CompletedPhase 3Relapsing MSNCT017079922012-003647-30

What it found

Missed its main goal

The main measure did not show a significant benefit.

MeasureEstimate95% CIp
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) 0.9370.668–1.313= 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

GroupValueIntervalNumber analysed
Placebo-Controlled Phase: Placebo73 Participants740
Placebo-Controlled Phase: Laquinimod 0.6 mg66 Participants727
Placebo-Controlled Phase: Laquinimod 1.2 mg69 Participants732

Placebo-Controlled Phase: Placebo

73

Placebo-Controlled Phase: Laquinimod 0.6 mg

66

Placebo-Controlled Phase: Laquinimod 1.2 mg

69

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

GroupParticipants at riskSerious adverse eventsDeaths
Placebo-Controlled Phase: Laquinimod 0.6 mg72757 (7.8%)1
Placebo-Controlled Phase: Laquinimod 1.2 mg73249 (6.7%)1
Placebo-Controlled Phase: Placebo74043 (5.8%)2
Active Treatment Phase: Early Laquinimod 0.6 mg58024 (4.1%)2
Active Treatment Phase: Early Laquinimod 1.2 mg26810 (3.7%)0
Active Treatment Phase: Off Drug2155 (2.3%)0
Active Treatment Phase: From Placebo to Laquinimod 0.6 mg3115 (1.6%)0
Active Treatment Phase: From Placebo to Laquinimod 1.2 mg2369 (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 progression
  • Time 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 loss
  • Placebo-Controlled Phase: Time to First Confirmed Relapse (Number of Participants With Confirmed Relapse)

    Baseline to Month 24

    Disability progressionRelapsesThinking and memoryBladder, bowel and sexual function
  • Placebo-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 progression
  • Placebo-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

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History

    1. Started

      Feb 2013

    2. Main results due

      Apr 2015

    3. Finished

      Jul 2017

    4. Results posted

      Mar 2019

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