Drugs / natalizumab
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natalizumab

Monoclonal antibody

Developed for
relapsing-remitting multiple sclerosis · multiple sclerosis · Crohn disease · secondary progressive multiple sclerosis · acute graft versus host disease · ischemic stroke · focal epilepsy · inclusion body myositis
+6 more · osteosarcoma · plasma cell myeloma · primary progressive multiple sclerosis · rheumatoid arthritis · schizophrenia · sickle cell disease
Investigated by
Biogen · Elan Pharmaceuticals · Amsterdam UMC, location VUmc · Ayrmid Pharma · Berkovich, Regina MD, PhD Inc. · BioLineRx, Ltd.
+29 more · Case Comprehensive Cancer Center · Cedars-Sinai Medical Center · Copenhagen University Hospital, Hvidovre · Cornerstone Health Care, PA · Dana-Farber Cancer Institute · Erasmus Medical Center · Innovatiefonds Zorgverzekeraars · John Levine · King's College London · OLVG · Phoenix Neurological Associates, LTD · Polpharma Biologics S.A. · Prothya Biosolutions · Rigshospitalet, Denmark · Rijnstate Hospital · Signifikans ApS · South London and Maudsley NHS Foundation Trust · St. Antonius Hospital · State University of New York at Buffalo · Stichting MS Research · Stichting Treatmeds · The Cleveland Clinic · University Hospital, Toulouse · University of Chicago · University of Copenhagen · University of Nottingham · University of South Florida · Vanderbilt University Medical Center · Washington University School of Medicine

Regulatory milestones approvals, filings & regulatory actions · 15 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed autoimmune disease, multisystem, infantile-onset 1 milestone
Filed US (FDA) — autoimmune disease, multisystem, infantile-onset 2022-07-25

“FDA has accepted the first-ever Biologics License Application (BLA) for natalizumab, a proposed biosimilar to Tysabri ® *, filed by their collaboration partner Sandoz.” polpharmabiologics.com ↗

“the US Food and Drug Administration (FDA) has accepted its biologics license application (BLA) for a proposed first-of-a-kind biosimilar natalizumab” novartis.com ↗

Filed relapsing-remitting multiple sclerosis 3 milestones
Filed US (FDA) — relapsing-remitting multiple sclerosis 2022-07-25

“FDA und EMA haben einen ergänzenden Zulassungsantrag (supplemental Biologics License Application, sBLA) bzw. Marktzulassungsantrag (Marketing Authorization Application, MAA)...” novartis.com ↗

“the US Food and Drug Administration (FDA) has accepted its biologics license application (BLA) for a proposed first-of-a-kind biosimilar natalizumab” sandoz.com ↗

“Biosimilar natalizumab FDA and EMA accepted sBLA/MAA for proposed first-of-a-kind multiple sclerosis biosimilar natalizumab.” novartis.com ↗

“La FDA et l’EMA ont accepté la demande de licence supplémentaire d’un biologique (sBLA/MAA) pour natalizumab” novartis.com ↗

Filed EU (EMA) — relapsing-remitting multiple sclerosis 2022-07-14

“FDA und EMA haben einen ergänzenden Zulassungsantrag (supplemental Biologics License Application, sBLA) bzw. Marktzulassungsantrag (Marketing Authorization Application, MAA)...” novartis.com ↗

“The European Medicines Agency (EMA) also accepted the marketing authorization application (MAA) for this proposed biosimilar natalizumab, as announced on July 15” novartis.com ↗

“The European Medicines Agency (EMA) also accepted the marketing authorization application (MAA) for this proposed biosimilar natalizumab, as announced on July 15” sandoz.com ↗

“A Marketing Approval Application (MAA) for the proposed biosimilar natalizumab was also accepted by the European Medicines Agency (EMA) on 14 July 2022.” polpharmabiologics.com ↗

“Biosimilar natalizumab FDA and EMA accepted sBLA/MAA for proposed first-of-a-kind multiple sclerosis biosimilar natalizumab.” novartis.com ↗

“Europejska Agencja Leków (European Medicines Agency – EMA) przyjęła wniosek (Marketing Authorization Application – MAA)” polpharmabiologics.com ↗

“La FDA et l’EMA ont accepté la demande de licence supplémentaire d’un biologique (sBLA/MAA) pour natalizumab” novartis.com ↗

