Clinical trial • Phase III • Neurology

UBLITUXIMAB for Relapsing multiple sclerosis

Phase III trial of UBLITUXIMAB for Relapsing multiple sclerosis. open-label, none/not specified-controlled. 742 participants.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Relapsing multiple sclerosis
Trial Stage
Phase III
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
23-09-2024
First CTIS Authorization Date
11-11-2024

Trial design

open-label, none/not specified-controlled Phase III trial across 11 sites in Croatia, Poland.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
742

Eligibility

Recruits 742 Vulnerable population selected (isVulnerablePopulationSelected = true). Subjects must be "able and willing to provide written informed consent (e.g., before the first infusion)". Subject information and informed consent form documents are provided (e.g. "L1_SIS and ICF PL_for publication", "L1_SIS and ICF HR_for publication", "L1_SIS and ICF PL-UA_for publication"). Documents for personal data witness and legal representative are present (e.g. "L1_Personal data Witness PL", "L1_Personal data Legal Representative PL"), indicating procedures for use of witnesses/legal representatives where applicable..

Pregnancy Exclusion
Ongoing pregnancy (female subjects)
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Subjects must be "able and willing to provide written informed consent (e.g., before the first infusion)". Subject information and informed consent form documents are provided (e.g. "L1_SIS and ICF PL_for publication", "L1_SIS and ICF HR_for publication", "L1_SIS and ICF PL-UA_for publication"). Documents for personal data witness and legal representative are present (e.g. "L1_Personal data Witness PL", "L1_Personal data Legal Representative PL"), indicating procedures for use of witnesses/legal representatives where applicable.

Inclusion criteria

  • {"criterion_text":"- Complete the 96-week double-blind TG1101-RMS301 or TG1101-RMS302 study OR complete the final Week 208 visit of the TG1101-RMS201E study.\n- Investigator believes may benefit from treatment with ublituximab\n- Are able and willing to provide written informed consent (e.g., before the first infusion) and to comply with the study protocol\n- Female subjects of child-bearing potential, and male partners must consent to use a medically acceptable method of contraception"}

Exclusion criteria

  • {"criterion_text":"- Any significant or uncontrolled medical condition or treatment-emergent, clinically significant laboratory abnormality such as: a. Absolute neutrophil count < 1.5 x 10e3/μL b. Hematocrit < 24% c. Platelet count < 150,000 cell/mm3 d. Hypogammaglobulinemia\n- Active infection\n- Ongoing pregnancy (female subjects)\n- Subjects who discontinued ublituximab treatment or withdrew consent from the TG1101-RMS301 or TG1101-RMS302 study during the 96-week evaluation period OR prior to completing the final Week 208 visit of the TG1101-RMS201E study.\n- Subjects who have started any disease modifying therapy (DMT), stem cell transplantation, or participation in any other interventional clinical trial after completion of the 96-week visit in the TG1101-RMS301, TG1101-RMS302, OR after the final Week 208 visit of the TG1101- RMS201E study.\n- Subjects who have had a confirmed MS relapse within the past 30 days prior to Week 1 Day 1 (W1D1). Following a relapse, subjects must be neurologically stable for at least 30 days prior to screening or W1D1 of the OLE.\n- Subjects with unstable disease activity\n- Presence of malignancy, except for surgically excised basal or squamous cell skin lesions\n- Vaccination with live virus within 2 months of randomization"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Relapses: • Annualized Relapse Rate (ARR) is defined as the number of relapses per- subject year. The estimate of ARR will be the total number of relapses divided by the sum of duration on study treatment (years).","definition_or_measurement_approach":"ARR defined as number of relapses per subject-year; estimate = total number of relapses divided by sum of duration on study treatment (years)."}
  • {"endpoint_text":"- MRI parameters: • T1 gadolinium enhancing (Gd-enhancing) • T1 hypointense lesions • T2 lesions • Brain atrophy","definition_or_measurement_approach":"MRI assessments including presence of T1 Gd-enhancing lesions, T1 hypointense lesions, T2 lesions, and measures of brain atrophy (as described in MRI parameters)."}
  • {"endpoint_text":"- Disability: • 24-Week Confirmed Disability Progression (CDP) • 24-Week Confirmed Disability Improvement (CDI) • Mean change from baseline in EDSS score","definition_or_measurement_approach":"Disability measured by 24-week confirmed disability progression (CDP), 24-week confirmed disability improvement (CDI), and mean change from baseline in EDSS score."}
  • {"endpoint_text":"- No Evidence of Disease Activity (NEDA): • NEDA is defined as subjects without relapses, MRI activities (no T1 Gd-enhancing lesions and no new/enlarging T2 lesions), and no 24-week confirmed disability progression. • The percent of subjects with no evidence of disease activity","definition_or_measurement_approach":"NEDA defined as absence of relapses, no MRI activity (no T1 Gd-enhancing lesions and no new/enlarging T2 lesions), and no 24-week confirmed disability progression; endpoint is percent of subjects meeting NEDA."}
  • {"endpoint_text":"- Cognition and Function: • Cognition will be measured by Symbol Digit Modalities Test (SDMT) • Function will be measured by Multiple Sclerosis Functional Composite (MSFC)","definition_or_measurement_approach":"Cognition assessed by SDMT; function assessed by MSFC."}
  • {"endpoint_text":"- Safety Endpoints: All AEs will be reported and evaluated during the treatment period using NCI CTCAE v.5.0 grading system; the number and severity of infusion-associated events; the number and severity of infectious AEs; any clinically significant changes in laboratory or vital sign measurements; the incidence of anti-drug antibodies","definition_or_measurement_approach":"Safety assessed by reporting all AEs using NCI CTCAE v5.0; capture number/severity of infusion-associated events, infectious AEs, clinically significant lab/vital sign changes, and incidence of anti-drug antibodies."}

