Natalizumab (Tysabri) Re-Initiation of Dosing

NCT ID: NCT00297232

Last Updated: 2016-07-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

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

Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

1094 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2014-04-30

Brief Summary

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

The primary objectives for the initial treatment period of this study are to further evaluate the safety of natalizumab monotherapy by evaluating the risk of hypersensitivity reactions and immunogenicity following re-exposure to natalizumab and confirming the safety of switching from interferon (IFN), glatiramer acetate, or other multiple sclerosis (MS) therapies to natalizumab. The primary objective for the long-term treatment period of this study is to evaluate the long-term impact of natalizumab monotherapy on the progression of disability measured by Expanded Disability Status Scale (EDSS) changes over time.

Detailed Description

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

Study 101-MS-322 (NCT00306592) was conducted to evaluate the safety of natalizumab monotherapy following re-exposure to natalizumab in former clinical trial participants in Studies C-1801 (NCT00027300), C-1802 (NCT00030966), and C-1803 (NCT00097760) and included subjects in North America. In parallel with the conduct of that study, this study (101-MS-321 \[NCT00297232\]) was initiated for participants in Europe and the rest of the world. In addition, after 48 weeks, participants from 101-MS-322 (NCT00306592) could enter study 101-MS-321 (NCT 00297232), which was considered the Long-Term Treatment Period of 101-MS-322 (NCT00306592).

The primary purpose and primary outcome for both studies are identical; therefore, the combined long-term data from both studies are presented. (Combined Week 48 data from both studies are presented in the 101-MS-322 \[NCT00306592\] record.)

Conditions

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

Relapsing-Remitting Multiple Sclerosis

Study Design

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

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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

Natalizumab

300 mg intravenous (IV) infusions once every 4 weeks for up to 480 weeks

Group Type EXPERIMENTAL

Natalizumab

Intervention Type DRUG

Interventions

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

Natalizumab

Intervention Type DRUG

Other Intervention Names

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

Tysabri (BG00002)

Eligibility Criteria

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

Inclusion Criteria

* MS subjects who completed Study C-1801 (NCT00027300), C-1802 (NCT00030966), or C-1803 (NCT00097760) and a Dosing Suspension Safety Evaluation (neurological examination or a magnetic resonance imaging scan) or participated in the IMA 04001 (STARS) Study
* Subjects who are considered by the Investigator to be free of signs and symptoms suggestive of progressive multifocal leukoencephalopathy and willing to discontinue and remain free from concomitant immunosuppressive or immunomodulatory treatment (including IFN-beta and glatiramer acetate) while being treated with natalizumab during the study.
* In addition, subjects who completed 48 weeks of treatment in Study 101-MS-322 (NCT00306592) in Canada will be allowed to enter this study at the start of the long-term treatment period (Week 52 - 480).

Exclusion Criteria

* Considered by the Investigator to be immunocompromised
* History of persistent anti-natalizumab antibodies, based upon testing from prior natalizumab studies
* History of any major disease or malignancy
* Discontinued natalizumab in a previous study due to allergic reaction
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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

Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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

Responsibility Role SPONSOR

Principal Investigators

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

Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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

