TERIKIDS
What it found
The main measure did not show a significant benefit.
| Measure | Estimate | 95% CI | p |
|---|---|---|---|
| Time to First Confirmed Clinical Relapse | Hazard Ratio (HR) 0.657 | 0.388–1.113 | 0.2949 |
Statistical analysis as posted on ClinicalTrials.gov.
What was tested
Treatment tested
- Teriflunomide
Dihydroorotate dehydrogenase inhibitor
Placebo or sham
- Placebo
Results by group
Time to First Confirmed Clinical Relapse
Baseline up to Week 96
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| Double-Blind Treatment Period: Placebo | 39.14 weeks | 0.1–98 | 57 |
| Double-Blind Treatment Period: Teriflunomide | 75.29 weeks | 0.1–98.7 | 109 |
Double-Blind Treatment Period: Placebo
Double-Blind Treatment Period: Teriflunomide
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
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| Double-Blind Treatment Period: Placebo | 57 | 6 (10.5%) | 0 |
| Double-Blind Treatment Period: Teriflunomide | 109 | 12 (11.0%) | 0 |
| Open-Label Treatment Period: Placebo/Teriflunomide | 52 | 15 (28.8%) | 0 |
| Open-Label Treatment Period: Teriflunomide/Teriflunomide | 100 | 14 (14.0%) | 0 |
| Extension Period/Teriflunomide | 27 | 8 (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 function1 - 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 functionBrain Magnetic Resonance Imaging (MRI) Assessment: Number of New or Enlarged T2 Lesions Per MRI Scan
Baseline up to Week 192
MRI lesionsBrain Magnetic Resonance Imaging Assessment: Number of T1 Gadolinium (Gd)-Enhancing T1 Lesions Per MRI Scan
Baseline up to Week 192
MRI lesionsBrain 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 lesionsBrain 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 lesionsBrain Magnetic Resonance Imaging Assessment: Number of New T1 Hypointense Lesions Per MRI Scan
Baseline up to Week 192
MRI lesionsBrain 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 lesionsBrain 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 lossCognitive 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 memoryCognitive 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
Results
Teriflunomide in pediatric patients with relapsing multiple sclerosis: Open-label extension of TERIKIDS.Mult Scler · 2024
Results
Plasma neurofilament light chain in children with relapsing MS receiving teriflunomide or placebo: A post hoc analysis of the randomized TERIKIDS trial.Mult Scler · 2023
Results
Safety and efficacy of teriflunomide in paediatric multiple sclerosis (TERIKIDS): a multicentre, double-blind, phase 3, randomised, placebo-controlled trial.Lancet Neurol · 2021
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Related trials
History
Started
Jul 2014
Main results due
Oct 2019
Finished
Jul 2024
Results posted
Nov 2020
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