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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03257358
Other study ID # CFTY720DUS40
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date September 19, 2017
Est. completion date June 28, 2019

Study information

Verified date October 2021
Source Novartis
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A study of immune phenotype biomarkers in patients with Relapsing Multiple Sclerosis (RMS) after treatment with 0.5mg fingolimod


Description:

This study used a 2-cohort, nonrandomized, open-label, multicenter design. Cohort 1: The first cohort was to be comprised of approximately 200 patients with RMS, who were newly prescribed commercially available fingolimod 0.5 mg/day. Cohort 2: The second cohort was to be comprised of approximately 200 RMS patients who had been on commercially available fingolimod 0.5 mg/day continuously without interruption of treatment for at least ≥ 2 years. Patients from both cohorts were recruited simultaneously from up to 125 MS centers in the United States. Both cohorts ran concurrently. The study consisted of 2 periods: Screening (up to 4 weeks) and Treatment period from Baseline (end of screening period considered as Day 1) up to 12 months with visits conducted at 3,6 and 12 months with a 14 day follow-up post treatment..


Recruitment information / eligibility

Status Completed
Enrollment 382
Est. completion date June 28, 2019
Est. primary completion date March 5, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Diagnosis of relapsing forms of Multiple Sclerosis - Patients who started commercially prescribed fingolimod therapy 0.5mg per day OR patients already on commercially prescribed fingolimod 0.5mg per day continuously for = 2 years Exclusion Criteria (per USPI): - Patients who in the last 6 months experienced myocardial infarction, unstable angina, stroke, transient ischemic stroke, decompensated heart failure requiring hospitalization or Class III/IV heart failure - History or presence of Mobitz Type II second-degree or third-degree atrioventricular block or sick sinus syndrome, unless patient had a functioning pacemaker - Baseline QTc interval = 500 msec - Treatment with Class Ia or Class III anti-arrhythmic drugs - Patients who had a hypersensitivity reaction to fingolimod or any of the excipients

Study Design


Intervention

Drug:
Fingolimod
Commercially available 0.5mg hard capsules, taken orally once per day

Locations

Country Name City State
United States Novartis Investigative Site Ann Arbor Michigan
United States Novartis Investigative Site Asheville North Carolina
United States Novartis Investigative Site Berkeley California
United States Novartis Investigative Site Birmingham Alabama
United States Novartis Investigative Site Boca Raton Florida
United States Novartis Investigative Site Boca Raton Florida
United States Novartis Investigative Site Charlotte North Carolina
United States Novartis Investigative Site Cleveland Ohio
United States Novartis Investigative Site Colorado Springs Colorado
United States Novartis Investigative Site Cullman Alabama
United States Novartis Investigative Site Dallas Texas
United States Novartis Investigative Site Dayton Ohio
United States Novartis Investigative Site Fair Lawn New Jersey
United States Novartis Investigative Site Falls Church Virginia
United States Novartis Investigative Site Flossmoor Illinois
United States Novartis Investigative Site Foxboro Massachusetts
United States Novartis Investigative Site Golden Valley Minnesota
United States Novartis Investigative Site Green Bay Wisconsin
United States Novartis Investigative Site Greer South Carolina
United States Novartis Investigative Site Huntington West Virginia
United States Novartis Investigative Site Jacksonville Florida
United States Novartis Investigative Site Kansas City Kansas
United States Novartis Investigative Site Kansas City Missouri
United States Novartis Investigative Site Kirkland Washington
United States Novartis Investigative Site Knoxville Tennessee
United States Novartis Investigative Site Las Vegas Nevada
United States Novartis Investigative Site Lexington Massachusetts
United States Novartis Investigative Site Livingston New Jersey
United States Novartis Investigative Site Louisville Kentucky
United States Novartis Investigative Site Louisville Kentucky
United States Novartis Investigative Site Louisville Colorado
United States Novartis Investigative Site Lutherville Maryland
United States Novartis Investigative Site Miami Florida
United States Novartis Investigative Site Milwaukee Wisconsin
United States Novartis Investigative Site Mooresville North Carolina
United States Novartis Investigative Site Mount Pleasant South Carolina
United States Novartis Investigative Site Nashville Tennessee
United States Novartis Investigative Site Neenah Wisconsin
United States Novartis Investigative Site Ocala Florida
United States Novartis Investigative Site Oklahoma City Oklahoma
United States Novartis Investigative Site Oklahoma City Oklahoma
United States Novartis Investigative Site Owosso Michigan
United States Novartis Investigative Site Patchogue New York
United States Novartis Investigative Site Philadelphia Pennsylvania
United States Novartis Investigative Site Plainview New York
United States Novartis Investigative Site Port Charlotte Florida
United States Novartis Investigative Site Port Royal South Carolina
United States Novartis Investigative Site Portland Oregon
United States Novartis Investigative Site Raleigh North Carolina
United States Novartis Investigative Site Sacramento California
United States Novartis Investigative Site Saint Louis Missouri
United States Novartis Investigative Site San Antonio Texas
United States Novartis Investigative Site Sarasota Florida
United States Novartis Investigative Site Savannah Georgia
United States Novartis Investigative Site Seattle Washington
United States Novartis Investigative Site Spokane Washington
United States Novartis Investigative Site Sunrise Florida
United States Novartis Investigative Site Suwanee Georgia
United States Novartis Investigative Site Tacoma Washington
United States Novartis Investigative Site Toledo Ohio
United States Novartis Investigative Site Tucson Arizona
United States Novartis Investigative Site Vero Beach Florida
United States Novartis Investigative Site Vienna Virginia
United States Novartis Investigative Site Wellesley Massachusetts
United States Novartis Investigative Site Westerville Ohio
United States Novartis Investigative Site Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Novartis Pharmaceuticals

