The goal of this clinical trial is to study the efficacy and safety of BCD-132 (divozilimab) in subjects with neuromyelitis optica spectrum disorders (NMOSD).
BCD-132-6/AQUARELLE is an open-label phase 3 clinical study in subjects with NMOSD. Approximately 105 subjects will be enrolled. The study consists of a screening period, a treatment period and a follow-up period. During treatment period, the subjects will receive the investigational product divozilimab. The duration of participation for each subject will be approximately 104 weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
105
anti-CD20 monoclonal antibody
Llc "Profimed"
Barnaul, Russia
Municipal Autonomous Healthcare Institution of the Order of the Red Banner of Labor "City Clinical Hospital No.1"
Adjudicated annualized relapse rate [Week 24]
Adjudicated annualized relapse rate
Time frame: Week 24
Time to the first adjudicated relapse
Time to the first adjudicated relapse is defined as the time from the date of randomization in the study to the date of the onset of symptoms of the adjudicated relapse. Each relapse will be adjudicated by an independent neurological commission
Time frame: Week 100
Adjudicated annualized relapse rate
Adjudicated annualized relapse rate
Time frame: Week 52, 100
Proportion of subjects without adjudicated relapses
Proportion of subjects without adjudicated relapses at week 24, 52, 100
Time frame: Weeks 24, 52, 100
Change in the Expanded Disability Status Scale (EDSS) score
Change in the Expanded Disability Status Scale (EDSS) at week 24, 52, 100 relative to baseline.The EDSS ranges from 0 to 10. An increase in EDSS values corresponds to a worsening disability.
Time frame: Week 24, 52, 100
Proportion of subjects with confirmed increase in disability
Confirmed increase in disability is defined as an increase in the EDSS score (not related to a previous relapse and assuming there is no relapse at assessment) compared to Day 1 (baseline) by at least 1.5 in subjects with a baseline score of 0; by at least 1.0 in subjects with a baseline score of \> 0 and ≤ 5.5; and by at least 0.5 in subjects with a baseline score of ≥ 6.0 persisting for ≥ 3 months
Time frame: Weeks 24, 26, 48, 52, 100
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Chelyabinsk, Russia
Regional Clinical Hospital No.3
Chelyabinsk, Russia
Kuzbass Clinical Hospital named after S.V. Belyaev
Kemerovo, Russia
Khanty-Mansiysk autonomous district - Ugra "The district clinical hospital"
Khanty-Mansiysk, Russia
Center for Cardiology and Neurology
Kirov, Russia
Regional Clinical Hospital № 1 named after Professor S. V. Ochapovsky
Krasnodar, Russia
Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)
Moscow, Russia
LLC "Medis"
Nizhny Novgorod, Russia
Semashko Regional Clinical Hospital
Nizhny Novgorod, Russia
...and 9 more locations
Vision acuity change
Vision acuity change at Week 24, 52, 100 relative to baseline
Time frame: Week 24, 52, 100
Change in the Timed 25-Foot (7.62 m) Walk (T25-FW) test
Change in the Timed 25-Foot (7.62 m) Walk (T25-FW) test over time compared to baseline. T25-FW test is a way to quantify lower limb functions. The subject standing at one end of a clearly marked 25-foot (7.62-meter) course is asked to walk the distance as quickly but as safely as possible. After the first attempt, the subject is asked to walk the same distance again. The results (time in seconds) of both attempts are recorded.
Time frame: Up to Week 100
Changes in the severity of pain using a Numeric Rating Scale
Changes in the severity of pain at Week 4, 24, 52, 100 relative to baseline. The Numerical Rating Scale (NRS) will be used to assess the intensity of the subject's pain. NRS consists of consecutive numbers from 0 to 10, where 0 is no pain and 10 is the most severe pain that can be imagined.
Time frame: Week 4, 24, 52, 100
Change in the quality of life using a SF-36
Change in the quality of life parameters using a SF-36 questionnaire at week 24, 52, 100 relative to baseline. SF-36 (Short Form-36) questionnaire includes a total of 36 questions.
Time frame: Week 24, 52, 100
CUA
CUA (Cumulative Total Active) - • Cumulative number of new Gd-enhancing T1-weighted lesions and new T2-weighted lesions or enlarging T2-weighted lesions without double counting
Time frame: Week 24