Multiple SclerosisPhase 3ALLEGRONCT00509145
Safety and Efficacy of Orally Administered Laquinimod Versus Placebo for Treatment of Relapsing Remitting Multiple Sclerosis (RRMS)
A Phase 3 study testing Laquinimod in people with Multiple Sclerosis, run by Teva Branded Pharmaceutical Products R&D, Inc. at 144 sites in 24 countries.
Trial summary
Determination the efficacy of daily oral treatment with laquinimod 0.6 mg capsules as compared to placebo in subjects with Relapsing Remitting Multiple Sclerosis (RRMS). Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- Laquinimod
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,106 participants
- Where
- 144 sitesin 24 countries
- Study dates
- 13 Nov 2007to 8 Nov 2010
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Subjects must have a confirmed and documented MS diagnosis as defined by the Revised McDonald criteria [Ann Neurol 2005: 58:840-846], with a relapsing-remitting disease course.
- Subjects must be ambulatory with converted Kurtzke EDSS score of 0-5.5.
- Subjects must be in a stable neurological condition and free of corticosteroid treatment [intravenous (iv), intramuscular (im) and/or per os (po)] 30 days prior to screening (month -1).
- Subjects must have had experienced one of the following:
- At least one documented relapse in the 12 months prior to screening
- At least two documented relapses in the 24 months prior to screening
Show all 12Show fewer
- One documented relapse between 12 and 24 months prior to screening with at least one documented T1-Gd enhancing lesion in an MRI performed within 12 months prior to screening.
- Subjects must be between 18 and 55 years of age, inclusive.
- Subjects must have disease duration of at least 6 months (from the first symptom) prior to screening.
- Women of child-bearing potential must practice an acceptable method of birth control [acceptable methods of birth control in this study include: surgical sterilization, intrauterine devices, oral contraceptive, contraceptive patch, long-acting injectable contraceptive, partner's vasectomy or double-barrier method (condom or diaphragm with spermicide).
- Subjects must be able to sign and date a written informed consent prior to entering the study
- Subjects must be willing and able to comply with the protocol requirements for the duration of the study.
Who cannot join
- Subjects with progressive forms of MS
- An onset of relapse, unstable neurological condition or any treatment with corticosteroids [intravenous (iv), intramuscular (im) and/or per os (po)] or ACTH between month -1 (screening) and 0 (baseline).
- Use of experimental or investigational drugs, and/or participation in drug clinical studies within the 6 months prior to screening.
- Use of immunosuppressive including Mitoxantrone (Novantrone®) or cytotoxic agents within 6 months prior to the screening visit.
- Previous use of either of the following: natalizumab (Tysabri®), cladribine, laquinimod.
- Previous treatment with glatiramer acetate (Copaxone®) Interferon-β (either 1a or 1b) or IVIG within 2 months prior to screening visit.
Show all 37Show fewer
- Systemic corticosteroid treatment of ≥30 consecutive days duration within 2 months prior to screening visit.
- Previous total body irradiation or total lymphoid irradiation.
- Previous stem cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation.
- A known history of tuberculosis.
- Acute infection two weeks prior to baseline visit.
- Major trauma or surgery two weeks prior to baseline
- A history of vascular thrombosis (excluding catheter-site superficial venous thrombophlebitis).
- A carrier state of factor V Leiden mutation (either homo- or heterozygous) as disclosed at screening.
- Positive screening test for Hepatitis B surface antigen, Hepatitis C antibody, or HIV antibody as disclosed at screening visit.
- Use of potent inhibitors of CYP3A4 within 2 weeks prior to baseline visit (1 month for fluoxetine) see detailed list in Appendix 5
- Use of amiodarone within 2 years prior to screening visit.
- Pregnancy or breastfeeding.
- Subjects with a clinically significant or unstable medical or surgical condition that would preclude safe and complete study participation, as determined by medical history, physical examinations, ECG, laboratory tests or chest X-ray. Such conditions may include:
- A cardiovascular or pulmonary disorder that cannot be well-controlled by standard treatment permitted by the study protocol.
- A gastrointestinal disorder that may affect the absorption of study medication.
- Renal or metabolic diseases.
- Any form of chronic liver disease, including known non-alcoholic steatohepatitis.
