Relapsing-Remitting Multiple SclerosisPhase 4NCT02142205
Safety and Efficacy of Natalizumab (BG00002, Tysabri®) in Russian Participants With Relapsing Remitting Multiple Sclerosis (RRMS)
A Phase 4 study testing BG00002 in people with Relapsing-Remitting Multiple Sclerosis, run by Biogen at 11 sites in Russia.
Trial summary
The primary objective is to evaluate the safety and tolerability of natalizumab (BG00002, Tysabri®) in the study population (Russian participants with relapsing remitting multiple sclerosis). Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Relapsing-Remitting Multiple Sclerosis
- What is being tested?
- BG00002
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 11 sitesRussia
- Study dates
- May 2012to Dec 2013
- Phase
- Phase 4
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Must be natalizumab naïve.
- Must have a documented diagnosis of a relapsing remitting form of MS as defined by the revised McDonald Committee criteria (Polman et al., 2011)
- Must have had at least 1 relapse in the previous year:
- Must be stable in disability for at least 30 days prior to enrollment to the study
- Must be stable in symptomatic management of the disease, specifically spasticity, depression and fatigue for at least 30 days prior to enrollment to the study.
- Must be considered by the Investigator to be free of signs and symptoms suggestive of Progressive multifocal leukoencephalopathy (PML) based on medical history, physical examination, or laboratory testing.
- Must be 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.
Who cannot join
- Medical History:
- Onset of a relapse within 50 days prior to first infusion.
- Considered by the Investigator to be immunocompromised, based on medical history, physical examination, or laboratory testing or due to prior immunosuppressive treatment
- History of, or available abnormal laboratory results indicative of, any significiant viral, cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric (including major depression), renal, and/or other major disease that would preclude the administration of a recombinant humanized antibody immunomodulating agent. The Investigator must re-review the subject's medical fitness for participation and consider any diseases that would preclude treatment.
- History of malignancy (subjects with basal cell carcinoma that has been completely excised prior to study entry remain eligible)
- Known history of human immunodeficiency virus infection or hematological malignancy
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- History of organ transplantation (including anti-rejection therapy)
- A clinically significant infectious illness (e.g. abscess, pneumonia, septicemia) within 30 days prior to the Screening Visit.
- Treatment History:
- Treatment with any kind of immunosuppressant medications (e.g., mitoxantrone, cyclophosphamide, cyclosporine, azathioprine, methotrexate, fingolimod, cladribine) within 6 months prior to Screening
- Miscellaneous:
- Female subjects who are not postmenopausal for at least 1 year, surgically sterile (does not include tubal ligation), or unwilling to practice effective contraception (as defined by the Investigator) during the study
- Women who are breastfeeding, pregnant, or planning to become pregnant while on study
- Other unspecified reasons that, in the opinion of the Investigator and/or Biogen Idec, make the subject unsuitable for enrollment into this study.
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
Russia11 sites
Research Site
Belgorod
Research Site
Kaluga
Research Site
Kazan'
Research Site
Krasnodar
Research Site
Kursk
Research Site
Moscow
Research Site
Nizhny Novgorod
Research Site
Perm
Research Site
Rostov-on-Don
Research Site
Saint Petersburg
Research Site
Smolensk
About this study
Official title: A Prospective, Open-label, Non-randomized, Clinical Trial to Evaluate the Safety and Efficacy in RUSsian RRMS Patients on One Year Treatment With Natalizumab (TYSabri®).
The primary objective is to evaluate the safety and tolerability of natalizumab (BG00002, Tysabri®) in the study population (Russian participants with relapsing remitting multiple sclerosis). The secondary objectives are to look at evaluation of severity of relapse, hospitalization and steroid use requirement; Expanded Disability Status Scale (EDSS), functional tests, quality of life self-assessment questionnaires including the short form health survey self-assessment questionnaire (SF-36) and multiple sclerosis impact scale 29 (MSIS-29), evidence of MRI disease activity, participants free of disease activity (clinical activity and/MRI activity) and anti JC Virus (JCV) antibody evaluation.
