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S-warfarin

Phase 3

Relapsing-Remitting Multiple Sclerosis | Small molecule | Neurology |Biogen Inc.|Last Updated: Mar 14, 2017

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment133

FDA Designations

No designations recorded

Clinical trial landscape

S-warfarin · 1 trial · 1 indication

Phase 3 1
NCT01462318An Open-Label Immunogenicity and Pharmacokinetics Study of Daclizumab High Yield Process Prefilled Syringe in Relapsing Remitting Multiple SclerosisRelapsing-Remitting Multiple Sclerosis
COMPLETED133 Analytics
PHASE3COMPLETED
An Open-Label Immunogenicity and Pharmacokinetics Study of Daclizumab High Yield Process Prefilled Syringe in Relapsing Remitting Multiple Sclerosis
Relapsing-Remitting Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Anti-DAC HYP Binding Antibodies (ADAbs): Electrochemiluminescent (ECL) Anti-Drug Antibody (ADA) Assay
Up to 44 weeks

Participants with post-baseline (PB) ADAbs through Week 44, in the treatment period (extends up to 42 days after the last dose during the main study), and in the post-treatment period (43 days after the last dose until the end of the post-treatment period dose).

Number of Participants With Anti-DAC HYP Neutralizing Antibodies (NAbs): ECL ADA Assay
Up to 44 weeks

Participants with PB NAbs through Week 44, in the treatment period (extends up to 42 days after the last dose during the main study), and in the post-treatment period (43 days after the last dose until the end of the post-treatment period dose).

TP-DI Sub-study: Area-Under-the-Curve From Zero to Infinity (AUCinf) of Each Probe Drug
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and at 0.5 and 1, 2, 3, 4, 6, 8, 10 , 24, 48, 72 and 96 hours post-probe drug cocktail administration

AUCinf of each of the following cytochrome P450 (CYP) isoenzyme substrates: midazolam (CYP3A), S-warfarin + vitamin K (CYP2C9), and omeprazole (CYP2C19). The AUC from zero to 12 hours (AUC0-12) was calculated for caffeine (CYP1A2).

TP-DI Sub-study: Dextromethorphan to Dextrorphan Urine Concentration Ratio
Week 43 (7 days prior to DAC HYP administration) and Week 53 (7 days after DAC HYP administration), pre-cocktail dose and for 12 hours after probe-drug cocktail administration

Secondary Endpoints

Intensive PK Sub-study: Cmax of DAC HYP
Day 1 and Day 141 (Week 20) at pre-dose and 8, 24, 72, and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
Intensive PK Sub-study: Time to Reach Maximum Concentration (Tmax) of DAC HYP
Day 1 and Day 141 (Week 20) at pre-dose and 8, 24, 72, and 120 hours post-dose and 7, 10, 14 and 21 days post-dose
Intensive PK Sub-study: Area-Under-the-Curve From Start to End of the Dosing Interval (AUCtau) of DAC HYP
Day 1 and Day 141 (Week 20) at pre-dose and 8, 24, 72, and 120 hours post-dose and 7, 10, 14, and 21 days post-dose
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeOTHER

Treatment Arms

ArmTypeDescription
DAC HYPEXPERIMENTALDAC HYP 150 mg by a subcutaneous (SC) injection using the pre-filled syringe (PFS) every 4 weeks for 24 weeks followed by a 20-week washout period. After completion of the washout period, participants may resume monthly DAC HYP 150 mg using the PFS for up to 3 additional years. Participants in the TP-DI sub-study will receive probe-drug cocktail administration at Weeks 43 and 53. The probe-drug cocktail consists of oral midazolam 5 mg, caffeine 200 mg, S-warfarin 10 mg, vitamin K 10 mg, omeprazole 40 mg, and dextromethorphan 30 mg. The oral vitamin K is used to counteract warfarin's anticoagula nt effect prophylactically.

Interventions

NameTypeDescription
MidazolamDRUG5 mg
CaffeineOTHER200 mg
S-warfarinDRUG10 mg
Vitamin KOTHER10 mg
OmeprazoleDRUG40 mg
DextromethorphanDRUG30 mg
BIIB019 (Daclizumab)BIOLOGICAL150 mg in 1 ml PFS
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites19

Key Inclusion Criteria: * Must have a confirmed diagnosis of RRMS according to McDonald criteria and previous cranial magnetic resonance imaging demonstrating lesion(s) consistent with MS * Must have a baseline Expanded Disability Status Scale (EDSS) between 0.0 and 5.0, inclusive * Must have had 1...

Countries:United StatesCzechiaHungaryPoland
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Frequently asked questions about S-warfarin

What is S-warfarin used for?

S-warfarin is an investigational small molecule being developed for the treatment of Relapsing-Remitting Multiple Sclerosis. It is currently in Phase 3 clinical development, though it is not yet approved by regulatory authorities. The drug is being studied for its potential role in managing this neurological condition.

Who makes S-warfarin?

S-warfarin is being developed by Biogen Inc., a biotechnology company traded on the NASDAQ under the ticker symbol BIIB. Biogen is conducting clinical research on this investigational drug for Relapsing-Remitting Multiple Sclerosis.

What phase is S-warfarin in?

S-warfarin is currently in Phase 3 clinical development for Relapsing-Remitting Multiple Sclerosis. It is an investigational drug, meaning it has not yet received regulatory approval and is still undergoing clinical trials to evaluate its safety and efficacy.

What clinical trials is S-warfarin in?

S-warfarin has one completed Phase 3 clinical trial registered under NCT01462318. This open-label study, titled 'An Open-Label Immunogenicity and Pharmacokinetics Study of Daclizumab High Yield Process Prefilled Syringe in Relapsing Remitting Multiple Sclerosis,' enrolled 133 participants across the United States, Czechia, Hungary, and Poland.

Is S-warfarin the same as daclizumab?

S-warfarin is not the same as daclizumab. The clinical trial NCT01462318, which is associated with S-warfarin's development, is titled as a study of daclizumab high yield process. However, S-warfarin is a distinct investigational drug being developed for Relapsing-Remitting Multiple Sclerosis.