Study of Tcelna (Imilecleucel-T) in Secondary Progressive Multiple Sclerosis

Subjects whose myelin reactive T-cell can be identified by EPA will are randomized and
provide blood to manufacture Tcelna. Approximately 5 weeks after receipt of the subject's
whole blood procurement, the subjects will receive either Tcelna or placebo and will
complete baseline assessments and will receive study treatments at Weeks 0, 4, 8, 12, and 24
(Visits 3-7), totaling 5 doses in year one.

Approximately one month prior to the Week 52 visit a second blood procurement will be
performed and the subject will receive the second series of treatments as received in the
first year study schedule. Subjects will be evaluated for changes in disability and
cognitive function every 3 months, and radiographic changes annually.

Inclusion Criteria:

- Diagnosed with MS as defined by the modified McDonald criteria

- SPMS defined as relapsing-remitting disease with recent progression in MS-related
neurological deficits

- EDSS score 3.0 - 6.0, inclusively

- Presence of myelin reactive T-cells

Exclusion Criteria:

- Diagnosed with primary progressive MS

- Treatment with beta-interferon, glatiramer acetate or dimethyl fumarate 30 days prior
to screening

- Treatment with ACTH, any over-the-counter or prescription corticosteroids 60 days
prior to screening

- Treatment with IVIG, plasmapheresis or cytopheresis 90 days prior to screening

- Treatment with mitoxantrone, teriflunomide, fingolimod, natalizumab, azathioprine,
cyclosporine, methotrexate or mycophenolate mofetil 1 year prior to baseline

- Any prior treatment with cladribine, cyclophosphamide, total lymphoid irradiation, T
cell or T cell receptor products, or any therapeutic monoclonal antibody, except
natalizumab

- Previous treatment with any other MS investigational drug 1 year prior to screening

- All non-MS investigational drugs must have a minimum washout of 30 days prior to
screening or 5 half-lives, whatever is the longest period of time.

- HIV or hepatitis infection

- History of cancer

- Any other significant medical condition that, in the opinion of the investigator,
could cause CNS tissue damage or limit its repair.