- A ≥2xULN serum elevation of either of the following at screening: ALT, AST or direct bilirubin
- A QTC interval (obtained from either 2 ECG recordings at screening or from the mean value calculated from 3 measurements at baseline visit) which is >450msec.
- A family history of Long- QT syndrome.
- A history of drug and/or alcohol abuse.
- Major psychiatric disorder.
- A known history of sensitivity to Gd.
- Inability to successfully undergo MRI scanning.
- Known drug hypersensitivity that would preclude administration of laquinimod, such as hypersensitivity to: mannitol, meglumine or sodium stearyl fumarate.
- Subjects who suffer from any form of progressive MS.
- Any condition which the investigator feels may interfere with participation in the study.
- Subjects with a clinically significant or unstable medical or surgical condition that would preclude safe and complete study participation,
- Subjects who received any investigational medication, immunosuppressives or cytotoxic agents within 6 months prior to screening
- Previous treatment with immunomodulators within two months prior to screening
- Pregnancy or breastfeeding.
Trial locations and contacts
144 sites in 24 countries.
144 sites in 24 countries
United States23 sites
Teva Investigational Site 1090
Centennial, Colorado, 80112
Teva Investigational Site 1084
Dayton, Ohio, 45417
Teva Investigational Site 1083
Des Moines, Iowa, 50314
Teva Investigational Site 1097
Fargo, North Dakota, 58103
Teva Investigational Site 1096
Farmington Hills, Michigan, 48334
Teva Investigational Site 1088
Fort Collins, Colorado, 80528
Teva Investigational Site 1081
Fort Wayne, Indiana, 46805
Teva Investigational Site 1100
Hershey, Pennsylvania, 17033-0850
Teva Investigational Site 1086
Kansas City, Kansas, 66160
Teva Investigational Site 1101
Lexington, Kentucky, 40513
Teva Investigational Site 1075
Lubbock, Texas, 79410
Teva Investigational Site 1085
Milwaukee, Wisconsin, 53215
Teva Investigational Site 1093
Minneapolis, Minnesota, 55414
Teva Investigational Site 1094
New Haven, Connecticut, 06520-8018
Teva Investigational Site 1082
New York, New York, 10003
Teva Investigational Site 1102
Northbrook, Illinois, 60062
Teva Investigational Site 1092
Oklahoma City, Oklahoma, 73120
Teva Investigational Site 1087
Philadelphia, Pennsylvania, 19104
Teva Investigational Site 1076
Phoenix, Arizona, 85004
Teva Investigational Site 1079
Rochester, New York, 14642
Teva Investigational Site 1078
San Antonio, Texas, 78231
Teva Investigational Site 1098
St Louis, Missouri, 63104
Teva Investigational Site 1073
Winston-Salem, North Carolina, 27157
Germany16 sites
Teva Investigational Site 3247
Bayreuth, 95445
Teva Investigational Site 3241
Berlin, 10713
Teva Investigational Site 3238
Berlin, 13347
Teva Investigational Site 3248
Bochum, 44791
Teva Investigational Site 3245
Dresden, 01307
Teva Investigational Site 3237
Emden, 26721
Teva Investigational Site 3242
Erbach im Odenwald, 64711
Teva Investigational Site 3240
Erfurt, 99089
Teva Investigational Site 3249
Freiburg im Breisgau, 79106
Teva Investigational Site 3236
Hamburg, 20246
Teva Investigational Site 3246
Hamburg, 22417
Teva Investigational Site 3239
Hanover, 30559
Teva Investigational Site 3243
Heidelberg, 69120
Teva Investigational Site 3251
Münster, 48149
Teva Investigational Site 3250
Trier, 54292
Teva Investigational Site 3244
Ulm, 89081
Spain13 sites
Teva Investigational Site 3132
Barcelona, 08035
Teva Investigational Site 3134
Barcelona, 08036
Teva Investigational Site 3144
Barcelona, 08041
Teva Investigational Site 3140
Beade-Vigo, 36312
Teva Investigational Site 3142
Getafe, 28905
Teva Investigational Site 3136
Girona, 17007
Teva Investigational Site 3135
