Multiple SclerosisPhase 3CONCERTONCT01707992
The Efficacy, Safety, and Tolerability of Laquinimod in Participants With 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 284 sites in 30 countries.
Trial summary
This is a multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study followed by active treatment, to evaluate the efficacy, safety and tolerability of two doses of oral administration of laquinimod in participants with 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
- 2,199 participants
- Where
- 284 sitesin 30 countries
- Study dates
- 20 Feb 2013to 4 Jul 2017
- 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
- Participants must have a confirmed and documented multiple sclerosis (MS) diagnosis as defined by the Revised McDonald criteria, with relapse onset disease or a relapsing-remitting disease course.
- Participants must be ambulatory with Kurtzke's expanded disability status scale (EDSS) score of 0 to 5.5 in both screening and randomization visits.
- Participants must be in a stable neurological condition, relapse-free and free of any corticosteroid treatment [intravenous (IV), intramuscular (IM) and/or per os (PO)/oral] or adrenocorticotrophic hormone, 60 days prior to randomization.
- Participants must have experienced at least one documented relapse in the 12 months prior to randomization.
- Participants must have disease duration of not more than 15 years.
- Women of child-bearing potential (for example, women who are not postmenopausal or surgically sterilized) must practice an acceptable method of birth control for 30 days before taking the study drug and two acceptable methods of birth control during the duration of the study and until 30 days after the last dose of study medication.
- Additional criteria apply, please contact the investigator for more information.
Who cannot join
- Participants with progressive forms of MS.
- Participants with neuromyelitis optica.
- Use of experimental or investigational drugs and/or participation in drug clinical studies within the 6 months prior to randomization.
- Use of immunosuppressive agents or cytotoxic agents, including cyclophosphamide, within 6 months prior to randomization.
- Use of either of the following within 2 years prior to randomization visit: natalizumab (Tysabri®), rituximab, ocrelizumab, atacicept, belimumab, or ofatumumab.
- Use of teriflunomide (Aubagio®) within 2 years prior to randomization, except if active washout (with either cholestyramine or activated charcoal) was done 2 months or more prior to randomization.
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- Previous treatment with glatiramer acetate (Copaxone®) Interferon β (either 1a or 1b), fingolimod (Gilenya®), dimethyl fumarate (Tecfidera®) or intravenous immunoglobulins within 2 months prior to randomization.
- Chronic (more than 30 consecutive days) systemic (IV, IM or PO) corticosteroid treatment within 2 months prior to randomization.
- Previous use of mitoxantrone (Novantrone®), cladribine, or alemtuzumab (Lemtrada®).
- Previous use of laquinimod.
- Previous total body irradiation or total lymphoid irradiation.
- Previous stem cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation.
- Use of moderate/strong inhibitors of cytochrome P450 (CYP) 3A4 within 2 weeks prior to randomization.
- Use of inducers of CYP3A4 within 2 weeks prior to randomization visit.
- Pregnancy or breastfeeding.
- A known history of sensitivity to gadolinium (Gd).
- Inability to successfully undergo magnetic resonance imaging (MRI) scanning.
- Participants who underwent endovascular treatment for chronic cerebrospinal venous insufficiency within 3 months prior to randomization.
- Additional criteria apply, please contact the investigator for more information.
Trial locations and contacts
284 sites in 30 countries.
