This study aims to examine the efficacy and safety of obexelimab in participants with relapsing multiple sclerosis
The study consists of a Screening Period (Day -28 to Day -1), a 24-week treatment period (Part A and Part B), a 52 week open label extension and an expected 12-week Follow-up Period. Patients with Relapsing Multiple Sclerosis will be randomized in 2:1 ratio to obexelimab or placebo. Randomization will be stratified by Gd lesion status at screening (≥ 1 vs 0). Part A is the 12-week Randomized Placebo-Controlled Period (RCP), during which obexelimab or placebo will be administered as weekly subcutaneous (SC) injections. Following Part A, all patients will enter the Part B, a 12-week Open-Label Period (OLP), during which all patients will receive obexelimab administered as weekly SC injections. After Part B, patients will enter Part C, a 52-week Open-Label Extension (OLE), after which they will return for an in-clinic Safety Follow-Up Visit 12 weeks after the completion of Part C (i.e. Week 88). If at this time, B cells have not returned to baseline or above the lower limit of normal (LLN), patients will be asked to return every 12 weeks until B cells return to baseline or above the LLN (at minimum). The maximum expected duration of the study is 92 weeks (Screening Period = 4 weeks, Parts A, B and C = 76 weeks, Follow-up Period = 12 weeks).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
93
Obexelimab is a monoclonal antibody that simultaneously binds CD19 and FcyRIIb, resulting in down regulation of B cell activity
Placebo
Cumulative number of new GdE T1 hyperintense lesions
Cumulative number of new GdE T1 hyperintense lesions as measured by brain MRI
Time frame: Week 8 and Week 12
Number of T2 Lesions
cumulative number of new and/or enlarging T2 weighted hyperintense lesions
Time frame: Week 8 and Week 12
Number of GdE T1 lesions
number of new GdE T1 hyperintense lesions
Time frame: Week 4, Week 8, and Week 12
Volume of T2 lesions
change from baseline in volume of T2 lesions
Time frame: Week 12
Serum NfL
serum NfL
Time frame: Week 12
Incidence of Adverse Events, injection site reactions and hypersensitivity reactions
Incidence of Adverse Events, injection site reactions and hypersensitivity reactions, serious adverse events, and adverse events of special interest, as defined by the CTCAE v5.0
Time frame: 24 weeks
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