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Safety and Efficacy of Natalizumab (BG00002, Tysabri®) in Russian Participants With Relapsing Remitting Multiple Sclerosis (RRMS)

Primary Purpose

Relapsing-Remitting Multiple Sclerosis

Status
Completed
Phase
Phase 4
Locations
Russian Federation
Study Type
Interventional
Intervention
BG00002
Sponsored by
Biogen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsing-Remitting Multiple Sclerosis

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • 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.

Key Exclusion Criteria:

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
  • 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

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BG00002 (natalizumab)

Arm Description

300 mg IV infusion every 4 weeks

Outcomes

Primary Outcome Measures

Number of participants that experience Serious Adverse Events (SAEs) and adverse events (AEs)

Secondary Outcome Measures

Annualized relapse rate (ARR)
Time course to first relapse
Severity of relapse as measured by the Number of relapses requiring hospitalization and the Number of relapses requiring steroid treatment
Number of participants that do not experience a relapse
Change in EDSS scores
Duration of time to progression as measured by EDSS score
Number of participants that do not experience a progression in EDSS score
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
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
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
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.
Changes from baseline in visual function test (VFT)
Impact on participants quality of life using SF-36 and MSIS-29 self-assessment questionnaires
Percentage of participants that do not experience a relapse or progression in EDSS score
Number of T1 gadolinium (Gd) enhancing lesions
Number of new T2 hyper intense lesions
Compared to baseline
Number of newly enlarging T2 hyper intense lesions
Compared to baseline
Number of new hypo intense T1 lesions (black holes)
Number of conversion of Gd lesions into black holes
Percentage of participants that do not experience a relapse as measured by an EDSS score that is not indicative of progression
Percentage of participants that do not develop new GD+ and new or newly enlarging T2 hyper intense lesions
Proportion of participants free of disease activity: no clinical & no MRI activity
Number of participates that are Anti JCV antibody positive at baseline

Full Information

First Posted
May 16, 2014
Last Updated
May 16, 2014
Sponsor
Biogen
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1. Study Identification

Unique Protocol Identification Number
NCT02142205
Brief Title
Safety and Efficacy of Natalizumab (BG00002, Tysabri®) in Russian Participants With Relapsing Remitting Multiple Sclerosis (RRMS)
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®).
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biogen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief 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). 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsing-Remitting Multiple Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BG00002 (natalizumab)
Arm Type
Experimental
Arm Description
300 mg IV infusion every 4 weeks
Intervention Type
Biological
Intervention Name(s)
BG00002
Other Intervention Name(s)
Tysabri®
Intervention Description
IV Infusion
Primary Outcome Measure Information:
Title
Number of participants that experience Serious Adverse Events (SAEs) and adverse events (AEs)
Time Frame
Up to Week 52
Secondary Outcome Measure Information:
Title
Annualized relapse rate (ARR)
Time Frame
Up to Week 52
Title
Time course to first relapse
Time Frame
Up to Week 52
Title
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
Title
Number of participants that do not experience a relapse
Time Frame
Up to Week 52
Title
Change in EDSS scores
Time Frame
Up to Week 48
Title
Duration of time to progression as measured by EDSS score
Time Frame
Up to Week 48
Title
Number of participants that do not experience a progression in EDSS score
Time Frame
Up to Week 48
Title
Percentage of participants with improvement in EDSS scores
Description
Measured by at least 1.0 point for 3 months sustained for participants with EDSS greater than or equal to, 2 at baseline
Time Frame
Up to Week 48
Title
Changes from baseline in nine hole peg test (9HPT)
Description
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
Time Frame
Up to Week 48
Title
Changes in Timed 25 foot walk from baseline
Description
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
Time Frame
Up to Week 48
Title
Changes in cognition as assessed by the Symbol digit modalities test (SDMT)
Description
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.
Time Frame
Up to Week 48
Title
Changes from baseline in visual function test (VFT)
Time Frame
Up to Week 48
Title
Impact on participants quality of life using SF-36 and MSIS-29 self-assessment questionnaires
Time Frame
Up to Week 48
Title
Percentage of participants that do not experience a relapse or progression in EDSS score
Time Frame
Month 12
Title
Number of T1 gadolinium (Gd) enhancing lesions
Time Frame
At Week 48
Title
Number of new T2 hyper intense lesions
Description
Compared to baseline
Time Frame
At Week 48
Title
Number of newly enlarging T2 hyper intense lesions
Description
Compared to baseline
Time Frame
At Week 48
Title
Number of new hypo intense T1 lesions (black holes)
Time Frame
At Week 48
Title
Number of conversion of Gd lesions into black holes
Time Frame
At Month 12
Title
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
Title
Percentage of participants that do not develop new GD+ and new or newly enlarging T2 hyper intense lesions
Time Frame
At Week 48
Title
Proportion of participants free of disease activity: no clinical & no MRI activity
Time Frame
Up to Week 48
Title
Number of participates that are Anti JCV antibody positive at baseline
Time Frame
At Baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: 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. Key Exclusion Criteria: 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 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Biogen
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Belgorod
Country
Russian Federation
Facility Name
Research Site
City
Kaluga
Country
Russian Federation
Facility Name
Research Site
City
Kazan
Country
Russian Federation
Facility Name
Research Site
City
Krasnodar
Country
Russian Federation
Facility Name
Research Site
City
Kursk
Country
Russian Federation
Facility Name
Research Site
City
Moscow
Country
Russian Federation
Facility Name
Research Site
City
Nizhniy Novgorod
Country
Russian Federation
Facility Name
Research Site
City
Perm
Country
Russian Federation
Facility Name
Research Site
City
Rostov-on-Don
Country
Russian Federation
Facility Name
Research Site
City
Saint-Petersburg
Country
Russian Federation
Facility Name
Research Site
City
Smolensk
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Safety and Efficacy of Natalizumab (BG00002, Tysabri®) in Russian Participants With Relapsing Remitting Multiple Sclerosis (RRMS)

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