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CompletedNCT01414634ETIMSUpdated May 4, 2015Results posted

Establish Tolerance In MS With Peptide-Coupled, Peripheral Blood Mononuclear Cells

A Phase 1/2 interventional study of ETIMS in Multiple Sclerosis, Relapsing-Remitting, sponsored by Universitätsklinikum Hamburg-Eppendorf. Completed. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2015-05-04.

Sponsored by Universitätsklinikum Hamburg-Eppendorf · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
9
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
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Study summary

Open-label, single center, phase I clinical trial to assess the safety, tolerability and preliminary efficacy and in vivo mechanisms of action of i.v. administration of autologous peripheral blood mononuclear cell (PBMC) chemically coupled with a cocktail containing seven immunodominant myelin peptides to which T cell responses are demonstrable in early RR MS patients.

Read the detailed description

Open-label, single center, phase I dose-escalation study to assess the safety, tolerability and preliminary efficacy and in vivo mechanisms of action of a single infusion of autologous peripheral blood mononuclear cells chemically coupled with seven myelin peptides (MOG1-20, MOG35-55, MBP13-32, MBP83-99, MBP111-129, MBP146-170, and PLP139-154) in Multiple Sclerosis patients who were off-treatment for standard therapies. Neurological, magnetic resonance imaging, laboratory, and immunological examinations were performed to assess the safety, tolerability, and in vivo mechanisms of action of this regimen.

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Conditions studied

  • Multiple Sclerosis, Relapsing-Remitting
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In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 9 is below the median of 50 across 2,342 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Universitätsklinikum Hamburg-Eppendorf is the lead sponsor of 403 studies on the registry; 83 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Between the ages of 18 and 55 years.
  2. Patients with relapsing-remitting (Phase I/II) or secondary progressive MS (Phase I) according to published criteria
  3. EDSS score between 1 and 5.5.
  4. Patients are off-treatment for standard therapies (interferon-beta, glatiramer acetate, natalizumab, mitoxantrone)
  5. Patients are able to provide written, informed consent prior to any testing under this protocol, including screening and baseline investigations that are not considered part of routine patient care.
  6. Disease duration ≤ 5 years (Only Phase II)

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of secondary-progressive (Phase II) or primary-progressive MS, as defined by published diagnostic criteria.
  2. Abnormal screening/baseline blood tests exceeding any of the limits defined
  3. Pregnant or breast-feeding female.
  4. History or signs of immunodeficiency.
  5. Concurrent clinically significant (as determined by the investigators) cardiac, immunological, pulmonary, neurological, renal or other major disease.
  6. Splenectomy
  7. History of HIV or positive HIV antibody testing
  8. Serology indicating active Hepatitis B or C infection.
  9. Patients with cognitive impairments who are unable to provide written, informed consent prior to any testing under this protocol, including screening and baseline investigations that are not considered part of routine patient care
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    ETIMS 1x10^3

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 1x10\^3 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 1x10^5

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 1x10\^5 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 1x10^7

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 1x10\^7 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 1x10^8

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 1x10\^8 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 5x10^8

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 5x10\^8 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 1x10^9

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 1x10\^9 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 2.5x10^9

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 2.5x10\^9 cells.

    Biological: ETIMS

  • Experimental
    ETIMS 3x10^9

    The drug product consists of autologous peripheral blood mononuclear cells that have been chemically coupled with seven myelin peptides and resuspended in autologous plasma. This patient receives 3x10\^9 cells.

    Biological: ETIMS

Interventions

  • BiologicalETIMS

    injection of peptide-coupled PBMC by i.v. infusion

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What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events as a Measure of Safety and Tolerability

    Time frame: 12 months

  2. Number of Adverse Events

    Time frame: 3 months after treatment

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Results

Posted Apr 8, 2015

Participant flow

Participant flow — Overall Study
MilestoneETIMS 1x10^3ETIMS 1x10^5ETIMS 1x10^7ETIMS 1x10^8ETIMS 5x10^8ETIMS 1x10^9ETIMS 2.5x10^9ETIMS 3x10^9
Started11111211
Completed11111211
Not completed00000000

Outcome measures

PrimaryNumber of Participants With Adverse Events as a Measure of Safety and Tolerability
Time frame:
12 months

Results for this outcome have not been posted.

