OBSERVE
What it found
Results are posted in the registry, but without a statistical test of the main measure. See the numbers below.
What was tested
Treatment tested
- Midazolam
GABA-A receptor; anion channel positive allosteric modulator
- Caffeine
- S-warfarin
- Vitamin K
- Omeprazole
Potassium-transporting ATPase inhibitor
- Dextromethorphan
- Daclizumab
Interleukin-2 receptor inhibitor
Results by group
Number of Participants With Anti-DAC HYP Binding Antibodies (ADAbs): Electrochemiluminescent (ECL) Anti-Drug Antibody (ADA) Assay
Up to 44 weeks
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Main Study | 78 participants | 113 | |
| Main Study | 35 participants | 113 | |
| Main Study | 92 participants | 113 | |
| Main Study | 21 participants | 113 | |
| Main Study | 89 participants | 113 | |
| Main Study | 21 participants | 113 |
Number of Participants With Anti-DAC HYP Neutralizing Antibodies (NAbs): ECL ADA Assay
Up to 44 weeks
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Main Study | 105 participants | 113 | |
| Main Study | 8 participants | 113 | |
| Main Study | 109 participants | 113 | |
| Main Study | 4 participants | 113 | |
| Main Study | 104 participants | 113 | |
| Main Study | 6 participants | 113 |
TP-DI Sub-study: Area-Under-the-Curve From Zero to Infinity (AUCinf) of Each Probe Drug
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and at 0.5 and 1, 2, 3, 4, 6, 8, 10 , 24, 48, 72 and 96 hours post-probe drug cock
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| TP-DI Sub-study | 786.75 hr*ng/mL | 328.794 (Standard Deviation) | 20 |
| TP-DI Sub-study | 816.87 hr*ng/mL | 403.958 (Standard Deviation) | 20 |
| TP-DI Sub-study | 19292.9 hr*ng/mL | 5524.6 (Standard Deviation) | 20 |
| TP-DI Sub-study | 19609.3 hr*ng/mL | 4620.64 (Standard Deviation) | 20 |
| TP-DI Sub-study | 2214.5 hr*ng/mL | 2622.15 (Standard Deviation) | 20 |
| TP-DI Sub-study | 1770.0 hr*ng/mL | 1673.8 (Standard Deviation) | 20 |
| TP-DI Sub-study | 35742.4 hr*ng/mL | 13942.71 (Standard Deviation) | 20 |
| TP-DI Sub-study | 37449.2 hr*ng/mL | 14367.04 (Standard Deviation) | 20 |
ratio 1.015 (95% CI 0.894–1.153)
TP-DI Sub-study: Dextromethorphan to Dextrorphan Urine Concentration Ratio
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and for 12 hours after probe-drug cocktail administration
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| TP-DI Sub-study | 0.42468 ratio | 1.258565 (Standard Deviation) | 20 |
| TP-DI Sub-study | 0.48939 ratio | 1.813077 (Standard Deviation) | 20 |
TP-DI Sub-study
TP-DI Sub-study
ratio 1.012 (95% CI 0.764–1.342)
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| DAC HYP 150 mg | 133 | 33 (24.8%) |
As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.
