Multiple SclerosisPhase 2NCT00109161
Study of Subcutaneous Daclizumab in Patients With Active, Relapsing Forms of Multiple Sclerosis
A Phase 2 study testing Daclizumab (Anti-CD25 Humanized Monoclonal Antibody) in people with Multiple Sclerosis, run by PDL BioPharma, Inc. at 36 sites in 2 countries.
Trial summary
This research study is being conducted in the U.S. and Europe to evaluate the safety and efficacy of daclizumab for the treatment of multiple sclerosis (MS). Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- Daclizumab (Anti-CD25 Humanized Monoclonal Antibody)
- How many people
- 270 participants
- Where
- 36 sitesin 2 countries
- Study dates
- Apr 2005to Oct 2006
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male or female age 18 to 55 years, inclusive.
- Diagnosis of MS by McDonald criteria.
- EDSS <7.0.
- On stable IFN-beta regimen for at least 6 months.
- The occurrence of either of the following within 9 months prior to screening: ≥1 MS relapse OR A qualifying MRI, defined as an MRI that showed at least one confirmed Gd-CEL of the brain or spinal cord, was performed independently of the study while the patient was on a stable IFN-beta regimen, and is deemed acceptable by the central reader.
- For females, women of non-childbearing potential or women of childbearing potential who provide a negative serum pregnancy test at screen and within 24 hours of first dose of study drug, and who agree to use effective contraception during the Treatment and Follow-up periods of the study.
- Willing and able to comply with the protocol, provision of informed consent in accordance with institutional and regulatory guidelines, and, for US sites only, authorization to use protected health information.
Who cannot join
- Pregnant or breast-feeding woman.
- Non-ambulatory patient.
- Clinically significant abnormality on screening ECG.
- Malignancy within the past 5 years, except for adequately treated non-melanoma skin carcinoma or in situ carcinoma of the cervix.
- History of HIV infection, positive serology for HBV (hepatitis B virus) or HCV (hepatitis C virus).
- Varicella (VZV) or herpes zoster virus infection, or any severe viral infection, within 6 weeks before screening or exposure to VZV within 21 days of screening.
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- Abnormal hematology, as defined by the following laboratory values: *Hemoglobin ≤8.5 g/dL, *Lymphocytes ≤1.0 x 10^9/L, *Platelets ≤100 x 10^9/L, *Neutrophils ≤1.5 x 10^9/L.
- Significant organ dysfunction, including but not limited to cardiac, renal, liver, non-MS related CNS, pulmonary, vascular, gastrointestinal, endocrine, or metabolic dysfunction, or other disease or condition, which in the opinion of the PI (principal investigator) would make the patient an unsuitable candidate for the study. Guidelines for levels of unacceptable dysfunction include: *creatinine ≥1.6 mg/dL; *AST and ALT ≥2.5 times upper limit of normal (ULN); *alkaline phosphatase ≥2.5 times ULN; *history of myocardial infarction, congestive heart failure, or arrhythmias within 6 months prior to randomization.
- Use of any of the following: *Any of the following types of live virus vaccine from 4 weeks before randomization: measles/mumps/rubella vaccine, varicella zoster virus vaccine, oral polio vaccine, and nasal influenza vaccine. Use of these vaccines, however, by household contacts does not affect the eligibility of patients to enroll or continue in the study; *Systemic corticosteroids, adrenocorticotropic hormone, or plasma exchange within 4 weeks before the baseline MRI scan (no more than 72 hours before Day 0); *Azathioprine, mycophenolate mofetil, methotrexate, glatiramer acetate, or intravenous immune globulin within 6 months before randomization; *An immunomodulatory agent within 6 months before randomization, except for interferon-beta products required per protocol; *An investigational agent within 6 months before randomization unless this agent is non-immunomodulatory and the medical monitor or steering committee rules that its use is acceptable on the theoretical basis of a lapse of at least 5 serum half-lives since administration of the last possible dose; *A monoclonal antibody (eg, Rituxan®/ Rituximab) within 6 months before randomization; *Daclizumab at any time prior to randomization; *Cladribine, mitoxantrone, cyclophosphamide, CamPath® (alemtuzumab), natalizumab (TYSABRI®/Antegren) or other drugs targeting alpha 4 integrin, total lymphoid irradiation, or bone marrow transplant at any time
- Patients for whom MRI is contraindicated, ie, have pacemakers or other contraindicated implanted metal devices, are allergic to gadolinium, or have claustrophobia that cannot be medically managed.
