Only though research will we achieve our goal of Ending MS


For patients with multiple sclerosis, their families and caregivers, the decision to participate in receiving an experimental treatment or enter a clinical trial is a challenging one. The MS Clinic is actively involved in performing MS Clinical trials. MS clinical trials are carefully designed research to determine the effectiveness and safety of a drug or device in humans.

 

 Currently Recruiting Clinical Trials


  • CANOPTICS: the CAnadian Neuromyelitis OPTIca Spectrum Disorder (NMOSD) and other atypical demyelinating diseases Cohort Study

    Short Name: CANOPTICS
    Status: Enrolling

    This is an observational study that follows patients at their annual clinic visits. CANOPTICS aims to monitor clinical trends and responses to therapy in people with NMOSD and other atypical demyelinating diseases over time in Canada.

  • A randomized, open label, multi-center, active-comparator study to assess the efficacy, safety and tolerability of ofatumumab 20mg sc monthly versus continued current therapy in relapsing-remitting multiple sclerosis after elevation of serum neurofilament light levels (SOSTOS)

    Short Name: SOSTOS
    Status: Enrolling

    This study investigates if patients who have not had a relapse in the past year would benefit from switching to ofatumumab compared to continuing their current MS treatment. This study also seeks to understand if having an elevated serum neurofilament light (NfL) level can predict a greater benefit from switching to ofatumumab compared to continuing current treatment.

  • Primary Progressive Multiple Sclerosis (PPMS) Study of Bruton's Tyrosine Kinase (BTK) Inhibitor Tolebrutinib (SAR442168) (PERSEUS)

    Short Name: PERSEUS
    Status: Recruiting soon

    To determine the efficacy of SAR442168 compared to placebo in delaying disability progression in primary progressive multiple sclerosis (PPMS)

  • MS-DETECT: Early Detection of Multiple Sclerosis Progression With MSCopilot® Detect (MS-DETECT)

    Short Name: MS-DETECT
    Status: Recruiting soon

    The study aims to evaluate MSCopilot® Detect, a smartphone application for at-home monitoring of patients with Multiple Sclerosis (MS).

    The primary objective is to enhance and standardize remote monitoring of MS patients to accurately assess disease progression caused by either Relapse Activity Worsening (RAW) or Progression Independent of Relapses (PIRA). The study also aims to assess the safety, usability, and satisfaction of the solution. A secondary objective is to determine MSCopilot® Detect's ability to provide early detection of disease changes and predict changes in Expanded Disability Status Scale (EDSS) scores in more patients.

  • Efficacy and Safety Study of Frexalimab (SAR441344) in Adults With Nonrelapsing Secondary Progressive Multiple Sclerosis

    Short Name: FREVIVA
    Status: Recruiting mid-2024

    The purpose of this randomized, double-blind, placebo-controlled, parallel group study is to determine the efficacy of frexalimab in delaying the disability progression and the safety up to approximately 51 months administration of study intervention compared to placebo in male and female participants with nrSPMS (aged 18 to 60 years at the time of enrollment). People diagnosed with nrSPMS are eligible for enrollment as long as they meet all the inclusion criteria and none of the exclusion criteria.

  • Efficacy and Safety Studies of Frexalimab (SAR441344) in Adults With Relapsing Forms of Multiple Sclerosis

    Short Name: FREXALT
    Status: Recruiting mid-2024

    The purpose of each study is to independently measure the annualized relapse rate (ARR) with administration of frexalimab compared to a daily oral dose of teriflunomide in male and female participants with relapsing forms of multiple sclerosis (aged 18 to 55 years at the time of enrollment). People diagnosed with relapsing forms of multiple sclerosis are eligible for enrollment as long as they meet all the inclusion criteria and none of the exclusion criteria.

 

Active & Ongoing Studies


  • A Phase III Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group Study To Evaluate The Efficacy And Safety Of Fenebrutinib Compared With Ocrelizumab In Adult Patients With Primary Progressive Multiple Sclerosis (FENTREPID)

    Short Name: Fentrepid
    Status: Ongoing (closed for enrolment)

    Treatment options for Primary Progressive MS (PPMS) are limited, with currently only one disease modifying therapy approved for commercial use by Health Canada.

    This study seeks to expand treatment options by evaluating the efficacy and safety of fenebrutinib on disability progression in adult participants with Primary Progressive Multiple Sclerosis (PPMS).

  • An Open-Label, Single-Arm 4-Year Study To Evaluate Effectiveness And Safety Of Ocrelizumab Treatment In Patients With Progressive Multiple Sclerosis (Consonance)

    Short Name: Consonance
    Status: Ongoing (closed for enrolment)

    The purpose of this study is to see if ocrelizumab (study drug) will slow the worsening of the signs and symptoms of the progressive form of MS and see how well the study drug is tolerated.

  • A Phase 3, randomized, double-blind efficacy and safety study comparing SAR442168 to teriflunomide (Aubagio®) in participants with relapsing forms of multiple sclerosis (GEMINI 1)

    Short Name: GEMINI 1
    Status: Ongoing (closed for enrolment)

    SAR442168 is a study drug under development for the treatment of MS. SAR442168 is being studied to determine if it will improve physical functioning in subjects with relapsing forms of MS who have disability.

