Study of Subcutaneous Daclizumab in Patients With Active, Relapsing Forms of Multiple Sclerosis

NCT ID: NCT00109161

Last Updated: 2008-08-05

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

PHASE2

Total Enrollment

270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2006-10-31

Brief Summary

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This research study is being conducted in the U.S. and Europe to evaluate the safety and efficacy of daclizumab for the treatment of multiple sclerosis (MS).

Detailed Description

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PDL BioPharma, Inc. was formerly known as Protein Design Labs, Inc.

Conditions

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Multiple Sclerosis

Keywords

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Multiple Sclerosis, MS, CNS, Daclizumab

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Daclizumab (Anti-CD25 Humanized Monoclonal Antibody)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female age 18 to 55 years, inclusive.
* Diagnosis of MS by McDonald criteria.
* EDSS \<7.0.
* On stable IFN-beta regimen for at least 6 months.
* The occurrence of either of the following within 9 months prior to screening: ≥1 MS relapse OR A qualifying MRI, defined as an MRI that showed at least one confirmed Gd-CEL of the brain or spinal cord, was performed independently of the study while the patient was on a stable IFN-beta regimen, and is deemed acceptable by the central reader.
* For females, women of non-childbearing potential or women of childbearing potential who provide a negative serum pregnancy test at screen and within 24 hours of first dose of study drug, and who agree to use effective contraception during the Treatment and Follow-up periods of the study.
* Willing and able to comply with the protocol, provision of informed consent in accordance with institutional and regulatory guidelines, and, for US sites only, authorization to use protected health information.

Exclusion Criteria

* Pregnant or breast-feeding woman.
* Non-ambulatory patient.
* Clinically significant abnormality on screening ECG.
* Malignancy within the past 5 years, except for adequately treated non-melanoma skin carcinoma or in situ carcinoma of the cervix.
* History of HIV infection, positive serology for HBV (hepatitis B virus) or HCV (hepatitis C virus).
* Varicella (VZV) or herpes zoster virus infection, or any severe viral infection, within 6 weeks before screening or exposure to VZV within 21 days of screening.
* Abnormal hematology, as defined by the following laboratory values: \*Hemoglobin ≤8.5 g/dL, \*Lymphocytes ≤1.0 x 10\^9/L, \*Platelets ≤100 x 10\^9/L, \*Neutrophils ≤1.5 x 10\^9/L.
* Significant organ dysfunction, including but not limited to cardiac, renal, liver, non-MS related CNS, pulmonary, vascular, gastrointestinal, endocrine, or metabolic dysfunction, or other disease or condition, which in the opinion of the PI (principal investigator) would make the patient an unsuitable candidate for the study. Guidelines for levels of unacceptable dysfunction include: \*creatinine ≥1.6 mg/dL; \*AST and ALT ≥2.5 times upper limit of normal (ULN); \*alkaline phosphatase ≥2.5 times ULN; \*history of myocardial infarction, congestive heart failure, or arrhythmias within 6 months prior to randomization.
* Use of any of the following: \*Any of the following types of live virus vaccine from 4 weeks before randomization: measles/mumps/rubella vaccine, varicella zoster virus vaccine, oral polio vaccine, and nasal influenza vaccine. Use of these vaccines, however, by household contacts does not affect the eligibility of patients to enroll or continue in the study; \*Systemic corticosteroids, adrenocorticotropic hormone, or plasma exchange within 4 weeks before the baseline MRI scan (no more than 72 hours before Day 0); \*Azathioprine, mycophenolate mofetil, methotrexate, glatiramer acetate, or intravenous immune globulin within 6 months before randomization; \*An immunomodulatory agent within 6 months before randomization, except for interferon-beta products required per protocol; \*An investigational agent within 6 months before randomization unless this agent is non-immunomodulatory and the medical monitor or steering committee rules that its use is acceptable on the theoretical basis of a lapse of at least 5 serum half-lives since administration of the last possible dose; \*A monoclonal antibody (eg, Rituxan®/ Rituximab) within 6 months before randomization; \*Daclizumab at any time prior to randomization; \*Cladribine, mitoxantrone, cyclophosphamide, CamPath® (alemtuzumab), natalizumab (TYSABRI®/Antegren) or other drugs targeting alpha 4 integrin, total lymphoid irradiation, or bone marrow transplant at any time
* Patients for whom MRI is contraindicated, ie, have pacemakers or other contraindicated implanted metal devices, are allergic to gadolinium, or have claustrophobia that cannot be medically managed.
* Primary progressive MS.
* Clinically unstable for 30 days before randomization (Patients who experienced a relapse, with or without steroid treatment, during the screening period may be re-screened after 30 days.)
* Elective surgery performed from 2 weeks prior to randomization or scheduled through Week 44
* Infection (viral, fungal, bacterial) requiring hospitalization or IV antibiotics within 8 weeks before randomization.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PDL BioPharma, Inc.

