ClinicalTrials.gg
CompletedNCT02677077Updated Jan 4, 2019

Clinical Disease Activity With Long Term Natalizumab Treatment

An observational study in Relapsing-Remitting Multiple Sclerosis, sponsored by Biogen. Completed at 4 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-01-04.

Sponsored by Biogen · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
277
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary objective of the study is to retrospectively investigate the proportion of participants free of new or enlarging fluid-attenuated inversion recovery (FLAIR) lesions over time in approximately 300 Relapsing-Remitting Multiple Sclerosis (RRMS) participants with regular MRI follow-up, who have received natalizumab ≥24 month from two different observational cohorts: 1) approximately 230 participants from the Czech Republic; and 2) approximately 70 participants from Belgium. The secondary objectives of this study are as follows: Brain volume change by various measures; Changes in the number and volume of magnetic resonance imaging (MRI) lesions; No evidence of disease activity (NEDA) with and without brain volume change.

Read the detailed description

Natalizumab will not be provided to participants by Biogen as a part of this study. Participants will remain on natalizumab therapy as prescribed by their physician.

02

Conditions studied

  • Relapsing-Remitting Multiple Sclerosis

Keywords

  • RRMS
  • MRI
03

In context

Multiple Sclerosis, Relapsing-Remitting

615 studies on the registry are indexed under Multiple Sclerosis, Relapsing-Remitting; 80 are open to participants now.

This study's enrollment of 277 is above the median of 115 across 154 observational studies indexed under Multiple Sclerosis, Relapsing-Remitting.

Browse Multiple Sclerosis, Relapsing-Remitting studies →

Lead sponsor

Biogen is the lead sponsor of 511 studies on the registry; 24 are open to participants now.

Of its 100 completed or terminated interventional studies of FDA-regulated products, 49 (49%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Participants who have been receiving treatment with natalizumab for ≥24 months.

Eligibility criteria

Key Inclusion Criteria:

  • Diagnosis of RRMS.
  • Continuous treatment with natalizumab of ≥24 months. In case of a treatment interruption from natalizumab ≥60 days after a total treatment period of ≥24 months, only the treatment prior to the interruption will be analyzed. Any data after this treatment interruption (even if the patient restarts natalizumab) will not be analyzed/collected.
  • ≥1 MRI scan of sufficient quality for reliable measurement.
  • Baseline MRI scan ≤6 month prior to natalizumab treatment acquired.
  • ≥1 MRI scan of sufficient quality for reliable measurement taken while on natalizumab treatment for ≥6 months.
  • EDSS ≤ 6.5.

Key Exclusion Criteria:

  • Anti-natalizumab antibody detection.
  • Prior treatment with alemtuzumab.
  • Prior treatment with mitoxantrone within 12 months of the first infusion of natalizumab.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
277 participants (actual)

Groups and cohorts

  • Czech Republic

    Approximately 230 participants with RRMS receiving commercial natalizumab in Czech Republic

    Drug: natalizumab

  • Belgium

    Approximately 70 participants with RRMS receiving commercial natalizumab in Belgium

    Drug: natalizumab

Interventions

  • Participants with RRMS receiving commercial natalizumab in Belgium and Czech Republic

    Also known as: BG00002, Tysabri

06

What researchers measure

Primary outcomes

  1. Change over time in the number of participants free of new or enlarging FLAIR lesions

    Lesions that are ≥5 mm per scan (slice thickness 3 mm) as assessed by semiautomatic lesion count (by the Icometrix algorithm).

    Time frame: Treatment years 3 and 4

Secondary outcomes

  1. Annualized brain volume change rate as assessed by % change in brain parenchymal fraction [BPF]

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  2. Annualized brain volume change rate as assessed by percent brain volume change [PBVC]

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  3. Annualized brain volume change rate as assessed by white matter [WM] and gray matter [GM] atrophy)

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  4. Cumulative number of new ≥6-month confirmed T1-hypointense lesions

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  5. Annualized T1-hypointense and FLAIR lesion volume change

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  6. Cumulative percent change in T1-hypointense and FLAIR lesion volume

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  7. Cumulative number of ≥6-month-confirmed T1-hypointense lesions arising from new on- treatment Gadolinium (Gd+)-enhancing lesions

    No relapse and no ≥6-month confirmed Expanded Disability Status Scale (EDSS) progression and no new or enlarging FLAIR lesions and no new Gd+-enhancing lesions

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  8. Number of total participants and 4-year completers with NEDA as measured by clinical measures

    No relapse and no ≥6-month confirmed EDSS progression and no new or enlarging FLAIR lesions and no new Gd+-enhancing lesions, brain volume change rate as assessed by PBVC

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  9. Number of total participants and 4-year completers with NEDA as measured by radiological measures

    No new or enlarging FLAIR lesions and no new Gd+-enhancing lesions

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

  10. Number of participants with brain volume loss ≤0.2% and ≤0.4%

    Time frame: Post long term treatment with natalizumab (>2 years) through Year 4

07

Study locations

4 sites
  • Research Site 1
    Brussels, Belgium
  • Research Site 2
    Brussels, Belgium
  • Research Site
    Overpelt, Belgium
  • Research Site
    Prague, Czechia
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2015 to primary completion in Aug 2016, 7 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 3, 2015
First posted
Feb 9, 2016
StartActual
Dec 31, 2015
Primary completionActual
Aug 18, 2016
CompletionActual
Aug 18, 2016
Last update
Jan 4, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02677077
Lead sponsor
Biogen
Responsible party
Sponsor
First posted
Feb 9, 2016
Start date
Dec 31, 2015
Primary completion
Aug 18, 2016
Completion
Aug 18, 2016
Last update
Jan 4, 2019

Study contacts

Medical Director
study director · Biogen

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.

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