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

Long-term Surveillance of Patients With Multiple Sclerosis to Report Progressive Multifocal Leukoencephalopathy and Other Serious Opportunistic Infections Among Patients Treated With Natalizumab

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05236777
Enrollment
675
Registered
2022-02-11
Start date
2019-01-01
Completion date
2025-04-30
Last updated
2025-05-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Multiple Sclerosis

Keywords

Progressive Multifocal Leukoencephalopathy (PML)

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.

Interventions

DRUGNatalizumab

Administered as specified in the treatment arm.

Sponsors

ReMuS Registry
CollaboratorUNKNOWN
Biogen
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

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/

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Progressive Multifocal Leukoencephalopathy (PML) who are Taking NatalizumabUp to 6 years
Number of Participants with Serious Adverse Events (SAEs) of Other Opportunistic Infections (OIs) who are Taking NatalizumabUp to 6 yearsSAE 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

MeasureTime frameDescription
Number of Participants With Malignancies who are Taking NatalizumabUp to 6 years
Number of Participants With Hypersensitivity Reactions who are Taking NatalizumabUp to 6 years
Number of Participants With SAEsUp to 6 yearsSAE 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.
Number of Pregnant and Breastfeeding Participants who Were Previously Exposed to NatalizumabUp to 6 years
Number of Participants who are John Cunningham Virus (JCV) Positive and Taking NatalizumabUp to 6 years
Number of Participants With SAEs Among Participant Subgroups Defined by Demographic and Clinical FactorsUp to 6 yearsSAE 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.

Countries

Czechia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026