Study Stopped
Study terminated in line with Biogen decision to withdraw Zinbryta from the market and not to pursue further studies of daclizumab in MS.
Efficacy and Safety of Daclizumab in Participants With RRMS Switching From Natalizumab
SUSTAIN
A Phase 3b, 12-month, Open-label, Multicenter Study to Evaluate the Efficacy and Safety of BIIB019, Daclizumab, in Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS) Switching From Natalizumab (SUSTAIN)
2 other identifiers
interventional
41
5 countries
11
Brief Summary
The primary objective of the study is to evaluate the effects of treatment with daclizumab on the proportion of participants relapse-free at 6 months in Relapsing-Remitting Multiple Sclerosis (RRMS) participants, who switched from treatment with natalizumab to daclizumab due to safety concerns. The secondary objectives of this study in this study population are to evaluate the effects of daclizumab on the following: 1) Multiple Sclerosis (MS) relapse activity including the annualized relapse rate (ARR) and the proportion of participants experiencing relapses requiring hospitalization and/or steroid treatment; 2) MS-related outcomes measured using magnetic resonance imaging (MRI); 3) Safety and tolerability in participants previously treated with natalizumab.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Apr 2017
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 24, 2016
CompletedFirst Posted
Study publicly available on registry
August 29, 2016
CompletedStudy Start
First participant enrolled
April 18, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 12, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 12, 2018
CompletedResults Posted
Study results publicly available
September 24, 2019
CompletedSeptember 27, 2019
September 1, 2019
1.4 years
August 24, 2016
September 5, 2019
September 25, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Relapse-free at Month 6
Relapses were defined as new or recurrent neurological symptoms not associated with fever or infection, lasting at least 24 hours, and accompanied by new objective neurological findings upon examination by the Examining Neurologist. The Kaplan-Meier estimate of the percentage of participants relapse-free at Month 6 is reported.
Month 6
Secondary Outcomes (8)
Percentage of Participants Relapse-free at Month 12
Month 12
Percentage of Participants Experiencing Relapse Requiring Hospitalization and/or Steroid Treatment at Month 12
Month 12
Annualized Relapse Rate (ARR) at Month 12
Month 12
Number of Participants With New Gadolinium-Enhanced (Gd+) and T1 Hypointense Lesions at Months 6 and 12
Months 6 and 12
Number of Participants With New and Newly Enlarged T2 Hypointense Lesions at Months 6 and 12
Months 6 and 12
- +3 more secondary outcomes
Study Arms (1)
Daclizumab
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Must have documented diagnosis of RRMS (McDonald 2010 Criteria) at screening \[Polman 2011\].
- Must have been treated with natalizumab for at least the 12 months prior to screening and have not missed 2 or more consecutive scheduled doses.
- Must be naïve to daclizumab and other forms of daclizumab such as Zenapax® prior to enrollment.
- Must have a confirmed Expanded Disability Status Scale (EDSS) score of 0 to 5.5, inclusive, at screening.
- Female participants of childbearing potential must practice effective contraception from Day -1 and be willing and able to continue contraception for duration of the study.
You may not qualify if:
- Current participation in another investigational study.
- Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS (as defined by Lublin and Reingold) \[Lublin 2014\].
- Females breastfeeding, pregnant, or planning to become pregnant; or women who have a positive pregnancy test result during screening.
- History of drug or alcohol abuse (as defined by the Investigator) within 1 year prior to screening.
- History of severe hypersensitivity (e.g., anaphylaxis or anaphylactoid reactions) to the active ingredient or any of the excipients.
- History of severe opportunistic infections (including progressive multifocal leukoencephalopathy (PML)) or any clinically significant, cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic (other than MS), dermatologic, psychiatric, and renal, or other major disease, as determined by the Investigator.
- Discontinued natalizumab due to suspicion of PML.
- Known active malignancies (participants with cutaneous basal cell carcinoma that has been completely excised prior to study entry remain eligible).
- The participant is using another MS therapy concomitantly.
- Known history of human immunodeficiency virus (HIV).
- Positive test result for Hepatitis C virus (test for hepatitis C virus antibody \[HCV Ab\]) or hepatitis B virus (test for hepatitis B surface antigen \[HBsAg\] and/or hepatitis B core antibody \[HBcAb\]).
- The participant has been treated with immunosuppressive or immunomodulating treatments including mitoxantrone, azathioprine, methotrexate, cyclophosphamide, or mycophenolate mofetil.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Research Site
Tampa, Florida, 33612, United States
Research Site
Des Moines, Iowa, 50314, United States
Research Site
Milwaukee, Wisconsin, 53501, United States
Research Site
Edmonton, Alberta, T6G 2G3, Canada
Research Site
Munich, Bavaria, 81675, Germany
Research Site
Potsdam, Brandenburg, 14471, Germany
Research Site
Dresden, Saxony, 01307, Germany
Research Site
Hamburg, 20249, Germany
Research Site
Pozzilli, Isernia, 86077, Italy
Research Site
Napoli, 80131, Italy
Research Site
Guaynabo, 00968, Puerto Rico
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Biogen Study Medical Director
- Organization
- Biogen
Study Officials
- STUDY DIRECTOR
Medical Director
Biogen
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 24, 2016
First Posted
August 29, 2016
Study Start
April 18, 2017
Primary Completion
September 12, 2018
Study Completion
September 12, 2018
Last Updated
September 27, 2019
Results First Posted
September 24, 2019
Record last verified: 2019-09