Safety and Efficacy of Natalizumab in Combination With Avonex in the Treatment of Multiple Sclerosis
What it found
The main measure showed a statistically significant benefit.
“Combination therapy resulted in a 24 percent reduction in the relative risk of sustained disability progression (hazard ratio, 0.76; 95 percent confidence interval, 0.61 to 0.96; P=0.02).”Read by software from the paper's abstract
2 years
hazard ratio 0.76 (95% CI 0.61–0.96)
p = 0.02
Total participants: 1171
Read by software from the paper's abstract
What was tested
Treatment tested
- Natalizumab
Integrin alpha-4/beta-1 inhibitor|Integrin alpha-4/beta-7 inhibitor
Placebo or sham
- Placebo
What it measured
Main measures
Primary objectives of this study are to determine if natalizumab is effective in reducing the rate of clinical relapse at 1 year and in slowing the progression of disability at 2 years as measured by EDSS.
1 year and 2 years
Disability progressionRelapses
Other measures (1)
If this combination reduces MRI lesions and the overall rate of clinical relapses
1 year and 2 years
RelapsesMRI lesions
Who could take part
Relapsing MS · 18 to 55
Inclusion Criteria: * Diagnosis of MS as defined by McDonald et al, criteria, # 1- 4 * Between the ages of 18 and 55, inclusive * Baseline EDSS score between 0.0 and 5.0, inclusive * Have been treated with Avonex for at least the 12 months prior to randomization * Have experienced at least one relapse (while on Avonex) within the 12 months prior to randomization. * Cranial MRI scan demonstrating lesions consistent with MS. * Have given written informed consent to participate in the study. Exclusion Criteria: * Primary progressive, secondary progressive, or progressive relapsing MS. * MS relapse has occurred within 50 days of randomization * A clinically significant infectious illness within 30 days prior to randomization * History of, or abnormal lab result, indicative of significant disease, that in the opinion of the investigator, would preclude the administration of a recombinant humanized antibody immunomodulating agent or Avonex for 116 weeks. * History of severe allergic or anaphylactic reactions or known drug hypersensitivity. * Unable to perform the Timed 25-Foot Walk, 9HPT and PASAT 3 * Abnormal blood tests at Screening Visit
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The purpose of this study is to determine if natalizumab in combination with AVONEX is safe and effective in delaying progression of individuals diagnosed with relapsing remitting Multiple Sclerosis (MS).
Papers
Results
Utility of Progression Independent of Relapse Activity as a Trial Outcome in Relapsing-Remitting Multiple Sclerosis.Neurology · 2025
Results
Pharmacokinetics and pharmacodynamics of natalizumab in pediatric patients with RRMS.Neurol Neuroimmunol Neuroinflamm · 2019
Results
Impact of natalizumab on ambulatory improvement in secondary progressive and disabled relapsing-remitting multiple sclerosis.PLoS One · 2013
Results
Natalizumab plus interferon beta-1a for relapsing multiple sclerosis.N Engl J Med · 2006
Combination therapy resulted in a 24 percent reduction in the relative risk of sustained disability progression (hazard ratio, 0.76; 95 percent confidence interval, 0.61 to 0.96; P=0.02).
Read by software from the paper's abstract
Results
Strijbis EM, Coerver E, Mostert J, van Kempen ZLE, Killestein J, Comtois J, Repovic P, Bowen JD, Cutter G, Koch M. Association of age and inflammatory disease activity in the pivotal natalizumab clinical trials in relapsing-remitting multiple sclerosis. J Neurol Neurosurg Psychiatry. 2023 Oct;94(10):792-799. doi: 10.1136/jnnp-2022-330887. Epub 2023 May 12.
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Linked trials
Extended by
STRATAPhase 3 · Stopped early
Extended by
Natalizumab Re-Initiation of DosingPhase 3 · Completed
Links found where a registry record names another trial's registry number.
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History
Started
Jan 2002
Main results due
Apr 2005
Finished
Dec 2005
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