284 sites in 30 countries
United States32 sites
Teva Investigational Site 10346
Advance, North Carolina, 27006
Teva Investigational Site 10307
Aurora, Colorado, 80045
Teva Investigational Site 10309
Bellevue, Ohio, 44811
Teva Investigational Site 10338
Boston, Massachusetts, 02215
Teva Investigational Site 10334
Centennial, Colorado, 80112
Teva Investigational Site 10350
Chicago, Illinois, 60612
Teva Investigational Site 10317
Columbus, Ohio, 43221
Teva Investigational Site 10316
Coral Gables, Florida, 33146
Teva Investigational Site 10313
Cordova, Tennessee, 38018
Teva Investigational Site 10329
Cullman, Alabama, 35058
Teva Investigational Site 10325
Dayton, Ohio, 45417
Teva Investigational Site 10345
Evanston, Illinois, 60201
Teva Investigational Site 10332
Fort Collins, Colorado, 80528
Teva Investigational Site 10339
Fort Wayne, Indiana, 46805
Teva Investigational Site 10324
Franklin, Tennessee, 37064
Teva Investigational Site 10310
Fresno, California, 93710
Teva Investigational Site 10340
Hershey, Pennsylvania, 17033-0850
Teva Investigational Site 10348
Lenexa, Kansas, 66214
Teva Investigational Site 10318
Nashville, Tennessee, 37205
Teva Investigational Site 10330
Newport News, Virginia, 23601
Teva Investigational Site 10343
Northbrook, Illinois, 60062
Teva Investigational Site 10331
Philadelphia, Pennsylvania, 19104
Teva Investigational Site 10311
Roanoke, Virginia, 24018
Teva Investigational Site 10319
Salt Lake City, Utah, 84103
Teva Investigational Site 10308
Sarasota, Florida, 34233
Teva Investigational Site 10335
Seattle, Washington, 98122
Teva Investigational Site 10341
St. Petersburg, Florida, 33701
Teva Investigational Site 10349
Sun City, Arizona, 85351
Teva Investigational Site 10315
Sunrise, Florida, 33351
Teva Investigational Site 10323
Tampa, Florida, 33606
Teva Investigational Site 10342
Tucson, Arizona, 85741-3537
Teva Investigational Site 10347
Winston-Salem, North Carolina, 27157
Germany27 sites
Teva Investigational Site 32199
Bad Mergentheim, 97980
Teva Investigational Site 32195
Berg, 82335
Teva Investigational Site 32200
Berlin, 10117
Teva Investigational Site 32186
Berlin, 10437
Teva Investigational Site 32176
Berlin, 10625
Teva Investigational Site 32174
Berlin, 10713
Teva Investigational Site 32198
Berlin, 12163
Teva Investigational Site 32177
Bochum, 44791
Teva Investigational Site 32183
Cologne, 50935
Teva Investigational Site 32193
Dresden, 01307
Teva Investigational Site 32184
Erbach im Odenwald, 64711
Teva Investigational Site 32189
Erfurt, 99089
Teva Investigational Site 32203
Giessen, 35385
Teva Investigational Site 32202
Goettigen, 37075
Teva Investigational Site 32196
Halle, 06120
Teva Investigational Site 32181
Hamburg, 20246
Teva Investigational Site 32179
Hamburg, 22083
Teva Investigational Site 32182
Hanover, 30171
Teva Investigational Site 32175
Ibbenbueren, 49477
Teva Investigational Site 32201
Jena, 07743
Teva Investigational Site 32190
Leipzig, 4103
Teva Investigational Site 32185
Magdeburg, 39120
Teva Investigational Site 32191
Rostock, 18147
Teva Investigational Site 32194
Teupitz, 15755
Teva Investigational Site 32173
Ulm, 89081
Teva Investigational Site 32197
Wermsdorf, 04773
Teva Investigational Site 32188
Westerstede, 26655
Russia26 sites
Teva Investigational Site 50130
Barnaul, 656024
Teva Investigational Site 50129
Chelyabinsk, 454021
Teva Investigational Site 50208
Kazan', 420021
Teva Investigational Site 50148
Kemerovo, 650061
Teva Investigational Site 50144
Krasnodar, 350012
Teva Investigational Site 50147
Moscow, 119021
Teva Investigational Site 50124
Moscow, 127015
Teva Investigational Site 50133
Moscow, 129110
Teva Investigational Site 50146
Moscow, 129128
Teva Investigational Site 50141
Nizhny Novgorod, 603076
Teva Investigational Site 50128
Nizhny Novgorod, 603155
