Study to Assess the Effect of Ofatumumab in Treatment Naïve, Very Early RRMS Patients Benchmarked Against Healthy Controls.
Relapse Remitting Multiple Sclerosis
Bottom Line
View on ClinicalTrials.gov: NCT05084638 ↗Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Ofatumumab (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Feb 2025
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Achieving NEDA-3 (No Evidence of Disease Activity-3) |
81.1 | — |
| SECONDARY Number of Confirmed MS Relapses in Months 6 to 18 |
1 | — |
| SECONDARY Participant Based Annualized Relapse Rate (ARR) |
0.01 | — |
| SECONDARY Group Based Annualized Relapse Rate (ARR) |
0.01 | — |
| SECONDARY Percentage of Participants That Were 3-month Disability Progression-free |
90.5 | — |
| SECONDARY Percentage of Participants With NEDA (No Evidence of Disease Activity) - Clinical |
89.5 | — |
| SECONDARY Number of Participants With NEDA (No Evidence of Disease Activity) - Radiological |
90.5 | — |
| SECONDARY Change From Baseline in Gd+ Lesion Count |
— | — |
| SECONDARY Change From Baseline in Gd+ Lesion Volume |
— | — |
| SECONDARY Change From Baseline in New/Enlarging T2 Lesion Count |
— | — |
| SECONDARY Change From Baseline in T2 Lesion Volume |
— | — |
| SECONDARY Change From Baseline for NeuroQOL |
— | — |
| SECONDARY Change From Baseline for Patient Determined Disease Steps (PDDS) |
— | — |
| SECONDARY Brain Volume Loss (BVL) Assessment (Whole Brain and Regional) |
— | — |
| SECONDARY Number of Participants With Treatment Emergent Adverse Events |
— | — |
| SECONDARY Change From Baseline in New Unenhancing T1 Lesion Number |
— | — |
| SECONDARY Change From Baseline in T1 Unenhancing Lesion Volume |
— | — |
Summary
Eligibility Criteria
Key Inclusion Criteria
Participants eligible for inclusion in this study must meet all of the following criteria:
- Signed informed consent must be obtained prior to participation in the study
- Age 18-35 years
Patients in the healthy control arm eligible for inclusion must fulfill the following criteria:
- Able to obtain MRI (HC with abnormal MRI at Screening will be excluded) and use wearable device
- Able to provide blood sample (no CSF will be collected in HC)
Patients in the ofatumumab-treated arm eligible for inclusion must fulfill the following criteria:
- Diagnosis of RRMS per McDonald Criteria (2010/2017)
- Within 6 months of diagnosis of clinically definite MS (CDMS)
- EDSS 0-3.0 (Inclusive)
- Treatment-naïve to MS DMT
- Able to obtain MRI and attend study visits at sites
- Able to use wearable device
- Able to provide blood sample (and CSF for sub-group n=15)
Key Exclusion Criteria
Participants in the healthy control arm meeting any of the following criteria are not eligible for inclusion in this study:
- Confounding medical condition as determined by the investigator
RRMS patients fulfilling any of the following exclusion criteria are not eligible for inclusion in this study:
- Diseases other than multiple sclerosis responsible for the clinical or MRI presentation
- Patients with neuromyelitis optica, Radiologic/ Clinically Isolated Syndrome, Secondary Progressive or Primary Progressive MS diagnosis
- Use of experimental or investigational drugs for MS
- Previous use of Disease Modifying Therapy (DMT) or chemotherapeutic medications for MS
- Relapse between screening and Baseline visits
- Known sensitivity to gadolinium; patients with chronic, severe kidney disease
- Known history of hypersensitivity to any of the study treatments or its excipients or to drugs of similar chemical classes
- CNS anomalies that are better accounted for by another disease process or MRI anomalies causing clinically apparent impairments
- Known active malignancies
- Pregnant or nursing (lactating) women
- Females of childbearing potential (all women physiologically capable of becoming pregnant) should use effective contraception while receiving ofatumumab and for 6 months after the last treatment of ofatumumab
- Patients with an active chronic disease (or stable but treated with immune therapy) of the immune system other than MS or with immunodeficiency syndrome
- Patients with active infections including systemic bacterial, viral (including SARS-CoV-2/COVID-19) or fungal infections, or known to have AIDS or to test positive for HIV antibody at Screening
- Patients with neurological findings consistent with Progressive Multifocal Leukoencephalopathy (PML), or confirmed PML
- Patients with IgG or IgM levels below LLN at Screening
- Patients that have received any live or live-attenuated vaccines within 4 weeks prior to first dose of study drug administration
- Patients at risk of developing or having reactivation of hepatitis
Data sourced from ClinicalTrials.gov (NCT05084638). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.