- Conditions
- Relapsing-Remitting Multiple Sclerosis
- Being tested
- BG00002
- Medical subject headings
- Multiple Sclerosis, Relapsing-Remitting
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BG00002Biological
Also called Tysabri®
IV Infusion
| Study group | Role | What they receive |
|---|---|---|
| BG00002 (natalizumab) | Experimental | 300 mg IV infusion every 4 weeks Receives: Biological: BG00002 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants that experience Serious Adverse Events (SAEs) and adverse events (AEs)
Measured: Up to Week 52
Secondary outcomes (23)
Annualized relapse rate (ARR)
Measured: Up to Week 52
Time course to first relapse
Measured: Up to Week 52
Severity of relapse as measured by the Number of relapses requiring hospitalization and the Number of relapses requiring steroid treatment
Measured: Up to Week 52
Number of participants that do not experience a relapse
Measured: Up to Week 52
Change in EDSS scores
Measured: Up to Week 48
Duration of time to progression as measured by EDSS score
Measured: Up to Week 48
Number of participants that do not experience a progression in EDSS score
Measured: Up to Week 48
Percentage of participants with improvement in EDSS scores
Measured by at least 1.0 point for 3 months sustained for participants with EDSS greater than or equal to, 2 at baseline
Measured: Up to Week 48
Changes from baseline in nine hole peg test (9HPT)
A brief, standardized, quantitative test of upper extremity function. Both the dominant and non-dominant hands are tested twice. The participant is seated at a table with a small, shallow container holding 9 pegs and a wood or plastic block containing 9 empty holes. On a start command when a stopwatch is started, the partipant picks up the 9 pegs one at a time as quickly as possible, puts them in the 9 holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The total time to complete the task is recorded
Measured: Up to Week 48
Changes in Timed 25 foot walk from baseline
A quantitative mobility and leg function performance test based on a timed 25-walk. It is the first component of the Multiple Sclerosis Functional Composite (MSFC) to be administered at each visit. The participant is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. The time is calculated from the initiation of the instruction to start and ends when the participant has reached the 25-foot mark. The task is immediately administered again by having the participant walk back the same distance. Assistive devices may be used
Measured: Up to Week 48
Changes in cognition as assessed by the Symbol digit modalities test (SDMT)
A simple substitution task that gives the examinee 90 seconds to pair specific numbers with given geometric figures. Examinees can give either written or spoken responses, making the test well suited for use with individuals who have motor disabilities or speech disorders. Because it involves only geometric figures and numbers, the SDMT is relatively free of cultural bias and can be administered to individuals who do not speak English.
Measured: Up to Week 48
Changes from baseline in visual function test (VFT)
Measured: Up to Week 48
Impact on participants quality of life using SF-36 and MSIS-29 self-assessment questionnaires
Measured: Up to Week 48
Percentage of participants that do not experience a relapse or progression in EDSS score
Measured: Month 12
Number of T1 gadolinium (Gd) enhancing lesions
Measured: At Week 48
Number of new T2 hyper intense lesions
Compared to baseline
Measured: At Week 48
Number of newly enlarging T2 hyper intense lesions
Compared to baseline
Measured: At Week 48
Number of new hypo intense T1 lesions (black holes)
Measured: At Week 48
Number of conversion of Gd lesions into black holes
Measured: At Month 12
Percentage of participants that do not experience a relapse as measured by an EDSS score that is not indicative of progression
Measured: At Month 12
Percentage of participants that do not develop new GD+ and new or newly enlarging T2 hyper intense lesions
Measured: At Week 48
Proportion of participants free of disease activity: no clinical & no MRI activity
Measured: Up to Week 48
Number of participates that are Anti JCV antibody positive at baseline
Measured: At Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2014 (estimated)
- Study startMay 2012
- Primary completionDec 2013
- Study completionDec 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Relapsing-Remitting Multiple SclerosisStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02142205
- Sponsor's protocol ID
- RUS-TYS-11-10158
- Status last verified
- May 2014
- First submitted
- 16 May 2014
- Last updated
- 20 May 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Open-label, Non-randomized, Clinical Trial to Evaluate the Safety and Efficacy in RUSsian RRMS Patients on One Year Treatment With Natalizumab (TYSabri®).
