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Neuromyelitis OpticaPhase 3NCT02003144

An Open Label Extension Trial of Eculizumab in Relapsing NMO Patients

A Phase 3 study testing eculizumab in people with Neuromyelitis Optica and Neuromyelitis Optica Spectrum Disorder, run by Alexion Pharmaceuticals, Inc. at 69 sites in 20 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether eculizumab long-term use is safe and effective in patients with relapsing NMO. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
eculizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
119 participants
Where
69 sitesin 20 countries
Study dates
12 Jan 2015to 12 Jul 2021
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient completed the ECU-NMO-301 trial
  • Patient has given written informed consent

Who cannot join

  • Patients who have withdrawn from the ECU-NMO-301 trial as a result of an AE related to trial drug
  • Female patients who are pregnant, breastfeeding, or intend to conceive during the course of the trial

Trial locations and contacts

69 sites in 20 countries.

69 sites in 20 countries

United States19 sites
  • Johns Hopkins University Medical Center

    Baltimore, Maryland, 21287

  • Ohio Health Reserach Institute

    Columbus, Ohio, 43214

  • Multiple Sclerosis Treatment Center of Dallas

    Dallas, Texas, 75246

  • Allied Physicians Inc. of Fort Wayne

    Fort Wayne, Indiana, 46805

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of Miami McKnight Brain Institute

    Miami, Florida, 33136

  • Multiple Sclerosis Comprehensive Care Center NYU Langone Medical Center

    New York, New York, 10016

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Baptist Health Lexington

    Nicholasville, Kentucky, 40503

  • The Research Center of Southern California

    Oceanside, California, 92056

  • Neurological Services of Orlando

    Orlando, Florida, 32806

  • University of Pennsylvania School of Medicine

    Philadelphia, Pennsylvania, 19104

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15232

  • Mayo Clinic - Rochester

    Rochester, Minnesota, 55905

  • University of Utah

    Salt Lake City, Utah, 84108

  • The University of Texas Health Science

    San Antonio, Texas, 78229

  • Mayo Clinic Arizona

    Scottsdale, Arizona, 85259

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

Other trials in United States

Japan7 sites
  • Chiba University Hospital

    Chiba, Chiba, 260-8677

  • Kyushu University Hospital

    Fukuoka, 812-8582

  • Kyoto Min-iren Chuo Hospital

    Kyoto, Kyoto, 604-8453

  • Hyogo College of Medicine Hospital

    Nishinomiya-shi, HyogoKen

  • Tohoku University Hospital

    Sendai, Miyagi, 980-8574

  • National Center Hospital, NCNP

    Tokyo

  • Yamaguchi University Hospital

    Ube-shi, Yamaguchi, 755-8505

Other trials in Japan

South Korea5 sites
  • National Cancer Center

    Goyang-si, Gyeonggi-do, 410-769

  • Seoul University National Hospital

    Seoul, 110744

  • Samsung Medical Center

    Seoul, 135-710

  • Korea University Anam Hospital

    Seoul, 136-705

  • Severance Hospital, Yonsei University

    Seoul, 136-705

Other trials in South Korea

Turkey (Türkiye)5 sites
  • Hacettepe University Medical Faculty

    Ankara, 06100

  • Trakya University Medical Faculty

    Edirne

  • Dokuz Eylul University Medicine Faculty

    Izmir, 35340

  • Kocaeli University Medical Faculty

    Kocaeli

  • Ondokuz Mayis Univ. Med. Fac.

    Samsun

Other trials in Turkey (Türkiye)

Argentina4 sites
  • Hospital General de Agudos Juan Antonio Fernandez

    Ciudad Autonoma, Buenos Aires, C1425AGP

  • Hospital General de Agudos Dr. J. M. Ramos Mejia

    Ciudad Autonoma, Buenos Aires,, C1221ADC

  • Hospital Universitario Austral

    Pilar, Buenos Aires, B1629ODT

  • Fundacion Rosarina de Neuro Rehabilitacion

    Rosario, Santa Fe Province, S2000BZL

Other trials in Argentina

Germany4 sites
  • University Hospital Heinrich Heine University

    Düsseldorf, North Rhine-Westphalia, 40225

  • University Hospital Heidelberg

    Heidelberg, Baden-Wurttemberg, 69120

  • Neurologische Klinik und Poliklinik

    Munich, Bavaria, 81675

  • Universitaetsmedizin Rostock

    Rostock, 18147

Other trials in Germany

Italy4 sites
  • Policlinico di Catania

    Catania, 95123

  • Azienda Ospedaliera Universitaria

    Naples, 80131

  • Azienda Ospedaliera di Padova

    Padova, 35128

  • Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza

    Rome, 00178

Other trials in Italy

Russia4 sites
  • Republican Clinical Hospital for Rehabilitation of Healthcare Ministry of Republic of Tatarstan

    Kazan', 420021

  • SBEI "Krasnoyarsk SMU n.a. Prof. V.F. Voyno-Yasenetsky"

    Krasnoyarsk, 660037

  • Federal State Budget Institution of Healthcare - Siberian District Medical Center of FMBA of Russia