Lleida, 25198
Teva Investigational Site 3133
Madrid, 28040
Teva Investigational Site 3146
Madrid, 28046
Teva Investigational Site 3137
Murcia, 30120
Teva Investigational Site 3138
Pontevedra, 36001
Teva Investigational Site 3139
Santiago de Compostela, 15706
Teva Investigational Site 3143
Valencia, 46010
Russia11 sites
Teva Investigational Site 5031
Kemerovo, 650066
Teva Investigational Site 5021
Moscow, 127018
Teva Investigational Site 5028
Nizhny Novgorod, 603126
Teva Investigational Site 5027
Novosibirsk, 630087
Teva Investigational Site 5030
Perm, 614990
Teva Investigational Site 5026
Saint Petersburg, 191025
Teva Investigational Site 5025
Saint Petersburg, 194044
Teva Investigational Site 5024
Saint Petersburg, 194354
Teva Investigational Site 5022
Saint Petersburg, 197022
Teva Investigational Site 5023
Saint Petersburg, 197376
Teva Investigational Site 5029
Yekaterinburg, 620102
Italy10 sites
Teva Investigational Site 3044
Catania, 95122
Teva Investigational Site 3045
Fidenza, 43036
Teva Investigational Site 3042
Gallarate, 21013
Teva Investigational Site 3046
Grosseto, 58100
Teva Investigational Site 3047
Milan, 20122
Teva Investigational Site 3038
Milan, 20132
Teva Investigational Site 555
Milan, 20132
Teva Investigational Site 3039
Milan, 20148
Teva Investigational Site 3041
Palermo, 90146
Teva Investigational Site 3040
Rome, 00133
Poland8 sites
Teva Investigational Site 5322
Częstochowa, 42-200
Teva Investigational Site 5319
Gmina Końskie, 26-200
Teva Investigational Site 5320
Gorzów Wielkopolski, 66-400
Teva Investigational Site 5316
Katowice, 40-752
Teva Investigational Site 5318
Kielce, 25-736
Teva Investigational Site 5317
Krakow, 31-826
Teva Investigational Site 5315
Lodz, 90-153
Teva Investigational Site 5325
Warsaw, 04-749
Canada7 sites
Teva Investigational Site 1130
Greenfield Park, Quebec, J4V 2J2
Teva Investigational Site 1132
Halifax, Nova Scotia, B3M 0A6
Teva Investigational Site 1126
London, Ontario, N6A 5A5
Teva Investigational Site 1129
Montreal, Quebec, H1T 2M4
Teva Investigational Site 1128
Ottawa, Ontario, K2G 6E2
Teva Investigational Site 1131
Sherbrooke, Quebec, J1H 5N4
Teva Investigational Site 1134
Toronto, Ontario, M4N 3M5
Bulgaria6 sites
Teva Investigational Site 5901
Pleven, 5800
Teva Investigational Site 5904
Sofia, 1113
Teva Investigational Site 5903
Sofia, 1309
Teva Investigational Site 5900
Sofia, 1606
Teva Investigational Site 5905
Sofia, 1606
Teva Investigational Site 5902
Varna, 9010
France6 sites
Teva Investigational Site 3525
Besançon, 25030
Teva Investigational Site 3527
Bron, 69677
Teva Investigational Site 3526
Clermont-Ferrand, 63003
Teva Investigational Site 3524
Lille, 59037
Teva Investigational Site 3528
Marseille, 13385
Teva Investigational Site 3529
Rennes, 35033
Israel5 sites
Teva Investigational Site 8034
Haifa, 31048
Teva Investigational Site 8031
Haifa, 3436212
Teva Investigational Site 8030
Jerusalem, 9112001
Teva Investigational Site 8033
Ramat Gan, 5262160
Teva Investigational Site 8032
Tel Aviv, 78278
Romania5 sites
Teva Investigational Site 5208
Bucharest, 011461
Teva Investigational Site 5210
Cluj-Napoca, 400437
Teva Investigational Site 5212
Constanța, 900123
Teva Investigational Site 5211
Târgu Mureş, 540136
Teva Investigational Site 5209
Timișoara, 300736
Ukraine5 sites
Teva Investigational Site 5803
Dnipropetrovsk, 49027
Teva Investigational Site 5802
Kyiv, 03110
Teva Investigational Site 5804
Kyiv, 03115
Teva Investigational Site 5800
Lviv, 79010
Teva Investigational Site 5801
Vinnytsia, 21005
Austria4 sites
Teva Investigational Site 3300
Klagenfurt, 9020
Teva Investigational Site 3303
Linz, A-4021
Teva Investigational Site 3302
Sankt Pölten, 3100
Teva Investigational Site 3301
Villach, 9500
