CompletedPhase 3Relapsing MSNCT014623182010-023856-97

What it found

Results posted, no main test reported

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

GroupValueIntervalNumber analysed
Main Study78 participants113
Main Study35 participants113
Main Study92 participants113
Main Study21 participants113
Main Study89 participants113
Main Study21 participants113

Number of Participants With Anti-DAC HYP Neutralizing Antibodies (NAbs): ECL ADA Assay

Up to 44 weeks

GroupValueIntervalNumber analysed
Main Study105 participants113
Main Study8 participants113
Main Study109 participants113
Main Study4 participants113
Main Study104 participants113
Main Study6 participants113

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

GroupValueIntervalNumber analysed
TP-DI Sub-study786.75 hr*ng/mL328.794 (Standard Deviation)20
TP-DI Sub-study816.87 hr*ng/mL403.958 (Standard Deviation)20
TP-DI Sub-study19292.9 hr*ng/mL5524.6 (Standard Deviation)20
TP-DI Sub-study19609.3 hr*ng/mL4620.64 (Standard Deviation)20
TP-DI Sub-study2214.5 hr*ng/mL2622.15 (Standard Deviation)20
TP-DI Sub-study1770.0 hr*ng/mL1673.8 (Standard Deviation)20
TP-DI Sub-study35742.4 hr*ng/mL13942.71 (Standard Deviation)20
TP-DI Sub-study37449.2 hr*ng/mL14367.04 (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

GroupValueIntervalNumber analysed
TP-DI Sub-study0.42468 ratio1.258565 (Standard Deviation)20
TP-DI Sub-study0.48939 ratio1.813077 (Standard Deviation)20

TP-DI Sub-study

0.42468

TP-DI Sub-study

0.48939

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

GroupParticipants at riskSerious adverse eventsDeaths
DAC HYP 150 mg13333 (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 response
  • Number of Participants With Anti-DAC HYP Neutralizing Antibodies (NAbs): ECL ADA Assay

    Up to 44 weeks

    Immune response
  • 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

    How the body handles the medicine
  • 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

  • • 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 medicine
  • Intensive 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 medicine
  • Intensive 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 medicine
  • Intensive 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 medicine
  • Intensive 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 medicine
  • Intensive 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 medicine
  • Intensive 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 medicine
  • TP-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 medicine
  • TP-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

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Linked trials

  • Extended by

    EXTEND

    Phase 3 · Stopped early

Links found where a registry record names another trial's registry number.

Related trials

History

    1. Started

      Nov 2011

    2. Main results due

      Jan 2016

    3. Finished

      Jan 2016

    4. Results posted

      Mar 2017

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