- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01064401
Efficacy and Safety of BIIB019 (Daclizumab High Yield Process) Versus Interferon β 1a in Participants With Relapsing-Remitting Multiple Sclerosis ((DECIDE))
Multicenter, Double-blind, Randomized, Parallel-group, Monotherapy, Active-control Study to Determine the Efficacy and Safety of Daclizumab High Yield Process (DAC HYP) Versus Avonex® (Interferon β 1a) in Patients With Relapsing-Remitting Multiple Sclerosis
The primary study objective is to test the superiority of Daclizumab High Yield Process (DAC HYP) compared to interferon β 1a (IFN β-1a) in preventing multiple sclerosis (MS) relapse in participants with relapsing remitting multiple sclerosis.
The secondary study objectives are to test the superiority of DAC HYP compared to IFN β-1a in slowing functional decline and disability progression and maintaining quality of life in this participant population.
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires
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Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
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Mendoza
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Godoy Cruz, Mendoza, Argentina
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Santa Fe
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Rosario, Santa Fe, Argentina
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New South Wales
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Camperdown, New South Wales, Australia
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New Lambton Heights, New South Wales, Australia
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Queensland
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Auchenflower, Queensland, Australia
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South Australia
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Woodville, South Australia, Australia
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Victoria
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Fitzroy, Victoria, Australia
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Heidelberg West, Victoria, Australia
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Rio de Janeiro, Brazil
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Bahia
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Belo Horizonte, Bahia, Brazil
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Distrito Federal
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Brasilia, Distrito Federal, Brazil
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Pernambuco
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Recife, Pernambuco, Brazil
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Rio Grande
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Porto Alegre, Rio Grande, Brazil
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Sao Paulo, Rio Grande, Brazil
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Sao Paulo
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Campinas, Sao Paulo, Brazil
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Ribeirão Preto, Sao Paulo, Brazil
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Alberta
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Calgary, Alberta, Canada
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Edmonton, Alberta, Canada
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British Columbia
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Vancouver, British Columbia, Canada
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Newfoundland and Labrador
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Saint John, Newfoundland and Labrador, Canada
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Ontario
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London, Ontario, Canada
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Ottawa, Ontario, Canada
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Quebec
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Gatineau, Quebec, Canada
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Greenfield Park, Quebec, Canada
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Montréal, Quebec, Canada
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Saskatchewan
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Regina, Saskatchewan, Canada
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Brno, Czech Republic
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Hradec Kralove, Czech Republic
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Jihlava, Czech Republic
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Ostrava, Czech Republic
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Pardubice, Czech Republic
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Jihocesky Kraj
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Brno, Jihocesky Kraj, Czech Republic
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Kraj Vysocina
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Jihlava, Kraj Vysocina, Czech Republic
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Olomoucký kraj
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Olomouc, Olomoucký kraj, Czech Republic
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Praha
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Praha 10, Praha, Czech Republic
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Praha 2, Praha, Czech Republic
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Severomoravksy Krav
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Havirov, Severomoravksy Krav, Czech Republic
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Copenhagen, Denmark
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Glostrup, Denmark
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Odense C, Denmark
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Århus, Denmark
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Helsinki, Finland
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Oulu, Finland
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Seinäjoki, Finland
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Turku, Finland
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Western Finalnd
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Tampere, Western Finalnd, Finland
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Bourdeaux, France
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Dijon, France
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Lille, France
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Lomme, France
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Marseille Cedex 9, France
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Nancy, France
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Toulouse Cedex 3, France
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Alsace
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Strasbourg, Alsace, France
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Basse-normandie
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Caen Cedex 5, Basse-normandie, France
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Ile-de-france
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Bobigny, Ile-de-france, France
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Paris, Ile-de-france, France
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Paris Cedex 5, Ile-de-france, France
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Picardie
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Amiens, Picardie, France
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Provence Alpes Cote D'azur
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Nice, Provence Alpes Cote D'azur, France
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Rhone-alpes
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Lyon, Rhone-alpes, France
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Tbilisi, Georgia
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Berlin, Germany
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Hamburg, Germany
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Tübingen, Germany
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Baden-Wurttemberg
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Bad Mergentheim, Baden-Wurttemberg, Germany
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Baden-wuerttemberg
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Freiburg, Baden-wuerttemberg, Germany
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Bayern
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Bamberg, Bayern, Germany
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Bayreuth, Bayern, Germany
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München, Bayern, Germany
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Neuburg an der Donau, Bayern, Germany
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Hessen
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Marburg, Hessen, Germany
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Nordrhein Westfalen
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Essen, Nordrhein Westfalen, Germany
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Koln, Nordrhein Westfalen, Germany
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Nordrhein-Westfalen
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Munster, Nordrhein-Westfalen, Germany
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Rheinland-Pfalz
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Trier, Rheinland-Pfalz, Germany
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Sachsen
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Dresden, Sachsen, Germany
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Attica
