Trial Outcomes & Findings for This Was an Open-label, Single-arm Extension Study (CFTY720D2306E1) to a Double-blind, Randomized Multicenter, Placebo-controlled, Parallel-group Core Study (CFTY720D2306) in PPMS. (NCT NCT00731692)

NCT ID: NCT00731692

Last Updated: 2017-06-14

Results Overview

3-month sustained increase from Baseline in EDSS (at least 1 point increase from Baseline for patients with a Baseline value of 5 or less or at least 0.5 point increase from Baseline for patients with a Baseline value of 5.5 or more) or 3-month sustained increase of at least 20% from BL in the time taken to complete the timed 25-foot walk test (25' TWT); or 3-month sustained increase of at least 20% from BL in the time taken to complete the 9-HPT. The 25' TWT is a quantitative measure of lower extremity function. The EDSS is a scale assessing neurologic impairment, including a series of scores in each of 8 functional systems: Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. The score ranges from 0 (normal) to 10 (death due to MS)). The 9-hole peg test (9-HPT) is a quantitative measure of upper extremity (arm and hand) function.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

970 participants

Primary outcome timeframe

up to 36 months after the last patient was randomized

Results posted on

2017-06-14

Participant Flow

Patients were randomized equally to receive either fingolimod or placebo. Patients initially randomized to fingolimod 1.25 mg/day or matching placebo groups switched in a blinded manner to fingolimod 0.5 mg/day or continued on placebo after amendment in Nov. 2009. Patients were randomized to receive either fingolimod 0.5 mg/day or placebo..

Prior to protocol amendment 147 patients received 1.25mg of FTY720; post protocol amendment 5 not all 147 patients switched to 0.5mg FTY720, only 121 switched and their data is presented under the 0.5mg dose.

Participant milestones

Participant milestones
Measure
FTY720 1.25 mg to 0.5 mg
Cohort 1: fingolimod 1.25 group consists of patients who were initially randomized to fingolimod 1.25 mg and switched to fingolimod 0.5 mg after amendment
FTY720 0.5 mg to 0.5 mg
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo to -FTY 0.5 mg
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Core Study (36 Months)
STARTED
147
336
487
Core Study (36 Months)
Safety Set (SAF)
0
336
487
Core Study (36 Months)
Full Analysis Set (FAS)
0
336
487
Core Study (36 Months)
Pharmacokinetic Analysis Set
102
249
0
Core Study (36 Months)
Post Protocol Amendment 5 Switch
0
121
0
Core Study (36 Months)
COMPLETED
79
220
317
Core Study (36 Months)
NOT COMPLETED
68
116
170
Extension Phase
STARTED
74
196
301
Extension Phase
COMPLETED
0
0
0
Extension Phase
NOT COMPLETED
74
196
301

Reasons for withdrawal

Reasons for withdrawal
Measure
FTY720 1.25 mg to 0.5 mg
Cohort 1: fingolimod 1.25 group consists of patients who were initially randomized to fingolimod 1.25 mg and switched to fingolimod 0.5 mg after amendment
FTY720 0.5 mg to 0.5 mg
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo to -FTY 0.5 mg
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Core Study (36 Months)
Lack of Efficacy
11
23
64
Core Study (36 Months)
Physician Decision
1
0
2
Core Study (36 Months)
Death
2
1
2
Core Study (36 Months)
Lost to Follow-up
1
3
3
Core Study (36 Months)
Administrative
2
2
6
Core Study (36 Months)
Abnormal Test Procedure Result
4
3
5
Core Study (36 Months)
Protocol Violation
4
5
8
Core Study (36 Months)
Abnormal Lab values
6
19
5
Core Study (36 Months)
Adverse Event
25
28
29
Core Study (36 Months)
Withdrawal by Subject
12
32
46
Extension Phase
Admin Problems: Terminated # patients
69
189
277
Extension Phase
Abnormal test procedure
0
0
1
Extension Phase
Abnormal lab values
0
0
1
Extension Phase
Lost to Follow-up
0
1
4
Extension Phase
Withdrawal by Subject
4
5
3
Extension Phase
Adverse Event
1
1
15