Filed UK (MHRA) — relapsing-remitting multiple sclerosis —

“a separate application for the use of biosimilar natalizumab in RRMS has been made to the Medicines and Healthcare Products Regulatory Agency (MHRA)” polpharmabiologics.com ↗

Approved Indication not stated 7 milestones
Label expansions (5) US (FDA) TYSABRI — 2006-06-05 – 2013-12-15 fda.gov ↗
Filed EU (EMA) TYSABRI — 2010-12-22

“We’ve filed with U.S. and European regulators seeking approval to update the TYSABRI label with information about JCV antibody status” biogen.com ↗

Filed US (FDA) TYSABRI — 2010-12-22

“We’ve filed with U.S. and European regulators seeking approval to update the TYSABRI label with information about JCV antibody status” biogen.com ↗

“The sBLA was submitted in December 2010 to update the Prescribing Information for TYSABRI” biogen.com ↗

Refused (EMA) EU (EMA) Natalizumab Elan Pharma — 2008-01-11 europa.eu ↗
Approved EU (EMA) Tysabri — 2006-06-27 europa.eu ↗
Approved US (FDA) TYSABRI — 2004-11-23 fda.gov ↗
Filed Japan (PMDA) TYSABRI — —

“Biogen Idec submitted a Biologics License Application (BLA) for the marketing approval of TYSABRI with the Pharmaceuticals and Medical Devices Agency (PMDA) in Japan.” biogen.com ↗

