Trial Outcomes & Findings for Exploring the Immune Response to SARS-CoV-2 modRNA Vaccines in Patients With Secondary Progressive Multiple Sclerosis (AMA-VACC) (NCT NCT04792567)

NCT ID: NCT04792567

Last Updated: 2024-06-20

Results Overview

Participants who had detectable SARS-CoV-2 serum functional antibodies one week after second dose of vaccine.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

41 participants

Primary outcome timeframe

At 1 week after vaccination period (defined as 1 week after second dose of vaccine)

Results posted on

2024-06-20

Participant Flow

All participants screened were enrolled, there were no screen failures.

Participant milestones

Participant milestones
Measure
Siponimod - Continuous
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod- Interrupted
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or no MS Treatment
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
Overall Study
STARTED
17
4
20
Overall Study
COMPLETED
17
4
20
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Exploring the Immune Response to SARS-CoV-2 modRNA Vaccines in Patients With Secondary Progressive Multiple Sclerosis (AMA-VACC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Siponimod - Continuous
n=17 Participants
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod- Interrupted
n=4 Participants
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or no MS Treatment
n=20 Participants
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
Total
n=41 Participants
Total of all reporting groups
Age, Continuous
54.6 years
STANDARD_DEVIATION 5.8 • n=93 Participants
55.8 years
STANDARD_DEVIATION 2.2 • n=4 Participants
48.6 years
STANDARD_DEVIATION 12.9 • n=27 Participants
51.8 years
STANDARD_DEVIATION 10.2 • n=483 Participants
Sex: Female, Male
Female
13 Participants
n=93 Participants
3 Participants
n=4 Participants
16 Participants
n=27 Participants
32 Participants
n=483 Participants
Sex: Female, Male
Male
4 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
9 Participants
n=483 Participants
Race/Ethnicity, Customized
Caucasian
14 participants
n=93 Participants
3 participants
n=4 Participants
17 participants
n=27 Participants
34 participants
n=483 Participants
Race/Ethnicity, Customized
African
0 participants
n=93 Participants
0 participants
n=4 Participants
0 participants
n=27 Participants
0 participants
n=483 Participants
Race/Ethnicity, Customized
Other
1 participants
n=93 Participants
1 participants
n=4 Participants
2 participants
n=27 Participants
4 participants
n=483 Participants
Race/Ethnicity, Customized
Missing
2 participants
n=93 Participants
0 participants
n=4 Participants
1 participants
n=27 Participants
3 participants
n=483 Participants
Multiple sclerosis diagnosis
SPMS Secondary progressive multiple sclerosis
14 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
17 Participants
n=483 Participants
Multiple sclerosis diagnosis
RRMS Relapsing remitting multiple sclerosis
0 Participants
n=93 Participants
0 Participants
n=4 Participants
11 Participants
n=27 Participants
11 Participants
n=483 Participants
Multiple sclerosis diagnosis
Active SPMS (with acute exacerbation or progression)
3 Participants
n=93 Participants
3 Participants
n=4 Participants
0 Participants
n=27 Participants
6 Participants
n=483 Participants
Multiple sclerosis diagnosis
MS Multiple sclerosis, not specified
0 Participants
n=93 Participants
0 Participants
n=4 Participants
6 Participants
n=27 Participants
6 Participants
n=483 Participants
Multiple sclerosis diagnosis
Active RRMS (with acute exacerbation or progression)
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants

PRIMARY outcome

Timeframe: At 1 week after vaccination period (defined as 1 week after second dose of vaccine)

Population: Efficacy analysis set (EAS) - all participants who had a valid primary endpoint (i. e. determination of functional antibodies to SARS-CoV-2 at Week 1 after second dose of vaccine)

Participants who had detectable SARS-CoV-2 serum functional antibodies one week after second dose of vaccine.

