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CTRI Number  CTRI/2014/04/004551 [Registered on: 21/04/2014] Trial Registered Prospectively
Last Modified On: 16/02/2016
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   This is an open label extension study of an on-going study where same subjects will be treated with drug - Daclizumab, to further evaluate the long term safety and efficacy of the drug. 
Scientific Title of Study   A Multicenter, Open-Label, Extension Study to Evaluate the Long-Term Safety and Efficacy of BIIB019, Daclizumab High Yield Process (DAC HYP), Monotherapy in Subjects With Multiple Sclerosis Who Have Completed Study 205MS301. 
Trial Acronym  205MS303 
Secondary IDs if Any  
Secondary ID  Identifier 
2012-003176-39  EudraCT 
205MS303 version 1.0 dated 28 Sep 2012  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Ritika Bajaj 
Designation  Associate Director 
Affiliation  Biogen 
Address  Flat 902, Tower -18. The close South , Nirvana country , Sect0r-50, Gurgaon , Haryana -122002

Gurgaon
HARYANA
122002
India 
Phone  9717004620  
Fax    
Email  ritika.bajaj@biogen.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Ritika Bajaj 
Designation  Associate Director 
Affiliation  Biogen 
Address  Flat 902, Tower -18. The close South , Nirvana country , Sect0r-50, Gurgaon , Haryana -122002

Gurgaon
HARYANA
122002
India 
Phone  9717004620  
Fax    
Email  ritika.bajaj@biogen.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ritika Bajaj 
Designation  Clinical Reseach Country Head 
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Vatika Towers B Block 12th Floor Sector 54 Golf Course Road

Gurgaon
HARYANA
122022
India 
Phone  01244572311  
Fax  01244572370  
Email  ritika.bajaj@biogenidec.com  
 
Source of Monetary or Material Support  
Biogen Idec Research Limited, Innovation House 70 Norden Road Maidenhead, Berkshire SL6 4AY United Kingdom 
 
Primary Sponsor  
Name  Biogen Idec MA Inc 
Address  14 Cambridge Center Cambridge MA 02142 USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Biogen Idec Research Limited  Innovation House 70 Norden Road Maidenhead, Berkshire SL6 4AY United Kingdom 
 
Countries of Recruitment     Argentina
Australia
Brazil
Canada
Czech Republic
Denmark
Finland
France
Georgia
Germany
Greece
Hungary
India
Ireland
Israel
Italy
Mexico
Poland
Romania
Russian Federation
Serbia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
United States of America  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shamsher Dwivedee  Fortis Memorial Research Hospital  Opposite HUDA City Centre Metro Station, Sector 44, Gurgaon, Haryana - 122002
Gurgaon
HARYANA 
09810084300

sdclinical@gmail.com 
Dr Srinivasa Rangashetty  M S Ramaiah Memorial Hospital,  MSRIT Post, MSR Nagar, New BEL Road, Bangalore - 560054, India
Bangalore
KARNATAKA 
09448040589

drrsrinivasa@hotmail.com 
Dr Meena Kanikannan  Nizams Institute of Medical Sciences (NIMS),  Punjagutta, Hyderabad - 500082, India
Hyderabad
ANDHRA PRADESH 
09866190476

meenaak@hotmail.com 
Dr Roop Gursahani  PD Hinduja National Hospital and Medical Research Center  V. S. Marg, Mahim, Mumbai - 400016, India
Mumbai (Suburban)
MAHARASHTRA 
09821087597

roop_gursahani@hotmail.com 
Dr M D Nair  Sree Chitra Tirunal Institute of Medical Sciences and Technology  Department of Neurology, Trivandrum, Kerala - 695011, India
Thiruvananthapuram
KERALA 
09447553506

mdnair@sctimst.ac.in 
Dr Thomas Mathew  St. John’s Medical College Hospital   Sarjapur Road– 560 034,India
Bangalore
KARNATAKA 
08022065635

chakkuthom@hotmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethical Review Board, MS Ramaiah Hospital, Bangalore  Approved 
Institutional Ethics Committee , (Dr. Thomas Mathew)  Approved 
Institutional Ethics Committee, Fortis Memorial Research Institute, Gurgaon  Approved 
Institutional Ethics Committee, NIMS, Hyderabad  Approved 
Institutional Ethics Committee, PD Hinduja Hospital, Mumbai  Approved 
Institutional Ethics Committee, SCTIMST, Trivandrum  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Relapsing Remitting Multiple Sclerosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Daclizumab High Yield Process (DAC HYP)/ Dose: 150mg/ml, Frequency: Once in a month / Mode of administration: Subcutaneous (SC)  DAC HYP is supplied as a liquid in a 1-mL BD-staked PFS with a 29 gauge × ½ inch needle, comprising 150 mg/mL DAC HYP plus excipient materials (sodium succinate, sodium chloride, and polysorbate 80). 
Comparator Agent  No comparator agent. Open label study.  No comparator agent. Open label study. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  To be eligible to participate in this study, candidates must meet the following eligibility criteria at the 205MS303 Baseline Visit or at the timepoint specified in the individual eligibility criterion listed:
1. Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information (PHI) in accordance with national and local subject privacy regulations.
2. Must be a subject currently participating in Study 205MS301 who has completed either the Week 144 Visit or the End of Study Visit (Week 96).
Note: Subjects who are not able to enroll into 205MS303 at the time of their Week 144/End of Study Visit may be eligible to enroll into 205MS303 at a later time if they are still participating in the 6-month follow-up period of 205MS301 at the time of expected rollover into 205MS303.
3. Women of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 4 months after their last dose of study treatment. 
 
