SUSTAIN
What it found
The trial ended early for another reason (see below).
Reason given: Study terminated in line with Biogen decision to withdraw Zinbryta from the market and not to pursue further studies of daclizumab in MS.
What was tested
Treatment tested
- Daclizumab
Interleukin-2 receptor inhibitor
Results by group
Percentage of Participants Relapse-free at Month 6
Month 6
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Daclizumab | 66.615 percentage of participants | 41 |
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| Daclizumab | 41 | 9 (22.0%) | 0 |
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
Percentage of Participants Relapse-free at Month 6
Month 6
Relapses
Other measures (8)
Percentage of Participants Relapse-free at Month 12
Month 12
RelapsesPercentage of Participants Experiencing Relapse Requiring Hospitalization and/or Steroid Treatment at Month 12
Month 12
RelapsesAnnualized Relapse Rate (ARR) at Month 12
Month 12
RelapsesNumber of Participants With New Gadolinium-Enhanced (Gd+) and T1 Hypointense Lesions at Months 6 and 12
Months 6 and 12
MRI lesionsNumber of Participants With New and Newly Enlarged T2 Hypointense Lesions at Months 6 and 12
Months 6 and 12
MRI lesionsPermanent Discontinuation Rate of Daclizumab at Month 12
Month 12
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
First dose of study drug to within 30 days of last dose (up to 11 months)
SafetyNumber of Participants With Clinically Relevant Shifts in Laboratory Assessments
First dose of study drug to within 30 days of last dose (up to 11 months)
Who could take part
Relapsing MS · 18 to 55
Key Inclusion Criteria * Must have documented diagnosis of RRMS (McDonald 2010 Criteria) at screening [Polman 2011]. * Must have been treated with natalizumab for at least the 12 months prior to screening and have not missed 2 or more consecutive scheduled doses. * Must be naïve to daclizumab and other forms of daclizumab such as Zenapax® prior to enrollment. * Must have a confirmed Expanded Disability Status Scale (EDSS) score of 0 to 5.5, inclusive, at screening. * Female participants of childbearing potential must practice effective contraception from Day -1 and be willing and able to continue contraception for duration of the study. Key Exclusion Criteria * Current participation in another investigational study. * Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS (as defined by Lublin and Reingold) [Lublin 2014]. * Females breastfeeding, pregnant, or planning to become pregnant; or women who have a positive pregnancy test result during screening. * History of drug or alcohol abuse (as defined by the Investigator) within 1 year prior to screening. * History of severe hypersensitivity (e.g., anaphylaxis or anaphylactoid reactions) to the active ingredient or any of the excipients. * History of severe opportunistic infections (including progressive multifocal leukoencephalopathy (PML)) or any clinically significant, cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic (other than MS), dermatologic, psychiatric, and renal, or other major disease, as determined by the Investigator. * Discontinued natalizumab due to suspicion of PML. * Known active malignancies (participants with cutaneous basal cell carcinoma that has been completely excised prior to study entry remain eligible). * The participant is using another MS therapy concomitantly. * Known history of human immunodeficiency virus (HIV). * Positive test result for Hepatitis C virus (test for hepatitis C virus antibody [HCV Ab]) or hepatitis B virus (test for hepatitis B surface antigen [HBsAg] and/or hepatitis B core antibody [HBcAb]). * The participant has been treated with immunosuppressive or immunomodulating treatments including mitoxantrone, azathioprine, methotrexate, cyclophosphamide, or mycophenolate mofetil. 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 evaluate the effects of treatment with daclizumab on the proportion of participants relapse-free at 6 months in Relapsing-Remitting Multiple Sclerosis (RRMS) participants, who switched from treatment with natalizumab to daclizumab due to safety concerns. The secondary objectives of this study in this study population are to evaluate the effects of daclizumab on the following: 1) Multiple Sclerosis (MS) relapse activity including the annualized relapse rate (ARR) and the proportion of participants experiencing relapses requiring hospitalization and/or steroid treatment; 2) MS-related outcomes measured using magnetic resonance imaging (MRI); 3) Safety and tolerability in participants previously treated with natalizumab.
Papers
Loading reviews and guidelines…
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History
Started
Apr 2017
Main results due
Sept 2018
Finished
Sept 2018
Results posted
Sept 2019
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