Hungary4 sites
Teva Investigational Site 5115
Budapest, H-1145
Teva Investigational Site 5114
Debrecen, 4043
Teva Investigational Site 5116
Miskolc, 3526
Teva Investigational Site 5117
Veszprém, H-8200
Netherlands3 sites
Teva Investigational Site 3809
Groesbeek, 6561 KE
Teva Investigational Site 3810
Nieuwegein, 3430 EM
Teva Investigational Site 3811
Tilburg, 5022 GC
Sweden3 sites
Teva Investigational Site 4204
Stockholm, 14186
Teva Investigational Site 4205
Stockholm, 17176
Teva Investigational Site 4206
Stockholm, 18288
United Kingdom3 sites
Teva Investigational Site 3425
Liverpool, L9 7LJ
Teva Investigational Site 3424
London, E1 2AT
Teva Investigational Site 3422
Sheffield, S10 2JF
Czechia2 sites
Teva Investigational Site 5417
Olomouc, 779 00
Teva Investigational Site 5416
Ostrava - Poruba, 708 52
Estonia2 sites
Teva Investigational Site 5504
Tallinn, EE-10617
Teva Investigational Site 5505
Tartu, EE-51014
Georgia2 sites
Teva Investigational Site 8100
Tbilisi, 0112
Teva Investigational Site 8101
Tbilisi, 0179
Lithuania2 sites
Teva Investigational Site 5704
Kaunas, 50009
Teva Investigational Site 5705
Šiauliai, 76231
Serbia2 sites
Teva Investigational Site 6100
Belgrade, 11000
Teva Investigational Site 6102
Niš, 18 000
About this study
Official title: A Multinational, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Study, to Evaluate the Safety, Tolerability and Efficacy of Daily Oral Administration of Laquinimod 0.6 mg in Subjects With RRMS
Determination the efficacy of daily oral treatment with laquinimod 0.6 mg capsules as compared to placebo in subjects with Relapsing Remitting Multiple Sclerosis (RRMS).
- Conditions
- Multiple Sclerosis
- Being tested
- Laquinimod, Placebo
- Keywords
- Relapsing, Remitting
- Medical subject headings
- Multiple Sclerosis, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LaquinimodDrug
Also called TV-5600
Laquinimod 0.6 mg capsule, oral, once daily
PlaceboOther
oral, once daily, capsule
| Study group | Role | What they receive |
|---|---|---|
| Laquinimod | Experimental | Laquinimod 0.6 mg, oral Receives: Drug: Laquinimod |
| Placebo | Placebo comparator | Matching placebo Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Relapse Rate: Number of Confirmed Relapses During the Double Blind Study Period
A relapse was defined as the appearance of at least one new neurological abnormality or the reappearance of at least one previously observed neurological abnormalities lasting greater than or equal to 48 hours and immediately preceded by an improving neurological state of greater than or equal to 30 days from onset of previous relapse. An event was counted as a relapse only when the participant's symptoms were accompanied by observed objective neurological changes, consistent with one or more of the following: An increase of greater than or equal to 0.5 in the Expanded Disability Status Scale (EDSS) score as compared to previous evaluation, an increase of one grade in the actual score of greater than or equal to 2 of the 7 functional systems (FS), as compared to previous evaluation, or an increase of 2 grades in the actual score of one FS as compared to the previous evaluation.
Measured: Up to Month 24
Secondary outcomes (4)
Composite Endpoint: Sum of the Number of T1 Gadolinium (Gd)-Enhanced Lesions on T1-Weighted MRI Images
Composite score was calculated as the sum of the number of gadolinium (Gd)-enhanced lesions at Month 12 and the number of gadolinium (Gd)-enhanced lesions at Month 24 on T1-Weighted MRI scans.
Measured: Month 12, Month 24
Composite Endpoint: Sum of the Number of New/Enlarging T2 Lesions
Composite score calculated as the sum of T2 lesions at Months 12 and 24 that are new or enlarged.
