Multiple SclerosisPhase 2NCT01006265
Clinical Study to Evaluate the Efficacy, Safety, and Tolerability of ACT-128800 in Patients With Relapsing-remitting Multiple Sclerosis
A Phase 2 study testing ACT-128800 Dose 1, ACT-128800 Dose 2 and ACT-128800 Dose 3 in people with Multiple Sclerosis, run by Actelion at 115 sites in 23 countries.
Trial summary
This study will assess the efficacy, safety, and tolerability of ACT-128800 in patients with relapsing-remitting multiple sclerosis. 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?
- ACT-128800 Dose 1, ACT-128800 Dose 2 and ACT-128800 Dose 3
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 464 participants
- Where
- 115 sitesin 23 countries
- Study dates
- 1 Oct 2009to 1 Jul 2011
- Phase
- Phase 2
- 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
- Adult males and females
- Diagnosis of RRMS as defined by the revised (2005) McDonald Diagnostic Criteria for Multiple Sclerosis (MS).
- Signed inform consent prior to initiation of any study-mandated procedure.
Who cannot join
- A diagnosis of MS categorized as primary progressive or secondary progressive or progressive relapsing.
- Patients currently treated for an autoimmune disorder other than MS.
- Contraindications for MRI.
- Ongoing bacterial, viral, or fungal infection.
- History or presence of malignancy.
- Additional inclusion and exclusion criteria apply with respect to medical conditions and concomitant treatments which could affect patients' risk from participating in the study.
Trial locations and contacts
115 sites in 23 countries.
115 sites in 23 countries
United States25 sites
Clinical Investigator 3126
Akron, Ohio, 44320
Clinical Investigative Site 3118
Baltimore, Maryland, 21201
Clinical Investigative Site 3112
Burlington, Vermont, 05401
Clinical Investigative Site 3113
Cincinnati, Ohio, 45219
Clinical Investigative Site 3130
Columbus, Ohio, 43221
Clinical Investigative Site 3101
Indianapolis, Indiana, 46202
Clinical Investigative Site 3105
Kansas City, Kansas, 66160
Clinical Investigative Site 3102
Kirkland, Washington, 98034
Clinical Investigative Site 3129
Latham, New York, 12110
Clinical Investigative Site 3107
Lenexa, Kansas, 66214
Clinical Investigative Site # 3128
New York, New York, 10032
Clinical Investigative Site # 3135
Newark, New Jersey, 07103
Clinical Investigative Site 3125
Philadelphia, Pennsylvania, 19107
Clinical Investigator 3104
Portland, Oregon, 97225
Clinical Investigative Site 3119
Raleigh, North Carolina, 27607
Clinical Investigative Site 3111
Richmond, Virginia, 23298
Clinical Investigative Site 3115
Sacramento, California, 95817
Clinical Invesigative Site 3116
Sarasota, Florida, 34233
Clinical Investigative Site 3127
Schenectady, New York, 12308
Clinical Investigative Site 3132
Scottsdale, Arizona, 85259
Clinical Investigator 3136
St Louis, Missouri, 63100
Clinical Investigative Site 3117
Stanford, California, 94305
Clinical Investigative Site 3120
Stony Brook, New York, 11794
Clinical Investigative Site 3100
Tucson, Arizona, 85741
Clinical Investigative Site 3133
Worcester, Massachusetts, 01605
Russia9 sites
Clinical Investigative Site # 3202
Moscow, 127018