Outcome measures

Outcome measures
Measure
Siponimod - Continuous
n=17 Participants
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod- Interrupted
n=4 Participants
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or no MS Treatment
n=20 Participants
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
Percentage of Participants Achieving Seroconversion One Week After Receiving Second Vaccine (EAS)
52.9 percentage of participants
Interval 27.8 to 77.0
75.0 percentage of participants
Interval 19.4 to 99.4
90.0 percentage of participants
Interval 68.3 to 98.8

SECONDARY outcome

Timeframe: Baseline; Week 1, Month 1 and Month 6 after second dose of vaccine; 1 month after booster (up to Month 12 after second dose of vaccine)

Population: Safety analysis set (received any study drug) and efficacy analysis set (participants with a valid primary endpoint)

Measurement of antibody-mediated blockage (i.e. presence of functional SARS-CoV-2 antibodies) was performed to quantify functional SARS-CoV-2 neutralizing antibodies and was calculated as % inhibition to the in-assay control.

Outcome measures

Outcome measures
Measure
Siponimod - Continuous
n=17 Participants
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod- Interrupted
n=4 Participants
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or no MS Treatment
n=20 Participants
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
SARS-CoV-2 Functional Antibodies (% Inhibition) by Visits (SAF/EAS)
Screening n=17,4,20
-3.8 antibody titer levels (% inhibition)
Standard Deviation 5.0
-0.3 antibody titer levels (% inhibition)
Standard Deviation 11.1
-2.6 antibody titer levels (% inhibition)
Standard Deviation 8.2
SARS-CoV-2 Functional Antibodies (% Inhibition) by Visits (SAF/EAS)
Visit 1/Week 1 n=17,4,20
38.1 antibody titer levels (% inhibition)
Standard Deviation 34.8
64.0 antibody titer levels (% inhibition)
Standard Deviation 41.8
82.6 antibody titer levels (% inhibition)
Standard Deviation 26.7
SARS-CoV-2 Functional Antibodies (% Inhibition) by Visits (SAF/EAS)
Visit 2/Month 1 n=16,4,20
40.1 antibody titer levels (% inhibition)
Standard Deviation 27.2
87.5 antibody titer levels (% inhibition)
Standard Deviation 16.4
86.8 antibody titer levels (% inhibition)
Standard Deviation 21.5
SARS-CoV-2 Functional Antibodies (% Inhibition) by Visits (SAF/EAS)
Visit 3/Month 6 n=16,4,20
43.2 antibody titer levels (% inhibition)
Standard Deviation 32.8
68.3 antibody titer levels (% inhibition)
Standard Deviation 34.5
77.3 antibody titer levels (% inhibition)
Standard Deviation 27.1
SARS-CoV-2 Functional Antibodies (% Inhibition) by Visits (SAF/EAS)
1 Month after booster n=16,4,18
62.3 antibody titer levels (% inhibition)
Standard Deviation 30.3
96.5 antibody titer levels (% inhibition)
Standard Deviation 2.4
96.8 antibody titer levels (% inhibition)
Standard Deviation 2.8

SECONDARY outcome

Timeframe: Baseline; Week 1, Month 1 and Month 6 after second dose of vaccine; 1 month after booster (up to Month 12 after second dose of vaccine)

Population: Safety analysis set (received any study drug) and efficacy analysis set (participants with a valid primary endpoint)

The release of IFNg or IL-2 after stimulation with a SARS-CoV-2/PAN corona peptide-mix measured by enzyme-linked immunosorbent spot (ELIspot) assay from peripheral blood mononuclear cells indicates the presence of SARS-CoV-2 reactive T-cells, i.e. a T-cell response.