Baseline Characteristics

This Was an Open-label, Single-arm Extension Study (CFTY720D2306E1) to a Double-blind, Randomized Multicenter, Placebo-controlled, Parallel-group Core Study (CFTY720D2306) in PPMS.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FTY720 1.25 mg to 0.5 mg
n=147 Participants
Cohort 1: fingolimod 1.25 group consists of patients who were initially randomized to fingolimod 1.25 mg and switched to fingolimod 0.5 mg after amendment
FTY720 0.5 mg to 0.5 mg
n=336 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=487 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Total
n=970 Participants
Total of all reporting groups
Age, Continuous
47.8 years
STANDARD_DEVIATION 8.47 • n=5 Participants
48.5 years
STANDARD_DEVIATION 8.59 • n=7 Participants
48.5 years
STANDARD_DEVIATION 8.31 • n=5 Participants
48.5 years
STANDARD_DEVIATION 8.42 • n=4 Participants
Age, Customized
<=30
3 Particpants
n=5 Participants
6 Particpants
n=7 Participants
4 Particpants
n=5 Participants
13 Particpants
n=4 Participants
Age, Customized
31 to 40
22 Particpants
n=5 Participants
60 Particpants
n=7 Participants
90 Particpants
n=5 Participants
172 Particpants
n=4 Participants
Age, Customized
41 to 50
68 Particpants
n=5 Participants
127 Particpants
n=7 Participants
194 Particpants
n=5 Participants
389 Particpants
n=4 Participants
Age, Customized
>50
54 Particpants
n=5 Participants
143 Particpants
n=7 Participants
199 Particpants
n=5 Participants
396 Particpants
n=4 Participants
Sex: Female, Male
Female
71 Participants
n=5 Participants
163 Participants
n=7 Participants
235 Participants
n=5 Participants
469 Participants
n=4 Participants
Sex: Female, Male
Male
76 Participants
n=5 Participants
173 Participants
n=7 Participants
252 Participants
n=5 Participants
501 Participants
n=4 Participants

PRIMARY outcome

Timeframe: up to 36 months after the last patient was randomized

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

3-month sustained increase from Baseline in EDSS (at least 1 point increase from Baseline for patients with a Baseline value of 5 or less or at least 0.5 point increase from Baseline for patients with a Baseline value of 5.5 or more) or 3-month sustained increase of at least 20% from BL in the time taken to complete the timed 25-foot walk test (25' TWT); or 3-month sustained increase of at least 20% from BL in the time taken to complete the 9-HPT. The 25' TWT is a quantitative measure of lower extremity function. The EDSS is a scale assessing neurologic impairment, including a series of scores in each of 8 functional systems: Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. The score ranges from 0 (normal) to 10 (death due to MS)). The 9-hole peg test (9-HPT) is a quantitative measure of upper extremity (arm and hand) function.

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=336 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=487 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Kaplan-Meier Estimate of the Risk of 3-month Confirmed Disability Progression Based on Composite Endpoint
77.2 Percentage of Participants
Interval 71.87 to 82.51
80.3 Percentage of Participants
Interval 73.31 to 87.25

SECONDARY outcome

Timeframe: up to 36 months after the last patient was randomized

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

The Expanded Disability Status Scale (EDSS) is a scale for assessing neurologic impairment in MS (Kurtzke 1983) and includes a series of scores in each of 8 functional systems and the EDSS steps (ranging from 0 (normal) to 10 (death due to MS)). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. Fatigue is not included in the Cerebral score of the EDSS. The score ranges from 0 (normal) to 10 (death due to MS)

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=336 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=487 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Kaplan-Meier Estimate of the Risk of 3- Month Confirmed Disability Progression Based on Expanded Disability Status Scale (EDSS)
54.3 Percentage of Participants
Interval 47.16 to 61.45
58.7 Percentage of Participants
Interval 53.3 to 64.18

SECONDARY outcome

Timeframe: Baseline to month 36

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. N= Total number of patients included in the analysis.

The percent change from Baseline in brain volume was analyzed using a random coefficients model. The model included: 1) fixed effects: treatment and region and 2) continuous covariates: time, number of Gd enhancing lesions at Baseline, Baseline T2 volume, and normalized brain volume at Baseline. Time as a continuous covariate allowed for the estimation of different slopes and intercepts among treatment groups.

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=293 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=421 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Percent Change From Baseline in Brain Volume at Month 36
-1.49 Percent Change
Interval -1.64 to -1.35
-1.53 Percent Change
Interval -1.65 to -1.41

SECONDARY outcome

Timeframe: up to 36 months after the last patient was randomized

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

The 9-HPT is a quantitative measure of upper extremity (arm and hand) function designed and validated for evaluation of MS patients. N= Total number of patients included in the analysis

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=147 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=133 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Kaplan Meier Estimate -Percentage of Participants With 3- Month Confirmed Disability Progression Based on 9-HPT.
25.0 Percentge of Participants
24.9 Percentge of Participants

SECONDARY outcome

Timeframe: up to 36 months after the last patient was randomized

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

The 25' TWT is a quantitative measure of lower extremity function designed and validated for evaluation of MS patients. N= Total number of patients included in the analysis

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=147 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=133 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Kaplan Meier Estimate -Percentage of Participants With 3- Month Confirmed Disability Progression Based on 25' TWT.
54.8 Percentage of Participants
56.7 Percentage of Participants

SECONDARY outcome

Timeframe: Baseline to 36 months

Population: Full analysis set (FAS) -The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

