AzTrials
AzTrials

Multiple Sclerosis, Relapsing FormsPhase 1NCT01585766

Safety and Tolerability Study of MEDI-551, a B-cell Depleting Agent, to Treat Relapsing Forms of Multiple Sclerosis

A Phase 1 study testing MEDI-551 30 MG-IV, MEDI-551 60 MG-SC and MEDI-551 100 MG-IV in people with Multiple Sclerosis, Relapsing Forms, run by MedImmune LLC at 16 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and tolerability of ascending intravenous (IV) and subcutaneous (SC) doses of MEDI-551 in adult subjects with relapsing forms of multiple sclerosis (MS). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Multiple Sclerosis, Relapsing Forms
What is being tested?
MEDI-551 30 MG-IV, MEDI-551 60 MG-SC and MEDI-551 100 MG-IV
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
16 sitesin 4 countries
Study dates
24 Apr 2012to 20 Jun 2016
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed relapsing form of MS (ie, RRMS, SPMS, PRMS, or CIS) according to revised 2010 McDonald criteria and MRI brain lesions consistent with MS on screening
  • At least 1 documented relapse within the past 3 years prior to screening
  • EDSS between 0.0 and 6.5 at screening
  • Have no more than 20 Gd-enhancing T1 brain lesions detected by cranial MRI scan

Who cannot join

  • Subjects with impaired renal function
  • Major surgery within 8 weeks of the screening visit
  • Subjects who are unable to undergo cranial MRI scan
  • A history of hypersensitivity to Gd-containing MRI contrast agents
  • Has received within 1 year prior to screening: monoclonal antibodies, experimental B-cell depleting agents, or treatment with natalizumab (Tysabri) for greater than 3 months
  • Receiving monthly methylprednisone or equivalent glucocorticoid for disease modification of a relapsing form of MS
Show all 10Show fewer
  • Known sensitivity to acetaminophen/paracetamol, diphenhydramine or equivalent antihistamine, methylprednisolone or equivalent glucocorticoid, or to any component of the investigational drug
  • Diagnosis of PPMS, neuromyelitis optica, or other non-MS variant of neuro-inflammatory or demyelinating diseases
  • Any history of opportunistic infection or the presence of active infection within two months prior to screening or any herpes zoster infection that has not resolved within 12 weeks prior to screening
  • Any clinically significant findings during the screening phase, including physical, neurological, laboratory, or ECG examination as per protocol

Trial locations and contacts

16 sites in 4 countries.

16 sites in 4 countries

United States9 sites
  • Research Site

    Cordova, Tennessee

  • Research Site

    Denver, Colorado

  • Research Site

    Houston, Texas

  • Research Site

    Long Beach, California

  • Research Site

    Marlton, New Jersey

  • Research Site

    Sacramento, California

  • Research Site

    Scottsdale, Arizona

  • Research Site

    Tampa, Florida

  • Research Site

    Winston-Salem, North Carolina

Other trials in United States

Spain3 sites
  • Research Site

    Barcelona

  • Research Site

    Girona

  • Research Site

    Seville

Other trials in Spain

Poland2 sites
  • Research Site

    Katowice

  • Research Site

    Szczecin

Other trials in Poland

Ukraine2 sites
  • Research Site

    Donetsk

  • Research Site

    Kyiv

Other trials in Ukraine

About this study

Official title: A Phase 1 Randomized Study of MEDI-551 in Subjects With Relapsing Forms of Multiple Sclerosis

The purpose of this study is to evaluate the safety and tolerability of ascending intravenous (IV) and subcutaneous (SC) doses of MEDI-551 in adult subjects with relapsing forms of multiple sclerosis (MS).

Read the detailed description

This is a Phase 1, multicenter, multinational, randomized, blinded, placebo-controlled, dose-escalation study to evaluate the safety and tolerability of IV and SC doses of MEDI-551 in adult subjects with relapsing forms of MS.

