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Multiple SclerosisPhase 3NCT05028634

Safety Study to Evaluate Immune Response of Vaccines in Participants With Relapsing Forms of Multiple Sclerosis Who Receive Ozanimod Compared to Non-Pegylated Interferon (IFN)-β or No Disease Modifying Therapy

A Phase 3 study testing Tetanus, diphtheria, and acellular pertussis vaccine, Pneumococcal polysaccharide vaccine and Seasonal influenza vaccine in people with Multiple Sclerosis and Multiple Sclerosis, Relapsing-Remitting, run by Celgene at 33 sites in 2 countries.

Completed

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

Official record
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Trial summary

This study is designed to provide data on the immune response and safety of administering vaccines to relapsing multiple sclerosis (RMS) participants taking ozanimod compared to controls taking interferon-beta's or receiving no disease modifying therapies (DMTs). Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Tetanus, diphtheria, and acellular pertussis vaccine, Pneumococcal polysaccharide vaccine and Seasonal influenza vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
63 participants
Where
33 sitesin 2 countries
Study dates
11 Nov 2021to 15 Nov 2023
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant has a diagnosis of multiple sclerosis (MS) according to the 2017 revision of the McDonald diagnostic criteria and has relapsing forms of multiple sclerosis (RMS): relapsing-remitting MS (RRMS) or secondary progressive MS with active disease based on recent clinical relapse or MRI lesion activity.

Who cannot join

  • Participant has history of cancer, including solid tumors and hematological except for basal cell cancer of the skin and carcinoma in situ of the cervix, which are exclusionary if they have not been excised and resolved.
  • Participant has a history of or currently active primary or secondary immunodeficiency.
  • Participant has severely compromised cardiac or pulmonary function for which a systemic hypersensitivity reaction to any of the vaccines would pose a significant risk.
  • Participant has received the seasonal influenza vaccine for the 2021/2022 influenza season prior to Day 1, or history of influenza vaccine for the 2020/2021 influenza season within 6 months prior to Day 1.
  • Participant has previous treatment with one of the following medications or interventions within the corresponding timeframe described as follows:
  • Any systemic immunosuppressive treatments with potential overlapping effects with the baseline of this study. Corticosteroids that are by non-systemic routes (e.g., topical, inhaled, intra-articular) are allowed.
  • History of treatment with IV immunoglobulin (IVIg) or plasmapheresis within 4 weeks prior to Day 1.

Trial locations and contacts

33 sites in 2 countries.

33 sites in 2 countries

United States29 sites
  • Neuromedical Clinic of Central LA

    Alexandria, Louisiana, 71301

  • Asheville Neurology Specialists PA

    Asheville, North Carolina, 28806

  • Local Institution - 105

    Canton, Ohio, 44718

  • University of Chicago Medicine

    Chicago, Illinois, 60637

  • Velocity Clinical Research - Cleveland - ERN - PPDS

    Cleveland, Ohio, 44122

  • Colorado Springs Neurological Associates

    Colorado Springs, Colorado, 80907

  • Vaught Neurological Services, PLLC

    Crab Orchard, West Virginia, 25827

  • Michigan State University MS Clinic

    East Lansing, Michigan, 48824

  • Neurology Center of New England P.C.

    Foxborough, Massachusetts, 02035

  • University of Florida Health

    Gainesville, Florida, 32610

  • Local Institution - 111

    Kansas City, Kansas, 66205

  • Hope Neurology MS Center

    Knoxville, Tennessee, 37922

  • Neurology Associates PC

    Lincoln, Nebraska, 68506

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Shapiro Center for MS at the Minneapolis Clinic of Neurology

    Minneapolis, Minnesota, 55422

  • Lake Norman Neurology

    Mooresville, North Carolina, 28117

  • Jersey Shore MS Center

    Neptune City, New Jersey, 07753

  • Consultants In Neurology

    Northbrook, Illinois, 60062

  • CPFCC Neurology Research Dept.