- Primary progressive MS.
- Clinically unstable for 30 days before randomization (Patients who experienced a relapse, with or without steroid treatment, during the screening period may be re-screened after 30 days.)
- Elective surgery performed from 2 weeks prior to randomization or scheduled through Week 44
- Infection (viral, fungal, bacterial) requiring hospitalization or IV antibiotics within 8 weeks before randomization.
Trial locations and contacts
36 sites in 2 countries.
36 sites in 2 countries
United States30 sites
Upstate Clinical Research
Albany, New York, 12205
Albany Medical Center
Albany, New York, 12208
The Multiple Sclerosis Center of Atlanta
Atlanta, Georgia, 30327
Maryland Center for MS
Baltimore, Maryland, 21201
Sutter East Bay Medical Foundation
Berkeley, California, 94705
MS Center/CMC Meyers Park
Charlotte, North Carolina, 28207
University of Cincinnati
Cincinnati, Ohio, 45219
The MS Center at Texas Neurology
Dallas, Texas, 75214
Wayne State University MS Center
Detroit, Michigan, 48201
Michigan State University
East Lansing, Michigan, 48824
Michigan Medical P.C. Neurology
Grand Rapids, Michigan, 49525
KUMC Neurology
Kansas City, Kansas, 66160
MS Center at Dartmouth
Lebanon, New Hampshire, 03756
Neurology Associates, P.A.
Maitland, Florida, 32751
Winthrop University Hospital
Mineola, New York, 11501
Hospital for Joint Diseases, MS Care Center
New York, New York, 10003
Consultants in Neurology
Northbrook, Illinois, 60062
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013
Raleigh Neurology Associates
Raleigh, North Carolina, 27607
University of Rochester Medical Center
Rochester, New York, 14642
Central Texas Neurology
Round Rock, Texas, 78681
University of Utah CAMT
Salt Lake City, Utah, 84108
Mayo Clinic
Scottsdale, Arizona, 85013
MS Hub Medical Group
Seattle, Washington, 98101
Louisiana State University Health Sciences Center
Shreveport, Louisiana, 71103
Rockwood Clinic, PS
Spokane, Washington, 99202
St. Louis University Hospital
St Louis, Missouri, 63110
Gimble MS Center
Teaneck, New Jersey, 07666
Wenatchee Valley Medical Center
Wenatchee, Washington, 98801
Canada6 sites
Foothills Medical Centre-MS Research Program
Calgary, Alberta, T2N 2T9
University of Alberta
Edmonton, Alberta, T6G-2C8
Clinique SEP/NM
Gatineau, Quebec, PQ J8Y 1W7
London Health Sciences Centre
London, Ontario, N6A 5A5
Montreal Neurological Institute
Montreal, Quebec, H3A 2B4
Health Sciences Center
Winnipeg, Manitoba, R3A 1R9
About this study
Official title: A Phase II Randomized, Double-Blinded, Placebo-Controlled, Multi-Center Study of Subcutaneous Daclizumab in Patients With Active, Relapsing Forms of Multiple Sclerosis
This research study is being conducted in the U.S. and Europe to evaluate the safety and efficacy of daclizumab for the treatment of multiple sclerosis (MS).
Read the detailed description
PDL BioPharma, Inc. was formerly known as Protein Design Labs, Inc.
- Conditions
- Multiple Sclerosis
- Being tested
- Daclizumab (Anti-CD25 Humanized Monoclonal Antibody)
- Keywords
- Multiple Sclerosis, MS, CNS, Daclizumab
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Daclizumab (Anti-CD25 Humanized Monoclonal Antibody)Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of new or enlarged gadolinium contrast enhancing lesions (Gd-CELs) on monthly brain MRIs collected between Weeks 8 to 24 in daclizumab- vs. placebo-treated patients
Secondary outcomes (3)
Pharmacokinetics
Immunogenicity
Clinical improvement
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Apr 2005 (estimated)
- Study startApr 2005
- Study completionOct 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 270 participants
Sponsor and investigators
- Lead sponsor
- PDL BioPharma, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Richard Dickson, M.D., Principal investigator, Wenatchee Valley Medical CenterSteven Pugh, M.D., Principal investigator, Rockwood Clinic, PSDaniel Wynn, M.D., Principal investigator, Consultants in NeurologyTheodore J. Phillips, M.D., Principal investigator, The MS Center at Texas NeurologyJoanna Cooper, Principal investigator, Sutter East Bay Medical FoundationJames R. Storey, Principal investigator, Upstate Clinical ResearchMalcolm Gottesman, M.D., Principal investigator, Winthrop University HospitalHerman Sullivan, M.D., Principal investigator, Michigan Medical P.C. Neurology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00109161
- Sponsor's protocol ID
- DAC-1012
- Status last verified
- Aug 2008
- First submitted
- 22 Apr 2005
- Last updated
- 5 Aug 2008
- Results posted
- No
Publications
Wynn D, Kaufman M, Montalban X, Vollmer T, Simon J, Elkins J, O'Neill G, Neyer L, Sheridan J, Wang C, Fong A, Rose JW; CHOICE investigators. Daclizumab in active relapsing multiple sclerosis (CHOICE study): a phase 2, randomised, double-blind, placebo-controlled, add-on trial with interferon beta. Lancet Neurol. 2010 Apr;9(4):381-90. doi: 10.1016/S1474-4422(10)70033-8. Epub 2010 Feb 15.
