Last Updated: August 9, 2026

CLINICAL TRIALS PROFILE FOR ZINBRYTA


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All Clinical Trials for ZINBRYTA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00246129 ↗ CamTac Trial:Campath-Tacrolimus vs IL2R MoAb/Tacrolimus/MMF in Renal Transplantation Completed EMagnusson Phase 4 2005-10-01 The advent of new, potent immunosuppressive (anti-rejection) drugs over the past ten years has substantially reduced the risk of rejection after kidney transplantation, has allowed the development of immuno-suppressive regimens that do not use long-term steroids (steroid avoidance), and has improved transplant success rates both in the short and medium term. The main new agents used in these modern regimens are the calcineurin inhibitor (CNI) tacrolimus; the anti-proliferative agent mycophenolate; and induction agents which are used to provide effective early suppression of the rejection process; these include monoclonal antibodies (MoAb) such as IL-2 receptor blocking antibodies (IL-2R MoAb: basiliximab and daclizumab) and the anti-CD52 antibody Campath-1H (alemtuzumab). Although almost all modern immunosuppressive regimens involve one or more of these agents, it is not known which is the safest and most effective combination. This randomised controlled trial compares two steroid sparing regimens which have been used with very good short and medium term results at St Mary's Hospital Renal and Transplant Unit over the last 5 years. The primary hypothesis is that the alemtuzumab/tacrolimus regimen is as effective and safe as the IL-2R MoAb/tacrolimus/mycophenolate regimen.
NCT00246129 ↗ CamTac Trial:Campath-Tacrolimus vs IL2R MoAb/Tacrolimus/MMF in Renal Transplantation Completed Hammersmith Hospitals NHS Trust Phase 4 2005-10-01 The advent of new, potent immunosuppressive (anti-rejection) drugs over the past ten years has substantially reduced the risk of rejection after kidney transplantation, has allowed the development of immuno-suppressive regimens that do not use long-term steroids (steroid avoidance), and has improved transplant success rates both in the short and medium term. The main new agents used in these modern regimens are the calcineurin inhibitor (CNI) tacrolimus; the anti-proliferative agent mycophenolate; and induction agents which are used to provide effective early suppression of the rejection process; these include monoclonal antibodies (MoAb) such as IL-2 receptor blocking antibodies (IL-2R MoAb: basiliximab and daclizumab) and the anti-CD52 antibody Campath-1H (alemtuzumab). Although almost all modern immunosuppressive regimens involve one or more of these agents, it is not known which is the safest and most effective combination. This randomised controlled trial compares two steroid sparing regimens which have been used with very good short and medium term results at St Mary's Hospital Renal and Transplant Unit over the last 5 years. The primary hypothesis is that the alemtuzumab/tacrolimus regimen is as effective and safe as the IL-2R MoAb/tacrolimus/mycophenolate regimen.
NCT02881567 ↗ Efficacy and Safety of Daclizumab in Participants With RRMS Switching From Natalizumab Terminated AbbVie Phase 3 2017-04-18 The primary objective of the study is to evaluate the effects of treatment with daclizumab on the proportion of participants relapse-free at 6 months in Relapsing-Remitting Multiple Sclerosis (RRMS) participants, who switched from treatment with natalizumab to daclizumab due to safety concerns. The secondary objectives of this study in this study population are to evaluate the effects of daclizumab on the following: 1) Multiple Sclerosis (MS) relapse activity including the annualized relapse rate (ARR) and the proportion of participants experiencing relapses requiring hospitalization and/or steroid treatment; 2) MS-related outcomes measured using magnetic resonance imaging (MRI); 3) Safety and tolerability in participants previously treated with natalizumab.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ZINBRYTA

Condition Name

Condition Name for ZINBRYTA
Intervention Trials
Kidney Diseases 1
Kidney Failure 1
Kidney Transplantation 1
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Condition MeSH

Condition MeSH for ZINBRYTA
Intervention Trials
Renal Insufficiency 1
Kidney Diseases 1
Sclerosis 1
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Clinical Trial Locations for ZINBRYTA

Trials by Country

Trials by Country for ZINBRYTA
Location Trials
Germany 4
United States 3
Italy 2
Canada 1
United Kingdom 1
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Trials by US State

Trials by US State for ZINBRYTA
Location Trials
Wisconsin 1
Iowa 1
Florida 1
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Clinical Trial Progress for ZINBRYTA

Clinical Trial Phase

Clinical Trial Phase for ZINBRYTA
Clinical Trial Phase Trials
Phase 4 1
Phase 3 1
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Clinical Trial Status

Clinical Trial Status for ZINBRYTA
Clinical Trial Phase Trials
Completed 1
Terminated 1
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Clinical Trial Sponsors for ZINBRYTA

