Safety and Efficacy of Natalizumab in the Treatment of Multiple Sclerosis

NCT ID: NCT00027300

Last Updated: 2017-01-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

900 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-11-30

Study Completion Date

2005-01-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine the safety and efficacy of natalizumab in the treatment of individuals who have been diagnosed with relapsing remitting multiple sclerosis (MS). It is hoped that natalizumab will prevent certain types of white blood cells from moving out of the bloodstream into organs, including the brain, that are being damaged by autoimmune disease (a disease in which the body's own immune system attacks certain organs). These white blood cells are thought to cause inflammation that can result in lesions (small areas of damage) in the brain. These lesions are thought to be the cause of relapses and disability in MS.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Multiple Sclerosis, Relapsing-Remitting

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Group 1

Natalizumab 300 mg, IV

Group Type EXPERIMENTAL

Natalizumab

Intervention Type DRUG

Natalizumab 300 mg IV infusion, every 4 weeks, for up to 116 weeks.

Group 2

Placebo IV infusion

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, IV infusion, every 4 weeks, for up to 116 weeks.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Natalizumab

Natalizumab 300 mg IV infusion, every 4 weeks, for up to 116 weeks.

Intervention Type DRUG

Placebo

Placebo, IV infusion, every 4 weeks, for up to 116 weeks.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Tysabri

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Diagnosis of MS, as defined by McDonald et al., criteria # 1-4 (McDonald et al., 2001)
* Between the ages of 18 and 50, inclusive.
* Baseline EDSS score between 0.0 and 5.0, inclusive.
* Have experienced at least one relapse within the 12 months prior to randomization.
* Cranial MRI scan demonstrating lesion(s) consistent with MS.
* Have given written informed consent to participate in the study.

Exclusion Criteria

* Primary progressive, secondary progressive, or progressive relapsing MS.
* MS relapse has occurred,in the opinion of the investigator, within 50 days prior to randomization and/or the subject has not stabilized from a previous relapse.
* A clinically significant infectious illness within 30 days prior to randomization.
* History of, or abnormal laboratory results indicative of any significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal and/or other major disease, that in the opinion of the investigator, would preclude the administration of a recombinant humanized antibody immunomodulating agent for 116 weeks.
* History of severe allergic or anaphylactic reactions or known drug hypersensitivity.
* Unable to perform the Timed 25-foot Walk, 9HPT, and PASAT 3.
* Abnormal blood tests performed at the Screening Visit.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Elan Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Biogen Idec

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Michael Panzara, MD, MPH

Role: STUDY_DIRECTOR

Biogen

Chris Polman, MD

Role: PRINCIPAL_INVESTIGATOR

VU Medical Centre

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Mayo Clinic Scottsdale

Scottsdale, Arizona, United States

Site Status

East Bay Region Associates in Neurology

Berkeley, California, United States

Site Status

UC Davis School of Medicine, Department of Neurology

Davis, California, United States

Site Status

Yale University School of Medicine, Department of Neurology

New Haven, Connecticut, United States

Site Status

University of Miami School of Medicine, Department of Neurology

Miami, Florida, United States

Site Status

University of Kansas Medical Center, Department of Neurology

Kansas City, Kansas, United States

Site Status

Michigan Institute for Neurological Disorders

Farmington Hills, Michigan, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Gimbel MS Center

Teaneck, New Jersey, United States

Site Status

CMRRC

Albuquerque, New Mexico, United States

Site Status

Oregon Health Sciences University, Department of Neurology

Portland, Oregon, United States

Site Status

Lehigh Valley Hospital, Neurosciences Research

Allentown, Pennsylvania, United States

Site Status

Texas Neurology

Dallas, Texas, United States

Site Status

University of Washington MS Research Center

Seattle, Washington, United States

Site Status

Algemeen Ziekenhuis St. Jan

Bruges, , Belgium

Site Status

LUC- University Centre

Diepenbeek, , Belgium

Site Status

National MS Centrum

Melsbroek, , Belgium

Site Status

Vancouver Hospital and Health Sciences Center UBC Pavilion, MS Clinical Research Group

