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CompletedNCT05236777Updated May 13, 2025

TOPIK Study: A Study to Report Progressive Multifocal Leukoencephalopathy and Other Serious Opportunistic Infections in Natalizumab Treated Participants

An observational study in Multiple Sclerosis, sponsored by Biogen. Completed at 15 sites in Czechia. Per ClinicalTrials.gov, last updated 2025-05-13.

Sponsored by Biogen · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
675
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 127 studies in Multiple Sclerosis by Biogen — 2 open to participants now, 5 under way, 1 of them phase 3. Multiple Sclerosis · Biogen.

Enrollment
18th of 48
675 · median 380
Started
2019
with 3 others
Observational
40 of 127
1 open now
Registered
119th of 127
by date

Among the 127 studies in Multiple Sclerosis by Biogen, this one is the 18th largest by enrollment of the 48 observational ones, is one of 4 that started in 2019, is one of 40 observational ones, and was the 119th registered.

By phase

127 studies; the count open now beside each. This study's row is marked.

Observationalthis study40 · 1 open
Phase 328 · 1 open
Phase 422 · 0 open
Phase 216 · 0 open
Phase 111 · 0 open
Other kind8 · 0 open
No phase1 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 1999; this study’s year is marked. 4 started in 2019.

Size and results

Median enrollment 110 across the 79 interventional studies, 380 across the 48 observational. Of the 118 that completed or were terminated, 36 (31%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 127 studies in Multiple Sclerosis by Biogen, or all of them as a file.
02

Study summary

The primary objective of the study is to estimate the incidence of progressive multifocal leukoencephalopathy (PML) and serious adverse events (SAEs) of other opportunistic infections (OIs) among all participants taking natalizumab. The secondary objectives of the study are to estimate the incidence of SAEs, to estimate the incidence of SAEs among participant subgroups defined by demographic and clinical factors (age, gender, duration of treatment, pregnancy, breastfeeding), to characterize and estimate incidences of malignancies, hypersensitivity reactions and John Cunningham Virus (JCV) positivity among all participants taking natalizumab, and to count and describe pregnancies and breastfeeding among participants previously exposed to natalizumab.

03

Conditions studied

  • Multiple Sclerosis

Keywords

  • Progressive Multifocal Leukoencephalopathy (PML)
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study will include participants with MS who are treated with natalizumab from the 1st of January 2019 and participating in the Czech National MS registry (ReMuS).

Eligibility criteria

Key Inclusion Criteria:

  • Participants starting with natalizumab after 1st January 2019 and participating in the ReMuS will be included in this study

Key Exclusion Criteria:

  • Not Applicable (NA)

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

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
675 participants (actual)
Target follow-up
6 Years
Patient registry
Yes

Groups and cohorts

  • Natalizumab Cohort

    The cohort will include participants with MS who are newly treated with natalizumab (administered as a standard of care/routine clinical practice) from 1st January 2019 including those participants who terminate or discontinue the treatment during the observational period.

    Drug: Natalizumab

Interventions

  • Administered as specified in the treatment arm.

    Also known as: Tysabri

06

What researchers measure

Primary outcomes

  1. Number of Participants With Progressive Multifocal Leukoencephalopathy (PML) who are Taking Natalizumab

    Time frame: Up to 6 years

  2. Number of Participants with Serious Adverse Events (SAEs) of Other Opportunistic Infections (OIs) who are Taking Natalizumab

    SAE means such adverse event that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a congenital anomaly or birth defect in offspring, irrespective of the administered dose of the medicinal product. Serious OI means such OI which results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a birth defect in offspring.

    Time frame: Up to 6 years

Secondary outcomes

  1. Number of Participants With SAEs

    SAE means such adverse event that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a congenital anomaly or birth defect in offspring, irrespective of the administered dose of the medicinal product.

    Time frame: Up to 6 years

  2. Number of Participants With SAEs Among Participant Subgroups Defined by Demographic and Clinical Factors

    SAE means such adverse event that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a congenital anomaly or birth defect in offspring, irrespective of the administered dose of the medicinal product. Demographic and clinical factors involve age, gender, duration of treatment, pregnancy, breastfeeding.

    Time frame: Up to 6 years

  3. Number of Participants With Malignancies who are Taking Natalizumab

    Time frame: Up to 6 years

  4. Number of Participants With Hypersensitivity Reactions who are Taking Natalizumab

    Time frame: Up to 6 years

  5. Number of Participants who are John Cunningham Virus (JCV) Positive and Taking Natalizumab

    Time frame: Up to 6 years

  6. Number of Pregnant and Breastfeeding Participants who Were Previously Exposed to Natalizumab

    Time frame: Up to 6 years

07

Study locations

15 sites
  • Fakultní nemocnice Brno
    Brno, Czechia
  • Fakultní nemocnice u sv. Anny v Brně
    Brno, Czechia
  • Fakultní nemocnice Hradec Králové
    Hradec Králové, Czechia
  • Nemocnice Jihlava
    Jihlava, Czechia
  • Fakultní nemocnice Olomouc
    Olomouc, Czechia
  • Fakultní nemocnice v Ostravě
    Ostrava, Czechia
  • Nemocnice Pardubického kraje
    Pardubice, Czechia
  • Fakultní nemocnice v Plzni
    Pilsen, Czechia
  • Fakultní nemocnice Královské Vinohrady v Praze
    Prague, Czechia
  • Fakultní nemocniceMotol v Praze
    Prague, Czechia
  • Fakultní Thomayerova nemocnice v Praze v Krči
    Prague, Czechia
  • Všeobecná fakultní nemocnice v Praze
    Prague, Czechia
  • Nemocnice Teplice
    Teplice, Czechia
  • Krajská nemocnice T. Bati ve Zlíně
    Zlín, Czechia
  • Nemocnice České Budějovice
    České Budějovice, Czechia
08

References and documents

Individual participant data

Plan to share: Yes — In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05236777
Lead sponsor
Biogen
Collaborators
ReMuS Registry
Responsible party
Sponsor
First posted
Feb 11, 2022
Start date
Jan 1, 2019
Primary completion
Apr 30, 2025
Completion
Apr 30, 2025
Last update
May 13, 2025

Study contacts

Medical Director
study director · Biogen

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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