Drugs / natalizumab
last change Dec 2025 re-read 2 minutes ago

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 · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (5) US (FDA) TYSABRI 2006-06-05 – 2013-12-15 fda.gov
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

Trials 56 · a red edge is where a trial was stopped

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
Phase 1/2 NCT00675428 Sep 2008 → Dec 2009 plasma cell myeloma Biogen Terminated No outcome recorded
Phase 214 trials
Phase 2 NCT03283371 Mar 2018 → Jan 2020 focal epilepsy Biogen Completed No outcome recorded
Phase 2 NCT02133924 Aug 2016 → Dec 2020 acute graft versus host disease John Levine Completed No outcome recorded
Phase 2 NCT02730455 Jul 2016 → Nov 2017 ischemic stroke Biogen Completed No outcome recorded
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 No outcome recorded
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
Phase 2/3 NCT01440101 Nov 2010 → Aug 2012 multiple sclerosis Biogen Completed No outcome recorded
Phase 313 trials
Phase 3 NCT05265728 Apr 2022 → Jan 2024 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded
Phase 3 NCT04115488 Oct 2019 → Aug 2021 relapsing-remitting multiple sclerosis Polpharma Biologics S.A. Completed No outcome recorded
Phase 3 NCT03689972 Nov 2018 → Jan 2023 relapsing-remitting multiple sclerosis Biogen Completed No outcome recorded
Phase 3 NCT01416181 Sep 2011 → Jul 2015 secondary progressive multiple sclerosis Biogen Terminated No outcome recorded
Phase 3 NCT01058005 Mar 2010 → Apr 2012 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded
Phase 3 NCT00297232 Mar 2006 → Apr 2014 relapsing-remitting multiple sclerosis Biogen Terminated No outcome recorded
Phase 3 NCT00306592 Mar 2006 → Dec 2007 relapsing-remitting multiple sclerosis Biogen Completed 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 No outcome recorded
Phase 418 trials
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 No outcome recorded
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
Phase 4 NCT02241785 Sep 2014 → May 2016 multiple sclerosis Biogen Terminated No outcome recorded
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
Also used as a comparator or background therapy in 8 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 24 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 31 trial
Phase 3 NCT04047628 Background Dec 2019 → Oct 2026 expected relapsing-remitting multiple sclerosis, secondary progressive multiple sclerosis National Institute of Allergy and Infectious Diseases (NIAID) Recruiting No outcome recorded
Phase 43 trials
Phase 4 NCT02769689 Background Jun 2019 → Jun 2024 multiple sclerosis University Hospital, Clermont-Ferrand Unknown No outcome recorded
Phase 4 NCT02325440 Background Mar 2014 → Apr 2016 relapsing-remitting multiple sclerosis University Hospital Muenster Unknown No outcome recorded
Phase 4 NCT01144052 Comparator Jun 2010 → Nov 2011 relapsing-remitting multiple sclerosis Claudio Gobbi Completed No outcome recorded

Press releases naming this drug 5 releases

DateIssuerRelease
2023-09-26 Novartis Pharmaceuticals Sandoz receives European Commission approval for Tyruko® (natalizumab), first and only biosimilar for multiple sclerosis in Europe novartis.com
2023-08-25 Novartis Pharmaceuticals Sandoz receives FDA approval for Tyruko® (natalizumab-sztn), first and only FDA-approved biosimilar for relapsing forms of multiple sclerosis novartis.com
2023-07-24 Novartis Pharmaceuticals Sandoz receives positive CHMP opinion for multiple sclerosis biosimilar natalizumab novartis.com
2022-07-25 Novartis Pharmaceuticals Applications for proposed first-of-a-kind multiple sclerosis biosimilar natalizumab accepted by US FDA and EMA novartis.com
2019-09-03 Novartis Pharmaceuticals Sandoz announces global deal to commercialize proposed biosimilar natalizumab, a key multiple sclerosis medicine novartis.com

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

“Tysabri (natalizumab)” NCT03535298

“BG00002 (natalizumab)” NCT02142205

NCT05177718

NCT01144052

NCT02730455

NCT02176031

NCT00280956

NCT00306592

NCT00942214

NCT04048577

NCT02241785

NCT01058005

NCT02342704

NCT01071083

NCT00516893

NCT03093064

NCT02142192

NCT00744679

NCT01591551

NCT02483845

NCT05618301

NCT05532163

NCT00675428

NCT03046251

NCT02769689

NCT00559702

NCT00276172

NCT01884935

NCT03283371

NCT01440101

NCT01405820

NCT00871780

NCT00097760

NCT00801125

NCT00083759

NCT00032799

NCT03689972

NCT00032786

NCT01955707

NCT00297232

NCT00424788

NCT02325440

NCT04225312

NCT00027300

NCT00030966

NCT01077466

NCT01416155

NCT03811886

NCT00536120

NCT00055367

NCT00055536

NCT01416181

NCT01455220

NCT00831649

NCT05265728

NCT02133924

NCT00078611

NCT03516526

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

BG00002 (natalizumab)” NCT00871780

“Natalizumab (BG00002)” NCT01440101

BG00002 (natalizumab)” NCT01058005

BG00002 (natalizumab)” NCT02142205

BG00002 (natalizumab)” NCT00536120

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