Cladribine-tabletter: Samarbejdsundersøgelse for at evaluere indvirkningen på biomarkører i centralnervesystemet ved multipel sklerose (CLOCK-MS)
Cladribine-tabletter: Samarbejdsundersøgelse til evaluering af indvirkningen på biomarkører i centralnervesystemet ved multipel sklerose
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Gregory F Wu, MD, PhD
- Telefonnummer: 314-362-3293
- E-mail: gfwu@wustl.edu
Undersøgelse Kontakt Backup
- Navn: Dana Perantie
- E-mail: dperantie@wustl.edu
Studiesteder
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Missouri
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St Louis, Missouri, Forenede Stater, 63110
- Washington University School of Medicine
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Oklahoma
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Oklahoma City, Oklahoma, Forenede Stater, 73104
- Oklahoma Medical Research Foundation
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania
-
-
Texas
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Dallas, Texas, Forenede Stater, 75390
- University of Texas Southwestern Medical Center
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Wisconsin
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Milwaukee, Wisconsin, Forenede Stater, 53226
- Medical College of Wisconsin
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Har en recidiverende form for multipel sklerose (RMS; omfatter RRMS eller aktiv sekundær progressiv MS)
- Er villig og i stand til at modtage mindst 2 lumbale punkteringer
- Har en EDSS på 0 til ≤ 5,5 i screeningsperioden
- Havde mindst 1 tilbagefald eller 1 gadolinium-forstærkende eller 1 ny eller forstørret T2-læsion inden for de sidste 12 måneder
- Har det absolutte lymfocyttal (ALC) inden for normalområdet for det lokale laboratorium eller vurderet som normalt af investigator inden for den 3 ugers screeningsperiode og opfylder alle andre berettigelseskriterier for cladribin tabletbehandling
- I stand til at give underskrevet informeret samtykke
Ekskluderingskriterier:
- Har nogen kontraindikation for lumbalpunktur
- Har nuværende malignitet
- Er inficeret med humant immundefektvirus (HIV)
- Har aktive kroniske infektioner (f. hepatitis eller tuberkulose)
- Har tegn eller symptomer, der tyder på progressiv multifokal leukoencefalopati (PML) i MR
- Har tidligere haft overfølsomhed over for cladribin eller et eller flere af hjælpestofferne, der er anført i cladribin-tabletterne i USA.
- Allergi eller overfølsomhed over for gadolinium og/eller enhver anden kontraindikation for at udføre en MR
- Har andre komorbide tilstande, der udelukker deltagelse
- Har tidligere været behandlet med cladribin
- Har tidligere været behandlet med ocrelizumab, alemtuzumab, rituximab eller daclizumab
- Har modtaget behandling med natalizumab inden for de sidste 6 måneder
- Modtager i øjeblikket immunsuppressiv eller myelosuppressiv behandling, f.eks. methotrexat, cyclophosphamid, cyclosporin eller azathioprin, eller kronisk behandling med systemiske kortikosteroider
- Har modtaget behandling med immunsuppressiv eller myelosuppressiv behandling i løbet af de sidste 6 måneder
- Har modtaget kronisk behandling med systemiske kortikosteroider i løbet af de sidste 4 uger
- Har moderat eller svært nedsat leverfunktion (Child-Pugh score >6)
- Har moderat eller svær nyreinsufficiens (kreatininclearance).
- Er gravid eller uvillig eller ude af stand til at bruge effektiv prævention under dosering af cladribin tabletter og i 6 måneder efter den sidste dosis i hvert behandlingsforløb
- Har til hensigt at amme på en cladribin-tablet-behandlingsdag og/eller i de 10 dage efter den sidste cladribin-tabletdosis.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Grundvidenskab
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Andet: Gruppe 1: LP ved baseline og uge 5
Gruppe 1: LP ved baseline og slutningen af uge 5. Uge 5 er det optimale tidspunkt for vurdering af cladribin-koncentrationer i CSF
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Alle deltagere vil modtage cladribine 10 mg tabletter i en kumulativ dosis på 3,5 mg/kg opdelt i 2 behandlingsforløb i henhold til United States Prescribing Information (USPI) (1,75 mg/kg pr. behandlingskur; år 1 og år 2 behandling).
