Multiple SclerosisPhase 3MS-SPINCT02220933
Effect of MD1003 in Spinal Progressive Multiple Sclerosis
A Phase 3 study testing MD1003 100mg capsule in people with Multiple Sclerosis, run by MedDay Pharmaceuticals SA at 17 sites in France.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- MD1003 100mg capsule
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 144 participants
- Where
- 17 sitesFrance
- Study dates
- Oct 2013to Jan 2018
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis criteria of secondary or primary progressive MS with clinical evidence of spastic paraparesis fulfilling revised McDonald criteria (2010) and Lublin criteria (1996)
- Progression of the EDSS during the past two years of at least 1 point if EDSS from 4.5 to 5.5 and at least 0.5 point if EDSS from 6 to 7
- EDSS score from 4.5 to 7 (measured away from a relapse and confirmed at 6 months)
- Informed consent prior to any study procedure
- Patient aged 18-75 years
Who cannot join
- Any general chronic handicapping disease other than MS
- Intensive physical therapy program within the 3 months prior to inclusion
- Impossibility to perform the TW25 test
- New treatment introduced less than 3 months prior to inclusion or less than 1 month for Fampridine
- Pregnancy or woman with childbearing potential without contraception
- Evidence of inflammatory activity of the disease defined as "clinical evidence of a relapse during the year before inclusion or evidence of new gadolinium-enhanced lesions on a brain MRI performed the year before inclusion."
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
France17 sites
Hopital Pellegrin
Bordeaux, 33000
Hopital de la cote de Nacre
Caen, 14000
Hopital Gabriel Montpied
Clermont-Ferrand, 63000
Hopital general du Bocage
Dijon, 21000
Hopital Pierre Wertheimer
Lyon, 69000
Hopital de la Timone
Marseille, 13000
Hopital Gui de Chauliac
Montpellier, 34000
Hopital Central
Nancy, 54000
Hopital Nord Laennec
Nantes, 44000
Hopital Pasteur
Nice, 06000
Groupe hospitalier la Pitié-Salpêtrière
Paris, 75013
Fondation Rothschild
Paris, 75019
Centre hospitalier Intercommunal Poissy/Saint-Germain-en-Laye
Poissy, 78300
Hopital Maison Blanche
Reims, 51000
Hopital Pontchaillou
Rennes, 35000
Hopital Hautepierre
Strasbourg, 67000
Hopital Purpan
Toulouse, 31000
About this study
Official title: Effect of MD1003 in Spinal Progressive Multiple Sclerosis: a Pivotal Randomized Double Blind Placebo Controlled Study
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.
- Conditions
- Multiple Sclerosis
- Being tested
- MD1003 100mg capsule, Placebo
- Keywords
- Multiple Sclerosis, MS, EDSS
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MD1003 100mg capsuleDrug
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| MD1003 | Experimental | MD1003 100mg capsules, 1 capsule tid for 24 months Receives: Drug: MD1003 100mg capsule |
| Placebo | Placebo comparator | Placebo capsule, 1 capsule tid for 12 months, then switch to MD1003 100mg capsule, 1 capsule tid for 12 months Receives: Drug: MD1003 100mg capsule; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients improved on either Expanded Disability Status Scale (EDSS) or time to walk 25 feet (TW25)
Proportions of patients in each treatment arm:
- with decreased EDSS at M9 confirmed at Month12 (where decreased EDSS is defined as a decrease of at least 0.5 point if initial EDSS from 6 to 7 and a decrease of at least 1 point if initial EDSS from 4.5 to 5.5) or
- with improved TW25 of at least 20% at Month 9 and Month12 compared to the best EDSS and TW25 scores among screening visit (Month-1) and randomization visit (baseline)
Measured: up to 24 months
Secondary outcomes (5)
Multiple Sclerosis Walking Scale (MSWS)
The 12-item multiple sclerosis walking scale (MSWS-12) is a self-report measure of the impact of MS on the individual's walking ability.
Measured: Baseline, 12 months, 24 months
Clinical Global Impression / Subject Global Impression (CGI / SGI)
The Clinical Global Impression - Improvement scale (CGI-I) is a 7 point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention.
The clinical global impression will be assessed by the patient (subject global impression, SGI) and by the clinician (clinician global impression, CGI).
Measured: 12 months, 24 months
Unidimensional Fatigue Impact Scale (U-FIS)
The U-FIS has 22-items measuring the impact of fatigue.
Measured: Baseline, 12 months, 24 months
Multiple Sclerosis Quality of Life Scale (SEP-59)
The SEP-59 is a multidimensional health-related quality of life measure that combines 36 generic items and 29 MS-specific items into a single instrument.
