Effect of MD1003 in Progressive Multiple Sclerosis (SPI2) (SPI2)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02936037
Recruitment Status : Active, not recruiting
First Posted : October 18, 2016
Last Update Posted : August 28, 2018
Information provided by (Responsible Party):
MedDay Pharmaceuticals SA

Brief Summary:
The purpose of this study is to demonstrate the superiority of MD1003 over placebo in the disability of patients suffering from progressive multiple sclerosis and especially those with gait impairment.

Condition or disease Intervention/treatment Phase
Multiple Sclerosis Drug: MD1003 100mg capsule Drug: PLACEBO Phase 3

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 600 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:

Randomized double blind placebo-controlled for at least 15 months but not longer than 27 months study drug administration per patient.

The blinded placebo-controlled phase will end when the last patient randomized has completed the Month 15 evaluation (visit 7). Patients who have completed 15 months will be kept on blinded study drug for a maximum of 27 months or until the last study patient completes the Month 15 evaluation, whichever comes first.

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effect of MD1003 in Progressive Multiple Sclerosis: a Randomized Double Blind Placebo Controlled Study
Actual Study Start Date : December 2016
Estimated Primary Completion Date : September 2018
Estimated Study Completion Date : September 2019

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Placebo Comparator: GROUP 1
Placebo capsule, 1 capsule tid (morning,noon and evening) for 15 months at least, then switch to MD1003 100mg capsule, 1 capsule tid for up to 12 months
Drug: MD1003 100mg capsule
Other Name: high dose biotin

an inactive substance

Experimental: GROUP 2
MD1003 capsule, 1 capsule tid (morning,noon and evening) for 15 months at least (double blind period) and then for all patients in open label extension for up to 12 months
Drug: MD1003 100mg capsule
Other Name: high dose biotin

Primary Outcome Measures :
  1. Proportion of patients improved on either Expanded Disability Status Scale (EDSS) or time to walk 25 feet (TW25) [ Time Frame: 15 months ]

    Proportion of patients improved on either Expanded Disability Status Scale (EDSS) or time to walk 25 feet (TW25) :

    - with decreased EDSS at M12 confirmed at M15 (where decreased EDSS is defined as a decrease of at least 1 point if initial EDSS from 3.5 to 5.5 and of at least 0.5 point if initial EDSS from 6 to 6.5)


    - with improved TW25 of at least 20% at Month 12 and Month15

    compared to the lowest of the two EDSS and TW25* scores among inclusion and randomization visits.

    *The lowest TW25 value recorded among the four values obtained during the inclusion and randomization visits will be considered as the baseline TW25 value.

Secondary Outcome Measures :
  1. Time to EDSS progression confirmed at 12 weeks [ Time Frame: 15 months ]
  2. CGI-I score (clinical global impression of change - improvement), evaluated both by the patient (SGI) and by the evaluating physician (CGI) [ Time Frame: 15 months ]
  3. Mean change in TW25 between M0 and M15 [ Time Frame: 15 months ]

Other Outcome Measures:
  1. Brain MRI changes between M0 and M15 [ Time Frame: 15 months ]
  2. Remote monitoring of ambulation [ Time Frame: 15 months ]
  3. (MSQOL54) & (CAREQOL-MS) subscores and composite scores [ Time Frame: 15 months ]
  4. Subscores of the Kurtzke functional score [ Time Frame: 15 months ]
  5. Symbol digit modalities test (SDMT) [ Time Frame: 15 months ]

