IMPACT-MS is a clinical trial for Progressive Multiple Sclerosis

A new investigational cell therapy to address the root causes of progressive multiple sclerosis and help restore balance in the body.

Learn about the trial
About the IMPACT-MS Clinical Trial

We’re testing the safety and efficacy of a new investigational therapy for people with progressive multiple sclerosis.

The IMPACT-MS clinical trial is testing a type of treatment called cell therapy in people with progressive multiple sclerosis. This cell therapy, TRX319, is an allogeneic product, meaning it has been produced from cells from healthy donors. These healthy cells have been modified by Tr1X to work like your body’s natural immune regulators – both removing the B cells that fuel MS and teaching your immune system to stop attacking itself.
An approach to cellular therapies for immune diseases that scales

We combine the latest advances in genetic engineering with decades of research on T cells to create effective cell therapies to treat inflammation and autoimmune disease that can be made at a large scale.

What to expect in the trial

Your guide to what happens in the IMPACT-MS clinical trial

Participant Safety

Participants in this clinical trial will always be in the care of a doctor, who will monitor them closely throughout the entirety of the trial. For additional information, please see ClinicalTrials.gov.

Screening
TRX319 Infusion

Monitoring

Follow-Up Visits

Eligibility and screening process

All clinical trials have requirements that individuals need to meet to determine if they are eligible to participate. These requirements are explained in a document called an Informed Consent Form (ICF). The ICF clearly explains what the trial involves, what tests and visits to expect and confirms that you’re willing and able to participate. 

As you review the ICF you will be able to speak with one of the doctors running the trial to ensure that you understand and are comfortable with what it means to participate in this trial. After you sign the ICF you will begin your screening period, during which you will complete a series of medical tests and assessments in order to confirm that this trial is a good fit for you.

Receiving the
TRX319 infusion

TRX319 is given as an intravenous (IV) infusion at the trial site. The infusion lasts ~30 minutes and is administered by trained medical staff. Depending on your specific circumstances, your doctor may recommend that you receive up to three total infusions of TRX319 over an approximately two month period. 

You will be closely monitored during the infusion, and a member of the trial team will be available to answer any questions and help ensure you are comfortable.

Post-infusion monitoring

Immediately following your TRX319 infusion, your doctor will closely monitor you to make sure you are doing well. This monitoring may include up to a two night stay at the clinical site so the care team can observe how your body is responding to the treatment and quickly respond to any side effects, if needed.

These steps are taken to support your safety and ensure you receive the care and attention you ended following treatment.

Follow-up and monitoring

After your TRX319 infusion, you will need to return to the trial site for follow-up visits with your study doctor for up to 48 weeks. These ~15 follow-up visits help the care team monitor how you are feeling and how the therapy is performing. You may need additional visits if you receive multiple doses of TRX319.

You will also be invited to participate in a separate long-term follow-up study, as required by the U.S. Food and Drug Administration (FDA). This allows your care team to continue monitoring you for any potential side effects and support your safety after treatment.

Understanding the Eligibility requirements

Are you eligible to take part in the clinical trial?

18–65 years
Participant age requirement
Progressive MS
Must have primary or secondary MS that has worsened in the last two years despite treatment
No infectious or autoimmune diseases
Must be up to date on all vaccinations and free of infectious or other autoimmune diseases
Pregnancy restriction
Cannot be pregnant, breastfeeding, or planning pregnancy within 12 months of TRX319 infusion
Important Eligibility Information

This list does not include all of the trial participation criteria and details. For additional information, please see ClinicalTrials.gov.

