A "negative"dendritic Cell-based Vaccine for the Treatment of Multiple
A "negative"dendritic Cell-based Vaccine for the Treatment of Multiple Sclerosis: a First-in-human Clinical Trial
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- tolerogenic dendritic cells (tolDC)
What it measured
Main measures
Safety (Occurrence and severity of adverse events will be recorded)
6 months
SafetyFeasibility (Generation of GMP-grade cell product released according to QC)
6 months
Feasibility
Other measures (6)
Expanded disability status scale (EDSS)
6 months
Disability progression9 Hole Peg Test (9HPT)
6 months
Disability progressionArm and hand function25 Foot walk test (T25FW)
6 months
Disability progressionWalking and mobilitySymbol Digit Modalities test (SDMT)
6 months
Thinking and memoryNumber of Gd-enhancing lesions on MRI
6 months
MRI lesionsNumber of new or enlarging T2 lesions on MRI
6 months
MRI lesions
Who could take part
MS (type not specified) · 18 to 60 · EDSS 0 to 6.5
Show the full criteria
Inclusion criteria
* MS according to 2010 revised McDonald criteria (76); * Expanded disability status scale (EDSS) of 0-6.5 inclusive; * Disease duration of maximum 15 years and first signs or symptoms at least 6 months prior to enrolment in the study; * Active MS (relapsing and progressive): -1 relapse in the past year and/or * at least 1 enhancing lesion on brain MRI in the past year * new or enlarging T2 lesion(s) in comparison with a reference scan from maximum 1 year before * Neurologically stable with no evidence of relapse for at least 30 days prior to start of screening and throughout during the screening phase; * Positive T cell reactivity response to a mix of 7 myelin-derived peptides; * Able to sign informed consent; * Ability to comply with the protocol assessments; * Appropriate venous access. * Use of adequate contraceptive measures
Exclusion criteria
* Previous use of immunosuppressive or cytostatic treatment, including mitoxantrone, alemtuzumab or bone marrow transplantation or stem cell transplantation at any time prior to enrolment; * Treatment with fingolimod or natalizumab or dimethylfumarate or teriflunomide within the last 3 months prior to study enrolment; * Pregnancy or planning pregnancy in the next 12 months and breast feeding; * Drug or alcohol abuse; * Inability to undergo MRI assessments; * History of or actual signs of immunodeficiency or malignancies; * Concurrent clinically relevant cardiac, immunological, pulmonary, neurological, renal or other major disease; * Hepatitis B, C, HIV, Syphilis or tuberculosis * Splenectomy; * Dementia or severe psychiatric, cognitive or behavioral problems or other comorbidity that could interfere with the compliance to the protocol.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
A first-in-human clinical trial to treat patients with multiple sclerosis by vaccination with tolerogenic dendritic cells (tolDC), generated using Good Manufacturing Practice (GMP) will be conducted. In doing so, the feasibility and safety of administering myelin-derived peptide-pulsed tolDC in patients with MS will be assessed.
Papers
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History
Started
May 2017
Main results due
Feb 2022
Finished
Feb 2022