Outcome measures

Outcome measures
Measure
Siponimod - Continuous
n=17 Participants
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod- Interrupted
n=4 Participants
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or no MS Treatment
n=20 Participants
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Screening reactive n=17,4,20
0 participants
0 participants
1 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Screening not reactive n=17,4,20
10 participants
3 participants
19 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Screening missing value n=17,4,20
7 participants
1 participants
0 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 1/Week 1 reactive n=17,4,20
7 participants
3 participants
12 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 1/Week 1 not reactive n=17,4,20
8 participants
1 participants
8 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 1/Week 1 missing value n=17,4,20
2 participants
0 participants
0 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 2/Month 1 reactive n=16,4,20
0 participants
1 participants
14 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 2/Month 1 not reactive n=16,4,20
16 participants
3 participants
6 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 2/Month 1 missing value n=16,4,20
0 participants
0 participants
0 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 3/Month 6 reactive n=17,4,20
4 participants
1 participants
14 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 3/Month 6 not reactive n=17,4,20
11 participants
3 participants
5 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 3/Month 6 missing value n=17,4,20
2 participants
0 participants
1 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 1 Month after booster reactive n=16,4,18
4 participants
2 participants
15 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 1 Month after booster not reactive n=16,4,18
10 participants
2 participants
3 participants
Number of Patients Reactive to INFg or IL-2 SARS-CoV-2 by Visit SAF/EAS
Visit 1 Month after booster missing value n=16,4,18
2 participants
0 participants
0 participants

Adverse Events

Siponimod Continuous

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Siponimod Interrupted

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

DMT or No MS Treatment

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Siponimod Continuous
n=17 participants at risk
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod Interrupted
n=4 participants at risk
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or No MS Treatment
n=20 participants at risk
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
Infections and infestations
Acute sinusitis
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Escherichia urinary tract infection
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Gastroenteritis rotavirus
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Nervous system disorders
Epilepsy
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.

Other adverse events

Other adverse events
Measure
Siponimod Continuous
n=17 participants at risk
Continuous treatment with siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) during SARS-CoV-2 mRNA vaccination
Siponimod Interrupted
n=4 participants at risk
Siponimod (oral, daily, dose depending on CYP2C9 genotype: 2mg or 1 mg) with treatment interruption (for approx. 2-3 months) for the purpose of a SARS-CoV-2 mRNA vaccination
DMT or No MS Treatment
n=20 participants at risk
Baseline disease modifying treatments (DMTs) or no multiple sclerosis treatment during SARS-CoV-2 mRNA vaccination
Blood and lymphatic system disorders
Lymphopenia
17.6%
3/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Ear and labyrinth disorders
Vertigo
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Eye disorders
Visual impairment
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Gastrointestinal disorders
Nausea
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Chills
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Fatigue
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
10.0%
2/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Influenza like illness
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
10.0%
2/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Injection site erythema
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Injection site pain
17.6%
3/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
10.0%
2/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Peripheral swelling
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
General disorders
Pyrexia
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Hepatobiliary disorders
Primary biliary cholangitis
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Immune system disorders
Immunisation reaction
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Bronchitis
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
COVID-19
23.5%
4/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
5/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Herpes zoster reactivation
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Injection site pustule
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Rhinitis
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Infections and infestations
Urinary tract infection
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Injury, poisoning and procedural complications
Upper limb fracture
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Investigations
Blood glucose decreased
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Investigations
Blood pressure increased
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Investigations
Body temperature increased
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Investigations
Liver function test increased
11.8%
2/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Musculoskeletal and connective tissue disorders
Back pain
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Musculoskeletal and connective tissue disorders
Bursitis
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Musculoskeletal and connective tissue disorders
Muscle tightness
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Musculoskeletal and connective tissue disorders
Myalgia
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Musculoskeletal and connective tissue disorders
Pain in extremity
11.8%
2/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
10.0%
2/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Nervous system disorders
Band sensation
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Nervous system disorders
Dizziness
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
10.0%
2/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Nervous system disorders
Headache
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Nervous system disorders
Multiple sclerosis relapse
11.8%
2/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
5.0%
1/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Nervous system disorders
VIth nerve paralysis
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Psychiatric disorders
Depression
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Reproductive system and breast disorders
Menstrual disorder
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Respiratory, thoracic and mediastinal disorders
Cough
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Vascular disorders
Flushing
5.9%
1/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
Vascular disorders
Hypertension
0.00%
0/17 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
25.0%
1/4 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.
0.00%
0/20 • Adverse events were reported from screening visit for a maximum of 69 weeks.
The signing of the Informed Consent was considered the start of treatment for this trial because participants entered the trial on treatment as part of their clinical routine.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 1 862 778 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.
  • Publication restrictions are in place

Restriction type: OTHER