Trials 56

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT00424788 Jan → Oct 2007 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 15 trials
Phase 1 NCT05618301 Jul 2023 → Jun 2025 sickle cell disease Washington University School of Medicine Completed No outcome recorded
Phase 1 NCT03093064 Apr 2017 → Jun 2023 schizophrenia King's College London Completed No outcome recorded
Phase 1 NCT01884935 Jul 2013 → Sep 2014 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 1 NCT02483845 May 2013 → Nov 2017 inclusion body myositis Phoenix Neurological Associates, LTD Unknown No outcome recorded
Phase 1 NCT00559702 Oct 2007 → Nov 2011 relapsing-remitting multiple sclerosis, secondary progressive multiple sclerosis Biogen Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT03811886 Dec 2024 → Dec 2025 osteosarcoma Case Comprehensive Cancer Center Withdrawn No outcome recorded Stop: Enrollment
Phase 1/2 NCT00675428 Sep 2008 → Dec 2009 plasma cell myeloma Biogen Terminated No outcome recorded Stop: Enrollment
Phase 214 trials · 4 missed
Phase 2 NCT03283371 Mar 2018 → Jan 2020 focal epilepsy Biogen Completed Missed primary
Phase 2 NCT02133924 Aug 2016 → Dec 2020 acute graft versus host disease John Levine Completed Missed primary
Phase 2 NCT02730455 Jul 2016 → Nov 2017 ischemic stroke Biogen Completed Missed primary
Phase 2 NCT02176031 Jan 2015 → Feb 2019 acute graft versus host disease Dana-Farber Cancer Institute Completed No outcome recorded
Phase 2 NCT02142192 Dec 2014 → Jun 2015 multiple sclerosis Biogen Terminated No outcome recorded
Phase 2 NCT01955707 Jan 2014 → Feb 2015 ischemic stroke Biogen Completed Missed primary
Phase 2 NCT01405820 Aug 2011 → Apr 2014 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 2 NCT01416155 Oct 2010 → Dec 2014 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 2 NCT01077466 Mar 2010 → Jan 2012 primary progressive multiple sclerosis, secondary progressive multiple sclerosis Rigshospitalet, Denmark Completed No outcome recorded
Phase 2 NCT00516893 Oct 2006 → Oct 2007 multiple sclerosis Biogen Completed No outcome recorded
Phase 2/31 trial · 1 met primary
Phase 2/3 NCT01440101 Nov 2010 → Aug 2012 multiple sclerosis Biogen Completed Met primary
Phase 313 trials · 4 met primary · 3 missed
Phase 3 NCT05265728 Apr 2022 → Jan 2024 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded Stop: Business
Phase 3 NCT04115488 Oct 2019 → Aug 2021 relapsing-remitting multiple sclerosis Polpharma Biologics S.A. Completed Met primary
Phase 3 NCT03689972 Nov 2018 → Jan 2023 relapsing-remitting multiple sclerosis Biogen Completed Missed primary
Phase 3 NCT01416181 Sep 2011 → Jul 2015 secondary progressive multiple sclerosis Biogen Terminated Missed primary
Phase 3 NCT01058005 Mar 2010 → Apr 2012 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT00306592 Mar 2006 → Dec 2007 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 3 NCT00297232 Mar 2006 → Apr 2014 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded
Phase 3 NCT00078611 Mar 2004 → Mar 2005 Crohn disease Biogen Completed No outcome recorded
Phase 3 NCT00276172 Dec 2003 → Oct 2005 multiple sclerosis Biogen Completed No outcome recorded
Phase 3 NCT00032786 Mar 2002 → Mar 2004 Crohn disease Biogen Completed Missed primary
Phase 418 trials · 1 met primary
Phase 4 NCT05532163 Jan → Oct 2023 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded
Phase 4 NCT05177718 Sep 2022 → Apr 2023 multiple sclerosis Vanderbilt University Medical Center Terminated No outcome recorded
Phase 4 NCT04225312 Feb 2020 → Mar 2025 relapsing-remitting multiple sclerosis Amsterdam UMC, location VUmc Unknown Met primary
Phase 4 NCT04048577 Jul 2019 → Nov 2021 relapsing-remitting multiple sclerosis Berkovich, Regina MD, PhD Inc. Unknown No outcome recorded
Phase 4 NCT03535298 Jan 2019 → Jul 2027 expected relapsing-remitting multiple sclerosis The Cleveland Clinic Active not recruiting No outcome recorded
Phase 4 NCT03516526 Nov 2016 → Jun 2019 multiple sclerosis Amsterdam UMC, location VUmc Completed No outcome recorded
Phase 4 NCT03046251 Aug 2015 → Dec 2023 multiple sclerosis State University of New York at Buffalo Completed No outcome recorded
Phase 4 NCT02342704 Nov 2014 → May 2016 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded Stop: Business
Phase 4 NCT02241785 Sep 2014 → May 2016 multiple sclerosis Biogen Terminated No outcome recorded Stop: Business
Phase 4 NCT02142205 May 2012 → Dec 2013 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase not applicable2 trials
— NCT01455220 Jan 2011 → Oct 2014 multiple sclerosis University of South Florida Completed No outcome recorded
— NCT01071512 Apr 2010 → Jan 2016 multiple sclerosis University of Chicago Completed No outcome recorded
Comparator or background therapy8 trials
Phase 2 NCT05418010 Comparator Dec 2022 → Oct 2027 expected multiple sclerosis Queen Mary University of London Recruiting No outcome recorded
Phase 2 NCT01071083 Comparator Mar 2010 → Nov 2011 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 2 NCT00273364 Comparator Nov 2005 → Jan 2017 multiple sclerosis Northwestern University Completed No outcome recorded
Phase 2 NCT00083759 Comparator May 2004 → Feb 2005 rheumatoid arthritis Biogen Terminated No outcome recorded
Phase 3 NCT04047628 Background Aug 2020 → Oct 2026 expected relapsing-remitting multiple sclerosis, secondary progressive multiple sclerosis National Institute of Allergy and Infectious Diseases (NIAID) Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 69

