Multiple Sclerosis Clinical Trial
Official title:
A Phase I, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics and T-cell Tolerizing Effect of DC-TAB in Healthy Volunteers
The purpose of this study is to determine safety and appropriate dose of DC-TAB for selective immune tolerance induction in humans.
This study is a double-blind, randomized, placebo-controlled, dose-escalation study of
DC-TAB in healthy human volunteers. DC-TAB is a solution of the small heat-shock protein
alpha B-crystallin for intravenous injection, designed to induce selective immunological
tolerance as a treatment for multiple sclerosis. In this first-in-man study, DC-TAB is
administered to healthy subjects in varying doses and for a varying number of times, after
which safety and tolerability is evaluated, as well as the impact of the treatment on
antigen-specific responses by peripheral blood T cells and serum antibodies. Blood samples
are additionally collected to measure serum concentrations of DC-TAB, and to determine the
rate of clearance from the circulation. The study is double blind and placebo-controlled to
strengthen the significance especially of immunological evaluations.
The study consists of two parts. In Part 1, subjects receive a single dose of DC-TAB or
placebo whereas in Part 2, (different) subjects receive DC-TAB or placebo on 3 consecutive
days. In Part 1, four groups of subjects (n=10) are studied in a single dose,
dose-escalation design. Each group of subjects are randomized to receive either DC-TAB (n=8)
or placebo (n=2) once. In Part 2, three groups of subjects (n=12) are studied in a multiple
dose, dose-escalation design. Each group of subjects are randomized to receive either DC-TAB
(n=9) or placebo (n=3) once daily on 3 consecutive days. The next higher dose group in each
part of the study only starts once safety data up to 4 days for Part 1, up to 8 days for
Part 2 of the previous dose group have been reviewed and have raised no safety concerns.
Part 2 is started once all safety data of Part 1 have been reviewed. Immunological effects
of the treatments are evaluated over a period of 28 days.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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