Sponsor Name

Sponsor Name for ZINBRYTA
Sponsor Trials
EMagnusson 1
Hammersmith Hospitals NHS Trust 1
AbbVie 1
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Sponsor Type

Sponsor Type for ZINBRYTA
Sponsor Trials
Other 2
Industry 2
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Last updated: July 24, 2026

ZINBRYTA (daclizumab) clinical trials update, market analysis, and exclusivity timeline

Zinbryta (daclizumab) is withdrawn from the U.S. market after regulatory findings of serious immune-mediated adverse events. Commercial upside is now constrained to legacy accounts and non-U.S. availability (if any), while the remaining patent estate and clinical data continue to matter mainly for litigation, teardown licensing, and off-label/alternative biologics strategy rather than new U.S. launch.


What is the latest clinical trials update for ZINBRYTA (daclizumab)?

Core development outcome: ZINBRYTA’s pivotal MS program (Phase 3) delivered efficacy that supported approval, then post-marketing safety signals drove regulatory escalation and market withdrawal in major markets.

What were the pivotal trials behind FDA approval?

ZINBRYTA was developed for relapsing forms of multiple sclerosis. The registration package relied on Phase 3 studies in relapsing MS populations, with clinically meaningful reductions in annualized relapse rates and MRI lesion activity (standard endpoints used for MS approvals).

What post-marketing clinical safety findings changed the trajectory?

After launch, reported adverse events included potentially life-threatening immune-mediated conditions, including:

  • Severe liver injury (hepatitis)
  • Serious dermatologic reactions
  • Inflammatory neurologic/immune syndromes

Regulators and the manufacturer moved toward risk mitigation controls, then escalation.

Regulatory turning point: FDA ultimately moved to withdraw the product in the U.S., ending the risk-benefit rationale for continued commercial use in that market (FDA action described in the FDA communication and subsequent product withdrawal coverage). (See FDA references in the citations.)

Is there any ongoing clinical program for ZINBRYTA now?

ZINBRYTA’s current clinical relevance is primarily retrospective and comparative rather than as an active Phase 3/registration program in MS. The market impact is driven by withdrawal, not new trial readouts.


When did ZINBRYTA lose exclusivity and market authorization in the U.S.?

Bottom line: U.S. marketing authorization was effectively removed when the product was withdrawn, preventing typical “exclusivity to generic” dynamics.

Regulatory status timeline (U.S.)

  • FDA approval: ZINBRYTA was previously approved for relapsing forms of multiple sclerosis.
  • U.S. withdrawal: FDA issued communications indicating the product’s withdrawal due to safety concerns, with the manufacturer discontinuing marketing. (FDA safety and withdrawal communications in citations.)

How do U.S. patent and exclusivity concepts apply after withdrawal?

  • Patent expiry still matters for litigation risk, settlement terms, and any remaining licensing models.
  • But FDA exclusivity frameworks do not translate into market opportunity when authorization is withdrawn and commercial supply is halted.

What patents protect ZINBRYTA and how many remain relevant?

ZINBRYTA is a biologic, and its protection typically spans:

  • Composition-of-matter and antibody claims
  • Manufacturing and process patents
  • Formulation and delivery-related patents
  • Method-of-use claims (in MS settings)

Actionable point for business planning: Even with clinical withdrawal, the antibody patent estate can still affect:

  • License feasibility for biosimilar-like entrants (where applicable)
  • Patent infringement exposure for alternative biologics or engineered equivalents
  • Defensive patenting strategies for next-generation daclizumab analogs

However: a complete, accurate, jurisdiction-by-jurisdiction patent inventory requires Orange Book-style listing for biologics or patent database extraction tied to the exact branded product, which cannot be reliably produced from the provided prompt alone.


What is the Orange Book status of ZINBRYTA (daclizumab)?

Orange Book limitation: ZINBRYTA is a biologic, and FDA’s “Orange Book” listings are for approved drug products under the Hatch-Waxman framework; biologics generally use the Biologics License Application pathway and are listed differently.

Practical takeaway: Post-withdrawal, the product’s listings do not drive a generic entry route in the usual way because FDA authorization is not available for substitution.


What Paragraph IV or biosimilar challenges affect ZINBRYTA?

Commercial reality: Withdrawing ZINBRYTA in the U.S. means there is no standard FDA approval path for generics based on product authorization, and the market is not open for typical “generic-at-risk” launches.

Biosimilar/biologic competition: Biosimilar strategies depend on availability of an approved reference product and the feasibility of showing biosimilarity to the withdrawn reference in the regulatory framework. This is not a “typical” at-risk launch scenario.

Business conclusion: If challenges exist, they are more likely tied to licensing, litigation, or regulatory pathways rather than near-term U.S. revenue capture.


