About this trial
The primary purpose of this study is to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) of ublituximab in participants ages 10 to less than (\<)18 years and body weight greater than or equal to (≥)25 kilograms (kg) to less than or equal to (≤)40 kg with RMS (Part A) and to evaluate the non-inferiority of ublituximab compared with fingolimod in pediatric RMS participants with body weight ≥ 25 kg (Part B). The study will further evaluate long-term safety and efficacy of ublituximab in RMS in pediatric participants during its extension period (Part C).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of RMS.
EDSS at screening: 0-5.5, inclusive.
Neurologic stability for ≥ 30 days prior to screening, and between screening and Week 1 Day 1 (W1D1).
Disqualifiers
Known presence or suspicion of other neurologic disorders that may mimic MS.
Systemic corticosteroids (>0.1 milligrams/kilogram/day [mg/kg/day], or >5 milligrams/day [mg/day] of prednisone equivalent) or adrenocorticotropic hormone (ACTH) within 30 days prior to the screening MRI scan (note: Topical, ophthalmic, or inhaled corticosteroids are permitted).
High dose intravenous immunoglobulin (IVIG) or subcutaneous IG (SCIG) within 2 months prior to W1D1.
Treatment with anti-CD20 or other B cell directed treatment at any time.
Trial design
Parallel
Treatments tested in this trial
Ublituximab
DrugAdministered as an intravenous (IV) infusion.
Placebo
DrugOral capsule.
Placebo
DrugIV infusion.
Fingolimod
DrugOral capsule.
Treatment groups
6
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Part A: Area Under the Curve From Week 0 to 24 (AUC0-W24) of Ublituximab
Part A: Maximum Observed Concentration (Cmax) of Ublituximab
Part A: Participant B Cell Counts
Part B: Annualized Relapse Rate (ARR)
Secondary outcomes
Part A, B and C: Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Part A, B and C: Number of Participants With Change in Columbia-Suicide Severity Rating Scale (C-SSRS )
Part A: Serum Concentrations of Ublituximab
Part A and B: Percentage of Participants with Treatment-emergent Anti-drug Antibodies (ADAs) to Ublituximab
Sponsors and contacts
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