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Multiple SclerosisPhase 3NCT00662649

Long-term Efficacy and Safety of Fingolimod (FTY720) in Patients With Relapsing-remitting Multiple Sclerosis

A Phase 3 study testing Fingolimod 0.5 mg and Fingolimod 1.25 mg in people with Multiple Sclerosis, run by Novartis at 103 sites in 22 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This extension study of was designed to evaluate the long-term safety, tolerability, and efficacy of fingolimod (FTY720) in patients with multiple sclerosis. The Extension study was an extension to the 24-month Core study (CFTY720D2301/NCT00289978). Read more about this study

Who is it for?
Ages 20 to 58 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
Fingolimod 0.5 mg and Fingolimod 1.25 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
920 participants
Where
103 sitesin 22 countries
Study dates
Feb 2008to Jun 2011
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 20 to 58 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients should complete the 24 month core study

Who cannot join

  • Patients with other chronic disease of the immune system, malignancies, acute pulmonary disease, cardiac failure, etc.
  • Pregnant or nursing women
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

103 sites in 22 countries.

103 sites in 22 countries

Germany11 sites
  • Novartis Investigative Site

    Berlin

  • Novartis Investigative Site

    Düsseldorf

  • Novartis Investigative Site

    Giessen

  • Novartis Investigative Site

    Hamburg

  • Novartis Investigative Site

    Leipzig

  • Novartis Investigative Site

    Magdeburg

  • Novartis Investigative Site

    München

  • Novartis Investigative Site

    Münster

  • Novartis Investigative Site

    Regensburg

  • Novartis Investigative Site

    Stuttgart

  • Novartis Investigative Site

    Tübingen

Other trials in Germany

France9 sites
  • Novartis Investigative Site

    Clermont-Ferrand

  • Novartis Investigative Site

    Dijon

  • Novartis Investigative Site

    Lille

  • Novartis Investigative Site

    Marseille

  • Novartis Investigative Site

    Montpellier

  • Novartis Investigative Site

    Nantes

  • Novartis Investigative Site

    Paris

  • Novartis Investigative Site

    Rennes

  • Novartis Investigative Site

    Strasbourg

Other trials in France

Canada8 sites
  • Novartis Investigative Site

    Halifax

  • Novartis Investigative Site

    Kingston

  • Novartis Investigative Site

    London

  • Novartis Investigative Site

    Montreal

  • Novartis Investigative Site

    Nepean

  • Novartis Investigative Site

    Regina

  • Novartis Investigative Site

    Toronto

  • Novartis Investigative Site

    Vancouver

Other trials in Canada

Czechia8 sites
  • Novartis Investigative Site

    Brno

  • Novartis Investigative Site

    Olomouc

  • Novartis Investigative Site

    Ostrava-Poruba

  • Novartis Investigative Site

    Pardubice

  • Novartis Investigative Site

    Plzen - Lochotin

  • Novartis Investigative Site

    Prague

  • Novartis Investigative Site

    Rychnov nad Kněžnou

  • Novartis Investigative Site

    Teplice

Other trials in Czechia

Turkey (Türkiye)8 sites
  • Novartis Investigational Site

    Ankara

  • Novartis Investigational Site

    Bursa

  • Novartis Investigational Site

    Cerrahpasa/Istanbul

  • Novartis Investigational Site

    Gaziantep

  • Novartis Investigational Site

    Istanbul

  • Novartis Investigational Site

    Izmir

  • Novartis Investigational Site

    Mersin

  • Novartis Investigational Site

    Yenisehir/Izmir

Other trials in Turkey (Türkiye)

