The Efficacy, Safety, and Tolerability of Laquinimod in Participants With Relapsing Remitting Multiple Sclerosis (RRMS)

NCT ID: NCT01707992

Last Updated: 2021-11-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 2199 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2013-02-20
• Study Completion Date: 2017-07-04

Brief Summary

This is a multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study followed by active treatment, to evaluate the efficacy, safety and tolerability of two doses of oral administration of laquinimod in participants with RRMS. The study has 2 periods: Period 1, the double-blind, placebo-controlled period (up to 24 months) and Period 2, the active treatment period (24 months).

Conditions

Multiple Sclerosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

Placebo-Controlled Phase: Placebo

Participants will receive 2 capsules of placebo (matching to laquinimod 0.6 milligrams \[mg\]) once daily orally for up to 24 months.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Placebo matching to laquinimod will be administered as per the schedule specified in the respective arms.

Placebo-Controlled Phase: Laquinimod 0.6 mg

Participants will receive 1 capsule of laquinimod 0.6 mg and 1 capsule of matching placebo once daily orally for up to 24 months.

Group Type: EXPERIMENTAL

Laquinimod

Intervention Type: DRUG

Laquinimod will be administered as per the dose and schedule specified in the respective arms.

Placebo

Intervention Type: DRUG

Placebo matching to laquinimod will be administered as per the schedule specified in the respective arms.

Placebo-Controlled Phase: Laquinimod 1.2 mg

Participants will receive laquinimod 1.2 mg (2 capsules of laquinimod 0.6 mg each) once daily orally for up to 24 months.

Group Type: EXPERIMENTAL

Laquinimod

Intervention Type: DRUG

Laquinimod will be administered as per the dose and schedule specified in the respective arms.

Active Treatment Phase: Laquinimod 0.6 mg

Participants who completed the placebo-controlled phase on placebo and on laquinimod 0.6 mg treatment group after 01 January 2016, will receive 1 capsule of laquinimod 0.6 mg and 1 capsule of matching placebo once daily orally for 24 months.

Group Type: EXPERIMENTAL

Laquinimod

Intervention Type: DRUG

Laquinimod will be administered as per the dose and schedule specified in the respective arms.

Placebo

Intervention Type: DRUG

Placebo matching to laquinimod will be administered as per the schedule specified in the respective arms.

Active Treatment Phase: Laquinimod 1.2 mg

Participants who completed the placebo-controlled phase on placebo and on laquinimod 1.2 mg treatment group prior to 01 January 2016, will receive laquinimod 1.2 mg (2 capsules of laquinimod 0.6 mg each) once daily orally for 24 months.

Group Type: EXPERIMENTAL

Laquinimod

Intervention Type: DRUG

Laquinimod will be administered as per the dose and schedule specified in the respective arms.

Active Treatment Phase: Off Drug

Participants who were discontinued from treatment with laquinimod 1.2 mg during the placebo-controlled phase due to sponsor decision after 01 January 2016 will continue the active-treatment phase off drug for 24 months.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Laquinimod

Laquinimod will be administered as per the dose and schedule specified in the respective arms.

Intervention Type: DRUG

Placebo

Placebo matching to laquinimod will be administered as per the schedule specified in the respective arms.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Participants must have a confirmed and documented multiple sclerosis (MS) diagnosis as defined by the Revised McDonald criteria, with relapse onset disease or a relapsing-remitting disease course.
• Participants must be ambulatory with Kurtzke's expanded disability status scale (EDSS) score of 0 to 5.5 in both screening and randomization visits.
• Participants must be in a stable neurological condition, relapse-free and free of any corticosteroid treatment [intravenous (IV), intramuscular (IM) and/or per os (PO)/oral] or adrenocorticotrophic hormone, 60 days prior to randomization.
• Participants must have experienced at least one documented relapse in the 12 months prior to randomization.
• Participants must have disease duration of not more than 15 years.
• Women of child-bearing potential (for example, women who are not postmenopausal or surgically sterilized) must practice an acceptable method of birth control for 30 days before taking the study drug and two acceptable methods of birth control during the duration of the study and until 30 days after the last dose of study medication.