INDUSTRY

Sponsor Role lead

Principal Investigators

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Richard Dickson, M.D.

Role: PRINCIPAL_INVESTIGATOR

Wenatchee Valley Medical Center

Steven Pugh, M.D.

Role: PRINCIPAL_INVESTIGATOR

Rockwood Clinic, PS

Daniel Wynn, M.D.

Role: PRINCIPAL_INVESTIGATOR

Consultants in Neurology

Theodore J. Phillips, M.D.

Role: PRINCIPAL_INVESTIGATOR

The MS Center at Texas Neurology

Joanna Cooper

Role: PRINCIPAL_INVESTIGATOR

Sutter East Bay Medical Foundation

James R. Storey

Role: PRINCIPAL_INVESTIGATOR

Upstate Clinical Research

Malcolm Gottesman, M.D.

Role: PRINCIPAL_INVESTIGATOR

Winthrop University Hospital

Herman Sullivan, M.D.

Role: PRINCIPAL_INVESTIGATOR

Michigan Medical P.C. Neurology

Timothy Vollmer, M.D.

Role: PRINCIPAL_INVESTIGATOR

St. Joseph's Hospital and Medical Center, Phoenix

Jeffery Dunn, M.D.

Role: PRINCIPAL_INVESTIGATOR

MS Hub Medical Group

S. Mitchell Freedman, M.D.

Role: PRINCIPAL_INVESTIGATOR

Raleigh Neurology Associates

Joseph Herbert, M.D.

Role: PRINCIPAL_INVESTIGATOR

Hospital for Joint Diseases, MS Care Center

Omar Khan, M.D.

Role: PRINCIPAL_INVESTIGATOR

Wayne State University MS Center

Marcelo Kremenchutzky, M.D.

Role: PRINCIPAL_INVESTIGATOR

London Health Sciences Centre

Sharon Lynch, M.D.

Role: PRINCIPAL_INVESTIGATOR

CLMC Neurology

Alireza Minagar, M.D.

Role: PRINCIPAL_INVESTIGATOR

Louisiana State University Health Sciences Center

Jeffrey English, M.D.

Role: PRINCIPAL_INVESTIGATOR

The Multiple Sclerosis Center of Atlanta

Andrew Goodman, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Michael Kaufman, M.D.

Role: PRINCIPAL_INVESTIGATOR

MS Center/CMC

Florian P. Thomas, M.D.

Role: PRINCIPAL_INVESTIGATOR

St. Louis University Hospital

Clyde Markowitz, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Jayne Martin, M.D.

Role: PRINCIPAL_INVESTIGATOR

Michigan State University

Maria Melanson, M.D.

Role: PRINCIPAL_INVESTIGATOR

Health Sciences Center

MaryAnn Picone, M.D.

Role: PRINCIPAL_INVESTIGATOR

Gimble MS Center

Christopher Bever, M.D

Role: PRINCIPAL_INVESTIGATOR

Maryland Center for MS

Gregg G. Blevins, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Alberta

Kasper Lloyd, M.D.

