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Multiple SclerosisMarch 2023Summary reviewed June 2026

A Biosimilar Natalizumab Performed as Well as the Original Drug for MS

Researchers tested whether a biosimilar version of natalizumab (called PB006) works as well as the original drug (Tysabri) for relapsing-remitting multiple sclerosis. After 24 weeks, patients on both versions had nearly identical numbers of new brain lesions and similar side effects.

What the trial was testing

The ANTELOPE enrolled 265 patients with multiple sclerosis. The study was sponsored by Polpharma Biologics S.A. and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

The biosimilar matched the original drug in reducing new brain lesions and was just as safe.

JAMA neurology · 2023 · NCT04115488

These findings — that the biosimilar and original drug caused nearly the same number of new brain lesions — were published in the JAMA neurology and represent the headline result of the study.

Researchers tracked outcomes across 265 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with multiple sclerosis, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

This biosimilar is not yet FDA-approved in the United States, though the original natalizumab (Tysabri) is approved for relapsing forms of MS. If you're on Tysabri or considering natalizumab, talk to your doctor about whether a biosimilar option might become available and what it could mean for your treatment costs.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.