NCT04878211

Brief Summary

This study evaluated if relapsing multiple sclerosis (MS) participants treated with ofatumumab 20 mg subcutaneous (s.c.) administered once monthly could develop an adequate immune response to the COVID-19 mRNA vaccine compared to participants on an interferon or glatiramer acetate.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
24

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jun 2021

Geographic Reach
1 country

7 active sites

Status
terminated

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

May 3, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 7, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

June 10, 2021

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 14, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 14, 2023

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

June 20, 2024

Completed
Last Updated

May 16, 2025

Status Verified

May 1, 2025

Enrollment Period

1.8 years

First QC Date

May 3, 2021

Results QC Date

March 25, 2024

Last Update Submit

May 14, 2025

Conditions

Keywords

Multiple SclerosisRelapsing Multiple SclerosisCOVIDCOVID-19VaccineCoronavirusadultOMB157

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Response by SARS-CoV-2 Qualitative IgG Antibody Assay at 14 Days Post-vaccination by Cohort Group and Overall, Non-response Imputation Approach (Safety Analysis Set)

    An immune response is defined as a positive SARS-CoV-2 qualitative IgG antibody assay ≥14 days after full course \[2 doses\] vaccination to non live mRNA COVID-19 vaccine, Participants with a negative or borderline result were considered non-responders, as well as participants with a missing or invalid immune response assessment at 14 days post-vaccination (imputed as non-responders).

    Cohorts 1 - 3: >=14 days after vaccination: Day 36 (Pfizer) or Day 43 (Moderna); Cohorts 4-6: Day 1

Secondary Outcomes (2)

  • Percentage of Patients With an Immune Response by SARS-CoV-2 Qualitative IgG Antibody Assay by Time Point, Cohort Group and Overall, Non-response Imputation Approach (Safety Analysis Set)

    Vaccination up to 70, 180, 270 and 360 days

  • Percentage of Participants Achieving Immune Conversion by Individual Cohort Group and Overall, Non-response Imputation Approach (Safety Analysis Set)

    Cohorts 1 - 3: >=14 days after vaccination: Day 36 (Pfizer) or Day 43 (Moderna); Cohorts 4-5: Day 1

Study Arms (6)

Cohort 1 - 2 WKs vaccine prior to OMB157

EXPERIMENTAL

Participants received non-live COVID-19 mRNA vaccine at least two weeks prior to start of ofatumumab (OMB157) (20 mg subcutaneous).

Drug: OfatumumabBiological: mRNA COVID-19 vaccine

Cohort 2 - vaccine 4 WKs after OMB157

EXPERIMENTAL

Participants received non-live COVID-19 mRNA vaccine at least four weeks after start of ofatumumab (OMB157) (20 mg subcutaneous).

Drug: OfatumumabBiological: mRNA COVID-19 vaccine

Cohort 3 - Interferon or glatiramer acetate - vaccine 4 WKs after

ACTIVE COMPARATOR

Participants will receive non-live COVID-19 mRNA vaccine at least 4 weeks after start of prescribed interferon or glatiramer acetate

Biological: mRNA COVID-19 vaccineDrug: interferon or glatiramer acetate

Cohort 4 - Fully vaccinated and on OMB457 ≥ 4 WKs

EXPERIMENTAL

Participants fully vaccinated with a non-live COVID mRNA vaccine and on ofatumumab for at least 4 weeks (20 mg subcutaneous)

Drug: OfatumumabBiological: mRNA COVID-19 vaccine

Cohort 5 -Fully vaccinated, on interferon or glatiramer acetate for ≥ 4 WKs ± booster

EXPERIMENTAL

Participants fully vaccinated with a non-live COVID mRNA vaccine, without or without a booster, and on interferon or glatiramer acetate for at least 4 weeks.

