Multiple Sclerosis, Relapsing-RemittingPhase 3NCT00030966
Safety and Efficacy of Natalizumab in Combination With Avonex in the Treatment of Multiple Sclerosis
A Phase 3 study testing Natalizumab in people with Multiple Sclerosis, Relapsing-Remitting, run by Biogen at 88 sites in 7 countries.
Trial summary
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). Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Multiple Sclerosis, Relapsing-Remitting
- What is being tested?
- Natalizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,200 participants
- Where
- 88 sitesin 7 countries
- Study dates
- Jan 2002to Dec 2005
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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.
Who cannot join
- 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
Trial locations and contacts
88 sites in 7 countries.
88 sites in 7 countries
United States72 sites
Upstate Clinical Research, LLC
Albany, New York, 12205
Albany Medical Center
Albany, New York, 12208
The Multiple Sclerosis Center of Atlanta
Atlanta, Georgia, 30327
University of Maryland Hospital, Department of Neurology
Baltimore, Maryland, 21201
University of Alabama-Birmingham, Department of Neurology
Birmingham, Alabama, 35233
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Maimonides Medical Center, Division of Neurology
Brooklyn, New York, 11219
Buffalo General Hospital, Department of Neurology
Buffalo, New York, 14203
Fletcher Allen Health Care
Burlington, Vermont, 05401
MS Center at Carolinas Medical Center
Charlotte, North Carolina, 28232-2861
University of Virginia Health Sciences
Charlottesville, Virginia, 22908
Northwestern University, Department of Neurology
Chicago, Illinois, 60611
Rush-Presbyterian St. Luke's Medical Center
Chicago, Illinois, 60612
Riverhills Neurology
Cincinnati, Ohio, 45219
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Healthsouth Rehabilitation Hospital
Colorado Springs, Colorado, 80910
Option Care Infusion
Dallas, Texas, 75226
UTSW Medical School
Dallas, Texas, 75235-9036
Geisinger Medical Center
Danville, Pennsylvania, 17822
University of Colorado MS Center
Denver, Colorado, 80262
Griffin Hospital
Derby, Connecticut, 06418
Mercy Hospital Outpatient Pharmacy
Des Moines, Iowa, 50314
Henry Ford Hospital
Detroit, Michigan, 48202-2608
Michigan State University MS Clinic
East Lansing, Michigan, 48824
Alexian Brothers Center for Clinical Research
Elk Grove Village, Illinois, 60007
Michigan Institute for Neurological Disorders
Farmington Hills, Michigan, 48334
North Ridge NeuroScience Center
Fort Lauderdale, Florida, 33334
Baylor Methodist International MS Center
Houston, Texas, 77030
Indiana University Medical Center
Indianapolis, Indiana, 46202
University of California - Irvine
Irvine, California, 92697
University of Mississippi Medical Center
Jackson, Mississippi, 39216-4505
University of Arkansas For Medical Sciences
Little Rock, Arkansas, 72205
USC MS Comprehensive Care Center
Los Angeles, California, 90033
Maitland Neurology
Maitland, Florida, 32751
Marietta Neurological Associates
Marietta, Georgia, 30060
Loyola Medical Center
Maywood, Illinois, 60153
University of Tennessee - Memphis
Memphis, Tennessee, 38163
University of Miami, Department of Neurology
Miami, Florida, 33136
St. Francis Hospital, Center for Neurological Disorders
Milwaukee, Wisconsin, 53215
Noran Neurological Clinic
Minneapolis, Minnesota, 55404
Vanderbilt Medical Center
Nashville, Tennessee, 37215
LSU Neurolgoy Clinic in New Orleans
New Orleans, Louisiana, 70112
MS Care Center
New York, New York, 10003
St. Luke's Roosevelt Hospital, MS Research & Treatment Center
New York, New York, 10019
New York Hospital - Cornell Medical Center
New York, New York, 10021
New York State Psychiatric Institution
New York, New York, 10032
Consultants in Neurology Northbrook
Northbrook, Illinois, 60062
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Greenstein Neurology Associates & MS Institute
Philadelphia, Pennsylvania, 19146
Phoenix Neurological Associates, Ltd.
Phoenix, Arizona, 85008
Allegheny Singer Research Institute
Pittsburgh, Pennsylvania, 15212
University of Pittsburgh, Department of Neurology
Pittsburgh, Pennsylvania, 15213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
Raleigh Neurology Associates
Raleigh, North Carolina, 27607
Kaiser-Permanente Medical Center
Redwood City, California, 94063
Neurological Associates, Inc.