Washington University
Status
Active
Address
660 South Euclid Avenue, St. Louis, MO 63110
Principal Investigator
Dr. Robert T. Naismith, MD
Phone
(314) 362-2025
UCI Health - Irvine
Status
Coming Soon
Address
845 Health Sciences Rd., Irvine, CA 92697
Principal Investigator
Dr. Michael Y. Sy, MD, PhD
Phone
(916) 734-3751
University of Kansas Medical Center
Status
Coming Soon
Address
3901 Rainbow Blvd.,  Kansas City, KS 66160
Principal Investigator
Dr. Sharon G. Lynch, MD
Phone
(916) 734-3751
UC San Diego Health
Status
Coming Soon
Address
9452 Medical Center Dr., La Jolla, CA 92037
Principal Investigator
Dr. Jennifer Graves, MD, PhD
Phone
(916) 734-3751
Cleveland Clinic - Mellen Center for Multiple Sclerosis
Status
Coming Soon
Address
9500 Euclid Ave., Cleveland, OH 44195
Principal Investigator
Dr. Robert Fox, MD
Phone
(916) 734-3751
Mayo Clinic (Rochester, MN)
Status
Coming Soon
Address
200 First Street SW, Rochester, MN 55905
Principal Investigator
Dr. B. Mark Keegan, MD
Phone
(916) 734-3751
University of Pennsylvania - Perelman Center for Advanced Medicine
Status
Coming Soon
Address
3400 Civic Center Boulevard, Philadelphia, PA 19104
Principal Investigator
Dr. Amit Bar-Or, MD, FRCP
Phone
(916) 734-3751
What to know about the trial

Answers to common questions about the clinical trial

Progressive MS (PMS) is a form of multiple sclerosis (MS), which is a disease in which a person’s immune system attacks their brain and spinal cord, causing symptoms that worsen over time. PMS includes both primary progressive MS, which worsens from the start, and secondary progressive MS, which develops after an earlier period of flare-ups. PMS is diagnosed using multiple criteria, including the Expanded Disability Status Scale (EDSS). Participation in the IMPACT-MS trial requires an EDSS score of between 2.5 and 6.5. Other criteria include the 9-Hole Peg Test (9-HPT), the 25-foot walk (T25-FW) test, the Symbol Digit Modalities Test (SDMT) and the Low Contrast Letter Acquity (LCLA) test.

A clinical trial is a research study that looks to find a better way to prevent, diagnose or treat a disease by testing the safety and effectiveness of a new medical treatment. The US Food and Drug Administration (FDA) has strict rules regarding how a clinical trial is performed and reviews the data produced from it to decide if the investigational treatment can be widely used.

A Phase 1 clinical trial is the first step in testing a new treatment in humans. Phase 1 clinical trials typically seek to determine (i) how much of a treatment is safe to give, (ii) the optimal dose and timing of the treatment and (iii) which side effects (if any) are likely to be caused by the treatment.

In a Phase 2 clinical trial doctors want to understand if a treatment has a clinical benefit in addition to whether it is safe and well tolerated in humans.

Cell therapy refers to the transfer of new cells, or cells that have been modified in a laboratory to achieve particular characteristics, into the body to prevent or treat a disease. The two major types of cell therapy are autologous (in which the patient receives cells from their own body) and allogeneic (in which the patient receives cells from a healthy donor). This trial is using an allogeneic cell therapy.

TRX319 is the current name of an investigational therapy that contains a modified set of T cells from a healthy donor that mimic regulatory T cells (Tregs). Tregs are the peacekeepers of your immune system, ensuring that it doesn’t attack itself by mistake. Type 1 regulatory (Tr1) T cells are a distinct subset of Tregs.

In MS, B cells mistakenly trigger the immune system to attack the protective covering of the nerve cells, particularly in your central nervous system. TRX319 is an allogeneic CAR Tr1 Treg cell therapy which has been designed to act like both a Tr1 cell, which enables it to help calm inflammation, and a CAR T cell, which enables it to target and eliminate the B cells the fuel MS, helping to restore balance to your immune system.

If you are interested in participating in the IMPACT clinical trial, please either talk to your doctor, reach out to one of our clinical sites or contact Tr1X via the Contact Us section below for more information. You can also learn more at ClinicalTrials.gov.
Getting started

Submit your information for eligibility review

This clinical trial is evaluating a potential new treatment for moderate to severe Crohn’s disease. Submit the form to determine potential eligibility.

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Have you (or a loved one) been diagnosed with a progressive form of multiple sclerosis?
Have you (or a loved one) had prior treatment with any of the following medications for multiple sclerosis: S1P receptor modulators (i.e., Mayzent) and/or anti-B lymphocyte therapies (i.e., Ocrevus, Kesimpta or Briumvi)?
Was your (or your loved one’s) most recent EDSS score between 2.5 and 6.5?
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