A Study to Investigate Long-term Safety and Tolerability of Frexalimab in Participants With Multiple Sclerosis
A Phase 3 Extension Study to Investigate Long-term Safety and Tolerability of Frexalimab in Participants With Multiple Sclerosis.
Study LTS18002 is a global, multicenter, open-label (OL), Phase 3, long-term safety and efficacy extension study.
The purpose of this study is to provide continued access to frexalimab for participants with MS, and to evaluate the long-term safety and efficacy profile of frexalimab. This study will monitor delayed AEs, assess the durability of safety findings and characterize any emerging safety signals that may develop over an extended follow up period.
Study details include:
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The study duration will be up to 4 years.
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The OL treatment duration will be up to 96 weeks (corresponding to approximately 2 years) per participant.
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There is an additional 24 weeks of safety follow up from the last dose of OL frexalimab for all participants (safety follow-up period/EOS: 4, 12 and 24 weeks after last investigational medicinal product(IMP) or OL frexalimab administration).
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The number of visits over the 2-year duration will be dependent on subgroup assignment which is based on parent study from which the participant has entered the LTS18002 :
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ACT16877, EFC17504, EFC18098, and ASY22814 participants
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Will have on-site visits every 12 weeks (9 visits)
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Additionally, there will be 16 on-site visits for OL frexalimab administration (Week 4, 8, 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, and 92) for all participants EXCEPT those entering from EFC18098 (frexalimab open label administration is conducted at home via SC large volume (OBDS VT) device)
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There will be 3 follow up visits beginning 4 weeks after the last administration of OL frexalimab
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Home administration is allowed for participants from ACT16877, based on Investigator judgement, participant/caregiver training and local availability. Home nurse services are mandatory for at-home administration.
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Home nurse services for at home administration may be considered for EFC17504 participants after Week 24 administration of OL frexalimab, based on availability. Participants that have initiated OL frexalimab via home administration during the parent study may continue to receive it in this manner.
- NOTE: For participants from EFC17504, all on-site visits including monthly IMP administrations will include safety labs (biochemistry, hematology liver chemistry, and immunoglobulins) and physical exams
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EFC17919A/B participants
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Will have on site visits every 12 weeks (9 visits)
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Will have a total of 16 visits for OL frexalimab administration (Week 4, 8, 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, and 92)
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Additionally, there will be up to 3 visits for administration of DB treatment (until results become available and randomization assignment availability).
- Home nurse services for at home administration may be considered for EFC17919A/B participants after Week 24 administration of OL frexalimab, based on availability.
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NOTE: all on-site visits including monthly IMP administrations will include safety labs (biochemistry, hematology liver chemistry, and immunoglobulins) and physical exams.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Trial Transparency email recommended (Toll free for US & Canada)
- Numer telefonu: option 6 800-633-1610
- E-mail: Contact-US@sanofi.com
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Participants with relapsing multiple sclerosis(RMS) or non-relapsing secondary progressive multiple sclerosis(nrSPMS) who completed, on IMP, the Phase 2 ACT16877 study, or one of the four Phase 3 frexalimab studies in MS indication (EFC17919A and EFC17919B, EFC17504, EFC18098), or planned Phase 2 biomarker ASY22814.
Exclusion Criteria:
- If IMP discontinuation criteria are met as per guidance
- The participant is at risk for or has a persistent chronic, active (including fever ≥38°C and clinically unstable), recurring systemic infection or opportunistic infections (eg, PML See Appendix in protocol) as judged by the Investigator.
- Notably low immunoglobulin G(IgG) levels, defined as a level that is 20% below the LLN, and/or notably low IgM level, defined as a level 10% below the LLN.
- Participants who developed clinically relevant cardiovascular, hepatic, endocrine, neuropsychiatric or other major systemic disease making implementation of the protocol or interpretation of the study results difficult or that would put the participant at risk by participating in the extension study, as judged by the Investigator.
- Clinical evidence, suspicion or significant risk for thromboembolic events, as well as myocardial infarction, stroke, and/or antiphospholipid syndrome and any participants requiring antithrombotic treatment.
- Continued need for/chronic use of a prohibited concomitant medication.