ExclusionCriteria 
Details  Candidates will be excluded from study entry if any of the following exclusion criteria exist at the Study 205MS303 Baseline Visit or at the timepoint specified in the individual criterion listed (Note: Day 1 is the day of the first dose in Study 205MS303):
Medical History
1. Any subject who permanently discontinued study treatment in Study 205MS301 prior to the end of the study treatment period, or had an Early Termination visit in Study 205MS301.
Note: Subjects for whom dosing was temporarily suspended in Study 205MS301 are not excluded from participation in this extension study if the criteria for resuming DAC HYP treatment under the Study 205MS301 protocol have been met at the time of enrollment into Study 205MS303.
2. Any significant change in the subject’s medical history that would preclude administration of DAC HYP, including laboratory tests or a current clinically significant condition that, in the opinion of the Investigator, would have excluded the subject’s participation in Study 205MS301. The Investigator must re-review the subject’s medical fitness for participation and consider any factors that would preclude treatment in Study 205MS303, including: History of any significant cardiac, endocrine, hematological, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal,neurological (other than MS), and/or other major disease (e.g., malignancy) that would preclude administration of DAC HYP. Clinically significant laboratory abnormalities (hematology and blood chemistry) from the most recently available test in Study 205MS301, as determined by the Investigator. Laboratory findings mandating discontinuation of study treatment as defined in Protocol 205MS301 are exclusionary.
3. Any of the following abnormal blood tests within the 7 days prior to Day 1: alanine aminotransferase/serum glutamate pyruvate transaminase (ALT/SGPT), aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT), or gamma-glutamyl-transferase (GGT) 3 the upper limit of normal (ULN)
Note: Subjects ending 205MS301 on a treatment suspension may not enroll into 205MS303 until ALT/SGPT and AST/SGOT are 2 ULN. total bilirubin 2 ULN (subjects with an established diagnosis of Gilberts syndrome are excluded if total bilirubin is 2.5 ULN)
Note: Subjects ending 205MS301 on a treatment suspension may not enroll into 205MS303 until total bilirubin 1 ULN (subjects with an established diagnosis of Gilberts syndrome may not enroll into 205MS303 until total bilirubin is 1.5 ULN).
4. Other medical reasons that, in the opinion of the Investigator and/or Biogen Idec, make the subject unsuitable for enrollment.
Treatment History
5. Treatment with any prohibited concomitant medication during Study 205MS301.
Miscellaneous
6. Female subjects who are currently pregnant or breastfeeding, or considering becoming pregnant while in the study.
7. Previous participation in Study 205MS303.
8. History of drug or alcohol abuse (as defined by the Investigator) at any time after the start of Study 205MS301.
9. Unwillingness or inability to comply with the requirements of the protocol, including the presence of any condition (physical, mental, or social) that is likely to affect the subject’s ability to comply with the protocol. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The primary objective of the study is to assess the safety and tolerability of long-term treatment with DAC HYP monotherapy in subjects who completed Study 205MS301.  144 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess the long-term immunogenicity of DAC HYP administered by PFS
2. To describe MS-related outcomes, including MS relapse, disability progression, MS lesion formation, and patient-reported impact of MS, following long-term treatment with DAC HYP
3. To assess the safety, tolerability, and efficacy of switching to DAC HYP in subjects previously on long-term treatment with interferon β-1a in Study 205MS301
4. To evaluate PD parameters that may be associated with treatment response. 
144 weeks 
 
Target Sample Size   Total Sample Size="1841"
Sample Size from India="38" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   24/04/2014 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  15/02/2013 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="3"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This study will provide subjects who complete Phase 3 Study 205MS301 with the opportunity to receive open-label DAC HYP monotherapy prior to local product marketing approval for evaluation of long-term safety, efficacy, and immunogenicity of DAC HYP in subjects with RRMS.

No new patients will be recruited (screened or enrolled) for the study. Patients on-going in trial 205MS301 study will be rolled over to this extention phase of the study. CTRI registration number of 205MS301 study is: REFCTRI/2010/000254

 
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