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD4+ Th1 Cells (CXCR3+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD4+ Th2 Cells (CCR4+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD4+ Th17 Cells (CCR6+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD8+ Naive T Cells (CCR7+CD45RA+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Naive B Lymphocytes (CD19+CD27-) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Memory B Lymphocytes (CD19+CD27+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Regulatory B Lymphocytes (CD19+CD24+CD38+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Monocytes (CD14+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Neutrophils (CD16+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in NK Cells (CD56+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Total CD4+ Absolute Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Total CD4+ Differential Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Total CD8+ Absolute Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Total CD8+ Differential Cell Counts (%) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Total CD19+ Absolute Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Primary Change From Baseline to Month 6 in Total CD19+ Differential Cell Count (%) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 6
Secondary Change From Baseline to Month 12 in CD4+ Naive T Cells (CCR7+CD45RA+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD4+ Th1 Cells (CXCR3+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD4+ Th2 Cells (CCR4+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD4+ Th17 Cells (CCR6+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD8+ Naive T Cells (CCR7+CD45RA+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Naive B Lymphocytes (CD19+CD27-) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Memory B Lymphocytes (CD19+CD27+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Regulatory B Lymphocytes (CD19+CD24+CD38+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Monocytes (CD14+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Neutrophils (CD16+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in NK Cells (CD56+) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Total CD4+ Absolute Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Total CD4+ Differential Cell Count (%) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Total CD8+ Absolute Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Total CD8+ Differential Cell Counts (%) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Total CD19+ Absolute Cell Count Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Change From Baseline to Month 12 in Total CD19+ Differential Cell Count (%) Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected. Baseline to Month 12
Secondary Multiple Sclerosis (MS) Relapses During Treatment A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection. Baseline to Month 12
Secondary Number of Participants Who Received Steroid Treatment for MS Relapses During Treatment A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection. Baseline to Month 12
Secondary Change From Baseline in Patient Determined Disease Steps (PDDS) PDDS scoring ranges 0 to 8. 0 = Normal; 1 = Mild disability; 2 = Moderate disability; 3 = Gait disability; 4 = Early cane; 5 = Late cane; 6 = Bilateral support; 7 = Wheelchair/scooter; 8 = Bedridden. Baseline to Month 12
Secondary Change From Baseline in T2 Lesion Burden Baseline to Month 12
Secondary Change From Baseline for New Gd-Enhancing T1 Lesion Count Baseline to Month 12
Secondary Change From Baseline to Months 6 and 12 in the Anti-JCV Antibody Index (Index/Value) Baseline to Month 6 and 12
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