- Suicidal risk as per C-SSRS: if a participant scores "yes" on items 4 or 5 of the Suicidal Ideation Section, or "yes" on any item of the Suicidal Behavior Section.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nielosowe
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
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Eksperymentalny: Frexalimab SC (OL)
Participants will be administered frexalimab subcutaneous |
Pharmaceutical form:Solution for injection-Route of administration:SC
Inne nazwy:
Pharmaceutical form:Solution for infusion-Route of administration:IV
Inne nazwy:
Route of administration:IV |
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Eksperymentalny: Frexalimab IV (OL)
Participants will be administered frexalimab intravenously |
Pharmaceutical form:Solution for injection-Route of administration:SC
Inne nazwy:
Pharmaceutical form:Solution for infusion-Route of administration:IV
Inne nazwy:
Route of administration:IV |
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Eksperymentalny: Frexalimab (DB)
For EFC17919A/B parent study participants: at Opt-in visit participants will continue to be administered f rexalimab through unblinding visit. Participants will receive placebo tablet once daily until the unblinding visit. |
Pharmaceutical form:Solution for injection-Route of administration:SC
Inne nazwy:
Pharmaceutical form:Solution for infusion-Route of administration:IV
Inne nazwy:
Route of administration:IV Pharmaceutical form:Tablet-Route of administration:Oral Route of administration:oral Route of administration:oral |
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Aktywny komparator: Teriflunomide (DB)
For EFC17919A/B parent study participants: at Opt-in visit participants will continue to receive teriflunomide tablet. The placebo will be administered to participants at the same infusion rate and duration as for frexalimab from the opt-in visit until availability of results and unblinding. |
Route of administration:IV Route of administration:oral Route of administration:oral Pharmaceutical form:Solution for infusion-Route of administration:IV Pharmaceutical form:Tablet-Route of administration:Oral |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
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Number of participants with Adverse Events(AEs)
Ramy czasowe: up to to approximately 2.5 years since last participant in
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Number of participants with Adverse Events(AEs), serious adverse event(SAEs), AEs leading to permanent study intervention discontinuation, adverse event of special interest(AESIs), local tolerability, clinically significant abnormalities in laboratory tests, Columbia-Suicide Severity Rating Scale(C-SSRS) |
up to to approximately 2.5 years since last participant in
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Participants from EFC17919A, EFC17919B, and EFC17504 studies only: time to onset of 6-month composite confirmed disability worsening(cCDW) for RMS or composite confirmed disability progression(cCDP) for nrSPMS
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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Time to onset of individual components of the composite, confirmed over 3 months or 6 months EDSS for all prior study participants 9-HPT, T25FW test (participants rolling over from EFC17504, EFC17919A, and EFC17919B)
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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Progression independent of relapse activity defined as the time to onset of 6-month cCDW
Ramy czasowe: up to to approximately 2.5 years since last participant in
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Progression independent of relapse activity defined as the time to onset of 6-month cCDW, defined by either no prior relapse or an onset more than 90 days after the start date of the last Investigator reported relapse (participants rolling over from EFC17919A and EFC17919B) |
up to to approximately 2.5 years since last participant in
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Number of new and/or enlarging T2-hyperintense lesions per year as detected by MRI
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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Total number of new GdE T1 lesions per year as detected by MRI
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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Change from baseline at scheduled visits in total volume of T2-hyperintense lesions as detected by brain MRI
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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ARR assessed by confirmed protocol defined relapses
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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antidrug antibodys(ADAs) incidence
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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Change from baseline in serum immunoglobulin(Ig) levels
Ramy czasowe: up to to approximately 2.5 years since last participant in
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up to to approximately 2.5 years since last participant in
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Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
- Choroby Układu Nerwowego
- Choroby Autoimmunologiczne
- Choroby układu odpornościowego
- Demielinizacyjne choroby autoimmunologiczne, OUN
- Choroby Autoimmunologiczne Układu Nerwowego
- Choroby demielinizacyjne
- Stwardnienie rozsiane
- Chemikalia nieorganiczne
- Elementy
- Polimery
- Substancje makrocząsteczkowe
- Materiały biomedyczne i dentystyczne
- Wyprodukowane materiały
- Technologia, przemysł i rolnictwo
- Polistyry
- Tworzywa sztuczne
- Węgiel
- Żywica cholestyraminy
- Węgiel drzewny
- teriflunomid
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- LTS18002
- 2026-525688-41 (Identyfikator rejestru: CTIS)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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