Inflammatory disease, as measured by number of new or newly-enlarging T2 lesions, was assessed by Magnetic resonance Imaging (MRI) scanning of the brain and full spinal cord. N= Total number of patients included in the analysis

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=298 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=421 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Number of New/Enlarging T2 Lesions Per Year Measured From Baseline to Month 36
0.13 T2 Lesions per year
Interval 0.1 to 0.18
0.50 T2 Lesions per year
Interval 0.4 to 0.61

SECONDARY outcome

Timeframe: Baseline to 36 months

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

Inflammatory disease, as measured by number of T1 Gd-enhancing lesions, was assessed by MRI scanning of the brain and full spinal cord. N= Total number of patients included in the analysis

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=223 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=320 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Number of Gd-enhancing Lesions at Month 36
0.05 Gd-enhanced lesions per patient per scan
Interval 0.02 to 0.09
0.21 Gd-enhanced lesions per patient per scan
Interval 0.15 to 0.3

SECONDARY outcome

Timeframe: Baseline to month 36

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo.

Inflammatory disease as measured by percent change in total T2 lesion volume (mm3) was assessed by MRI. N= Total number of patients included in the analysis

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=224 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=326 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Percent Change in Total T2 Lesion Volume From Baseline to Month 36
-9.2 Percent Change
Standard Deviation 30.55
8.9 Percent Change
Standard Deviation 44.13

SECONDARY outcome

Timeframe: Baseline, 36 months

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. Only subjects with a value at both baseline and at month 36 are included.

The quality of life scale contains 22 items. Each item will be given a score of 1 or 0. A score of 1 (or 0) indicates the presence (or absence) of the symptom or adverse quality of life. All 22 item scores will be summed to obtain a total score ranging from 0 (good) to 22 (poor), which is the PRIMUS QoL scale score

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=66 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=150 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
n=230 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Change From Baseline in the Patient Reported Indices in Multiple Sclerosis (PRIMUS-QoL Score)
0.2424 Score on a scale
Standard Deviation 4.18444
0.5921 Score on a scale
Standard Deviation 4.77704
0.9597 Score on a scale
Standard Deviation 4.38578

SECONDARY outcome

Timeframe: Baseline, 36 months

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. Only subjects with a value at both baseline and at month 36 are included.

The activities subscale of PRIMUS contains 15 items and each item is given a score of 0 (able to do on own without difficulties), 1 (able to do on own with difficulties), or 2 (unable to do on own). All 15 items were summed to obtain a total score ranging from 0 (good) to 30 (poor).

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=68 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=153 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
n=237 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Change From Baseline in PRIMUS-Activities
3.5504 Score on a scale
Standard Deviation 7.05241
2.6324 Score on a scale
Standard Deviation 6.22256
2.8830 Score on a scale
Standard Deviation 6.76499

SECONDARY outcome

Timeframe: Baseline, 36 months

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. Only subjects with a value at both baseline and at month 36 are included.

Unidimensional Fatigue Impact Scale (U-FIS), contains 22 patient-reported items that assess the impact of fatigue on cognitive, physical, and psychosocial functioning. Responses formed a single unidimensional scale measuring fatigue impact. The U-FIS was calculated and analyzed according to the U-FIS scoring manual. The U-FIS scale contains 22 items with 5 possible outcomes for each item. Two response categories (about half the time and a lot of the time) were combined into 1 category to obtain 4 possible outcomes: 0 (never), 1 (a little of the time), 2 (about half the time/a lot of the time), and 3 (all the time). The 22 condensed item scores were summed to obtain a total score ranging from 0 (no fatigue) to 66 (severe fatigue impact).

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=70 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=154 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
n=241 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Change From Baseline in Unidimensional Fatigue Impact (U-FIS) Score
1.3197 Score on a scale
Standard Deviation 12.44042
2.8451 Score on a scale
Standard Deviation 14.04769
3.1394 Score on a scale
Standard Deviation 12.20929

SECONDARY outcome

Timeframe: Baseline, 36 months

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. Only subjects with a value at both baseline and at month 36 are included.

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQoL Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state.

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=99 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=213 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
n=320 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Change From Baseline in European Quality of Life - 5 Dimensions (EQ-5D Score)
-0.0332 Score on a scale
Standard Deviation 0.19420
-0.0475 Score on a scale
Standard Deviation 0.26099
-0.0539 Score on a scale
Standard Deviation 0.22383

SECONDARY outcome

Timeframe: Baseline, 36 months

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. Only subjects with a value at both baseline and at month 36 are included.

