Efficacy and Safety of FTY720 in Patients With Relapsing Multiple Sclerosis

NCT ID: NCT00333138

Last Updated: 2017-09-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

281 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-05-31

Study Completion Date

2011-04-30

Brief Summary

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This study evaluated the safety, tolerability and effect on MRI lesion parameters of FTY720 in patients with relapsing multiple sclerosis.

Detailed Description

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Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Fingolimod (FTY720) 1.25 mg/day

Core study: patients received fingolimod 1.25 mg, once daily for 6 months. Extension: In dose -blind period and open label, fingolimod 1.25 mg once daily for 9-18 months (6 months to 24 months). Later, all patients converted to fingolimod 0.5 mg, once daily for rest of the study participation.

Group Type EXPERIMENTAL

FTY720

Intervention Type DRUG

FTY720 capsule was taken orally once a day

Placebo/Fingolimod (FTY720)

Core study: patients received placebo, once daily for 6 months. Extension: In dose-blind period patients were re-randomized into either fingolimod 1.25 mg or 5.0 mg once per day for 6-15 months. In open-label period patients received fingolimod 1.25 mg once per day for 15 to 24 months. Later, all patients converted to fingolimod 0.5 mg, once daily for rest of the study participation.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo 1.25 mg capsule was given once daily

Fingolimod (FTY720) 5.0 mg/day

Core study: patients received fingolimod 5.0 mg, once daily for 6 months. Extension: In dose-blind period fingolimod 5.0 mg once daily for 6-15 months. For open-label phase 15 to 24 months 1.25mg once daily. Later, all patients converted to fingolimod 0.5 mg, once daily for rest of the study participation.

Group Type EXPERIMENTAL

FTY720

Intervention Type DRUG

FTY720 capsule was taken orally once a day

Interventions

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FTY720

FTY720 capsule was taken orally once a day

Intervention Type DRUG

Placebo

Placebo 1.25 mg capsule was given once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of relapsing multiple Sclerosis (MS)
* Patients with at least two documented relapses in the previous 2 years or one documented relapse in the last year
* Patients with an Expanded Disability Status Scale (EDSS) score of 0-6

Extension Study

* A positive Gd-enhanced MRI scan at screening (in case the first MRI scan obtained at screening was negative, a second scan could have been obtained 1 month later)
* Neurologically stable with no evidence of relapse within 30 days prior to randomization,or during the Screening and Baseline periods.
* Female patients either post-menopausal, surgically incapable of bearing children, or practicing an acceptable method of birth control. Females of childbearing potential with a negative pregnancy test at baseline prior to entry into the treatment period.

Exclusion Criteria

Core Study

* Patients with other chronic disease of the immune system, malignancies, pulmonary or heart disease, etc
* Pregnant or nursing women

Extension Study

* Patients who had permanently discontinued study drug prior to the Month 6 visit of the core study
* Patients with diabetes mellitus (to reduce the risk of ME), and therefore ongoing patients with diabetes mellitus or who developed diabetes mellitus were discontinued from the study)
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_CHAIR

Novartis Pharmaceuticals

Locations

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Novartis Investigational site

Montreal, , Canada

Site Status

Novartis Investigational site

Ottawa, , Canada

Site Status

Novartis Investigational site

Toronto, , Canada

Site Status

Novartis Investigational site

Vancouver, , Canada

Site Status

Novartis Investigational site

Copenhagen, , Denmark

Site Status

Novartis Investigational site

Helsinki, , Finland

Site Status

Novartis Investigational site

Turku, , Finland

Site Status

Novartis Investigational site

Lille, , France

Site Status

Novartis Investigational site

Marseille, , France

Site Status

Novartis Investigational site

Schwendi, , Germany

Site Status

Novartis Investigational site

Würzburg, , Germany

Site Status

Novartis Investigational site

Gallarate, , Italy

Site Status

Novartis Investigational site

Genova, , Italy

Site Status

Novartis Investigational site

Milan, , Italy

Site Status

Novartis Investigational site

Roma, , Italy

Site Status

Novartis Investigational site

Warsaw, , Poland

Site Status

Novartis Investigational site

Coimbra, , Portugal

Site Status

Novartis Investigational site

Lisbon, , Portugal

Site Status

Novartis Investigational site

Barcelona, , Spain

Site Status

Novartis Investigational site

Madrid, , Spain

Site Status

Novartis Investigational site

Málaga, , Spain

Site Status

Novartis Investigational site

Seville, , Spain

Site Status

Novartis Investigational site

Valencia, , Spain

Site Status

Novartis Investigational site

Basel, , Switzerland

Site Status

Novartis Investigational site

Zurich, , Switzerland

Site Status

Novartis Investigational site

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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Canada Denmark Finland France Germany Italy Poland Portugal Spain Switzerland United Kingdom

References

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Zarbin MA, Jampol LM, Jager RD, Reder AT, Francis G, Collins W, Tang D, Zhang X. Ophthalmic evaluations in clinical studies of fingolimod (FTY720) in multiple sclerosis. Ophthalmology. 2013 Jul;120(7):1432-9. doi: 10.1016/j.ophtha.2012.12.040. Epub 2013 Mar 24.

Reference Type DERIVED
PMID: 23531349 (View on PubMed)

Kappos L, Antel J, Comi G, Montalban X, O'Connor P, Polman CH, Haas T, Korn AA, Karlsson G, Radue EW; FTY720 D2201 Study Group. Oral fingolimod (FTY720) for relapsing multiple sclerosis. N Engl J Med. 2006 Sep 14;355(11):1124-40. doi: 10.1056/NEJMoa052643.

Reference Type DERIVED
PMID: 16971719 (View on PubMed)

Other Identifiers

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CFTY720D2201E1

Identifier Type: OTHER

Identifier Source: secondary_id

CFTY720D2201

Identifier Type: -

Identifier Source: org_study_id

NCT00235430

Identifier Type: -

Identifier Source: nct_alias

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