An Immunogenicity and Pharmacokinetics (PK) Study of DAC HYP Prefilled Syringe in Relapsing Remitting Multiple Sclerosis (RRMS) (OBSERVE)
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Purpose
The primary purpose of this study is to characterize the immunogenicity and pharmacokinetics (PK) of DAC HYP when administered as an SC injection using the PFS. The DAC PFS injection will be administered every 4 weeks. Additionally, intensive PK data will be obtained in a subset of subjects.Also, a therapeutic protein - drug interaction (TP-DI) sub study will be done at selected sites.
| Condition | Intervention | Phase |
|---|---|---|
|
Relapsing Remitting Multiple Sclerosis |
Biological: Daclizumab High Yield Process prefilled syringe Drug: Probe drug cocktail |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Open-Label Study to Evaluate the Immunogenicity and Pharmacokinetics (PK) of Daclizumab High Yield Process (DAC HYP), Prefilled Syringe Administered by Subcutaneous Injection in Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS) |
- Safety as a measure of the incidence of anti-DAC HYP binding antibodies (ADAbs) [ Time Frame: Patients will be followed for a maximum duration of 44 weeks ] [ Designated as safety issue: Yes ]
- Safety as a measure of the incidence of anti-DAC HYP neutralizing antibodies (NAbs) [ Time Frame: Patients will be followed for a maximum duration of 44 weeks ] [ Designated as safety issue: Yes ]
- Dac Population PK parameters including apparent clearance and volume of distribution [ Time Frame: week 44 ] [ Designated as safety issue: No ]
- Dac PK parameters for subjects in intensive PK substudy [ Time Frame: Up to week 20 ] [ Designated as safety issue: No ]
- PK parameters for individual probe drugs for subjects in the TP-DI substudy [ Time Frame: Week 43 to week 53 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 135 |
| Study Start Date: | October 2011 |
| Estimated Study Completion Date: | February 2017 |
| Estimated Primary Completion Date: | December 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: DAC HYP Prefilled filled syringe |
Biological: Daclizumab High Yield Process prefilled syringe
150mg DAC HYP in 1ml pre-filled syringe
Drug: Probe drug cocktail
5 mg oral midazolam, 200mg caffeine, 10 mg S-warfarin,10 mg vit K, 40mg omeprazole, 30mg dextromethrorphan
|
Detailed Description:
Following a screening period, subjects will recieve DAC HYP over a 24 week treatment( 6 monthly injections) and than enter a 20 week washout period for monthly assessment of immunogenicity, PK,PD safety and tolerability. The 20 week washout is necessary to ensure measurement of ADAbs and NAbs in the absence of drug interference. After washout, the patients may resume monthly treatment with DAC HYP 150 Mg for an addittional 3 years. All subjects will be followed for 6 months after their last dose for safety monitoring.
Additionally, 2 sub studies will be performed; An intensive serial PK sampling performed over the first and last dosing interval folllowing DAC HYP doses administered at week 0 and at week 20.
For the TP-DI substudy, a probe drug cocktail will be administered and sampling carried out 96 hours after administration of a probe drug cocktail at week 43 and at week 53. A maximum of 20 patients will be enrolled in the TP-DI substudy.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Unless otherwise specified, to be eligible to participate in this study, candidates must meet the following eligibility criteria at the time of registration:
- Aged 18 to 65 years old, inclusive, at the time of informed cosnent
- Must have a confirmed diagnosis of RRMS according to McDonald criteria and previous MRI showing lesion
- Must have a baseline EDSS between 0.0 and 5.0, inclusive
- Must have had 1 or more clinical relapses within the previous 2 years
- Women of child bearing potential must be willing to practice effective contraception during the study and 4 monthsh after the last dose
Exclusion Criteria:
Unless otherwise specified, candidates will be excluede from study entry if any of the following exclusion criteria exsist at the time of registration:
- Other chronic disease of the immune system, malignancies, acute urologic, pulmonary, gastrointestinal disease
- Female subjects who are currently pregnant or breastfeeding
Inclusion criteria for the TP-DI Substudy:
To be eligible for participation in the TP-DI Sub-Study, subjects must meet the following eligibility criteria at the Screening Visit at Week 40:
-Must have been compliant with the 205MS302 protocol during the initial 24-week treatment period and through Week 40 of the 20- week washout period in the opinion of the Investigator.
- Must agree to resume DAC HYP treatment 12 weeks after completion of the washout period (i.e., 12 weeks after their Week 44 visit).
- Must have normal LFT results (total bilirubin ≤1.5 × ULN, ALT/AST ≤2 × ULN, and prothrombin time/partial thromboplastin time ≤1.2 × ULN).
- Must have normal renal function as estimated creatinine clearance >60 mL/min (Cockcroft-Gault formula).
Other protocol-defined inclusion/exclusion criteria will apply for the 3 year extension study and the TP-DI substudy as per protocol version 4 dated 28 Sep 2012, section 8.
Contacts and Locations| United States, Colorado | |
| Research Site | |
| Centennial, Colorado, United States | |
| United States, District of Columbia | |
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| Washington, District of Columbia, United States | |
| United States, Florida | |
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| Bradenton, Florida, United States | |
| United States, Illinois | |
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| Lake Barrington, Illinois, United States | |
| United States, Michigan | |
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| Farmington Hills, Michigan, United States | |
| United States, Ohio | |
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| Dayton, Ohio, United States | |
| United States, Tennessee | |
| Research Site | |
| Franklin, Tennessee, United States | |
| Czech Republic | |
| Research Site | |
| Brno, Czech Republic | |
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| Hradec Kralove, Czech Republic | |
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| Jihlava, Czech Republic | |
| Research Site | |
| Ostrava, Czech Republic | |
| Research Site | |
| Pardubice, Czech Republic | |
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| Teplice, Czech Republic | |
| Hungary | |
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| Budapest, Hungary | |
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| Debrecen, Hungary | |
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| Eger, Hungary | |
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| Esztergom, Hungary | |
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| Nyiregyhaza, Hungary | |
| Research Site | |
| Veszprem, Hungary | |
| Poland | |
| Research Site | |
| Katowice, Poland | |
| Research Site | |
| Krakow, Poland | |
More Information
No publications provided
| Responsible Party: | Biogen Idec |
| ClinicalTrials.gov Identifier: | NCT01462318 History of Changes |
| Other Study ID Numbers: | 205MS302 |
| Study First Received: | July 14, 2011 |
| Last Updated: | February 15, 2013 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board Russia: Pharmacological Committee, Ministry of Health Poland: Office for Medicinal Products Czech Republic: State Institute for Drug Control Hungary: National Institute of Pharmacy |
Keywords provided by Biogen Idec:
|
Pre-filled syringe Pharmacokinetic Daclizumab High Yield Process immunogenicity |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis Multiple Sclerosis, Relapsing-Remitting Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System Nervous System Diseases Demyelinating Diseases Autoimmune Diseases |
Immune System Diseases Pathologic Processes Daclizumab Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013