CONCERTO
What it found
The main measure did not show a significant benefit.
| Measure | Estimate | 95% CI | p |
|---|---|---|---|
| Placebo-Controlled Phase: Time to Confirmed Disease Progression (CDP) Confirmed After At Least 3 Months (Number of Participants With CDP After At Least 3 Months) | Hazard Ratio (HR) 0.937 | 0.668–1.313 | = 0.7057 |
Statistical analysis as posted on ClinicalTrials.gov.
What was tested
Treatment tested
Placebo or sham
- Placebo
Results by group
Placebo-Controlled Phase: Time to Confirmed Disease Progression (CDP) Confirmed After At Least 3 Months (Number of Participants With CDP After At Least 3 Months)
Baseline to Month 24
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Placebo-Controlled Phase: Placebo | 73 Participants | 740 | |
| Placebo-Controlled Phase: Laquinimod 0.6 mg | 66 Participants | 727 | |
| Placebo-Controlled Phase: Laquinimod 1.2 mg | 69 Participants | 732 |
Placebo-Controlled Phase: Placebo
Placebo-Controlled Phase: Laquinimod 0.6 mg
Placebo-Controlled Phase: Laquinimod 1.2 mg
p = = 0.7057; Hazard Ratio (HR) 0.937 (95% CI 0.668–1.313)
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| Placebo-Controlled Phase: Laquinimod 0.6 mg | 727 | 57 (7.8%) | 1 |
| Placebo-Controlled Phase: Laquinimod 1.2 mg | 732 | 49 (6.7%) | 1 |
| Placebo-Controlled Phase: Placebo | 740 | 43 (5.8%) | 2 |
| Active Treatment Phase: Early Laquinimod 0.6 mg | 580 | 24 (4.1%) | 2 |
| Active Treatment Phase: Early Laquinimod 1.2 mg | 268 | 10 (3.7%) | 0 |
| Active Treatment Phase: Off Drug | 215 | 5 (2.3%) | 0 |
| Active Treatment Phase: From Placebo to Laquinimod 0.6 mg | 311 | 5 (1.6%) | 0 |
| Active Treatment Phase: From Placebo to Laquinimod 1.2 mg | 236 | 9 (3.8%) | 0 |
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
Placebo-Controlled Phase: Time to Confirmed Disease Progression (CDP) Confirmed After At Least 3 Months (Number of Participants With CDP After At Least 3 Months)
Baseline to Month 24
Disability progressionTime to Confirmed Disease Progression (CDP) during Period 1.
Disability progression
Other measures (5)
Placebo-Controlled Phase: Percent Change From Baseline in Brain Volume at Month 15
Baseline, Month 15
Brain volume lossPlacebo-Controlled Phase: Time to First Confirmed Relapse (Number of Participants With Confirmed Relapse)
Baseline to Month 24
Disability progressionRelapsesThinking and memoryBladder, bowel and sexual functionPlacebo-Controlled Phase: Time to CDP Confirmed After At Least 6 Months (Number of Participants With CDP After At Least 6 Months)
Baseline to Month 24
Disability progressionPlacebo-Controlled Phase: Time to CDP Confirmed After At Least 9 Months (Number of Participants With Confirmed Relapse After At Least 9 Months)
Baseline to Month 24
Disability progressionRelapses-Brain atrophy as defined by the percent change in brain volume from baseline to month 15
Brain volume loss
Who could take part
Relapsing MS · 18 to 55
Inclusion Criteria: * Participants must have a confirmed and documented multiple sclerosis (MS) diagnosis as defined by the Revised McDonald criteria, with relapse onset disease or a relapsing-remitting disease course. * Participants must be ambulatory with Kurtzke's expanded disability status scale (EDSS) score of 0 to 5.5 in both screening and randomization visits. * Participants must be in a stable neurological condition, relapse-free and free of any corticosteroid treatment [intravenous (IV), intramuscular (IM) and/or per os (PO)/oral] or adrenocorticotrophic hormone, 60 days prior to randomization. * Participants must have experienced at least one documented relapse in the 12 months prior to randomization. * Participants must have disease duration of not more than 15 years. * Women of child-bearing potential (for example, women who are not postmenopausal or surgically sterilized) must practice an acceptable method of birth control for 30 days before taking the study drug and two acceptable methods of birth control during the duration of the study and until 30 days after the last dose of study medication. * Additional criteria apply, please contact the investigator for more information. Exclusion Criteria: * Participants with progressive forms of MS. * Participants with neuromyelitis optica. * Use of experimental or investigational drugs and/or participation in drug clinical studies within the 6 months prior to randomization. * Use of immunosuppressive agents or cytotoxic agents, including cyclophosphamide, within 6 months prior to randomization. * Use of either of the following within 2 years prior to randomization visit: natalizumab (Tysabri®), rituximab, ocrelizumab, atacicept, belimumab, or ofatumumab. * Use of teriflunomide (Aubagio®) within 2 years prior to randomization, except if active washout (with either cholestyramine or activated charcoal) was done 2 months or more prior to randomization. * Previous treatment with glatiramer acetate (Copaxone®) Interferon β (either 1a or 1b), fingolimod (Gilenya®), dimethyl fumarate (Tecfidera®) or intravenous immunoglobulins within 2 months prior to randomization. * Chronic (more than 30 consecutive days) systemic (IV, IM or PO) corticosteroid treatment within 2 months prior to randomization. * Previous use of mitoxantrone (Novantrone®), cladribine, or alemtuzumab (Lemtrada®). * Previous use of laquinimod. * Previous total body irradiation or total lymphoid irradiation. * Previous stem cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation. * Use of moderate/strong inhibitors of cytochrome P450 (CYP) 3A4 within 2 weeks prior to randomization. * Use of inducers of CYP3A4 within 2 weeks prior to randomization visit. * Pregnancy or breastfeeding. * A known history of sensitivity to gadolinium (Gd). * Inability to successfully undergo magnetic resonance imaging (MRI) scanning. * Participants who underwent endovascular treatment for chronic cerebrospinal venous insufficiency within 3 months prior to randomization. * Additional criteria apply, please contact the investigator for more information.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
This is a multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study followed by active treatment, to evaluate the efficacy, safety and tolerability of two doses of oral administration of laquinimod in participants with RRMS. The study has 2 periods: Period 1, the double-blind, placebo-controlled period (up to 24 months) and Period 2, the active treatment period (24 months).
Papers
Loading reviews and guidelines…
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History
Started
Feb 2013
Main results due
Apr 2015
Finished
Jul 2017
Results posted
Mar 2019
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