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Relapsing-Remitting Multiple SclerosisPhase 2SELECTIONNCT00870740

Safety and Efficacy Extension Study of Daclizumab High Yield Process (DAC HYP) in Participants With Multiple Sclerosis Who Have Completed Study 205MS201 (NCT00390221) to Treat Relapsing-Remitting Multiple Sclerosis

A Phase 2 study testing BIIB019 (Daclizumab High Yield Process) in people with Relapsing-Remitting Multiple Sclerosis, run by Biogen at 58 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of the study was to assess the safety and immunogenicity of extended treatment with DAC HYP. This evaluation included the following major components: An assessment of safety and immunogenicity of extended treatment with DAC HYP when administered to MS subjects who had completed 52 weeks of active… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Relapsing-Remitting Multiple Sclerosis
What is being tested?
BIIB019 (Daclizumab High Yield Process)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
517 participants
Where
58 sitesin 8 countries
Study dates
Feb 2009to Oct 2012
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Participated in Study 205MS201 (NCT00390221) for at least 52 weeks and was compliant with the 205MS201 protocol in the opinion of the Investigator.

Who cannot join

  • Subjects with any significant change in their medical status from 205MS201 that would preclude administration of DAC HYP, as determined by the Investigator
  • Any subject who has permanently discontinued study treatment in Study 205MS201 except subjects who were unblinded during evaluation of an adverse event (AE) and found to be on placebo
  • Planned ongoing treatment with any approved or experimental treatment for MS except for the protocol-allowed use of concomitant interferon-beta
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

58 sites in 8 countries.

58 sites in 8 countries

Russia11 sites
  • Research Site

    Kazan'

  • Research Site

    Krasnoyarsk

  • Research Site

    Moscow

  • Research Site

    Nizhny Novgorod

  • Research Site

    Novosibirsk

  • Research Site

    Omsk

  • Research Site

    Saint Petersburg

  • Research Site

    Samara

  • Research Site

    Smolensk

  • Research Site

    Ufa

  • Research Site

    Yaroskavl

Other trials in Russia

Hungary9 sites
  • Research Site

    Budapest

  • Research Site

    Debrecen

  • Research Site

    Esztergom

  • Research Site

    Győr

  • Research Site

    Kecskemét

  • Research Site

    Miskolc

  • Research Site

    Nyíregyháza

  • Research Site

    Siófok

  • Research Site

    Zalaegerszeg

Other trials in Hungary

Ukraine8 sites
  • Research Site

    Chernivtsi

  • Research Site

    Dnipropetrovsk

  • Research Site

    Donetsk

  • Research Site

    Kharkiv

  • Research Site

    Kiev

  • Research Site

    Lviv

  • Research Site

    Poltava

  • Research Site

    Zaporizhzhya

Other trials in Ukraine

Poland7 sites
  • Research Site

    Bialystok

  • Research Site

    Gdansk

  • Research Site

    Katowice

  • Research Site

    Krakow

  • Research Site

    Lodz

  • Research Site

    Lublin

  • Research Site

    Warsaw

Other trials in Poland

Czechia6 sites
  • Research Site

    Brno

  • Research Site

    Hraddec Kralove

  • Research Site

    Olomouc

  • Research Site

    Pilsen

  • Research Site

    Prague

  • Research Site

    Teplice

Other trials in Czechia

Germany6 sites
  • Research Site

    Bayreuth

  • Research Site

    Erlangen

  • Research Site

    Marburg

  • Research Site

    Osnabrück

  • Research Site

    Regensburg

  • Research Site

    Rostock

Other trials in Germany

India6 sites
  • Research Site

    Andra-Pradeash

  • Research Site

    Bangalore

  • Research Site

    Jaipur

  • Research Site

    Kolkata

  • Research Site

    Mumbai

  • Research Site

    Visakhapatnam

Other trials in India

United Kingdom5 sites
  • Research Site

    Devon

  • Research Site

    London

  • Research Site

    Nottingham

  • Research Site

    Sheffield

  • Research Site

    Stoke-on-Trent

Other trials in United Kingdom

About this study

Official title: A Double-Blind, Multicenter, Extension Study to Evaluate the Safety and Efficacy of DAC HYP in Subjects With Multiple Sclerosis Who Have Completed Treatment in Study 205MS201 (SELECT)