The Multiple Sclerosis Walking Scaleis a patient reported measure of walking quality (Hobart et al 2003), consisting of 12 items asking patients to rate the impact of MS upon their walking ability. Responses were captured on a 3-point scale ranging from 1 (Not at all) to 3 (A lot) for items 1 to 3 and on a 5-point scale ranging from 1 (not limited) to 5 (extremely) for items 4 to 12. All 12 item scores were summed to obtain a total score ranging from 12 (good) to 54 (poor) which is the MSWS-12 scale score. The total score was transformed to a 0 to 100 scale score. The MSWS-12 scale score will be transformed to a 0-100 scale score before any summaries or statistical analyses are performed. The transformed score is obtained by subtracting 12 and divided by 42 and multiplying by 100 (i.e., transformed scale score = (raw scale score- 12)/42\*100).

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=75 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=182 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
n=261 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Change From Baseline in Multiple Sclerosis Walking Scale (MSWS-12 Score)
6.4444 Score on a scale
Standard Deviation 23.81568
5.5616 Score on a scale
Standard Deviation 24.59030
9.5899 Score on a scale
Standard Deviation 23.98316

SECONDARY outcome

Timeframe: Month 3 up to 36 months

Population: Full analysis set (FAS) -The main efficacy analyses were performed using the FAS, in patients who were initially randomized to either FTY 0.5mg or to Placebo. (N). Only participants (n) who provided one or more evaluable blood concentration were included in the pharmacokinetic analysis population. Analysis include 147 patients (cohort 1)

Concentrations of fingolimod and fingolimod-phosphate in whole blood were determined by validated liquid chromatography methods with tandem mass spectrometry. The lower limits of quantification were 0.08 ng/ml for fingolimod and 0.1 ng/ml for fingolimod-phosphate. Venous blood samples were collected for the analysis.

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=102 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=102 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
n=249 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 12 Fingolimod (n=23, 161)
6.24 ng/ml
Standard Deviation 2.21
2.87 ng/ml
Standard Deviation 1.70
2.55 ng/ml
Standard Deviation 1.37
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 3 Fingolimod (n=64, 179)
6.04 ng/ml
Standard Deviation 3.11
NA ng/ml
Standard Deviation NA
No evaluable blood concentration available
2.58 ng/ml
Standard Deviation 1.34
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 18 Fingolimod (n=71,155)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
2.44 ng/ml
Standard Deviation 1.15
2.59 ng/ml
Standard Deviation 1.44
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 24 Fingolimod (n=67, 160)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
2.41 ng/ml
Standard Deviation 1.30
2.64 ng/ml
Standard Deviation 1.50
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 30 Fingolimod (n=62, 158)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
2.52 ng/ml
Standard Deviation 1.28
2.60 ng/ml
Standard Deviation 1.33
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 36 Fingolimod (n=55, 118)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
2.44 ng/ml
Standard Deviation 1.08
2.63 ng/ml
Standard Deviation 1.38
Blood Concentrations of Fingolimod and Fingolimod-phosphate
End of treatment Fingolimod (n=32, 115)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
2.02 ng/ml
Standard Deviation 1.10
2.57 ng/ml
Standard Deviation 1.51
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 3 Fingolimod-Phosphate (n=64, 179)
3.20 ng/ml
Standard Deviation 1.73
NA ng/ml
Standard Deviation NA
No evaluable blood concentration available
1.40 ng/ml
Standard Deviation 0.747
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 12 Fingolimod-Phosphate (n=23, 161)
3.21 ng/ml
Standard Deviation 1.16
1.54 ng/ml
Standard Deviation 0.871
1.43 ng/ml
Standard Deviation 0.805
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 18 Fingolimod-Phosphate (n=71,155)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
1.34 ng/ml
Standard Deviation 0.630
1.41 ng/ml
Standard Deviation 0.758
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 24 Fingolimod-Phosphate (n=67, 160)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
1.35 ng/ml
Standard Deviation 0.765
1.44 ng/ml
Standard Deviation 0.790
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 30 Fingolimod-Phosphate (n=62, 158)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
1.32 ng/ml
Standard Deviation 0.676
1.48 ng/ml
Standard Deviation 0.759
Blood Concentrations of Fingolimod and Fingolimod-phosphate
Month 36 Fingolimod-Phosphate (n=55, 118)
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
1.32 ng/ml
Standard Deviation 0.591
1.51 ng/ml
Standard Deviation 0.765
Blood Concentrations of Fingolimod and Fingolimod-phosphate
End of treatment Fingolimod-Phosphate (n=32, 115
NA ng/ml
Standard Deviation NA
Patients switched to 0.5mg. No evaluable blood concentration available
1.19 ng/ml
Standard Deviation 0.618
1.50 ng/ml
Standard Deviation 0.900

SECONDARY outcome

Timeframe: Baseline to Month 36

Population: Full analysis set (FAS) - The main efficacy analyses were performed using the FAS

The Multiple Sclerosis Functional Composite (MSFC) is a multidimensional clinical outcome measure that includes quantitative tests of leg function/ambulation (Timed 25-Foot Walk), arm function (9-Hole Peg Test), and cognitive function (Paced Auditory Serial Addition Test). The overall MSFC z-score as an average of the three standardized scores derived using baseline data pooled over each treatment arm as reference population. Higher scores reflect better neurological function and a positive change from Baseline indicates improvement.

