A Study to Investigate the Safety and Effectiveness of Arbaclofen Extended-Release Tablets for Patients With MS

Last updated: July 12, 2022
Sponsor: RVL Pharmaceuticals, Inc.
Overall Status: Completed

Phase

3

Condition

Multiple Sclerosis

Limb Spasticity

Neurologic Disorders

Treatment

N/A

Clinical Study ID

NCT03290131
OS440-3004
  • Ages 18-65
  • All Genders

Study Summary

Multiple Sclerosis (MS) is an acquired inflammatory demyelinating disease of the central nervous system (CNS) that is regarded as the foremost cause of non-traumatic neurologic disability in adults in North America. Spasticity is a common complication in MS and occurs in up to 84% of patients. The main sign of spasticity is resistance to passive limb movement characterized by increased resistance to stretching, clonus, and exaggerated deep reflexes. Osmotica Pharmaceutical is currently developing arbaclofen extended-release tablets (AERT) for the treatment of spasticity in patients with MS.

Eligibility Criteria

Inclusion

Inclusion Criteria Includes:

  • Subjects 18 to 65 years of age, inclusive.

  • An established diagnosis of MS that manifests a documented history of spasticity.

  • If receiving disease-modifying medications (eg, interferons approved for MS, glatiramer acetate, natalizumab, fingolimod, or mitoxantrone), there must be no change in dose for at least 3 months prior to Visit 1 (Screening), and the subject must be willing to maintain this treatment dose for the duration of the study. If receiving AMPYRA® (dalfampridine, fampridine, 4-amino puridine), subject must be at a stable dose for at least 3 months prior to Visit 1.

  • Stable regimen for at least 3 months prior to Visit 2 for all medications and non-pharmacological therapies that are intended to alleviate spasticity.

  • Absence of infections, peripheral vascular disease, painful contractures, advanced arthritis, or other conditions that hinder evaluation of joint movement.

  • Use of a medically highly effective form of birth control (see Section 7.8) during the study and for 3 months thereafter for women of child-bearing potential (including female subjects and female partners of non-sterile male subjects).

  • Willing to sign the informed consent form (ICF).

Exclusion Criteria Includes:

  • Any concomitant disease or disorder that has symptoms of spasticity or that may influence the subject's level of spasticity.

  • Concomitant use of medications that would potentially interfere with the actions of the study medication or outcome variables.

  • Pregnancy, lactation, or planned pregnancy during the course of the study and for 3 months after the final study visit.

  • Subject has clinically significant abnormal laboratory values, in the opinion of the investigator, at Visit 1 or Visit 2.

  • Current malignancy or history of malignancy that has not been in remission for more than 5 years, except effectively treated basal cell skin carcinoma.

  • Any other significant disease, disorder, or significant laboratory finding which, in the opinion of the investigator, puts the subject at risk because of participation, influences the result of the study, or affects the subject's ability to participate.

Study Design

Total Participants: 536
Study Start date:
January 28, 2018
Estimated Completion Date:
January 02, 2019

Study Description

This is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the safety and efficacy of oral AERT in MS patients with spasticity. Two doses of AERT, 40 mg and 80 mg, will be compared with placebo. The treatment groups will be randomized in a 1:1:1 ratio. Eligible patients will undergo a washout period for withdrawal of all medications used for anti-spasticity and/or muscle relaxation prior to randomization. A baseline clinical evaluation will be performed (Visit 2) to confirm eligibility for study randomization, and subjects will be randomly assigned to 1 of 3 treatment arms. Subjects will remain on maintenance treatment for approximately 3 months.

Connect with a study center

  • Grodno Regional Clinical Hospital

    Grodno,
    Belarus

    Site Not Available

  • Minsk City Clinical Hospital #5

    Minsk,
    Belarus

    Site Not Available

  • Minsk Scientific and Practical Center of Surgery, Transplantology and Hematology

    Minsk,
    Belarus

    Site Not Available

  • Republican Research and Development Center for Neurology and Neurosurgery

    Minsk,
    Belarus

    Site Not Available

  • Vitebsk Regional Diagnostic Center

    Vitebsk,
    Belarus

    Site Not Available

  • University Clinical Centre of the Republic of Srpska, Clinic of Neurology

    Banja Luka,
    Bosnia and Herzegovina

    Site Not Available

  • University Clinical Hospital Mostar, Clinic of Neurology

    Mostar,
    Bosnia and Herzegovina

    Site Not Available

  • Multiprofile Hospital for Active Treatment - Pleven within the structure of Military Medical Academy, Sofia

    Pleven,
    Bulgaria

    Site Not Available

  • University Multiprofile Hospital for Active Treatment "Dr. Georgi Stranski", Pleven, Clinic of Neurological Diseases

    Pleven,
    Bulgaria

    Site Not Available

  • Medical Center "Rusemed" EOOD

    Ruse,
    Bulgaria

    Site Not Available

  • Multiprofile Hospital for Active Treatment "ACIBADEM City Clinic Tokuda Hospital", Sofia, Neurology and Sleep Medicine Clinic

    Sofia,
    Bulgaria

    Site Not Available

  • Multiprofile Hospital for Active Treatment of Neurology and Psychiatry "Sveti Naum", Sofia

    Sofia,
    Bulgaria

    Site Not Available

  • University Multiprofile Hospital for Active Treatment "Sveti Ivan Rilski", Sofia, Clinic of Neurology Diseases

    Sofia,
    Bulgaria

    Site Not Available

  • Clinical Hospital Center Osijek, Clinic of Neurology

    Osijek,
    Croatia

    Site Not Available

  • Clinical Hospital Center Rijeka, Department of Neurology

    Rijeka,
    Croatia

    Site Not Available

  • General Hospital Varazdin, Department of Neurology

    Varaždin,
    Croatia

    Site Not Available

  • Clinical Hospital Dubrava, Department of Neurology

    Zagreb,
    Croatia

    Site Not Available

  • Institute for Emergency Medicine

    Chisinau,
    Moldova, Republic of

    Site Not Available

  • National Institute of Neurology and Neurosurgery

    Chisinau,
    Moldova, Republic of

    Site Not Available

  • Dendryt Medical Center

    Katowice,
    Poland

    Site Not Available

  • Neuro-Medic

    Katowice,
    Poland

    Site Not Available

  • Medical Practice Professor K. Rejdak

    Lublin,
    Poland

    Site Not Available

  • MED-Polonia, Sp. z o.o. (LLC)

    Poznań,
    Poland

    Site Not Available

  • "MEDYK" Stanislaw Mazur Sp. z o.o. (LLC) Medical Centre

    Rzeszów,
    Poland

    Site Not Available

  • NeuroProtect Medical Center

    Warsaw,
    Poland

    Site Not Available

  • Neurology Center Krzysztof Selmaj

    Łódź,
    Poland

    Site Not Available

  • Clinical Center of Serbia

    Belgrade,
    Serbia

    Site Not Available

  • Clinical Hospital Center Zemun, Department of Neurology

    Belgrade,
    Serbia

    Site Not Available

  • Clinical Hospital Center Zvezdara

    Belgrade,
    Serbia

    Site Not Available

  • Clinical Center Kragujevac

    Kragujevac,
    Serbia

    Site Not Available

  • Xenoscience Inc.

    Phoenix, Arizona 85004
    United States

    Site Not Available

  • Neuro-Pain Medical Center

    Fresno, California 93710
    United States

    Site Not Available

  • Meridien Research

    Tampa, Florida 33634
    United States

    Site Not Available

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