natalizumab
Trade name: tysabri
Approved
Nov 23, 2004
Natalizumab, sold under the brand name Tysabri among others, is a medication used to treat multiple sclerosis and Crohn's disease. It is a humanized monoclonal antibody against the cell adhesion molecule α4-integrin. It is given by intravenous infusion. The drug is believed to work by reducing the ability of inflammatory immune cells to attach to and pass through the cell layers lining the intestines and blood–brain barrier. — Wikipedia
Clinical trial activity
68 trials · 46 clinical orgs · 2 marketing orgs
Earliest trial started Dec 31, 1998
Timeline
1990s
- Jan 1, 1998
Earliest Phase 1 Sponsor
2000s
- Jan 1, 2001
Earliest Phase 3 Sponsor(trial)
- Jan 1, 2002
Earliest Phase 2 Sponsor(trial)
- Nov 23, 2004
Biogen-IDEC — Earliest FDA Approval
- Nov 23, 2004
Biogen-IDEC — Marketing Organization
- Nov 23, 2004
Biogen-IDEC — NDA Organization
2020s
- Aug 24, 2023
Sandoz — Marketing Organization
Indications
Approved for
Studied for
- Anemia, Sickle Cell · Phase 1
- Arthritis, Rheumatoid · Phase 2
- Colitis, Ulcerative · Phase 3
- Demyelinating Diseases · Phase 2
- Epilepsy · Phase 2
- Graft vs Host Disease · Phase 2
- Ischemic Stroke · Phase 2
- Lymphoma, Large B-Cell, Diffuse · Phase 4
- Multiple Myeloma · Phase 1/Phase 2
- Multiple Sclerosis, Chronic Progressive · Phase 3
- Multiple Sclerosis, Relapsing-Remitting · Phase 4
- Myositis · Phase 1
- Osteoarthritis, Knee · Phase 3
- Osteosarcoma · Phase 1/Phase 2
- Schizophrenia · Phase 1
Mechanism of action
- Integrin alpha-4INHIBITOR
ITGA4 inhibitor
- Integrin alpha-4/beta-7INHIBITOR
Integrin alpha-4/beta-7 inhibitor
Alpha subunit is binding site
- Integrin alpha-4/beta-1INHIBITOR
Integrin alpha-4/beta-1 inhibitor
Alpha subunit is binding site
Approval history
- approvedAcceleratedNov 23, 2004
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaNatalizumab ↗
- NCATS3JB47N2Q2P ↗
- ChEMBLCHEMBL1201607 ↗
Also known as
- an100226m
- antegran
- antegren
- antegren
- antegren
- antegren
- antegren
- anti-alpha4 integrin
- anti-vla4
- natalizumab
- natalizumab
- natalizumab
- natalizumab
- natalizumab
- natalizumab
- natalizumab
- natalizumab
- plavina
- tysabri
- tysabri
- tysabri
- tysabri
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05771155 | Phase 3 | May 31, 2023 | Polpharma |
| NCT05618301 | Phase 1 | Mar 31, 2023 | BioLineRx, Ltd., Washington University in St. Louis |
| NCT05418010 | Phase 2 | Nov 30, 2022 | Barts & The London NHS Trust, Biogen, University of London |
| NCT05532163 | Phase 4 | Nov 1, 2022 | Biogen |
| NCT05177718 | Phase 4 | Sep 16, 2022 | Biogen, Vanderbilt University |
| NCT05265728 | Phase 3 | Apr 26, 2022 | Biogen |
| NCT04427475 | N/A | Jun 8, 2020 | Fudan University |
| NCT04225312 | Phase 4 | Jan 2, 2020 | Free University of Amsterdam, Innovatiefonds Zorgverzekeraars, Stichting MS Research |
| NCT04115488 | Phase 3 | Oct 31, 2019 | Polpharma |
| NCT04048577 | Phase 4 | Sep 1, 2019 | Biogen, Cedars-Sinai Medical Center, Regina Berkovich MD, PhD Inc. |
| NCT03811886 | Phase 1/Phase 2 (Phase 2) | Jul 31, 2019 | Case Western Reserve University |
| NCT03689972 | Phase 3 | Dec 14, 2018 | Biogen |
| NCT03283371 | Phase 2 | Mar 20, 2018 | Biogen |
| NCT03093064 | Phase 1 | Apr 1, 2017 | South London and Maudsley NHS Foundation Trust, University of London |
| NCT03516526 | Phase 4 | Nov 3, 2016 | Erasmus University Rotterdam, Free University of Amsterdam, Rijnstate Hospital, Sanquin, St. Antonius Hospital, Nieuwegein |
| NCT02133924 | Phase 2 | Aug 1, 2016 | Biogen, Icahn School of Medicine at Mount Sinai |
| NCT02730455 | Phase 2 | Jul 18, 2016 | Biogen |
| NCT02769689 | Phase 4 | Apr 1, 2016 | University Clermont Auvergne |
| NCT03046251 | Phase 4 | Aug 1, 2015 | State University of New York, State University of New York, Buffalo |
| NCT02176031 | Phase 2 | Jan 1, 2015 | Biogen, Harvard University |
Organizations
Research & Development (46)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Biogen | For profit | 49 | 41 | 5 | 1998 |
| Elan Pharmaceuticals | For profit | 19 | 0 | 4 | 2001 |
| Free University of Amsterdam | Academic/Hospital | 3 | 2 | 2 | 2001 |
| Polpharma | For profit | 2 | 2 | 1 | 2019 |
| Sheffield Hallam University | Academic/Hospital | 2 | 1 | 1 | 2006 |
| University of London | Academic/Hospital | 2 | 2 | 2 | 2017 |
| Bangkok Drug company | For profit | 1 | 0 | 1 | 2013 |
| Barts & The London NHS Trust | Academic/Hospital | 1 | 0 | 1 | 2022 |
| Biogen-IDEC | For profit | 1 | 0 | 1 | 2003 |
| BioLineRx, Ltd. | For profit | 1 | 0 | 1 | 2023 |
| Case Western Reserve University | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Cedars-Sinai Medical Center | Academic/Hospital | 1 | 0 | 1 | 2019 |
| Cornerstone Health Care, PA | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Erasmus University Rotterdam | Academic/Hospital | 1 | 0 | 1 | 2016 |
| Fudan University | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2015 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Innovatiefonds Zorgverzekeraars | Academic/Hospital | 1 | 0 | 1 | 2020 |
| KhonKaen University | Academic/Hospital | 1 | 1 | 1 | 2013 |
| Northwestern University | Academic/Hospital | 1 | 1 | 1 | 2006 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Biogen-IDEC | For profit | MKTG | Nov 23, 2004 |
| Biogen-IDEC | For profit | NDA | Nov 23, 2004 |
| Sandoz | For profit | MKTG | Aug 24, 2023 |