RMS study of BTK inhibitor SAR442168 (GEMINI 1)
- Conditions
- Relapsing Multiple SclerosisMedDRA version: 20.1Level: PTClassification code 10028245Term: Multiple sclerosisSystem Organ Class: 10029205 - Nervous system disordersTherapeutic area: Diseases [C] - Nervous System Diseases [C10]
- Registration Number
- EUCTR2020-000637-41-IT
- Lead Sponsor
- GENZYME CORPORATIO
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 1200
- The participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent.
- The participant must have been diagnosed with RMS according to the 2017 revision of the McDonald diagnostic criteria
- The participant has an expanded disability status scale (EDSS) score - The participant must have at least 1 of the following prior to screening:
- >/=1 documented relapse within the previous year OR
- >/=2 documented relapses within the previous 2 years, OR
- >/=1 documented Gd enhancing brain lesion on an MRI scan within the previous year
- Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
- Male participants are eligible to participate if they agree to the following during the intervention period and until accelerated elimination procedure:
Refrain from donating sperm
Plus either:
Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent
OR
Must agree to use contraception/barrier as detailed below
Agree to use a male condom and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak when having sexual intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant
- A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions apply:
Is not a Woman of child-bearing potential (WOCBP).
OR
Is a WOCBP and agrees to use a contraceptive method that is highly effective (with a failure rate of <1% per year), preferably with low user dependency, as described in Appendix 4 (Section 10.4) during the intervention period and until accelerated elimination procedure is completed (or for at least 10 days after the last dose of SAR442168, if the case was unblinded) and agrees not to donate eggs (ova, oocytes) for the purpose of reproduction during the study and for the same period of time.
A WOCBP must have a negative highly sensitive pregnancy test urine or serum, as required by local regulations) within the screening period before the first dose of study intervention.
- If a urine test cannot be confirmed as negative (eg, an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive.
- Requirements for pregnancy testing during and after study intervention are located in Section 1.3.
- The Investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.
- The participant must have given written informed consent prior to undertaking any study related procedure. This includes consent to comply with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. In countries where the legal age of maturity is greater than 18 years, a specific ICF for such legally minor participants must also be signed by the participant's legally authorized representative
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 1200
F.1.3 Elderly (>=65 years) no
F.1.3.1 Numbe
The participant has been diagnosed with primary progressive multiplesclerosis (PPMS) according to the 2017 revision of the McDonald diagnostic criteria or with nonrelapsing secondary progressive multiplesclerosis (SPMS).
- the participant has a History of infection or may be at risk for infection including but not limited to: HIV, transplantation, live attenuated vaccines, progressive multifocal leukoencephalopathy, tubercolosis, hepatitis B o C, any persistent chronic or active recurring infection.
- The participant has conditions or situations that would adversely affect participation in this study, including but not limited to:
-- A short life expectancy due to pre-existing health condition(s) as determined by their treating neurologist
-- Medical condition(s) or concomitant disease(s) making them non evaluable for the primary efficacy endpoint or that would adversely affect participation in this study, as judged by the Investigator
-- A requirement for concomitant treatment that could bias the primary evaluation
- The participant has a history of or currently has concomitant medical or clinical conditions that would adversely affect participation in this study
The participant has any of the following:
-- A bleeding disorder or known platelet dysfunction at any time prior to the screening visit
-- A platelet count <150 000/µL at the screening visit.
- The participant has a lymphocyte count below the lower limit of normal (LLN) at the screening visit
- The presence of psychiatric disturbance or substance abuse Prior/concomitant therapy
- The participant is receiving strong inducers or inhibitors of cytochrome P450 (CYP) 3A or CYP2C8 hepatic enzymes as listed in Appendix 8A (Section 10.8).
- The participant is receiving anticoagulant/antiplatelet therapies
Note: Other inclusion/Exclusion criteria may apply
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method