Clinical Investigative Site # 3203
Nizhny Novgorod, 603155
Clinical Investigative Site # 3206
Pyatigorsk, 357538
Clinical Investigative Site # 3204
Saint Petersburg, 194354
Clinical Investigative Site 3201
Saint Petersburg, 197022
Clinical Investigative Site 3200
Saint Petersburg, 197376
Clinical Investigative Site # 3201
Samara, 443095
Clinical Investigative Site 3209
Saratov, 410030
Clinical Investigative Site 3208
Ufa, 450005
Germany7 sites
Clinical Investigative Site # 1806
Bayreuth, 95445
Clinical Investigative 1807
Berlin, 10117
Clinical Investigative Site 1803
Berlin, 13347
Clinical Investigative site 1800
Düsseldorf, 40225
Clinical Investigative Site 1802
Essen, 45147
Clinical Investigative Site 1805
Homburg/Saar, 66421
Clinical Investigative Site 1804
Ulm, 89081
Czechia6 sites
Clinical Investigative Site 1502
Brno, 656 91
Clinical Investigative Site 1506
Jihlava, 586 33
Clinical Investigative Site 1504
Olomouc, 775 20
Clinical Investigative Site 1501
Ostrava-Poruba, 70852
Clinical Investigative Site 1500
Prague, 128 08
Clinical Investigative Site 1503
Teplice
Hungary6 sites
Clinical Investigative Site 1905
Budapest, 1134
Clinical Investigative Site # 1904
Budapest, H-1115
Clinical Investigative Site 1908
Budapest, H-1145
Clinical Investigative Site 1902
Győr, 11-9024
Clinical Investigative Site 1900
Petofi, 2500
Clinical Investigative Site 1901
Szentpeteri-Kapu, 3526
Italy6 sites
Clinical Investigative Site 2101
Gallarte, 21013
Clinical Investigative Site 2104
Genova, 16132
Clinical Investigative Site # 2106
Milan, 20132
Clinical Investigative Site 2102
Padova, 35128
Clinical Investigative Site 2103
Roma, 00189
Clinical Investigative Site 2105
Siena, 53100
Spain6 sites
Clinical Investigative Site 2706
Barcelona, 08035
Clinical Investigative Site 2702
Madrid, 28040
Clinical Investigative Site 2705
Madrid, 28222
Clinical Investigative Site 2701
Málaga, 29010
Clinical Investigative Site 2700
Seville, 41009
Clinical Investigative Site 2704
Valencia, 46009
Belgium4 sites
Clinical Investigative Site 1201
La Louvière, 7100
Clinical Investigative Site # 1205
Liège, 4000
Clinical Investigative Site 1204
Ottignies, 1340
Clinical Investigative Site 1203
Sijsele-Damme, 8340
Bulgaria4 sites
Clinical Investigative Site 1302
Sofia, 1309
Clinical Investigative Site 1301
Sofia, 1431
Clinical Investigative Site 1303
Varna, 9010
Clinical Investigative Site 1304
Varna, 9010
Finland4 sites
Clinical Investigative Site 1600
Helsinki, 00100
Clinical Investigative Site 1601
Hyvinkää, 05800
Clinical Investigative Site 1603
Tampere, 33520
Clinical Investigative Site 1602
Turku, 20100
Israel4 sites
Clinical Investigative Site 2000
Ashkelon, 78278
Clinical Investigative Site 2003
Tel Aviv, 64239
Clinical Investigative Site 2001
Tel HaShomer, 52621
Clinical Investigative Site 2002
Tsrifin, 70300
Poland4 sites
Clinical Investigative Site 2305
Katowice, 47-752
Clinical Investigative Site 2303
Poznan, 60-355
Clinical Investigative Site 2304
Warsaw, 02-957
Clinical Investigative Site 2302
Wroclaw, 50-044
Ukraine4 sites
Clinical Investigative Site 3302
Chernihiv, 14029
Clinical Investigative Site 3303
Dnipropetrovsk, 49044
Clinical Investigative Site 3300
Kyiv, 03110