Outcome measures

Outcome measures
Measure
FTY720 0.5 mg to 0.5 mg
n=193 Participants
Cohort 2: The 0.5 mg group consists of patients who were directly randomized to fingolimod 0.5 mg (i.e. AFTER the amendment)
Placebo
n=279 Participants
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Placebo
Cohort 1 and 2: Patients who started on placebo continued on placebo after re-randomization
Change in MSFC Z-score and Subscale Scores From Baseline to Month 36
-0.189 Z-scores
Standard Deviation 0.6980
-0.212 Z-scores
Standard Deviation 0.8468

Adverse Events

Core: FTY720 1.25 mg

Serious events: 38 serious events
Other events: 132 other events
Deaths: 0 deaths

Core: FTY720 0.5 mg

Serious events: 84 serious events
Other events: 278 other events
Deaths: 0 deaths

Core: Placebo

Serious events: 117 serious events
Other events: 406 other events
Deaths: 0 deaths

Extension: FTY1.25-0.5

Serious events: 7 serious events
Other events: 43 other events
Deaths: 0 deaths

Extension: FTY0.5-0.5

Serious events: 10 serious events
Other events: 70 other events
Deaths: 0 deaths

Extension: Placebo-FTY0.5

Serious events: 37 serious events
Other events: 138 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Core: FTY720 1.25 mg
n=147 participants at risk
Patients who received FTY720 1.25 mg during core
Core: FTY720 0.5 mg
n=336 participants at risk
Patients who received FTY720 0.5 mg during core
Core: Placebo
n=487 participants at risk
Patients who received Placebo during core
Extension: FTY1.25-0.5
n=74 participants at risk
Patients who received FTY20 1.25 mg in core and received 0.5 mg of FTY during Extension
Extension: FTY0.5-0.5
n=196 participants at risk
Patients who received FTY20 0.5 mg in core and received 0.5 mg of FTY during Extension
Extension: Placebo-FTY0.5
n=301 participants at risk
Patients who received Placebo in core and received 0.5 mg of FTY during Extension
Infections and infestations
Cellulitis
0.00%
0/147
0.00%
0/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Cystitis
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Blood and lymphatic system disorders
Anaemia macrocytic
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Blood and lymphatic system disorders
Lymphadenopathy
0.68%
1/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Cardiac disorders
Angina pectoris
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Arrhythmia
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Atrial fibrillation
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Cardiac disorders
Atrioventricular block
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Atrioventricular block complete
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Cardiac disorders
Atrioventricular block first degree
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Cardiac disorders
Atrioventricular block second degree
0.68%
1/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Bradycardia
1.4%
2/147
0.60%
2/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Coronary artery disease
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Cardiac disorders
Myocardial infarction
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Myocardial ischaemia
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Pericarditis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Sinus bradycardia
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Cardiac disorders
Tachycardia paroxysmal
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Endocrine disorders
Hypothyroidism
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Amblyopia strabismic
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Angle closure glaucoma
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Cataract cortical
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Chorioretinopathy
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Cystoid macular oedema
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Diplopia
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Intraocular haematoma
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Macular oedema
0.68%
1/147
1.2%
4/336
0.82%
4/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Myopia
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Optic atrophy
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Retinal detachment
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Eye disorders
Retinal tear
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Abdominal pain
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Abdominal pain lower
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Anal polyp
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Colitis ulcerative
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Constipation
0.00%
0/147
0.60%
2/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Faecaloma
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Gastric ulcer
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Inguinal hernia
0.68%
1/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Nausea
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Gastrointestinal disorders
Obstruction gastric
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Pancreatitis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Asthenia
0.68%
1/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
General disorders
Chest discomfort
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Device dislocation
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Device occlusion
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Drug ineffective
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Fatigue
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
General disorders
Gait disturbance
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
General physical health deterioration
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Non-cardiac chest pain
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
General disorders
Pyrexia
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Hepatobiliary disorders
Cholecystitis
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Hepatobiliary disorders
Cholelithiasis
0.00%
0/147
0.30%
1/336
0.62%
3/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Hepatobiliary disorders
Cholelithiasis obstructive
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Appendicitis
0.68%
1/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Bacterial infection
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Infections and infestations
Blister infected
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Bronchitis viral
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Bronchopneumonia
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Bursitis infective
0.00%
0/147
0.00%
0/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Dengue fever
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Diverticulitis
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Enterocolitis bacterial
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Epididymitis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Infections and infestations
Gastroenteritis
0.00%
0/147
0.60%
2/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