PubMed 20163990
Study at a glance
From the registry record, last updated by the sponsor on 5 Aug 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Randomized, Double-Blinded, Placebo-Controlled, Multi-Center Study of Subcutaneous Daclizumab in Patients With Active, Relapsing Forms of Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT00109161
- Acronym / sponsor ID
- DAC-1012
- Conditions
- Multiple Sclerosis
- Keywords
- Multiple Sclerosis, MS, CNS, Daclizumab
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 270 participants
- Lead sponsor
- PDL BioPharma, Inc.Industry (pharma, biotech, devices)
- Study start
- Apr 2005
- Study completion
- Oct 2006
- First posted
- 25 Apr 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This research study is being conducted in the U.S. and Europe to evaluate the safety and efficacy of daclizumab for the treatment of multiple sclerosis (MS).
Detailed description
PDL BioPharma, Inc. was formerly known as Protein Design Labs, Inc.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Male or female age 18 to 55 years, inclusive.
- Diagnosis of MS by McDonald criteria.
- EDSS <7.0.
- On stable IFN-beta regimen for at least 6 months.
- The occurrence of either of the following within 9 months prior to screening: ≥1 MS relapse OR A qualifying MRI, defined as an MRI that showed at least one confirmed Gd-CEL of the brain or spinal cord, was performed independently of the study while the patient was on a stable IFN-beta regimen, and is deemed acceptable by the central reader.
Key exclusion criteria (14 listed)
- Pregnant or breast-feeding woman.
- Non-ambulatory patient.
- Clinically significant abnormality on screening ECG.
- Malignancy within the past 5 years, except for adequately treated non-melanoma skin carcinoma or in situ carcinoma of the cervix.
- History of HIV infection, positive serology for HBV (hepatitis B virus) or HCV (hepatitis C virus).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Daclizumab (Anti-CD25 Humanized Monoclonal Antibody) | Drug | – |
Primary outcome
Number of new or enlarged gadolinium contrast enhancing lesions (Gd-CELs) on monthly brain MRIs collected between Weeks 8 to 24 in daclizumab- vs. placebo-treated patients
3 secondary outcomes
Pharmacokinetics
Immunogenicity
Clinical improvement
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Aug 2008.
- Derived from this study: PubMed 20163990Wynn D, Kaufman M, Montalban X, Vollmer T, Simon J, Elkins J, O'Neill G, Neyer L, Sheridan J, Wang C, Fong A, Rose JW; CHOICE investigators. Daclizumab in active relapsing multiple sclerosis (CHOICE study): a phase 2, randomised, double-blind, placebo-controlled, add-on trial with interferon beta. Lancet Neurol. 2010 Apr;9(4):381-90. doi: 10.1016/S1474-4422(10)70033-8. Epub 2010 Feb 15.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Richard Dickson, M.D. principal investigator
Wenatchee Valley Medical Center
Steven Pugh, M.D. principal investigator
Rockwood Clinic, PS
Daniel Wynn, M.D. principal investigator
Consultants in Neurology
36 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Daclizumab (Anti-CD25 Humanized Monoclonal Antibody) in people with Multiple Sclerosis, run by PDL BioPharma, Inc. at 36 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Aug 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 36 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of new or enlarged gadolinium contrast enhancing lesions (Gd-CELs) on monthly brain MRIs collected between Weeks 8 to 24 in daclizumab- vs. placebo-treated patients. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00109161, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2008.