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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT06141486
Registration number
NCT06141486
Ethics application status
Date submitted
9/11/2023
Date registered
21/11/2023
Date last updated
10/06/2024
Titles & IDs
Public title
Efficacy and Safety Study of Frexalimab (SAR441344) in Adults With Nonrelapsing Secondary Progressive Multiple Sclerosis
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Scientific title
A Randomized, Double-blind, Phase 3 Study Comparing Efficacy and Safety of Frexalimab (SAR441344) to Placebo in Adult Participants With Nonrelapsing Secondary Progressive Multiple Sclerosis
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Secondary ID [1]
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U1111-1280-7114
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Secondary ID [2]
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EFC17504
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multiple Sclerosis
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Frexalimab
Treatment: Drugs - Placebo
Treatment: Drugs - MRI contrast-enhancing agents
Experimental: Frexalimab - Frexalimab IV administration
Placebo Comparator: Placebo - Matching placebo
Treatment: Drugs: Frexalimab
SAR441344 Solution for IV infusion
Treatment: Drugs: Placebo
Solution for IV infusion
Treatment: Drugs: MRI contrast-enhancing agents
IV, as per respective label
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to onset of composite confirmed disability progression (cCDP) confirmed over 6 months
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Assessment method [1]
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Defined as Increase from the baseline expanded disability status scale (EDSS) score of =1.0 point when the baseline is <5.5, or =0.5 point when the baseline is =5.5, OR Increase of =20% from the baseline time in the 9 hole peg test (9HPT),OR Increase of =20% from the baseline time in the timed 25 foot walk (T25FW) test
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Timepoint [1]
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Until Week 204
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Secondary outcome [1]
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Time to onset of composite cCDP confirmed over 3 months
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Assessment method [1]
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Timepoint [1]
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Until Week 204
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Secondary outcome [2]
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Time to onset of individual components of the composite, confirmed over 3-months or 6-months
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Assessment method [2]
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Timepoint [2]
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Until Week 204
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Secondary outcome [3]
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Time to onset of confirmed disability improvement (CDI)
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Assessment method [3]
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defined as decrease from the baseline EDSS score of =1.0 or = 0.5 points when baseline is =5.5 or >5.5 points, respectively, confirmed over 6 months.
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Timepoint [3]
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Until Week 204
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Secondary outcome [4]
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Number of new and/or enlarging T2hyperintense lesions per scan as detected by MRI, and number of new and/or enlarging T2-hyperintense lesions per month
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Assessment method [4]
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Timepoint [4]
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Until Week 204
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Secondary outcome [5]
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Percent change in brain volume loss as detected by MRI scans at the end of study (EOS) compared to Month 6
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Assessment method [5]
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Timepoint [5]
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From Week 24 to Week 204
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Secondary outcome [6]
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Change in cognitive function at the EOS compared to baseline as assessed by symbol digit modalities test (SDMT)
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Assessment method [6]
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Timepoint [6]
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Baseline, Until Week 204
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Secondary outcome [7]
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Change from baseline in multiple sclerosis impact scale 29 version 2 (MSIS-29v2) questionnaire scores over time
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Assessment method [7]
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Timepoint [7]
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Baseline, Until Week 204
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Secondary outcome [8]
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Change from baseline in patient reported outcome measurement information system (PROMIS) Fatigue multiple sclerosis (MS)-8a over time
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Assessment method [8]
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Timepoint [8]
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Baseline, Until Week 204
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Secondary outcome [9]
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Annualized relapse rate during the study period assessed by protocol defined adjudicated relapses
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Assessment method [9]
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Timepoint [9]
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Until Week 204
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Secondary outcome [10]
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Number of participants with adverse events, SAEs, AEs leading to permanent study intervention discontinuation and AE of special interests (AESIs)
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Assessment method [10]
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Timepoint [10]
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Until Week 204
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Secondary outcome [11]
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Number of participants with potentially clinically significant abnormalities (PCSAs) in laboratory tests, ECG, and vital signs during the study period
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Assessment method [11]
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12-lead ECG (electrocardiogram) will be obtained using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTc intervals.
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Timepoint [11]
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Until Week 204
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Secondary outcome [12]
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Number of participants with antibody over time
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Assessment method [12]
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Timepoint [12]
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Until Week 204
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Secondary outcome [13]
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Change from baseline in serum Ig levels over time
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Assessment method [13]
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Timepoint [13]
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Until Week 204
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Secondary outcome [14]
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Change from baseline in plasma neurofilament light chain (NfL) levels over time
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Assessment method [14]
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Timepoint [14]
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Until Week 204
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Secondary outcome [15]
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Frexalimab plasma concentration over time
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Assessment method [15]
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Timepoint [15]
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Until Week 204
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Eligibility
Key inclusion criteria
- Participant must have a previous diagnosis of RRMS in accordance with the 2017 revised
McDonald criteria.
