Running, not recruitingPhase 3Relapsing MSNCT018927222023-507556-68-002011-005677-23

What it found

Met its main goal

The main measure showed a statistically significant benefit.

MeasureEstimate95% CIp
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

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

GroupValueIntervalNumber analysed
Fingolimod0.122 Confirmed relapse per year0.078–0.192107
Interferon Beta-1a0.675 Confirmed relapse per year0.515–0.885107

Fingolimod

0.122

Interferon Beta-1a

0.675

p = <0.001

Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.

Safety

GroupParticipants at riskSerious adverse eventsDeaths
Fingolimod10719 (17.8%)0
Interferon Beta-1a10710 (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

    Relapses
  • To 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 response
  • Annualized relapse rate (ARR) and time to relapse

    Relapses
  • The annualized rate of new/newly enlarged T2 lesion

    MRI lesions
  • Patients free of new or newly enlarged T2 lesions

    MRI lesions

Other measures (12)

  • New/Newly Enlarged T2 Lesions

    24 months

    MRI lesions
  • Time to First Relapse

    24 months

    Relapses
  • Proportion of Patients Relapse-free

    24 months

    Relapses
  • T1 Gd- Enhancing Lesions

    24 months

    MRI lesions
  • Pharmacokinetics (Cavg) of Fingolimod-P

    24 months

    How the body handles the medicine
  • Pharmacokinetic/Pharmacodynamic Relationship for Fingolimod-P to Lymphocyte Levels

    24 months

    Immune responseHow the body handles the medicine
  • To 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 lesions
  • The number of Gd-enhanced T1 lesions

    MRI lesions
  • Patients free of Gd-enhanced T1 lesions

    MRI lesions
  • Number 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

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Related trials

History

    1. Started

      Jul 2013

    2. Main results due

      Jul 2017

    3. Finished

      Feb 2030

    4. Results posted

      Sept 2018

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