Being tested
MEDI-551 30 MG-IV, MEDI-551 60 MG-SC, PLACEBO-IV-SC, MEDI-551 100 MG-IV, MEDI-551 300 MG-SC
Keywords
MAb, B cell, depletion, RMS
Medical subject headings
Multiple Sclerosis, Mycobacterium Infections, Nontuberculous

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI-551 30 MG-IVDrug

    Participants received a fixed IV dose of 30 milligram (mg) MEDI-551 infused on Days 1 and 15.

  • MEDI-551 60 MG-SCDrug

    Participants received SC injection of 60 mg MEDI-551 on Day 1.

  • PLACEBO-IV-SCDrug

    Participants received either a fixed IV dose of placebo matching with MEDI- 551 on Days 1 and 15 or SC injection on Day 1

  • MEDI-551 100 MG-IVDrug

    Participants received a fixed IV dose of 100 mg MEDI-551 infused on Days 1 and 15.

  • MEDI-551 300 MG-SCDrug

    Participants received SC injection of 300 mg MEDI-551 on Day 1.

  • MEDI-551 600 MG-IVDrug

    Participants received a fixed IV dose of 600 mg MEDI-551 infused on Days 1 and 15.

Study groups in NCT01585766
Study groupRoleWhat they receive
MEDI-551 30 MG-IVExperimentalParticipants received a fixed IV dose of 30 milligram (mg) MEDI-551 infused on Days 1 and 15.
Receives: Drug: MEDI-551 30 MG-IV
MEDI-551 60 MG-SCExperimentalParticipants received SC injection of 60 mg MEDI-551 on Day 1.
Receives: Drug: MEDI-551 60 MG-SC
MEDI-551 100 MG-IVExperimentalParticipants received a fixed IV dose of 100 mg MEDI-551 infused on Days 1 and 15.
Receives: Drug: MEDI-551 100 MG-IV
MEDI-551 300 MG-SCExperimentalParticipants received SC injection of 300 mg MEDI-551 on Day 1.
Receives: Drug: MEDI-551 300 MG-SC
MEDI-551 600 MG-IVExperimentalParticipants received a fixed IV dose of 600 mg MEDI-551 infused on Days 1 and 15.
Receives: Drug: MEDI-551 600 MG-IV
PLACEBO-IV-SCPlacebo comparatorParticipants received either a fixed IV dose of placebo matching with MEDI- 551 on Days 1 and 15 or SC injection on Day 1.
Receives: Drug: PLACEBO-IV-SC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event (AE) is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A TEAE were the events between administration of study drug (Day 1) and Day 169 that were absent before treatment or that worsened relative to pre-treatment state. The AEs were summarized using Medical Dictionary for Regulatory Activities version 19.0

    Measured: From study drug administration (Day 1) through the end of treatment period (Day 169)

  2. Number of Participants With Treatment-emergent Serious Adverse Events (TESAEs)

    A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, life-threatening, initial or prolonged inpatient hospitalization, persistent or significant disability or incapacity, congenital anomaly or birth defect in the offspring of a participant who received the study drug. The TESAEs were the events between administration of study drug (Day 1) and long term follow up period (up to 18 months after early discontinuation visit or 24-week treatment period) that were absent before treatment or that worsened relative to pre-treatment state. The AEs were summarized using Medical Dictionary for Regulatory Activities version 19.0

    Measured: From study drug administration (Day 1) through the long term follow up period (up to 18 months after early discontinuation visit or 24 week treatment period).

  3. Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs

    Any clinically significant change in laboratory evaluations were recorded as AEs. The following parameters were analyzed for laboratory evaluations: haematology, serum chemistry, and urinalysis. Number of participants with TEAEs related to laboratory evaluations were reported.

    Measured: From study drug administration (Day 1) through the end of treatment period (Day 169)

  4. Number of Participants With Vital Sign Abnormalities Reported as TEAEs

    Vital sign parameters included blood pressure, temperature, pulse rate, and respiratory rate. The number of participants with TEAEs related to vital signs in participants were reported.