Belgium7 sites
  • Novartis Investigative Site

    Bruges

  • Novartis Investigative Site

    Brussels

  • Novartis Investigative Site

    Charleroi

  • Novartis Investigative Site

    Leuven

  • Novartis Investigative Site

    Overpelt

  • Novartis Investigative Site

    Sijsele - Damme

  • Novartis Investigative Site

    Sint-Truiden

Other trials in Belgium

Netherlands6 sites
  • Novartis Investigative Site

    Amsterdam

  • Novartis Investigative Site

    Nieuwegein

  • Novartis Investigative Site

    Nijmegen

  • Novartis Investigative Site

    Rotterdam

  • Novartis Investigative Site

    Sittard

  • Novartis Investigative Site

    Tilburg

Other trials in Netherlands

Poland6 sites
  • Novartis Investigative Site

    Bialystok

  • Novartis Investigative Site

    Gdansk

  • Novartis Investigative Site

    Katowice

  • Novartis Investigative Site

    Lodz

  • Novartis Investigative Site

    Poznan

  • Novartis Investigative Site

    Warsaw

Other trials in Poland

Australia5 sites
  • Novartis Investigative Site

    Chatswood

  • Novartis Investigative Site

    Fitzroy, 3065

  • Austin Health, Department of Neurology

    Heidelberg

  • Novartis Investigative Site

    North Gosford

  • Novartis Investigative Site

    Woodville

Other trials in Australia

United Kingdom5 sites
  • Novartis Investigative Site

    Bristol

  • Novartis Investigative Site

    London

  • Novartis Investigative Site

    Newcastle upon Tyne

  • Novartis Investigative Site

    Nottingham

  • Novartis Investigative Site

    Sheffield

Other trials in United Kingdom

Israel4 sites
  • Novaratis Investigative Site

    Ashkelon

  • Novartis Investigative Site

    Haifa

  • Novartis Investigative Site

    Ramat Gan

  • Novartis Investigative Site

    Safed

Other trials in Israel

Romania4 sites
  • Novartis Investigative Site

    Bucharest

  • Novartis Investigative Site

    Craiova

  • Novartis Investigative Site

    Lasi

  • Novartis Investigative Site

    Tg. Mures

Other trials in Romania

Finland3 sites
  • Novartis Investigative Site

    Helsinki

  • Novartis Investigative Site

    Tampere

  • Novartis Investigative Site

    Turku

Other trials in Finland

Hungary3 sites
  • Novartis Investigative Site

    Budapest

  • Novartis Investigative Site

    Miskolc

  • Novartis Investigative Site

    Székesfehérvár

Other trials in Hungary

Russia3 sites
  • Novartis Investigative Site

    Kazan'

  • Novartis Investigative Site

    Moscow

  • Novartis Investigative Site

    Saint Petersburg

Other trials in Russia

Slovakia3 sites
  • Novartis Investigational Site

    Bratislava

  • Novartis Investigative Site

    Martin

  • Novartis Investigational Site

    Žilina

Other trials in Slovakia

South Africa3 sites
  • Novartis Investigational Site

    Cape Town

  • Novartis Investigational Site

    Rosebank

  • Novartis Investigational Site

    Umhlanga

Other trials in South Africa

Sweden2 sites
  • Novartis Investigational Site

    Gothenburg

  • Novartis Investigational Site

    Stockholm

Other trials in Sweden

Switzerland2 sites
  • Novartis Investigative Site

    Lausanne

  • Novartis Investigative Site

    Zurich

Other trials in Switzerland

Estonia1 site
  • Novartis Investigative Site

    Talinn

Other trials in Estonia

Greece1 site
  • Novartis Investigative Site

    Athens

Other trials in Greece

Ireland1 site
  • Novartis Investigative Site

    Dublin

Other trials in Ireland

About this study

Official title: An Extension of the 24-month, Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing Efficacy and Safety of Fingolimod (FTY720) 1.25 mg and 0.5 mg Administered Orally Once Daily Versus Placebo in Patients With Relapsing-remitting Multiple Sclerosis

This extension study of was designed to evaluate the long-term safety, tolerability, and efficacy of fingolimod (FTY720) in patients with multiple sclerosis. The Extension study was an extension to the 24-month Core study (CFTY720D2301/NCT00289978).

Being tested
Fingolimod 0.5 mg, Fingolimod 1.25 mg
Keywords
Multiple sclerosis., Relapse-remitting, Fingolimod
Medical subject headings
Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fingolimod 0.5 mgDrug

    Also called FTY720

    Patients self-administered fingolimod 0.5 mg capsules orally once daily.

  • Fingolimod 1.25 mgDrug

    Also called FTY720

    Patients self-administered fingolimod 1.25 mg capsules orally once daily.

Study groups in NCT00662649
Study groupRoleWhat they receive
Fingolimod 1.25 mgExperimentalPatients continued the same dose to which they had been randomized in the Core study (CFTY720D2301/NCT00289978), fingolimod 1.25 mg/day, in this Extension study.
Receives: Drug: Fingolimod 1.25 mg
Fingolimod 0.5 mgExperimentalPatients continued the same dose to which they had been randomized in the Core study, fingolimod 0.5 mg/day, in this Extension study.
Receives: Drug: Fingolimod 0.5 mg
Placebo-fingolimodExperimentalPatients randomized to placebo in the Core study were re randomized to fingolimod (either 0.5 or 1.25 mg/day) in this Extension study.
Receives: Drug: Fingolimod 0.5 mg; Drug: Fingolimod 1.25 mg
Placebo-fingolimod 1.25 mgExperimentalPatients randomized to placebo in the Core study were re randomized to fingolimod 1.25 mg/day in this Extension study.
Receives: Drug: Fingolimod 1.25 mg
Placebo-fingolimod 0.5 mgExperimentalPatients randomized to placebo in the Core study were re randomized to fingolimod 0.5 mg/day in this Extension study.
Receives: Drug: Fingolimod 0.5 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized Aggregate Relapse Rate (ARR) During Months 0 to End of Study(Core [CFTY720D2301/NCT00289978] and Extension Study)

    ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was the mean of the annualized ARRs for all patients in the group, calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25.

