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Completed

NCT Number: NCT00333138

Efficacy and Safety of FTY720 in Patients With Relapsing Multiple Sclerosis

This study evaluated the safety, tolerability and effect on MRI lesion parameters of FTY720 in patients with relapsing multiple sclerosis.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Novartis Investigational site, Montreal, Canada

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Core Study

Inclusion criteria

  • Diagnosis of relapsing multiple Sclerosis (MS)
  • Patients with at least two documented relapses in the previous 2 years or one documented relapse in the last year
  • Patients with an Expanded Disability Status Scale (EDSS) score of 0-6

Extension Study

  • A positive Gd-enhanced MRI scan at screening (in case the first MRI scan obtained at screening was negative, a second scan could have been obtained 1 month later)
  • Neurologically stable with no evidence of relapse within 30 days prior to randomization,or during the Screening and Baseline periods.
  • Female patients either post-menopausal, surgically incapable of bearing children, or practicing an acceptable method of birth control. Females of childbearing potential with a negative pregnancy test at baseline prior to entry into the treatment period.

Exclusion criteria

Core Study

  • Patients with other chronic disease of the immune system, malignancies, pulmonary or heart disease, etc
  • Pregnant or nursing women

Extension Study

  • Patients who had permanently discontinued study drug prior to the Month 6 visit of the core study
  • Patients with diabetes mellitus (to reduce the risk of ME), and therefore ongoing patients with diabetes mellitus or who developed diabetes mellitus were discontinued from the study)

Other protocol-defined inclusion/exclusion criteria may apply

Treatment and study plan

FTY720

Drug

FTY720 capsule was taken orally once a day

Placebo

Drug

Placebo 1.25 mg capsule was given once daily

Primary outcomes

  1. Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 6 (Core)

    Time frame: Month 6 (Core)

    Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis.

  2. Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 12

    Time frame: Month 12 (extension)

    Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis.

  3. Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 60

    Time frame: Month 60 (extension)

    Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis.

  4. Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at End of Study

    Time frame: Last observation (Up to 80 months in average)

    Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis. The last observation was the last observation available for each patient which ranged from 1 to 2801 days

Secondary outcomes

  1. Percentage of Participants Free of T1-weighted Lesions

    Time frame: Baseline, Months 6 (core), 12, 60 and Last Observation (up to 80 months in average)

    A patient was defined as free of lesions if s/he had zero lesions. The last observation was the last observation available for each patient which ranged from 1 to 2801 days

  2. Percentage of Patients Free of Gd-enhanced T1-weighted and New T2- Weighted Lesions by Visit

    Time frame: Month 6 and 12, 60, last observation (up to 80 months in average)

    A patient was defined as free of lesions if s/he had zero lesions. The sum of all new T2-weighted lesions at Month 1 to last observation was zero (the sum is missing if one of the assessments was missing). New T2 lesions at a specific visit were assessed relative to the previous visit scan. Exception: new T2 lesions at Month 24 were assessed relative to Month 12. The last observation was the last observation available for each patient which ranged from 1 to 2801 days

  3. Mean Number of New T2-weighted Lesions

    Time frame: (Core) Month 6 and (Extension) 12, 60, last observation (up to 80 months in average)

    New T2 lesions at a specific visit were assessed relative to the previous visit scan. The total number of lesions (Month 1 to end of study) is calculated as the sum of the number of lesions at Months 1 to 6, Month 12, Month 60 and last observation. The last observation was the last observation available for each patient which ranged from 1 to 2801 days

  4. Volume of T2-weighted Lesions

    Time frame: (Core) Month 6 and (Extension) 12, 60, last observation (up to 80 months in average)

    Volume of total T2-weighted lesions by visit were summarized. The last observation was the last observation available for each patient which ranged from 1 to 2801 days

  5. Change From Baseline in Volume of Total T2-weighted Lesions

    Time frame: Baseline to month 6, 12, 60 and Last observation (up to 80 months in average)

    Change in volume of total T2-weighted lesions by visit were summarized. Negative values indicate improvement (reduction in lesion volume) and positive values worsening (increase in lesion volume). The last observation was the last observation available for each patient which ranged from 1 to 2801 days.

  6. Time to Event Analysis: Kaplan Meier Estimates of Percentage of Relapse-free Patients

    Time frame: Month 6,12,60 and Last observation (up to 80 months in average)

    The Expanded Disability Status Scale (EDSS) is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel & bladder, cerebral, other functions). An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the EDSS score based on the following criteria: One point increase from baseline in patients with baseline EDSS score from 0 to 5.0; or half a point increase in patients with baseline EDSS score of 5.5 or above. Percent of patients free of disability progression was calculated using the Kaplan-Meier method. The last observation was the last observation available for each patient which ranged from 1 to 2801 days

  7. Mean Trough Blood Concentrations of FTY720

    Time frame: Month 3 and 6

    For each patient, the arithmetic mean of the two FTY720 trough blood levels from month 3 and 6 was calculated. This was taken as the patient's steady-state trough levels. Venous blood samples (3 mL) were collected before the dose in ethylenediaminetetraacetic acid (EDTA)-containing tubes at protocol-scheduled visits at months 3 and 6 in all patients.

Sponsors and collaborators

Lead sponsor

Novartis

Industry

Registry information

Official study title

Double-blind, Randomized, Placebo-controlled, Parallel-group, Multicenter Study Evaluating the Safety, Tolerability and Effect on MRI Lesion Parameters of FTY720 vs Placebo in Patients With Relapsing Multiple Sclerosis Including 18 Month Extension Phase

Important dates

Study start
2003
Primary completion
2011
Study completion
2011
First posted
Jun 2, 2006
Registry last updated
Sep 15, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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