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CTRI Number  CTRI/2010/091/000773 [Registered on: 18/03/2010]
Last Modified On: 27/08/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Biological 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   The purpose of this study is to determine the effect of 2 different doses of daclizumab on reducing relapses in subjects with relapsing-remitting MS. 
Scientific Title of Study   A Phase 2 Multicenter, Double-Blind, Placebo-Controlled, Dose-Ranging Study to determine the Safety and Efficacy of Dacluzimab HYP (DAC HYP) as a Monotherapy Treatment in subjects with Relapsing Remitting Multiple Sclerosis. Acronym: SELECT 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
2006-001161-42  EudraCT 
205-MS-201  Protocol Number 
NCT00390221  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Nitya Pandita 
Designation  Sr. Clinical Trial Lead 
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Biogen Idec Biotech India Pvt. Ltd.
Vatika Professional Point, 12th Floor, Golf Course Extension Road, Badshahpur, Sector-66
Gurgaon
HARYANA
122001
India 
Phone  01244572349  
Fax  01244572333  
Email  nitya.pandita@biogenidec.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anjali Nagpal 
Designation  Head - Medical Affairs 
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Biogen Idec Biotech India Pvt. Ltd.
Vatika Professional Point, 12th Floor, Golf Course Extension Road, Badshahpur, Sector-66
Gurgaon
HARYANA
122001
India 
Phone  01244572343  
Fax  01244572333  
Email  anjali.nagpal@biogenidec.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Nitya Pandita 
Designation  Sr. Clinical Trial Lead 
Affiliation  Biogen Idec Biotech India Pvt. Ltd. 
Address  Biogen Idec Biotech India Pvt. Ltd.
Vatika Professional Point, 12th Floor, Golf Course Extension Road, Badshahpur, Sector-66
Gurgaon
HARYANA
122001
India 
Phone  01244572349  
Fax  01244572333  
Email  nitya.pandita@biogenidec.com  
 
Source of Monetary or Material Support
Modification(s)  
Biogen Idec, Innovation House, 70 Norden Road, Maidenhead, Berkshire, SL4 6AY 
 
Primary Sponsor
Modification(s)  
Name  Biogen Idec 
Address  Biogen Idec, Innovation House, 70 Norden Road, Maidenhead, Berkshire, SL4 6AY 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Rajaram Agrawal  Fortis Escort Hospital  Malviya Nagar ,-302017
Jaipur
RAJASTHAN 
+91.141.254.7000
+91.141.400.8151
drrajaram195@rediffmail.com 
Dr. Kolichana Venkateshwarlu  King George Hospital  Dept. of Neurology, Rajendra Prasad Ward,-530002

 


 
Dr. A. K. Meena  Nizams Institute of Medical Sciences  Panjagutta,-500082
Hyderabad
ANDHRA PRADESH 
+91.40.664.61365
+91.40.664.61365
nimsneurostudies@gmail.com 
Dr. Vivek Jain/ Dr. Neeraj Jain  Seth GSMC & KEM Hospital  Acharya Dhonde Marg, Parel,-4000l2
Mumbai
MAHARASHTRA 
+91.932.086.5123
+91.22.241.64206
drvivek_jain@yahoo.co.in 
Dr. Pahari Ghosh  Sri Aurobindo Seva Kendra  1H Gariahat Road (South), Jodhpur Park,-700068
Kolkata
WEST BENGAL 
91.983.102.3296
91.33.249.90059
pahari_ghosh@vsnl.net 
Dr. A. K. Roy  St. John's Medical College Hospital  Dept. of Neurology, Kormangala,-560034
Bangalore
KARNATAKA 


 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethics Committee for Research on Human Subjects , Address: Seth G. S. Medical College & K.E.M. Hospital, Parel, Mumbai-4000l2, India  Approved 
Ethics Committee of Sri Aurobindo Seva Kendra Address: Sri Aurobindo Seva Kendra, 1H Gariahat Road (South), Jodhpur Park, Kolkata-700068, India  Approved 
Ethics Committee-Andhra Medical College Address: Andra Medical College, King George Hospital,Visakhapatnam-530002, India  Approved 
Institutional Ethical Review Board- St.Johns Medical College & Hospital Address: Sarjapur Road, Banglore-560034, India  Approved 
Institutional Ethics Committee, Fortis Escorts Hospital Address: Jawaharlal Nehru Marg, Malviya Nagar, Jaipur -302017, India   Approved 
Name: Institutional Ethics Committee- Nizams Institute of Medical Sciences Address: Panjagutta, Hyderabad-500082, India  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Relapsing Remitting Multiple Sclerosis (RRMS),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Daclizumab HYP  150mg SC Inj. every 4wk  
Intervention  Daclizumab HYP  300mg SC Inj. every 4wk  
Comparator Agent  Placebo  to match 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  MS subjects who have a confirmed diagnosis of relapsing-remitting MS according to McDonald criteria #1-4 and a baseline EDSS between 0.0 and 5.0, inclusive, who meet either of the following 2 criteria:
a. Have experienced at least 1 relapse within the 12 months prior to randomization, with a cranial MRI demonstrating lesion(s) consistent with MS , OR
b. Show evidence of gadolinium-enhancing lesions of the brain on an MRI performed within the 6 weeks prior to randomization.
 
