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BIIB019

Phase 3

Relapsing-Remitting Multiple Sclerosis | Monoclonal antibody | Immunology |Biogen Inc.|Last Updated: Nov 9, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment3,389
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01064401Efficacy and Safety of BIIB019 (Daclizumab High Yield Process) Versus Interferon β 1a in Participants With Relapsing-Remitting Multiple SclerosisPHASE3 COMPLETED 1,841May 1, 2010Jul 1, 2014Jul 11, 2016228 United States, Argentina +26
NCT01051349Safety and Efficacy Extension Study of Daclizumab High Yield Process (DAC HYP) (BIIB019) in Participants Who Have Completed Study 205MS202 (NCT00870740) to Treat Relapsing Remitting Multiple SclerosisPHASE2 COMPLETED 410Mar 31, 2010Aug 25, 2016Nov 9, 201865 Czechia, Germany +6
NCT00870740Safety and Efficacy Extension Study of Daclizumab High Yield Process (DAC HYP) in Participants With Multiple Sclerosis Who Have Completed Study 205MS201 (NCT00390221) to Treat Relapsing-Remitting Multiple SclerosisPHASE2 COMPLETED 517Feb 1, 2009Oct 1, 2012Aug 30, 201658 Czechia, Germany +6
NCT00390221Safety and Efficacy Study of Daclizumab High Yield Process (DAC HYP) to Treat Relapsing-Remitting Multiple SclerosisPHASE2 COMPLETED 621Feb 1, 2008Aug 1, 2011Jul 11, 201656 Czechia, Germany +6
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Study Endpoints
Primary Endpoints
Adjusted Annualized Relapse Rate (ARR)
Up to 144 weeks

Relapses are defined as new or recurrent neurological symptoms not associated with fever or infection, lasting at least 24 hours, and accompanied by new objective neurological findings upon examination by the examining neurologist. Only relapses confirmed by Independent Neurology Evaluation Committee (INEC) are included in this analysis. Adjusted ARR was estimated from a negative binomial regression model adjusted for the baseline relapse rate, history of prior IFN beta use, baseline Expanded Disability Status Scale score (EDSS; ≤ 2.5 vs \> 2.5) and baseline age (≤ 35 vs \> 35 years). Data after participants switched to alternative MS medications are excluded.

Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuation Due to AEs, Withdrawals Due to AEs
Baseline up to 24 weeks after last dose of treatment (Up to 300 weeks)

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A SAE is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria.

Area Under the Concentration-Time Curve Over the Dosing Interval (AUC0-t) After Dose 4 for Daclizumab
Day 90 (Week 12) at predose and 8, 24, 72 and 120 hours post-dose and 7, 10, 14, 21 and 28 days post-dose
Number of Participants With Treatment-emergent Adverse Events (AEs)
Up to 72 weeks

Treatment-emergent AE: any untoward medical occurrence after the first dose of study treatment that did not necessarily have a causal relationship with this treatment. Serious AE (SAE): any untoward medical occurrence that at any dose: resulted in death; in the view of the Investigator, placed the subject at immediate risk of death (a life-threatening event); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in a congenital anomaly/birth defect. An SAE could also have been a medically significant event that, in the opinion of the Investigator, jeopardized the subject or required intervention to prevent one of the other outcomes listed in the definition above.

Number of Participants With Abnormalities in Vital Signs
Up to Week 72

For participants who took DAC HYP during 205MS201 (NCT00390221) the baseline is defined as the baseline from 205MS201, and for participants who took placebo during 205MS201 the baseline is defined as the baseline from 205MS202 (NCT00870740). All post-baseline data are taken after first dose in 205MS202 only. SBP=systolic blood pressure; DBP=diastolic blood pressure; bpm=beats per minute; ↑ BL=increase from baseline; ↓ BL=decrease from baseline.

Number of Participants With Potentially Clinically Significant Hematology Laboratory Abnormalities
Up to 72 Weeks

Hematology parameters evaluated include: white blood cells, lymphocytes, neutrophils, red blood cells (RBC), hemoglobin, and platelets.

Number of Participants With Abnormalities in Blood Chemistry Laboratory Data
Up to 72 Weeks

For each abnormality a subject can be counted once. If a subject has more than one occurrence of the same abnormality the highest toxicity grade is counted. ALT=alanine aminotransferase; AST=aspartate aminotransferase; ALP=alkaline phosphatase; GGT=gamma-glutamyl transferase; TSH=thyroid stimulating hormone, ULN=upper limit of normal.

Number of Participants With Development of Anti-DAC Antibodies (ADAb) and Neutralizing Antibodies (NAb) Post-baseline
Up to 72 weeks

Number of participants positive and negative for ADAb and NAb, based on all post-baseline immunogenicity assessments during treatment period and follow-up. Participants are stratified differently in this Outcome Measure as per the pre-specified statistical analysis plan.

