For healthcare providers

The cosMOG clinical research study

The cosMOG study is a randomized, double-blind, placebo-controlled, phase 3 study with an open-label extension period to evaluate the efficacy and tolerability of an investigational drug in people with myelin oligodendrocyte glycoprotein antibody-associated disease (MOG‑AD).

The investigational drug, rozanolixizumab, is an antibody made to work as a medicine by reducing immunoglobulin G (IgG) antibodies that are involved in MOG‑AD.

cosMOG will work to find out if the investigational drug can prolong the time between relapses of inflammation in people with MOG‑AD.

We are looking for about 100 people worldwide who (among other criteria):

  • Are between 18 and 89 years old
  • Have a confirmed diagnosis of MOG‑AD consistent with published diagnostic criteria for MOD‑AD
  • Have a history of relapsing MOG‑AD with at least one documented relapse over the last 12 months prior to randomization
  • Have a documented positive serum MOG antibody test using a cell-based assay within 6 months prior to randomization
  • Does not have a clinically relevant active infection (eg, sepsis, pneumonia)
  • Does not have a history of chronic ongoing infections (eg, Hepatitis B or C, HIV, or tuberculosis)

If enrolled, participants will be asked to complete weekly study visits to receive subcutaneous infusions of the study drug for up to four years, or longer, depending on if they decide to participate in the extended open-label treatment period. If they experience a relapse while in the study, participation could be shorter.

During the first treatment period, participants will be randomized 1:1 to receive either the investigational drug or the placebo. In the open-label extension period, all participants will receive the investigational drug.

All participants will receive the investigational drug in the main and extended open-label extension periods.

Please note that the Extended OLE Period referenced within this website is not offered to participants in countries where it’s possible to have access to rozanolixizumab through other means after the end of the cosMOG study’s main study period. In these countries, patients will have the opportunity to participate in the Main OLE Period only.

The cosMOG study timeline

SCREENING PERIOD

2 Visits

Various tests and assessments will be done, including physical, neurological, and eye exams and MRI scans.

DOUBLE-BLIND TREATMENT PERIOD

Up to 2.5 Years

Participants will be randomly assigned to receive weekly subcutaneous infusions of either the investigational drug or the placebo.

Participants will be treated with oral corticosteroids at the time of randomization for 4 weeks to protect the participants from relapses until the full PD effect of rozanolixizumab is achieved. Participants may receive antihistamines and simple analgesia to help limit potential side effects.

MAIN AND EXTENDED OPEN-LABEL EXTENSION PERIODS

At Least 1 Year

All participants will receive weekly subcutaneous infusions of the investigational drug (no placebo).

Participants may receive antihistamines and simple analgesia to help limit potential side effects.

Participants who complete the main open-label treatment period can opt for an extended open-label treatment period until rozanolixizumab is approved for MOG-AD in their country or until the Sponsor provides furthe notice, whichever comes first.

FOLLOW-UP PERIOD

1 Visit

If the participant does not enter the extended open-label treatment period, they will be asked to go to the study clinic about two months after they receive their last dose of the investigational drug for a final check on their health.

If the participant does enter the extended open-label treatment period, this follow-up visit will not take place.

During the study, participants will attend study visits.

Assessments may include:

  • Blood samples
  • Physical exams
  • Electrocardiogram (ECG)
  • Questionnaires
  • Eye exams
  • Side effects review
  • Magnetic resonance imaging (MRI) scans
  • Study drug administration
  • Neurological exams
  • Urine samples
  • Vital Signs

Participants’ health may get better, get worse, or stay the same. The study team will discuss all known risks and benefits with potential participants before they agree to take part.

Do you have a patient who may be interested in cosMOG?

If you know a patient who may be interested and is potentially eligible to participate in the study, please share this website with them.

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