Multiple Sclerosis Clinical Trial
Observational Study of Tysabri in Early Relapsing-Remitting Multiple Sclerosis in Anti-JC Virus Antibody Negative Participants
Summary
The primary objective of the study is to determine which baseline and yearly response factors (clinical and para clinical) predict overall disease-free status at Month 12 and Month 24, and clinical disease-free status in subsequent Months 36 and 48. The secondary objectives are: To identify prognostic factors at Baseline that predict overall disease-free status at Month 12, and to assess if yearly overall disease-free response factors predict overall disease-free status at Month 24; To evaluate clinical disease-free status (relapse, Expanded Disability Status Scale [EDSS]) at each analysis time point of Months 12, 24, 36, and 48; To identify prognostic factors at Baseline that predict clinical disease-free status at Month 12, and to assess yearly clinical disease-free response factors that predict clinical disease-free status (relapse, EDSS) in subsequent years at Months 24, 36, and 48; To evaluate the impact of Tysabri at each analysis time point of Months 12, 24, 36, and 48 on the following: annualized relapse rate (ARR), sustained EDSS progression and improvement (24-week sustained); To evaluate the impact of Tysabri at each analysis time point of Months 12, 24, 36, and 48 on the following: magnetic resonance image (MRI) measures: T2, T1, T1 with Gadolinium (Gd), brain atrophy; To evaluate the impact of Tysabri at Month 24 and Month 48 on the following: optical coherence tomography (OCT), Low and High Contrast Visual Acuity Assessment; To evaluate the impact of Tysabri at each analysis time point of Months 12, 24, 36, and 48 on the following: cognitive impairment (Symbol Digit Modalities Test [SDMT]), capacity for work (Work Productivity and Activity Impairment Questionnaire [WPAI]), quality of life (QoL) (Multiple Sclerosis Impact Scale [MSIS-29])
Eligibility Criteria
Key Inclusion Criteria:
Documented diagnosis of Relapsing Multiple Sclerosis (McDonald 2010 Criteria ).
<3 year disease duration.
Must have an Expanded Disability Status Scale (EDSS) score from 0 to 4.0, inclusive.
Anti-JCV antibody negative test within 6 months of Screening Visit.
Must satisfy the approved therapeutic indications for Tysabri.
Must be treatment-naïve to disease-modifying therapy (DMT) or have been treated with DMT (including but not limited to Avonex, Betaseron, Rebif, Copaxone, Extavia, or Gilenya) for ≤36 months total prior to date of informed consent.
Decision to treat with Tysabri must precede enrollment.
Key Exclusion Criteria:
Any prior treatment with Tysabri.
Anti-JCV antibody positive at any timepoint prior to the Screening Visit.
Contraindications to treatment with Tysabri as described in the US Prescribing Information.
History of progressive multifocal leukoencephalopathy (PML) or other opportunistic infections, or an increased risk for such infections.
History of diagnosis of Primary Progressive Multiple Sclerosis (PPM) and/or Secondary Progressive Multiple Sclerosis (SPMS).
Receiving immunomodulatory or immunosuppressive therapy.
Prior history of immunosuppressive use (mitoxantrone, azathioprine, methotrexate, cyclophosphamide, mycophenolate, cladribine, rituximab).
Immunocompromised at the time of enrollment.
Known active malignancies (subjects with cutaneous basal cell carcinoma that has been completely excised prior to study entry remain eligible).
Women breastfeeding, pregnant, or planning to become pregnant; women who are not post-menopausal or surgically sterile who are unwilling to practice contraception.
Inability to comply with study requirements.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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There are 44 Locations for this study
Homewood Alabama, 35209, United States
Sun City Arizona, 85351, United States
La Jolla California, 92037, United States
Los Angeles California, 90032, United States
Aurora Colorado, 80045, United States
Fort Collins Colorado, 80528, United States
Newark Delaware, 19713, United States
Washington District of Columbia, 20007, United States
Jacksonville Florida, 32209, United States
Atlanta Georgia, 30309, United States
Chicago Illinois, 60612, United States
Lake Barrington Illinois, 60010, United States
Peoria Illinois, 61603, United States
Indianapolis Indiana, 46256, United States
Indianapolis Indiana, 46260, United States
Overland Park Kansas, 66212, United States
Louisville Kentucky, 40207, United States
New Orleans Louisiana, 70121, United States
Baltimore Maryland, 21287, United States
Boston Massachusetts, 02215, United States
Lexington Massachusetts, 02421, United States
Wellesley Hills Massachusetts, 02481, United States
Worcester Massachusetts, 01655, United States
East Lansing Michigan, 48824, United States
Lincoln Nebraska, 68521, United States
Freehold New Jersey, 07728, United States
New York New York, 10016, United States
New York New York, 10021, United States
Patchogue New York, 11772, United States
Plainview New York, 11803, United States
Staten Island New York, 10306, United States
Stony Brook New York, 11794, United States
Cincinnati Ohio, 45219, United States
Cleveland Ohio, 44195, United States
Gahanna Ohio, 43230, United States
Uniontown Ohio, 44685, United States
Portland Oregon, 97225, United States
Dallas Texas, 75235, United States
Round Rock Texas, 78681, United States
Salt Lake City Utah, 84103, United States
Newport News Virginia, 23601, United States
Norfolk Virginia, 23502, United States
Seattle Washington, 98101, United States
Tacoma Washington, 98405, United States
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