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Athens, Attica, Greece
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Crete
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Heraklion, Crete, Greece
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Macedoni
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Thessaloniki, Macedoni, Greece
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Budapest, Hungary
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Esztergom, Hungary
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Miskolc, Hungary
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Nyíregyháza, Hungary
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Veszprém, Hungary
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Fejer
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Székesfehérvár, Fejer, Hungary
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Gyor-moson-sopron
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Gyor, Gyor-moson-sopron, Hungary
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New Delhi, India
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Andhra Pradesh
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Hyderabad, Andhra Pradesh, India
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Dwivdee
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Delhi, Dwivdee, India
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Karnataka
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Bangalore, Karnataka, India
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Kerala
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Trivandrum, Kerala, India
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Maharashtra
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Mumbai, Maharashtra, India
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Nagpur, Maharashtra, India
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Dublin, Ireland
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Beer-Sheva, Israel
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Haifa, Israel
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Kfar Saba, Israel
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Tzfat, Israel
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Ashqelon
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Ashkelon, Ashqelon, Israel
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Beer Yaakov
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Tzrifin, Beer Yaakov, Israel
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Petah Tiqwa
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Petach Tikva, Petah Tiqwa, Israel
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Bari, Italy
- Research Site
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Cagliari, Italy
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Catania, Italy
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Firenze, Italy
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Genova, Italy
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Milano, Italy
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Padova, Italy
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Roma, Italy
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PA
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Cefalù, PA, Italy
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Torino
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Orbassano, Torino, Italy
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Distrito Federal
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Mexico, Distrito Federal, Mexico
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Jalisco
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Guadalajara, Jalisco, Mexico
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Chisinau, Moldova, Republic of
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Bydgoszczas, Poland
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Plewiska, Poland
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Dolnoslaskie
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Lublin, Dolnoslaskie, Poland
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Kujawsko-pomorskie
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Bydgoszcz, Kujawsko-pomorskie, Poland
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Grudziadz, Kujawsko-pomorskie, Poland
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Lodzkie
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Lódz, Lodzkie, Poland
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Malopolskie
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Kraków, Malopolskie, Poland
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Mazowieckie
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Warszawa, Mazowieckie, Poland
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Podlaskie
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Bialystok, Podlaskie, Poland
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Pomorskie
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Gdansk, Pomorskie, Poland
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Slaskie
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Katowice, Slaskie, Poland
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Swietokrzycie
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Kielce, Swietokrzycie, Poland
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Warminsko-mazurskie
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Olsztyn, Warminsko-mazurskie, Poland
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Wielkopolskie
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Poznan, Wielkopolskie, Poland
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Zachodniopomorskie
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Szczecin, Zachodniopomorskie, Poland
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Iasi, Romania
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Târgu Mures, Romania
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Bucuresti
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Bucurest, Bucuresti, Romania
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Cluj
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Cluj-Napoca, Cluj, Romania
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Timis
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Timisoara, Timis, Romania
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Chelyabinsk, Russian Federation
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Kaluga, Russian Federation
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Kemerovo, Russian Federation
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Krasnoyarsk, Russian Federation
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Moscow, Russian Federation
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Nizhny Novgorod, Russian Federation
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Novosibirsk, Russian Federation
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Perm, Russian Federation
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Saint Petersburg, Russian Federation
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Smolensk, Russian Federation
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Tomsk, Russian Federation
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Tumen, Russian Federation
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Ufa, Russian Federation
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Povolje-Tatarstan
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Kazan, Povolje-Tatarstan, Russian Federation
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Ural
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Ekaterinburg, Ural, Russian Federation
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Yaroslavlr
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Yaroslavl, Yaroslavlr, Russian Federation
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Belgrade, Serbia
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Kragujevac, Serbia
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Nis, Serbia
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Novi Sad, Serbia
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Barcelona, Spain
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Cordoba, Spain
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Girona, Spain
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Madrid, Spain
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Sevilla, Spain
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Barcelona
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L´Hospitalet de Llobregat, Barcelona, Spain
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Göteborg, Sweden
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Linköping, Sweden
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Malmö, Sweden
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Stockholm, Sweden
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Basel, Switzerland
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Lugano, Switzerland
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Dnepropetrovsk, Ukraine
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Kharkiv, Ukraine
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Kyviv, Ukraine
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Odessa, Ukraine
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Poltava, Ukraine
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Vinnitsa, Ukraine
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Zaporozhye, Ukraine
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Brighton, United Kingdom