Measured: Baseline, 12 months, 24 months
Hole Peg Test (9-HPT)
The 9-HPT apparatus comprises a container with nine pegs and an empty pegboard with nine holes, set three by three. The pegs must be picked up one at a time and placed in the holes as quickly as possible until all holes are filled. Then, without pausing, the pegs should be removed one at a time, again as quickly as possible. This should be performed twice for each hand. If a peg falls onto the table, the peg should be picked up with the hand which is being tested. If a peg falls onto the floor, it is picked up by the examiner. The time is recorded in seconds, starting as the patient picks up the first peg and ending when the last peg drops into the container.
Measured: Baseline, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Aug 2014 (estimated)
- Study startOct 2013
- Primary completionJan 2016
- Study completionJan 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 144 participants (estimated)
Sponsor and investigators
- Lead sponsor
- MedDay Pharmaceuticals SA
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ayman Tourbah, MD, PhD, Principal investigator, Hopital Maison Blanche, Reims, FranceFrederic Sedel, MD, PhD, Study director, Medday SAS, Paris, France
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02220933
- Sponsor's protocol ID
- MD1003CT2013-02MS-SPI
- Other IDs
- 2013-002113-35
- Acronym
- MS-SPI
- Status last verified
- Mar 2017
- First submitted
- 18 Aug 2014
- Last updated
- 27 Mar 2017
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of MD1003 in Spinal Progressive Multiple Sclerosis: a Pivotal Randomized Double Blind Placebo Controlled Study
- ClinicalTrials.gov ID
- NCT02220933
- Acronym / sponsor ID
- MS-SPI / MD1003CT2013-02MS-SPI
- Conditions
- Multiple Sclerosis
- Keywords
- Multiple Sclerosis, MS, EDSS
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 144 participants (estimated)
- Lead sponsor
- MedDay Pharmaceuticals SAIndustry (pharma, biotech, devices)
- Study start
- Oct 2013 (actual)
- Primary completion
- Jan 2016 (actual)
- Study completion
- Jan 2018 (estimated)
- First posted
- 20 Aug 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MD1003 | Experimental | Drug: MD1003 100mg capsuleMD1003 100mg capsules, 1 capsule tid for 24 months |
| Placebo | Placebo comparator | Drug: MD1003 100mg capsule, Drug: PlaceboPlacebo capsule, 1 capsule tid for 12 months, then switch to MD1003 100mg capsule, 1 capsule tid for 12 months |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis criteria of secondary or primary progressive MS with clinical evidence of spastic paraparesis fulfilling revised McDonald criteria (2010) and Lublin criteria (1996)
- Progression of the EDSS during the past two years of at least 1 point if EDSS from 4.5 to 5.5 and at least 0.5 point if EDSS from 6 to 7
- EDSS score from 4.5 to 7 (measured away from a relapse and confirmed at 6 months)
- Informed consent prior to any study procedure
- Patient aged 18-75 years
Key exclusion criteria (6 listed)
- Any general chronic handicapping disease other than MS
- Intensive physical therapy program within the 3 months prior to inclusion
- Impossibility to perform the TW25 test
- New treatment introduced less than 3 months prior to inclusion or less than 1 month for Fampridine
- Pregnancy or woman with childbearing potential without contraception
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MD1003 100mg capsule | Drug | MD1003, Placebo |
| Placebo | Drug | Placebo |
Primary outcome
Proportion of patients improved on either Expanded Disability Status Scale (EDSS) or time to walk 25 feet (TW25)
Time frame: up to 24 months
Proportions of patients in each treatment arm: - with decreased EDSS at M9 confirmed at Month12 (where decreased EDSS is defined as a decrease of at least 0.5 point if initial EDSS from 6 to 7 and a decrease of at least 1 point if initial EDSS from 4.5 to 5.5) or - with improved TW25 of at least 20% at Month 9 and Month12 compared to the best EDSS and TW25 scores among screening visit (Month-1) and randomization visit (baseline)
5 secondary outcomes
Multiple Sclerosis Walking Scale (MSWS)
Time frame: Baseline, 12 months, 24 months
Clinical Global Impression / Subject Global Impression (CGI / SGI)
Time frame: 12 months, 24 months
Unidimensional Fatigue Impact Scale (U-FIS)
Time frame: Baseline, 12 months, 24 months
Multiple Sclerosis Quality of Life Scale (SEP-59)
Time frame: Baseline, 12 months, 24 months
Hole Peg Test (9-HPT)
Time frame: Baseline, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ayman Tourbah, MD, PhD principal investigator
Hopital Maison Blanche, Reims, France
Frederic Sedel, MD, PhD study director
Medday SAS, Paris, France
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing MD1003 100mg capsule in people with Multiple Sclerosis, run by MedDay Pharmaceuticals SA at 17 sites in France.
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 5 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 27 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in France. 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. Some participants in this study may receive a placebo. 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?
Results are not available in the source record.
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?
Proportion of patients improved on either Expanded Disability Status Scale (EDSS) or time to walk 25 feet (TW25) (time frame: up to 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 27 Mar 2017; AzTrials last refreshed its copy on 31 Oct 2026.