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Study of the Safety and Efficacy of MLN1202 in Patients in Multiple Sclerosis

Phase 2
Completed
Conditions
Multiple Sclerosis
Interventions
Drug: MLN1202
Registration Number
NCT01199640
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Brief Summary

This was a phase 2a study of MLN1202 to determine safety, tolerability and initial efficacy in patients with relapsing-remitting multiple sclerosis (RRMS). It was conducted in 2 dose cohorts enrolling a total of 50 patients. Efficacy was assessed by comparing the numbers of new gadolinium-enhancing brain lesions during the screening and treatment periods.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria

Each patient was to have met all of the following inclusion criteria to be enrolled in the study:

  • 18 years of age or older
  • Diagnosis of relapsing-remitting multiple sclerosis (RRMS)
  • An Expanded Disability Status Score (EDCC) of 0 to 5.5, inclusive
  • Be willing and able to comply with the protocol for the duration of the study period
  • Be willing to use adequate "double-barrier" contraceptive methods for the duration of the study period
  • If female, must be neither pregnant or breast-feeding
  • Written informed consent
  • To be enrolled in the treatment phase of the study each patient must have a total of at least 2 new gadolinium-diethylenetriamine pentaacetic acid (Gd)-enhancing lesions seen over the series of 3 pretreatment magnetic resonance imaging (MRI)s.
Exclusion Criteria

Patients meeting any of the following exclusion criteria were not to be enrolled in the study:

  • Diagnosis of primary progressive multiple sclerosis (PPMS) or secondary progressive multiple sclerosis (SPMS)

  • Received any investigational drug or experimental procedure within 3 months prior to study day 0

  • If the patient has received disease-modifying treatments they must be discontinued prior to study day 0 as follows:

    1. Cyclophosphamide or mitoxantrone- 6 months prior
    2. Interferons, glatiramer acetate and azathioprine- 12 weeks prior
    3. Methotrexate, IV immunoglobulin, cyclosporin, plasma exchange or corticosteroids- 8 weeks prior
  • Never have been exposed to Tysabri® (natalizumab)or any other VLA-4 (α4β1)antagonist

  • Have an active infection or be considered to be at high risk for developing an infection

  • Have a history of hepatitis B, C or human immunodeficiency virus (HIV)

  • Have a chest X-ray within 6 months of study day 0 with clinically significant findings or abnormalities

  • Have inadequate renal or hepatic function

  • Have a known history of cancer, except for distant history (>10 years) of carcinoma in situ of the cervix or adequately treated basal cell carcinoma of the skin

  • Received any live, attenuated vaccinations within 30 days prior to study day 0

  • Have a history of illicit drug or alcohol abuse within 5 years of study day 0

  • Have a history of hypersensitivity to prior monoclonal antibody (mAb) treatment

  • Have a history of allergy or sensitivity to Gd

  • Have a history that would preclude serial MRI scans

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
MLN1202MLN1202-
Primary Outcome Measures
NameTimeMethod
To determine the safety and tolerability of MLN1202 in patients with relapsing-remitting multiple sclerosis (RRMS)Day 61- Day 330

Vital sign measurement, physical examinations, multiple sclerosis (MS) relapses, changes in expanded disability status scale (EDSS) scores and standard laboratory test results, as well as the incidence of adverse events and serious adverse events

To determine the efficacy of MLN1202 in patients with RRMSDay 0- Day 180

Comparing the mean number of new gadolinium-diethylenetriamine pentaacetic acid (Gd)-enhancing lesions on magnetic resonance imaging (MRI) scans during the pretreatment phase with the mean number of new Gd-enhancing lesions found during the treatment phase

Secondary Outcome Measures
NameTimeMethod
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