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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02738775
Other study ID # TG1101-RMS-201
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date May 27, 2016
Est. completion date August 13, 2018

Study information

Verified date June 2021
Source TG Therapeutics, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study evaluates the use of single agent ublituximab, a novel monoclonal antibody, in participants with relapsing forms of multiple sclerosis.


Recruitment information / eligibility

Status Completed
Enrollment 49
Est. completion date August 13, 2018
Est. primary completion date September 27, 2017
Accepts healthy volunteers No
Gender All
Age group 18 Years to 55 Years
Eligibility Inclusion Criteria: - Diagnosis of relapsing multiple sclerosis - Active disease - Greater than or equal to (=) 2 relapses in prior 2 years or 1 relapse in the year prior to screening and/or =1 gadolinium (Gd) enhancing lesion Exclusion Criteria: - Treatment with anti-cluster of differentiation 20 (CD20) monoclonal antibody within the last 12 months - Treatment with alemtuzumab within the last 12 months - Pregnant or nursing mothers

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Ublituximab
Administered as an IV infusion.
Drug:
Placebo


Locations

Country Name City State
United States TG Therapeutics Investigational Trial Site Akron Ohio
United States TG Therapeutics Investigational Trial Site Aurora Colorado
United States TG Therapeutics Investigational Trial Site Columbus Ohio
United States TG Therapeutics Investigational Trial Site Fort Collins Colorado
United States TG Therapeutics Investigational Trial Site Knoxville Tennessee
United States TG Therapeutics Investigational Trial Site Lexington Kentucky
United States TG Therapeutics Investigational Trial Site Pasadena California
United States TG Therapeutics Investigational Trial Site Phoenix Arizona
United States TG Therapeutics Investigational Trial Site Round Rock Texas
United States TG Therapeutics Investigational Trial Site San Antonio Texas
United States TG Therapeutics Investigational Trial Site Teaneck New Jersey
United States TG Therapeutics Investigational Trial Site Torrance California

Sponsors (1)

Lead Sponsor Collaborator
TG Therapeutics, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Responder Rate of B-Cell Depletion at Week 4 Responders Rate is defined as percentage of participants with greater than or equal to (=) 95% reduction of B cells (cluster of differentiation 19 positive [CD19+] cells) within 2 weeks after the second infusion (Day 15). Week 4
Secondary Number of New Gadolinium (Gd)-Enhancing T1 Lesions at Weeks 24 and 48 The Gd-enhancing T1 lesions were evaluated using magnetic resonance imaging (MRI) technique. Weeks 24 and 48
Secondary Number of New or Enlarging T2 Lesions at Weeks 24 and 48 The new or enlarging T2 lesions were evaluated using MRI technique. Weeks 24 and 48
Secondary Annualized Relapse Rate (ARR) ARR at Week 48 is calculated as the ratio of the sum of all participants confirmed relapse counts divided by the sum of all participants treatment duration (in years). Week 48
Secondary Relapse Rate Reduction (RRR) RRR was calculated as the percentage reduction from baseline ARR to ARR at Week 48. Baseline to Week 48
Secondary Percentage of Relapse Free Participants Participant was considered as free of clinical relapse if participant had no confirmed clinical relapse before treatment discontinuation/until end of Week 48. Relapses are defined as the occurrence of new or worsening neurological symptoms attributable to multiple sclerosis (MS), and immediately preceded by a stable or improving neurological state of at least 30 days. Week 48
Secondary Change From Baseline in B Cells (CD19+), Memory (CD19+CD27+) and Naïve (CD19+CD27-[Negative]) B Cells Cluster of Differentiation (CD)19 is a marker of B cells, the protein has been used to diagnose cancers that arise from this type of cell - notably B cell lymphomas, acute lymphoblastic leukemia (ALL), and chronic lymphocytic leukemia (CLL). The majority of B cell malignancies express normal to high levels of CD19. Memory B cell is a type of B lymphocyte that forms part of the adaptive immune system. These cells develop within germinal centers of the secondary lymphoid organs. Their function is to memorize the characteristics of the antigen that activated their parent B cell during initial infection such that if the memory B cell later encounters the same antigen, it triggers an accelerated and robust secondary immune response. A naive B cell is a B cell that has not been exposed to an antigen. Once exposed to an antigen, the naive B cell either becomes a memory B cell or a plasma cell that secretes antibodies specific to the antigen that was originally bound. Baseline, Week 1 Day 2, Week 2, Week 3 Day 15, Weeks 4, 8, 12, 16, 20, 24, Week 24 plus 2 days, Weeks 25, 28, 36, 40, 44 and 48
Secondary Change From Baseline in Sustained B Cell Sustained B cell reduction is defined as B-cell reductions achieved on pre-dose at Week 24 and Week 48. Baseline to pre-dose at Week 24 and Week 48
Secondary Additional Immune Profiling-CD4+ (Cluster of Differentiation 4 Positive) A blood sample was collected and was sent to the laboratory for analysis of CD4+. Baseline, Week 1 Day 2, Week 2, Week 3 Day 15, Weeks 4, 8, 12, 16, 20, 24, Week 24 Plus 2 Days, Weeks 25, 28, 36, 40, 44 and 48
Secondary Additional Immune Profiling-CD8+ (Cluster of Differentiation 8 Positive) A blood sample was collected and was sent to the laboratory for analysis of CD8+. Baseline, Week 1 Day 2, Week 2, Week 3 Day 15, Weeks 4, 8, 12, 16, 20, 24, Week 24 Plus 2 Days, Weeks 25, 28, 36, 40, 44 and 48
Secondary Additional Immune Profiling-Interleukin 10 (IL10) A blood sample was collected and was sent to the laboratory for analysis of IL-10. IL-10 is an anti-inflammatory cytokine that maintains the balance of the immune response, allowing the clearance of infection while minimizing damage to the host. Baseline, Weeks 2, 4, 12, 20, 24, 25, 36, 44 and 48
Secondary Additional Immune Profiling-Natural Killer (NK) Cells A blood sample was collected and was sent to the laboratory for analysis of NK cells. Percentage of NK cells per ml of blood. NK cells are lymphocytes with the ability to kill tumor cells without deliberate immunization or activation. Baseline, Week 1 Day 2, Week 2, Week 3 Day 15, Weeks 4, 8, 12, 16, 20, 24, Week 24 Plus 2 Days, Weeks 25, 28, 36, 40, 44 and 48
Secondary Pharmacokinetic Parameter: Plasma Concentration of Ublituximab Plasma concentration is defined as the measured concentration of ublituximab. Day 1 (pre-dose); Week 2; Day 15 (pre-dose); Weeks 4, 24 (pre-dose) and 25
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