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NCT Number: NCT06180278

Long-term, Open-label, Safety Study of Inebilizumab in Neuromyelitis Optica Spectrum Disorder (NMOSD)

The purpose of this study is to understand the effects of long-term treatment with inebilizumab on circulating levels of immunoglobulins, B-cell counts, and other safety measures, and to further monitor repletion of immunoglobins and B-cell counts in participants with NMOSD who discontinue treatment. The objectives include:

1. To establish the nadir in circulating immunoglobulins (Ig) during chronic treatment with inebilizumab and ascertain the time needed to ensure restoration of pre-treatment baseline serum levels of IgG and IgM after discontinuation of treatment 2. To characterize B-cell counts throughout treatment with inebilizumab and after discontinuation until repletion of Immunoglobulin (Ig levels) 3. To assess long-term safety of inebilizumab 4. To assess other long-term effects of inebilizumab

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Prince of Wales Hospital (PWH) - The Chinese University of Hong Kong (CUHK) - Ophtalmology, Hong Kong, China

Loading trial locations.

About this study

This study aims to enroll 30 participants who either participated in the open-label period (OLP) of the N-MOmentum study (CD-IA-MEDI-551-1155; NCT02200770), a global registrational study that determined the safety and efficacy of inebilizumab for treatment of NMOSD, or who are newly initiating inebilizumab treatment at the discretion of their physician at participating sites.

Acquired from Horizon in 2024.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 years or above, and able to provide written informed consent and any locally required authorization (e.g., Health Insurance Portability and Accountability Act [HIPAA] in the United States of America (USA), European Union [EU] Data Privacy Directive in the EU) obtained from the subject/legal representative prior to performing any protocol-related procedures, including screening evaluations.
  • Have completed at least 2 years in the open-label period of the N-MOmentum study or are newly initiating inebilizumab treatment at a participating site.
  • Females of childbearing potential who are sexually active with a nonsterilized male partner must use a highly effective method of contraception as outlined in the protocol (subjects in the Czech Republic only must use 1 additional method of contraception) from screening, and must agree to continue using such precautions for 6 months after treatment with inebilizumab; cessation of contraception after this point should be discussed with a responsible physician.
  • Nonsterilized males who are sexually active with a female partner of childbearing potential must use a male condom plus spermicide (subjects in the Czech Republic only must use 1 additional method of contraception) from Day 1 for 3 months after receipt of last treatment with inebilizumab.
  • Sterilized males, without the appropriate post-vasectomy documentation on the absence of sperm in the ejaculate, who are sexually active with a female partner of childbearing potential must use a condom and spermicide from Day 1 for 3 months after receipt of the last treatment with inebilizumab.

Exclusion criteria

  • Have any condition that would place the participant at unacceptable risk of complications, interfere with evaluation of inebilizumab or confound the interpretation of participant safety or study results.
  • Received rituximab or any other B-cell depleting agent after exit from N-MOmentum study, or within the last 12 months prior to screening for non N-MOmentum participants.
  • Known history of allergy or reaction to any component of inebilizumab formulation or history of anaphylaxis following any biologic therapy
  • Have a severe clinically significant infection, including active chronic infection such as hepatitis B
  • Have active or untreated latent tuberculosis
  • Have a history of progressive multifocal leukoencephalopathy (PML)
  • Is severely immunocompromised state
  • Have active malignancies

Treatment and study plan

Blood tests

Other

Participants will have blood tests done at each scheduled visit (approximately every 6 months).

Inebilizumab

Drug

Participants with NMOSD who previously enrolled in N-MOmentum study, who participated for at least 2 years in the open label phase (OLP) of the study, and participants newly initiating inebilizumab treatment at the discretion of their treating physician will have hematology, chemistry, B-cell count, serum immunoglobulin (Ig) levels, adverse events, concomitant medications list, NMOSD attacks information, antidrug antibody (ADA) status and titers collected.

Other names: UPLIZNA

Primary outcomes

  1. Change from baseline in serum Ig levels (total Ig, IgG, IgM, IgA, IgE) over time

    Time frame: Up to 42 months

    This will be assessed via serum samples, drawn at the site and processed at a central laboratory, and analyses performed to assess change from baseline over time, as measured by each parameter in mg/dL

  2. Change from baseline in peripheral CD20+ B-cell counts over time

    Time frame: Up to 42 months

    This will be assessed via serum samples, drawn at the site and processed at a central laboratory, and analyses performed to assess change from baseline over time, as measured by each parameter in cells/mL

Secondary outcomes

  1. Change from baseline in hematology over time

    Time frame: Up to 42 months

    The lab parameters being assessed as part of the hematology analyses include the following: platelet count, red blood cell count, other indices of red blood cells, including MCV (mean corpuscle volume), MCH (mean corpuscle hemoglobin), % reticulocyte count, and morphology (shape); white blood count with differential, including neutrophil count, Lymphocyte count, monocyte count, eosinophils, and basophils; hemoglobin and hematocrit.

  2. Change from baseline in clinical chemistry over time

    Time frame: Up to 42 months

    The lab parameters being assessed as part of clinical chemistry include blood urea nitrogen (BUN), creatinine, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase.

  3. Incidence of serious infections

    Time frame: Up to 42 months

  4. Incidence of viral reactivation

    Time frame: Up to 42 months

  5. Incidence of progressive multifocal leukoencephalopathy (PML)

    Time frame: Up to 42 months

  6. Incidence of other opportunistic infections

    Time frame: Up to 42 months

  7. Incidence of malignancies

    Time frame: Up to 42 months

  8. Incidence of infusion reactions

    Time frame: Up to 42 months

  9. Number of protocol-defined NMOSD attacks

    Time frame: Up to 42 months

  10. Percentage of protocol-defined NMOSD attacks

    Time frame: Up to 42 months

  11. Incidence of Anti-drug antibody (ADA) directed against Inebilizumab status and titers

    Time frame: Up to 42 months

Sponsors and collaborators

Lead sponsor

Amgen

Industry

Registry information

Official study title

A Long-term, Open-label, Low-interventional Safety Study of Inebilizumab in the Treatment of NMOSD (N-MOmentum LT)

Acronym: N-MOmentum LT

Important dates

Study start
2024
Primary completion
2028
Study completion
2028
First posted
Dec 22, 2023
Registry last updated
Nov 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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