RecruitingPhase 4NCT06444113

Concentration of Ofatumumab in the Breast Milk of Lactating Women With Relapsing Forms of Multiple Sclerosis

A Phase IV, Prospective, Multicenter, Open-label, Mother-milk Study to Evaluate Ofatumumab Concentration in the Breast Milk of Lactating Women With Relapsing Forms of Multiple Sclerosis Receiving Ofatumumab


Sponsor

Novartis Pharmaceuticals

Enrollment

20 participants

Start Date

Nov 25, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study will evaluate whether ofatumumab is excreted at quantifiable levels and at which concentrations in breast milk of lactating women with RMS). The study will include lactating mothers who plan to breastfeed and initiate/re-initiate ofatumumab 2-24 weeks post-partum.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 100 Years

Inclusion Criteria5

  • Written informed consent must be obtained before any study assessment is performed.
  • Participant is female with a relapsing form of MS and at least 18 years of age at the time of providing consent.
  • Participant must be postpartum at the time of enrollment, plan to be exclusively breastfeeding and willing to provide breast milk samples.
  • Participant has delivered term infant (at least 37 weeks gestation).
  • Participant must plan to initiate or re-initiate or have initiated or re-initiated treatment with ofatumumab between 2 to 24 weeks postpartum. The decision to be treated with ofatumumab and to breastfeed is made in accordance with the treating physician and must be completely independent of the decision to participate in this study.

Exclusion Criteria14

  • Use of any investigational drugs within 5 half-lives of enrollment, or within 30 days or until the expected pharmacodynamic effect has returned to baseline, whichever is longer.
  • Participant taking medications prohibited by the study protocol at screening.
  • Pregnant woman, confirmed by positive serum pregnancy test during screening.
  • Female of childbearing potential should use effective contraception as per local label.
  • Participant has history of chronic alcohol abuse or drug abuse in the last year.
  • Participant has any medical, obstetrical, psychiatric or other medical condition that, in the opinion of the Investigator, can jeopardize or would compromise the subject's ability to participate in this study or confound the study assessment.
  • Participant has history of breast implants, breast augmentation, or breast reduction surgery.
  • Participant has received anti-CD20 agents during the second and third trimesters of pregnancy.
  • Active infections, including mastitis (participant may be included once the infection is resolved).
  • Prior or current history of primary or secondary immunodeficiency, or participant in an otherwise severely immunocompromised state.
  • Participant with active hepatitis B disease prior to the initiation or re-initiation of ofatumumab. (Participant with positive hepatitis B serology should consult a liver disease medical standards to prevent hepatitis B reactivation.)
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
  • Any contraindication as per local label.
  • Participant who has an infant with any abnormality that may interfere with breastfeeding or confound the study assessment in the opinion of the Investigator.

Interventions

DRUGOfatunumab

No study-treatment is provided for this study. Study participants will be treated with commercially available ofatumumab according to the local label.


Locations(22)

UCSF

San Francisco, California, United States

UC Health Neuroscience Ctr

Aurora, Colorado, United States

Northwestern Medicine Northwestern University

Winfield, Illinois, United States

Brigham and Womens Hospital

Brookline, Massachusetts, United States

Duke Neurology

Durham, North Carolina, United States

Novartis Investigative Site

Munich, Bavaria, Germany

Novartis Investigative Site

Bochum, Germany

Novartis Investigative Site

Hamburg, Germany

Novartis Investigative Site

Tübingen, Germany

Novartis Investigative Site

Foggia, FG, Italy

Novartis Investigative Site

Roma, RM, Italy

Novartis Investigative Site

Torino, TO, Italy

Novartis Investigative Site

Bialystok, Poland

Novartis Investigative Site

Kielce, Poland

Novartis Investigative Site

Krakow, Poland

Novartis Investigative Site

Rzeszów, Poland

Novartis Investigative Site

Zabrze, Poland

Caribbean Center for Clinical Research, Inc

Guaynabo, Puerto Rico

Novartis Investigative Site

Cambridge, United Kingdom

Novartis Investigative Site

London, United Kingdom

Novartis Investigative Site

Oxford, United Kingdom

Novartis Investigative Site

Salford, United Kingdom

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NCT06444113


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