Measured: Month 12, Month 24
Accumulation of Physical Disability Measured by the Time to Confirmed Progression of Expanded Disability Status Scale (EDSS)
EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis [MS]). A confirmed progression of EDSS is defined as at least 1 point increase from baseline if baseline EDSS was between 0 and 5.0, or at least 0.5 point increase if baseline EDSS was 5.5 or higher, confirmed 3 months later. Participants were assessed between baseline and month 24 visit. Participants that met these criteria for any 3 consecutive months were counted in the progression category. Progression could not be confirmed during an MS relapse. Data is presented as a distribution of confirmed disease progression (CDP) events (number of participants with CDP).
Measured: Baseline to Month 24
Change From Baseline in Disability as Assessed by the Multiple Sclerosis Functional Composite (MSFC) Score
The Multiple Sclerosis Functional Composite is an instrument assessing disability that consists of 3 clinical assessments. The 3 are Timed 25-Foot Walk, 9-Hole Peg Test which measures upper extremity (arm and hand) function, and PASAT (Paced Auditory Serial Addition Test) which is a measure of cognitive function that specifically assesses auditory information processing speed and flexibility, as well as calculation ability. A Z-score is used to define a common metric from the 3 assessments that constitute the MSFC score. The study's population at baseline was used as reference population for the Z-score calculation. A Z-score of 0 represents the population mean at baseline. Higher Z-scores correspond to an improved outcome.
Measured: Baseline, Month 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jul 2007 (estimated)
- Study start13 Nov 2007
- Primary completion8 Nov 2010
- Study completion8 Nov 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,106 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Giancarlo Comi, Principal investigator, U.O.Neurology-Neurorehabilitation and Clinical Neurophysiology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00509145
- Sponsor's protocol ID
- MS-LAQ-301
- Other IDs
- EUDRACT 2007-003226-19
- Acronym
- ALLEGRO
- Status last verified
- Sep 2021
- First submitted
- 27 Jul 2007
- Last updated
- 2 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Kolb-Sobieraj C, Gupta S, Weinstock-Guttman B. Laquinimod therapy in multiple sclerosis: a comprehensive review. Neurol Ther. 2014 May 6;3(1):29-39. doi: 10.1007/s40120-014-0017-6. eCollection 2014 Jun.
PubMed 26000222Filippi M, Rocca MA, Pagani E, De Stefano N, Jeffery D, Kappos L, Montalban X, Boyko AN, Comi G; ALLEGRO Study Group. Placebo-controlled trial of oral laquinimod in multiple sclerosis: MRI evidence of an effect on brain tissue damage. J Neurol Neurosurg Psychiatry. 2014 Aug;85(8):851-8. doi: 10.1136/jnnp-2013-306132. Epub 2013 Sep 12.
PubMed 24029546Comi G, Jeffery D, Kappos L, Montalban X, Boyko A, Rocca MA, Filippi M; ALLEGRO Study Group. Placebo-controlled trial of oral laquinimod for multiple sclerosis. N Engl J Med. 2012 Mar 15;366(11):1000-9. doi: 10.1056/NEJMoa1104318.
PubMed 22417253
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multinational, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Study, to Evaluate the Safety, Tolerability and Efficacy of Daily Oral Administration of Laquinimod 0.6 mg in Subjects With RRMS
- ClinicalTrials.gov ID
- NCT00509145
- Acronym / sponsor ID
- ALLEGRO / MS-LAQ-301
- Conditions
- Multiple Sclerosis
- Keywords
- Relapsing, Remitting
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,106 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Study start
- 13 Nov 2007 (actual)
- Primary completion
- 8 Nov 2010 (actual)
- Study completion
- 8 Nov 2010 (actual)
- First posted
- 31 Jul 2007 (estimated)
- Results
- Posted 2 Nov 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Determination the efficacy of daily oral treatment with laquinimod 0.6 mg capsules as compared to placebo in subjects with Relapsing Remitting Multiple Sclerosis (RRMS).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Laquinimod | Experimental | Drug: LaquinimodLaquinimod 0.6 mg, oral |
| Placebo | Placebo comparator | Other: PlaceboMatching placebo |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (12 listed)
- Subjects must have a confirmed and documented MS diagnosis as defined by the Revised McDonald criteria [Ann Neurol 2005: 58:840-846], with a relapsing-remitting disease course.
