Safety and Efficacy of Natalizumab in Combination With Avonex in the Treatment of Multiple Sclerosis

NCT ID: NCT00030966

Last Updated: 2009-06-18

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-01-31

Study Completion Date

2005-12-31

Brief Summary

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The purpose of this study is to determine if natalizumab in combination with AVONEX is safe and effective in delaying progression of individuals diagnosed with relapsing remitting Multiple Sclerosis (MS).

Detailed Description

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Conditions

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Multiple Sclerosis, Relapsing-Remitting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Group 1

Adding natalizumab monthly infusion to Avonex weekly injection for up to 116 weeks.

Group Type EXPERIMENTAL

Natalizumab

Intervention Type DRUG

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

Group 2

Adding placebo monthly infusion to Avonex weekly injection for up to 116 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo monthly infusion for up to 116 weeks.

Interventions

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Natalizumab

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

Intervention Type DRUG

Placebo

Placebo monthly infusion for up to 116 weeks.

Intervention Type DRUG

Other Intervention Names

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Tysabri

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of MS as defined by McDonald et al, criteria, # 1- 4
* Between the ages of 18 and 55, inclusive
* Baseline EDSS score between 0.0 and 5.0, inclusive
* Have been treated with Avonex for at least the 12 months prior to randomization
* Have experienced at least one relapse (while on Avonex) within the 12 months prior to randomization.
* Cranial MRI scan demonstrating lesions 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 within 50 days of randomization
* A clinically significant infectious illness within 30 days prior to randomization
* History of, or abnormal lab result, indicative of significant disease, that in the opinion of the investigator, would preclude the administration of a recombinant humanized antibody immunomodulating agent or Avonex 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 at Screening Visit
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Elan Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Biogen Idec

Principal Investigators

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Michael Panzara, MD, MPH

Role: STUDY_DIRECTOR

Biogen

Richard A Rudick, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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University of Alabama-Birmingham, Department of Neurology

Birmingham, Alabama, United States

Site Status

Phoenix Neurological Associates, Ltd.

Phoenix, Arizona, United States

Site Status

University of Arkansas For Medical Sciences

Little Rock, Arkansas, United States

Site Status

University of California - Irvine

Irvine, California, United States

Site Status

USC MS Comprehensive Care Center

Los Angeles, California, United States

Site Status

Kaiser-Permanente Medical Center

Redwood City, California, United States

Site Status

MS Center at UCSF

San Francisco, California, United States

Site Status

Healthsouth Rehabilitation Hospital

Colorado Springs, Colorado, United States

Site Status

University of Colorado MS Center

Denver, Colorado, United States

Site Status

Griffin Hospital

Derby, Connecticut, United States

Site Status

Georgetown Univesity Hospital, Research Pharmacy

Washington D.C., District of Columbia, United States

Site Status

George Washington University MS Center

Washington D.C., District of Columbia, United States

Site Status

North Ridge NeuroScience Center

Fort Lauderdale, Florida, United States

Site Status

Maitland Neurology

Maitland, Florida, United States

Site Status

University of Miami, Department of Neurology

Miami, Florida, United States

Site Status

The Multiple Sclerosis Center of Atlanta

Atlanta, Georgia, United States

Site Status

Marietta Neurological Associates

Marietta, Georgia, United States

Site Status

Northwestern University, Department of Neurology

Chicago, Illinois, United States

Site Status

Rush-Presbyterian St. Luke's Medical Center

Chicago, Illinois, United States

Site Status

Alexian Brothers Center for Clinical Research

Elk Grove Village, Illinois, United States

Site Status

Loyola Medical Center

Maywood, Illinois, United States

Site Status

Consultants in Neurology Northbrook

Northbrook, Illinois, United States

Site Status

Springfield Clinic Neuroscience Institute

Springfield, Illinois, United States

Site Status

Indiana University Medical Center

Indianapolis, Indiana, United States

Site Status

Mercy Hospital Outpatient Pharmacy

Des Moines, Iowa, United States

Site Status

LSU Neurolgoy Clinic in New Orleans

New Orleans, Louisiana, United States

Site Status

Maine Neurology

Scarborough, Maine, United States

Site Status

University of Maryland Hospital, Department of Neurology

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

University of Massachusetts Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Michigan State University MS Clinic