Patienter vil blive randomiseret 1:2:2:1 til at modtage i alt 2 lumbale punkteringer på bestemte tidspunkter under behandlingscyklussen.
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Andet: Gruppe 3: LP ved baseline og slutningen af år 1
Gruppe 3: LP ved baseline og slutningen af år 1.
For at vurdere, om cladribin-effekter på CSF-markører opretholdes ved slutningen af den første behandlingscyklus
|
Alle deltagere vil modtage cladribine 10 mg tabletter i en kumulativ dosis på 3,5 mg/kg opdelt i 2 behandlingsforløb i henhold til United States Prescribing Information (USPI) (1,75 mg/kg pr. behandlingskur; år 1 og år 2 behandling).
Patienter vil blive randomiseret 1:2:2:1 til at modtage i alt 2 lumbale punkteringer på bestemte tidspunkter under behandlingscyklussen.
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Andet: Gruppe 4: LP ved baseline og slutningen af år 2
Gruppe 4: LP ved baseline og slutningen af år 2. For at vurdere om cladribin-effekter på CSF-markører opretholdes ved slutningen af den sidste behandlingscyklus
|
Alle deltagere vil modtage cladribine 10 mg tabletter i en kumulativ dosis på 3,5 mg/kg opdelt i 2 behandlingsforløb i henhold til United States Prescribing Information (USPI) (1,75 mg/kg pr. behandlingskur; år 1 og år 2 behandling).
Patienter vil blive randomiseret 1:2:2:1 til at modtage i alt 2 lumbale punkteringer på bestemte tidspunkter under behandlingscyklussen.
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Andet: Group 2: LP at Baseline and Week 10
Group 2: LP at Baseline and end of Week 10.
Week 10 is the hypothesized "nadir" time for lymphocyte and monocyte levels in CSF
|
Alle deltagere vil modtage cladribine 10 mg tabletter i en kumulativ dosis på 3,5 mg/kg opdelt i 2 behandlingsforløb i henhold til United States Prescribing Information (USPI) (1,75 mg/kg pr. behandlingskur; år 1 og år 2 behandling).
Patienter vil blive randomiseret 1:2:2:1 til at modtage i alt 2 lumbale punkteringer på bestemte tidspunkter under behandlingscyklussen.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in CD3+ T Cells % From Baseline to Week 5
Tidsramme: Baseline to Week 5 (5 weeks after first cladribine dose)
|
Change in CSF level of CD3+ T lymphocytes from Baseline to second LP at Week 5, using quality-controlled flow cytometry and assays.
Within-group differences from baseline to Week 5 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cell percentage and a negative number indicates decrease in CD3+ T cell percentage.
|
Baseline to Week 5 (5 weeks after first cladribine dose)
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Change in CD3+ T Cells % From Baseline to Week 10
Tidsramme: Baseline to Week 10 (10 weeks after first cladribine dose)
|
Change in CSF level of CD3+ T lymphocytes from Baseline to second LP at Week 10, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Week 10 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cell percentage and a negative number indicates decrease in CD3+ T cell percentage.
|
Baseline to Week 10 (10 weeks after first cladribine dose)
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Change in CD3+ T Cells % From Baseline to Year 1
Tidsramme: Baseline to Year 1 (45 weeks after first cladribine dose)
|
Change in CSF level of CD3+ T lymphocytes from Baseline to second LP at Year 1, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 1 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cell percentage and a negative number indicates decrease in CD3+ T cell percentage.
|
Baseline to Year 1 (45 weeks after first cladribine dose)
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Change in CD3+ T Cells % From Baseline to Year 2
Tidsramme: Baseline to Year 2 (45 weeks after last cladribine dose)
|
Change in CSF level of CD3+ T lymphocytes from Baseline to second LP at Year 2, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 2 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cell percentage and a negative number indicates decrease in CD3+ T cell percentage.
|
Baseline to Year 2 (45 weeks after last cladribine dose)
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Change in CD3+ T Cells Absolute Numbers (Cells/mL) From Baseline to Week 5
Tidsramme: Baseline to Week 5
|
Change in CSF level of CD3+ T cells absolute numbers from Baseline to second LP at Week 5, using quality-controlled flow cytometry and assays.
