Proof of Concept Study Evaluating RNS60 in the Treatment of Relapsing Remitting Multiple Sclerosis
A Phase II Study Evaluating RNS60 Compared to Interferon Beta-1a (Avonex) for the Treatment of Relapsing Remitting Multiple Sclerosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10029
- Mt. Sinai School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males or females, aged between 18 and 50 years.
- Diagnosis of RR-MS according to McDonald 2010 diagnostic criteria with a prior brain MRI that demonstrates lesions consistent with RRMS, both within the past year.
- No evidence of relapse during the 60 days prior to enrollment.
- EDSS score of 0-5 at screening.
- Women of childbearing potential who have a negative pregnancy test (serum HCG) at screening.
- Men or women of reproductive potential who commit to use adequate contraception during the study and for 1 month following the last day of treatment.
- Subjects must be capable of understanding the purpose and risks of the study and provide written, informed consent.
Exclusion Criteria:
- Diagnosis of Secondary Progressive MS, Primary Progressive MS or Progressive Relapsing MS.
- Normal baseline brain MRI.
- History of any clinically significant autoimmune disease: inflammatory bowel disease, diabetes, lupus or severe asthma.
- Current or prior malignancies (excluding non-melanoma skin carcinoma or in situ carcinoma of the cervix that has been adequately treated.)
- Significant organ dysfunction, including cardiac, renal (eGFR ≤ 60 ml/min.), liver, central nervous system, pulmonary, vascular, gastrointestinal, endocrine, or metabolic (e.g., creatinine ≥ 1.6 mg/dL; ALT or AST ≥ 1.5x the upper limit of normal), history of myocardial infarction, congestive heart failure, or arrhythmias within 6 months prior to enrollment.
- Steroid therapy within 60 days prior to enrollment, with the exception of corticosteroids or ACTH for relapse treatment during the course of the study.
- Known allergy to Gadolinium-DTPA
- Therapy with any immunomodulatory drugs within 3 months prior to enrollment, including but not limited to interferons, glatiramir acetate, BG-12, teriflunomide, laquinimod and IV immunoglobulin.
- Treatment at any time with immunosuppressive drugs such as cladribine, total lymphoid irradiation, monoclonal antibody treatment, mitoxantrone, Tysabri, fingolimod, cytoxan, methotrexate.
- Participation in any investigational therapy within one year prior to enrollment, unless given approval by PI.
- Known or suspected current or past alcohol or drug abuse within one year prior to enrollment.
- Any medical, psychiatric or other condition that could result in a subject not being able to comply with protocol requirements.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: RNS60 125 ml
125 ml of RNS60 administered weekly by IV infusion
|
|
|
Experimental: RNS60 250 ml
250 ml of RNS60 administered weekly by IV infusion
|
|
|
Active Comparator: Interferon beta-1a
Weekly dose of 30 mcg Interferon beta-1a (Avonex) administered by intramuscular injection.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in number of GAD-enhancing lesions from baseline
Time Frame: 3, 4, 5, and 6 months
|
Cumulative number of GAD-enhancing lesions by MRI at months 3, 4, 5, and 6
|
3, 4, 5, and 6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in number of T2 lesions from baseline
Time Frame: Months 3, 4, 5, and 6
|
Cumulative number of new or newly enlarged T2 lesions over 6 months of treatment
|
Months 3, 4, 5, and 6
|
|
Brain volume
Time Frame: 6 months
|
Brain volume by MRI over 6 months of treatment
|
6 months
|
|
T2 lesion volume
Time Frame: 6 month
|
T2 lesion volume by MRI over 6 months of treatment
|
6 month
|
|
Annualized Relapse Rate
Time Frame: 6 months
|
Annualized Relapse Rate over 6 months
|
6 months
|
|
Expanded Disability Status Scale (EDSS), change from baseline
Time Frame: 3, 6 months
|
Progression of disability as assessed by the Expanded Disability Status Scale at months 3 and 6.
|
3, 6 months
|
|
Multiple Sclerosis Functional Composite, change from baseline
Time Frame: 3, 6 months
|
Progression of disability as assessed by the Multiple Sclerosis Functional Composite tool at months 3 and 6 months.
|
3, 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Fred Lublin, MD, PhD, Mt. Sinai School of Medicine
Study record dates
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Immune System Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Autoimmune Diseases
- Multiple Sclerosis
- Sclerosis
- Multiple Sclerosis, Relapsing-Remitting
- Physiological Effects of Drugs
- Anti-Infective Agents
- Peripheral Nervous System Agents
- Antiviral Agents
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Adjuvants, Immunologic
- Pharmaceutical Solutions
- Interferons
- Interferon beta-1a
- RNS60
- Interferon-beta
Other Study ID Numbers
Other Study ID Numbers
- 06.1.1.H1
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