Vancouver, British Columbia, Canada

Site Status

Health Services Centre

Winnipeg, Manitoba, Canada

Site Status

Kingston General Hospital, Neurology

Kingston, Ontario, Canada

Site Status

University Hospital

London, Ontario, Canada

Site Status

Sunnybrook and Women's College and Health Science Centre

Toronto, Ontario, Canada

Site Status

University of Toronto, MS Clinic, St. Michael's Hospital

Toronto, Ontario, Canada

Site Status

CHVO Hull Hospital

Québec, Quebec, Canada

Site Status

MS Research Unit, Center for Clinical Research

Halifax, , Canada

Site Status

Family Medical Centre

Ottawa, , Canada

Site Status

Faculty Hospital Brno Bohunice

Brno, , Czechia

Site Status

Faculty Hospital St. Anne

Brno, , Czechia

Site Status

Faculty Hospital of Hradec Kralove

Hradec Králové, , Czechia

Site Status

Faculty Hospital Olomouc

Olomouc, , Czechia

Site Status

Faculty Hospital Of Ostrava Poruba

Ostrava, , Czechia

Site Status

Hospital Pardubice - Department of Neurology

Pardubice, , Czechia

Site Status

Faculty Hospital Plzen - Clinic of Neurology

Pilsen, , Czechia

Site Status

General Teaching Hospital - Neurological Department

Prague, , Czechia

Site Status

Faculty Hospital Motol - Neurological Clinic

Prague, , Czechia

Site Status

Hopital de la Timone, Service de Neurologie

Marseille, , France

Site Status

CHRU - Hopital de Pontchaillou, Service de Neurologie

Rennes, , France

Site Status

St. Josef-Hospital, Neurologische Klinik der Ruhruniversitat Bochum

Bochurn, , Germany

Site Status

Klinika Neurologii

Bydgoszcz, , Germany

Site Status

Academisch Ziekenhuis VU

Amsterdam, , Netherlands

Site Status

Institute of Neurology

Queen Square, London, United Kingdom

Site Status

The Royal London Hospital

Whitechapel, London, United Kingdom

Site Status

Atkin's Morely Hospital

Wimbledon, London, United Kingdom

Site Status

Oldchurch Hospital

Essex, , United Kingdom

Site Status

Ipswich Hospital NHS Trust - Department of Clinical Neurology

Ipswich, , United Kingdom

Site Status

St. James University Hospital, Department of Neurology

Leeds, , United Kingdom

Site Status

Guy's Hospital

London, , United Kingdom

Site Status

King's College Hospital

London, , United Kingdom

Site Status

Kings College Hospital, Kings Neuroscience Center

London, , United Kingdom

Site Status

Royal Victoria Infirmary

Newcastle upon Tyne, , United Kingdom

Site Status

The Radcliffe Infirmary, University Department of Clinical Neurology

Oxford, , United Kingdom

Site Status

Royal Hallamshire Hospital

Sheffield, , United Kingdom

Site Status

North Staffordshire Royal Infirmary - Neurology Department

Stoke-on-Trent, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Belgium Canada Czechia France Germany Netherlands United Kingdom

References

Explore related publications, articles, or registry entries linked to this study.

Voloshyna N, Havrdova E, Hutchinson M, Nehrych T, You X, Belachew S, Hotermans C, Paes D. Natalizumab improves ambulation in relapsing-remitting multiple sclerosis: results from the prospective TIMER study and a retrospective analysis of AFFIRM. Eur J Neurol. 2015 Mar;22(3):570-7. doi: 10.1111/ene.12618. Epub 2014 Dec 15.

Reference Type BACKGROUND
PMID: 25511792 (View on PubMed)

Polman CH, O'Connor PW, Havrdova E, Hutchinson M, Kappos L, Miller DH, Phillips JT, Lublin FD, Giovannoni G, Wajgt A, Toal M, Lynn F, Panzara MA, Sandrock AW; AFFIRM Investigators. A randomized, placebo-controlled trial of natalizumab for relapsing multiple sclerosis. N Engl J Med. 2006 Mar 2;354(9):899-910. doi: 10.1056/NEJMoa044397.

Reference Type RESULT
PMID: 16510744 (View on PubMed)

Nakamura K, Sun Z, Hara-Cleaver C, Bodhinathan K, Avila RL. Natalizumab reduces loss of gray matter and thalamic volume in patients with relapsing-remitting multiple sclerosis: A post hoc analysis from the randomized, placebo-controlled AFFIRM trial. Mult Scler. 2024 May;30(6):687-695. doi: 10.1177/13524585241235055. Epub 2024 Mar 12.

Reference Type DERIVED
PMID: 38469809 (View on PubMed)

Strijbis EM, Coerver E, Mostert J, van Kempen ZLE, Killestein J, Comtois J, Repovic P, Bowen JD, Cutter G, Koch M. Association of age and inflammatory disease activity in the pivotal natalizumab clinical trials in relapsing-remitting multiple sclerosis. J Neurol Neurosurg Psychiatry. 2023 Oct;94(10):792-799. doi: 10.1136/jnnp-2022-330887. Epub 2023 May 12.

Reference Type DERIVED
PMID: 37173129 (View on PubMed)

Balcer LJ, Galetta SL, Polman CH, Eggenberger E, Calabresi PA, Zhang A, Scanlon JV, Hyde R. Low-contrast acuity measures visual improvement in phase 3 trial of natalizumab in relapsing MS. J Neurol Sci. 2012 Jul 15;318(1-2):119-24. doi: 10.1016/j.jns.2012.03.009. Epub 2012 Apr 21.

Reference Type DERIVED
PMID: 22521274 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

http://www.nationalmssociety.org

The web site of the National Multiple Sclerosis Society, an organization dedicated to providing information to individuals with MS, their families and healthcare providers

http://www.msactivesource.com

MSActiveSource.com is a resource for news, information and disease management for all individuals touched by multiple sclerosis. This site is sponsored by Biogen.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

C-1801

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Treatment Interruption of Natalizumab
NCT01071083 COMPLETED PHASE2
Natalizumab Re-Initiation of Dosing
NCT00306592 COMPLETED PHASE3