  • A Multicenter, Single-Arm, Open-Label, Extension, Rollover Study To Evaluate The Long-Term Safety And Efficacy Of Ocrelizumab In Patients With Multiple Sclerosis (OLERO)

    Short Name: OLERO
    Status: Enrolling (only participants enrolled in previous trial)

    This study aims to continue to collect longer-term information on the safety and effectiveness of treatment with ocrelizumab in subjects with either RMS or PPMS. Participants enrolled in this trial have taken part in previous Parent ocrelizumab studies.

  • The Canadian Prospective Cohort Study to Understand Progression in Multiple Sclerosis (CanProCo)

    Short Name: CanProCo
    Status: Ongoing (closed for enrolment)

    This is an observational study designed to better understand the factors that contribute to MS disease progression. It uses tools from different fields such as epidemiology (i.e. number of patients and distribution of diseases), medical imaging (MRI), and immunology (blood). This study will use methods from different scientific areas to evaluate a large group (i.e. cohort) of Canadians living with RRMS, PPMS and RIS over a 5-year period.

  • A Multicenter, Single Arm, Open-label Study to Evaluate the Long-term Safety and Efficacy of Satralizumab in Patients with Neuromyelitis Optica Spectrum Disorder (NMOSD)

    Short Name: Sakura Moon
    Status: Ongoing (closed for enrolment)

    The purpose of this study is to collect more data on the long-term safety and efficacy of satralizumab and to continue providing participants with satralizumab treatment after completion of participation in a previous satralizumab study. Satralizumab has been approved by as a monotherapy or in combination with background immunosuppressive therapy (IST) for the treatment of NMOSD in adult and adolescent patients who are aquaporin-4 (AQP4) antibody seropositive by Health Canada.

  • Long-Term Extension Safety And Efficacy Study Of Sar442168 In Participants With Relapsing Multiple Sclerosis

    Short Name: BTK LTS
    Status: Ongoing (closed for enrolment)

    The purpose of the study is to determine the long-term safety and tolerability of SAR442168 in participants with relapsing multiple sclerosis (RMS). A secondary purpose is to determine the action of SAR442168 on disease activity by monitoring the lesions in the brain with Magnetic Resonance Imaging (MRI) and evaluating the number of relapses and disability status.

  • Single arm, open label multicentre extension study to evaluate the effectiveness and safety of ocrelizumab in patients with multiple sclerosis previously enrolled in a F. Hoffmann-la roche sponsored ocrelizumab phase IIIb/IV clinical trial

    Short Name: Liberto
    Status: Ongoing (closed for enrolment)

    The purpose of this study is to continue providing treatment with ocrelizumab (a type of drug called a monoclonal antibody) to participants after completion of a previous ocrelizumab clinical trial to see the long-term safety and effectiveness of this drug. Monoclonal antibodies act like your body’s immune system and attach to certain cells to attack germs and other illnesses in your body. Ocrelizumab attaches to certain types of white blood cells (B cells) that are thought to play a role in MS.

FAQs

  • The UBC Hospital MS Clinic is involved in many different kinds of research. Research helps us gain knowledge to find new treatments and cures. There are two types of research. Researchers conduct research to test scientific developments. There is also research that involves humans and this is called clinical research. There are many different types of clinical research but clinical trials investigate new drugs, combination of drugs, drug treatments and medical devices.

    A clinical trial must be done before a new drug or device can be marketed to the general public. A clinical trial has three main goals:

    1. Safety: The clinical trial must prove that a medication or medical device is safe for use by the public.

    2. Effectiveness: The clinical trial must prove that the new medication is effective.

    3. Side-Effects: The clinical trial must ensure the new medication has few side-effects to cause harm.

    Clinical trials are closely regulated and investigators must be given permission to test a new drug under extremely strict regulations.

  • Phase I trials (Rarely done at UBC Hospital MS Clinic) – Researchers test an experimental drug or treatment in a small group of volunteers to evaluate safety, determine safe doses and identify side effects.

    Phase II trials – Researchers test an experimental drug or treatment which is given to a larger group of volunteers to investigate the effectiveness and to further evaluate its safety. Researchers compare the responses of the group given the treatment to others given a placebo or other medication.

    Phase III trials - The experimental drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments and determine the potential side effects of the medication, the long-term effects and any complications that may occur.

    Phase IV trials – Post marketing studies conducted to determine long-term risks, benefits and overall optimal use.

  • Each clinical trial has a different criteria for who can participate and strict requirements, eg. age, current health and medical history. In order to take part in a clinical trial you must agree to be involved in that particular study. Your physician will ask you if you are interested in taking part in a particular study if he/she thinks you qualify for that study.

    In order to be included in a clinical trial you must agree to be involved and you may drop out of the research at any time. Your present and future medical care at the MS Clinic will be the same whether or not you agree to participate.

    All clinical trial procedures, risks and benefits are explained in detail in the letter of information and consent.

  • Potential participants in a clinical trial are given information documents by those overseeing the trial which clearly explain:

    • the study purpose

    • study procedures

    • length of the study

    • benefits and risks of taking part in the trial

    • what other treatments are available

    • taking part is your choice

    • participants may ask questions or withdraw at any time before, during or after the trial.

    Participants will also be asked to sign a consent form which will also indicate the “Principal Investigator” you should contact if you have any questions or require any additional information.

    Research staff will always safeguard your health and put the patient’s interest first and foremost.