Clinical Investigative Site 3304
Odesa, 65000
Austria3 sites
Clinical Investigative Site 1102
Amstetten, 3300
Clinical Investigative Site 1100
Sankt Pölten, 3100
Clinical Investigative Site 1101
Vienna, 1090
Canada3 sites
Clinical Investigative Site 1401
Burbaby, British Columbia, V5G 2X6
Clinical Investigative Site # 1401
Burnaby, V5G 2X6
Clinical Investigative Site 1400
Ottawa, K1H 8L6
Netherlands3 sites
Clinical Investigative Site 2203
Breda, 4818
Clinical Investigative Site 2202
Nijmegen, 6533
Clinical Investigative Site 2201
Sittard-Geleen, 6162
Romania3 sites
Clinical Investigative Site 2400
Bucharest, 022903
Clinical Investigative Site 2401
Cluj-Napoca, 428063
Clinical Investigative Site 2402
Timișoara, 300736
Serbia3 sites
Clinical Investigative Site 2501
Belgrade, 11000
Clinical Investigative Site 2503
Kragujevac, 34000
Clinical Investigative Site 2502
Niš, 18000
Sweden3 sites
Clinical Investigative Site 2802
Gothenburg, 41345
Clinical Investigative Site 2800
Stockholm, 17176
Clinical Investigative Site 2801
Umed, 90185
United Kingdom3 sites
Clinical Investigative Site 3003
Bristol, BS16 1LE
Clinical Investigative Site 3004
Devon, PL6 SBX
Clinical Investigative Site 3002
London, SE5 9RS
Australia2 sites
Clinical Investigative Site # 1001
Fitzroy, 3065
Clinical Investigative Site 1000
Westmead, 2145
Switzerland2 sites
Clinical Investigative Site 2901
Lugano, CH-6900
Clinical Investigative Site 2900
Sankt Gallen, CH-9007
About this study
Official title: Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-finding Study to Evaluate the Efficacy, Safety, and Tolerability of Three Doses of ACT-128800, an Oral S1P1 Receptor Agonist, Administered for Twenty-four Weeks in Patients With Relapsing-remitting Multiple Sclerosis
This study will assess the efficacy, safety, and tolerability of ACT-128800 in patients with relapsing-remitting multiple sclerosis.
- Conditions
- Multiple Sclerosis
- Being tested
- ACT-128800 Dose 1, Placebo, ACT-128800 Dose 2, ACT-128800 Dose 3
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ACT-128800 Dose 1Drug
ACT-128800 (Dose 1) administered orally once daily
PlaceboDrug
Matching placebo administered orally once daily
ACT-128800 Dose 2Drug
ACT-128800 (Dose 2) administered orally once daily
ACT-128800 Dose 3Drug
ACT-128800 (Dose 3) administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| ACT-128800 Dose 1 | Experimental | ACT-128800 Dose 1 Receives: Drug: ACT-128800 Dose 1 |
| ACT-128800 Dose 2 | Experimental | ACT-128800 Dose 2 Receives: Drug: ACT-128800 Dose 2 |
| ACT-128800 Dose 3 | Experimental | ACT-128800 Dose 3 Receives: Drug: ACT-128800 Dose 3 |
| Placebo | Placebo comparator | Matching placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cumulative Number of New T1 Gadolinium-Enhancing (Gd+) Lesions on Magnetic Resonance Imaging (MRI) Scan From Week 12 to Week 24
Cumulative Number of new T1 gadolinium-enhancing (Gd+) lesions per year on magnetic resonance imaging (MRI) scan from Week 12 to Week 24 were reported. Negative binomial (NB) regression analysis on Per protocol analysis set and imputation was applied for the missing data. Here, MS signifies multiple sclerosis.
