Study to Assess the Effect of Ofatumumab in Treatment Naïve, Very Early RRMS Patients Benchmarked Against Healthy Controls. (AGNOS)
Relapse Remitting Multiple Sclerosis
About this trial
This is an interventional treatment trial for Relapse Remitting Multiple Sclerosis focused on measuring early relapsing multiple sclerosis, ofatumumab, healthy control, treatment naïve, young adult population, MS-related disability, biomarker, MRI
Eligibility Criteria
Key Inclusion Criteria:
Participants eligible for inclusion in this study must meet all of the following criteria:
- Signed informed consent must be obtained prior to participation in the study
Age 18-35 years
Patients in the healthy control arm eligible for inclusion must fulfill the following criteria:
- Able to obtain MRI (HC with abnormal MRI at Screening will be excluded) and use wearable device
Able to provide blood sample (no CSF will be collected in HC)
Patients in the ofatumumab-treated arm eligible for inclusion must fulfill the following criteria:
- Diagnosis of RRMS per McDonald Criteria (2010/2017)
- Within 6 months of diagnosis of clinically definite MS (CDMS)
- EDSS 0-3.0 (Inclusive)
- Treatment-naïve to MS DMT
- Able to obtain MRI and attend study visits at sites
- Able to use wearable device
- Able to provide blood sample (and CSF for sub-group n=15)
Key Exclusion Criteria:
Participants in the healthy control arm meeting any of the following criteria are not eligible for inclusion in this study:
Confounding medical condition as determined by the investigator
RRMS patients fulfilling any of the following exclusion criteria are not eligible for inclusion in this study:
- Diseases other than multiple sclerosis responsible for the clinical or MRI presentation
- Patients with neuromyelitis optica, Radiologic/ Clinically Isolated Syndrome, Secondary Progressive or Primary Progressive MS diagnosis
- Use of experimental or investigational drugs for MS
- Previous use of Disease Modifying Therapy (DMT) or chemotherapeutic medications for MS
- Relapse between screening and Baseline visits
- Known sensitivity to gadolinium; patients with chronic, severe kidney disease
- Known history of hypersensitivity to any of the study treatments or its excipients or to drugs of similar chemical classes
- CNS anomalies that are better accounted for by another disease process or MRI anomalies causing clinically apparent impairments
- Known active malignancies
- Pregnant or nursing (lactating) women
- Females of childbearing potential (all women physiologically capable of becoming pregnant) should use effective contraception while receiving ofatumumab and for 6 months after the last treatment of ofatumumab
- Patients with an active chronic disease (or stable but treated with immune therapy) of the immune system other than MS or with immunodeficiency syndrome
- Patients with active infections including systemic bacterial, viral (including SARS-CoV-2/COVID-19) or fungal infections, or known to have AIDS or to test positive for HIV antibody at Screening
- Patients with neurological findings consistent with Progressive Multifocal Leukoencephalopathy (PML), or confirmed PML
- Patients with IgG or IgM levels below LLN at Screening
- Patients that have received any live or live-attenuated vaccines within 4 weeks prior to first dose of study drug administration
- Patients at risk of developing or having reactivation of hepatitis
Sites / Locations
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
- Novartis Investigative SiteRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Ofatumumab
Healthy Control
Ofatumumab will be provided in an autoinjector for subcutaneous administration. Dosing regimen for this study is an initial dose of 20mg at Baseline/Week 0, followed by Week 1, 2 and every month thereafter, beginning at Week 4 (Month 1) until Month 18. There will be an optional extension of dosing through month 30.
Healthy Control arm will be age- and sex-matched subjects (to the ofatumumab treated arm) and will not receive a study treatment.