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patient aged 18-65 years old
  • Signed and dated written informed consent form in accordance with local regulations: having freely given their written informed consent to participate in the study
  • Diagnosis of primary or secondary progressive MS fulfilling revised McDonald criteria (2010) and Lublin criteria (2014)
  • Documented evidence of clinical disability progression within the 2 years prior to inclusion, i.e. a) progression of EDSS during the past two years of at least 1 point sustained for at least 6 months if inclusion EDSS is from 3.5 to 5.5 or at least 0.5 point increase sustained for at least 6 months if inclusion EDSS is from 6 to 6.5 or b) increase of TW25 by at least 20% in the last two years sustained for at least 6 months or c) other well-documented objective worsening validated by the Adjudication Committee
  • EDSS at inclusion from 3.5 to 6.5
  • TW25 < 40 seconds
  • Kurtzke pyramidal functional subscore ≥2 defined as "minimal disability: patient complains of motor-fatigability or reduced performance in strenuous motor tasks (motor performance grade 1) and/or BMRC grade 4 in one or two muscle groups"

Exclusion Criteria:

  • Clinical evidence of a relapse in 24 months prior to inclusion
  • Treatment with any product containing biotin as single ingredient within six months prior to inclusion (multivitamin supplementation authorized if biotin < 1mg per day)
  • Concomitant treatment with fampridine at inclusion or in the 30 days prior to inclusion
  • New immunosuppressive/immunomodulatory drug initiated less than 90 days prior to inclusion
  • Treatment with botulinium toxin (except for cosmetic purpose) initiated within 6 months prior to inclusion
  • In-patient rehabilitation program within the 3 months prior to inclusion
  • Pregnancy, breastfeeding or women with childbearing potential without acceptable form of contraception
  • Men unwilling to use an acceptable form of contraception
  • Any general chronic handicapping/incapacitating disease other than MS
  • Any serious disease necessitating biological follow-up with biological tests using biotinylated antibodies or substrates
  • Past history of rhabdomyolysis/metabolic myopathy
  • Known fatty acids beta oxidation defect
  • Known hypersensitivity or intolerance to biotin, analogues or excipients, patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption
  • Patients with hypersensitivity or any contra-indication to Gadolinium
  • Patients with uncontrolled hepatic disorder, renal or cardiovascular disease, or cancer
  • Laboratory tests out of normal ranges considered by the investigator as clinically significant with regards to the study continuation
  • Patients with history or presence of alcohol abuse or drug addiction
  • Untreated or uncontrolled psychiatric disorders, especially suicidal risk assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)
  • Participation in another research study involving an investigational product (IP) in the 90 days prior to inclusion, or planned use during the study duration
  • Patients likely to be non-compliant to the study procedures or for whom a long-term follow-up seems to be difficult to achieve
  • Relapse that occurs between inclusion and randomization visit

