Open-label, Multi-center, Phase I/II Study to Assess Safety, Disease Progression and Cellular Kinetics Following YTB323 Administration in Participants With Non-active Progressive Multiple Sclerosis (PMS)

Launched by NOVARTIS PHARMACEUTICALS · Nov 4, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new treatment called YTB323 for people with non-active Progressive Multiple Sclerosis (PMS). The goal is to see if this treatment is safe and how it affects the progression of the disease in participants. The study will include 28 participants aged between 18 and 60 years who have been diagnosed with specific types of PMS and have not had any relapses in the past year. Participants will need to be able to undergo certain medical tests, including blood draws and brain scans, to help researchers gather important information about the treatment.

If you or someone you know is interested in participating, it's important to know that participants must not have any other significant health issues that could interfere with the study. During the trial, participants can expect to receive YTB323 and will be monitored closely to check for any side effects and to track how the treatment is working. This study is currently recruiting, so there is an opportunity to contribute to research that may help improve future treatments for Progressive Multiple Sclerosis.

Gender

ALL

Eligibility criteria

• Key Inclusion Criteria:
• • 1. Male or female participants 18 to 60 years (inclusive) at screening.
• • 2. Signed informed consent must be obtained prior to participation in the study.
• 3. Able to communicate well with the investigator, to understand and comply with the requirements of the study including:
• • Able to undergo lumbar puncture (LP), blood draws, tolerate brain MRI, and able to participate and tolerate all study procedures at study visits.
• • 4. Diagnosis of SPMS or PPMS according to the 2017 McDonald diagnostic criteria (Thompson et al 2018) as confirmed at screening visit.
• • 5. Disease duration less than 15 years.
• • 6. Ambulatory Patients (EDSS 3 to 6.5 inclusive) at screening.
• • 7. Evidence of recent (within 1 year) disease progression of ≥0.5 on the EDSS scale.
• • 8. No relapse in the last year at screening.
• • 9. No Gd-enhancing lesion on brain MRI at screening.
• Key Exclusion Criteria:
• • 1. Diagnosis of relapsing multiple sclerosis (RMS) or active PMS according to the 2017 revision of the McDonald diagnostic criteria (Thompson et al 2018) at screening.
• • 2. History of, or current, clinically significant CNS disease except MS (e.g. stroke, traumatic brain or spinal injury, history or presence of myelopathy, history of seizures or epilepsy) or neurological disorders which may mimic MS at screening.
• • 3. Evidence of clinically significant cardiovascular (such as but not limited to myocardial infarction, unstable ischemic heart disease, New York Heart Association Class III/IV left ventricular failure, arrhythmia and uncontrolled hypertension within 6 months prior to screening).
• • 4. Participants with history of confirmed Progressive Multifocal Leukoencephalopathy (PML) or neurological symptoms consistent with PML prior to screening.
• • 5. Clinically significant, active, opportunistic, chronic or recurrent infection (including positive for hepatitis B or hepatitis C) confirmed by clinical evidence, imaging, or positive laboratory tests one month prior to leukapheresis.
• • 6. Have donated blood or experienced a loss of blood \> 400 mL within 3 months prior screening, or longer if required by local regulations.
• • 7. Any prior stem cell therapy or organ transplantation or gene therapy.
• 8. Any contraindications to LP, including but not limited to:
• • Known or suspected structural abnormality of the lumbar spine that, in the opinion of the Investigator, may interfere with the performance of the LP, or increase the risk of the procedure for the participant.
• • Presence of risk for increased or uncontrolled bleeding (including but not limited to vascular abnormalities or neoplasms at or near the LP site, disorders of the coagulation cascade, platelet function, or platelet count).
• • Participants on anticoagulants (e.g., warfarin) or antiplatelets \[except for low-dose aspirin (100 mg/day or lower) and low-dose nonsteroidal anti-inflammatory drugs such as ibuprofen (600 mg/day or lower) which are allowed\], are not eligible to participate.
• • 9. Not willing or able to have MRI scans as per protocol e.g. due to claustrophobia, or absolute contraindications to MRI (e.g., metallic implants, metallic foreign bodies, pacemaker, defibrillator).
• • 10. Pregnant or nursing (lactating) women.
• • 11. Past surgical history of splenectomy.
• • 12. Evidence of active or latent tuberculosis (TB) infection by QuantiFERON® TB-Gold assay (or equivalent) performed at Screening by central lab. In case of unclear or indeterminate test results, the Investigator should consult with an infectious disease expert to exclude the diagnosis of active or latent TB infection and document this in the source data. Participant should be excluded if they have any signs of active TB observed in available lung imaging (e.g., X-ray or HRCT).
• • 13. Any psychiatric, pulmonary (including, history of or active severe respiratory disease, including Chronic Obstructive Pulmonary Disease, interstitial lung disease or pulmonary fibrosis), renal, hepatic, endocrine, metabolic (e.g. severe hypoproteinemia due to nephrotic syndrome), hematological disorders or gastrointestinal disease that, in the investigator's opinion, would compromise the safety of the participant, interfere with the interpretation of the study results or otherwise preclude participation or protocol adherence of the participant, prior to screening.
• • 14. Grade 2 or higher thromboembolic event in the past 4 weeks prior to or during Screening or evidence of disorders of coagulation or platelet function including subjects that require chronic use of anticoagulation or antiplatelet drugs (please refer to the key exclusion criteria no. 8 for the exceptions).