- Subjects must be ambulatory with converted Kurtzke EDSS score of 0-5.5.
- Subjects must be in a stable neurological condition and free of corticosteroid treatment [intravenous (iv), intramuscular (im) and/or per os (po)] 30 days prior to screening (month -1).
- Subjects must have had experienced one of the following:
- Subjects must be between 18 and 55 years of age, inclusive.
Key exclusion criteria (37 listed)
- Subjects with progressive forms of MS
- An onset of relapse, unstable neurological condition or any treatment with corticosteroids [intravenous (iv), intramuscular (im) and/or per os (po)] or ACTH between month -1 (screening) and 0 (baseline).
- Use of experimental or investigational drugs, and/or participation in drug clinical studies within the 6 months prior to screening.
- Use of immunosuppressive including Mitoxantrone (Novantrone®) or cytotoxic agents within 6 months prior to the screening visit.
- Previous use of either of the following: natalizumab (Tysabri®), cladribine, laquinimod.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LaquinimodAlso: TV-5600Laquinimod 0.6 mg capsule, oral, once daily | Drug | Laquinimod |
| Placebooral, once daily, capsule | Other | Placebo |
Primary outcome
Relapse Rate: Number of Confirmed Relapses During the Double Blind Study Period
Time frame: Up to Month 24
A relapse was defined as the appearance of at least one new neurological abnormality or the reappearance of at least one previously observed neurological abnormalities lasting greater than or equal to 48 hours and immediately preceded by an improving neurological state of greater than or equal to 30 days from onset of previous relapse. An event was counted as a relapse only when the participant's symptoms were accompanied by observed objective neurological changes, consistent with one or more of the following: An increase of greater than or equal to 0.5 in the Expanded Disability Status Scale (EDSS) score as compared to previous evaluation, an increase of one grade in the actual score of greater than or equal to 2 of the 7 functional systems (FS), as compared to previous evaluation, or an increase of 2 grades in the actual score of one FS as compared to the previous evaluation.
4 secondary outcomes
Composite Endpoint: Sum of the Number of T1 Gadolinium (Gd)-Enhanced Lesions on T1-Weighted MRI Images
Time frame: Month 12, Month 24
Composite Endpoint: Sum of the Number of New/Enlarging T2 Lesions
Time frame: Month 12, Month 24
Accumulation of Physical Disability Measured by the Time to Confirmed Progression of Expanded Disability Status Scale (EDSS)
Time frame: Baseline to Month 24
Change From Baseline in Disability as Assessed by the Multiple Sclerosis Functional Composite (MSFC) Score
Time frame: Baseline, Month 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26000222Kolb-Sobieraj C, Gupta S, Weinstock-Guttman B. Laquinimod therapy in multiple sclerosis: a comprehensive review. Neurol Ther. 2014 May 6;3(1):29-39. doi: 10.1007/s40120-014-0017-6. eCollection 2014 Jun.
- Derived from this study: PubMed 24029546Filippi M, Rocca MA, Pagani E, De Stefano N, Jeffery D, Kappos L, Montalban X, Boyko AN, Comi G; ALLEGRO Study Group. Placebo-controlled trial of oral laquinimod in multiple sclerosis: MRI evidence of an effect on brain tissue damage. J Neurol Neurosurg Psychiatry. 2014 Aug;85(8):851-8. doi: 10.1136/jnnp-2013-306132. Epub 2013 Sep 12.
- Derived from this study: PubMed 22417253Comi G, Jeffery D, Kappos L, Montalban X, Boyko A, Rocca MA, Filippi M; ALLEGRO Study Group. Placebo-controlled trial of oral laquinimod for multiple sclerosis. N Engl J Med. 2012 Mar 15;366(11):1000-9. doi: 10.1056/NEJMoa1104318.
- Teva's Allegro Clinical Trials websiteLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Giancarlo Comi principal investigator
U.O.Neurology-Neurorehabilitation and Clinical Neurophysiology
144 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Laquinimod in people with Multiple Sclerosis, run by Teva Branded Pharmaceutical Products R&D, Inc. at 144 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 37 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 144 sites in United States, Germany, Spain, Russia, Italy and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 2 Nov 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Relapse Rate: Number of Confirmed Relapses During the Double Blind Study Period (time frame: Up to Month 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00509145, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2021.