Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
NCT06890923

Nasal Foralumab in Patients With Non-Active Secondary Progressive Multiple Sclerosis

Led by Tiziana Life Sciences LTD · Updated on 2025-06-06

55

Participants Needed

1

Research Sites

77 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Only subjects that have completed TILS-021, a Phase 2a Randomized, Double-Blind, Placebo-Controlled, Multicenter Dose-Ranging Study of Nasal Foralumab in Non-Active Secondary Progressive Multiple Sclerosis Patients are eligible to be enrolled in TILS-022. TILS-022 is a 6-month open-label extension study with an opportunity for dose to be escalated based on the subject's clinical status. All subjects initiate dosing in this trial at a dose of nasal foralumab 50 µg 3 days a week (Monday, Wednesday, and Friday) for 2 weeks, followed by a 1-week rest, comprising a 3-week cycle. At week 12, the dose may be escalated to 100 µg according to pre-defined dose escalation rules. Study TILS-022 is intended to ensure all participants in TILS-021, a placebo-controlled study, will be able to receive open-label nasal foralumab for 6 months. The option to extend this trial for longer than 6 months will be explored with FDA by the Sponsor.

CONDITIONS

Official Title

Nasal Foralumab in Patients With Non-Active Secondary Progressive Multiple Sclerosis

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Must have successfully completed the TILS-021 study within the past 90 days, including End of Treatment and End of Study assessments
  • Clinical lab tests must be within normal or acceptable ranges
  • Hemoglobin level of at least 9 g/dL
  • Platelet count of at least 100 x 10^9 cells/L
  • Creatinine level at or below 1.5 times the upper limit of normal or creatinine clearance of at least 60 mL/min/1.73 m2
  • Total bilirubin at or below 1.5 times the upper limit of normal unless due to Gilbert's disease
  • ALT and AST at or below 2.0 times the upper limit of normal
  • Negative urine pregnancy test within 7 days prior to first dose for women of childbearing potential
  • Sexually active women of childbearing potential and male patients must agree to use two effective contraception methods during the study and for 90 days after
  • Immunizations must be current and documented
  • Able and willing to provide written informed consent
Not Eligible

You will not qualify if you...

  • Did not complete the End of Treatment or End of Study visits in TILS-021
  • Terminated TILS-021 due to adverse events
  • Used corticosteroids (oral or IV) within 60 days before the study or expect to need them during the study
  • Used interferon, glatiramer acetate, fingolimod, siponimod, dimethyl fumarate, ponesimod, ozanimod, cyclosporin, methotrexate, azathioprine, mycophenolate mofetil, natalizumab, or other chronic immunosuppressive drugs within 30 days before screening
  • Expected to start or stop other MS pharmacologic treatments or B cell depleting therapies during the study
  • Previous or current use of B cell depleting therapies during or after TILS-021
  • Previous exposure to alemtuzumab, cyclophosphamide, cladribine, mitoxantrone, or daclizumab
  • Prior autologous hematopoietic stem cell transplant or stem cell therapy
  • Used nasal corticosteroids, antihistamines, or flu dosing within 60 days
  • Active COVID-19 infection
  • Pregnant, lactating, breastfeeding, or planning pregnancy during the study
  • History or active malignancy including skin cancers
  • History of inflammatory bowel disease, rheumatoid arthritis, systemic lupus erythematosus, asthma, or type 1 diabetes
  • Contraindications to MRI including gadolinium allergy, metal implants, severe kidney disease, or claustrophobia
  • Positive for HIV, hepatitis B or C, or tuberculosis at screening or history of these infections
  • Nasal pathology such as significant deviated septum, nasal polyps, chronic rhinitis, or recent sinusitis
  • Significant cardiac condition or ECG abnormalities
  • Any condition or intervention that could affect adherence or study results
  • Received investigational drugs other than nasal foralumab within 30 days before screening or during the study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

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Research Team

T

Tiziana

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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