Efficacy and Safety of FTY720 in Patients With Relapsing Multiple Sclerosis (MS)
Primary Purpose
Multiple Sclerosis
Status
Completed
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
FTY720
Placebo
Sponsored by

About this trial
This is an interventional treatment trial for Multiple Sclerosis focused on measuring FTY720,, MS
Eligibility Criteria
Inclusion Criteria:
- Male and female patients aged 18-60
- Patients with a diagnosis of multiple sclerosis
Exclusion Criteria:
- Patients with a history or presence of chronic disease of the immune system other than MS
- Patients with a history or presence of malignancy, pulmonary or heart disease, etc.
- Pregnant or nursing (lactating) women
Other protocol-defined inclusion/exclusion criteria may apply
Sites / Locations
- Novartis Investigative site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
FTY720 0.5 mg
FTY720 1.25 mg
Placebo
Arm Description
FTY720
FTY720
Outcomes
Primary Outcome Measures
Number of Patients Free of Gadolinium-enhanced T1-Weighted Magnetic Resonance Imaging (MRI) Lesions at Both Month 3 and Month 6
Brain Magnetic Resonance Imaging (MRI) was performed at Month 3 and Month 6. Gadolinium-enhancing lesions (active lesions) represent acute inflammatory activity only and dissipate within 2-8 weeks of appearance. MRI scans were analyzed by blinded readers at the central MRI Evaluation Center to ensure consistency. Any Gd-enhanced T1 weighted MRI data obtained less than 14 days after the steroid used to treat MS relapses is invalid and excluded.
Secondary Outcome Measures
Number of Patients Free of MS Relapse up to Month 6 (Confirmed Relapse Only)
A relapse must have been confirmed by a neurologist and was confirmed when it was accompanied by an increase of at least half a step (0.5) on the Expanded Disability Status Scale (EDSS) or an increase of 1 point on two different Functional Systems (FS) of the EDSS or 2 points on one of the FS (excluding Bowel/Bladder or Cerebral FS).
Number of Patients Free of New or Newly Enlarged T2 Lesions
The number of T2 lesions were obtained from MRI scans at Screening visit. The numbers of new/newly enlarging T2 lesions were obtained from MRI scans at Month 3 or more. New lesions were identified by comparing each lesion already seen in previous examinations. Lesions expanding throughout several slices were counted as only one lesion.
Annualized Relapse Rate (ARR) at 6 Months
Annualized relapse rate (ARR) of the treatment group is calculated by taking the total number of confirmed relapses for all the patients in the treatment group divided by the total number of days on study for all patients in the group and multiplied by 365.25 to obtain the annual rate.
Full Information
NCT ID
NCT00537082
First Posted
September 26, 2007
Last Updated
April 19, 2011
Sponsor
Novartis
Collaborators
Mitsubishi Tanabe Pharma Corporation
1. Study Identification
Unique Protocol Identification Number
NCT00537082
Brief Title
Efficacy and Safety of FTY720 in Patients With Relapsing Multiple Sclerosis (MS)
Official Title
A 6-month, Double-blind, Randomized, Placebo-controlled, Parallel-group, Multicenter Study Comparing Efficacy and Safety of FTY720 0.5 mg and 1.25 mg Administered Orally Once Daily in Patients With Relapsing Multiple Sclerosis
Study Type
Interventional
2. Study Status
Record Verification Date
April 2011
Overall Recruitment Status
Completed
Study Start Date
September 2007 (undefined)
Primary Completion Date
February 2010 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Novartis
Collaborators
Mitsubishi Tanabe Pharma Corporation
4. Oversight
5. Study Description
Brief Summary
To provide efficacy and safety data of two doses (0.5 mg and 1.25 mg) of FTY720 in Japanese patients with relapsing multiple sclerosis (MS)
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
FTY720,, MS
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
171 (Actual)
8. Arms, Groups, and Interventions
Arm Title
FTY720 0.5 mg
Arm Type
Experimental
Arm Description
FTY720
Arm Title
FTY720 1.25 mg
Arm Type
Experimental
Arm Description
FTY720
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
FTY720
Intervention Description
Administered orally once daily for 6 months
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered orally once daily for 6 months
Primary Outcome Measure Information:
Title
Number of Patients Free of Gadolinium-enhanced T1-Weighted Magnetic Resonance Imaging (MRI) Lesions at Both Month 3 and Month 6
Description
Brain Magnetic Resonance Imaging (MRI) was performed at Month 3 and Month 6. Gadolinium-enhancing lesions (active lesions) represent acute inflammatory activity only and dissipate within 2-8 weeks of appearance. MRI scans were analyzed by blinded readers at the central MRI Evaluation Center to ensure consistency. Any Gd-enhanced T1 weighted MRI data obtained less than 14 days after the steroid used to treat MS relapses is invalid and excluded.