Teva Investigational Site 50131
Nizhny Novgorod, 603155
Teva Investigational Site 50127
Perm, 614990
Teva Investigational Site 50143
Rostov-on-Don, 344015
Teva Investigational Site 50149
Rostov-on-Don, 344022
Teva Investigational Site 50126
Saint Petersburg, 191186
Teva Investigational Site 50137
Saint Petersburg, 194354
Teva Investigational Site 50140
Saint Petersburg, 197022
Teva Investigational Site 50138
Samara, 443095
Teva Investigational Site 50135
Saratov, 410054
Teva Investigational Site 50136
Smolensk, 214018
Teva Investigational Site 50125
Tomsk, 634050
Teva Investigational Site 50139
Tyumen, 625000
Teva Investigational Site 50134
Ufa, 450007
Teva Investigational Site 50132
Volgograd, 400138
Teva Investigational Site 50142
Yaroslavl, 150030
Bulgaria24 sites
Teva Investigational Site 59039
Pleven, 5800
Teva Investigational Site 59040
Pleven, 5800
Teva Investigational Site 59060
Pleven, 5800
Teva Investigational Site 59062
Plovdiv, 4002
Teva Investigational Site 59061
Rousse, 7003
Teva Investigational Site 59055
Shumen, 9700
Teva Investigational Site 59048
Sofia, 1113
Teva Investigational Site 59052
Sofia, 1113
Teva Investigational Site 59057
Sofia, 1113
Teva Investigational Site 59050
Sofia, 1142
Teva Investigational Site 59044
Sofia, 1309
Teva Investigational Site 59063
Sofia, 1407
Teva Investigational Site 59038
Sofia, 1431
Teva Investigational Site 59043
Sofia, 1431
Teva Investigational Site 59058
Sofia, 1431
Teva Investigational Site 59041
Sofia, 1527
Teva Investigational Site 59042
Sofia, 1606
Teva Investigational Site 59054
Sofia, 1606
Teva Investigational Site 59059
Sofia, 1606
Teva Investigational Site 59045
Sofia, 1750
Teva Investigational Site 59049
Stara Zagora, 6003
Teva Investigational Site 59046
Varna, 9010
Teva Investigational Site 59051
Veliko Tarnovo, 5000
Teva Investigational Site 59053
Veliko Tarnovo, 5100
Poland20 sites
Teva Investigational Site 53066
Bialystok, 15-276
Teva Investigational Site 53071
Bialystok, 15-402
Teva Investigational Site 53085
Bydgoszcz, 85-654
Teva Investigational Site 53084
Częstochowa, 42-280
Teva Investigational Site 53069
Gdansk, 80-299
Teva Investigational Site 53083
Gdansk, 80-546
Teva Investigational Site 53067
Gdansk, 80-803
Teva Investigational Site 53064
Gmina Końskie, 26-200
Teva Investigational Site 53078
Grodzisk Mazowiecki, 05-825
Teva Investigational Site 53080
Katowice, 40-555
Teva Investigational Site 53081
Katowice, 40-650
Teva Investigational Site 53073
Katowice, 40-684
Teva Investigational Site 53070
Katowice, 40-749
Teva Investigational Site 53074
Katowice, 40-752
Teva Investigational Site 53065
Konstancin-Jeziorna, 05-510
Teva Investigational Site 53072
Kościerzyna, 83-400
Teva Investigational Site 53063
Lodz, 90-324
Teva Investigational Site 53079
Olsztyn, 10-560
Teva Investigational Site 53068
Plewiska, 62-064
Teva Investigational Site 53076
Szczecin, 70-111
Ukraine20 sites
Teva Investigational Site 58087
Chernihiv, 14001
Teva Investigational Site 58083
Chernivtsi, 58018
Teva Investigational Site 58077
Dnipropetrovsk, 49044
Teva Investigational Site 58088
Ivano-Frankivsk, 76008
Teva Investigational Site 58076
Ivano-Frankivsk
Teva Investigational Site 58116
Kharkiv, 61068
Teva Investigational Site 58084
Kharkiv, 61103
Teva Investigational Site 58089
Kiev, 04112
Teva Investigational Site 58073
Kyiv, 01601
Teva Investigational Site 58078
Kyiv, 03110
Teva Investigational Site 58081
Kyiv, 03115
Teva Investigational Site 58115
Lviv, 79013
Teva Investigational Site 58086
Lviv, 79059
Teva Investigational Site 58085
Odesa, 65014
Teva Investigational Site 58074
Odesa, 65025
Teva Investigational Site 58082
Poltava, 36024
Teva Investigational Site 58080
Simferopol, 95000
Teva Investigational Site 58072
Vinnytsia, 21005
Teva Investigational Site 58079
