Table 2.
Inclusion criteria | Exclusion criteria |
MS according to most recent McDonald criteria | Previous use of immunosuppressive or cytostatic treatment, including mitoxantrone, cladribine, alemtuzumab or bone marrow transplantation or stem cell transplantation at any time prior to enrolment |
Age 18–60 years | Treatment with fingolimod or natalizumab or dimethylfumarate in the past 12 weeks or teriflunomide within the past 15 weeks or ocrelizumab/rituximab within the past 6 months prior to the first administration |
EDSS of 0–6.5 inclusive | Pregnancy or planning pregnancy in the next 12 months and breast feeding |
First signs or symptoms at least 3 months prior to enrolment in the study | Drug or alcohol abuse |
Active MS (relapsing and/or progressive): one relapse in the past year and/or at least one enhancing lesion on brain MRI in the past year; at least one new or enlarging T2 lesion in comparison with a reference scan from maximum 1 year before | Inability to undergo MRI assessments |
Normal peripheral B-cell count after treatment with ocrelizumab | |
No evidence of relapse for at least 30 days prior to start of screening and throughout during the screening phase | History of or actual signs of immunodeficiency or malignancies |
Positive T cell reactivity response to a mix of seven myelin-derived peptides | Concurrent clinically relevant cardiac, immunological, pulmonary, neurological, renal or other major disease |
Able to sign informed consent and comply with the protocol assessments | Active or chronic infection (hepatitis B or C, HIV, syphilis or tuberculosis) |
No wish to be treated with currently available DMT | Splenectomy |
Appropriate venous access and *adequate cervical lymph nodes on ultrasound mapping | |
Use of adequate contraceptive measures. Women of childbearing potential can only be included in the study following use of adequate contraceptive measures. Accepted methods of contraception include use of hormonal contraceptives (oral, intravaginal, intrauterine or transdermal), intrauterine devices, sterilisation or postmenopausal status, use of condoms with spermicide. |
*Only in TOLERVIT-MS.
DMT, disease-modifying treatments; EDSS, Expanded Disability Status Scale; MRI, Magnetic Resonance Imaging; MS, multiple sclerosis.