• Additional criteria apply, please contact the investigator for more information.

Exclusion Criteria

• Participants with progressive forms of MS.
• Participants with neuromyelitis optica.
• Use of experimental or investigational drugs and/or participation in drug clinical studies within the 6 months prior to randomization.
• Use of immunosuppressive agents or cytotoxic agents, including cyclophosphamide, within 6 months prior to randomization.
• Use of either of the following within 2 years prior to randomization visit: natalizumab (Tysabri®), rituximab, ocrelizumab, atacicept, belimumab, or ofatumumab.
• Use of teriflunomide (Aubagio®) within 2 years prior to randomization, except if active washout (with either cholestyramine or activated charcoal) was done 2 months or more prior to randomization.
• Previous treatment with glatiramer acetate (Copaxone®) Interferon β (either 1a or 1b), fingolimod (Gilenya®), dimethyl fumarate (Tecfidera®) or intravenous immunoglobulins within 2 months prior to randomization.
• Chronic (more than 30 consecutive days) systemic (IV, IM or PO) corticosteroid treatment within 2 months prior to randomization.
• Previous use of mitoxantrone (Novantrone®), cladribine, or alemtuzumab (Lemtrada®).
• Previous use of laquinimod.
• Previous total body irradiation or total lymphoid irradiation.
• Previous stem cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation.
• Use of moderate/strong inhibitors of cytochrome P450 (CYP) 3A4 within 2 weeks prior to randomization.
• Use of inducers of CYP3A4 within 2 weeks prior to randomization visit.
• Pregnancy or breastfeeding.
• A known history of sensitivity to gadolinium (Gd).
• Inability to successfully undergo magnetic resonance imaging (MRI) scanning.
• Participants who underwent endovascular treatment for chronic cerebrospinal venous insufficiency within 3 months prior to randomization.

• Additional criteria apply, please contact the investigator for more information.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Teva Branded Pharmaceutical Products R&D, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Teva Medical Expert, MD

Role: STUDY_DIRECTOR

Teva Branded Pharmaceutical Products R&D, Inc.

Locations

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Hlohovec, , Slovakia

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Trnava, , Slovakia

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Goyang-si, , South Korea

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Seoul, , South Korea

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Barcelona, , Spain

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Madrid, , Spain

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Kiev, , Ukraine

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Lviv, , Ukraine

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Lviv, , Ukraine

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Odesa, , Ukraine

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Odesa, , Ukraine

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Poltava, , Ukraine

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Simferopol, , Ukraine

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Vinnytsia, , Ukraine

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Zaporizhzhya, , Ukraine

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Zaporizhzhya, , Ukraine

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Glasgow, , United Kingdom

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Liverpool, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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Salford, , United Kingdom

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Sheffield, , United Kingdom

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Countries

Kazakhstan; Mexico; Portugal; United States; Austria; Belarus; Belgium; Bosnia and Herzegovina; Bulgaria; Canada; Croatia; Czechia; Estonia; France; Georgia; Germany; Greece; Hungary; Israel; Italy; Latvia; Moldova; Montenegro; North Macedonia; Poland; Romania; Russia; Serbia; Slovakia; South Korea; Spain; Ukraine; United Kingdom

References

Comi G, Dadon Y, Sasson N, Steinerman JR, Knappertz V, Vollmer TL, Boyko A, Vermersch P, Ziemssen T, Montalban X, Lublin FD, Rocca MA, Volkinshtein R, Rubinchick S, Halevy N, Filippi M. CONCERTO: A randomized, placebo-controlled trial of oral laquinimod in relapsing-remitting multiple sclerosis. Mult Scler. 2022 Apr;28(4):608-619. doi: 10.1177/13524585211032803. Epub 2021 Aug 11.

Reference Type: DERIVED

PMID: 34378456 (View on PubMed)

Other Identifiers

2012-003647-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LAQ-MS-305

Identifier Type: -

Identifier Source: org_study_id