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Clinical Trials

Date: 2013-10-10

Type of information:

phase: 2

Announcement: results

Company: Genmab (Denmark) GSK (UK)

Product: ofatumumab

Action mechanism:

Disease: relapsing-remitting multiple sclerosis (RRMS)

Therapeutic area: Autoimmune diseases - Neurodegenerative diseases

Country:

Trial details:

This multi-center, randomized, double-blind, placebo controlled Phase II study, conducted by GSK, included subjects who had RRMS.  The primary objective of the study was to determine whether 3, 30 or 60 mg of ofatumumab given subcutaneously reduces the number of new T1-weighted gadolinium-enhancing brain lesions (active brain lesions) over a period of 12 weeks, as compared with placebo, in subjects with RRMS.
Subjects in the study were randomized to one of the following treatment arms: 3 mg, 30 mg, or 60 mg of subcutaneous ofatumumab every 12 weeks or 60 mg of subcutaneous ofatumumab every 4 weeks, or placebo followed by 3 mg of subcutaneous ofatumumab at week 12.  The treatment period for all subjects was 24 weeks; subjects were then followed until B-cell repletion for at least an additional 24 weeks.  Currently, all subjects have completed the 24-week treatment period; some subjects continue to be followed as per protocol.

Latest news:

* On October 10, 2013, Genmab has announced top-line results from a Phase II study of the subcutaneous formulation of ofatumumab in relapsing-remitting multiple sclerosis (RRMS). A total of 232 subjects with RRMS were randomized in the study.  There was a clear separation from placebo on the cumulative number of new gadolinium enhancing lesions (active brain lesions) over a period of 12 weeks in subjects treated with all doses of ofatumumab compared to subjects treated with placebo [p < 0.001].  For the primary endpoint, analysis of data from weeks 0-12 estimated a 65% reduction in the cumulative number of new T1 gadolinium enhancing lesions for all doses [p < 0.001].  In weeks 4-12, analyses of data estimated a ? 90% reduction in the cumulative number of new T1 gadolinium enhancing lesions for all cumulative doses of ofatumumab ? 30 mg [p < 0.001].
There were no unexpected safety findings in the study.  From weeks 0-12, injection related reactions were the most common adverse reaction and were observed in 52% of subjects receiving ofatumumab compared to 15% of subjects receiving placebo. There were five serious adverse events (SAEs) reported, all subjects received a 60 mg dose of ofatumumab and none of these subjects withdrew from the study. Twelve subjects withdrew during this time period; 10 of these subjects were receiving ofatumumab.  To date, no cases of progressive multifocal leukoencephalopathy (PML) or opportunistic infections have been observed.

Is general: Yes