    Overland Park, Kansas, 66212

  • Stanford University

    Palo Alto, California, 94304

  • South Shore Neurology Associates, Inc

    Patchogue, New York, 11772

  • Thomas Jefferson University - Clinical Research Institute

    Philadelphia, Pennsylvania, 19107

  • Neurostudies Inc

    Port Charlotte, Florida, 33952

  • Accel Research Sites - Brain and Spine Institute of Port Orange - ERN - PPDS

    Port Orange, Florida, 32127

  • Central Texas Neurology Consultants PA

    Round Rock, Texas, 78681

  • Sanford Health

    Sioux Falls, South Dakota, 57104

  • Hartford Healthcare CT

    Southington, Connecticut, 06489

  • MultiCare Institute for Research and Innovation

    Tacoma, Washington, 98405

  • Holy Name Hospital

    Teaneck, New Jersey, 07666

Other trials in United States

Germany4 sites
  • Local Institution - 200

    Bochum, 44791

  • Local Institution - 201

    Dresden, 01307

  • Local Institution - 206

    Mannheim, 68163

  • Local Institution - 204

    Rostock, 18147

Other trials in Germany

About this study

Official title: A Phase 3b, Multicenter, Open-label Study to Evaluate the Immune Response to, and the Safety of, Vaccines in Participants With Relapsing Forms of Multiple Sclerosis Who Receive Oral Ozanimod Compared to Non-pegylated Interferon (IFN)-β or No Disease Modifying Therapy

This study is designed to provide data on the immune response and safety of administering vaccines to relapsing multiple sclerosis (RMS) participants taking ozanimod compared to controls taking interferon-beta's or receiving no disease modifying therapies (DMTs). The data of this study will support the labels for ozanimod in multiple sclerosis (MS) because the effect of ozanimod on the vaccination response of MS participants is of interest to participants and prescribers.

Being tested
Tetanus, diphtheria, and acellular pertussis vaccine, Pneumococcal polysaccharide vaccine, Seasonal influenza vaccine
Keywords
Multiple Sclerosis, Ozanimod, Relapsing-remitting multiple sclerosis
Medical subject headings
Multiple Sclerosis, Multiple Sclerosis, Relapsing-Remitting

What participants receive

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

  • Tetanus, diphtheria, and acellular pertussis vaccineBiological

    Also called Tdap

    Tdap

  • Pneumococcal polysaccharide vaccineBiological

    Also called PPSV23

    PPSV23

  • Seasonal influenza vaccineBiological

    Seasonal influenza vaccine

Study groups in NCT05028634
Study groupRoleWhat they receive
Cohort 1 - OzanimodExperimentalComprises of participants received oral ozanimod will be administered tetanus, diphtheria, and acellular pertussis vaccine (Tdap), pneumococcal polysaccharide vaccine (PPSV23), and the seasonal inactivated influenza vaccine -Enrollment is closed for this cohort
Receives: Biological: Tetanus, diphtheria, and acellular pertussis vaccine; Biological: Pneumococcal polysaccharide vaccine; Biological: Seasonal influenza vaccine
Cohort 1 - non-pegylated interferon-β or no disease modifying therapyExperimentalComprises of participants received either non-pegylated interferon-β (IFN-β) or no disease modifying therapy (DMT) will be administered tetanus, diphtheria, and acellular pertussis vaccine (Tdap), Pneumococcal polysaccharide vaccine (PPSV23), and the seasonal inactivated influenza vaccine -Enrollment is closed for this cohort
Receives: Biological: Tetanus, diphtheria, and acellular pertussis vaccine; Biological: Pneumococcal polysaccharide vaccine; Biological: Seasonal influenza vaccine
Cohort 2 - OzanimodExperimentalComprises of participants received oral ozanimod will be administered tetanus, diphtheria, and acellular pertussis vaccine (Tdap), and pneumococcal polysaccharide vaccine (PPSV23).
Receives: Biological: Tetanus, diphtheria, and acellular pertussis vaccine; Biological: Pneumococcal polysaccharide vaccine
Cohort 2 - non-pegylated interferon-β or no disease modifying therapyExperimentalComprises of participants received either non-pegylated interferon-β (IFN-β) or no disease modifying therapy (DMT) will be administered tetanus, diphtheria, and acellular pertussis vaccine (Tdap) and Pneumococcal polysaccharide vaccine (PPSV23).
Receives: Biological: Tetanus, diphtheria, and acellular pertussis vaccine; Biological: Pneumococcal polysaccharide vaccine

What is being measured

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

  1. Percentage of Participants Meeting Immune Serological Response Criteria to Tetanus Toxoid Antigen

    Serologic response to tetanus toxoid criteria are as follows - if pre vaccination antibody titer is ≤0.10 IU/mL, post-vaccination level ≥0.40 IU/mL; if pre-vaccination antibody titer is >0.10 IU/mL and ≤2.7 IU/mL, at least a 4-fold increase in titer; if pre-vaccination antibody titer is>2.7 IU/mL, at least a 2-fold increase in titer.

    Measured: Day 28

  2. Percentage of Participants Meeting Immune Serological Protection Criteria to Tetanus Toxoid Antigen

    Participants with Serological protection to tetanus toxoid have anti-tetanus toxoid IgG concentration >= 0.1 International Units per milliliter (IU/mL).