Richmond, Virginia, 23226
Strong Health Pharmacy Services
Rochester, New York, 14642
Central Texas Neurology
Round Rock, Texas, 78681
MS Center at UCSF
San Francisco, California, 94117
Maine Neurology
Scarborough, Maine, 04074-8926
Virginia Mason Medical Center
Seattle, Washington, 98111
MS Research Center
Seattle, Washington, 98195
Springfield Clinic Neuroscience Institute
Springfield, Illinois, 62702
St. John's Mercy Medical Center
St Louis, Missouri, 63141
Staten Island University Hospital
Staten Island, New York, 10305
University Hospital at Stony Brook
Stony Brook, New York, 11794
SUNY Upstate Medical University
Syracuse, New York, 13210
Bernard W. Gimbel MS Center
Teaneck, New Jersey, 07666
Georgetown Univesity Hospital, Research Pharmacy
Washington D.C., District of Columbia, 20007
George Washington University MS Center
Washington D.C., District of Columbia, 20037
Wake Forest University School of Medicine, Department of Neurology
Winston-Salem, North Carolina, 27157
University of Massachusetts Memorial Medical Center
Worcester, Massachusetts, 01655-0138
Germany7 sites
Judisches Krankenhaus
Berlin, 13347
Universitaetsklinikum Giessen, Oberarzt Neurologie
Giessen, 35390
Medizinische Hochschule Hannover, Neurologische Klinik
Hanover, 30625
Neurologische Abteilung
Henningsdorf, 16761
Städtische Kliniken Osnabrück
Osnabrück, 49076
Asklepios Klinik Schildautal
Seesen/Harz, 38723
Fachbereich Neurologie und Klinische Neurophysiologie
Wiesbaden, 65191
Austria2 sites
Universitatsklinik fur Neurologie
Graz, 8036
Universitatsklinik fur Neurologie
Innsbruck, 6020
Belgium2 sites
Hopital Universitaire U.L.B. Erasme
Brussels, 1780
Elisabeth Ziekenhuis
Sijsele, 8340
France2 sites
Hopital Pellegrin Tripode, Neurologie
Bordeaux, 33076
Hopital neurologique Pierre Werth
Lyon, 69394
Israel2 sites
Hadassah Hebrew Uni Hospital, Department of Neurology
Jerusalem
Sheba Medical Center, MS Center
Tel HaShomer, 52621
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Determine the Safety and Efficacy of Natalizumab, When Added to Avonex® (Interferon Beta-1a), in Subjects With Relapsing-Remitting Multiple Sclerosis
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).
- Conditions
- Multiple Sclerosis, Relapsing-Remitting
- Being tested
- Natalizumab, Placebo
- Keywords
- Multiple Sclerosis, MS
- Medical subject headings
- Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NatalizumabDrug
Also called Tysabri
Natalizumab, 300 mg, monthly IV infusion for up to 116 weeks.
PlaceboDrug
Placebo monthly infusion for up to 116 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | Adding natalizumab monthly infusion to Avonex weekly injection for up to 116 weeks. Receives: Drug: Natalizumab |
| Group 2 | Placebo comparator | Adding placebo monthly infusion to Avonex weekly injection for up to 116 weeks. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary objectives of this study are to determine if natalizumab is effective in reducing the rate of clinical relapse at 1 year and in slowing the progression of disability at 2 years as measured by EDSS.
Measured: 1 year and 2 years
Secondary outcomes (1)
If this combination reduces MRI lesions and the overall rate of clinical relapses
Measured: 1 year and 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Feb 2002 (estimated)
- Study startJan 2002
- Primary completionApr 2005
- Study completionDec 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Multiple Sclerosis, Relapsing-RemittingStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Elan Pharmaceuticals
- Investigators
- Michael Panzara, MD, MPH, Study director, BiogenRichard A Rudick, MD, Principal investigator, The Cleveland Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00030966
- Sponsor's protocol ID
- C-1802
- Status last verified
- Jun 2009
- First submitted
- 15 Feb 2002
- Last updated
- 18 Jun 2009
- Results posted
- No
- Data monitoring committee
- Yes
Publications
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.
PubMed 16510745Strijbis 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.
PubMed 37173129
Study at a glance
From the registry record, last updated by the sponsor on 18 Jun 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Determine the Safety and Efficacy of Natalizumab, When Added to Avonex® (Interferon Beta-1a), in Subjects With Relapsing-Remitting Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT00030966
- Acronym / sponsor ID
- C-1802
- Conditions
- Multiple Sclerosis, Relapsing-Remitting
- Keywords
- Multiple Sclerosis, MS
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,200 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Collaborators
- Elan Pharmaceuticals
- Study start
- Jan 2002
- Primary completion
- Apr 2005 (actual)
- Study completion
- Dec 2005 (actual)
- First posted
- 18 Feb 2002 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Experimental | Drug: NatalizumabAdding natalizumab monthly infusion to Avonex weekly injection for up to 116 weeks. |
| Group 2 | Placebo comparator | Drug: PlaceboAdding placebo monthly infusion to Avonex weekly injection for up to 116 weeks. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- 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.
Key exclusion criteria (7 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NatalizumabAlso: TysabriNatalizumab, 300 mg, monthly IV infusion for up to 116 weeks. | Drug | Group 1 |
| PlaceboPlacebo monthly infusion for up to 116 weeks. | Drug | Group 2 |
Primary outcome
Primary objectives of this study are to determine if natalizumab is effective in reducing the rate of clinical relapse at 1 year and in slowing the progression of disability at 2 years as measured by EDSS.
Time frame: 1 year and 2 years
1 secondary outcome
If this combination reduces MRI lesions and the overall rate of clinical relapses
Time frame: 1 year and 2 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jun 2009.
- Results publication: PubMed 16510745Rudick 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.
- Derived from this study: PubMed 37173129Strijbis 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.
- The web site of the National Multiple Sclerosis Society, an organization dedicated to providing information to individuals with MS, their families and healthcare providers.Link provided by the sponsor.
- MSActiveSource.com is a resource for news, information and disease management for all individuals touched by multiple sclerosis. This site is sponsored by Biogen.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michael Panzara, MD, MPH study director
Biogen
Richard A Rudick, MD principal investigator
The Cleveland Clinic
88 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Natalizumab in people with Multiple Sclerosis, Relapsing-Remitting, run by Biogen at 88 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Jun 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 88 sites in United States, Germany, Austria, Belgium, France and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary objectives of this study are to determine if natalizumab is effective in reducing the rate of clinical relapse at 1 year and in slowing the progression of disability at 2 years as measured by EDSS. (time frame: 1 year and 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00030966, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jun 2009.