Phase 1 Randomized Study of MEDI-551 in Subjects with Relapsing Forms

  • Research type

    Research Study

  • Full title

    A Phase 1 Randomized Study of MEDI-551 in Subjects with Relapsing Forms of Multiple Sclerosis

  • IRAS ID

    99189

  • Contact name

    Gavin Giovannoni

  • Sponsor organisation

    MedImmune LLC

  • Eudract number

    2011-005475-16

  • ISRCTN Number

    n/a

  • Clinicaltrials.gov Identifier

    n/a

  • Research summary

    Multiple Sclerosis (MS) is a condition of the central nervous system. Certain white cells in the blood called B-lymphocytes or B-cells are believed to play a role in the disease of MS. MEDI-551, the drug being tested in this study, is a man-made human monoclonal antibody that reduces the number of B cells in the blood. A decrease in the number of B-cells in the blood has been associated with a lower relapse rate and improvement in symptoms of disease. This is a Phase 1/2, multicentre, adaptive design study to evaluate the safety, tolerability, and efficacy of MEDI-551 in adult subjects with Relapsing-Remitting Multiple Sclerosis (RRMS). This study consists of:- Phase 1 part: Dose-escalation Phase: Randomised, double-blind with 4 cohorts of 8 subjects randomised in a 6:2 ratio to receive a single course of MEDI-551 (30, 100, 300, or 900 mg) or placebo (dummy drug). Parallel-dose part: Randomized, double-blind with 5 groups of 12 subjects each randomised in a 1:1:1:1:1 ratio to receive in a single course of MEDI-551 (30, 100, 300, or 900 mg) or placebo. Phase 2 Part: Designed similarly to the parallel-dose phase of the Phase 1 part but excludes placebo and adds the active comparator Avonex. There will be approximately 92 participants in Phase 1 and 420 in phase 2. The study will be carried out in approximately 50 research centres in North America and Europe. Participants will be in the Phase 1 part for about 32 weeks or the Phase 2 part for about 52 weeks. In addition there will be Long-term Follow-up Period for B-cell Recovery. Participants will continue to be followed long-term on an annual basis. This study involves procedures including: Physical examination; vital signs; Medical History; ECG, Chest x-ray; Gd-enhancing MRI scan; lab tests; neurological function and level of disability tests; study drug administration.

  • REC name

    London - City & East Research Ethics Committee

  • REC reference

    12/LO/0720

  • Date of REC Opinion

    25 Jul 2012

  • REC opinion

    Further Information Favourable Opinion