Time Frame
Month 3 and Month 6
Secondary Outcome Measure Information:
Title
Number of Patients Free of MS Relapse up to Month 6 (Confirmed Relapse Only)
Description
A relapse must have been confirmed by a neurologist and was confirmed when it was accompanied by an increase of at least half a step (0.5) on the Expanded Disability Status Scale (EDSS) or an increase of 1 point on two different Functional Systems (FS) of the EDSS or 2 points on one of the FS (excluding Bowel/Bladder or Cerebral FS).
Time Frame
up to Month 6
Title
Number of Patients Free of New or Newly Enlarged T2 Lesions
Description
The number of T2 lesions were obtained from MRI scans at Screening visit. The numbers of new/newly enlarging T2 lesions were obtained from MRI scans at Month 3 or more. New lesions were identified by comparing each lesion already seen in previous examinations. Lesions expanding throughout several slices were counted as only one lesion.
Time Frame
up to Month 3 and up to Month 6
Title
Annualized Relapse Rate (ARR) at 6 Months
Description
Annualized relapse rate (ARR) of the treatment group is calculated by taking the total number of confirmed relapses for all the patients in the treatment group divided by the total number of days on study for all patients in the group and multiplied by 365.25 to obtain the annual rate.
Time Frame
6 Months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female patients aged 18-60
Patients with a diagnosis of multiple sclerosis
Exclusion Criteria:
Patients with a history or presence of chronic disease of the immune system other than MS
Patients with a history or presence of malignancy, pulmonary or heart disease, etc.
Pregnant or nursing (lactating) women
Other protocol-defined inclusion/exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals, Japan
Organizational Affiliation
+81 3 3797 8748
Official's Role
Principal Investigator
Facility Information:
Facility Name
Novartis Investigative site
City
Sapporo-shi
State/Province
Hokkaido
Country
Japan
Facility Name
Novartis Investigative Site
City
Chiba
ZIP/Postal Code
276-8524
Country
Japan
Facility Name
Novartis Investigative Site
City
Ehime
ZIP/Postal Code
791-0295
Country
Japan
Facility Name
Novartis Investigative Site
City
Fukuoka
ZIP/Postal Code
807-8555
Country
Japan
Facility Name
Novartis Investigative Site
City
Gunma
ZIP/Postal Code
371-8511
Country
Japan
Facility Name
Novartis Investigative Site
City
Hyogo
ZIP/Postal Code
650-0017
Country
Japan
Facility Name
Novartis Investigative Site
City
Ibaraki
ZIP/Postal Code
305-8576
Country
Japan
Facility Name
Novartis
City
Iwate
ZIP/Postal Code
020-8505
Country
Japan
Facility Name
Novartis Investigative Site
City
Kanagawa
ZIP/Postal Code
259-1193
Country
Japan
Facility Name
Novartis Investigative Site
City
Kyoto
ZIP/Postal Code
604-8453
Country
Japan
Facility Name
Novartis Investigative Site
City
Kyoto
ZIP/Postal Code
616-8255
Country
Japan
Facility Name
Novartis Investigative Site
City
Niigata
ZIP/Postal Code
951-8520
Country
Japan
Facility Name
Novartis Investigative Site
City
Osaka
ZIP/Postal Code
556-0016
Country
Japan
Facility Name
Novartis Investigative Site
City
Osaka
ZIP/Postal Code
589-8511
Country
Japan
Facility Name
Novartis Investigative Site
City
Tochigi
ZIP/Postal Code
329-0498
Country
Japan
Facility Name
Novartis Investigative Site
City
Tokyo
ZIP/Postal Code
145-0065
Country
Japan
Facility Name
Novartis Investigative Site
City
Tokyo
ZIP/Postal Code
162-8666
Country
Japan
Facility Name
Novartis Investigative Site
City
Wakayama
ZIP/Postal Code
641-8510
Country
Japan
12. IPD Sharing Statement
Citations:
PubMed Identifier
28129749
Citation
Saida T, Itoyama Y, Kikuchi S, Hao Q, Kurosawa T, Ueda K, Auberson LZ, Tsumiyama I, Nagato K, Kira JI. Long-term efficacy and safety of fingolimod in Japanese patients with relapsing multiple sclerosis: 3-year results of the phase 2 extension study. BMC Neurol. 2017 Jan 28;17(1):17. doi: 10.1186/s12883-017-0794-5.
Results Reference
derived
PubMed Identifier
22354739
Citation
Saida T, Kikuchi S, Itoyama Y, Hao Q, Kurosawa T, Nagato K, Tang D, Zhang-Auberson L, Kira J. A randomized, controlled trial of fingolimod (FTY720) in Japanese patients with multiple sclerosis. Mult Scler. 2012 Sep;18(9):1269-77. doi: 10.1177/1352458511435984. Epub 2012 Feb 21.
Results Reference
derived
Learn more about this trial
Efficacy and Safety of FTY720 in Patients With Relapsing Multiple Sclerosis (MS)
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