DateIssuerRelease
2025-11-24 BioLineRx, Ltd. Results BioLineRx Reports Third Quarter 2025 Financial Results and Provides Corporate Update biolinerx.com ↗
The 10-subject proof-of-concept study, which was conducted in collaboration with Washington University School of Medicine, demonstrated that motixafortide alone, and in combination with natalizumab, were found to be safe and well- tolerated.
2024-11-25 BioLineRx, Ltd. Results BioLineRx Reports Third Quarter 2024 Financial Results and Provides Update on Transformation to Drive Shareholder Value biolinerx.com ↗
2024-11-05 BioLineRx, Ltd. Results BioLineRx Announces Oral Presentation on Data from Phase 1 Clinical Trial Evaluating Motixafortide for CD34+ Hematopoietic Stem Cell Mobilization for Gene Therapies in Sickle Cell Disease at ASH 2024 biolinerx.com ↗
Findings suggest motixafortide alone, and in combination with natalizumab, could support the collection of the large number of stem cells required by gene therapies for sickle cell disease within a single apheresis cycle
2023-09-26 Sandoz Regulatory Sandoz receives European Commission approval for Tyruko® (natalizumab), first and only biosimilar for multiple sclerosis in Europe sandoz.com ↗
Sandoz, a global leader in generic and biosimilar medicines, today announced that the European Commission (EC) granted marketing authorization for the first and only biosimilar Tyruko® (natalizumab), developed by Polpharma Biologics.
2023-09-26 Novartis Pharmaceuticals Regulatory Sandoz receives European Commission approval for Tyruko® (natalizumab), first and only biosimilar for multiple sclerosis in Europe novartis.com ↗
Sandoz, a global leader in generic and biosimilar medicines, today announced that the European Commission (EC) granted marketing authorization for the first and only biosimilar Tyruko ® (natalizumab), developed by Polpharma Biologics.
2023-09-26 Polpharma Biologics S.A. Regulatory Polpharma Biologics announces approval of Europe’s first and only biosimilar for multiple sclerosis – Tyruko® (natalizumab) polpharmabiologics.com ↗
Polpharma Biologics, an international biotech company dedicated to the development and manufacturing of biosimilars, today announced that the European Commission (EC) has approved Tyruko ® (natalizumab) as the first and only biosimilar for relapsing forms of multiple sclerosis (MS) in Europe.
2023-08-28 Polpharma Biologics S.A. Regulatory Polpharma Biologics announces FDA approval of Tyruko® – first and only approved biosimilar to Tysabri®* for relapsing forms of multiple sclerosis polpharmabiologics.com ↗
Polpharma Biologics, an international biotech company dedicated to the development and manufacture of biosimilars, announced today that the U.S. Food and Drug Administration (FDA) is the first regulatory body worldwide to approve the use of Tyruko ® (natalizumab-sztn) – a new biosimilar for the treatment of relapsing forms of multiple sclerosis (MS).
2023-08-25 Sandoz Regulatory Sandoz receives FDA approval for Tyruko® (natalizumab-sztn), first and only FDA-approved biosimilar for relapsing forms of multiple sclerosis sandoz.com ↗
Sandoz, a global leader in generic and biosimilar medicines, today announced that the US Food and Drug Administration (FDA) has approved its biosimilar Tyruko® (natalizumab-sztn), developed by Polpharma Biologics.
2023-08-25 Novartis Pharmaceuticals Regulatory Sandoz receives FDA approval for Tyruko® (natalizumab-sztn), first and only FDA-approved biosimilar for relapsing forms of multiple sclerosis novartis.com ↗
Tyruko is approved to treat all indications covered by the reference medicine and is the first and only FDA-approved biosimilar for relapsing forms of multiple sclerosis (MS).
2023-07-24 Sandoz Regulatory Sandoz receives positive CHMP opinion for multiple sclerosis biosimilar natalizumab sandoz.com ↗
2023-07-24 Novartis Pharmaceuticals Regulatory Sandoz receives positive CHMP opinion for multiple sclerosis biosimilar natalizumab novartis.com ↗
2023-07-24 Polpharma Biologics S.A. Regulatory Polpharma Biologics announces first-of-a-kind multiple sclerosis biosimilar natalizumab receives positive CHMP opinion polpharmabiologics.com ↗
Polpharma Biologics, an international biotech company dedicated to the development and manufacturing of biosimilars, today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA), adopted a positive opinion regarding granting marketing authorization for natalizumab – a first-of-a-kind biosimilar for the treatment of multiple sclerosis.

All press releases naming this drug 88 releases

DateIssuerRelease

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 69 sources stand behind the page.

