FREEDOMS
What it found
The main measure showed a statistically significant benefit.
“The annualized relapse rate was 0.18 with 0.5 mg of fingolimod, 0.16 with 1.25 mg of fingolimod, and 0.40 with placebo (P<0.001 for either dose vs. placebo).”Read by software from the paper's abstract
annualized relapse rate · 24 months
| Group | n | Value |
|---|---|---|
| placebo | 0.40 |
p = <0.001 for either dose vs. placebo
Total participants: 1272
Read by software from the paper's abstract
What was tested
Treatment tested
Placebo or sham
- Placebo
Results by group
Estimated Annualized Aggregate Relapse Rate (ARR)
Baseline to end of study (Month 24)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Fingolimod 1.25 mg | 0.16 Relapses per year | 0.13–0.19 | 429 |
| Fingolimod 0.5 mg | 0.18 Relapses per year | 0.15–0.22 | 425 |
| Placebo | 0.40 Relapses per year | 0.34–0.47 | 418 |
Fingolimod 1.25 mg
Fingolimod 0.5 mg
Placebo
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| Fingolimod 1.25 mg | 429 | 51 (11.9%) | |
| Fingolimod 0.5 mg | 425 | 43 (10.1%) | |
| Placebo | 418 | 56 (13.4%) |
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
Estimated Annualized Aggregate Relapse Rate (ARR)
Baseline to end of study (Month 24)
Relapses
Other measures (2)
Percentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)
Baseline to end of study (Month 24)
Disability progressionNumber of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With Baseline
Baseline to end of study (Month 24)
MRI lesions
Who could take part
Relapsing MS · 18 to 55
Inclusion Criteria: * Male and female patients between ages 18-55 with a diagnosis of multiple sclerosis * Patients with a relapsing-remitting disease course * Patients with EDSS score of 0-5.5 Exclusion Criteria: * Patients with other chronic disease of the immune system, malignancies, acute pulmonary disease, cardiac failure, etc. * Pregnant or nursing women Other protocol-defined inclusion/exclusion criteria applied to this study.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
This study assessed the efficacy, safety, and tolerability of 2 doses of oral fingolimod (1.25 mg/day and 0.5 mg/day) compared to placebo in patients with relapsing-remitting multiple sclerosis (RRMS)
Papers
Results
Safety and tolerability of conversion to siponimod from other disease-modifying therapies in patients with advancing forms of relapsing MS: Results from the EXCHANGE study.Mult Scler · 2025
Results
Long-term prognostic value of longitudinal measurements of blood neurofilament levels.Neurol Neuroimmunol Neuroinflamm · 2020
Results
Blood neurofilament light chain as a biomarker of MS disease activity and treatment response.Neurology · 2019
Results
Comparing outcomes from clinical studies of oral disease-modifying therapies (dimethyl fumarate, fingolimod, and teriflunomide) in relapsing MS: Assessing absolute differences using a number needed to treat analysis.Mult Scler Relat Disord · 2016
Results
Relapse rates in patients with multiple sclerosis treated with fingolimod: Subgroup analyses of pooled data from three phase 3 trials.Mult Scler Relat Disord · 2016
Results
Onset of clinical and MRI efficacy occurs early after fingolimod treatment initiation in relapsing multiple sclerosis.J Neurol · 2016
Results
Efficacy of fingolimod in patients with highly active relapsing-remitting multiple sclerosis.Curr Med Res Opin · 2015
Results
Correlation between brain volume loss and clinical and MRI outcomes in multiple sclerosis.Neurology · 2015
Results
Fingolimod and CSF neurofilament light chain levels in relapsing-remitting multiple sclerosis.Neurology · 2015
Results
Impact of fingolimod therapy on magnetic resonance imaging outcomes in patients with multiple sclerosis.Arch Neurol · 2012
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Linked trials
Extended by
Long-term Efficacy and Safety of Fingolimod (FTY720) in P…Phase 3 · Completed
Links found where a registry record names another trial's registry number.
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History
Started
Jan 2006
Main results due
Jul 2009
Finished
Jul 2009
Results posted
Mar 2011
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