What it measured
Main measures
Number of Participants With Anti-DAC HYP Binding Antibodies (ADAbs): Electrochemiluminescent (ECL) Anti-Drug Antibody (ADA) Assay
Up to 44 weeks
Immune responseNumber of Participants With Anti-DAC HYP Neutralizing Antibodies (NAbs): ECL ADA Assay
Up to 44 weeks
Immune responseTP-DI Sub-study: Area-Under-the-Curve From Zero to Infinity (AUCinf) of Each Probe Drug
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and at 0.5 and 1, 2, 3, 4, 6, 8, 10 , 24, 48, 72 and 96 hours post-probe drug cock
How the body handles the medicineTP-DI Sub-study: Dextromethorphan to Dextrorphan Urine Concentration Ratio
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and for 12 hours after probe-drug cocktail administration
• Incidence of anti-DAC HYP binding antibodies
Other measures (11)
Intensive PK Sub-study: Cmax of DAC HYP
Day 1 and Day 141 (Week 20) at pre-dose and 8, 24, 72, and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
How the body handles the medicineIntensive PK Sub-study: Time to Reach Maximum Concentration (Tmax) of DAC HYP
Day 1 and Day 141 (Week 20) at pre-dose and 8, 24, 72, and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
How the body handles the medicineIntensive PK Sub-study: Area-Under-the-Curve From Start to End of the Dosing Interval (AUCtau) of DAC HYP
Day 1 and Day 141 (Week 20) at pre-dose and 8, 24, 72, and 120 hours post-dose and 7, 10, 14, and 21 days post-dose
How the body handles the medicineIntensive PK Sub-study: Minimum Concentrations (Cmin) of DAC HYP
Day 141 (Week 20) at pre-dose and 8, 24, 72 and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
How the body handles the medicineIntensive PK Sub-study: Apparent Volume of Distribution (V/F) of DAC HYP
Day 141 (Week 20) at pre-dose and 8, 24, 72 and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
How the body handles the medicineIntensive PK Sub-study: Elimination Half-life (t½) of DAC HYP
Day 141 (Week 20) at pre-dose and 8, 24, 72 and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
How the body handles the medicineIntensive PK Sub-study: Apparent Clearance (CL/F) of DAC HYP
Day 141 (Week 20) at pre-dose and 8, 24, 72 and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
How the body handles the medicineTP-DI Sub-study: Cmax of Each Probe Drug
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and at 0.5 and 1, 2, 3, 4, 6, 8, 10 , 24, 48, 72 and 96 hours post-probe drug cock
How the body handles the medicineTP-DI Sub-study: CL/F of Each Probe Drug
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and at 0.5 and 1, 2, 3, 4, 6, 8, 10 , 24, 48, 72 and 96 hours post-probe drug cock
TP-DI Sub-study: Omeprazole/Hydroxyomeprazole Concentration Ratio at 2 Hours Post-omeprazole Dosing
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration) at 2 hours after probe drug cocktail administration
Who could take part
Relapsing MS · 18 to 65
Key Inclusion Criteria: * Must have a confirmed diagnosis of RRMS according to McDonald criteria and previous cranial magnetic resonance imaging demonstrating lesion(s) consistent with MS * Must have a baseline Expanded Disability Status Scale (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 months after the last dose Key Exclusion Criteria: * Other chronic disease of the immune system, malignancies, acute urologic, pulmonary, gastrointestinal disease * Female subjects who are currently pregnant or breastfeeding Key Inclusion criteria for 3-Year Treatment Extension: To be eligible for participation in the 3-year treatment extension, participants must meet the following eligibility criteria at the time of reinitiation of DAC HYP: * Must have been compliant with the 205MS302 (NCT01462318) protocol during the initial 24-week treatment period and the 20-week washout period in the opinion of the Investigator * Must resume DAC HYP treatment ≤12 weeks after completion of the washout period (i.e., ≤12 weeks after their Week 44 visit). * Participants who are currently receiving an approved IFN ß preparation must discontinue interferon (IFN) ß treatment at the time of reinitiation of DAC HYP dosing (no washout is required). Key Inclusion criteria for the TP-DI Sub-study: 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 (NCT01462318) 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 liver function test results (total bilirubin ≤1.5 × upper limit of normal (ULN), alanine aminotransferase/aspartate aminotransferase ≤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). NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The primary objective of the study is to assess the immunogenicity of Daclizumab High Yield Process (DAC HYP) 150 mg administered every 4 weeks by subcutaneous (SC) injection using the pre-filled syringe (PFS) in participants with relapsing-remitting multiple sclerosis (RRMS). The secondary objectives of this study are to characterize the pharmacokinetics (PK) of DAC HYP following single and multiple doses of DAC HYP administered by the PFS in a subset of participants with RRMS and to evaluate the effect of DAC HYP on the PK of probe drugs for cytochrome P450 (CYP) isoenzymes (CYP1A2, CYP2C9, CYP2C19, CYP2D6, and CYP3A).
Papers
Results
Therapeutic protein-drug interaction assessment for daclizumab high-yield process in patients with multiple sclerosis using a cocktail approach.Br J Clin Pharmacol · 2016
Results
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.
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Linked trials
Extended by
EXTENDPhase 3 · Stopped early
Links found where a registry record names another trial's registry number.
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History
Started
Nov 2011
Main results due
Jan 2016
Finished
Jan 2016
Results posted
Mar 2017
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