairment (aspartate aminotransferase (AST) and alanine aminotransferase (ALT)> 3 × ULN) at Baseline Visit
  • History of renal impairment defined by a serum creatinine value > 176 μmol/L (2.0 mg/dL) at Baseline Visit
  • Abnormal and clinically significant ECG at Screening Visit/Visit -1 as assessed by a cardiologist
  • Current or expected use of oral or intramuscular corticosteroids within 3 months prior to the Screening Visit. Only stable dose regimens of inhaled and topical corticosteroids are allowed during the study
  • History of any clinically relevant gastrointestinal (GI), respiratory, psychiatric, neurological, kidney, liver, cardiac diseases, bleeding disorder, other disease/condition or abnormal physical finding which may interfere with the study objectives or put the patient's safety at risk, as judged by the Investigator
  • Patients with an active chronic disease (or stable but treated with immune therapy) of the immune system other than Multiple Sclerosis (MS)
  • History of malignancy of any organ, treated or non-treated within the past 5 years
  • Current participation or participation within 30 days prior to study entry, in another investigational drug or device study, or previous enrolment in the present study
  • Any direct involvement with the study conduct at site or any family link with study site staff
  • Pregnant, parturient or lactating women, as per Public Health Code (CSP)(Article L-1121-5)
  • Persons deprived of their liberty by a judicial or administrative decision, and those admitted to a health or social facility, as per CSP (Article L-1121-6)
  • Persons covered by a measure of legal protection or unable to provide a written, dated and signed informed consent, as per CSP(Article L-1121-8)
  • Patient without Social Security Insurance

Sites / Locations

  • Timone University Hospital, Neurology Department, UMR CRMBM CNRS 6612
  • CHU Reims, Maison Blanche Hospital, Neurology Department & University of Reims
  • CHU Pontchaillou, Neurology Department

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

olesoxime (TRO19622)

placebo

Arm Description

olesoxime (3 caps: 495 mg, od) will be administered orally as 165 mg soft capsules for 6 months. Investigational products will be allocated in a 1:1 ratio from Baseline/Visit 0 to Week 24 (Visit 3/Final Visit).

placebo (3 soft capsules, od) will be administered orally for 6 months

Outcomes

Primary Outcome Measures

Safety criteria
Cumulative incidence of adverse events/serious adverse events (i.e. total number per patient) as assessed by ongoing monitoring.

Secondary Outcome Measures

MRI Parameters
Number of Gadolinium-enhancing lesions on T1-weighted images Number of new or enlarged lesions on T2-weighted images

Full Information

First Posted
February 12, 2013
Last Updated
November 21, 2016
Sponsor
Hoffmann-La Roche
Collaborators
Hôpital de la Timone, SGS S.A., STRAGEN Services
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1. Study Identification

Unique Protocol Identification Number
NCT01808885
Brief Title
Safety Study of Olesoxime in Patients With Stable Relapsing Remitting Multiple Sclerosis Treated With Interferon Beta.
Acronym
MSREPAIR
Official Title
A 24-Week, Ph1b, Multicenter, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study, to Assess the Safety Profile of Olesoxime in Patients With Stable Relapsing Remitting Multiple Sclerosis Treated With Interferon Beta.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche
Collaborators
Hôpital de la Timone, SGS S.A., STRAGEN Services

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a 24-week phase 1b, randomized, double-blind, placebo-controlled, parallel-group, multicenter safety study comparing the tolerance profile of olesoxime (495 mg, od) when administered on top of Interferon beta in patients with stable Relapsing Remitting Multiple Sclerosis. Patients will be randomly allocated to olesoxime (495 mg, od) or placebo in a 1:1 ratio.
Detailed Description
The primary objective of this study is to characterize the general safety and tolerability of olesoxime (495 mg, od), compared to placebo when administered in combination with Interferon beta over a 24-week treatment period in patients with stable Relapsing Remitting Multiple Sclerosis. The secondary objective of this study is to evaluate the feasibility of multicenter protocols for measurement of neurodegeneration and remyelination by MRI as well as the plasma exposure to olesoxime (495 mg, od). MRI will be performed to all patients to assess effects of olesoxime on brain inflammation as well as to assess measures of brain atrophy, neuronal damage and myelination status at Baseline, 12 weeks and 24 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsing Remitting Multiple Sclerosis
Keywords
safety, multiple sclerosis, olesoxime, double-blind, randomized