- Participant must have a current diagnosis of SPMS in accordance with the clinical
course criteria revised in 2013 endorsed by an Adjudication Committee.
- Participant must have documented evidence of disability progression observed during
the 12 months before screening. Eligibility will be analyzed by an Adjudication
Committee.
- Absence of clinical relapses for at least 24 months.
- The participant must have an EDSS score at screening from 3.0 to 6.5 points,
inclusive.
- Contraceptive use by men and women should be consistent with local regulations
regarding the methods of contraception for those participating in clinical studies.
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- The participant has a history of infection or may be at risk for infection.
- The presence of psychiatric disturbance or substance abuse.
- History, clinical evidence, suspicion or significant risk for thromboembolic events,
as well as myocardial infarction, stroke, and/or antiphosholipid syndrome and any
participants requiring antithrombotic treatment.
- History or current hypogammaglobulinemia.
- A history or presence of disease that can mimic MS symptoms, such as, but not limited
to neuromyelitis optica spectrum disorder, systemic lupus erythematosus, Sjogren's
syndrome, acute disseminated encephalomyelitis, and myasthenia gravis.
- The participant has sensitivity to any of the study interventions, or components
thereof, or has a drug or other allergy that, in the opinion of the Investigator,
contraindicates participation in the study.
- The participant was previously exposed to frexalimab.
The above information is not intended to contain all considerations relevant to a patient's
potential participation in a clinical trial.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
27/12/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
24/03/2028
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Actual
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Sample size
Target
858
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Investigational Site Number : 0360004 - Kogarah
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Recruitment hospital [2]
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Investigational Site Number : 0360002 - Heidelberg
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Recruitment postcode(s) [1]
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2217 - Kogarah
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Recruitment postcode(s) [2]
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3084 - Heidelberg
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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United States of America
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State/province [2]
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Arizona
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Country [3]
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United States of America
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State/province [3]
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California
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Country [4]
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United States of America
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State/province [4]
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Florida
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Country [5]
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United States of America
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State/province [5]
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Georgia
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Country [6]
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United States of America
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State/province [6]
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Illinois
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Country [7]
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United States of America
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State/province [7]
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Indiana
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Country [8]
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United States of America
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State/province [8]
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Iowa
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Country [9]
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United States of America
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State/province [9]
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Kansas
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Country [10]
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United States of America
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State/province [10]
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Maryland
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Country [11]
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United States of America
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State/province [11]
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Massachusetts
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Country [12]
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United States of America
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State/province [12]
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Michigan
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Country [13]
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United States of America
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State/province [13]
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Missouri
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Country [14]
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United States of America
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State/province [14]
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Nevada
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Country [15]
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United States of America
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State/province [15]
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New York
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Country [16]
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United States of America
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State/province [16]
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North Carolina
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Country [17]
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United States of America
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Ohio
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Country [18]
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United States of America
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Oklahoma
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Country [19]
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United States of America
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State/province [19]
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Tennessee
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Country [20]
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United States of America
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State/province [20]
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Texas
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Country [21]
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United States of America
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State/province [21]
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Virginia
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United States of America
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Wisconsin
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Canada
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Quebec
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China
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Guangzhou
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Japan
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Kyoto
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Korea, Republic of
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Seoul-teukbyeolsi
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Puerto Rico
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State/province [27]
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Guaynabo
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Turkey
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State/province [28]
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Kocaeli
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Turkey
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State/province [29]
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Mersin
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Turkey
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State/province [30]
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Samsun
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Country [31]
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United Kingdom
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State/province [31]
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Kent
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Sanofi
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this randomized, double-blind, placebo-controlled, parallel group study is to
determine the efficacy of frexalimab in delaying the disability progression and the safety up
to approximately 51 months administration of study intervention compared to placebo in male
and female participants with nrSPMS (aged 18 to 60 years at the time of enrollment). People
diagnosed with nrSPMS are eligible for enrollment as long as they meet all the inclusion
criteria and none of the exclusion criteria. Study details include:
- This event-driven study will have variable duration ranging from approximately 27 to 51
months.
- The study intervention duration will vary ranging from approximately 27 to 51 months.
- The number of scheduled visits will be up to 27 (including 3 follow-up visits) with a
visit frequency of every month for the first 6 months and then every 3 months.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT06141486
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Trial Transparency email recommended (Toll free number for US & Canada)
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Address
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Country
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Phone
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800-633-1610
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT06141486
Download to PDF