Biological: mRNA COVID-19 vaccineDrug: interferon or glatiramer acetate

Cohort 6 - Fully vaccinated, currently on OMB457 for ≥ 4 WKs, + booster

EXPERIMENTAL

Participants fully vaccinated with a non-live COVID mRNA vaccine with a booster and on ofatumumab for at least 4 weeks (20 mg subcutaneous)

Drug: OfatumumabBiological: mRNA COVID-19 vaccine

Interventions

3 loading doses followed by monthly administrations

Cohort 1 - 2 WKs vaccine prior to OMB157Cohort 2 - vaccine 4 WKs after OMB157Cohort 4 - Fully vaccinated and on OMB457 ≥ 4 WKsCohort 6 - Fully vaccinated, currently on OMB457 for ≥ 4 WKs, + booster

Pfizer or Moderna mRNA Vaccine

Cohort 1 - 2 WKs vaccine prior to OMB157Cohort 2 - vaccine 4 WKs after OMB157Cohort 3 - Interferon or glatiramer acetate - vaccine 4 WKs afterCohort 4 - Fully vaccinated and on OMB457 ≥ 4 WKsCohort 5 -Fully vaccinated, on interferon or glatiramer acetate for ≥ 4 WKs ± boosterCohort 6 - Fully vaccinated, currently on OMB457 for ≥ 4 WKs, + booster

iDMT

Cohort 3 - Interferon or glatiramer acetate - vaccine 4 WKs afterCohort 5 -Fully vaccinated, on interferon or glatiramer acetate for ≥ 4 WKs ± booster

Eligibility Criteria

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

You may qualify if:

  • Signed informed consent must be obtained prior to participation in the study
  • Diagnosis of relapsing MS by 2017 revised McDonald criteria
  • Were willing to comply with the study schedule
  • Cohort 1: Were receiving an mRNA COVID-19 vaccine (Pfizer or Moderna vaccine) at least two weeks prior to starting ofatumumab
  • Cohort 2: Were receiving an mRNA COVID-19 vaccine (Pfizer or Moderna vaccine) and on ofatumumab for at least 4 weeks
  • Cohort 3: Were receiving an mRNA COVID-19 vaccine (Pfizer or Moderna vaccine) and on interferon or glatiramer acetate for at least 4 weeks
  • Cohort 4: Fully vaccinated with a non-live COVID mRNA vaccine (Pfizer or Moderna vaccine) and on ofatumumab for at least 4 weeks
  • Cohort 5: Fully vaccinated with a non-live COVID mRNA vaccine (Pfizer or Moderna vaccine), with or without a booster, and on interferon or glatiramer acetate for at least 4 weeks
  • Cohort 6: Fully vaccinated with a non-live COVID mRNA vaccine, (Pfizer or Moderna vaccine), with a booster, and on ofatumumab for at least 4 weeks

You may not qualify if:

  • Received the J\&J vaccine.
  • Had a contraindication to receiving an mRNA COVID-19 vaccine
  • Had an immediate allergic reaction to past vaccine or injection
  • Experienced a major episode of infection requiring hospitalization or treatment with intravenous antibiotics within 2 weeks prior to the screening visit

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Center For Neurology and Spine

Phoenix, Arizona, 85032, United States

Location

Infinity Clinical Research LLC .

Hollywood, Florida, 33024, United States

Location

Dragonfly Research LLC

Wellesley, Massachusetts, 02481, United States

Location

Minnesota Center Multiple Sclerosis

Plymouth, Minnesota, 55446, United States

Location

The MS Center for Innovation in Care

St Louis, Missouri, 63131, United States

Location

The Neurological Institute PA

Charlotte, North Carolina, 28204, United States

Location

Dayton Center for Neurological Disorders

Centerville, Ohio, 45459, United States

Location

Related Links

MeSH Terms

Conditions

Multiple SclerosisCOVID-19Coronavirus Infections

Interventions

ofatumumabCVnCoV COVID-19 vaccineInterferonsGlatiramer Acetate

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System DiseasesPneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

CytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological Factors

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 3, 2021

First Posted

May 7, 2021

Study Start

June 10, 2021

Primary Completion

April 14, 2023

Study Completion

April 14, 2023

Last Updated

May 16, 2025

Results First Posted

June 20, 2024

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will share

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on https://www.clinicalstudydatarequest.com/.

Locations