The primary objective of the study was to assess the safety and immunogenicity of extended treatment with DAC HYP. This evaluation included the following major components:

  • An assessment of safety and immunogenicity of extended treatment with DAC HYP when administered to MS subjects who had completed 52 weeks of active therapy with DAC HYP in Study 201.
  • An assessment of safety and immunogenicity during a 6-month washout period from DAC HYP.
  • An assessment of safety and immunogenicity during reinitiation of therapy with DAC HYP after a 6-month washout period.
  • An assessment of safety and immunogenicity of DAC HYP when administered to MS subjects who previously received placebo during Study 201.

The secondary objective is to assess the durability of the effect of DAC HYP on multiple sclerosis (MS) disease activity as measured by brain magnetic resonance imaging (MRI) scans and clinical MS relapses.

Read the detailed description

This study, an extension to Study 205MS201 (NCT00390221), will evaluate the long-term safety, efficacy, and immunogenicity of DAC HYP in MS. In Study 205MS201, study treatment was scheduled to stop at the Week 52 visit. This extension study will provide for the initiation of active therapy with DAC HYP among participants who received placebo during Weeks 0 through 52 in 205MS201. In addition, participants who received active therapy with DAC HYP during Weeks 0 through 52 in Study 205MS201 will continue DAC HYP therapy or resume DAC HYP therapy after a 6-month washout period in this study.

Being tested
BIIB019 (Daclizumab High Yield Process), Placebo
Keywords
MS, Multiple Sclerosis
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BIIB019 (Daclizumab High Yield Process)Biological

    Also called Daclizumab HYP, DAC HYP

    SC injection

  • PlaceboDrug

    Placebo SC injection

Study groups in NCT00870740
Study groupRoleWhat they receive
Group 1: DAC HYP 150 mgExperimentalParticipants who received placebo in 205MS201 receive DAC HYP 150 mg subcutaneous (SC) injection every 4 weeks for a total of 13 doses.
Receives: Biological: BIIB019 (Daclizumab High Yield Process)
Group 1: DAC HYP 300 mgExperimentalParticipants who received placebo in 205MS201 receive DAC HYP 300 mg SC injection every 4 weeks for a total of 13 doses.
Receives: Biological: BIIB019 (Daclizumab High Yield Process)
Group 2: Washout then DAC HYP 150 mgExperimentalParticipants who received DAC HYP 150 mg SC injection in 205MS201 undergo a washout period (placebo SC every 4 weeks for a total of 5 doses) and then receive DAC HYP 150 mg SC every 4 weeks for a total of 8 doses.
Receives: Biological: BIIB019 (Daclizumab High Yield Process); Drug: Placebo
Group 2: DAC HYP 150 mgExperimentalParticipants who received DAC HYP 150 mg SC injection in 205MS201 receive DAC HYP 150 mg SC every 4 weeks for a total of 13 doses.
Receives: Biological: BIIB019 (Daclizumab High Yield Process)
Group 3: Washout then DAC HYP 300 mgExperimentalParticipants who received DAC HYP 300 mg SC in 205MS201 undergo a washout period (placebo SC every 4 weeks for a total of 5 doses) and then receive DAC HYP 300 mg SC every 4 weeks for a total of 8 doses.
Receives: Biological: BIIB019 (Daclizumab High Yield Process); Drug: Placebo
Group 3: DAC HYP 300 mgExperimentalParticipants who received DAC HYP 300 mg SC in 205MS201 receive DAC HYP 300 mg SC every 4 weeks for a total of 13 doses.
Receives: Biological: BIIB019 (Daclizumab High Yield Process)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events (AEs)

    Treatment-emergent AE: any untoward medical occurrence after the first dose of study treatment that did not necessarily have a causal relationship with this treatment. Serious AE (SAE): any untoward medical occurrence that at any dose: resulted in death; in the view of the Investigator, placed the subject at immediate risk of death (a life-threatening event); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in a congenital anomaly/birth defect. An SAE could also have been a medically significant event that, in the opinion of the Investigator, jeopardized the subject or required intervention to prevent one of the other outcomes listed in the definition above.