Zaporizhzhya, 69035
Teva Investigational Site 58075
Zaporizhzhya, 69600
Romania17 sites
Teva Investigational Site 52045
Baloteşti, 77015
Teva Investigational Site 52041
Bucharest, 012071
Teva Investigational Site 52050
Bucharest, 020125
Teva Investigational Site 52037
Bucharest, 022328
Teva Investigational Site 52034
Bucharest, 050098
Teva Investigational Site 52040
Cluj-Napoca, 400006
Teva Investigational Site 52036
Cluj-Napoca, 400437
Teva Investigational Site 52038
Constanța, 900123
Teva Investigational Site 52044
Constanța, 900591
Teva Investigational Site 52048
Craiova, 200473
Teva Investigational Site 52049
Hunedoara, 331057
Teva Investigational Site 52042
Iași, 700661
Teva Investigational Site 52039
Oradea, 410108
Teva Investigational Site 52047
Piatra Neamţ, 610136
Teva Investigational Site 52046
Sibiu, 550245
Teva Investigational Site 52035
Târgu Mureş
Teva Investigational Site 52043
Timișoara, 100182
Italy15 sites
Teva Investigational Site 30037
Bologna, 40139
Teva Investigational Site 30031
Castelfiorentino, 50051
Teva Investigational Site 30030
Cefalù, 90015
Teva Investigational Site 30032
Chieti, 66100
Teva Investigational Site 30024
Florence, 50139
Teva Investigational Site 30029
Gallarate, 21013
Teva Investigational Site 30023
Milan, 20132
Teva Investigational Site 30039
Milan, 20133
Teva Investigational Site 30034
Naples, 80131
Teva Investigational Site 30027
Palermo, 90146
Teva Investigational Site 30028
Rome, 00149
Teva Investigational Site 30025
Rome, 00163
Teva Investigational Site 30026
Rome, 00168
Teva Investigational Site 30035
Rome, 00178
Teva Investigational Site 30040
Verona, 37134
Serbia12 sites
Teva Investigational Site 61025
Belgrade, 11000
Teva Investigational Site 61027
Belgrade, 11000
Teva Investigational Site 61024
Belgrade, 11080
Teva Investigational Site 61018
Čačak, 32000
Teva Investigational Site 61015
Kragujevac, 34000
Teva Investigational Site 61014
Niš, 18000
Teva Investigational Site 61019
Sombor, 25000
Teva Investigational Site 61016
Subotica, 24000
Teva Investigational Site 61017
Užice, 31000
Teva Investigational Site 61022
Valjevo, 14000
Teva Investigational Site 61026
Vrbas, 21460
Teva Investigational Site 61021
Zrenjanin, 23000
Czechia9 sites
Teva Investigational Site 54042
Brno, 602 00
Teva Investigational Site 54043
Havířov, 736 01
Teva Investigational Site 54047
Hradec Králové, 50003
Teva Investigational Site 54046
Jihlava, 58633
Teva Investigational Site 54044
Olomouc, 779 00
Teva Investigational Site 54045
Ostrava, 702 00
Teva Investigational Site 54049
Prague, 100 31
Teva Investigational Site 54041
Prague, 104 00
Teva Investigational Site 54048
Teplice, 415 29
Spain9 sites
Teva Investigational Site 31035
Barcelona, 08025
Teva Investigational Site 31030
Barcelona, 08035
Teva Investigational Site 31031
Getafe, 28905
Teva Investigational Site 31036
L'Hospitalet de Llobregat, 08907
Teva Investigational Site 31032
Madrid, 28040
Teva Investigational Site 31034
Madrid, 28046
Teva Investigational Site 31033
Navarro, 31008
Teva Investigational Site 31039
Oviedo, 33011
Teva Investigational Site 31037
Salt, 17190
Greece7 sites
Teva Investigational Site 63027
Athens, 115 28
Teva Investigational Site 63024
Athens, 11525
Teva Investigational Site 63029
Chaïdári, 12462
Teva Investigational Site 63026
Heraklion, 71110
Teva Investigational Site 63030
Larissa, 41110
Teva Investigational Site 63025
Thessaloniki, 54636
Teva Investigational Site 63028
Thessaloniki, 57010
United Kingdom7 sites
Teva Investigational Site 34015
Glasgow, G51 4TF
Teva Investigational Site 34011
Liverpool, B0T 1K0
Teva Investigational Site 34010
Liverpool, L9 7LJ
Teva Investigational Site 34019
London, E1 1BB
Teva Investigational Site 34016
Salford, M6 8HD
Teva Investigational Site 34017