PrimaryNumber of Adverse Events
Time frame:
3 months after treatment
Reported as:
Number · Number of AE
Number of Adverse Events
Number of AEETIMS Dose Escalation
Number of Adverse Events14

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ETIMS 1x10^3—1/1 (100%)1/1 (100%)
ETIMS 1x10^5—0/1 (0%)1/1 (100%)
ETIMS 1x10^7—0/1 (0%)1/1 (100%)
ETIMS 1x10^8—0/1 (0%)1/1 (100%)
ETIMS 5x10^8—0/1 (0%)1/1 (100%)
ETIMS 1x10^9—0/2 (0%)2/2 (100%)
ETIMS 2.5x10^9—0/1 (0%)0/1 (0%)
ETIMS 3x10^9—0/1 (0%)0/1 (0%)
Most frequent serious events
Most frequent serious events
EventETIMS 1x10^3ETIMS 1x10^5ETIMS 1x10^7ETIMS 1x10^8ETIMS 5x10^8ETIMS 1x10^9ETIMS 2.5x10^9ETIMS 3x10^9
diverticulitis of sigmaGastrointestinal disorders1/1———————
Most frequent other events
Showing 10 of 12
Most frequent other events
EventETIMS 1x10^3ETIMS 1x10^5ETIMS 1x10^7ETIMS 1x10^8ETIMS 5x10^8ETIMS 1x10^9ETIMS 2.5x10^9ETIMS 3x10^9
metallic flavor during infusion of study drugGeneral disorders0/11/10/10/10/10/20/10/1
HeadacheNervous system disorders1/10/10/10/10/10/20/10/1
Common coldInfections and infestations0/10/10/11/11/10/20/10/1
DiarrheaGastrointestinal disorders1/10/10/10/10/10/20/10/1
Irritation of punctured veinInjury, poisoning and procedural complications0/11/10/10/10/10/20/10/1
MigraineNervous system disorders0/11/10/10/10/10/20/10/1
Neck painMusculoskeletal and connective tissue disorders0/10/11/10/10/10/20/10/1
Vision disturbanceNervous system disorders0/10/11/10/10/10/20/10/1
Dysaesthesia/pain in one handNervous system disorders0/10/11/10/10/10/20/10/1
Gastric painGastrointestinal disorders0/10/10/10/11/10/20/10/1

Baseline characteristics

Age, Continuous
Age, Continuous(years)ETIMS Dose Escalation
Median42 (27 to 49)
Age, Categorical
Age, Categorical(Participants)ETIMS Dose Escalation
<=18 years0
Between 18 and 65 years9
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)ETIMS Dose Escalation
Female8
Male1
Region of Enrollment
Region of Enrollment(participants)ETIMS Dose Escalation
Germany9
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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Lutterotti A, Yousef S, Sputtek A, Sturner KH, Stellmann JP, Breiden P, Reinhardt S, Schulze C, Bester M, Heesen C, Schippling S, Miller SD, Sospedra M, Martin R. Antigen-specific tolerance by autologous myelin peptide-coupled cells: a phase 1 trial in multiple sclerosis. Sci Transl Med. 2013 Jun 5;5(188):188ra75. doi: 10.1126/scitranslmed.3006168. PubMed 23740901 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01414634
Lead sponsor
Universitätsklinikum Hamburg-Eppendorf
Responsible party
Sponsor
First posted
Aug 11, 2011
Start date
Feb 2010
Primary completion
Oct 2012
Completion
Oct 2012
Results posted
Apr 8, 2015
Last update
May 4, 2015

Study contacts

Christoph Heesen, MD
principal investigator · Department of Neurology, University Clinic Eppendorf (UKE)

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2015. You cannot join it, but the record below documents what was studied.

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