CompletedPhase 3Relapsing MSNCT022011082011-005249-12

What it found

Missed its main goal

The main measure did not show a significant benefit.

MeasureEstimate95% CIp
Time to First Confirmed Clinical RelapseHazard Ratio (HR) 0.6570.388–1.1130.2949

Statistical analysis as posted on ClinicalTrials.gov.

What was tested

Treatment tested

Placebo or sham

  • Placebo

Results by group

Time to First Confirmed Clinical Relapse

Baseline up to Week 96

GroupValueIntervalNumber analysed
Double-Blind Treatment Period: Placebo39.14 weeks0.1–9857
Double-Blind Treatment Period: Teriflunomide75.29 weeks0.1–98.7109

Double-Blind Treatment Period: Placebo

39.14

Double-Blind Treatment Period: Teriflunomide

75.29

p = 0.2949; Hazard Ratio (HR) 0.657 (95% CI 0.388–1.113)

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

Safety

GroupParticipants at riskSerious adverse eventsDeaths
Double-Blind Treatment Period: Placebo576 (10.5%)0
Double-Blind Treatment Period: Teriflunomide10912 (11.0%)0
Open-Label Treatment Period: Placebo/Teriflunomide5215 (28.8%)0
Open-Label Treatment Period: Teriflunomide/Teriflunomide10014 (14.0%)0
Extension Period/Teriflunomide278 (29.6%)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

  • Time to First Confirmed Clinical Relapse

    Baseline up to Week 96

    RelapsesBladder, bowel and sexual function
  • 1 - Time to first clinical relapse after randomization

    Relapses

Other measures (22)

  • Probability of Participants Who Were Clinical Relapse Free at Weeks 24, 48, 72, 96, 120, 144, 168 and 192

    Weeks 24, 48, 72, 96, 120, 144, 168 and 192

    RelapsesBladder, bowel and sexual function
  • Brain Magnetic Resonance Imaging (MRI) Assessment: Number of New or Enlarged T2 Lesions Per MRI Scan

    Baseline up to Week 192

    MRI lesions
  • Brain Magnetic Resonance Imaging Assessment: Number of T1 Gadolinium (Gd)-Enhancing T1 Lesions Per MRI Scan

    Baseline up to Week 192

    MRI lesions
  • Brain Magnetic Resonance Imaging Assessment: Change From Baseline in Volume of T2 Lesions at Weeks 24, 36, 48, 72, 96, 144 and 192

    Baseline, DB period: Weeks 24, 36, 48, 72 and 96; OL period: Weeks 48, 96, 144 and 192

    MRI lesions
  • Brain Magnetic Resonance Imaging Assessment: Change From Baseline in Volume of T1 Hypointense Lesions

    Baseline, DB period: Weeks 24, 36, 48, 72 and 96; OL period: Weeks 48, 96, 144 and 192

    MRI lesions
  • Brain Magnetic Resonance Imaging Assessment: Number of New T1 Hypointense Lesions Per MRI Scan

    Baseline up to Week 192

    MRI lesions
  • Brain Magnetic Resonance Imaging Assessment: Percentage of Participants Free of New or Enlarged MRI T2-Lesions

    Baseline, Weeks 24, 48, 72, 96, 144 and 192

    MRI lesions
  • Brain Magnetic Resonance Imaging Assessment: Percent Change From Baseline in Brain Volume at Weeks 24, 36, 48, 72, 96, 144 and 192

    Baseline, DB period: Weeks 24, 36, 48, 72 and 96; OL period: Weeks 48, 96, 144 and 192

    MRI lesionsBrain volume loss
  • Cognitive Assessment: Change From Baseline in Total Number of Correct Substitutions Measured by Symbol Digit Modalities Test (SDMT) at Weeks 24, 48, 72, 96, 120, 144, 168 and 192

    Baseline, DB period: Weeks 24, 48, 72 and 96; OL period: Weeks 24, 48, 72, 96, 120, 144, 168 and 192

    Thinking and memory
  • Cognitive Assessment: Change From Baseline in Number of Completed Items Measured by Symbol Digit Modalities Test at Weeks 24, 48, 72, 96, 120, 144, 168 and 192

    Baseline, DB period: Weeks 24, 48, 72 and 96; OL period: Weeks 24, 48, 72, 96, 120, 144, 168 and 192

    Thinking and memory

Who could take part

Relapsing MS · 10 to 17

* Participants with relapsing MS were eligible. Participants who met the criteria of MS based on McDonald criteria 2010 and International Pediatric Multiple Sclerosis Study Group (IPMSSG) criteria for pediatric MS, version of 2012 and had: * at least one relapse (or attack) in the 12 months preceding screening or, * at least two relapses (or attack) in the 24 months preceding screening. * Less than 18 years of age and greater than or equal to (>=) 10 years of age at randomization. Specific for the Russian Federation from 18 December 2014 to 26 July 2016, less than or equal to 17 years of age and >= 13 years of age at randomization. * Signed informed consent/assent obtained from participant and participant's legal representative (parents or guardians) according to local regulations. Exclusion criteria: * Expanded disability status scale score greater than 5.5 at screening or randomization visits. * Relapse within 30 days prior to randomization. * Treated with: * glatiramer acetate, interferons, or dimethyl fumarate within 1 month prior to randomization. * fingolimod, or intravenous immunoglobulins within 3 months prior to randomization. * natalizumab, other immunosuppressant or immunomodulatory agents such as cyclophosphamide, azathioprine, cyclosporine, methotrexate, mycophenolate, within 6 months prior to randomization. * cladribine or mitoxantrone within 2 years prior to randomization. * Treated with alemtuzumab at any time. * History of human immunodeficiency virus infection. * Contraindication for MRI. * Pregnant or breast-feeding females or those who plan to become pregnant during the study. * Female participants of child-bearing potential not using highly effective contraceptive method (contraception in both female and male was required). The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

Primary Objective: To assess the effect of teriflunomide in comparison to placebo on disease activity measured by time to first clinical relapse after randomization in children and adolescents 10 to 17 years of age with relapsing forms of multiple sclerosis (MS). Secondary Objective: * To assess the effect of teriflunomide in comparison to placebo on disease activity/progression measured by brain magnetic resonance imaging (MRI) and on cognitive function. * To evaluate the safety and tolerability of teriflunomide in comparison to placebo. * To evaluate the pharmacokinetics (PK) of teriflunomide.

Papers

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History

    1. Started

      Jul 2014

    2. Main results due

      Oct 2019

    3. Finished

      Jul 2024

    4. Results posted

      Nov 2020

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