Sheffield, S10 2JF
Teva Investigational Site 34013
Stoke-on-Trent, ST4 6QG
Belarus6 sites
Teva Investigational Site 68013
Grodno, 230027
Teva Investigational Site 68010
Homyel, 246029
Teva Investigational Site 68012
Minsk, 220026
Teva Investigational Site 68009
Minsk, 220114
Teva Investigational Site 68008
Minsk, 220116
Teva Investigational Site 68011
Vitebsk, 210023
Georgia6 sites
Teva Investigational Site 81018
Tbilisi, 0112
Teva Investigational Site 81014
Tbilisi, 0141
Teva Investigational Site 81015
Tbilisi, 0179
Teva Investigational Site 81019
Tbilisi, 0179
Teva Investigational Site 81017
Tbilisi, 0186
Teva Investigational Site 81016
Tbilisi, 0194
France5 sites
Teva Investigational Site 35075
Clermont-Ferrand, 63003
Teva Investigational Site 35077
Dijon
Teva Investigational Site 35073
Lille, 59000
Teva Investigational Site 35076
Lyon, 69317
Teva Investigational Site 35079
Nîmes, 30029
Austria4 sites
Teva Investigational Site 33013
Innsbruck, A-6020
Teva Investigational Site 33014
Linz, 4020
Teva Investigational Site 33016
Vienna, 1010
Teva Investigational Site 33015
Vienna, 1090
Canada4 sites
Teva Investigational Site 11014
Burnaby, British Columbia, V5G 2X6
Teva Investigational Site 11013
Edmonton, Alberta, T6G 1Z1
Teva Investigational Site 11015
Ottawa, K1H 8L6
Teva Investigational Site 11016
Saskatoon, S7K 0M7
Estonia4 sites
Teva Investigational Site 55005
Pärnu, 80010
Teva Investigational Site 55008
Tallinn, EE-10138
Teva Investigational Site 55006
Tallinn, EE-10617
Teva Investigational Site 55007
Tartu, EE-51014
Hungary4 sites
Teva Investigational Site 51046
Budapest, 1134
Teva Investigational Site 51043
Debrecen, 4043
Teva Investigational Site 51045
Eger, H-3300
Teva Investigational Site 51044
Kaposvár, H-7400
Israel4 sites
Teva Investigational Site 80023
Haifa, 31096
Teva Investigational Site 80024
Haifa, 31096
Teva Investigational Site 80020
Ramat Gan, 5262160
Teva Investigational Site 80021
Tel Aviv, 64239
Bosnia and Herzegovina3 sites
Teva Investigational Site 69008
Mostar, 88000
Teva Investigational Site 69006
Sarajevo, 71000
Teva Investigational Site 69009
Tuzla, 75000
Croatia3 sites
Teva Investigational Site 60010
Osijek, 31 000
Teva Investigational Site 60011
Varaždin, 42000
Teva Investigational Site 60009
Zagreb, 10000
Moldova3 sites
Teva Investigational Site 70006
Chisinau, 2001
Teva Investigational Site 70005
Chisinau, 2024
Teva Investigational Site 70008
Chisinau, 2028
North Macedonia3 sites
Teva Investigational Site 65010
Skopje, 1000
Teva Investigational Site 65011
Skopje, 1000
Teva Investigational Site 65012
Skopje, 1000
South Korea3 sites
Teva Investigational Site 87001
Goyang-si, 410-769
Teva Investigational Site 87003
Seoul, 03080
Teva Investigational Site 87002
Seoul, 138-736
Belgium2 sites
Teva Investigational Site 37023
Charleroi, 6000
Teva Investigational Site 37024
Sijsele, 8340
Latvia2 sites
Teva Investigational Site 56006
Riga, 1038
Teva Investigational Site 56005
Riga, LV-1005
Slovakia2 sites
Teva Investigational Site 62012
Hlohovec, 92001
Teva Investigational Site 62013
Trnava, 917 75
About this study
Official title: A Multinational, Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Followed by an Active Treatment Period, to Evaluate the Efficacy, Safety and Tolerability of Two Doses of Oral Administration of Laquinimod (0.6 mg/Day or 1.2 mg/Day) in Patients With Relapsing Remitting Multiple Sclerosis (RRMS)
This is a multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study followed by active treatment, to evaluate the efficacy, safety and tolerability of two doses of oral administration of laquinimod in participants with RRMS. The study has 2 periods: Period 1, the double-blind, placebo-controlled period (up to 24 months) and Period 2, the active treatment period (24 months).
