Clinical Trial Assessing Temelimab Following Rituximab Treatment in Patients With Relapsing Forms of Multiple Sclerosis

  • STATUS
    Recruiting
  • participants needed
    40
  • sponsor
    GeNeuro Innovation SAS
Updated on 19 February 2024
rituximab
multiple sclerosis
acquired immunodeficiency syndrome (aids)

Summary

Randomized, double-blind, placebo-controlled Phase IIa clinical study, assessing safety, tolerability, pharmacodynamic effects and pharmacokinetics of temelimab, administered at three different dose levels (18 mg/kg or 36 mg/kg or 54 mg/kg).

In this study temelimab is administered subsequently to rituximab therapy, i.e. no co-administration of rituximab and temelimab is done in this study.

Details
Condition Multiple Sclerosis, Multiple Sclerosis
Age 18-55 years
Treatment Placebo, temelimab 18 mg/kg, temelimab 36 mg/kg, temelimab 54 mg/kg
Clinical Study IdentifierNCT04480307
SponsorGeNeuro Innovation SAS
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Current diagnosis of RMS, based on McDonald 2017 criteria
Having received treatment with rituximab, as per local clinical routine for at least 12 months prior to the Screening Visit
Having received their last dose of rituximab not more than 8 weeks and not less than 4 weeks before Randomization (Study Day 1)
Having expanded disability status scale (EDSS) 2.5 - 5.5 inclusive at Screening
Present clinical worsening in one or more neurological domains as assessed by EDSS, ambulatory function as assessed by 6MWT or T25FW, cognitive functioning as assessed by SDMT or increased need of walking aids or pharmacological/procedures for bowel and bladder functions over the last year

Exclusion Criteria

Current diagnosis of primary progressive MS (PPMS)
Any disease other than MS (e.g. myelitis and /or bilateral optic neuritis) that could better explain the patient's signs and symptoms
Usage of any of the following medications prior to the Screening visit
Any usage of interferon beta, glatiramer acetate, IV immunoglobulin (IVIG), dimethyl fumarate or teriflunomide within 12 months prior to Screening
Any history of exposure to mitoxantrone, cladribine, alemtuzumab, cyclophosphamide, systemic cytotoxic therapy, total lymphoid irradiation, and/or bone marrow transplantation at any time
Any usage of natalizumab within 24 months prior to Screening
Any usage of highly potent immune modulating therapy, such as: ocrelizumab, ofatumumab, fingolimod, siponimod, ozanimod or anti-cytokine therapy, plasmapheresis or azathioprine within 12 months prior to Screening
Any usage of any experimental treatment if not washed out for 5 half-lives or 12 months (whichever is longer), except rituximab which is allowed before the study
CTCAE Grade 2 or greater lymphopenia
Any major medical or psychiatric disorder that would affect the capacity of the patient to fulfill the requirements of the study
History or presence of serious or acute heart disease such as uncontrolled cardiac dysrhythmia or arrhythmia, uncontrolled angina pectoris, cardiomyopathy, or uncontrolled congestive heart failure (NYHA class 3 or 4)
Any history of cancer with the exceptions of basal cell carcinoma and/or carcinoma in situ of the cervix, and only if successfully treated by complete surgical resection, with documented clean margins and any medically unstable condition as determined by the investigator
Pregnant or breastfeeding women
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