    Measured: Up to 72 weeks

  2. Number of Participants With Abnormalities in Vital Signs

    For participants who took DAC HYP during 205MS201 (NCT00390221) the baseline is defined as the baseline from 205MS201, and for participants who took placebo during 205MS201 the baseline is defined as the baseline from 205MS202 (NCT00870740). All post-baseline data are taken after first dose in 205MS202 only. SBP=systolic blood pressure; DBP=diastolic blood pressure; bpm=beats per minute; ↑ BL=increase from baseline; ↓ BL=decrease from baseline.

    Measured: Up to Week 72

  3. Number of Participants With Potentially Clinically Significant Hematology Laboratory Abnormalities

    Hematology parameters evaluated include: white blood cells, lymphocytes, neutrophils, red blood cells (RBC), hemoglobin, and platelets.

    Measured: Up to 72 Weeks

  4. Number of Participants With Abnormalities in Blood Chemistry Laboratory Data

    For each abnormality a subject can be counted once. If a subject has more than one occurrence of the same abnormality the highest toxicity grade is counted. ALT=alanine aminotransferase; AST=aspartate aminotransferase; ALP=alkaline phosphatase; GGT=gamma-glutamyl transferase; TSH=thyroid stimulating hormone, ULN=upper limit of normal.

    Measured: Up to 72 Weeks

  5. Number of Participants With Development of Anti-DAC Antibodies (ADAb) and Neutralizing Antibodies (NAb) Post-baseline

    Number of participants positive and negative for ADAb and NAb, based on all post-baseline immunogenicity assessments during treatment period and follow-up. Participants are stratified differently in this Outcome Measure as per the pre-specified statistical analysis plan.

    Measured: Up to 72 weeks

Secondary outcomes (8)
  1. Adjusted Annualized Relapse Rate

    Relapses are 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 Independent Neurology Evaluation Committee (INEC). Relapse rate is calculated as: (Total number of relapses that occurred during the 205MS202 [NCT00870740] treatment phase divided by the total number of days followed in the treatment phase for 205MS202), multiplied by 365 days. Participants who received an alternative multiple sclerosis (MS) medication during 205MS201 (NCT00390221; Year 1) are not included in the summary of relapses and relapse rate for this study (Year 2). Participants are stratified differently in this Outcome Measure as per the pre-specified statistical analysis plan.

    Measured: Up to 72 weeks

  2. Estimated Proportion of Participants With a Relapse

    Relapses are defined as new or recurrent neurologic symptoms not associated with fever or infection, lasting at least 24 hours, and accompanied by new objective neurological findings upon examination by the INEC. Estimated using Kaplan-Meier analysis where time to first relapse is calculated from date of first dose in the study to date of first confirmed relapse. Participants who received an alternative MS medication before the first relapse were censored at the time of taking the alternative MS medication.

    Measured: Up to 72 weeks

  3. Mean Number of New Gadolinium-enhancing Lesions

    Evaluated by magnetic resonance imaging (MRI) by a central reader. Number of new Gd lesions since the previous scan (the previous scan for Week 20 was Week 52 of study 205MS201 [NCT00390221]). The number of Gd lesions may be imputed using last observation carried forward or using the mean value across all subjects within the treatment group. Baseline visits are not imputed. Participants are stratified differently in this Outcome Measure as per the pre-specified statistical analysis plan.

    Measured: Week 20, Week 52

  4. Mean Number of New or Newly-enlarging T2 Hyperintense Lesions

    Lesions detected on T2-weighted sequences represent a range of histopathology related to MS, including edema, inflammation, demyelination, gliosis, and axon loss. Evaluated by MRI by a central reader. New or newly enlarging T2 lesions since baseline of study 205MS202 (NCT00870740). For post-baseline visits, the number of T2 lesions may be imputed using the mean value across all participants within the treatment group, if the participant has non-missing baseline data. Baseline visits are not imputed. Participants are stratified differently in this Outcome Measure as per the pre-specified statistical analysis plan.