Within-group differences from baseline to Week 5 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cells absolute numbers and a negative number indicates decrease in CD3+ T cells absolute numbers.
|
Baseline to Week 5
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Change in CD3+ T Cells Absolute Numbers (Cells/mL) From Baseline to Week 10
Tidsramme: Baseline to Week 10 (10 weeks after first cladribine dose)
|
Change in CSF level of CD3+ T cells absolute numbers from Baseline to second LP at Week 10, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Week 10 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cells absolute numbers and a negative number indicates decrease in CD3+ T cells absolute numbers.
|
Baseline to Week 10 (10 weeks after first cladribine dose)
|
|
Change in CD3+ T Cells Absolute Numbers (Cells/mL) From Baseline to Year 1
Tidsramme: Baseline to Year 1 (45 weeks after first cladribine dose)
|
Change in CSF level of CD3+ T cells absolute numbers from Baseline to second LP at Year 1, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 1 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cells absolute numbers and a negative number indicates decrease in CD3+ T cells absolute numbers.
|
Baseline to Year 1 (45 weeks after first cladribine dose)
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Change in CD3+ T Cells Absolute Numbers (Cells/mL) From Baseline to Year 2
Tidsramme: Baseline to Year 2 (45 weeks after last cladribine dose)
|
Change in CSF level of CD3+ T cells absolute numbers from Baseline to second LP at Year 2, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 2 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD3+ T cells absolute numbers and a negative number indicates decrease in CD3+ T cells absolute numbers.
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Baseline to Year 2 (45 weeks after last cladribine dose)
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Change in CD19+ B Cells % From Baseline to Week 5
Tidsramme: Baseline to Week 5 (5 weeks after first cladribine dose)
|
Change in CSF level of CD19+ B lymphocytes from Baseline to second LP at Week 5, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Week 5 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cell percentage and a negative number indicates decrease in CD19+ B cell percentage.
|
Baseline to Week 5 (5 weeks after first cladribine dose)
|
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Change in CD19+ B Cells % From Baseline to Week 10
Tidsramme: Baseline to Week 10 (10 weeks after first cladribine dose)
|
Change in CSF level of CD19+ B lymphocytes from Baseline to second LP at Week 10, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Week 10 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cell percentage and a negative number indicates decrease in CD19+ B cell percentage.
|
Baseline to Week 10 (10 weeks after first cladribine dose)
|
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Change in CD19+ B Cells % From Baseline to Year 1
Tidsramme: Baseline to Year 1 (45 weeks after first cladribine dose)
|
Change in CSF level of CD19+ B lymphocytes from Baseline to second LP at Year 1, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 1 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cell percentage and a negative number indicates decrease in CD19+ B cell percentage.
|
Baseline to Year 1 (45 weeks after first cladribine dose)
|
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Change in CD19+ B Cells % From Baseline to Year 2
Tidsramme: Baseline to Year 2 (45 weeks after last cladribine dose)
|
Change in CSF level of CD19+ B lymphocytes from Baseline to second LP at Year 2, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 2 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cell percentage and a negative number indicates decrease in CD19+ B cell percentage.
|
Baseline to Year 2 (45 weeks after last cladribine dose)
|
|
Change in CD19+ B Cells Absolute Numbers (Cells/mL) From Baseline to Week 5
Tidsramme: Baseline to Week 5 (5 weeks after first cladribine dose)
|
Change in CSF level of CD19+ B cells absolute numbers from Baseline to second LP at Week 5, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Week 5 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cells absolute numbers and a negative number indicates decrease in CD19+ B cells absolute numbers.
|
Baseline to Week 5 (5 weeks after first cladribine dose)
|
|
Change in CD19+ B Cells Absolute Numbers (Cells/mL) From Baseline to Week 10
Tidsramme: Baseline to Week 10 (10 weeks after first cladribine dose)
|
Change in CSF level of CD19+ B cells absolute numbers from Baseline to second LP at Week 10, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Week 10 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cells absolute numbers and a negative number indicates decrease in CD19+ B cells absolute numbers.
|
Baseline to Week 10 (10 weeks after first cladribine dose)
|
|
Change in CD19+ B Cells Absolute Numbers (Cells/mL) From Baseline to Year 1
Tidsramme: Baseline to Year 1 (45 weeks after first cladribine dose)
|
Change in CSF level of CD19+ B cells absolute numbers from Baseline to second LP at Year 1, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 1 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cells absolute numbers and a negative number indicates decrease in CD19+ B cells absolute numbers.
|
Baseline to Year 1 (45 weeks after first cladribine dose)
|
|
Change in CD19+ B Cells Absolute Numbers (Cells/mL) From Baseline to Year 2
Tidsramme: Baseline to Year 2 (45 weeks after last cladribine dose)
|
Change in CSF level of CD19+ B cells absolute numbers from Baseline to second LP at Year 2, using quality-controlled flow cytometry and assays.