Role: PRINCIPAL_INVESTIGATOR

MS Center at Dartmouth

Yves Lapierrre, M.D.

Role: PRINCIPAL_INVESTIGATOR

Montreal Neurological Institute

John W. Rose, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Utah CAMT

Michael Yeung, M.D.

Role: PRINCIPAL_INVESTIGATOR

Foothills Medical Centre

Neil Lava, M.D.

Role: PRINCIPAL_INVESTIGATOR

Albany Medical College

Jonathan L. Carter, M.D.

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Francois Jacques, M.D.

Role: PRINCIPAL_INVESTIGATOR

Clinique SEP/NM

William Honeycutt, M.D.

Role: PRINCIPAL_INVESTIGATOR

Neurology Associates, P.A.

Istvan Pirko, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Cincinnati

Ed Fox, M.D.

Role: PRINCIPAL_INVESTIGATOR

Central Texas Neurology

Locations

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St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States

Site Status

Mayo Clinic

Scottsdale, Arizona, United States

Site Status

Sutter East Bay Medical Foundation

Berkeley, California, United States

Site Status

Neurology Associates, P.A.

Maitland, Florida, United States

Site Status

The Multiple Sclerosis Center of Atlanta

Atlanta, Georgia, United States

Site Status

Consultants in Neurology

Northbrook, Illinois, United States

Site Status

KUMC Neurology

Kansas City, Kansas, United States

Site Status

Louisiana State University Health Sciences Center

Shreveport, Louisiana, United States

Site Status

Maryland Center for MS

Baltimore, Maryland, United States

Site Status

Wayne State University MS Center

Detroit, Michigan, United States

Site Status

Michigan State University

East Lansing, Michigan, United States

Site Status

Michigan Medical P.C. Neurology

Grand Rapids, Michigan, United States

Site Status

St. Louis University Hospital

St Louis, Missouri, United States

Site Status

MS Center at Dartmouth

Lebanon, New Hampshire, United States

Site Status

Gimble MS Center

Teaneck, New Jersey, United States

Site Status

Upstate Clinical Research

Albany, New York, United States

Site Status

Albany Medical Center

Albany, New York, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

Hospital for Joint Diseases, MS Care Center

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

MS Center/CMC Meyers Park

Charlotte, North Carolina, United States

Site Status

Raleigh Neurology Associates

Raleigh, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

The MS Center at Texas Neurology

Dallas, Texas, United States

Site Status

Central Texas Neurology

Round Rock, Texas, United States

Site Status

University of Utah CAMT

Salt Lake City, Utah, United States

Site Status

MS Hub Medical Group

Seattle, Washington, United States

Site Status

Rockwood Clinic, PS

Spokane, Washington, United States

Site Status

Wenatchee Valley Medical Center

Wenatchee, Washington, United States

Site Status

Foothills Medical Centre-MS Research Program

Calgary, Alberta, Canada

Site Status

University of Alberta

Edmonton, Alberta, Canada

Site Status

Health Sciences Center

Winnipeg, Manitoba, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Clinique SEP/NM

Gatineau, Quebec, Canada

Site Status

Montreal Neurological Institute

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Wynn D, Kaufman M, Montalban X, Vollmer T, Simon J, Elkins J, O'Neill G, Neyer L, Sheridan J, Wang C, Fong A, Rose JW; CHOICE investigators. Daclizumab in active relapsing multiple sclerosis (CHOICE study): a phase 2, randomised, double-blind, placebo-controlled, add-on trial with interferon beta. Lancet Neurol. 2010 Apr;9(4):381-90. doi: 10.1016/S1474-4422(10)70033-8. Epub 2010 Feb 15.

Reference Type DERIVED
PMID: 20163990 (View on PubMed)

Other Identifiers

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DAC-1012

Identifier Type: -

Identifier Source: org_study_id