Measured: From Week 12 to 24
Secondary outcomes (2)
Annualized Confirmed Relapse Rate
Relapse: occurrence of acute episode of one or more new symptoms or worsened symptoms of Multiple Sclerosis (MS), not associated with fever/infection and lasting 24 hours after stable 30 days period. Confirmed relapse: increase from baseline at least 0.5 point Expanded Disability Status Scale (EDSS) score or increase of one point in one, two or three Functional Systems (FS), excluding bowel/bladder and cerebral/mental FS. EDSS and FS scores are based on neurological examination for assessing its impairment in MS. Among eight FS, seven are ordinal clinical rating scales ranging from 0-5 or 6 with higher scale indicating overall functional impairment assessing Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel/Bladder and Cerebral functions. Rating individual FS scores is used to rate EDSS with information concerning gait and use of assistance. EDSS is ordinal clinical scale ranges 0 (normal neurological examination) to 10(death due to MS)
Measured: Up to 24 weeks
Number of Participants With First Confirmed Relapse as Assessed by Kaplan-Meier Estimate From Baseline to Week 24
Relapse: occurrence of acute episode of one or more new symptoms or worsened symptoms of MS, not associated with fever/infection and lasting 24 hours after stable 30 days period. Confirmed relapse: increase from baseline at least 0.5 point Expanded Disability Status Scale (EDSS) score or increase of one point in one, two or three Functional Systems (FS), excluding bowel/bladder and cerebral/mental FS. EDSS and FS scores are based on neurological examination for assessing its impairment in MS. Among eight FS, seven are ordinal clinical rating scales ranging from 0-5 or 6 with higher scale indicating overall functional impairment assessing Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel/Bladder and Cerebral functions. Rating individual FS scores is used to rate EDSS with information concerning gait and use of assistance. EDSS is ordinal clinical scale ranges 0 (normal neurological examination) to 10(death due to MS). Kaplan-Meier estimate used for Outcome Measure analysis.
Measured: Baseline to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2009 (estimated)
- Study start1 Oct 2009
- Primary completion1 Jun 2011
- Study completion1 Jul 2011
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 (2)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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 464 participants (actual)
Sponsor and investigators
- Lead sponsor
- Actelion
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Actelion Pharmaceuticals, Study director, Actelion
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01006265
- Sponsor's protocol ID
- AC-058B201
- Status last verified
- Mar 2025
- First submitted
- 30 Oct 2009
- Last updated
- 30 Mar 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Olsson T, Boster A, Fernandez O, Freedman MS, Pozzilli C, Bach D, Berkani O, Mueller MS, Sidorenko T, Radue EW, Melanson M. Oral ponesimod in relapsing-remitting multiple sclerosis: a randomised phase II trial. J Neurol Neurosurg Psychiatry. 2014 Nov;85(11):1198-208. doi: 10.1136/jnnp-2013-307282. Epub 2014 Mar 21.
PubMed 24659797Gisleskog PO, Valenzuela B, Scherz T, Burcklen M, Perez-Ruixo JJ, Poggesi I. An Exposure-Response Analysis of the Clinical Efficacy of Ponesimod in a Randomized Phase II Study in Patients with Multiple Sclerosis. Clin Pharmacokinet. 2021 Sep;60(9):1227-1237. doi: 10.1007/s40262-021-01020-2. Epub 2021 Apr 29.
PubMed 33914286
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-finding Study to Evaluate the Efficacy, Safety, and Tolerability of Three Doses of ACT-128800, an Oral S1P1 Receptor Agonist, Administered for Twenty-four Weeks in Patients With Relapsing-remitting Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT01006265
- Acronym / sponsor ID
- AC-058B201
- Conditions
- Multiple Sclerosis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 464 participants (actual)
- Lead sponsor
- ActelionIndustry (pharma, biotech, devices)
- Study start
- 1 Oct 2009 (actual)
- Primary completion
- 1 Jun 2011 (actual)
- Study completion
- 1 Jul 2011 (actual)
- First posted
- 2 Nov 2009 (estimated)
- Results
- Posted 11 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the efficacy, safety, and tolerability of ACT-128800 in patients with relapsing-remitting multiple sclerosis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| ACT-128800 Dose 1 | Experimental | Drug: ACT-128800 Dose 1ACT-128800 Dose 1 |
| ACT-128800 Dose 2 | Experimental | Drug: ACT-128800 Dose 2ACT-128800 Dose 2 |
| ACT-128800 Dose 3 | Experimental | Drug: ACT-128800 Dose 3ACT-128800 Dose 3 |
| Placebo | Placebo comparator | Drug: PlaceboMatching placebo |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Adult males and females
- Diagnosis of RRMS as defined by the revised (2005) McDonald Diagnostic Criteria for Multiple Sclerosis (MS).
