The primary objectives of this study were: to evaluate the effect of Tysabri® (natalizumab) on antibody responses after immunization with a neoantigen (keyhole limpet hemocyanin \[KLH\]) and a recall antigen (tetanus toxoid \[Td\]), and to evaluate the effect of Tysabri on circulating lymphocyte subsets (CD3+, CD4+, CD8+, CD19+, and CD56+) over time in participants with relapsing forms of multiple sclerosis (MS). The secondary objective was to assess alpha4-integrin saturation and alpha4-integrin expression levels over time.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
60
KLH 1 mg administered subcutaneously (SC) in accordance with the Immucothel investigator's brochure.
Td administered in accordance with the manufacturer's prescribing information.
Research Site 1
Fullerton, California, United States
Research Site
Centennial, Colorado, United States
Research site
Farmington Hills, Michigan, United States
Research Site
Patchogue, New York, United States
Research Site 3
Charlotte, North Carolina, United States
Research Site 5
Oklahoma City, Oklahoma, United States
Research Site
Franklin, Tennessee, United States
Research Site
Dallas, Texas, United States
Research Site 2
Seattle, Washington, United States
Research Site 4
Charleston, West Virginia, United States
Percentage of Keyhole Limpet Hemocyanin (KLH) Responders at Day 28 Post-Vaccination
KLH responders were defined as those participants who had at least a 2-fold increase over pre-immunization level of anti-KLH antibodies in their blood at 28 days after vaccination with KLH.
Time frame: 28 days after immunization (Day 28 for Vaccinations Only Group/Day 196 for Tysabri Plus Vaccinations Group)
Percentage of Tetanus Diphtheria Toxoid (Td) Responders at Day 28 Post-Vaccination
Tetanus responders were defined as participants who had at least a 2-fold increase over pre-immunization levels of anti-tetanus antibodies in their blood at 28 days after they were immunized with tetanus.
Time frame: 28 days after immunization (Day 28 for Vaccinations Only Group/Day 196 for Tysabri Plus Vaccinations Group)
Mean Percentage Change From Baseline in Circulating Lymphocyte Subsets CD3+, CD4+, CD8+, CD19+, and CD56+ at Month 3 of Tysabri Therapy
The effect of Tysabri on circulating lymphocyte subsets (CD3+, CD4+, CD8+, CD19+, and CD56+) was calculated as a percentage change from baseline pre-treatment values (based on absolute count).
Time frame: Month 0 (Baseline), Month 3
Mean Percentage Change From Baseline in Circulating Lymphocyte Subsets CD3+, CD4+, CD8+, CD19+, and CD56+ at Month 6 of Tysabri Therapy
The effect of Tysabri on circulating lymphocyte subsets (CD3+, CD4+, CD8+, CD19+, and CD56+) was calculated as a percentage change from baseline pre-treatment values (based on absolute count).
Time frame: Month 0 (Baseline), Month 6
Mean Alpha4-Integrin Saturation at Baseline, Month 3, and Month 6
Measurement of the degree of natalizumab saturation of the alpha4 integrin on peripheral blood mononuclear cells was accomplished by staining cells with phycoerythrin conjugated anti human IgG4 antibody (hIgG4-PE) to label the cell-bound natalizumab, followed by flow cytometric detection and quantification.
Time frame: Month 0 (Baseline), Month 3, and Month 6
Mean Alpha4-Integrin Expression at Baseline, Month 3, and Month 6
Alpha4-integrin expression is the mean fluorescent intensity (MFI), a measure of fluorescence intensity often used to monitor changes in surface antigen modulation in flow cytometry. There is no reference range for this test, which was developed at Biogen Idec.
Time frame: Month 0 (Baseline), Month 3, and Month 6
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