ClinicalTrials.gg
CompletedNCT01764737Updated Feb 6, 2015

Evaluation of Safety, Tolerability, and PK of VX15/2503 In Patients With MS

A Phase 1 interventional study of VX15/2503 and Placebo in Multiple Sclerosis, sponsored by Vaccinex Inc.. Completed at 10 sites in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2015-02-06.

Sponsored by Vaccinex Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and tolerability of IV administration of VX15/2503 in patients with multiple sclerosis. The escalation part of the study will determine the maximum tolerated dose (MTD) or the Maximum Administered Dose if no MTD is found.

Read the detailed description

VX15/2503-N-101 is a single ascending dose-escalation, randomized, double-blinded, placebo-controlled study to evaluate the safety and tolerability of IV-administered VX15/2503 in patients with multiple sclerosis. This will be accomplished by using a dose escalation procedure starting at a low dose of VX15/2503 and will continue based on predefined parameters until the maximum tolerated dose is identified. Patients will be randomized at a 4:1 ratio to receive VX15/2503 to placebo. The patients and the study team will be blinded to the treatment that each patient receives.

The study drug, VX15/2503, is a humanized monoclonal antibody that binds to the semaphorin 4D (SEMA4D; CD100) antigen. Experimental evidence suggest that antibody neutralization of SEMA4D may represent a new therapeutic strategy for treating multiple sclerosis.

02

Conditions studied

  • Multiple Sclerosis

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Keywords

  • VX15/2503
  • Semaphorin 4D
  • SEMA4D
  • CD100
  • safety
  • tolerability
  • pharmacokinetics
  • immunogenicity
  • multiple sclerosis
  • monoclonal antibody
03

In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's enrollment of 50 is close to the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Vaccinex Inc. is the lead sponsor of 7 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients 18-60 years of age who have been diagnosed with MS for at least 1 year as defined by the 2010 revisions to the McDonald criteria
  • Has an EDSS score of 0 to 6.5 inclusive at screening
  • Has a of 18 to 32 kg/m2
  • Is willing to undergo and has no to brain MRI
  • Willing to use a medically acceptable method of throughout the study period and for 6 months after the dose of VX15/2503, unless patient is surgically sterile or . Women of must have started using adequate contraception at least 2 months before the Day 1 visit.
  • Male patients must agree to defer from donating sperm for 6 months after VX15/2503 administration
  • Women of childbearing potential must have a negative serum pregnancy test at screening, which will be confirmed at baseline using a urine test before administration of VX15/2503
  • Is willing to forego other forms of experimental treatment during the study

Exclusion criteria

Exclusion Criteria:

  • Had an MS relapse that did not stabilize within the 30 days before the start of screening.
  • Has any cardiac, endocrine, hematologic, hepatic, immunologic, metabolic, urologic/gynecologic, pulmonary, neurologic, psychiatric, or renal conditions; has a history of relevant clinically significant allergic or anaphylactic reactions; or has any other clinically significant major disease that, as assessed by the investigator, would pose a risk to patient safety or interfere with the study evaluations, procedures, or completion
  • Has any clinically significant laboratory value outside the normal range for MS patients at screening, or has abnormal hematologic, renal, or hepatic function based on laboratory tests
  • Is a pregnant or breastfeeding woman
  • Has received treatment with any MS disease-modifying therapy other than interferon beta or glatiramer acetate within 3 months prior to dosing
  • Has been treated with natalizumab, daclizumab, or fingolimod for any indication within 6 months prior to dosing
  • Has had any prior treatment with alemtuzumab, rituximab, mitoxantrone, total lymphoid irradiation, bone marrow transplantation, or T cell or T cell receptor vaccination
  • Has received any experimental agent within 6 months prior to dosing, or within a period equivalent to 5 half-lives of the agent (whichever is longer); or is currently involved in any other research study
  • Has undergone any major surgical procedure within the 4 weeks prior to dosing
  • Has a history of congestive heart failure ( Class III to IV), symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention, or myocardial infarction within 6 months prior to dosing
  • Has a clinically significant finding at screening
  • Has a known or suspected (HIV) or or infection
  • Has a known or suspected allergy to Gd or other to brain MRI
  • Has a history of an opportunistic infection or a history of acute infection requiring systemic antibiotics, antivirals, or antifungals within 6 weeks prior to dosing (antiinfective therapy must have been completed at least 4 weeks prior to dosing)
  • Has any other intercurrent illness or condition, including alcohol or drug dependence as determined by the investigator, which could impact the patient's compliance with or ability to complete the study
  • History of seizure disorder or unexplained blackouts or history of seizure within 3 months of screening
  • History of suicidal ideation within 3 months prior to screening, episode of severe depression within 3 months prior to screening
  • Has a sensitivity to VX15/2503 or the ingredients or of VX15/2503, or known or suspected sensitivity to mammalian cell-derived products
  • Has donated or lost more than 1 unit of blood in the 60 days prior to screening
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    VX15/2503