East Lansing, Michigan, United States

Site Status

Michigan Institute for Neurological Disorders

Farmington Hills, Michigan, United States

Site Status

Noran Neurological Clinic

Minneapolis, Minnesota, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

St. John's Mercy Medical Center

St Louis, Missouri, United States

Site Status

Bernard W. Gimbel MS Center

Teaneck, New Jersey, United States

Site Status

Upstate Clinical Research, LLC

Albany, New York, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

Maimonides Medical Center, Division of Neurology

Brooklyn, New York, United States

Site Status

Buffalo General Hospital, Department of Neurology

Buffalo, New York, United States

Site Status

MS Care Center

New York, New York, United States

Site Status

St. Luke's Roosevelt Hospital, MS Research & Treatment Center

New York, New York, United States

Site Status

New York Hospital - Cornell Medical Center

New York, New York, United States

Site Status

New York State Psychiatric Institution

New York, New York, United States

Site Status

Strong Health Pharmacy Services

Rochester, New York, United States

Site Status

Staten Island University Hospital

Staten Island, New York, United States

Site Status

University Hospital at Stony Brook

Stony Brook, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

MS Center at Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

Raleigh Neurology Associates

Raleigh, North Carolina, United States

Site Status

Wake Forest University School of Medicine, Department of Neurology

Winston-Salem, North Carolina, United States

Site Status

Riverhills Neurology

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Providence Saint Vincent Medical Center

Portland, Oregon, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Greenstein Neurology Associates & MS Institute

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

University of Pittsburgh, Department of Neurology

Pittsburgh, Pennsylvania, United States

Site Status

University of Tennessee - Memphis

Memphis, Tennessee, United States

Site Status

Vanderbilt Medical Center

Nashville, Tennessee, United States

Site Status

Option Care Infusion

Dallas, Texas, United States

Site Status

UTSW Medical School

Dallas, Texas, United States

Site Status

Baylor Methodist International MS Center

Houston, Texas, United States

Site Status

Central Texas Neurology

Round Rock, Texas, United States

Site Status

Fletcher Allen Health Care

Burlington, Vermont, United States

Site Status

University of Virginia Health Sciences

Charlottesville, Virginia, United States

Site Status

Neurological Associates, Inc.

Richmond, Virginia, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

MS Research Center

Seattle, Washington, United States

Site Status

St. Francis Hospital, Center for Neurological Disorders

Milwaukee, Wisconsin, United States

Site Status

Universitatsklinik fur Neurologie

Graz, , Austria

Site Status

Universitatsklinik fur Neurologie

Innsbruck, , Austria

Site Status

Hopital Universitaire U.L.B. Erasme

Brussels, , Belgium

Site Status

Elisabeth Ziekenhuis

Sijsele, , Belgium

Site Status

Hopital Pellegrin Tripode, Neurologie

Bordeaux, , France

Site Status

Hopital neurologique Pierre Werth

Lyon, , France

Site Status

Judisches Krankenhaus

Berlin, , Germany

Site Status

Universitaetsklinikum Giessen, Oberarzt Neurologie

Giessen, , Germany

Site Status

Medizinische Hochschule Hannover, Neurologische Klinik

Hanover, , Germany

Site Status

Neurologische Abteilung

Henningsdorf, , Germany

Site Status

Städtische Kliniken Osnabrück

Osnabrück, , Germany

Site Status

Asklepios Klinik Schildautal

Seesen/Harz, , Germany

Site Status

Fachbereich Neurologie und Klinische Neurophysiologie

Wiesbaden, , Germany

Site Status

Hadassah Hebrew Uni Hospital, Department of Neurology

Jerusalem, , Israel

Site Status

Sheba Medical Center, MS Center

Tel Litwinsky, , Israel

Site Status

Universita di Genova, Clinica Neurologica

Genova, , Italy

Site Status

Countries

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United States Austria Belgium France Germany Israel Italy

References

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Rudick RA, Stuart WH, Calabresi PA, Confavreux C, Galetta SL, Radue EW, Lublin FD, Weinstock-Guttman B, Wynn DR, Lynn F, Panzara MA, Sandrock AW; SENTINEL Investigators. Natalizumab plus interferon beta-1a for relapsing multiple sclerosis. N Engl J Med. 2006 Mar 2;354(9):911-23. doi: 10.1056/NEJMoa044396.

Reference Type RESULT
PMID: 16510745 (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)

Related Links

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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

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C-1802

Identifier Type: -

Identifier Source: org_study_id

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