    Novosibirsk, 630068

  • SEIHPE "Rostov SMU of MoH of RF"

    Rostov-on-Don

Other trials in Russia

Spain3 sites
  • Hospital de Cruces

    Barakaldo, Bizkaia, 48903

  • Hospital Universitario Reina Sofia

    Córdoba, 14404

  • Hospital Universitario Clinico San Carlos

    Madrid, 28040

Other trials in Spain

Australia2 sites
  • Brain and Mind Research Institute

    Camperdown, New South Wales

  • St. Vincent's Hospital

    Fitzroy, Victoria, 3065

Other trials in Australia

Czechia2 sites
  • VFN v Praze

    Prague

  • Krajska zdravotni, a.s. - Nemocnice

    Teplice, 415 01

Other trials in Czechia

Malaysia2 sites
  • Hospital Kuala Lumpur

    Kuala Lumpur, 50586

  • Hospital Umum Sarawak

    Kuching, Sarawak, 93586

Other trials in Malaysia

Canada1 site
  • The Ottawa Hospital

    Ottawa, Ontario, K1H 8L6

Other trials in Canada

Colombia1 site
  • Fundacion Cardiovascular de Colombia

    Floridablanca, Santander Department

Other trials in Colombia

Croatia1 site
  • Clinical Hospital Centre Zagreb

    Zagreb, 10000

Other trials in Croatia

Denmark1 site
  • Århus Universitetshospital

    Aarhus, 8000

Other trials in Denmark

Hong Kong1 site
  • Prince of Wales Hospital

    Shatin

Other trials in Hong Kong

Taiwan1 site
  • Cheng Hsin General Hospital

    Taipei

Other trials in Taiwan

Thailand1 site
  • Thammasat University Hospital

    Pathum Thani

Other trials in Thailand

United Kingdom1 site
  • The Walton Centre

    Liverpool, L97LJ

Other trials in United Kingdom

About this study

Official title: A Phase III, Open-label, Extension Trial of ECU-NMO-301 to Evaluate the Safety and Efficacy of Eculizumab in Patients With Relapsing Neuromyelitis Optica (NMO)

The purpose of this study is to determine whether eculizumab long-term use is safe and effective in patients with relapsing NMO.

Read the detailed description

This study is an open label extension study to confirm the long term safety and efficacy of eculizumab in subjects with relapsing NMO who have completed the initial double-blind, randomized, placebo-controlled trial ECU-NMO-301.

Being tested
eculizumab
Keywords
Long-term safety study, Extension trial, Eculizumab, Neuromyelitis Optica Spectrum Disorder, Devic's disease, Transverse Myelitis, Optic Neuritis, Relapse, NMO-IgG, CNS Autoimmune Disorders, Demyelinating Disorders
Medical subject headings
Neuromyelitis Optica, Myelitis, Transverse, Optic Neuritis, Recurrence, Demyelinating Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • eculizumabBiological

    Also called Soliris

Study groups in NCT02003144
Study groupRoleWhat they receive
EculizumabExperimentalEculizumab intravenous infusion every two weeks.
Receives: Biological: eculizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events

    An adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Treatment-emergent adverse events (TEAEs) were defined as an AE with onset on or after the first study drug dose in Study ECU-NMO-302. A serious adverse event (SAE) was defined as an untoward medical occurrence that at any dose either results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event. A summary of serious and all other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.

    Measured: Baseline up to end of study (up to 6.5 years)

  2. Number of Participants With At Least 1 Post Baseline Columbia-Suicide Severity Rating Scale (C-SSRS) Assessment (Suicide-Related Thoughts or Behaviours) Abnormality

    The C-SSRS is a validated questionnaire to capture occurrence, severity, and frequency of suicide-related thoughts and behaviours, and has a binary response (yes/no). Suicidal Ideation: a "yes" answer to any one of 5 suicidal ideation questions: Wish to be Dead; Non-specific Active Suicidal Thoughts; Active Suicidal Ideation with Any Methods (Not Planned) without Intent to Act; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; and Active Suicidal Ideation with Specific Plan and Intent. Suicidal Behaviour: a "yes" answer to any of 5 suicidal behaviour questions: Preparatory Acts or Behaviour, Aborted Attempt, Interrupted Attempt, Actual Attempt (non-fatal), and Completed Suicide. Suicidal Ideation or Behaviour: a "yes" answer to the following question: Self-injurious behaviour without suicidal intent.

    Measured: Baseline up to end of study (up to 6.5 years)

  3. Number of Participants With An On-trial Relapse as Determined by The Treating Physician

    An On-trial Relapse was defined as a new onset of neurologic symptoms or worsening of existing neurologic symptoms with an objective change (clinical sign) on neurologic examination that persisted for more than 24 hours as confirmed by the treating physician.

    Measured: Baseline up to end of study (up to 6.5 years)

  4. On-Trial Annualized Relapse Rate (ARR) as Determined by The Treating Physician

    The On-trial ARR was computed as the total number of relapses divided by the total number of participant years in the study period.

