Clinical trial • Phase IV • Neurology

ozanimod for Relapsing-remitting multiple sclerosis

Phase IV trial of ozanimod for Relapsing-remitting multiple sclerosis. open-label, none/not specified-controlled. 30 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Relapsing-remitting multiple sclerosis
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
29-05-2024
First CTIS Authorization Date
01-07-2024

Trial design

open-label, none/not specified-controlled Phase IV trial across 1 site in Italy.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
30
Trial Duration For Participant
730

Eligibility

Recruits 30 No vulnerable populations selected. Inclusion criteria state that participants must "Provide informed consent signed for participation in the trial." No assent, parental consent, or other special consent arrangements are described..

Pregnancy Exclusion
For HC subject: Female participant who is pregnant, lactating or planning pregnancy during the course of the trial (positive urine ß-subunit of HCG). ; For RRMS patients: Female participant who is pregnant, lactating or planning pregnancy during the course of the trial. (positive urine ß-subunit of human chorionic gonadotropin [HCG]).
Vulnerable Population
No vulnerable populations selected. Inclusion criteria state that participants must "Provide informed consent signed for participation in the trial." No assent, parental consent, or other special consent arrangements are described.

Inclusion criteria

  • {"criterion_text":"- For RRMS patients: Age between 18 and 55 years (in line with phase III RCTs);"}
  • {"criterion_text":"- For RRMS patients:A diagnosis of RRMS according to the 2017 Revisions of the McDonald criteria;"}
  • {"criterion_text":"- For RRMS patients: RRMS patients starting treatment with ozanimod, according to European Medicines Agency (EMA) and Italian Medicine Agency (AIFA) criteria (if available at the moment of study initiation);"}
  • {"criterion_text":"- For RRMS patients: EDSS score =5.0 (in line with phase III RCTs);"}
  • {"criterion_text":"- For RRMS patients: Planned vaccinations completed prior to enrollment;"}
  • {"criterion_text":"- For RRMS patients: Provide informed consent signed for participation in the trial;"}
  • {"criterion_text":"- For RRMS patients: Female participants of child bearing potential and male participants whose partner is of child bearing potential must be willing to ensure that they or their partner use effective contraception during the trial and for 3 months thereafter.* * NOTE where the use of effective contraception is a protocol requirement a section on Contraception and Pregnancy should be added to the safety reporting section with corresponding information in the Participant Information Sheet."}
  • {"criterion_text":"- For HC subjects: Age between 18 and 55 years;"}
  • {"criterion_text":"- For HC subjects: Provide informed consent signed for participation in the trial."}

Exclusion criteria

  • {"criterion_text":"- For RRMS patients: Age <18 or >55 years;"}
  • {"criterion_text":"- For HC subjects: Age <18 or >55 years;"}
  • {"criterion_text":"- For HC subjects: Major medical illnesses including neurological, cardiac, renal, hepatic, orthopedic, or rheumatologic disorders;"}
  • {"criterion_text":"- For HC subjects: History of psychiatric or mood disorders, or of drug or alcohol abuse;"}
  • {"criterion_text":"- For HC subjects: MRI contraindications;"}
  • {"criterion_text":"- For HC subject: Female participant who is pregnant, lactating or planning pregnancy during the course of the trial (positive urine ß-subunit of HCG)."}
  • {"criterion_text":"- For RRMS patients: Contraindications to ozanimod treatment as reported by EMA and AIFA (if available) recommendations;"}
  • {"criterion_text":"- For RRMS patients: Major medical illnesses including neurological (apart MS), cardiac, renal, hepatic, orthopedic, or rheumatologic disorders;"}
  • {"criterion_text":"- For RRMS patients: History of psychiatric or mood disorders, or of drug or alcohol abuse;"}
  • {"criterion_text":"- For RRMS patients: MRI contraindications, including claustrophobia, pregnancy, breastfeeding or metal implants;"}
  • {"criterion_text":"- For RRMS patients: One or more symptomatic treatment(s) (e.g., antidepressants, myorelaxants, psychoactive drugs) started/modified within the 3 months before ozanimod start;"}
  • {"criterion_text":"- For RRMS patients: The participant has previously participated in any clinical trial of ozanimod;"}
  • {"criterion_text":"- For RRMS patients: The participant is accommodated in an institution because of a regulatory or legal order, is a prisoner, or is legally institutionalized;"}
  • {"criterion_text":"- For RRMS patients: Female participant who is pregnant, lactating or planning pregnancy during the course of the trial. (positive urine ß-subunit of human chorionic gonadotropin [HCG])."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Global brain atrophy (i.e., percent brain volume change [PBVC]);\n- Regional GM volume;\n- Regional WM volume;\n- Thalamic volume;\n- Cortical volume.","definition_or_measurement_approach":"Assess changes from baseline over 2 years in RRMS patients treated with ozanimod (changes from baseline over 2 years; Global brain atrophy measured as percent brain volume change [PBVC]; regional and structure volumes measured as changes from baseline)."}

Recruitment

Planned Sample Size
30
Recruitment Window Months
30
Consent Approach
Participants must provide signed informed consent. Inclusion criteria: "Provide informed consent signed for participation in the trial." No details on assent, parental consent, languages, or remote consenting are provided.

Geography

Total Number Of Sites
1
Total Number Of Participants
30

Italy

Earliest CTIS Part Ii Submission Date
12-06-2024
Latest Decision Or Authorization Date
01-07-2024
Processing Time Days
19
Number Of Sites
1
Number Of Participants
30

Sites

Site Name
Ospedale San Raffaele S.r.l.
Department Name
Neurologia
Principal Investigator Name
Massimo Filippi
Principal Investigator Email
filippi.massimo@hsr.it
Contact Person Name
Massimo Filippi
Contact Person Email
filippi.massimo@hsr.it
Number Of Participants
30

Sponsor

Primary sponsor

Full Name
Ospedale San Raffaele S.r.l.
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Italy

Investigational products

Investigational Product Name
ozanimod
Active Substance
ozanimod
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Maximum Dose
920 µg (max daily); 667460 µg (max total)

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