    Measured: Baseline, Week 20, Week 52

  5. Mean Volume of New T1 Hypointense Lesions

    T1-weighted scans detect areas of hypointensity that represent a greater degree of tissue destruction and axon loss than T2 hyperintense lesions and are more highly correlated with clinical disability measures and neurological deficit. Evaluated by MRI by a central reader. Baseline is volume of new T1 hypointense lesions since baseline in study 205MS201 (NCT00390221). Scans at Week 20 and Week 52 in 205MS202 are relative to baseline in 205MS202 (NCT00870740). For post-baseline visits, the total volume of T1 lesions may be imputed using the mean value across all subjects within the treatment group. Baseline visits are not imputed.

    Measured: Baseline, Week 20, Week 52

  6. Mean Percentage Change From Baseline in Total Lesion Volume of T2 Hyperintense Lesions

    Lesions detected on T2-weighted sequences represent a range of histopathology related to MS, including edema, inflammation, demyelination, gliosis, and axon loss. Evaluated by MRI by a central reader. Baseline values = baseline for study 205MS202 (NCT00870740). For post-baseline visits, the total volume of T2 lesions may be imputed using the mean value across all subjects within the treatment group. Baseline visits are not imputed.

    Measured: Baseline, Week 52

  7. Mean Percentage Change From Baseline in Total Volume of Non-gadolinium (Gd)-Enhancing T1 Hypointense Lesions

    T1-weighted scans detect areas of hypointensity that represent a greater degree of tissue destruction and axon loss than T2 hyperintense lesions and are more highly correlated with clinical disability measures and neurological deficit. Evaluated by MRI by a central reader. Baseline values = baseline for study 205MS202 (NCT00870740). For post-baseline visits, the total volume of T1 lesions may be imputed using the mean value across all participants within the treatment group. Baseline visits are not imputed.

    Measured: Baseline, Week 52

  8. Rate of Percentage Change From Baseline in Mean Total Brain Volume

    Total brain volume was measured by MRI and analyzed by a central reader. Rate of percentage change from baseline calculated using an analysis of covariance adjusting for baseline normalized brain volume. Baseline values = baseline for study 205MS202 (NCT00870740). Missing values post-baseline were imputed using the average value across subjects in the treatment group.

    Measured: Baseline, Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Mar 2009 (estimated)
  2. Study startFeb 2009
  3. Primary completionMay 2012
  4. Study completionOct 2012

Resources

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
517 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00870740
Sponsor's protocol ID
205-MS-202
Other IDs
EUDRA CT No.: 2008-005559-46
Acronym
SELECTION
Status last verified
Jul 2016
First submitted
26 Mar 2009
Last updated
30 Aug 2016
Data monitoring committee
Yes

Publications

  • Gold R, Stefoski D, Selmaj K, Havrdova E, Hurst C, Holman J, Tornesi B, Akella S, McCroskery P. Pregnancy Experience: Nonclinical Studies and Pregnancy Outcomes in the Daclizumab Clinical Study Program. Neurol Ther. 2016 Dec;5(2):169-182. doi: 10.1007/s40120-016-0048-2. Epub 2016 Jul 13.

    PubMed 27411694
  • Giovannoni G, Gold R, Selmaj K, Havrdova E, Montalban X, Radue EW, Stefoski D, McNeill M, Amaravadi L, Sweetser M, Elkins J, O'Neill G; SELECTION Study Investigators. Daclizumab high-yield process in relapsing-remitting multiple sclerosis (SELECTION): a multicentre, randomised, double-blind extension trial. Lancet Neurol. 2014 May;13(5):472-81. doi: 10.1016/S1474-4422(14)70039-0. Epub 2014 Mar 19.

    PubMed 24656609

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BIIB019 (Daclizumab High Yield Process) in people with Relapsing-Remitting Multiple Sclerosis, run by Biogen at 58 sites in 8 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 1 inclusion and 4 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 30 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in Russia, Hungary, Ukraine, Poland, Czechia and 3 more countries. 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?

Yes. Results are posted in the registry (first posted 30 Aug 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 Participants With Treatment-emergent Adverse Events (AEs) (time frame: Up to 72 weeks). The study lists 5 primary outcomes in all. 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 NCT00870740, which also lists 2 linked publications.

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 30 Aug 2016; AzTrials last refreshed its copy on 6 Nov 2026.

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