TOPIK Study: A Study to Report Progressive Multifocal Leukoencephalopathy and Other Serious Opportunistic Infections in Natalizumab Treated Participants

Sponsor
Biogen (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05236777
Collaborator
Association for Functional Rehabilitation, Recreation and Applied Kinesiology Impulse (Other)
600
15
75.9
40
0.5

Study Details

Study Description

Brief Summary

The primary objective of the study is to estimate the incidence of progressive multifocal leukoencephalopathy (PML) and serious adverse events (SAEs) of other opportunistic infections (OIs) among all participants taking natalizumab. The secondary objectives of the study are to estimate the incidence of SAEs, to estimate the incidence of SAEs among participant subgroups defined by demographic and clinical factors (age, gender, duration of treatment, pregnancy, breastfeeding), to characterize and estimate incidences of malignancies, hypersensitivity reactions and John Cunningham Virus (JCV) positivity among all participants taking natalizumab, and to count and describe pregnancies and breastfeeding among participants previously exposed to natalizumab.

Condition or Disease Intervention/Treatment Phase

Study Design

Study Type:
Observational [Patient Registry]
Anticipated Enrollment :
600 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Long-term Surveillance of Patients With Multiple Sclerosis to Report Progressive Multifocal Leukoencephalopathy and Other Serious Opportunistic Infections Among Patients Treated With Natalizumab
Actual Study Start Date :
Jan 1, 2019
Anticipated Primary Completion Date :
Apr 30, 2023
Anticipated Study Completion Date :
Apr 30, 2025

Arms and Interventions

Arm Intervention/Treatment
Natalizumab Cohort

The cohort will include participants with MS who are newly treated with natalizumab (administered as a standard of care/routine clinical practice) from 1st January 2019 including those participants who terminate or discontinue the treatment during the observational period.

Drug: Natalizumab
Administered as specified in the treatment arm.
Other Names:
  • Tysabri
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Progressive Multifocal Leukoencephalopathy (PML) who are Taking Natalizumab [Up to 6 years]

    2. Number of Participants with Serious Adverse Events (SAEs) of Other Opportunistic Infections (OIs) who are Taking Natalizumab [Up to 6 years]

      SAE means such adverse event that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a congenital anomaly or birth defect in offspring, irrespective of the administered dose of the medicinal product. Serious OI means such OI which results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a birth defect in offspring.

    Secondary Outcome Measures

    1. Number of Participants With SAEs [Up to 6 years]

      SAE means such adverse event that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a congenital anomaly or birth defect in offspring, irrespective of the administered dose of the medicinal product.

    2. Number of Participants With SAEs Among Participant Subgroups Defined by Demographic and Clinical Factors [Up to 6 years]

      SAE means such adverse event that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in permanent or significant damage to health or limitation of capabilities or is manifested as a congenital anomaly or birth defect in offspring, irrespective of the administered dose of the medicinal product. Demographic and clinical factors involve age, gender, duration of treatment, pregnancy, breastfeeding.

    3. Number of Participants With Malignancies who are Taking Natalizumab [Up to 6 years]

    4. Number of Participants With Hypersensitivity Reactions who are Taking Natalizumab [Up to 6 years]

    5. Number of Participants who are John Cunningham Virus (JCV) Positive and Taking Natalizumab [Up to 6 years]

    6. Number of Pregnant and Breastfeeding Participants who Were Previously Exposed to Natalizumab [Up to 6 years]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    • Participants starting with natalizumab after 1st January 2019 and participating in the ReMuS will be included in this study
    Key Exclusion Criteria:
    • Not Applicable (NA)

    NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Fakultní nemocnice Brno Brno Czechia
    2 Fakultní nemocnice u sv. Anny v Brně Brno Czechia
    3 Fakultní nemocnice Hradec Králové Hradec Králové Czechia
    4 Nemocnice Jihlava Jihlava Czechia
    5 Fakultní nemocnice Olomouc Olomouc Czechia
    6 Fakultní nemocnice v Ostravě Ostrava Czechia
    7 Nemocnice Pardubického kraje Pardubice Czechia
    8 Fakultní nemocnice v Plzni Pilsen Czechia
    9 Fakultní nemocnice Královské Vinohrady v Praze Prague Czechia
    10 Fakultní nemocniceMotol v Praze Prague Czechia
    11 Fakultní Thomayerova nemocnice v Praze v Krči Prague Czechia
    12 Všeobecná fakultní nemocnice v Praze Prague Czechia
    13 Nemocnice Teplice Teplice Czechia
    14 Krajská nemocnice T. Bati ve Zlíně Zlín Czechia
    15 Nemocnice České Budějovice České Budějovice Czechia

    Sponsors and Collaborators

    • Biogen
    • Association for Functional Rehabilitation, Recreation and Applied Kinesiology Impulse

    Investigators

    • Study Director: Medical Director, Biogen

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Biogen
    ClinicalTrials.gov Identifier:
    NCT05236777
    Other Study ID Numbers:
    • CZ-TYS-12155
    First Posted:
    Feb 11, 2022
    Last Update Posted:
    Feb 11, 2022
    Last Verified:
    Feb 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Biogen
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Feb 11, 2022