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Completed

NCT Number: NCT03623243

Safety and Tolerability of Conversion From Oral, Injectable, or Infusion Disease Modifying Therapies to Dose-titrated Oral Siponimod (Mayzent) in Advancing RMS Patients

To assess safety and tolerability of patients converting from approved Relapsing Multiple Sclerosis (RMS) Disease Modifying Therapies (DMTs) to siponimod.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Novartis Investigative Site, Guaynabo, Puerto Rico

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About this study

This is a 6-month, open-label, multi-center, single arm design, including advancing RMS patients, evaluating the overall safety and tolerability profile of converting from oral, injectable or infusion RMS DMTs to oral siponimod.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Signed informed consent.
  • Male or female aged 18 to 65 years (inclusive).
  • Patients with advancing RMS as defined by the principal investigator.
  • Prior history of relapsing MS (RMS), with or without progressive features, according to the 2010 Revised McDonald or Lublin criteria (Lublin et al, 2013).
  • EDSS score of >/= 2.0 to 6.5 (inclusive).
  • Having been continuously treated with RMS Disease Modifying Therapies.

Key Exclusion criteria:

  • Pregnant or nursing (lactating) women.
  • Patients with any medically unstable condition as determined by the investigator.
  • Certain cardiac risk factors defined in the protocol
  • History of hypersensitivity to the study drug or to drugs of similar chemical classes.

Other protocol-defined inclusion/exclusion criteria may apply.

Treatment and study plan

Siponimod

Drug

Siponimod 2mg tablets taken once daily

Other names: BAF312

Primary outcomes

  1. Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE) Related to Study Drug During the Treatment Period

    Time frame: From first dose of study drug up to 30 days after last dose of study drug (up to 7 months)

    An Adverse Event (AE) is any untoward medical occurrence in a participant that does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporarily associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs are defined as the AEs started after the first dose of siponimod to 30 days after the date of the last actual administration, or events present prior to start of treatment but which increased in severity. TEAEs suspected to be related to study drug are reported.

Secondary outcomes

  1. Number of Participants With at Least One Adverse Event (AE)

    Time frame: From first dose of study drug up to 30 days after last dose of study drug (up to 7 months)

    AE is any untoward sign or symptom that occurs during the study treatment plus 30 days post treatment.

  2. Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM-9)

    Time frame: Baseline up to Day 168

    TSQM-9 measures participant satisfaction with the medication in 3 domains: Effectiveness, convenience, and global satisfaction. The scores were computed by adding items for each domain, i.e., 1 to 3 for effectiveness, 4 to 6 for convenience, and 7 to 9 for global satisfaction. The lowest possible score (1 for each item and 3 for all 3 subscales) was subtracted from the composite score and divided by the greatest possible score range. The greatest range was (7-1) x 3 items = 18 for effectiveness and convenience, and (5-1) x 3 items = 12 for global satisfaction. This provided a transformed score between 0 and 1 that was then multiplied by 100. TSQM-9 domain scores range from 0 to 100, with higher scores indicating greater satisfaction for that domain. A positive change from baseline indicates improvement.

  3. Change in Heart Rate From Baseline to 6 Hours After First Treatment

    Time frame: From the first dose up to 6 hours

    Heart rate was evaluated from the time of initial dose intake until 6 hours post dose intake via heart monitor.

  4. Number of Participants With at Least One Hospitalization During the Treatment

    Time frame: From first dose of study drug up to last dose of study drug (up to 6 months)

  5. Patient Retention Reported as Number of Participants Who Completed the Study

    Time frame: From first dose of study drug up to 30 days after last dose of study drug (up to 7 months)

    Patient retention was assessed over the study period.

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

Exploring the Safety and Tolerability of Conversion From Oral, Injectable, or Infusion Disease Modifying Therapies to Dose-titrated Oral Siponimod (Mayzent) in Patients With Advancing Forms of Relapsing Multiple Sclerosis: A 6-month Open Label, Multi- Center Phase IIIb Study

Acronym: EXCHANGE

Important dates

Study start
2019
Primary completion
2022
Study completion
2022
First posted
Aug 9, 2018
Registry last updated
Jun 20, 2024

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

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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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