Clinical trial NCT01639300: Safety Study of GNbAC1 in Multiple Sclerosis Patients
Official title: Randomised Placebo-Controlled Single Blind Study to Investigate Single Ascending Doses of GNbAC1 in Multiple Sclerosis Patients Followed by Open-label Extension With Repeated Doses of GNbAC1
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Multiple Sclerosis
Keywords: Relapsing Forms of Multiple Sclerosis
Progressive Forms of Multiple Sclerosis
GNbAC1
Monoclonal antibody
Multiple Sclerosis Associated Retrovirus (MSRV)
Temelimab
Lead sponsor: GeNeuro SA
Sponsor class: INDUSTRY
First posted: 2012-07-12
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to assess the safety and tolerability of single ascending doses, as well as of repeated administrations of GNbAC1 in MS patients.

Scientific research has shown that the expression of genes of a virus which is integrated in the Human genetic material, the Multiple Sclerosis associated RetroVirus (MSRV) could play a critical role in the causation of multiple sclerosis.

GNbAC1 is an experimental medication, which neutralizes (i.e. inactivates) a protein of MSRV that might contribute to the development or deterioration of multiple sclerosis.


Eligibility criteria: Inclusion Criteria:

* Male or female patients (if female, neither pregnant nor breast-feeding, should be post-menopausal or surgically sterile, or should use two highly effective method of contraception such as oral contraception plus mechanical barrier); Male subjects with partners of childbearing potential have to use adequate contraception during the study. Contraception methods should be followed during the study and up to 3 months after the last study drug administration. Female subjects who are women of childbearing potential (WOCBP) will have to be tested negative with a pregnancy test (serum or urine) at screening and Day 1 and before each repeated administrations of GNbAC1.
* Between 18 and 65 years of age;
* Patients with Primary Progressive MS (PPMS) according to the Revised McDonald criteria 2010 or patients with Secondary Progressive MS (SPMS) or patients with Relapsing-Remitting MS(RRMS)according to the Revised McDonald criteria 2010 who cannot be treated with available treatments for MS due to intolerance, non response or refusal of treatment;
* Score ≤ 6.5 on the Expanded Disability Status Scale (EDSS);
* Body weight between 40 and 100kg.

Exclusion Criteria:

* Positive serology for viral hepatitis and HIV;
* Disease other than MS that could better explain his/her signs and symptoms;
* Previously treated with cladribine, lymphoid irradiation or depleting antibodies;
* Usage in the last 3 months of interferon beta or glatiramer acetate;
* Any usage in the last 6 months of mitoxantrone, cytotoxic immunosuppressive therapy, natalizumab, fingolimod or immunoglobulin;
* Usage within 30 days prior to baseline of oral or systemic corticosteroids or ACTH;
* Inadequate liver function;
* Severe renal impairment;
* Severe psychiatric disorder;
* Known inability to undergo an MRI scan;
* Having participated in another clinical study within 6 months prior to study baseline except for patients who have participated or who are currently participating in an interventional study without any study drug intake.
* Pregnancy or breastfeeding
* Female subjects considering becoming pregnant during the study

Primary outcomes:
measure: To assess the safety and tolerability of single ascending doses, as well as of repeated administrations of GNbAC1 in MS patients.
timeFrame: 177 days
Secondary outcomes:
measure: To determine the pharmacokinetics (PK) characteristics following administration of single ascending doses, as well as of repeated administrations, of GNbAC1 in MS patients
timeFrame: 177 days
measure: To determine pharmacodynamic markers of MS disease activity in patients including measurement of MSRV-Env markers and magnetic resonance imaging (MRI)
timeFrame: 177 days
measure: To assess the immunogenicity of GNbAC1.
timeFrame: 177 days
Other outcomes:
Locations:
city: Basel
country: Switzerland
facility: University Hospital Basel
city: Geneva
country: Switzerland
facility: Hopitaux Universitaires de Genève - HUG
Study officials:
affiliation: University Hospital, Basel, Switzerland
name: Tobias Derfuss, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: HUG
name: Patrice Lalive, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Derfuss T, Curtin F, Guebelin C, Bridel C, Rasenack M, Matthey A, Du Pasquier R, Schluep M, Desmeules J, Lang AB, Perron H, Faucard R, Porchet H, Hartung HP, Kappos L, Lalive PH. A phase IIa randomised clinical study of GNbAC1, a humanised monoclonal antibody against the envelope protein of multiple sclerosis-associated endogenous retrovirus in multiple sclerosis patients. Mult Scler. 2015 Jun;21(7):885-93. doi: 10.1177/1352458514554052. Epub 2014 Nov 12.