    Drug: VX15/2503

  • Experimental
    Placebo

    Drug: Placebo

Interventions

  • DrugVX15/2503

    Drug page: Pepinemab

    single dose intravenous administration

  • DrugPlacebo

    single dose intravenous administration

06

What researchers measure

Primary outcomes

  1. Safety/Tolerability as determined by number of patients with adverse events

    Time frame: Up to 12 weeks depending on dose cohort

Secondary outcomes

  1. Half-life of VX15/2503

    Time frame: Up to 12 weeks depending on dose cohort

  2. Peak plasma concentration (Cmax) of VX15/2503

    Time frame: Up to 12 weeks depending on dose cohort

  3. Area under the plasma concentration versus time curve (AUC) of VX15/2503

    Time frame: Up to 12 weeks depending on dose cohort

  4. Number of patients who develop anti-drug antibody

    Time frame: Up to 12 weeks depending on dose cohort

Other outcomes

  1. Cellular Semaphorin 4D (SEMA4D; CD100) percent saturation

    Time frame: Up to 12 weeks depending on dose cohort

  2. VX15/2503 dose level vs serum SEMA4D levels

    Time frame: Up to 12 weeks depending on dose cohort

  3. Change in magnetic resonance imaging (MRI) parameters as compared to VX15/2503 dose level

    MRI parameters: * Number of T1 gadolinium (Gd)-enhancing lesions * Number of T2 lesions * Total volume of T1 and T2 lesions if the investigational site has the imaging processing capability

    Time frame: Screening to 4 weeks post-dose

  4. VX15/2503 dose vs the change in Kurtzke Expanded Disability Status Scale

    Time frame: Up to 12 weeks depending on dose cohort

07

Study locations

10 sites
  • North Central Neurology Associates, PC
    Cullman, Alabama 35058, United States
  • University of Colorado Hospital, Aschutz Inpatient Pavilion
    Aurora, Colorado 80045, United States
  • Indiana University Health Neuroscience Center
    Indianapolis, Indiana 46202, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Wayne State University - University Health Center
    Detroit, Michigan 48201, United States
  • MS Center of Northeastern NY/Empire Neurology
    Latham, New York 12110, United States
  • University of Rochester Medical Center
    Rochester, New York 14642, United States
  • The Neurological Institute, PA
    Charlotte, North Carolina 28204, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Swedish Medical Center
    Seattle, Washington 98122, United States
08

References and documents

Publications

  • LaGanke C, Samkoff L, Edwards K, Jung Henson L, Repovic P, Lynch S, Stone L, Mattson D, Galluzzi A, Fisher TL, Reilly C, Winter LA, Leonard JE, Zauderer M. Safety/tolerability of the anti-semaphorin 4D Antibody VX15/2503 in a randomized phase 1 trial. Neurol Neuroimmunol Neuroinflamm. 2017 Jun 16;4(4):e367. doi: 10.1212/NXI.0000000000000367. eCollection 2017 Jul. PubMed 28642891 ↗
  • Worzfeld T, Offermanns S. Semaphorins and plexins as therapeutic targets. Nat Rev Drug Discov. 2014 Aug;13(8):603-21. doi: 10.1038/nrd4337. PubMed 25082288 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01764737
Lead sponsor
Vaccinex Inc.
Collaborators
PRA Health Sciences
Responsible party
Sponsor
First posted
Jan 10, 2013
Start date
Dec 2012
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Feb 6, 2015

Study contacts

John Leonard, PhD
study director · Vaccinex Inc.
Keith R Edwards, MD, FAAD
principal investigator · MS Center of Northeastern NY/Empire Neurology
Christopher C LaGanke, MD
principal investigator · North Central Neurology Associates, PC
T H Rao, MD
principal investigator · The Neurological Institute, PA
Lawrence M Samkoff, MD
principal investigator · University of Rochester
Lael A Stone, MD
principal investigator · The Cleveland Clinic
Omar Khan, MD
principal investigator · Wayne State University - University Health Center
Sharon Lynch, MD
principal investigator · University of Kansas Medical Center
David H Mattson, MD
principal investigator · Indiana University Health Neuroscience Center
Timothy Vollmer, MD
principal investigator · University of Colorado Hospital, Anschutz Inpatient Pavilion
Pavle Repovic, MD
principal investigator · Swedish Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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

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Studies of the drug tested here: Pepinemab

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