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BG00002

Phase 4FDA approved 2004

Multiple Sclerosis, Relapsing-Remitting | Monoclonal antibody | Neurology |Biogen Inc.|Trials Updated: Mar 21, 2017

BG00002 development status

FDA approval Nov 23, 2004 as Tysabri
Approval holderBiogen Idec
ApplicationBLA125104
Highest phase Phase 4 (NCT02142205)
Phase scored for BIIBPhase 3
Registered trials 56 across 8 sponsors since Dec 2001

Label indication TYSABRI is an integrin receptor antagonist indicated for treatment of: Multiple Sclerosis (MS) TYSABRI is indicated as monotherapy for the treatment of relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. TYSABRI increases the risk of PML [See Warnings and Precautions ( 5.1 ) ]. FDA label

BG00002 target and mechanism

ModalityMonoclonal antibody

Also known as BG00002 (natalizumab), Natalizumab, Tysabri, natalizumab IV, natalizumab SC

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment404

FDA Designations

No designations recorded

BG00002 clinical trials

BG00002 · 1 trial · 1 indication

Phase 3 1
NCT00306592Natalizumab Re-Initiation of DosingMultiple Sclerosis, Relapsing-Remitting
COMPLETED404 Analytics
PHASE3COMPLETED
Natalizumab Re-Initiation of Dosing
Multiple Sclerosis, Relapsing-RemittingUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious AEs (SAEs)
Baseline through Week 48

AEs: any sign, symptom, or diagnosis/disease that is unfavorable or unintended, that is new, or if pre-existing, worsens in participants administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. SAEs: an event that results in death; an event that, in the view of the investigator, places the participant at immediate risk of death (a life-threatening event); an outcome that results in a congenital anomaly/birth defect diagnosed in a child of a participant; an event that requires or prolongs inpatient hospitalization; an event that results in persistent or significant disability/incapacity. Any other medically important event that, in the opinion of the investigator, may jeopardize the participant or may require intervention to prevent one of the other outcomes listed in the definition above. Treatment-emergent AEs: events in participants who had received at least 1 dose of study drug, regardless of relationship to study drug.

Number of Participants With Hypersensitivity-related Adverse Events
Baseline through Week 48

For purposes of this analysis, the terms 'hypersensitivity' and 'drug hypersensitivity' were categorized by their temporal relationship to study drug infusion (within 2 hours of the start of the infusion), and were considered equivalent. Hypersensitivity reactions are defined as infusion reactions with the following preferred terms: hypersensitivity not otherwise specified (NOS), anaphylactic reaction, anaphylactoid reaction, dermatitis allergic, drug hypersensitivity, urticaria NOS, vasoconstriction, urticaria generalised, hypersensitivity, urticaria.

Number of Participants With Antibodies to Natalizumab
Baseline (Week 0), Week 4, Week 24 (test was repeated after 8 weeks if positive, to confirm persistence)

'Positive with unknown persistence' is defined as a positive result (≥0.5 micrograms/mL) at one timepoint only with no confirmatory re-test available at least 42 days later. 'Transient positive' is defined as a positive at one timepoint but negative upon re-test at least 42 days later. 'Persistent positive' is defined as positive at 2 or more timepoints separated by at least 42 days. The threshold for classifying a sample as 'antibody positive' was set at the lowest level of reactivity that had a measurable impact on drug serum concentrations.

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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NatalizumabEXPERIMENTALAll study participants in 101-MS-322 (NCT00306592) and 101-MS-321 (NCT00297232) received open label 300 mg intravenous (IV) natalizumab 60-minute infusion once every 4 weeks (28 days ±7 days) for up to 48 weeks. After 48 weeks, participants from 101-MS-322 (NCT00306592) entering study 101-MS-321 (NCT 00297232; considered the Long-Term Treatment Period of 101-MS-322) were continued on treatment from Week 52 through Week 480.

Interventions

NameTypeDescription
BG00002 (natalizumab)BIOLOGICAL -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites63

Inclusion Criteria: * MS subjects who completed Study C-1801 (NCT00027300), C-1802 (NCT00030966), or C-1803 (NCT00097760) and completed a Dosing Suspension Safety Evaluation (neurological examination and magnetic resonance imaging \[MRI\] scan) * Considered by the investigator to be free of signs a...

Countries:United StatesCanada
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Frequently asked questions about BG00002

What is BG00002?

BG00002 is an investigational monoclonal antibody developed by Biogen Inc. (ticker BIIB) for relapsing-remitting multiple sclerosis, a form of multiple sclerosis characterized by episodes of new or worsening symptoms followed by recovery. It is being studied as a disease-modifying therapy in the neurology therapeutic area.

What is BG00002 used for in relapsing-remitting multiple sclerosis?

BG00002 is being developed for the treatment of relapsing-remitting multiple sclerosis. It is a monoclonal antibody designed to reduce disease activity in patients with this relapsing form of MS. The program is in Phase 3 clinical development and is not yet approved for commercial use.

Who makes BG00002?

BG00002 is developed by Biogen Inc., which trades under the ticker BIIB. Biogen is the sponsor of the clinical program evaluating the monoclonal antibody in relapsing-remitting multiple sclerosis. The company is responsible for the drug's development and regulatory strategy.

What phase is BG00002 in?

BG00002 is in Phase 3 clinical development. It is an investigational monoclonal antibody and has not been approved by the FDA for relapsing-remitting multiple sclerosis. The Phase 3 trial evaluating the drug has been completed, and the program remains in clinical development.

What clinical trials is BG00002 in?

BG00002 has been evaluated in one Phase 3 clinical trial, NCT00306592, titled Natalizumab Re-Initiation of Dosing. The completed study enrolled 404 participants with relapsing-remitting multiple sclerosis across the United States and Canada. It was an uncontrolled trial that enrolled adults aged 18 years and older, both male and female.

Is BG00002 the same as natalizumab?

Yes, BG00002 is also known as BG00002 (natalizumab). Natalizumab is the drug name associated with this Biogen program, and BG00002 is the company's designation for the same monoclonal antibody. Searches for either name refer to the same investigational therapy for relapsing-remitting multiple sclerosis.