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A Maintenance Extension of Phase I Pilot Study of Chimeric Anti-CD4 Antibody M-T412 in Patients With Multiple Sclerosis

This study has been completed.
Study NCT00004816.   Last updated on June 23, 2005.   Information provided by Office of Rare Diseases (ORD)

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Descriptive Information Fields
Brief Title  A Maintenance Extension of Phase I Pilot Study of Chimeric Anti-CD4 Antibody M-T412 in Patients With Multiple Sclerosis
Official Title 
Brief Summary

OBJECTIVES: I. Evaluate the safety and immunogenicity of single and multiple doses of M-T412, a chimeric murine-human anti-CD4 monoclonal antibody, in patients with multiple sclerosis.

II. Evaluate the pharmacokinetics of M-T412. III. Obtain preliminary data on the clinical response to M-T412.

Detailed Description

PROTOCOL OUTLINE: This is an open label, dose escalating study. Escalating doses of M-T412 are administered to cohorts of 5 patients each receiving a single dose intravenously over 2 hours.

Patients who complete the single dose assessment of M-T412 may receive up to 3 additional single doses of M-T412 IV over 2 hours, with each repeated dose given at least 1 month apart.

Then, patients receive one dose level of M-T412 IV over 2 hours at 3 month intervals over a period of 12 months for a total of 5 doses. Once recovery of CD4 cells is obtained, the next scheduled infusion of M-T412 begins. Patients are omitted from study if CD4 cells remain attenuated following 2 scheduled infusion sessions.

Patients are followed at 3, 6, 12, and 24 months after the first infusion.

Study Phase Phase I
Study Type  Interventional
Study Design  Treatment, Open Label, Safety/Efficacy Study
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Multiple Sclerosis
Intervention  Drug: monoclonal antibody M-T412
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  25
Start Date  July 1995
Completion Date
Eligibility Criteria 

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

  • Diagnosis of chronic, advanced, progressive multiple sclerosis (MS)

--Prior/Concurrent Therapy--

  • Biologic therapy: No sensitivity to murine proteins No prior treatment at any time with anti-CD4 antibodies, other murine antibodies, or other anti-T cell antibodies (e.g., xenologous or human) At least 4 weeks since use of other biological agents
  • Chemotherapy: No concomitant chemotherapy At least 3 months since prior chemotherapy
  • Endocrine therapy: No concomitant steroidal therapy At least 3 months since prior steroidal therapy
  • Radiotherapy: No total lymphoid irradiation prior to study No concomitant radiotherapy At least 3 months since prior radiotherapy
  • Other: No use of investigational drugs within 30 days prior to study

--Patient Characteristics--

  • Age: 21 to 75
  • Hematopoietic: Hemoglobin at least 10 g/dL WBC at least 4000/mm3 Granulocyte count at least 1500/mm3 Platelet count at least 100,000/mm3 CD4+ lymphocyte count at least 300 cells/mm3
  • Other: Not pregnant or lactating Effective contraception required of fertile patients for 3 months prior to and during study No substance abuse (e.g., drug or alcohol) Not HIV positive No AIDS-Related Complex (ARC) No serum antibodies to HIV Negative serum antibody test for HIV within 1 month prior to study No underlying medical or psychiatric condition
Gender Both
Ages 21 Years to 75 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries 
Administrative Information Fields
NCT ID  NCT00004816
Organization ID 199/12050
Secondary IDs †† SUMC-C0128T03
Study Sponsor  National Center for Research Resources (NCRR)
Collaborators †† Stanford University
Investigators 
Study Chair:     Lawrence Steinman     Stanford University    
Information Provided By Office of Rare Diseases (ORD)
Verification Date December 2001
First Received Date  February 24, 2000
Last Updated Date June 23, 2005

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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