Recruitment

Planned Sample Size
742
Recruitment Window Months
115
Consent Approach
Written informed consent required from subjects ("Are able and willing to provide written informed consent (e.g., before the first infusion)"). Subject information and informed consent forms are available (documents: "L1_SIS and ICF PL_for publication", "L1_SIS and ICF HR_for publication", "L1_SIS and ICF PL-UA_for publication"). Informed consent procedures documents are present ("L1_Informed consent procedure HR", "L1_Informed consent procedure PL"). Documents for personal data witness and legal representative are provided ("L1_Personal data Witness PL", "L1_Personal data Legal Representative PL" and PL-UA variants), indicating provision for witnesses/legal representatives and translated materials (Polish, Croatian, Polish-Ukrainian versions present).

Geography

Total Number Of Sites
11
Total Number Of Participants
137

Croatia

Earliest CTIS Part Ii Submission Date
04-10-2024
Latest Decision Or Authorization Date
23-03-2026
Processing Time Days
535
Number Of Sites
3
Number Of Participants
39

Sites

Site Name
Klinicki Bolnicki Centar Osijek
Department Name
Neurology Department
Contact Person Name
Tea Mirosevic Zubonja
Contact Person Email
tmirosevic@gmail.com
Site Name
University Hospital Centre Zagreb
Department Name
Neurology Department
Contact Person Name
Mario Habek
Contact Person Email
mario.habek@mef.hr
Site Name
Opca Bolnica Varazdin
Department Name
Neurology Department
Contact Person Name
Spomenka Kidemet-Piskac
Contact Person Email
spiskac@gmail.com

Poland

Earliest CTIS Part Ii Submission Date
04-10-2024
Latest Decision Or Authorization Date
02-03-2026
Processing Time Days
514
Number Of Sites
8
Number Of Participants
98

Sites

Site Name
Krakowska Akademia Neurologii Sp. z o.o.
Department Name
Centrum Neurologii Klinicznej
Contact Person Name
Andrzej Szczudlik
Contact Person Email
centrum@neurologia.org.pl
Site Name
Neuro-Medic Sp. z o.o.
Department Name
Neuro-Medic Poradnia Wielospecjalistyczna
Contact Person Name
Janusz Zbrojkiewicz
Contact Person Email
neuromedic@op.pl
Site Name
Samodzielny Publiczny Szpital Kliniczny Nr 1 Im.Prof.Stanislawa Szyszko Slaskiego Uniwersytetu Medycznego W Katowicach
Department Name
Oddział Neurologiczny Oddział Udarowy
Contact Person Name
Monika Adamczyk-Sowa
Contact Person Email
neurozab@sum.edu.pl
Site Name
Wojewodzki Szpital Specjalistyczny W Olsztynie
Department Name
Oddział Neurologiczny Oddział Udarowy
Contact Person Name
Andrzej Tutaj
Contact Person Email
szpital@wss.olsztyn.pl
Site Name
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Department Name
Klinika Neurologiczna
Contact Person Name
Adam Stępień
Site Name
Ilkowski I Partnerzy sp.p. Lekarzy
Department Name
NZOZ Neuro-Kard Ilkowski Partnerzy Spółka Partnerska Lekarzy
Contact Person Name
Jan Ilkowski
Contact Person Email
biuro@neurokard.pl
Site Name
Care Clinic Sp. z o.o.
Department Name
Care Clinic Centrum Medyczne
Contact Person Name
Ewa Krzystanek
Contact Person Email
poczta@careclinic.katowice.pl
Site Name
Centrum Neurologii Krzysztof Selmaj
Department Name
Centrum Neurologii
Contact Person Name
Krzysztof Selmaj

Sponsor

Primary sponsor

Full Name
Tg Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Third parties

  • {"country":"Poland","full_name":"Brillance Sp. z o.o.","duties_or_roles":"codes: 1,12,2,5","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"United Biosource LLC","duties_or_roles":"codes: 8","organisation_type":"Industry"}
  • {"country":"United States","full_name":"Veranex LLC","duties_or_roles":"codes: 7","organisation_type":"Industry"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"codes: 3","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"Clinigen Clinical Supplies Management GmbH","duties_or_roles":"codes: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"Russian Federation","full_name":"OCT Clinical Trials","duties_or_roles":"codes: 1,2","organisation_type":"Industry"}
  • {"country":"Belgium","full_name":"Clinigen Clinical Supplies Management","duties_or_roles":"codes: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"Poland","full_name":"Medicover Integrated Clinical Services Sp. z o.o.","duties_or_roles":"codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Medrio Inc.","duties_or_roles":"codes: 7","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Charles River Laboratories Inc.","duties_or_roles":"codes: 4","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ublituximab
Active Substance
UBLITUXIMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
Intravenous infusion
Maximum Dose
Max daily dose 450 mg; max total dose 6450 mg

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