FieldValueCited text
Known as Natalizumab “Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer...” NCT00273364 ↗
61

“Natalizumab (Tyruko®) is a medication currently approved by the Medicines and Healthcare products Regulatory Agency (MHRA) as a disease-modifying treatment for adults with...” NCT05418010 ↗

“Natalizumab (TYSABRI®) or Interferon beta-1a (AVONEX®) treatments initiated at the time of acute optic neuritis (AON)” NCT00771043 ↗

“natalizumab (Tysabri®)” NCT04047628 ↗

“BG00002 (natalizumab)” NCT02142205 ↗

“Tysabri (natalizumab)” NCT03535298 ↗

NCT00030966 ↗

NCT03046251 ↗

NCT00424788 ↗

NCT03516526 ↗

NCT01071083 ↗

Show 51 more sources

Known as Antegren “A Phase II, International, Multicenter, Open Label Study of the Safety, Tolerability and Effectiveness of Three Intravenous Infusions of Antegren (Natalizumab) in Adolescents...” NCT00055367 ↗
4

“A Phase 3 International, Multicenter, Double-blind, Placebo-controlled Study of the Safety, Efficacy, and Tolerability of Intravenous Antegren (Natalizumab) in Subjects With...” NCT00032799 ↗

“Intravenous Antegren (Natalizumab) in Crohn's Disease Subjects” NCT00055536 ↗

“Intravenous Antegren(TM) (Natalizumab)” NCT00078611 ↗

“Intravenous Antegren (Natalizumab)” NCT00032786 ↗

Known as BG00002 “The primary objective of the study is to determine the efficacy of natalizumab (Tysabri, BG00002) in participants with relapsing forms of multiple sclerosis (MS) who have...” NCT02241785 ↗
7

“Biological: BG00002 (natalizumab)” NCT00306592 ↗

“Drug: BG00002 (natalizumab)” NCT00675428 ↗

“Natalizumab (BG00002)” NCT01440101 ↗

“BG00002 (natalizumab)” NCT01058005 ↗

“BG00002 (natalizumab)” NCT00871780 ↗

“BG00002 (natalizumab)” NCT00536120 ↗

“BG00002 (natalizumab)” NCT02142205 ↗

Known as NAT “Leukocyte sequestration is an established therapeutic concept in multiple sclerosis (MS) as represented by the trafficking drugs natalizumab (NAT) and fingolimod (FTY).” PMID 30050529 ↗ Jul 2018
Known as natalizumab (Tysabri) “natalizumab (Tysabri®)” NCT04047628 ↗
Known as NTZ “Natalizumab (NTZ) a current treatment for MS can be used as a second line therapy” NCT00942214 ↗
2

“Natalizumab (NTZ) is a highly effective therapy for multiple sclerosis (MS)” PMID 40988462 ↗ Sep 2025

“Drug: natalizumab (NTZ)” NCT02769689 ↗

Known as Tyruko “Natalizumab (Tyruko®) is a medication currently approved by the Medicines and Healthcare products Regulatory Agency (MHRA) as a disease-modifying treatment for adults with...” NCT05418010 ↗
Known as TYSABRI “The primary objective of the study is to determine the efficacy of natalizumab (Tysabri, BG00002) in participants with relapsing forms of multiple sclerosis (MS) who have...” NCT02241785 ↗
10

“Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer...” NCT00273364 ↗

“In part 2, participants received natalizumab (Tysabri®) 300 mg via IV infusion Q6W for 36 weeks and then were randomized to 48 weeks of crossover treatment (24 weeks SC Q6W and...” PMID 39046635 ↗ Jul 2024

“All eligible patients will be randomly assigned to one of two treatment groups in a 1:1 ratio, to receive a total of twelve intravenous (IV) infusion of either PB006 or Tysabri...” NCT04115488 ↗

“Natalizumab (TYSABRI) is a protein-based drug that is manufactured by Biogen Idec in partnership with Elan Pharmaceuticals.” NCT00424788 ↗

“Natalizumab (Tysabri) therapy” NCT01591551 ↗

“Tysabri ® (Natalizumab)” NCT01455220 ↗

“TYSABRI® (natalizumab)” NCT00801125 ↗

“Tysabri® (natalizumab)” NCT00536120 ↗

NCT01071512 ↗

NCT00771043 ↗

Known as Tysabri (natalizumab) “Tysabri (natalizumab)” NCT03535298 ↗
Action Inhibit “Natalizumab is the first alpha4 integrin antagonist in a new class of selective adhesion-molecule inhibitors.” PMID 16510744 ↗ Mar 2006
Modality Monoclonal antibody “Natalizumab, a humanized monoclonal antibody against alpha4 integrin” PMID 16267322 ↗ Nov 2005
Route Intravenous “Natalizumab 300 mg IV infusion” NCT00027300 ↗