- Conditions
- Multiple Sclerosis
- Being tested
- Laquinimod, Placebo
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LaquinimodDrug
Laquinimod will be administered as per the dose and schedule specified in the respective arms.
PlaceboDrug
Placebo matching to laquinimod will be administered as per the schedule specified in the respective arms.
| Study group | Role | What they receive |
|---|---|---|
| Placebo-Controlled Phase: Placebo | Placebo comparator | Participants will receive 2 capsules of placebo (matching to laquinimod 0.6 milligrams [mg]) once daily orally for up to 24 months. Receives: Drug: Placebo |
| Placebo-Controlled Phase: Laquinimod 0.6 mg | Experimental | Participants will receive 1 capsule of laquinimod 0.6 mg and 1 capsule of matching placebo once daily orally for up to 24 months. Receives: Drug: Laquinimod; Drug: Placebo |
| Placebo-Controlled Phase: Laquinimod 1.2 mg | Experimental | Participants will receive laquinimod 1.2 mg (2 capsules of laquinimod 0.6 mg each) once daily orally for up to 24 months. Receives: Drug: Laquinimod |
| Active Treatment Phase: Laquinimod 0.6 mg | Experimental | Participants who completed the placebo-controlled phase on placebo and on laquinimod 0.6 mg treatment group after 01 January 2016, will receive 1 capsule of laquinimod 0.6 mg and 1 capsule of matching placebo once daily orally for 24 months. Receives: Drug: Laquinimod; Drug: Placebo |
| Active Treatment Phase: Laquinimod 1.2 mg | Experimental | Participants who completed the placebo-controlled phase on placebo and on laquinimod 1.2 mg treatment group prior to 01 January 2016, will receive laquinimod 1.2 mg (2 capsules of laquinimod 0.6 mg each) once daily orally for 24 months. Receives: Drug: Laquinimod |
| Active Treatment Phase: Off Drug | No intervention | Participants who were discontinued from treatment with laquinimod 1.2 mg during the placebo-controlled phase due to sponsor decision after 01 January 2016 will continue the active-treatment phase off drug for 24 months. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Placebo-Controlled Phase: Time to Confirmed Disease Progression (CDP) Confirmed After At Least 3 Months (Number of Participants With CDP After At Least 3 Months)
Time to CDP was defined as the time to a sustained increase in Kurtzke's Expanded Disability Status Scale (EDSS) score of at least 1 point if baseline EDSS score was less than or equal to 5.0, or at least 0.5 point if the baseline EDSS score was 5.5, over a period of at least three months. EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis [MS]). Data is presented as distribution of CDP (number of participants with CDP) sustained for 3 months.
Measured: Baseline to Month 24
Secondary outcomes (4)
Placebo-Controlled Phase: Percent Change From Baseline in Brain Volume at Month 15
Brain atrophy was defined by the percent change in brain volume from baseline to Month 15. For participants who prematurely discontinued treatment or completed the placebo-controlled phase before Month 15, the last available measurement was used, provided it was performed at least 9 months following the initiation of study drug.
Measured: Baseline, Month 15
Placebo-Controlled Phase: Time to First Confirmed Relapse (Number of Participants With Confirmed Relapse)
Relapse was defined as appearance of one or more new neurological abnormalities or reappearance or worsening of one or more previously observed neurological abnormalities, lasting for at least 48 hours (in absence of fever or any infection) and immediately preceded by an improving neurological state of at least 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 an increase of at least 0.5 in EDSS; or one grade in score of 2 or more of 7 Functional Systems (FS) (excluding changes in bowel or bladder function or cognition); or 2 grades in score of one of the FS as compared to previous evaluation. EDSS assesses disability in 8 FS with an overall score ranging from 0 (normal) to 10 (death due to MS). Data is presented as distribution of relapsing participants (number of participants with confirmed relapse).
Measured: Baseline to Month 24
Placebo-Controlled Phase: Time to CDP Confirmed After At Least 6 Months (Number of Participants With CDP After At Least 6 Months)
Time to CDP was defined as the time to a sustained increase in Kurtzke's EDSS score of at least 1 point if baseline EDSS score was less than or equal to 5.0, or at least 0.5 point if the baseline EDSS score was 5.5, over a period of at least 6 months. EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to MS). Data is presented as distribution of CDP (number of participants with CDP) sustained for 6 months.