    Measured: Day 28

Secondary outcomes (17)
  1. Percentage of Participants With Serologic Response to Pneumococcal Polysaccharide Vaccine (PPSV23)

    Serological response to PPSV23 was defined as the percentage of participants with a ≥2-fold increase in anti-pneumococcal polysaccharide vaccine titer in >5 of the indicated serotypes - 3, 6B, 9N, 11A, 14, 19A, 19F, 22F and 23F

    Measured: Day 28

  2. Percentage of Participants With Serologic Protection Against Pneumococcal Polysaccharide Vaccine (PPSV23)

    Serological protection against PPSV23 was defined as the percentage of participants with Anti-pneumococcal polysaccharide IgG concentration >= 1.3 μg/mL in the indicated serotypes - 3, 6B, 9N, 11A, 14, 19A, 19F, 22F and 23F associated with increased risk of invasive and/or severe disease, including death.

    Measured: Day 28

  3. Number of Participants With Adverse Events

    Adverse events include events with onset date on or after the study medication first dose date until end of study visit after the vaccine administration. Serious AEs was defined as is any AE occurring at any dose of vaccination from Day 1 to the end of the study that results in death, Is life-threatening (ie, in the opinion of the Investigator, the subject is at immediate risk of death from the AE), Requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or constitutes an important medical event.

    Measured: Day 1 to Day 28

  4. Number of Participants With Abnormalities in Blood Chemistry Parameters

    Blood samples were collected to assess laboratory parameters

    Measured: Day 1 to Day 28

  5. Number of Participants With Abnormalities in Blood Hematology Parameters

    Blood samples were collected to assess laboratory parameters

    Measured: Day 1 to Day 28

  6. Change From Baseline in Blood Chemistry Parameters - Sodium; Potassium; Chloride; Calcium; Magnesium; Phosphate; Blood Urea Nitrogen; Glucose

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  7. Change From Baseline in Blood Chemistry Parameters - Creatinine; Bilirubin; Direct Bilirubin

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  8. Change From Baseline in Blood Chemistry Parameters - Albumin

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  9. Change From Baseline in Blood Chemistry Parameters - Alkaline Phosphatase

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  10. Change From Baseline in Blood Chemistry Parameters - Alanine Aminotransferase; Aspartate Aminotransferase; Gamma Glutamyl Transferase

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  11. Change From Baseline in Blood Hematology Parameters - Erythrocytes

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  12. Change From Baseline in Blood Hematology Parameters - Leukocytes; Basophils; Eosinophils; Lymphocytes; Monocytes; Neutrophils; Platelets

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  13. Change From Baseline in Blood Hematology Parameters - Basophils/Leukocytes; Eosinophils/Leukocytes; Lymphocytes/Leukocytes; Monocytes/Leukocytes; Neutrophils/Leukocytes

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  14. Change From Baseline in Blood Hematology Parameters - Hemoglobin; Erythrocytes Mean Corpuscular HGB Concentration

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  15. Change From Baseline in Blood Hematology Parameters - Erythrocytes Mean Corpuscular Volume

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  16. Change From Baseline in Blood Hematology Parameters - Erythrocytes Mean Corpuscular Hemoglobin

    Blood samples were collected to assess laboratory parameters.

    Measured: Baseline (Day 1) and End of Study (Day 28)

  17. Change From Baseline in Blood Hematology Parameters - Hematocrit

    Blood samples were collected to assess laboratory parameters. Participants with baseline and post-baseline data available at the specified timepoint are included in the analysis.

    Measured: Baseline (Day 1) and End of Study (Day 28)

Timeline

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

  1. First posted31 Aug 2021
  2. Study start11 Nov 2021
  3. Primary completion15 Nov 2023
  4. Study completion15 Nov 2023

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
63 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05028634
Sponsor's protocol ID
RPC-1063-MS-010
Other IDs
2021-001847-28
Status last verified
Jan 2025
First submitted
25 Aug 2021
Last updated
11 Feb 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tetanus, diphtheria, and acellular pertussis vaccine, Pneumococcal polysaccharide vaccine and Seasonal influenza vaccine in people with Multiple Sclerosis and Multiple Sclerosis, Relapsing-Remitting, run by Celgene at 33 sites in 2 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 1 inclusion and 7 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 11 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, Germany. 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 22 Jan 2025). 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?

Percentage of Participants Meeting Immune Serological Response Criteria to Tetanus Toxoid Antigen (time frame: Day 28). The study lists 2 primary outcomes in all. 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 11 Feb 2025.

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