CClinicalTrials.gg
TerminatedNCT03647722Updated Dec 17, 2020

Assessing the Induction of Long-term Immune Regulation Following Treatment With Lemtrada® (Alemtuzumab).

An observational study in Multiple Sclerosis, sponsored by University of Southern California. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-17.

Sponsored by University of Southern California · Observational

Why this study was terminated
Study funding was terminated.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
97
Ages
18 Years and older
Sex
All
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Study summary

In this study the investigators wish to test the hypothesis that treatment with Lemtrada is associated with alterations in immune homeostasis in favor of multiple regulatory leukocyte populations which persist long after completion of the treatment phase. Specifically, the investigators propose that regulatory B-cells are induced rapidly following the first course of treatment with Lemtrada, that this occurs prior to induction of other regulatory populations, and that these cells are functionally capable of regulating immune responses. The investigators also propose that there is a concomitant induction of functional regulatory T-cells and alternatively-activated monocytes during the first year after treatment giving a "blanket" enhanced regulatory immune profile. This study is designed primarily to identify possible mechanisms by which Lemtrada acts to modify the immune environment in recipient patients, as such the "outcome" measures are all immunological.

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Conditions studied

  • Multiple Sclerosis

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03

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 97 is close to the median of 100 across 1,016 observational studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

University of Southern California is the lead sponsor of 773 studies on the registry; 135 are open to participants now.

Of its 68 completed or terminated interventional studies of FDA-regulated products, 32 (47%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

We will recruit 125 individuals with clinically definite MS, defined by the revised McDonald criteria (35). Patients in each cohort will be enrolled from those currently being seen by physicians at the University of Southern California, Department of Neurology.

Inclusion criteria

  • Patient must qualify to receive treatment with Lemtrada according to the USC, Department of Neurology, MS Group Clinical Lemtrada Protocol.
  • Patient must have been diagnosed with clinically definite Multiple Sclerosis defined by the revised McDonald criteria (Polman et al., 2005, Polman et al., 2010) of the relapsing-remitting form with an Expanded Disability Status Scale (EDSS) score of 0 to 5.5.
  • Patient must have the ability to understand and sign this study-specific IRB-approved informed consent form.
  • Patients must be willing to donate 80mls of blood for immunological testing either prior to receiving Lemtrada or 6, 12, 18 or 24 months after first round of treatment.

Exclusion criteria

Exclusion Criteria:

  • Patient does not qualify to receive treatment with Lemtrada according to the USC, Department of Neurology, MS Group Clinical Lemtrada Protocol.
  • Inability to understand nature of the study.
  • Patient has any form of progressive MS.
  • Patient has been diagnosed with any other autoimmune disease.
  • Patient is of child bearing age with a positive pregnancy test or is unwilling to agree to use a reliable contraceptive method.
  • Treatment with any of the following within 30 days of commencing treatment with Lemtrada or collection of baseline blood sample: Gilenya, Aubagio, Tecfidera.
  • Treatment with Natalizumab within 60 days of commencing treatment with Lemtrada or collection of baseline blood sample.
  • Treatment with any of the following within 6 months of commencing treatment with Lemtrada or collection of baseline blood sample: Rituximab, Ocrevus.
  • Treatment at any time with any of the following: Mitoxantrone, Cyclophosphamide, Cladribine, Cyclosporine, Azathioprine, Methotrexate or any other immunomodulatory, immunosuppressant or immune homeostasis altering drug.
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
97 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Lemtrada treated - 6 month

    Patients that received their first course of treatment with Lemtrada approximately 6 months prior.

    Other: Assessment of leukocyte function.

  • Lemtrada treated - 12 month

    Patients that received their first course of treatment with Lemtrada approximately 12 months prior but who have not received the second course of treatment.

    Other: Assessment of leukocyte function.

  • Lemtrada treated - 18 month

    Patients that received their first course of treatment with Lemtrada approximately 18 months prior and their second course of treatment with Lemtrada approximately 6 months prior.

    Other: Assessment of leukocyte function.

  • Lemtrada treated - 24 month

    Patients that received their first course of treatment with Lemtrada approximately 24 months prior and their second course of treatment with Lemtrada approximately 18 months prior and who have not received any further treatment.

    Other: Assessment of leukocyte function.

  • Lemtrada qualified - untreated

    Patients that are qualified to start treatment with Lemtrada but have not yet being untreated.

    Other: Assessment of leukocyte function.

Interventions

  • OtherAssessment of leukocyte function.

    The function and phenotype of regulatory B-cells, regulatory T-cells and alternatively-activated monocytes will be assessed directly ex vivo from PBMC.

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What researchers measure

Primary outcomes

  1. Assess changes in the circulating regulatory B-cell population.

    Time frame: 12 months

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Study locations

1 site
  • University of Southern California, Department of Neurology
    Los Angeles, California 90033, United States
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References and documents

Publications

  • Kashani N, Kelland EE, Vajdi B, Anderson LM, Gilmore W, Lund BT. Immune Regulatory Cell Bias Following Alemtuzumab Treatment in Relapsing-Remitting Multiple Sclerosis. Front Immunol. 2021 Oct 28;12:706278. doi: 10.3389/fimmu.2021.706278. eCollection 2021. PubMed 34777337 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 17, 2020, 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
NCT03647722
Lead sponsor
University of Southern California
Responsible party
Brett T. Lund (Assistant Professor, Neurology, University of Southern California) — Principal investigator
First posted
Aug 27, 2018
Start date
Nov 2, 2018
Primary completion
Nov 1, 2020
Completion
Nov 30, 2020
Last update
Dec 17, 2020

Study contacts

Brett T Lund, Ph.D.
principal investigator · University of Southern California

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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