Measured: Baseline to Month 24
Placebo-Controlled Phase: Time to CDP Confirmed After At Least 9 Months (Number of Participants With Confirmed Relapse After At Least 9 Months)
Time to CDP was defined as the time to a sustained increase in Kurtzke's EDSS score of at least 1 point if baseline EDSS score was less than or equal to 5.0, or at least 0.5 point if the baseline EDSS score was 5.5, over a period of at least 9 months. EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to MS). Data is presented as distribution of CDP (number of participants with CDP) sustained for 9 months.
Measured: Baseline to Month 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2012 (estimated)
- Study start20 Feb 2013
- Primary completion13 Apr 2015
- Study completion4 Jul 2017
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 (1)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
- 2,199 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Teva Medical Expert, MD, Study director, Teva Branded Pharmaceutical Products R&D, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01707992
- Sponsor's protocol ID
- LAQ-MS-305
- Other IDs
- 2012-003647-30
- Acronym
- CONCERTO
- Status last verified
- Nov 2021
- First submitted
- 28 Sep 2012
- Last updated
- 9 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Comi G, Dadon Y, Sasson N, Steinerman JR, Knappertz V, Vollmer TL, Boyko A, Vermersch P, Ziemssen T, Montalban X, Lublin FD, Rocca MA, Volkinshtein R, Rubinchick S, Halevy N, Filippi M. CONCERTO: A randomized, placebo-controlled trial of oral laquinimod in relapsing-remitting multiple sclerosis. Mult Scler. 2022 Apr;28(4):608-619. doi: 10.1177/13524585211032803. Epub 2021 Aug 11.
PubMed 34378456
Study at a glance
From the registry record, last updated by the sponsor on 9 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 Followed by an Active Treatment Period, to Evaluate the Efficacy, Safety and Tolerability of Two Doses of Oral Administration of Laquinimod (0.6 mg/Day or 1.2 mg/Day) in Patients With Relapsing Remitting Multiple Sclerosis (RRMS)
- ClinicalTrials.gov ID
- NCT01707992
- Acronym / sponsor ID
- CONCERTO / LAQ-MS-305
- Conditions
- Multiple Sclerosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,199 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Study start
- 20 Feb 2013 (actual)
- Primary completion
- 13 Apr 2015 (actual)
- Study completion
- 4 Jul 2017 (actual)
- First posted
- 16 Oct 2012 (estimated)
- Results
- Posted 13 Mar 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study followed by active treatment, to evaluate the efficacy, safety and tolerability of two doses of oral administration of laquinimod in participants with RRMS. The study has 2 periods: Period 1, the double-blind, placebo-controlled period (up to 24 months) and Period 2, the active treatment period (24 months).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Placebo-Controlled Phase: Placebo | Placebo comparator | Drug: PlaceboParticipants will receive 2 capsules of placebo (matching to laquinimod 0.6 milligrams [mg]) once daily orally for up to 24 months. |
| Placebo-Controlled Phase: Laquinimod 0.6 mg | Experimental | Drug: Laquinimod, Drug: PlaceboParticipants will receive 1 capsule of laquinimod 0.6 mg and 1 capsule of matching placebo once daily orally for up to 24 months. |
| Placebo-Controlled Phase: Laquinimod 1.2 mg | Experimental | Drug: LaquinimodParticipants will receive laquinimod 1.2 mg (2 capsules of laquinimod 0.6 mg each) once daily orally for up to 24 months. |
| Active Treatment Phase: Laquinimod 0.6 mg | Experimental | Drug: Laquinimod, Drug: PlaceboParticipants who completed the placebo-controlled phase on placebo and on laquinimod 0.6 mg treatment group after 01 January 2016, will receive 1 capsule of laquinimod 0.6 mg and 1 capsule of matching placebo once daily orally for 24 months. |
| Active Treatment Phase: Laquinimod 1.2 mg | Experimental | Drug: LaquinimodParticipants who completed the placebo-controlled phase on placebo and on laquinimod 1.2 mg treatment group prior to 01 January 2016, will receive laquinimod 1.2 mg (2 capsules of laquinimod 0.6 mg each) once daily orally for 24 months. |
| Active Treatment Phase: Off Drug | No intervention | –Participants who were discontinued from treatment with laquinimod 1.2 mg during the placebo-controlled phase due to sponsor decision after 01 January 2016 will continue the active-treatment phase off drug for 24 months. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Participants must have a confirmed and documented multiple sclerosis (MS) diagnosis as defined by the Revised McDonald criteria, with relapse onset disease or a relapsing-remitting disease course.
