Phase 3 Study to Evaluate Efficacy, Safety, PK, and PD of SC Natalizumab in Japanese Participants With RRMS
- Conditions
- Relapsing-Remitting Multiple Sclerosis
- Registration Number
- jRCT2051210146
- Lead Sponsor
- Biogen Japan Ltd.
- Brief Summary
- Not available 
- Detailed Description
- Not available 
Recruitment & Eligibility
- Status
- Not Recruiting
- Sex
- All
- Target Recruitment
- 20
- 
Must have had a diagnosis of RRMS, as defined by the revised 2017 McDonald's criteria. All other possible neurologic diagnoses must have been reasonably excluded by means of laboratory and/or imaging studies, in the opinion of the Investigator. 
- 
Must have had an EDSS score between 0.0 and 5.5, inclusive. 
- 
Must have had screening MRI or documentation of an MRI within the participant's medical record within 12months of the Screening Visit that revealed 3 or more T2 hyperintense lesions consistent with MS. 
- 
Was born in Japan, and biological parents and grandparents were of Japanese origin. 
- 
Evidence of current SARS-CoV-2 infection within 14 days prior to Screening, between Screening and Baseline Visit, or at Baseline Visit, including but not limited to a fever (temperature > 37.5 degrees Celsius), new and persistent cough, breathlessness, or loss of taste and/or smell. 
- 
Have close contact within 14 days prior to Day 1 with a SARS-CoV-2 positive individual. 
- 
Diagnosis of primary progressive MS or secondary progressive MS. 
- 
An MS exacerbation (relapse) within 30 days prior to enrollment or, in the opinion of the Investigator, the participant not having stabilized from a previous relapse prior to enrollment (Day 1). 
- 
The participant is unable to have a brain MRI scan (e.g., a participant with a metal clip to repair a cerebral aneurysm). 
- 
Previous exposure to natalizumab. 
Study & Design
- Study Type
- Interventional
- Study Design
- single assignment
- Primary Outcome Measures
- Name - Time - Method - - - Cumulative number of new active lesions on Week 24 brain MRI scans. 
- Secondary Outcome Measures
- Name - Time - Method - Proportion of participants with any new active lesions - Week 24 and Week 48 - Proportion of participants with any new active lesions on Week 24 and Week 48 brain MRI scans. - The number of nonenhancing new or newly enlarging T2 hyperintense lesions - Week 24 and Week 48 - The number of nonenhancing new or newly enlarging T2 hyperintense lesions at Week 24 and Week 48. - The number of new T1 hypointense lesions - Week 24 and Week 48 - The number of new T1 hypointense lesions at Week 24 and Week 48. - Annualized Relapse Rate (ARR) - Annualized Relapse Rate (ARR). - Proportion of relapse-free participants - Week 24 and Week 52 - Proportion of relapse-free participants at Week 24 and Week 52. - VAS assessing the participant's global impression of their well-being - Week 24 and Week 48 - VAS assessing the participant's global impression of their well-being at Week 24 and Week 48. - Incidence of treatment-emergent AEs and SAEs - Incidence of treatment-emergent AEs and SAEs. - Cumulative number of new active lesions - Week 48 - Cumulative number of new active lesions on Week 48 brain MRI scans. - Change from baseline in number of gadolinium-enhancing lesions - Week 24 and Week 48 - Change from baseline in number of gadolinium-enhancing lesions at Week 24 and Week 48. - Anti-JCV antibody - Anti-JCV antibody. - Anti-natalizumab antibodies - Anti-natalizumab antibodies. - Change in EDSS score from Baseline - Change in EDSS score from Baseline. - Serum natalizumab concentrations - Serum natalizumab concentrations. - Alpha-4-integrin saturation and serum soluble VCAM-1 concentrations - Alpha-4-integrin saturation and serum soluble VCAM-1 concentrations. 