H1N1 influenza
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Herpes zoster
0.68%
1/147
0.60%
2/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Herpes zoster infection neurological
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Herpes zoster meningomyelitis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Incision site infection
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Infection
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Infectious pleural effusion
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Influenza
0.00%
0/147
0.89%
3/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Infections and infestations
Meningitis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Myelitis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Ophthalmic herpes simplex
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Peritonitis
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Infections and infestations
Pneumonia
1.4%
2/147
1.2%
4/336
0.41%
2/487
1.4%
1/74
0.00%
0/196
0.33%
1/301
Infections and infestations
Pulmonary sepsis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Pyelonephritis
0.00%
0/147
0.00%
0/336
0.62%
3/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Pyelonephritis acute
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Respiratory tract infection
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Septic shock
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Serratia sepsis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Subcutaneous abscess
0.00%
0/147
0.00%
0/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Systemic mycosis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Tonsillitis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Tracheobronchitis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Upper respiratory tract infection
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Urinary tract infection
1.4%
2/147
2.4%
8/336
2.5%
12/487
1.4%
1/74
0.00%
0/196
1.3%
4/301
Infections and infestations
Urinary tract infection bacterial
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Urosepsis
0.68%
1/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Infections and infestations
Viral infection
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Infections and infestations
Viral upper respiratory tract infection
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Alcohol poisoning
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Injury, poisoning and procedural complications
Clavicle fracture
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Concussion
0.68%
1/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Facial bones fracture
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Injury, poisoning and procedural complications
Fall
2.0%
3/147
0.30%
1/336
0.62%
3/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Femoral neck fracture
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Femur fracture
0.68%
1/147
0.30%
1/336
0.62%
3/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Fibula fracture
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Fracture displacement
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Hand fracture
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Head injury
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Humerus fracture
0.68%
1/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Joint dislocation
0.68%
1/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Laceration
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Limb traumatic amputation
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Meniscus injury
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Overdose
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Pneumothorax traumatic
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Post procedural complication
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Post procedural haematoma
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Radius fracture
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Rib fracture
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Skull fracture
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Subdural haematoma
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Thermal burn
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Tibia fracture
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Injury, poisoning and procedural complications
Traumatic renal injury
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Upper limb fracture
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Wound
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Wound dehiscence
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Injury, poisoning and procedural complications
Wrist fracture
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Investigations
Alanine aminotransferase increased
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Investigations
Aspartate aminotransferase increased
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Investigations
Blood pressure increased
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Investigations
Foetal heart rate abnormal
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Investigations
International normalised ratio decreased
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Investigations
Lymphocyte count decreased
0.00%
0/147
0.00%
0/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.00%
0/301
Investigations
Troponin increased
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Investigations
Weight decreased
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Metabolism and nutrition disorders
Dehydration
0.00%
0/147
0.30%
1/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Metabolism and nutrition disorders
Polydipsia
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/147
0.30%
1/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.66%
2/301
Musculoskeletal and connective tissue disorders
Bone swelling
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Bursitis
0.00%
0/147
0.00%
0/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Intervertebral disc disorder
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Joint swelling
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Mobility decreased
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/147
0.00%
0/336
0.41%
2/487
1.4%
1/74
0.00%
0/196
0.66%
2/301
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Musculoskeletal and connective tissue disorders
Osteopenia
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Sjogren's syndrome
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Musculoskeletal and connective tissue disorders
Tendon disorder
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.68%
1/147
3.3%
11/336
1.8%
9/487
1.4%
1/74
1.0%
2/196
0.33%
1/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
1.4%
2/147
0.30%
1/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Dysplastic naevus
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Fibrous histiocytoma
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive lobular breast carcinoma
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphocytic leukaemia