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Bristol, United Kingdom
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Edinburgh, United Kingdom
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London, United Kingdom
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New Castle Upon Tyne, United Kingdom
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Nottingham, United Kingdom
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Romford, United Kingdom
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Salford, United Kingdom
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Sheffield, United Kingdom
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Arizona
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Gilbert, Arizona, United States
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Phoenix, Arizona, United States
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Tucson, Arizona, United States
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Arkansas
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Little Rock, Arkansas, United States
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California
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La Jolla, California, United States
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Colorado
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Aurora, Colorado, United States
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Florida
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Naples, Florida, United States
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Pompano Beach, Florida, United States
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St. Petersburg, Florida, United States
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Sunrise, Florida, United States
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Georgia
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Atlanta, Georgia, United States
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Illinois
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Evanston, Illinois, United States
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Indiana
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Fort Wayne, Indiana, United States
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Indianapolis, Indiana, United States
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Iowa
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Des Moines, Iowa, United States
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Kansas
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Kansas City, Kansas, United States
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Kentucky
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Lexington, Kentucky, United States
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Maryland
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Baltimore, Maryland, United States
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Massachusetts
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Springfield, Massachusetts, United States
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Worchester, Massachusetts, United States
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Michigan
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Clinton Township, Michigan, United States
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Missouri
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Saint Louis, Missouri, United States
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New Hampshire
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Lebanon, New Hampshire, United States
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New Jersey
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New Brunswick, New Jersey, United States
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New Mexico
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Albuquerque, New Mexico, United States
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New York
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Buffalo, New York, United States
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Latham, New York, United States
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New York, New York, United States
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Rochester, New York, United States
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North Carolina
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Charlotte, North Carolina, United States
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Raleigh, North Carolina, United States
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Winston Salem, North Carolina, United States
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Oregon
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Medford, Oregon, United States
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Portland, Oregon, United States
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Pennsylvania
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Allentown, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Pittsburg, Pennsylvania, United States
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Rhode Island
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Providence, Rhode Island, United States
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Tennessee
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Franklin, Tennessee, United States
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Knoxville, Tennessee, United States
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Utah
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Salt Lake City, Utah, United States
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Vermont
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Burlington, Vermont, United States
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Washington
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Kirkland, Washington, United States
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Seattle, Washington, United States
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Tacoma, Washington, United States
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Wisconsin
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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 subjects and female subjects of childbearing potential must be willing to practice effective contraception during the study and be willing and able to continue contraception for 4 months after their last dose of study treatment
Key Exclusion Criteria:
- Known intolerance, contraindication to, or history of non-compliance with Avonex® 30 µg
- History of treatment with Daclizumab High Yield Process (Dac HYP)
- History of malignancy
- History of severe allergic or anaphylactic reactions
- Known hypersensitivity to study drugs or their excipients
- History of abnormal laboratory results indicative of any significant disease
- History of human immunodeficiency virus (HIV) or other immunodeficient conditions
- History of drug or alcohol abuse (as defined by the Investigator) within the 2 years prior to randomization
- History of seizure disorder or unexplained blackouts OR history of a seizure within 6 months prior to Baseline
- History of suicidal ideation or an episode of clinically severe depression (as determined by the Investigator) within 3 months prior to Day 1
- An MS relapse that has occurred within the 50 days prior to randomization AND/OR the subject has not stabilized from a previous relapse prior to randomization
- Known history of, or positive screening test result for hepatitis C virus or hepatitis B virus
- Varicella or herpes zoster virus infection or any severe viral infection within 6 weeks before screening
- Exposure to varicella zoster virus within 21 days before screening
NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Daclizumab High Yield Process 150 mg SC
Daclizumab 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
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Daclizumab High Yield Process for subcutaneous injection
Other Names:
Placebo to interferon beta-1a intramuscular injection
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Active Comparator: IFN β-1a 30 µg IM
Interferon 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
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Interferon beta-1a for intramuscular injection
Other Names:
Placebo to Daclizumab High Yield Process subcutaneous injection
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Adjusted Annualized Relapse Rate (ARR)
Time Frame: Up to 144 weeks
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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.
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Up to 144 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adjusted Mean Number of New or Newly Enlarging T2 Hyperintense Lesions up to Week 96
Time Frame: up to 96 weeks
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The quantity of lesions is assessed by brain magnetic resonance imaging (MRI).
The adjusted mean number is estimated from a negative binomial regression model, adjusted for baseline volume of T2 from a negative binomial regression model, adjusted for baseline volume of T2 hyperintense lesions, history of prior IFN beta use and baseline age (≤ 35 vs > 35 years).
To account for the timing of the MRI measurement, the logarithmic transformation of the scan number of the MRI assessment is included in the model as the 'offset' parameter.
Observed data after participants switched to alternative MS medications are excluded.
Missing data are not imputed.
Only observed new or newly enlarging T2 lesions at the last visit of the participant up to Week 96 visit are used in this analysis.