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02936037

  Hide Study Locations
United States, Arizona
Barrow Neurology Clinics
Phoenix, Arizona, United States, 85013
Mayo Clinic Arizona
Scottsdale, Arizona, United States, 85259
United States, California
Sutter East Bay Medical Foundation
Berkeley, California, United States, 94705
Neuro-Pain Medical Center
Fresno, California, United States, 93710
University of Southern California Keck School of Medicine
Los Angeles, California, United States, 90033
MS Center of California
Newport Beach, California, United States, 92663
UC Davis Health System
Sacramento, California, United States, 95817-2307
UCSF Multiple Sclerosis Center
San Francisco, California, United States, 94117
United States, Colorado
University of Colorado Denver
Aurora, Colorado, United States, 80045
United States, Connecticut
Yale New Haven Hospital
North Haven, Connecticut, United States, 06473
United States, Florida
Nova Clinical Research, LLC
Bradenton, Florida, United States, 34209
University of Miami Miller School of Medicine
Miami, Florida, United States, 33136
University South Florida Medical Clinic
Tampa, Florida, United States, 33612
United States, Illinois
Northwestern University - Feinberg School of Medicine
Chicago, Illinois, United States, 60611
University of Chicago Medical Center-Duchossois Center for Advanced Medicine (DCAM)
Chicago, Illinois, United States, 60637
United States, Kansas
University of Kansas Medical Center
Kansas City, Kansas, United States, 66160
Rowe Neurology Institute
Lenexa, Kansas, United States, 66214
United States, Louisiana
Ochsner Health System
New Orleans, Louisiana, United States, 70121
United States, Maryland
Johns Hopkins Medicine Neurology & Neurosurgery
Baltimore, Maryland, United States, 21287
United States, Massachusetts
Harvard Medical School - Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115-5727
United States, Michigan
Wayne State University
Detroit, Michigan, United States, 48201
United States, Minnesota
Minneapolis Clinic of Neurology
Minneapolis, Minnesota, United States, 55422
United States, Missouri
Washington University School of Medicine
Saint Louis, Missouri, United States, 63110
United States, New Jersey
Holy Name Hospital
Teaneck, New Jersey, United States, 07666
United States, New Mexico
The University of New Mexico - Multiple Sclerosis Specialty Clinic
Albuquerque, New Mexico, United States, 87131
United States, New York
SUNY Buffalo - University Neurology, Inc
Buffalo, New York, United States, 14203
Columbia University Medical Center
New York, New York, United States, 10021-0005
Mount Sinai School of Medicine - Corinne Goldsmith Dickinson Center for MS
New York, New York, United States, 10029-6574
University of Rochester Medical Center
Rochester, New York, United States, 14642
State University of New York (SUNY)
Stony Brook, New York, United States, 11794
United States, North Carolina
Raleigh Neurology Associates, P.A.
Raleigh, North Carolina, United States, 27607
United States, Ohio
Cleveland Clinic Mellen Center for MS
Cleveland, Ohio, United States, 44195
United States, Oregon
Providence Multiple Sclerosis Center
Portland, Oregon, United States, 97225
United States, Pennsylvania
Thomas Jefferson University
Philadelphia, Pennsylvania, United States, 19107
United States, Tennessee
Cole Neuroscience Center
Knoxville, Tennessee, United States, 37920
Vanderbilt Comprehensive Multiple Sclerosis Center
Nashville, Tennessee, United States, 37215
United States, Texas
University of Texas Southwestern Medical Center
Dallas, Texas, United States, 75390-8829
Central Texas Neurology Consultants
Round Rock, Texas, United States, 78681
United States, Virginia
University of Virginia Health System
Charlottesville, Virginia, United States, 22903
United States, Washington
Virginia Mason Medical Center
Seattle, Washington, United States, 98101
Australia, Victoria
Austin Hospital
Heidelberg, Victoria, Australia, 3084
The Royal Melbourne Hospital
Parkville, Victoria, Australia, 3050
Brain and Mind Centre/University of Sydney