- Signed inform consent prior to initiation of any study-mandated procedure.
Key exclusion criteria (6 listed)
- A diagnosis of MS categorized as primary progressive or secondary progressive or progressive relapsing.
- Patients currently treated for an autoimmune disorder other than MS.
- Contraindications for MRI.
- Ongoing bacterial, viral, or fungal infection.
- History or presence of malignancy.
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 |
|---|---|---|
| ACT-128800 Dose 1ACT-128800 (Dose 1) administered orally once daily | Drug | ACT-128800 Dose 1 |
| PlaceboMatching placebo administered orally once daily | Drug | Placebo |
| ACT-128800 Dose 2ACT-128800 (Dose 2) administered orally once daily | Drug | ACT-128800 Dose 2 |
| ACT-128800 Dose 3ACT-128800 (Dose 3) administered orally once daily | Drug | ACT-128800 Dose 3 |
Primary outcome
Cumulative Number of New T1 Gadolinium-Enhancing (Gd+) Lesions on Magnetic Resonance Imaging (MRI) Scan From Week 12 to Week 24
Time frame: From Week 12 to 24
Cumulative Number of new T1 gadolinium-enhancing (Gd+) lesions per year on magnetic resonance imaging (MRI) scan from Week 12 to Week 24 were reported. Negative binomial (NB) regression analysis on Per protocol analysis set and imputation was applied for the missing data. Here, MS signifies multiple sclerosis.
2 secondary outcomes
Annualized Confirmed Relapse Rate
Time frame: Up to 24 weeks
Number of Participants With First Confirmed Relapse as Assessed by Kaplan-Meier Estimate From Baseline to Week 24
Time frame: Baseline to Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 24659797Olsson T, Boster A, Fernandez O, Freedman MS, Pozzilli C, Bach D, Berkani O, Mueller MS, Sidorenko T, Radue EW, Melanson M. Oral ponesimod in relapsing-remitting multiple sclerosis: a randomised phase II trial. J Neurol Neurosurg Psychiatry. 2014 Nov;85(11):1198-208. doi: 10.1136/jnnp-2013-307282. Epub 2014 Mar 21.
- Derived from this study: PubMed 33914286Gisleskog PO, Valenzuela B, Scherz T, Burcklen M, Perez-Ruixo JJ, Poggesi I. An Exposure-Response Analysis of the Clinical Efficacy of Ponesimod in a Randomized Phase II Study in Patients with Multiple Sclerosis. Clin Pharmacokinet. 2021 Sep;60(9):1227-1237. doi: 10.1007/s40262-021-01020-2. Epub 2021 Apr 29.
- A dose-finding study to evaluate the efficacy, safety, and tolerability of three doses of ACT-128800, an oral S1P1 receptor agonist, administered for twenty-four weeks in patients with relapsing-remitting multiple sclerosisLink 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.
Actelion Pharmaceuticals study director
Actelion
115 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ACT-128800 Dose 1, ACT-128800 Dose 2 and ACT-128800 Dose 3 in people with Multiple Sclerosis, run by Actelion at 115 sites in 23 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 3 inclusion and 6 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 30 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 115 sites in United States, Russia, Germany, Czechia, Hungary and 18 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 11 Jun 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?
Cumulative Number of New T1 Gadolinium-Enhancing (Gd+) Lesions on Magnetic Resonance Imaging (MRI) Scan From Week 12 to Week 24 (time frame: From Week 12 to 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 NCT01006265, which also lists 2 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 30 Mar 2025.