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma in situ
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Medullary thyroid cancer
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanocytic naevus
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to bone
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to kidney
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liver
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's lymphoma
0.68%
1/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Osteoma
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer metastatic
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small cell lung cancer metastatic
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.00%
0/147
1.8%
6/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Aphasia
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Arachnoiditis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Brain oedema
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Central nervous system lesion
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Cerebrovascular accident
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Cerebrovascular disorder
0.00%
0/147
0.00%
0/336
0.00%
0/487
1.4%
1/74
0.00%
0/196
0.33%
1/301
Nervous system disorders
Generalised tonic-clonic seizure
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Monoparesis
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Multiple sclerosis
1.4%
2/147
0.89%
3/336
1.0%
5/487
0.00%
0/74
0.00%
0/196
0.66%
2/301
Nervous system disorders
Multiple sclerosis relapse
0.00%
0/147
0.30%
1/336
1.0%
5/487
0.00%
0/74
0.00%
0/196
0.66%
2/301
Nervous system disorders
Muscle spasticity
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Myelitis transverse
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Neuralgia
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Nystagmus
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Optic neuritis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Paraparesis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Peroneal nerve palsy
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Presyncope
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Primary progressive multiple sclerosis
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Progressive multiple sclerosis
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Nervous system disorders
Quadriparesis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Sciatica
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Seizure
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Nervous system disorders
Status epilepticus
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Syncope
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Nervous system disorders
Transient ischaemic attack
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
Trigeminal neuralgia
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Nervous system disorders
Uhthoff's phenomenon
1.4%
2/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Nervous system disorders
VIIth nerve paralysis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Adjustment disorder
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Aggression
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Depression
0.00%
0/147
0.00%
0/336
0.41%
2/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Psychiatric disorders
Depressive symptom
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Mania
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Mood swings
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Panic attack
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Psychotic disorder
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Psychiatric disorders
Suicidal ideation
0.00%
0/147
0.30%
1/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Acute kidney injury
0.00%
0/147
0.30%
1/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Bladder neck sclerosis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Haematuria
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Nephrogenic diabetes insipidus
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Nephrolithiasis
0.68%
1/147
0.60%
2/336
0.21%
1/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Renal and urinary disorders
Neurogenic bladder
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Polyuria
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Renal failure
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Urethral obstruction
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
Renal and urinary disorders
Urinary incontinence
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Renal and urinary disorders
Urinary retention
0.00%
0/147
0.60%
2/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Adenomyosis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Adnexal torsion
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.00%
0/147
0.30%
1/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Breast mass
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Endometriosis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Prostatitis
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Reproductive system and breast disorders
Prostatomegaly
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Respiratory, thoracic and mediastinal disorders
Bronchopneumopathy
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/147
0.60%
2/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Respiratory, thoracic and mediastinal disorders
Haemothorax
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Respiratory, thoracic and mediastinal disorders
Nasal obstruction
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Respiratory, thoracic and mediastinal disorders
Sleep apnoea syndrome
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Skin and subcutaneous tissue disorders
Actinic keratosis
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Skin and subcutaneous tissue disorders
Jessner's lymphocytic infiltration
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Skin and subcutaneous tissue disorders
Lentigo
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Social circumstances
Activities of daily living impaired
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Social circumstances
Poor personal hygiene
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Aneurysm
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Arterial spasm
0.00%
0/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Vascular disorders
Deep vein thrombosis
0.68%
1/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Femoral artery occlusion
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Hypotension
0.68%
1/147
0.00%
0/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Orthostatic hypotension
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Peripheral venous disease
0.00%
0/147
1.2%
4/336
0.41%
2/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Raynaud's phenomenon
0.00%
0/147
0.30%
1/336
0.00%
0/487
0.00%
0/74
0.00%
0/196
0.00%
0/301
Vascular disorders
Venous thrombosis
0.00%
0/147
0.00%
0/336
0.21%
1/487
0.00%
0/74
0.00%
0/196
0.00%
0/301

