REsPonse to Interferon-Alpha in InterfeRon-β Neutralizing Antibody Positive Multiple Sclerosis Patients (REPAIR)

Melinda Magyari

Status and phase

Completed

Phase 2

Conditions

Multiple Sclerosis

Treatments

Drug: Interferon-beta and human leukocyte Interferon-α

Study type

Interventional

Funder types

Other

Identifiers

NCT01171209

2009-016824-29 (EudraCT Number)

Details and patient eligibility

About

The purpose of the study is to determine if Interferon-alfa is effective and safe in multiple sclerosis patients who developed neutralizing antibodies for Interferon-beta.

Full description

Patient with NAbs developed during IFN-β therapy do not have any longer beneficial effect of any IFN-β preparation and IFN-β has to be replaced with another therapy that may be less effective or carry along serious adverse effects. Hence, many NAb positive patients wish to continue IFN therapy, and these patients might benefit from treatment with IFN-α as both IFN-α and IFN-β are type I interferons that bind to the same interferon receptor (IFNAR). A full in vivo response to human IFN-α (Multiferon) comparable to that seen after IFN-β induction would suggest that the same therapeutic effect could be obtained with human IFN-α (Multiferon).We measure in vivo response of MxA 9-12 hours after administration of human IFN-α (Multiferon) and four other known IFN response markers measured with rt-PCR.

As controls, NAb negative MS patients with a full in vivo MxA response will be studied.

Enrollment

10 patients

Sex

All

Ages

18 to 55 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

The subject must give written informed consent prior to any study related activities
Subject age must be between 18 and 55 (both included)
The subject must have MS according to McDonald criteria
The subject must have disability equivalent to EDSS of 5.5 or less
The subject must have been treated with any IFN-β preparation for at least 12 months at any time
The subject must have been shown to be NAb positive and without no in vivo mRNA MxA response within the last 12 months
The subject must be prepared and considered able to follow the protocol

Exclusion criteria

The subject must not have conditions that might give rise to similar symptoms as MS
The subject must not have received any immunomodulatory or immunosuppressive treatment (other than IFN-β or glatiramer acetate) 6 months prior to the screening visit
The subject must not have received mitoxantrone, cyclophosphamide, treosulphane, natalizumab, daclizumab, rituximab, alemtuzumab, cladribine, or any experimental therapy at any time
The subject must not have undergone previous total body irradiation, total lymphoid irradiation, stem cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation.
The subject must not have received treatment with glucocorticoids or ATCH later than 2 month prior to the screening visit
The subject must not have alcohol and drug dependency
The subject must not have cardiac or renal insufficiency
The subject must not have any systemic disease that can influence the subject's safety or compliance
Subjects may be male or female. Women of child-bearing potential must be sexually inactive or practice a medically acceptable method of birth control. Acceptable methods include oral contraceptive, contraceptive patch, long-acting injectable contraceptive, or double-barrier method (condom or IUD with spermicide)
The subject must not have known or suspected allergy to IFN-α
The subject must not have participated in any other study within 3 months prior to the screening visit