- ClinicalTrials.gov ID
- NCT02142205
- Acronym / sponsor ID
- RUS-TYS-11-10158
- Conditions
- Relapsing-Remitting Multiple Sclerosis
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- May 2012
- Primary completion
- Dec 2013 (actual)
- Study completion
- Dec 2013 (actual)
- First posted
- 20 May 2014 (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 primary objective is to evaluate the safety and tolerability of natalizumab (BG00002, Tysabri®) in the study population (Russian participants with relapsing remitting multiple sclerosis). The secondary objectives are to look at evaluation of severity of relapse, hospitalization and steroid use requirement; Expanded Disability Status Scale (EDSS), functional tests, quality of life self-assessment questionnaires including the short form health survey self-assessment questionnaire (SF-36) and multiple sclerosis impact scale 29 (MSIS-29), evidence of MRI disease activity, participants free of disease activity (clinical activity and/MRI activity) and anti JC Virus (JCV) antibody evaluation.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BG00002 (natalizumab) | Experimental | Biological: BG00002300 mg IV infusion every 4 weeks |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Must be natalizumab naïve.
- Must have a documented diagnosis of a relapsing remitting form of MS as defined by the revised McDonald Committee criteria (Polman et al., 2011)
- Must have had at least 1 relapse in the previous year:
- Must be stable in disability for at least 30 days prior to enrollment to the study
- Must be stable in symptomatic management of the disease, specifically spasticity, depression and fatigue for at least 30 days prior to enrollment to the study.
Key exclusion criteria (15 listed)
- Onset of a relapse within 50 days prior to first infusion.
- Considered by the Investigator to be immunocompromised, based on medical history, physical examination, or laboratory testing or due to prior immunosuppressive treatment
- History of, or available abnormal laboratory results indicative of, any significiant viral, cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric (including major depression), renal, and/or other major disease that would preclude the administration of a recombinant humanized antibody immunomodulating agent. The Investigator must re-review the subject's medical fitness for participation and consider any diseases that would preclude treatment.
- History of malignancy (subjects with basal cell carcinoma that has been completely excised prior to study entry remain eligible)
- Known history of human immunodeficiency virus infection or hematological malignancy
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 |
|---|---|---|
| BG00002Also: Tysabri®IV Infusion | Biological | BG00002 (natalizumab) |
Primary outcome
Number of participants that experience Serious Adverse Events (SAEs) and adverse events (AEs)
Time frame: Up to Week 52
23 secondary outcomes
Annualized relapse rate (ARR)
Time frame: Up to Week 52
Time course to first relapse
Time frame: Up to Week 52
Severity of relapse as measured by the Number of relapses requiring hospitalization and the Number of relapses requiring steroid treatment
Time frame: Up to Week 52
Number of participants that do not experience a relapse
Time frame: Up to Week 52
Change in EDSS scores
Time frame: Up to Week 48
Duration of time to progression as measured by EDSS score
Time frame: Up to Week 48
Number of participants that do not experience a progression in EDSS score
Time frame: Up to Week 48
Percentage of participants with improvement in EDSS scores
Time frame: Up to Week 48
Changes from baseline in nine hole peg test (9HPT)
Time frame: Up to Week 48
Changes in Timed 25 foot walk from baseline
Time frame: Up to Week 48
Changes in cognition as assessed by the Symbol digit modalities test (SDMT)
Time frame: Up to Week 48
Changes from baseline in visual function test (VFT)
Time frame: Up to Week 48
Impact on participants quality of life using SF-36 and MSIS-29 self-assessment questionnaires
Time frame: Up to Week 48
Percentage of participants that do not experience a relapse or progression in EDSS score
Time frame: Month 12
Number of T1 gadolinium (Gd) enhancing lesions
Time frame: At Week 48
Number of new T2 hyper intense lesions
Time frame: At Week 48
Number of newly enlarging T2 hyper intense lesions
Time frame: At Week 48
Number of new hypo intense T1 lesions (black holes)
Time frame: At Week 48
Number of conversion of Gd lesions into black holes
Time frame: At Month 12
Percentage of participants that do not experience a relapse as measured by an EDSS score that is not indicative of progression
Time frame: At Month 12
Percentage of participants that do not develop new GD+ and new or newly enlarging T2 hyper intense lesions
Time frame: At Week 48
Proportion of participants free of disease activity: no clinical & no MRI activity
Time frame: Up to Week 48
Number of participates that are Anti JCV antibody positive at baseline
Time frame: At Baseline
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 20 May 2014.
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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.
Medical Director study director
Biogen
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing BG00002 in people with Relapsing-Remitting Multiple Sclerosis, run by Biogen at 11 sites in Russia.
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 15 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 20 May 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in Russia. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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?
Number of participants that experience Serious Adverse Events (SAEs) and adverse events (AEs) (time frame: Up to Week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 20 May 2014.