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
- Contact Person Email
- Sekretariat_neurologia@wim.mil.pl
- 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
- Contact Person Email
- centrum.neurologii.k.selmaj@gmail.com
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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