Primary Progressive Multiple Sclerosis (PPMS) Study of Bruton's Tyrosine Kinase (BTK) Inhibitor Tolebrutinib (SAR442168) (PERSEUS)
Investigating the Effectiveness of an Investigational Medication in Delaying Disability in Primary Progressive Multiple Sclerosis (PPMS)
Study Overview
Primary Objective:
To determine the efficacy of SAR442168 compared to placebo in delaying disability progression in primary progressive multiple sclerosis (PPMS)
Secondary Objectives:
To evaluate efficacy of SAR442168 compared to placebo on clinical endpoints, magnetic resonance imaging (MRI) lesions, cognitive performance, physical function, and quality of life To evaluate safety and tolerability of SAR442168 To evaluate population pharmacokinetics (PK) of SAR442168 in PPMS and its relationship to efficacy and safety To evaluate pharmacodynamics of SAR442168
Study Details
Study duration will vary per participant in this event driven trial with a treatment duration of approximately 12 to 60 months.
Eligibility Criteria
You may be eligible for this study if you meet the following criteria:
- Conditions: Primary Progressive Multiple Sclerosis
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Age: 18 years - 55 years
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Gender: All
Inclusion Criteria:
- 18 to 55 years of age inclusive
- Diagnosis of PPMS according to the 2017 McDonald criteria
- Expanded disability status scale (EDSS) score between 2.0 to 6.5 points, at screening inclusive
- Positive cerebrospinal fluid oligoclonal bands and/or elevated Immunoglobulin G (IgG) index either during screening or documented previous history.
- Contraceptive use consistent with local regulations for individuals participating in clinical studies
- Participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies:
- Is not a woman of childbearing potential (WOCBP) or is a WOCBP and agrees to use an acceptable contraceptive method
- the participant must not have access to ocrelizumab (eg, ocrelizumab not available on the national market or not reimbursed for the approved indication).
- the participant must have access to and be eligible to be treated with ocrelizumab but: 1) does not tolerate it due to side effects or safety reasons; and/or 2) has failed ocrelizumab treatment due to perceived lack of efficacy
Exclusion Criteria:
Participants are excluded from the study if any of the following criteria apply:
- Participant has conditions that would adversely affect study participation such as short life expectancy.
- Evidence of infection with human immunodeficiency virus (HIV), transplantation, progressive multifocal leukoencephalopathy (PML), active hepatitis B or C, active or latent tuberculosis or other active infection that would adversely affect study participation.
- Persistent chronic or active or recurring system infection that may adversely affect participation or IMP administration in this study as judged by the investigator
- History of malignancy within 5 years prior to screening.
- History of alcohol or drug abuse within 1 year prior to Screening.
- Hospitalized for psychiatric disease within 2 years prior to Screening.
- Clinically significant laboratory abnormalities (including evidence of liver injury) or electrocardiogram abnormalities at Screening.
- A bleeding disorder or known platelet dysfunction at any time prior to the screening visit.
- A platelet count <150 000/μL at the screening visit.
- A history of significant bleeding event within 6 months prior to screening, according to the Investigator's judgment such as, but not limited to cerebral or gastrointestinal
- Lymphocyte count below the lower limit of normal at Screening.
- Recent live (attenuated) vaccine within 2 months before the first treatment visit.
- Recent major surgery (within 4 weeks of Screening) or planned major surgery during the study.
- The participant has received medications/treatments for MS within a specified time frame.
- Receiving potent and moderate inducers of cytochrome P450 3A (CYP3A) or potent inhibitors of CYP2C8 hepatic enzymes.
- Receiving anticoagulant or antiplatelet therapy (such as aspirin >81mg/day, clopidogrel, warfarin).
- Contraindications to magnetic resonance imaging (MRI).
NOTE: Other Inclusion/Exclusion criteria may apply. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial
This study investigates the effectiveness of an investigational medication compared to a placebo in delaying the progression of disability in individuals with primary progressive multiple sclerosis (PPMS). PPMS is a type of multiple sclerosis where symptoms gradually worsen over time without periods of improvement. The study also aims to evaluate the investigational medication's impact on clinical outcomes, MRI lesions, cognitive performance, physical function, and quality of life.
Participants will be randomly assigned to receive either the investigational medication or a placebo. A placebo is an inactive substance that looks like the investigational medication but does not contain any medicine. The study will involve regular assessments of safety, tolerability, and the medication's behavior in the body, known as pharmacokinetics and pharmacodynamics.
- Who can participate: Adults aged 18 to 55 years with a diagnosis of PPMS according to the 2017 McDonald criteria and an EDSS score between 2.0 and 6.5 may participate. Participants must not be pregnant or breastfeeding and need to follow local contraceptive guidelines. They must not have access to or tolerate ocrelizumab due to side effects or lack of efficacy.
- Study details: Participants will receive either the investigational medication or a placebo. They must not have access to or tolerate ocrelizumab due to side effects or lack of efficacy.
- Study Timelines: The study will last approximately 12 to 60 months.