Adjusted Annualized Relapse Rate Between Baseline and Week 52
Baseline through Week 52

Relapses are defined as new or recurrent neurologic symptoms not associated with fever or infection, lasting at least 24 hours, and accompanied by new objective neurological findings upon examination by the examining neurologist. The annualized relapse rate was calculated as the total number of relapses that occurred during the study divided by the total number of subject-years followed in the study.

Secondary Endpoints
Adjusted Mean Number of New or Newly Enlarging T2 Hyperintense Lesions up to Week 96
up to 96 weeks
Proportion of Participants With Sustained Disability Progression at 144 Weeks
Baseline through 144 weeks
Proportion of Participants Relapse-free at Week 144
144 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Daclizumab High Yield Process 150 mg SCEXPERIMENTALDaclizumab High Yield Process (DAC HYP) 150mg subcutaneous (SC) injection once every 4 weeks plus placebo to IFN β-1a intramuscular (IM) injection once weekly for 96 to 144 weeks
IFN β-1a 30 µg IMACTIVE_COMPARATORInterferon beta-1a (IFN β-1a) 30 µg IM once weekly plus placebo to DAC HYP SC once every 4 weeks for 96 to 144 weeks
BIIB019EXPERIMENTALParticipants received BIIB019, 150 mg subcutaneous injection every 4 weeks up to Week 288.
Group 1: DAC HYP 150 mgEXPERIMENTALParticipants who received placebo in 205MS201 receive DAC HYP 150 mg subcutaneous (SC) injection every 4 weeks for a total of 13 doses.
Group 1: DAC HYP 300 mgEXPERIMENTALParticipants who received placebo in 205MS201 receive DAC HYP 300 mg SC injection every 4 weeks for a total of 13 doses.
Group 2: Washout then DAC HYP 150 mgEXPERIMENTALParticipants who received DAC HYP 150 mg SC injection in 205MS201 undergo a washout period (placebo SC every 4 weeks for a total of 5 doses) and then receive DAC HYP 150 mg SC every 4 weeks for a total of 8 doses.
Group 2: DAC HYP 150 mgEXPERIMENTALParticipants who received DAC HYP 150 mg SC injection in 205MS201 receive DAC HYP 150 mg SC every 4 weeks for a total of 13 doses.
Group 3: Washout then DAC HYP 300 mgEXPERIMENTALParticipants who received DAC HYP 300 mg SC in 205MS201 undergo a washout period (placebo SC every 4 weeks for a total of 5 doses) and then receive DAC HYP 300 mg SC every 4 weeks for a total of 8 doses.
Group 3: DAC HYP 300 mgEXPERIMENTALParticipants who received DAC HYP 300 mg SC in 205MS201 receive DAC HYP 300 mg SC every 4 weeks for a total of 13 doses.
PlaceboPLACEBO_COMPARATORParticipants will receive 3 subcutaneous (SC) injections of placebo every 4 weeks for up to 52 weeks.
150 mg DAC HYPEXPERIMENTALParticipants will receive 3 SC injections every 4 weeks for up to 52 weeks.
300 mg DAC HYPEXPERIMENTALParticipants will receive 3 SC injections every 4 weeks for up to 52 weeks.
Interventions
NameTypeDescription
BIIB019 (Daclizumab High Yield Process)BIOLOGICALDaclizumab High Yield Process for subcutaneous injection
Interferon beta-1a PlaceboDRUGPlacebo to interferon beta-1a intramuscular injection
Interferon beta-1aBIOLOGICALInterferon beta-1a for intramuscular injection
Daclizumab High Yield Process PlaceboDRUGPlacebo to Daclizumab High Yield Process subcutaneous injection
BIIB019 (Daclizumab)BIOLOGICALAdministered as specified in the treatment arm.
trivalent seasonal influenza vaccineBIOLOGICALAll participants who participate in the 2013-2014 influenza vaccine substudy will receive the vaccine at the study site
PlaceboDRUGPlacebo SC injection
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites228

Key Inclusion Criteria: * Must have a confirmed diagnosis of Relapsing Remitting Multiple Sclerosis (RRMS), and a cranial magnetic resonance imaging (MRI) demonstrating lesion(s) consistent with MS * Must have a baseline Expanded Disability Status Scale (EDSS) between 0.0 and 5.0, inclusive * Male ...

Countries:United StatesArgentinaAustraliaBrazilCanadaCzechiaDenmarkFinlandFranceGeorgiaGermanyGreeceHungaryIndiaIrelandIsraelItalyMexicoMoldovaPolandRomaniaRussiaSerbiaSpainSwedenSwitzerlandUkraineUnited Kingdom
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