Multiple Sclerosis, Relapsing-Remitting Clinical Trial
Official title:
Phase 1 Safety Study of RTL1000 (Recombinant T Cell Receptor Ligand) in Subjects With Multiple Sclerosis
RTL1000 is a new agent that has not been previously tested in humans. It is thought that RTL
may specifically control the abnormal immune response or attack against the insulation on
the nerves that occurs in multiple sclerosis.
The purpose of this study is to evaluate the possible side effects of a single intravenous
dose of RTL1000 in subjects with multiple sclerosis. Some subjects will also be asked to
participate in one or both of two substudies, one to test blood samples to see how the
body's immune system responds after administration of RTL1000, and the other to test blood
samples to see how the body absorbs and eliminates the RTL1000.
This is a double-blind, placebo-controlled treatment protocol with up to six treatment
cohorts, each of which receives a single intravenous infusion of an escalating dose of
RTL1000. Each dosing group will have six subjects: two who will receive a single dose of
placebo and four who will receive a single dose of RTL1000. Subjects are observed in the
hospital during the infusion and for 24 hours afterward, and are then followed weekly for 28
days and at 1 and 2 months post-infusion to evaluate safety parameters.
Objectives of the study are to evaluate the safety profile of a single dose of RTL1000
administered by intravenous infusion, to evaluate the pharmacokinetic profile of RTL1000 in
a subset of subjects, and to evaluate the feasibility of assessing immunologic parameters in
a subset of subjects.
Endpoints include vital signs, electrocardiogram and physical examination results, adverse
events, and serious adverse events and safety laboratory parameters (e.g., clinical
chemistries and hematology values). Disease parameters, such as neurological findings,
expanded disability status scale (EDSS), 25-ft timed walk, 9-hole peg test, and magnetic
resonance imaging (MRI) will be measured to ensure that study treatment does not make
disease worse. Subjects will also be tested at the beginning and end of the study for
antibodies to the drug and its components.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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