    Measured: Baseline up to end of study (up to 6.5 years)

Secondary outcomes (5)
  1. Change From Baseline in Expanded Disability Status Scale (EDSS) Score

    Disease-related disability was measured by the EDSS. The EDSS quantifies disability in 8 Functional Systems (FS) and allows neurologists to assign a Functional System Score (FSS) in each of these. The Functional Systems are pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual, cerebral, and other. The EDSS is an ordinal clinical rating scale that ranges from 0 (normal neurologic examination) to 10 (death) in half-point increments. A decrease in score indicates improvement. Baseline was defined as the last available assessment prior to the first study drug infusion in Study ECU-NMO-302.

    Measured: Baseline, Weeks 52, 104 and 156

  2. Change From Baseline in Modified Rankin Scale (mRS) Score

    Disease-related disability was measured by the mRS score. The mRS is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered from a neurological disability. The scale ranges from 0 (no symptoms at all) to 6 (death) in whole-point increments. A decrease in score indicates improvement. Baseline was defined as the last available assessment prior to the first study drug infusion in Study ECU-NMO-302.

    Measured: Baseline, Weeks 52, 104 and 156

  3. Change From Baseline in Hauser Ambulation Index (HAI) in Participants With Abnormal Baseline Ambulatory Function

    The HAI evaluates gait and was used to assess the time and effort used by the participant to walk 25 feet (8 meters). The scale ranges from 0 to 9, with 0 being the best score (asymptomatic; fully active) and 9 being the worst (restricted to wheelchair; unable to transfer self independently). A decrease in score indicates improvement. Baseline is defined as the last available assessment prior to the first study drug infusion in Study ECU-NMO-302.

    Measured: Baseline, Weeks 52, 104 and 156

  4. Change From Baseline in European Quality of Life (EuroQoL) 5-Dimension Visual Analog Scale (EQ-5D VAS) Health Status Score

    The EQ-5D is a generic, standardized participant self-administered health status instrument. EQ-5D general health status can also be measured by a visual analog scale (EQ-5D VAS). EQ-5D-VAS recorded the participant's self-rated health on a vertical visual analog scale (VAS) that allowed the participants to indicate their health state that ranged from 0 (worst imaginable) to 100 (best imaginable). Baseline is defined as the last available assessment prior to the first study drug infusion in Study ECU-NMO-302.

    Measured: Baseline, Weeks 52, 104 and 156

  5. Change From Baseline in Kurtzke Visual Functional System Scores (FSS) in Participants With Abnormal Baseline Visual Function

    The EDSS assesses multiple Kurtzke functional systems in the context of a standard neurological exam, including visual function. The visual score ranges from 0 to 6. A score of 0 implies the participant has normal visual function. Higher scores represent worse disability. Baseline is defined as the last available assessment prior to the first study drug infusion in Study EC-NMO-302.

    Measured: Baseline, Weeks 52, 104 and 156

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Dec 2013 (estimated)
  2. Study start12 Jan 2015
  3. Primary completion12 Jul 2021
  4. Study completion12 Jul 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02003144
Sponsor's protocol ID
ECU-NMO-302
Other IDs
2013-001151-12
Status last verified
Jul 2022
First submitted
18 Nov 2013
Last updated
23 Aug 2022
Data monitoring committee
Yes

Publications

  • Pittock SJ, Lennon VA, McKeon A, Mandrekar J, Weinshenker BG, Lucchinetti CF, O'Toole O, Wingerchuk DM. Eculizumab in AQP4-IgG-positive relapsing neuromyelitis optica spectrum disorders: an open-label pilot study. Lancet Neurol. 2013 Jun;12(6):554-62. doi: 10.1016/S1474-4422(13)70076-0. Epub 2013 Apr 26.

    PubMed 23623397
  • Pittock SJ, Fujihara K, Palace J, Berthele A, Kim HJ, Oreja-Guevara C, Nakashima I, Levy M, Shang S, Yountz M, Miller L, Armstrong R, Wingerchuk DM; PREVENT Study Group. Eculizumab monotherapy for NMOSD: Data from PREVENT and its open-label extension. Mult Scler. 2022 Mar;28(3):480-486. doi: 10.1177/13524585211038291. Epub 2021 Sep 9.

    PubMed 34498507
  • Kim HJ, Nakashima I, Viswanathan S, Wang KC, Shang S, Miller L, Yountz M, Wingerchuk DM, Pittock SJ, Levy M, Berthele A, Totolyan N, Palace J, Barnett MH, Fujihara K; PREVENT Study Group. Eculizumab in Asian patients with anti-aquaporin-IgG-positive neuromyelitis optica spectrum disorder: A subgroup analysis from the randomized phase 3 PREVENT trial and its open-label extension. Mult Scler Relat Disord. 2021 May;50:102849. doi: 10.1016/j.msard.2021.102849. Epub 2021 Feb 20.

    PubMed 33676197

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing eculizumab in people with Neuromyelitis Optica and Neuromyelitis Optica Spectrum Disorder, run by Alexion Pharmaceuticals, Inc. at 69 sites in 20 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in United States, Japan, South Korea, Turkey (Türkiye), Argentina and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Aug 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events (time frame: Baseline up to end of study (up to 6.5 years)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02003144, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Aug 2022.

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