Within-group differences from Baseline to Year 2 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in CD19+ B cells absolute numbers and a negative number indicates decrease in CD19+ B cells absolute numbers.
|
Baseline to Year 2 (45 weeks after last cladribine dose)
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|
Change in the Neurofilament Light Chain (NfL) Level From Baseline to Week 5
Tidsramme: Baseline to Week 5 (5 weeks after first cladribine dose)
|
Change in CSF level NfL (measured in pg/mL) from baseline to week 5 using the highly sensitive Neurology 4-Plex D Advantage Plus (N4PD+) single molecule array (SIMOA) technology.
A single batch of samples with duplicates were run at the conclusion of the study.
Within-group differences from baseline to Week 5 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in NfL value and a negative number indicates decrease in NfL value.
|
Baseline to Week 5 (5 weeks after first cladribine dose)
|
|
Change in the Neurofilament Light Chain (NfL) Level From Baseline to Week 10
Tidsramme: Baseline to Week 10 (10 weeks after first cladribine dose)
|
Change in CSF level NfL (measured in pg/mL) from baseline to Week 10 using the highly sensitive Neurology 4-Plex D Advantage Plus (N4PD+) single molecule array (SIMOA) technology.
A single batch of samples with duplicates were run at the conclusion of the study.
Within-group differences from baseline to Week 10 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in NfL value and a negative number indicates decrease in NfL value.
|
Baseline to Week 10 (10 weeks after first cladribine dose)
|
|
Change in the Neurofilament Light Chain (NfL) Level From Baseline to Year 1
Tidsramme: Baseline to Year 1 (45 weeks after first cladribine dose)
|
Change in CSF level NfL (measured in pg/mL) from baseline to Year 1 using the highly sensitive Neurology 4-Plex D Advantage Plus (N4PD+) single molecule array (SIMOA) technology.
A single batch of samples with duplicates were run at the conclusion of the study.
Within-group differences from baseline to Year 1 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in NfL value and a negative number indicates decrease in NfL value.
|
Baseline to Year 1 (45 weeks after first cladribine dose)
|
|
Change in the Neurofilament Light Chain (NfL) Level From Baseline to Year 2
Tidsramme: Baseline to Year 2 (45 weeks after last cladribine dose)
|
Change in CSF level NfL (measured in pg/mL) from baseline to year 2 using the highly sensitive Neurology 4-Plex D Advantage Plus (N4PD+) single molecule array (SIMOA) technology.
A single batch of samples with duplicates were run at the conclusion of the study.
Within-group differences from baseline to year 2 were analyzed using the Wilcoxon signed-rank test because outcome differences were non-normally distributed.
Positive number indicates increase in NfL value and a negative number indicates decrease in NfL value.
|
Baseline to Year 2 (45 weeks after last cladribine dose)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Gregory Wu, MD, PhD, Washington University School of Medicine
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i nervesystemet
- Autoimmune sygdomme
- Sygdomme i immunsystemet
- Demyeliniserende autoimmune sygdomme, CNS
- Autoimmune sygdomme i nervesystemet
- Demyeliniserende sygdomme
- Multipel sclerose
- Multipel sklerose, recidiverende-remitterende
- Heterocykliske forbindelser
- Heterocykliske forbindelser, 2-ring
- Heterocykliske forbindelser, smeltet ring
- Nukleinsyrer, nukleotider og nukleosider
- Puriner
- Nukleosider
- Ribonucleosider
- Deoxyribonucleosider
- 2-chloroadenosin
- Adenosin
- Purine nukleosider
- Deoxyadenosiner
- Cladribin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- MS700568_0049-201906092
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