    Measured: From study drug administration (Day 1) through the end of treatment period (Day 169)

Secondary outcomes (13)
  1. Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI-551

    The time to reach the maximum observed serum concentration of MEDI-551.

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  2. Maximum Observed Serum Concentration (Cmax) of MEDI-551

    The maximum observed serum concentration (Cmax) of MEDI-551.

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  3. Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUC 0-last) of MEDI-551

    The area under the concentration time curve from time 0 (dosing time) to the last measurable concentration (AUC 0-last) of MEDI-551.

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  4. Area Under the Plasma Concentration-time Curve From Zero to Infinity (AUC 0-infinity) of MEDI-551

    The area under the concentration-time curve from dosing extrapolated to infinity (AUC 0-infinity) of MEDI-551.

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  5. Dose Normalized Area Under the Plasma Concentration-time Curve From Zero to Infinity (AUC 0-infinity/D) of MEDI-551

    The AUC (0-infinity)/D is the area under concentration-time curve extrapolated to infinity post dose normalized by MEDI-551.

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  6. Clearance of MEDI-551

    Systemic clearance (CL) for MEDI-551 IV cohorts and apparent clearance (CL/F) for MEDI-551 SC cohorts were calculated

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  7. Terminal Elimination Half-life (t1/2) of MEDI-551

    The terminal elimination half-life (t1/2) was estimated based on the plasma concentrations of MEDI-551.

    Measured: Predose (Day 1) and Postdose (IV Cohorts only), Days 4 (SC Cohorts only), 8, 15 Predose and Postdose (IV Cohorts only), 29, 57, 85, 113, 141, and 169

  8. Absolute Subcutaneous Bioavailability (F%) of MEDI-551

    Bioavailability (F%) is the fraction of the study drug absorbed through non-intravenous administration compared with the corresponding intravenous administration of the same drug.

    Measured: Predose (Day 1) and Days 4, 8, 15, 29, 57, 85, 113, 141, and 169

  9. Absolute CD20 B-cell Count at Baseline

    Baseline absolute CD20 count is measured as the average between screening and predose on Day 1.

    Measured: Baseline (Days -28 to -1)

  10. Time to 90 Percent (%) CD20 B-cell Depletion

    Time in days of first observation where CD20 counts fall to or below 10 percent (%) of baseline.

    Measured: Baseline (Days -28 to -1) to long-term follow-up (LTFU) (Up to 18 months after EDV or 24 Week treatment period)

  11. Duration of Suppression Greater Than or Equal to 90 % of CD20 B-cell Count

    Time in days of last observation where CD20 counts remain at or below 10% of baseline. Participants whose samples are available were analyzed for this outcome measure.

    Measured: Baseline (Days -28 to -1) to LTFU (Up to 18 months after EDV or 24 Week treatment period)

  12. Maximum Change From Baseline in Absolute CD20 of Peripheral Blood B-cell Count to LTFU

    The maximum degree of depletion (intensity) measured during the course of the study for each participant by subtracting 100 from the lowest observed percent of baseline value.

    Measured: Baseline (Days -28 to -1) to LTFU (Up to 18 months after EDV or 24 Week treatment period)

  13. Number of Participants Positive for Anti-Drug Antibodies to MEDI-551

    A participant was considered anti-drug antibody positive across the study if they had a positive reading at any time point during the study.

    Measured: Days 1, 29, 85 and 169

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Apr 2012 (estimated)
  2. Study start24 Apr 2012
  3. Primary completion2 Jan 2015
  4. Study completion20 Jun 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01585766
Sponsor's protocol ID
CD-IA-MEDI-551-1102
Status last verified
Feb 2018
First submitted
9 Apr 2012
Last updated
29 Oct 2018
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MEDI-551 30 MG-IV, MEDI-551 60 MG-SC and MEDI-551 100 MG-IV in people with Multiple Sclerosis, Relapsing Forms, run by MedImmune LLC at 16 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Spain, Poland, Ukraine. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (time frame: From study drug administration (Day 1) through the end of treatment period (Day 169)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in