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up to 96 weeks
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Proportion of Participants With Sustained Disability Progression at 144 Weeks
Time Frame: Baseline through 144 weeks
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Sustained disability progression is defined as: at least a 1.0-point increase on the EDSS from Baseline EDSS ≥ 1.0 that is sustained for 12 weeks, or at least a 1.5-point increase on the EDSS from baseline EDSS = 0 that is sustained for 12 weeks.
The EDSS measures the disability status of people with MS on a scale that ranges from 0 to 10, with higher scores indicating more disability.
Estimated proportion of participants with progression is based on the Kaplan-Meier product limit method.
Participants were censored at the time of withdrawal/switch if they withdrew from study or switched to alternative MS medication without a progression.
Participants with a tentative progression at the End of Treatment Period Visit (or the last EDSS assessment prior to alternative MS start date) and no confirmation assessment were censored at their last EDSS assessment.
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Baseline through 144 weeks
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Proportion of Participants Relapse-free at Week 144
Time Frame: 144 weeks
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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 INEC are included in this analysis.
Data after participants switched to alternative MS medications are excluded.
The estimated proportion of subjects relapse-free at Week 144 is based on the Kaplan-Meier product limit method.
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144 weeks
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Percentage of Participants With a ≥ 7.5 Point Worsening From Baseline in the Multiple Sclerosis Impact Scale (MSIS-29) Physical Impact Score at 96 Weeks
Time Frame: Baseline and 96 weeks
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The MSIS-29 is a 29-item disease-specific patient-reported outcome measure that has been developed and validated to examine the physical and psychological impact of MS from a patient's perspective; it measures physical and psychological items.
Worsening in the MSIS-29 physical score is defined as an increase of ≥ 7.5 points in the MSIS-29 physical score at 96 weeks compared to baseline.
If a participant was missing data for less than 10 of the 20 items that make up the physical score, then the mean of the non-missing items were used for the missing items.
If a participant was missing 10 or more of the 20 items that make up the physical score, or missing the questionnaire entirely, or if the questionnaire was completed after the participant switched to alternative MS medication, a random effects model was used to estimate the MSIS-29 physical score.
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Baseline and 96 weeks
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Collaborators and Investigators
Publications and helpful links
General Publications
- Cohan S, Kappos L, Giovannoni G, Wiendl H, Selmaj K, Havrdova EK, Rose J, Greenberg S, Phillips G, Ma W, Wang P, Lima G, Sabatella G. Efficacy of daclizumab beta versus intramuscular interferon beta-1a on disability progression across patient demographic and disease activity subgroups in DECIDE. Mult Scler. 2018 Dec;24(14):1883-1891. doi: 10.1177/1352458517735190. Epub 2017 Oct 6.
- Benedict RH, Cohan S, Lynch SG, Riester K, Wang P, Castro-Borrero W, Elkins J, Sabatella G. Improved cognitive outcomes in patients with relapsing-remitting multiple sclerosis treated with daclizumab beta: Results from the DECIDE study. Mult Scler. 2018 May;24(6):795-804. doi: 10.1177/1352458517707345. Epub 2017 May 9.
- Liu Y, Vollmer T, Havrdova E, Riester K, Lee A, Phillips G, Wang P, Sabatella G. Impact of daclizumab versus interferon beta-1a on patient-reported outcomes in relapsing-remitting multiple sclerosis. Mult Scler Relat Disord. 2017 Jan;11:18-24. doi: 10.1016/j.msard.2016.11.005. Epub 2016 Nov 13.
- Krueger JG, Kircik L, Hougeir F, Friedman A, You X, Lucas N, Greenberg SJ, Sweetser M, Castro-Borrero W, McCroskery P, Elkins J. Cutaneous Adverse Events in the Randomized, Double-Blind, Active-Comparator DECIDE Study of Daclizumab High-Yield Process Versus Intramuscular Interferon Beta-1a in Relapsing-Remitting Multiple Sclerosis. Adv Ther. 2016 Jul;33(7):1231-45. doi: 10.1007/s12325-016-0353-2. Epub 2016 Jun 1.
- Kappos L, Wiendl H, Selmaj K, Arnold DL, Havrdova E, Boyko A, Kaufman M, Rose J, Greenberg S, Sweetser M, Riester K, O'Neill G, Elkins J. Daclizumab HYP versus Interferon Beta-1a in Relapsing Multiple Sclerosis. N Engl J Med. 2015 Oct 8;373(15):1418-28. doi: 10.1056/NEJMoa1501481.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Immune System Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Autoimmune Diseases
- Multiple Sclerosis
- Sclerosis
- Multiple Sclerosis, Relapsing-Remitting
- Physiological Effects of Drugs
- Anti-Infective Agents
- Antiviral Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Adjuvants, Immunologic
- Interferons
- Interferon beta-1a
- Interferon-beta
- Daclizumab
Other Study ID Numbers
- 205MS301
- 2009-012500-11
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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