Other adverse events

Other adverse events
Measure
Core: FTY720 1.25 mg
n=147 participants at risk
Patients who received FTY720 1.25 mg during core
Core: FTY720 0.5 mg
n=336 participants at risk
Patients who received FTY720 0.5 mg during core
Core: Placebo
n=487 participants at risk
Patients who received Placebo during core
Extension: FTY1.25-0.5
n=74 participants at risk
Patients who received FTY20 1.25 mg in core and received 0.5 mg of FTY during Extension
Extension: FTY0.5-0.5
n=196 participants at risk
Patients who received FTY20 0.5 mg in core and received 0.5 mg of FTY during Extension
Extension: Placebo-FTY0.5
n=301 participants at risk
Patients who received Placebo in core and received 0.5 mg of FTY during Extension
Blood and lymphatic system disorders
Lymphopenia
8.8%
13/147
5.7%
19/336
0.00%
0/487
5.4%
4/74
3.6%
7/196
3.7%
11/301
Gastrointestinal disorders
Abdominal pain upper
2.0%
3/147
5.1%
17/336
2.5%
12/487
0.00%
0/74
0.51%
1/196
0.66%
2/301
Gastrointestinal disorders
Constipation
6.8%
10/147
8.0%
27/336
7.2%
35/487
0.00%
0/74
1.0%
2/196
2.0%
6/301
Gastrointestinal disorders
Diarrhoea
8.8%
13/147
4.5%
15/336
3.7%
18/487
1.4%
1/74
1.5%
3/196
0.33%
1/301
Gastrointestinal disorders
Nausea
9.5%
14/147
6.2%
21/336
3.9%
19/487
2.7%
2/74
0.51%
1/196
1.3%
4/301
General disorders
Fatigue
10.9%
16/147
7.1%
24/336
8.8%
43/487
0.00%
0/74
0.51%
1/196
3.0%
9/301
General disorders
Gait disturbance
6.8%
10/147
4.5%
15/336
4.9%
24/487
0.00%
0/74
0.51%
1/196
0.00%
0/301
General disorders
Pyrexia
5.4%
8/147
5.4%
18/336
4.1%
20/487
4.1%
3/74
0.00%
0/196
1.3%
4/301
Infections and infestations
Bronchitis
6.8%
10/147
4.8%
16/336
4.3%
21/487
4.1%
3/74
1.0%
2/196
0.33%
1/301
Infections and infestations
Cystitis
6.8%
10/147
2.7%
9/336
3.5%
17/487
0.00%
0/74
0.00%
0/196
0.66%
2/301
Infections and infestations
Gastroenteritis
6.8%
10/147
3.6%
12/336
4.5%
22/487
0.00%
0/74
1.5%
3/196
1.00%
3/301
Infections and infestations
Influenza
9.5%
14/147
7.7%
26/336
8.8%
43/487
4.1%
3/74
2.0%
4/196
3.0%
9/301
Infections and infestations
Nasopharyngitis
27.2%
40/147
23.2%
78/336
27.7%
135/487
12.2%
9/74
5.1%
10/196
7.6%
23/301
Infections and infestations
Upper respiratory tract infection
14.3%
21/147
11.0%
37/336
11.7%
57/487
8.1%
6/74
3.1%
6/196
4.7%
14/301
Infections and infestations
Urinary tract infection
14.3%
21/147
14.0%
47/336
15.4%
75/487
5.4%
4/74
5.6%
11/196
8.3%
25/301
Injury, poisoning and procedural complications
Fall
21.1%
31/147
14.0%
47/336
18.7%
91/487
8.1%
6/74
2.6%
5/196
4.3%
13/301
Investigations
Alanine aminotransferase increased
11.6%
17/147
11.6%
39/336
1.4%
7/487
0.00%
0/74
0.51%
1/196
2.0%
6/301
Investigations
Blood cholesterol increased
5.4%
8/147
4.5%
15/336
3.3%
16/487
0.00%
0/74
0.51%
1/196
1.00%
3/301
Investigations
Gamma-glutamyltransferase increased
12.9%
19/147
9.2%
31/336
0.62%
3/487
0.00%
0/74
1.5%
3/196
1.7%
5/301
Metabolism and nutrition disorders
Hypercholesterolaemia
6.8%
10/147
3.9%
13/336
3.9%
19/487
5.4%
4/74
2.0%
4/196
1.7%
5/301
Musculoskeletal and connective tissue disorders
Arthralgia
8.8%
13/147
8.9%
30/336
9.9%
48/487
4.1%
3/74
1.5%
3/196
2.7%
8/301
Musculoskeletal and connective tissue disorders
Back pain
10.9%
16/147
10.7%
36/336
15.4%
75/487
6.8%
5/74
2.6%
5/196
3.3%
10/301
Musculoskeletal and connective tissue disorders
Pain in extremity
6.1%
9/147
6.2%
21/336
7.2%
35/487
4.1%
3/74
1.5%
3/196
1.00%
3/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Melanocytic naevus
14.3%
21/147
4.8%
16/336
6.4%
31/487
5.4%
4/74
1.5%
3/196
3.0%
9/301
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Seborrhoeic keratosis
6.8%
10/147
3.6%
12/336
2.9%
14/487
1.4%
1/74
1.5%
3/196
1.3%
4/301
Nervous system disorders
Dizziness
6.8%
10/147
5.7%
19/336
6.0%
29/487
2.7%
2/74
0.00%
0/196
0.66%
2/301
Nervous system disorders
Headache
19.0%
28/147
16.7%
56/336
15.8%
77/487
4.1%
3/74
1.5%
3/196
4.3%
13/301
Psychiatric disorders
Depression
7.5%
11/147
4.5%
15/336
7.6%
37/487
2.7%
2/74
1.0%
2/196
1.3%
4/301
Psychiatric disorders
Insomnia
5.4%
8/147
3.6%
12/336
6.0%
29/487
1.4%
1/74
2.0%
4/196
2.3%
7/301
Respiratory, thoracic and mediastinal disorders
Cough
5.4%
8/147
8.3%
28/336
7.0%
34/487
2.7%
2/74
0.51%
1/196
1.3%
4/301
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.4%
8/147
4.2%
14/336
3.3%
16/487
0.00%
0/74
0.00%
0/196
0.33%
1/301
Skin and subcutaneous tissue disorders
Eczema
5.4%
8/147
4.5%
15/336
3.9%
19/487
2.7%
2/74
0.51%
1/196
2.0%
6/301
Vascular disorders
Hypertension
15.6%
23/147
12.8%
43/336
5.7%
28/487
2.7%
2/74
2.6%
5/196
6.0%
18/301

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety
  • Publication restrictions are in place

Restriction type: OTHER