    Measured: Months 0 to end of study (maximum up to 60 months)

  2. Time to First Confirmed Relapse up to End of Study: Kaplan-Meier Estimate of Percentage of Patients Relapse-free

    A relapse 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). Kaplan-Meier estimates of the percentage of relapse-free patients at end of study and and 95% confidence intervals (CIs) were presented for the treatment groups.

    Measured: Core baseline to end of study (maximum up to 60 months)

  3. Annualized Aggregate Relapse Rate (ARR) During Months 0-24 (Core Study) and Months 24-48 (Extension Study)

    ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was the mean of the annualized ARRs for all patients in the group, calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25.

    Measured: Months 0-24 (core study) and Months 24-48 (extension study)

  4. Change (Expressed as Ratio) in the Annualized Aggregate Relapse Rate (ARR) From Months 0-24 (Core Study) to Months 24-48 (Extension Study)

    ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was the mean of the annualized ARRs for all patients in the group, calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25.

    Measured: Months 0-24 (core study) and Months 24-48 (extension study)

Secondary outcomes (5)
  1. Change in Mean Number of New or Newly Enlarged T2 Magnetic Resonance Imaging (MRI) Lesions During Months 0-24 (Core Study) and Months 24-48 (Extension Study)

    The number of new or newly enlarged T2 lesions was assessed with T2-weighted MRI scans. A T2-weighted MRI scan utilizes particular values of the echo time (TE) and the repetition time (TR) parameters of image acquisition. Inflammation and tissue damage are seen as bright areas in T2 images and are often referred to as T2 lesions. T2 weighted MRI scans are a sensitive way to evaluate the brain for demyelinating diseases, such as multiple sclerosis.

    Measured: Months 0-24 (core study) and Months 24-48 (extension study)

  2. Percentage of Patients Free of New or Newly Enlarged T2 Magnetic Resonance Imaging (MRI) Lesions During Months 0-24 (Core Study) and Months 24-48 (Extension Study)

    The number of new or newly enlarged T2 lesions was assessed with T2-weighted MRI scans. A T2-weighted MRI scan utilizes particular values of the echo time (TE) and the repetition time (TR) parameters of image acquisition. Inflammation and tissue damage are seen as bright areas in T2 images and are often referred to as T2 lesions. T2 weighted MRI scans are a sensitive way to evaluate the brain for demyelinating diseases, such as multiple sclerosis.

    Measured: Months 0-24 (core study) and Months 24-48 (extension study)

  3. Percent Change in Brain Volume From Month 0 to Month 24 (Core Study) and From Month 24 to Month 48 (Extension Study)

    Calculations of brain volume change were performed using the structural image evaluation of normalized atrophy (SIENA), software included in the Functional Magnetic Resonance Imaging of the Brain (FMRIB) software library. SIENA is a fully automated method for estimating temporal brain volume change.

    Measured: Months 0-24 (core study) and Months 24-48 (extension study)

  4. Percent Change in Brain Volume From Month 0 End of Study (Core and Extension Study)

    Calculations of brain volume change were performed using the structural image evaluation of normalized atrophy (SIENA), software included in the Functional Magnetic Resonance Imaging of the Brain (FMRIB) software library. SIENA is a fully automated method for estimating temporal brain volume change.

    Measured: Months 0 to end of study (maximum up to 60 months)

  5. Time to First 3-month Confirmed Disability Progression up to End of Study Based on Expanded Disability Status Scale (EDSS): Kaplan-Meier Estimate of Percentage of Patients Free of Disability Progression

    Kurtzke's Expanded Disability Status Scale (EDSS) is a scale for assessing neurologic impairment in multiple sclerosis (MS) includes a series of scores in each of eight functional systems such as Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel \& Bladder, Cerebral, and Other. The EDSS steps range from 0 (normal) to 10 (death due to MS). The Kaplan-Meier estimates of the percentage of participants free of disability progression at end of study and their 95% CIs were provided for each treatment group.

    Measured: Core baseline to end of study (maximum up to 60 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Apr 2008 (estimated)
  2. Study startFeb 2008
  3. Primary completionJun 2011
  4. Study completionJun 2011

Resources

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
920 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00662649
Sponsor's protocol ID
CFTY720D2301E1
Other IDs
2007-004122-24
Status last verified
Jun 2012
First submitted
17 Apr 2008
Last updated
12 Jul 2012

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Fingolimod 0.5 mg and Fingolimod 1.25 mg in people with Multiple Sclerosis, run by Novartis at 103 sites in 22 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 1 inclusion and 3 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 12 Jul 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 103 sites in Germany, France, Canada, Czechia, Turkey (Türkiye) and 17 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. 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 12 Jul 2012). 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?

Annualized Aggregate Relapse Rate (ARR) During Months 0 to End of Study(Core [CFTY720D2301/NCT00289978] and Extension Study) (time frame: Months 0 to end of study (maximum up to 60 months)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Jul 2012.

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