CFTY720D2311
What it found
The main measure showed a statistically significant benefit.
| Measure | Estimate | 95% CI | p |
|---|---|---|---|
| Frequency of Relapses in Patients Treated for up to 24 Months | <0.001 |
Statistical analysis as posted on ClinicalTrials.gov.
What was tested
Treatment tested
Compared with
- Interferon beta-1a
Interferon alpha/beta receptor agonist
Placebo or sham
- Placebo capsule
- Placebo i.m. injection
Results by group
Frequency of Relapses in Patients Treated for up to 24 Months
24 months
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Fingolimod | 0.122 Confirmed relapse per year | 0.078–0.192 | 107 |
| Interferon Beta-1a | 0.675 Confirmed relapse per year | 0.515–0.885 | 107 |
Fingolimod
Interferon Beta-1a
p = <0.001
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 | 107 | 19 (17.8%) | 0 |
| Interferon Beta-1a | 107 | 10 (9.3%) | 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
Frequency of Relapses in Patients Treated for up to 24 Months
24 months
RelapsesTo evaluate the efficacy of fingolimod relative to intramuscular interferon B-1a in reducing the frequency of relapses as assess by the annualized relapse rate (ARR) in children/adolescent MS patients aged 10 to less than 18 years treated for up to 24 months.
RelapsesImmune responseAnnualized relapse rate (ARR) and time to relapse
RelapsesThe annualized rate of new/newly enlarged T2 lesion
MRI lesionsPatients free of new or newly enlarged T2 lesions
MRI lesions
Other measures (12)
New/Newly Enlarged T2 Lesions
24 months
MRI lesionsTime to First Relapse
24 months
RelapsesProportion of Patients Relapse-free
24 months
RelapsesT1 Gd- Enhancing Lesions
24 months
MRI lesionsPharmacokinetics (Cavg) of Fingolimod-P
24 months
How the body handles the medicinePharmacokinetic/Pharmacodynamic Relationship for Fingolimod-P to Lymphocyte Levels
24 months
Immune responseHow the body handles the medicineTo evaluate the efficacy of fingolimode relative to IFN B-1a in reducing the number of new/newly enlarging T2 (n/ne T2)lesions in children/adolescent MS patients aged 10 to less than 18 years treated for up to 24 months
MRI lesionsThe number of Gd-enhanced T1 lesions
MRI lesionsPatients free of Gd-enhanced T1 lesions
MRI lesionsNumber of CUA lesions
MRI lesions
Who could take part
Relapsing MS · 10 to 17
Key Inclusion Criteria Core Phase: * diagnosis of multiple sclerosis * at least one MS relapse during the previous year or two MS relapses in the previous 2 years or evidence of Gd enhancing lesions on MRI within 6 months EDSS score of 0 to 5.5, inclusive Key Exclusion Criteria Core Phase: * patients with progressive MS * patients with an active, chronic disease of the immune system other than MS * patients meeting the definition of ADEM * patients with severe cardiac disease or significant findings on the screening ECG. * patients with severe renal insufficiency Key Inclusion Criteria Extension Phase: Applies to all patients participating in the Core Phase and then entering the Extension Phase. 1. Patients that originally met Core Phase Inclusion criteria and completed the Core phase on or off of study drug. Applies to patients newly recruited to participate in the Extension Phase. * All newly recruited patients' that enroll directly into the Extension Phase must fulfill the local country health authority product label approved for pediatric age group for inclusion criteria. * Central review (including initial MRI report) of the diagnosis of pediatric MS will be required for all newly recruited patients. Key Exclusion Criteria Extension Phase: Applies to patients who completed the Core Phase, but prematurely discontinued study drug. 1. Premature discontinuation of the study drug during the Core Phase due to: * an adverse event, * serious adverse event, * laboratory abnormality * other conditions leading to permanent study drug discontinuation due to safety reasons 2. Patients with known new events or concomitant medications (washout periods required prior to Visit 15) that would exclude them from the Core Phase exclusion criteria. Serological or other additional tests will not be required. Applies to patients newly recruited in the younger cohort to participate in the Extension Phase. 1. All newly recruited patients in the younger cohort that enroll directly into the Extension Phase must fulfill the exclusion criteria for the core phase.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
To evaluate the safety and efficacy of fingolimod vs. interferon beta-1a i.m. in pediatric patients with multiple sclerosis (MS)
Papers
Results
Consistent control of disease activity with fingolimod versus IFN β-1a in paediatric-onset multiple sclerosis: further insights from PARADIG<i>MS</i>.J Neurol Neurosurg Psychiatry · 2020
Results
Effect of fingolimod on MRI outcomes in patients with paediatric-onset multiple sclerosis: results from the phase 3 PARADIG<i>MS</i> study.J Neurol Neurosurg Psychiatry · 2020
Results
Trial of Fingolimod versus Interferon Beta-1a in Pediatric Multiple Sclerosis.N Engl J Med · 2018
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History
Started
Jul 2013
Main results due
Jul 2017
Finished
Feb 2030
Results posted
Sept 2018
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