Research Site

Camperdown, , Australia

Site Status

Research Site

Heidelberg, , Australia

Site Status

Research Site

Parkville, , Australia

Site Status

Research Site

Bruges, , Belgium

Site Status

Research Site

Brussels, , Belgium

Site Status

Research Site

Charleroi, , Belgium

Site Status

Research Site

Diepenbeek, , Belgium

Site Status

Research Site

Melsbroek, , Belgium

Site Status

Research Site

Sijsele, , Belgium

Site Status

Research Site

Vancouver, British Columbia, Canada

Site Status

Research Site

Halifax, Nova Scotia, Canada

Site Status

Research Site

Kingston, Ontario, Canada

Site Status

Research Site

London, Ontario, Canada

Site Status

Research Site

New York, Ontario, Canada

Site Status

Research Site

Ottawa, Ontario, Canada

Site Status

Research Site

Toronto, Ontario, Canada

Site Status

Research Site

Gatineau, Quebec, Canada

Site Status

Research Site

Greenfield Park, Quebec, Canada

Site Status

Research Site

Montreal, Quebec, Canada

Site Status

Research Site

Brno, , Czechia

Site Status

Research Site

Brno, , Czechia

Site Status

Research Site

Hradec Králové, , Czechia

Site Status

Research Site

Olomouc, , Czechia

Site Status

Research Site

Ostrava, , Czechia

Site Status

Research Site

Pardubice, , Czechia

Site Status

Research Site

Pilsen, , Czechia

Site Status

Research Site

Prague, , Czechia

Site Status

Research Site

Prague, , Czechia

Site Status

Research Site

Aarhus C, , Denmark

Site Status

Research Site

Copenhagen, , Denmark

Site Status

Research Site

Esbjerg, , Denmark

Site Status

Research Site

Helsinki, , Finland

Site Status

Research Site

Tampere, , Finland

Site Status

Research Site

Turku, , Finland

Site Status

Research Site

Besançon, , France

Site Status

Research Site

Bordeaux, , France

Site Status

Research Site

Clermont-Ferrand, , France

Site Status

Research Site

Créteil, , France

Site Status

Research Site

Dijon, , France

Site Status

Research Site

Lille, , France

Site Status

Research Site

Lyon, , France

Site Status

Research Site

Marseille, , France

Site Status

Research Site

Nancy, , France

Site Status

Research Site

Paris, , France

Site Status

Research Site

Paris, , France

Site Status

Research Site

Rennes, , France

Site Status

Research Site

Strasbourg, , France

Site Status

Research Site

Toulouse, , France

Site Status

Research Site

Berlin, , Germany

Site Status

Research Site

Essen, , Germany

Site Status

Research Site

Giessen, , Germany

Site Status

Research Site

Hanover, , Germany

Site Status

Research Site

Hennigsdorf, , Germany

Site Status

Research Site

München, , Germany

Site Status

Research Site

Offenbach, , Germany

Site Status

Research Site

Osnabrück, , Germany

Site Status

Research Site

Regensburg, , Germany

Site Status

Research Site

Rostock, , Germany

Site Status

Research Site

Athens, , Greece

Site Status

Research Site

Budapest, , Hungary

Site Status

Research Site

Budapest, , Hungary

Site Status

Research Site

Budapest, , Hungary

Site Status

Research Site

Budapest, , Hungary

Site Status

Research Site

Debrecen, , Hungary

Site Status

Research Site

Debrecen, , Hungary

Site Status

Research Site

Győr, , Hungary

Site Status

Research Site

Nyíregyháza, , Hungary

Site Status

Research Site

Székesfehérvár, , Hungary

Site Status

Research Site

Dublin, , Ireland

Site Status

Research Site

Jerusalem, , Israel

Site Status

Research Site

Tel Litwinsky, , Israel

Site Status

Research Site

Bari, , Italy

Site Status

Research Site

Genova, , Italy

Site Status

Research Site

Milan, , Italy

Site Status

Research Site

Roma, , Italy

Site Status

Research Site

's-Hertogenbosch, , Netherlands

Site Status

Research Site

Amsterdam, , Netherlands

Site Status

Research Site

Breda, , Netherlands

Site Status

Research Site

Nieuwegein, , Netherlands

Site Status

Research Site

Nijmegen, , Netherlands

Site Status

Research Site

Rotterdam, , Netherlands

Site Status

Research Site

Auckland, , New Zealand

Site Status

Research Site

Christchurch, , New Zealand

Site Status

Research Site

Bialystok, , Poland

Site Status

Research Site

Bialystok, , Poland

Site Status

Research Site

Bydgoszcz, , Poland

Site Status

Research Site

Gdansk, , Poland

Site Status

Research Site

Katowice, , Poland

Site Status

Research Site

Krakow, , Poland

Site Status

Research Site

Lodz, , Poland

Site Status

Research Site

Lublin, , Poland

Site Status

Research Site

Warsaw, , Poland

Site Status

Research Site

Warsaw, , Poland

Site Status

Research Site

Barcelona, , Spain

Site Status

Research Site

Barcelona, , Spain

Site Status

Research Site

Málaga, , Spain

Site Status

Research Site

Gothenburg, , Sweden

Site Status

Research Site

Stockholm, , Sweden

Site Status

Research Site

Stockholm, , Sweden

Site Status

Research Site

Basel, , Switzerland

Site Status

Research Site

Ankara, , Turkey (Türkiye)

Site Status

Research Site

Istanbul, , Turkey (Türkiye)

Site Status

Research Site

Istanbul, , Turkey (Türkiye)

Site Status

Research Site

Essex, , United Kingdom

Site Status

Research Site

Liverpool, , United Kingdom

Site Status

Research Site

London, , United Kingdom

Site Status

Research Site

London, , United Kingdom

Site Status

Research Site

London, , United Kingdom

Site Status

Research Site

Newcastle upon Tyne, , United Kingdom

Site Status

Research Site

Oxford, , United Kingdom

Site Status

Research Site

Sheffield, , United Kingdom

Site Status

Research Site

Stoke-on-Trent, , United Kingdom

Site Status

Countries

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

Australia Belgium Canada Czechia Denmark Finland France Germany Greece Hungary Ireland Israel Italy Netherlands New Zealand Poland Spain Sweden Switzerland Turkey (Türkiye) United Kingdom

References

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

Gorelik L, Lerner M, Bixler S, Crossman M, Schlain B, Simon K, Pace A, Cheung A, Chen LL, Berman M, Zein F, Wilson E, Yednock T, Sandrock A, Goelz SE, Subramanyam M. Anti-JC virus antibodies: implications for PML risk stratification. Ann Neurol. 2010 Sep;68(3):295-303. doi: 10.1002/ana.22128.

Reference Type RESULT
PMID: 20737510 (View on PubMed)

Rudick RA, O'Connor PW, Polman CH, Goodman AD, Ray SS, Griffith NM, Jurgensen SA, Gorelik L, Forrestal F, Sandrock AW, Goelz SE. Assessment of JC virus DNA in blood and urine from natalizumab-treated patients. Ann Neurol. 2010 Sep;68(3):304-10. doi: 10.1002/ana.22107.

Reference Type RESULT
PMID: 20737514 (View on PubMed)

O'Connor P, Goodman A, Kappos L, Lublin F, Polman C, Rudick RA, Hauswirth K, Cristiano LM, Forrestal F, Duda P. Long-term safety and effectiveness of natalizumab redosing and treatment in the STRATA MS Study. Neurology. 2014 Jul 1;83(1):78-86. doi: 10.1212/WNL.0000000000000541. Epub 2014 Jun 4.

Reference Type RESULT
PMID: 24898925 (View on PubMed)

Related Links

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

http://www.nationalmssociety.org

The website 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 Idec.

Other Identifiers

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

101-MS-321

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

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

Tysabri Observational Program
NCT00493298 COMPLETED
Treatment Interruption of Natalizumab
NCT01071083 COMPLETED PHASE2