CLARITY
What it found
The main measure showed a statistically significant benefit.
| Measure | Estimate | 95% CI | p |
|---|---|---|---|
| Annualized Qualifying Relapse Rate | Relative Risk 0.43 | 0.35–0.54 | <0.001 |
| Annualized Qualifying Relapse Rate | Relative Risk 0.43 | 0.34–0.54 | <0.001 |
Statistical analysis as posted on ClinicalTrials.gov.
What was tested
Treatment tested
- Cladribine
DNA inhibitor
Placebo or sham
- Placebo
Results by group
Annualized Qualifying Relapse Rate
Week 96
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Cladribine 5.25 mg/kg | 0.15 relapses per year | 0.12–0.17 | 456 |
| Cladribine 3.5 mg/kg | 0.14 relapses per year | 0.12–0.17 | 433 |
| Placebo | 0.33 relapses per year | 0.29–0.38 | 437 |
Cladribine 5.25 mg/kg
Cladribine 3.5 mg/kg
Placebo
p = <0.001; Relative Risk 0.43 (95% CI 0.35–0.54)
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| Cladribine 5.25 mg/kg | 454 | 41 (9.0%) | |
| Cladribine 3.5 mg/kg | 430 | 36 (8.4%) | |
| Placebo | 435 | 28 (6.4%) |
As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.
What it measured
Main measures
Annualized Qualifying Relapse Rate
Week 96
Disability progressionRelapsesThinking and memoryBladder, bowel and sexual function
Other measures (3)
Percentage of Relapse-free Participants
Week 96
Disability progressionRelapsesThinking and memoryBladder, bowel and sexual functionTime to Disability Progression
Baseline up to Week 96
Disability progressionMean Number of Combined Unique (CU) Lesions, Active Time Constant 2 (T2) Lesions, and Active Time Constant 1 (T1) Gadolinium-Enhanced (Gd+) Lesions Per Participant Per Scan
Week 96
MRI lesions
Who could take part
Relapsing MS · 18 to 65
Inclusion Criteria: * Male or female, between 18 and 65 years of age (inclusive, at time of informed consent) * Has definite MS according to the McDonald criteria * Has relapsing-remitting disease with 1 or more relapses within 12 months prior to Study Day 1 * Must have been clinically stable and not has a relapse within 28 days prior to Study Day 1 * Has MRI consistent with MS at the pre-study evaluation according to the Fazekas criteria * Has a EDSS score from 0 to 5.5, inclusive * Weighed between 40-120 kilogram (kg), inclusive * If female, she must: 1. be post-menopausal or surgically sterilized; or 2. uses a hormonal contraceptive, intra uterine device, diaphragm with spermicide, or condom with spermicide, for the duration of the study; and 3. be neither pregnant nor breast-feeding * If male, he must be willing to use contraception to avoid pregnancies * Be willing and able to comply with study procedures for the duration of the study * Voluntarily provides written informed consent, and for United states of America (USA) sites only, a subject authorization under Health Insurance Portability and Accountability Act (HIPAA) Exclusion Criteria: * Has secondary progressive MS (SPMS) or primary progressive MS (PPMS) * Prior use of disease modifying drugs (DMDs) within the last 3 months, or 2 or more prior treatment failures with DMDs on the basis of efficacy * Has significant leukopenia (white blood cell count less than 0.5 times the lower limit of normal of the central laboratory) within 28 days prior to Study Day 1 * Has received cladribine, mitoxantrone, total lymphoid irradiation, myelosuppressive therapy, campath-1h, cyclophosphamide, azathioprine, methotrexate or natalizumab * Has received oral or systemic corticosteroids or adrenocorticotropic hormone within 28 days prior to Study Day 1 * Has compromised immune function or infection * Has received oral or systemic corticosteroids or adrenocorticotropic hormone within 28 days prior to Study Day 1 * Has received cytokine-based therapy, intravenous immunoglobulin therapy, or plasmapheresis within 3 months prior to Study Day 1 * Has platelet and absolute neutrophil counts below the lower limit of normal range within 28 days prior to Study Day 1 * Has prior or current history of malignancy * Has a history of persistent anemia, leukopenia, neutropenia, or thrombocytopenia after immunosuppressive therapy * Has systemic disease that, in the opinion of the Investigator, might interfere with subject safety, compliance or evaluation of the condition under Study (for example, insulin-dependent diabetes, Lyme disease, clinically significant cardiac, hepatic, or renal disease, Human Immunodeficiency Virus, or Human T-Cell Lymphotrophic Virus Type-1) * Has a psychiatric disorder that, in the opinion of the Investigator, was unstable or would preclude safe participation in the study * Has allergy or hypersensitivity to gadolinium, to cladribine or any of its excipients * Has used any investigational drug or experimental procedure within 6 months prior to Study Day 1
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The purpose of the study is to determine if cladribine tablets are a safe and effective treatment for relapsing-remitting multiple sclerosis (RRMS).
Papers
Results
Treatment effects of cladribine tablets on data-driven patterns of regional grey matter atrophy in multiple sclerosis.Mult Scler · 2025
Results
Reduction in grey matter atrophy in patients with relapsing multiple sclerosis following treatment with cladribine tablets.Eur J Neurol · 2023
Results
Long-Term Disease Stability Assessed by the Expanded Disability Status Scale in Patients Treated with Cladribine Tablets 3.5 mg/kg for Relapsing Multiple Sclerosis: An Exploratory Post Hoc Analysis of the CLARITY and CLARITY Extension Studies.Adv Ther · 2021
Results
Effects of Postponing Treatment in the Second Year of Cladribine Administration: Clinical Trial Simulation Analysis of Absolute Lymphocyte Counts and Relapse Rate in Patients with Relapsing-Remitting Multiple Sclerosis.Clin Pharmacokinet · 2019
Results
Effects of cladribine tablets on heart rate, atrio-ventricular conduction and cardiac repolarization in patients with relapsing multiple sclerosis.Br J Clin Pharmacol · 2019
Results
Reduced brain atrophy rates are associated with lower risk of disability progression in patients with relapsing multiple sclerosis treated with cladribine tablets.Mult Scler · 2018
Results
Population Pharmacokinetics of Cladribine in Patients with Multiple Sclerosis.Clin Pharmacokinet · 2017
Results
Reduction in healthcare and societal resource utilization associated with cladribine tablets in patients with relapsing-remitting multiple sclerosis: analysis of economic data from the CLARITY Study.Clin Drug Investig · 2012
Results
A placebo-controlled trial of oral cladribine for relapsing multiple sclerosis.N Engl J Med · 2010
Results
Stefano N, Sormani MP, Giovannoni G, Rammohan K, Leist TP, Coyle PK, Dangond F, Alexandri N, Galazka A. Relapses in people with multiple sclerosis treated with cladribine tablets followed for up to 5 years: a plain language summary. Neurodegener Dis Manag. 2022 Dec;12(6):303-310. doi: 10.2217/nmt-2022-0019. Epub 2022 Aug 26.
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History
Started
Apr 2005
Main results due
Nov 2008
Finished
Nov 2008
Results posted
Dec 2013
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