- Participants must be ambulatory with Kurtzke's expanded disability status scale (EDSS) score of 0 to 5.5 in both screening and randomization visits.
- Participants must be in a stable neurological condition, relapse-free and free of any corticosteroid treatment [intravenous (IV), intramuscular (IM) and/or per os (PO)/oral] or adrenocorticotrophic hormone, 60 days prior to randomization.
- Participants must have experienced at least one documented relapse in the 12 months prior to randomization.
- Participants must have disease duration of not more than 15 years.
Key exclusion criteria (19 listed)
- Participants with progressive forms of MS.
- Participants with neuromyelitis optica.
- Use of experimental or investigational drugs and/or participation in drug clinical studies within the 6 months prior to randomization.
- Use of immunosuppressive agents or cytotoxic agents, including cyclophosphamide, within 6 months prior to randomization.
- Use of either of the following within 2 years prior to randomization visit: natalizumab (Tysabri®), rituximab, ocrelizumab, atacicept, belimumab, or ofatumumab.
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 |
|---|---|---|
| LaquinimodLaquinimod will be administered as per the dose and schedule specified in the respective arms. | Drug | Active Treatment Phase: Laquinimod 0.6 mg, Active Treatment Phase: Laquinimod 1.2 mg, Placebo-Controlled Phase: Laquinimod 0.6 mg, Placebo-Controlled Phase: Laquinimod 1.2 mg |
| PlaceboPlacebo matching to laquinimod will be administered as per the schedule specified in the respective arms. | Drug | Active Treatment Phase: Laquinimod 0.6 mg, Placebo-Controlled Phase: Laquinimod 0.6 mg, Placebo-Controlled Phase: Placebo |
Primary outcome
Placebo-Controlled Phase: Time to Confirmed Disease Progression (CDP) Confirmed After At Least 3 Months (Number of Participants With CDP After At Least 3 Months)
Time frame: Baseline to Month 24
Time to CDP was defined as the time to a sustained increase in Kurtzke's Expanded Disability Status Scale (EDSS) score of at least 1 point if baseline EDSS score was less than or equal to 5.0, or at least 0.5 point if the baseline EDSS score was 5.5, over a period of at least three months. EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis [MS]). Data is presented as distribution of CDP (number of participants with CDP) sustained for 3 months.
4 secondary outcomes
Placebo-Controlled Phase: Percent Change From Baseline in Brain Volume at Month 15
Time frame: Baseline, Month 15
Placebo-Controlled Phase: Time to First Confirmed Relapse (Number of Participants With Confirmed Relapse)
Time frame: Baseline to Month 24
Placebo-Controlled Phase: Time to CDP Confirmed After At Least 6 Months (Number of Participants With CDP After At Least 6 Months)
Time frame: Baseline to Month 24
Placebo-Controlled Phase: Time to CDP Confirmed After At Least 9 Months (Number of Participants With Confirmed Relapse After At Least 9 Months)
Time frame: Baseline to Month 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34378456Comi G, Dadon Y, Sasson N, Steinerman JR, Knappertz V, Vollmer TL, Boyko A, Vermersch P, Ziemssen T, Montalban X, Lublin FD, Rocca MA, Volkinshtein R, Rubinchick S, Halevy N, Filippi M. CONCERTO: A randomized, placebo-controlled trial of oral laquinimod in relapsing-remitting multiple sclerosis. Mult Scler. 2022 Apr;28(4):608-619. doi: 10.1177/13524585211032803. Epub 2021 Aug 11.
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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.
Teva Medical Expert, MD study director
Teva Branded Pharmaceutical Products R&D, Inc.
284 sites in 30 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 284 sites in 30 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 7 inclusion and 19 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 9 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 284 sites in United States, Germany, Russia, Bulgaria, Poland and 25 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 13 Mar 2019). 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?
Placebo-Controlled Phase: Time to Confirmed Disease Progression (CDP) Confirmed After At Least 3 Months (Number of Participants With CDP After At Least 3 Months) (time frame: Baseline 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 NCT01707992, which also lists 1 linked publication.
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 9 Nov 2021.