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
olesoxime (TRO19622)
Arm Type
Experimental
Arm Description
olesoxime (3 caps: 495 mg, od) will be administered orally as 165 mg soft capsules for 6 months. Investigational products will be allocated in a 1:1 ratio from Baseline/Visit 0 to Week 24 (Visit 3/Final Visit).
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
placebo (3 soft capsules, od) will be administered orally for 6 months
Intervention Type
Drug
Intervention Name(s)
olesoxime (TRO19622)
Other Intervention Name(s)
TRO19622 (olesoxime)
Intervention Description
olesoxime (3 caps: 495 mg, od) will be administered orally as 165 mg soft capsules for 6 months. Investigational products will be allocated in a 1:1 ratio from Baseline/Visit 0 to Week 24 (Visit 3/Final Visit).
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
placebo capsule shells with identical appearance as the active compound TRO19622
Primary Outcome Measure Information:
Title
Safety criteria
Description
Cumulative incidence of adverse events/serious adverse events (i.e. total number per patient) as assessed by ongoing monitoring.
Time Frame
The primary endpoint of this study will be the cumulative incidence of AE/SAE assessed by ongoing monitoring at week 24 (day 168)
Secondary Outcome Measure Information:
Title
MRI Parameters
Description
Number of Gadolinium-enhancing lesions on T1-weighted images Number of new or enlarged lesions on T2-weighted images
Time Frame
Baseline (Visit 0), Week 12 (Visit 2) and Week 24 (Visit 3/Final Visit)
Other Pre-specified Outcome Measures:
Title
Exploratory MRI Parameters
Description
Exploratory Endpoints: The following parameters will be assessed in terms of feasibility and reproducibility in a multicenter setting: 3. Whole brain atrophy volume assessed by 3D-T1-weighted images. 4. Demyelination and remyelination processes assessed by Diffusion Tensor Imaging. 5. Remyelination processes assessed by Magnetization Transfer Ratio. 6. Neuroaxonal damage assessed by sodium 23 imaging in one center.
Time Frame
Baseline (Visit 0), Week 12 (Visit 2) and Week 24 (Visit 3/Final Visit)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men and women ≥ 18 years old Diagnosed with Relapsing Remitting Multiple Sclerosis. Patients must be stable defined as free from relapsing episode for at least 6 months prior to Baseline Patients must be treated with Interferon beta for at least one year Patients must have an Expanded Disability Status Scale (EDSS) score ≤ 5 Female patients must be post-menopausal (defined as at least 12 months post cessation of menses), surgically sterile or, if of childbearing potential, using a reliable method of contraception for at least 3 months prior to Baseline and during the study. In addition, female patients must not be lactating Patients must be able to understand and comply with study requirements Patients must provide a written, dated and signed informed consent prior to any study procedure Exclusion Criteria: Any relapse of multiple sclerosis within the past 6 months prior to Screening Visit/Visit -1 Any change in Interferon treatment within the past year prior to Screening Visit (Visit -1) Expected use of another disease modifying therapy from Screening Visit/Visit -1 to Visit 3/Final Visit Patients unable to undergo MRI scan Current or expected use of a medication that could interfere with olesoxime pharmacology (e.g. tamoxifen) Current or expected use of lipid lowering agents (ezetimibe, bile salt chelators, fibrates, phytosterols) other than statins Known hypersensitivity to olesoxime or any of its components History of alcohol or drug abuse within the last 6 months, or addiction within the last 2 years prior to Baseline Visit Positive urinary pregnancy test at Baseline Visit History of hepatitis B/C or HIV positive serology Hepatic impairment (aspartate aminotransferase (AST) and alanine aminotransferase (ALT)> 3 × ULN) at Baseline Visit History of renal impairment defined by a serum creatinine value > 176 μmol/L (2.0 mg/dL) at Baseline Visit Abnormal and clinically significant ECG at Screening Visit/Visit -1 as assessed by a cardiologist Current or expected use of oral or intramuscular corticosteroids within 3 months prior to the Screening Visit. Only stable dose regimens of inhaled and topical corticosteroids are allowed during the study History of any clinically relevant gastrointestinal (GI), respiratory, psychiatric, neurological, kidney, liver, cardiac diseases, bleeding disorder, other disease/condition or abnormal physical finding which may interfere with the study objectives or put the patient's safety at risk, as judged by the Investigator Patients with an active chronic disease (or stable but treated with immune therapy) of the immune system other than Multiple Sclerosis (MS) History of malignancy of any organ, treated or non-treated within the past 5 years Current participation or participation within 30 days prior to study entry, in another investigational drug or device study, or previous enrolment in the present study Any direct involvement with the study conduct at site or any family link with study site staff Pregnant, parturient or lactating women, as per Public Health Code (CSP)(Article L-1121-5) Persons deprived of their liberty by a judicial or administrative decision, and those admitted to a health or social facility, as per CSP (Article L-1121-6) Persons covered by a measure of legal protection or unable to provide a written, dated and signed informed consent, as per CSP(Article L-1121-8) Patient without Social Security Insurance
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jean PELLETIER, MD
Organizational Affiliation
Head of Neurology Department, UMR CRMBM CNRS 6612, Timone University Hospital, Marseille, France
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ayman TOURBAH, MD
Organizational Affiliation
Professor of Neurology, Neurology Department & University of Reims
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Gilles EDAN, MD
Organizational Affiliation
Professor of Clinical Neurology, Head of Neurology Department, Pontchaillou Hospital, Rennes, France
Official's Role
Principal Investigator
Facility Information:
Facility Name
Timone University Hospital, Neurology Department, UMR CRMBM CNRS 6612
City
Marseille
ZIP/Postal Code
13385
Country
France
Facility Name
CHU Reims, Maison Blanche Hospital, Neurology Department & University of Reims
City
Reims
ZIP/Postal Code
51092
Country
France
Facility Name
CHU Pontchaillou, Neurology Department
City
Rennes
ZIP/Postal Code
35033
Country
France

12. IPD Sharing Statement

Learn more about this trial

Safety Study of Olesoxime in Patients With Stable Relapsing Remitting Multiple Sclerosis Treated With Interferon Beta.

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