NCT03277248

Brief Summary

This study determines the Annualized Relapse Rate (ARR) in participants with RMS after 96 weeks (approximately 2 years) treatment with intravenous (IV) infusion of ublituximab/oral placebo compared to 14 mg oral teriflunomide/IV placebo.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
545

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Aug 2017

Typical duration for phase_3

Geographic Reach
1 country

13 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 25, 2017

Completed
13 days until next milestone

First Submitted

Initial submission to the registry

September 7, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 11, 2017

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 4, 2020

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 12, 2020

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 6, 2021

Completed
Last Updated

December 6, 2021

Status Verified

November 1, 2021

Enrollment Period

2.9 years

First QC Date

September 7, 2017

Results QC Date

November 11, 2021

Last Update Submit

November 11, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Annualized Relapse Rate (ARR)

    ARR is defined as the number of Independent Relapse Adjudication Committee (IRAP)-confirmed relapses per participant year. The estimate of ARR for a treatment group is the total number of relapses for participants in the respective treatment group divided by the sum of treatment duration for participants in that specific treatment group.

    Up to 96 weeks

Secondary Outcomes (7)

  • Total Number of Gadolinium (Gd)-Enhancing T1-Lesions Per Magnetic Resonance Imaging (MRI) Scan Per Participant

    Weeks 12, 24, 48, and 96

  • Total Number of New and Enlarging T2 Hyperintense Lesions (NELs) Per MRI Scan Per Participant

    Weeks 24, 48, and 96

  • Time to Confirmed Disability Progression (CDP) for at Least 12 Weeks

    Up to Week 96

  • Percentage of Participants With No Evidence of Disease Activity (NEDA)

    From Week 24 to Week 96

  • Percentage of Participants With Impaired Symbol Digit Modalities Test (SDMT)

    Baseline to Week 96

  • +2 more secondary outcomes

Study Arms (2)

Ublituximab + Oral Placebo

EXPERIMENTAL

Participants received ublituximab intravenous (IV) infusion, 150 milligrams (mg) over 4 hours (h) on Day 1 followed by 450 mg over 1 h on Days 15, 168, 336 and 504 (Week 72) along with the oral placebo tablet, once daily (QD) from Day 1 up to the last day of Week 95.

Biological: UblituximabDrug: Oral Placebo

Teriflunomide + IV Placebo

ACTIVE COMPARATOR

Participants received teriflunomide 14 mg tablet, orally, QD from Day 1 up to the last day of Week 95 along with the placebo IV infusion on Days 1, 15, 168, 336 and 504 (Week 72).

Drug: TeriflunomideDrug: IV Placebo

Interventions

UblituximabBIOLOGICAL

Administered as an IV infusion.

Also known as: TG-1101
Ublituximab + Oral Placebo

Film coated tablets administered orally.

Teriflunomide + IV Placebo

Administered orally.

Ublituximab + Oral Placebo

Administered as an IV Infusion.

Teriflunomide + IV Placebo

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Diagnosis of relapsing multiple sclerosis (RMS) (McDonald Criteria 2010)
  • Active disease
  • Expanded disability status scale (EDSS) 0 - 5.5 (inclusive) at screening

You may not qualify if:

  • Treatment with prior Anti-cluster of differentiate 20 (CD20) or other B cell directed treatment
  • Treatment with the following therapies at any time prior to randomization: alemtuzumab, natalizumab, teriflunomide, leflunomide and Stem cell transplantation
  • Diagnosed with primary progressive multiple sclerosis (PPMS)
  • Pregnant or nursing

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

TG Therapeutics RMS Investigational Trial site

Phoenix, Arizona, 58018, United States

Location

TG Therapeutics RMS Investigational Trial Site

Aurora, Colorado, 80045, United States

Location

TG Therapeutics RMS Investigational Trial Site

Tampa, Florida, 33612, United States

Location

TG Therapeutics RMS Investigational Trial Site

Lexington, Kentucky, 40513, United States

Location

TG Therapeutics RMS Investigational Trial Site

Chesterfield, Missouri, 63017, United States

Location

TG Therapeutics RMS Investigational Trial Site

Las Vegas, Nevada, 89106, United States

Location

TG Therapeutics RMS Investigational Trial Site

Teaneck, New Jersey, 07666, United States

Location

TG Therapeutics RMS Investigational Trial Site

Albuquerque, New Mexico, 87131, United States

Location

TG Therapeutics RMS Investigational Trial Site

Patchogue, New York, 11772, United States

Location

TG Therapeutics RMS Investigational Trial site

Columbus, Ohio, 43221, United States

Location

TG Therapeutics RMS Investigational Trial Site

Pittsburgh, Pennsylvania, 15212, United States

Location

TG Therapeutics RMS Investigational Trial site

San Antonio, Texas, 78258, United States

Location

TG Therapeutics RMS Investigational Trial site

Seattle, Washington, 98122, United States

Location

Related Publications (2)

  • Alvarez E, Steinman L, Fox EJ, Hartung HP, Qian P, Wray S, Robertson D, Selmaj K, Wynn D, Mok K, Xu Y, Bodhinathan K, Miskin HP, Cree BAC. Improvements in no evidence of disease activity with ublituximab vs. teriflunomide in the ULTIMATE phase 3 studies in relapsing multiple sclerosis. Front Neurol. 2024 Oct 24;15:1473284. doi: 10.3389/fneur.2024.1473284. eCollection 2024.

  • Steinman L, Fox E, Hartung HP, Alvarez E, Qian P, Wray S, Robertson D, Huang D, Selmaj K, Wynn D, Cutter G, Mok K, Hsu Y, Xu Y, Weiss MS, Bosco JA, Power SA, Lee L, Miskin HP, Cree BAC; ULTIMATE I and ULTIMATE II Investigators. Ublituximab versus Teriflunomide in Relapsing Multiple Sclerosis. N Engl J Med. 2022 Aug 25;387(8):704-714. doi: 10.1056/NEJMoa2201904.

MeSH Terms

Interventions

ublituximabteriflunomide

Results Point of Contact

Title
TG Therapeutics Clinical Support Team
Organization
TG Therapeutics

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Double-blinded, active-controlled study
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized, multi-center, double-blinded, active-controlled study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 7, 2017

First Posted

September 11, 2017

Study Start

August 25, 2017

Primary Completion

August 4, 2020

Study Completion

November 12, 2020

Last Updated

December 6, 2021

Results First Posted

December 6, 2021

Record last verified: 2021-11

Locations