Study to Assess the Efficacy and Safety of Ublituximab in Participants With Relapsing Forms of Multiple Sclerosis (RMS) ( ULTIMATE 1 )
ULTIMATE 1
Phase III: UbLiTuximab In Multiple Sclerosis Treatment Effects (ULTIMATE I STUDY)
2 other identifiers
interventional
549
1 country
14
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Sep 2017
Typical duration for phase_3
14 active sites
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
First Submitted
Initial submission to the registry
September 7, 2017
CompletedFirst Posted
Study publicly available on registry
September 11, 2017
CompletedStudy Start
First participant enrolled
September 19, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 23, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 6, 2020
CompletedResults Posted
Study results publicly available
December 6, 2021
CompletedDecember 6, 2021
November 1, 2021
2.8 years
September 7, 2017
November 5, 2021
November 5, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Annualized Relapse Rate (ARR)
ARR is defined as the number of Independent Relapse Adjudication Panel (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)
Week 24 up to Week 96
Percentage of Participants With Impaired Symbol Digit Modalities Test (SDMT)
Baseline up to Week 96
- +2 more secondary outcomes
Study Arms (2)
Ublituximab + Oral Placebo
EXPERIMENTALParticipants were administered ublituximab 150 milligrams (mg), intravenous (IV) infusion 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 once daily (QD) from Day 1 up to the last day of Week 95.
Teriflunomide + IV Placebo
ACTIVE COMPARATORParticipants were administered 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).
Interventions
Administered as an IV infusion.
Eligibility Criteria
You may qualify if:
- age
- Diagnosis of 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 MS (PPMS)
- Pregnant or nursing
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (14)
TG Therapeutics RMS Investigational Trial Site
Carlsbad, California, 92001, United States
TG Therapeutics RMS Investigational Trial Site
Long Beach, California, 90808, United States
TG Therapeutics RMS Investigational Trial Site
Pasadena, California, 91105, United States
TG Therapeutics RMS Investigational Trial Site
Stanford, California, 94305, United States
TG Therapeutics RMS Investigational Trial Site
Miami, Florida, 33136, United States
TG Therapeutics RMS Investigational Trial Site
Northbrook, Illinois, 60062, United States
TG Therapeutics RMS Investigational Trial Site
Kansas City, Kansas, 66160, United States
TG Therapeutics RMS Investigational Trial Site
Detroit, Michigan, 48201, United States
TG Therapeutics RMS Investigational Trial Site
Amherst, New York, 14226, United States
TG Therapeutics RMS Investigational Trial Site
Westerville, Ohio, 43081, United States
TG Therapeutics RMS Investigational Trial Site
Franklin, Tennessee, 37064, United States
TG Therapeutics RMS Investigational Trial Site
Knoxville, Tennessee, 37922, United States
TG Therapeutics RMS Investigational Trial Site
Dallas, Texas, 75246, United States
TG Therapeutics RMS Investigational Site
Round Rock, Texas, 78681, United States
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.
PMID: 39512280DERIVEDSteinman 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.
PMID: 36001711DERIVED
MeSH Terms
Interventions
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
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 7, 2017
First Posted
September 11, 2017
Study Start
September 19, 2017
Primary Completion
July 23, 2020
Study Completion
November 6, 2020
Last Updated
December 6, 2021
Results First Posted
December 6, 2021
Record last verified: 2021-11