 
ExclusionCriteria 
Details  Candidates will be excluded from study entry if any of the following exclusion criteria exist at the time of randomization: Medical History 1. Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS (as defined Lublin and Reingold, 1996 [Section 23]). These conditions require the presence of continuous clinical disease worsening over a period of at least 3 months. Patients with these conditions may also have superimposed relapses, but are distinguished from relapsing-remitting patients by the lack of clinically stable periods or clinical improvement. 2. History of malignancy; however, subjects with a history of excised or treated basal cell carcinoma or fewer than 3 squamous sell carcinomas are eligible to participate in this study. 3. History of severe allergic or anaphylactic reactions or known drug hypersensitivity. 4. History of abnormal laboratory results that, in the opinion of the investigator, are indicative of any significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal, neurologic (other than MS), and/or other major disease that would preclude administration of DAC HYP. 5. History of human immunodeficiency virus (HIV) or other immunodeficient conditions. 6. History of drug or alcohol abuse (as defined by the Investigator) within the 2 years prior to randomization. 7. An MS relapse that has occurred within the 50 days prior to randomization AND/OR the subject has not stabilized from a previous relapse prior to randomization. 8. Positive screening for active infection with Hepatitis B virus or Hepatitis C virus. 9. Varicella or herpes zoster virus infection or any severe viral infection within 6 weeks before Screening. 10. Exposure to varicella zoster virus within 21 days before Screening. 11. Any of the following abnormal blood tests at Screening: ? Hemoglobin ≤9.0 g/dL ? Platelets ≤100 × 109/L ? Lymphocytes ≤1.0 × 109/L ? Neutrophils ≤1.5 × 109/L ? alanine aminotransferase/serum glutamate pyruvate transaminase (ALT/SGPT), aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT), or gamma-glutamyl-transferase >2 times the upper limit of normal (ULN) ? serum creatinine >ULN. Treatment History 12. Any previous treatment with DAC HYP or Zenapax® . 13. 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 other members of the subject?s household does not affect the eligibility of subjects to enroll or continue in the study. 14. Infection (viral, fungal, bacterial) requiring hospitalization or intravenous (IV) antibiotics within 8 weeks before randomization. 15. Elective surgery performed from 2 weeks prior to randomization or scheduled through the end of the study. 16. Prior treatment with the any of the following: ? total lymphoid irradiation ? cladribine ? mitoxantrone ? T-cell or T-cell receptor vaccination ? any therapeutic monoclonal antibody, except natalizumab or rituximab. 17. Prior treatment with cyclophosphamide or rituximab within 1 year prior to randomization. 18. Prior treatment with any of the following medications or procedures within the 6 months prior to randomization: ? natalizumab ? cyclosporine ? azathioprine ? methotrexate ? intravenous immunoglobulin (IVIg) ? plasmapheresis or cytapheresis. 19. Prior treatment with any of the following within the 3 months prior to randomization: ? SC or oral glatiramer acetate ? IFN-alpha ? IFN-beta (subjects who are positive for neutralizing antibodies to IFN-beta may receive IFN-beta treatment up to 2 weeks prior to randomization). 20. Treatment with any of the following steroids/ 4-aminopyridine products within the 30 days prior to randomization 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Annualised relapse rate  Week 52 
 
Secondary Outcome  
Outcome  TimePoints 
a. Brain MRI measures (number of gd enhancing lesions, number of new or newly enlarging T2 hyperintense lesions b. Proportion of relapsing subjects c. Improving quality of life  Week 52 
 
Target Sample Size
Modification(s)  
Total Sample Size="600"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)
Modification(s)  
04/01/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  01/02/2008 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="4"
Months="0"
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   The primary objective of this study is to determine whether DAC HYP, when compared to placebo, is effective in reducing the rate of relapses between baseline and Week 52. We have approval to recruit up to 60 patients in India and the anticipated date to start recruitment in India will for 13 Oct 2009. Update:The screening was stopped in the study in Apr 2010 as the target number of patients was achieved.  
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