Sydney, Australia, 2050
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, Limburg, Belgium, 3500
UZ Gent
Halle, Oost-Vlaanderen, Belgium
UZ Antwerpen
Edegem, Belgium, 2650
Canada, British Columbia
Burnaby Hospital
Burnaby, British Columbia, Canada, V5G 1T4
Vancouver Hospital and Health Sciences Centre
Vancouver, British Columbia, Canada, V6T 2B5
Canada, New Brunswick
Hôpital universitaire Dr George L-Dumont university Hospital
Moncton, New Brunswick, Canada, E1C 8X3
Canada, Nova Scotia
Nova Scotia Rehabilitation Center
Halifax, Nova Scotia, Canada, B3H 3A7
Canada, Ontario
Ottawa Hospital General Campus
Ottawa, Ontario, Canada, ON K1H 8L6
Trillium Health Centre
Toronto, Ontario, Canada, L5B 1B8
Canada, Quebec
Montreal Neurologic Institute
Montreal, Quebec, Canada, H3A 2B4
Hopital de Notre Dame
Montréal, Canada, H2L 4M1
Doc. Radomir Talab - neurologist
Hradec Králové, Czechia, 500 03
Nemocnice Jihlava
Jihlava, Czechia, 586 33
Vseobecna fakultni nemocnice v Praze
Praha, Czechia, 128 21
Fakultni nemocnice v Motole
Praha, Czechia, 150 06
Nemocnice Teplice
Teplice, Czechia, 415 29
Universitätsklinikum Leipzig A.ö.R.
Leipzig, Sachsen, Germany, 04103
Fachkrankenhaus Hubertusburg
Wermsdorf, Sachsen, Germany, 04779
Caritas Krankenhaus
Bad Mergentheim, Germany, 97980
Charité - Universitätsmedizin Berlin / NeuroCure Clinical Research Center
Berlin, Germany, 10117
Universitätsklinikum Düsseldorf
Dusseldorf, Germany, 40225
MultipEL Studies Institut für klinische Studien GbR
Hamburg, Germany, 22179
Neuro Centrum Science GmbH
Hessen, Germany, 64711
Ludwig-Maximilians Universität München
München, Germany, 81377
Neuropoint GmbH
Ulm, Germany, 89073
Poliklinik für Neurologie Universitätsklinikum Ulm
Ulm, Germany, 89081
Valeomed Kft
Esztergom, Hungary
Ospedale San Raffaele, IRCCS
Milano, Italy, 20127
AO S.Andrea, Università degli Studi di Roma La Sapienza
Roma, Italy, 00189
Nasz Lekarz Ośrodek Badań Klinicznych
Bydgoszcz, Poland, 85-794
COPERNICUS PL sp z o.o.,Szpital im. M.Kopernika Oddział Neurologiczny
Gdansk, Poland, 80-803
Twoja Przychodnia Centrum Medyczne Nowa Sol
Nowa Sol, Poland, 71-270
Centrum Medyczne Pratia Warszawa
Warszawa, Poland, 01-868
Hospital Santa Caterina
Girona, Gerona, Spain, 17190
Hostipal Universitario Quirónsalud Madrid
Pozuelo de Alarcón, Madrid, Spain, 28223
Servicio de Neurología Hospital Vithas Nisa
Castilleja de la Cuesta, Sevilla, Spain, 41950
Hospital del Mar Servicio de Neurología
Barcelona, Spain, 08003
Hospital Universitari Vall d'Hebron
Barcelona, Spain, 08035
Hospital Clínico San Carlos
Madrid, Spain, 28040
Hospital Regional Universitario de Málaga
Malaga, Spain, 29010
Sahlgrenska Universitetssjukhus
Göteborg, Sweden, 416 85
Karolinska Institutet
Stockholm, Sweden, SE-171 77
Ondokuz Mayis University Medical Faculty
Samsun, Turkey, 55139
United Kingdom
The University of Edinburgh
Edinburgh, United Kingdom, EH16 4SB
Institute of Neurological Sciences
Glasgow, United Kingdom, G51 4TF
Barts And The London School Of Medicine And Dentistry Institute
London, United Kingdom, E1 2AT
University College London Institute of Neurology / National Hospital for Neurology & Neurosurgery
London, United Kingdom, WC1N 3BG
Tyne Hospitals NHS Foundation
Newcastle upon Tyne, United Kingdom, NE7 7DN
Salford Royal Hospital
Salford, United Kingdom, M6 8HD
Sponsors and Collaborators
MedDay Pharmaceuticals SA
Principal Investigator: Bruce Cree, MD, PHD University of California, San Francisco
Study Director: Frederic Sedel, MD, PHD Medday Pharmaceuticals

Additional Information:
Responsible Party: MedDay Pharmaceuticals SA Identifier: NCT02936037     History of Changes
Other Study ID Numbers: MD1003CT2016-01MS-SPI2
First Posted: October 18, 2016    Key Record Dates
Last Update Posted: August 28, 2018
Last Verified: August 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by MedDay Pharmaceuticals SA:
progressive multiple sclerosis
multiple sclerosis

Additional relevant MeSH terms:
Multiple Sclerosis
Pathologic Processes
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Autoimmune Diseases
Immune System Diseases