Phase 2 Study of the Pharmacokinetics, Safety, and Relative Bioavailability of Subcutaneous Ublituximab via Autoinjector versus Syringe in Patients with Multiple Sclerosis
- Trial ID
- 2025-523757-33-00
- Protocol
- TG1101-RMS-SC201
- Sponsor
- Tg Therapeutics Inc.
Trial statistics
Diseases & Conditions
Objectives
The primary objectives of this Phase 2 study in patients with multiple sclerosis are to evaluate the pharmacokinetics and safety of subcutaneous ublituximab administered at various injection sites, and to assess the relative bioavailability of the drug when delivered via an autoinjector device compared to a syringe. Secondary objectives include the evaluation of the pharmacokinetic profile and safety of subcutaneous ublituximab during the second part of the investigation.
Participants
This study involves 230 participants diagnosed with relapsing remitting multiple sclerosis. The study population includes both male and female patients within the age range of 18 to 65 years. Eligible individuals must demonstrate neurological stability for more than 30 days prior to screening and possess an expanded disability status scale score of 5.5 or less. Clinical requirements for inclusion include documented evidence of specific relapse history or the presence of a gadolinium-enhancing lesion within the year preceding screening. Female participants of childbearing potential are required to utilize effective contraception from the time of consent through six months following the final administration of the study drug.
Plans and Procedures
This Phase 2, multicenter study is designed to evaluate the pharmacokinetics and safety of ublituximab administered via subcutaneous injection at different administration sites. A second component of the research aims to assess the relative bioavailability of the solution for injection when delivered using an autoinjector device compared to a syringe. The study involves patients diagnosed with multiple sclerosis. The research methodology includes a screening visit to confirm eligibility based on specific clinical criteria, such as an Expanded Disability Status Scale score of ≤ 5.5 and neurological stability. The primary endpoint is the incidence of treatment-emergent adverse events. The total duration of the trial is estimated to extend through July 2029. Participation involves study visits to monitor safety and pharmacological response, concluding with an end-of-study visit.
Treatment
The experimental medication is ublituximab, provided as a solution for injection. The administered dose is 400 mg via subcutaneous injection. This study evaluates the pharmacokinetics and safety of the substance when administered using different injection sites and compares the relative bioavailability of an autoinjector device against a standard syringe.
Efficacy
The assessment of efficacy in this study of patients with multiple sclerosis is not specified. The investigation focuses on evaluating the pharmacokinetics and safety of ublituximab administered via subcutaneous injection. The primary endpoint is the incidence of treatment-emergent adverse events.
Inclusion and Exclusion Criteria
Inclusion Criteria
- 18-65 years old
- Diagnosis of RMS (2017 Revised McDonald criteria, see Section 17.1) and documented evidence of either a. ≥ 2 relapses in prior 2 years or 1 relapse in the one year prior to screening, and/or b. ≥1 Gd enhancing lesion in the year prior to screening
- Expanded Disability Status Scale (EDSS) score ≤ 5.5 at screening
- Neurologically stable for > 30 days prior to Screening and Day 1
- Female participants of childbearing potential must consent to use an effective method of contraception from consent and for 6 months after the last dose of ublituximab
Exclusion Criteria
- Primary-progressive MS (PPMS) or inactive Secondary Progressive MS (SPMS)
- Active chronic (or stable but treated with immune therapy) disease of the immune system other than MS (e.g., rheumatoid arthritis, scleroderma, Sjögren's syndrome, Crohn’s disease, ulcerative colitis, etc.) or immunodeficiency syndrome (hereditary immune deficiency, drug-induced immune deficiency, etc.)
- Participants with significantly impaired organ function as evidenced by the laboratory-based eligibility criteria
- Treatment with any investigational agent within 5 half-lives of the investigational drug prior to screening
- History of life-threatening injection/infusion related reaction (IRR), hypersensitivity, or anaphylactic reaction with any component of the ublituximab solution, protocol required pre-treatment medications, or protocol required procedure medications (including magnetic resonance imaging [MRI] contrast)
- Active infection or known history of clinically significant recurrent infection
- History of serious opportunistic or atypical infections, including human immunodeficiency virus (HIV) and tuberculosis
- History of hepatitis B virus (HBV) infection as evidenced by a detectable hepatitis B surface antigen (HBsAg) or positive hepatitis B core antibody (HBcAb)
- Chronic hepatitis C infection. Participants with positive hepatitis C virus antibody (HCV Ab) are eligible only if polymerase chain reaction (PCR) is negative for HCV ribonucleic acid (RNA)
- History or evidence (clinical, radiological, or biomarker) of suspected or confirmed progressive multifocal leukoencephalopathy (PML)
- Receipt of any live or live-attenuated vaccines (including vaccines for varicella-zoster virus or measles) within 4 weeks prior to first study drug administration (Day 1)
- Any severe or uncontrolled medical condition that could affect the participant’s ability to participate
- Females who are pregnant or nursing
- Any malignancies, excluding definitely treated basal cell and in situ squamous cell carcinomas
- Unwillingness or inability to comply with study and/or follow-up procedures outlined in the protocol
Trial Status by Country
| Country | Status | Start of Recruitment | Planned Patients |
|---|---|---|---|
Poland | Recruiting | 23 Mar 2026 | 120 |
Sites & Investigators
Investigational Products
Details about the medicinal products being studied in this clinical trial.
| Product Name | Role in Trial | Formulation | Administration | Max Daily Dose | Treatment Duration | EU MP Number |
|---|---|---|---|---|---|---|
Ublituximab | Test | SOLUTION FOR INJECTION | SUBCUTANEOUS INJECTION | 400 | 96 | PRD12001815 |