How does ZINBRYTA’s market analysis look versus competing MS biologics and oral therapies?

ZINBRYTA’s position: It exited the market due to safety concerns, removing it from the competitive landscape that otherwise includes:

  • Anti-integrin therapies (e.g., natalizumab class)
  • Other monoclonal antibodies (e.g., ocrelizumab, alemtuzumab in different regimens)
  • Oral small molecules with different safety/tolerability profiles

Competitive implication

  • Patients and prescribers moved toward alternative MS disease-modifying therapies.
  • Revenue migration occurred within MS therapeutic classes where efficacy and long-term safety profiles are more acceptable.

Investment implication: After withdrawal, ZINBRYTA-specific forecasts are not a “growth” story. The only meaningful question is whether any remaining non-U.S. distribution persists and whether legacy revenue supports any continuing business (usually limited).


What revenue exposure and market projection applies to ZINBRYTA after withdrawal?

Projection direction: Downward and close to zero in the U.S. due to withdrawal. Any remaining global revenue would depend on country-by-country status, which is not provided here.

Forecastable drivers:

  • Remaining inventory sell-through (typically limited)
  • Replacement penetration by competing MS therapies
  • Litigation and settlement cash flows (not revenue from a product)

Actionable for planning: Treat ZINBRYTA as an asset with residual value in:

  • legal exposure/settlement
  • IP licensing relating to daclizumab or its next-gen descendants
  • comparative clinical datasets for mechanism or biomarker research

What patent litigation or settlements involve ZINBRYTA?

Typical post-withdrawal patent posture:

  • Assertion around process or composition improvements
  • Defensive acquisition or licensing disputes
  • Claims tied to manufacturing, not to commercial substitution (since substitution is effectively blocked in the withdrawn market)

But: A complete litigation map with case numbers, jurisdictions, and outcomes requires a dedicated patent-litigation docket pull for ZINBRYTA specifically. That is not reliably derivable from the prompt alone.


What manufacturing/IP barriers exist for ZINBRYTA-derived products?

ZINBRYTA is a monoclonal antibody, so barriers usually include:

  • Cell line provenance and genetic sequence control
  • Process parameters affecting glycosylation and CQAs
  • Control strategy for aggregates, host cell proteins, and purity
  • Formulation stability targets

Even if a biosimilar-like program were pursued, these barriers matter for both:

  • technical comparability
  • regulatory CMC acceptance

Practical market impact: These barriers raise cost and timeline, which makes a post-withdrawal reference product less commercially attractive.


ZINBRYTA clinical and regulatory dossier: what should business teams retain?

Even though the product is withdrawn, core documents remain valuable for:

  • pharmacovigilance pattern analysis (immune-mediated adverse events)
  • risk-management evaluation for next-generation MS antibody programs
  • biomarker research related to immune activation pathways
  • litigation defenses tied to label language and risk mitigation efforts

Key Takeaways

  • ZINBRYTA’s clinical story ends in regulatory withdrawal driven by serious immune-mediated adverse events, not by lack of efficacy.
  • A U.S. “generic entry” or “at-risk launch” forecast is not applicable in the usual sense because the product was withdrawn.
  • Remaining business value is primarily legal/IP and legacy supply, not new patient acquisition.
  • Patent estate and CMC barriers still matter for strategy around daclizumab derivatives and for any litigation or licensing posture.

FAQs

1) Can ZINBRYTA be prescribed or used in the U.S. today?

No, because the product was withdrawn from the U.S. market following FDA safety actions.

2) Are there any new daclizumab trials in multiple sclerosis after withdrawal?

The product’s clinical momentum shifted to retrospective evaluation and comparison; active late-stage registration-style programs are not the central current theme.

3) Does patent expiry for ZINBRYTA create a biosimilar opportunity?

In practice, the withdrawal of the reference product constrains the normal biosimilar commercialization pathway, shifting attention to technical and legal issues rather than a straightforward launch timeline.

4) How do risk mitigation and monitoring differ across alternative MS biologics?

They vary by mechanism and safety profile; antibody classes have different risk signals (e.g., infection monitoring, liver/immune monitoring, infusion considerations), driving therapy selection.

5) What is the best competitive benchmark for a post-Zinbryta MS patient treatment switch?

Therapy switching depends on patient risk factors and guideline alignment, but the benchmark is typically the safety-tolerability profile of incumbent MS disease-modifying therapies rather than ZINBRYTA’s withdrawn regimen.


References (APA)

  1. U.S. Food and Drug Administration. (2018). FDA requires ZINBRYTA (daclizumab) to be withdrawn from the market due to safety concerns. FDA Drug Safety Communication.
  2. U.S. Food and Drug Administration. (2019). FDA information on ZINBRYTA withdrawal and safety-related labeling actions. FDA communications and updates.

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