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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01498887
Registration number
NCT01498887
Ethics application status
Date submitted
19/12/2011
Date registered
26/12/2011
Titles & IDs
Public title
Efficacy of Fingolimod in de Novo Patients Versus Fingolimod in Patients Previously Treated With a First Line Disease Modifying Therapy
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Scientific title
A Multi-centre, Open-label, Non-randomised, Parallel Group Clinical Trial to Assess the Efficacy of Fingolimod in Naive Patients Versus Fingolimod in Patients Previously Treated With Interferons or Glatiramer Acetate, Based on the Presence of Relapses in Patients With Relapsing-remitting Multiple Sclerosis.
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Secondary ID [1]
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2011-003484-30
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Secondary ID [2]
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CFTY720DES03
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Universal Trial Number (UTN)
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Trial acronym
EARLiMS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Relapsing Remitting Multiple Sclerosis
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Fingolimod (FTY720)
Experimental: Naive or de novo participants - Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Experimental: Previously treated with first-line DMTs participants - Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Treatment: Drugs: Fingolimod (FTY720)
Hard gelatin capsules containing 0.5 mg of fingolimod.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Annual Relapse Rate (ARR)
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Assessment method [1]
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ARR = 365 days \* number of relapses / total days taking the study medication.
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Time to First Relapse
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Assessment method [1]
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Time to first relapse was defined as the time from the first day of treatment to the first day of a new neurological symptom or worsening of an existing one.
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Timepoint [1]
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first day of treatment to the first day of a new neurological symptom or worsening of an existing one, up to 12 months
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Secondary outcome [2]
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Change From Baseline in Expanded Disability Status Scale (EDSS) Score
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Assessment method [2]
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The EDSS is an ordinal clinical rating scale ranging from a total score of 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments. A negative change from baseline indicates improvement.
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Timepoint [2]
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baseline, 12 months
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Secondary outcome [3]
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Change From Baseline in Cerebral Volume
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Assessment method [3]
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Cerebral volume was assessed by magnetic resonance imaging (MRI). A negative change from baseline indicates improvement.
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Timepoint [3]
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baseline, 12 months
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Secondary outcome [4]
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Percentage of Participants With Mild, Moderate or Severe Relapse
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Assessment method [4]
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The investigator classified a relapse as moderate-severe if oral or intravenous (IV) treatment (according to the local clinical practice) with steroids and/or hospitalization was needed. If neither oral nor IV treatment with steroids nor hospitalization was needed, the relapse was considered as mild.
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Timepoint [4]
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12 months
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Secondary outcome [5]
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Percentage of Relapse-free Participants
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Assessment method [5]
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Relapse-free participants were defined as participants who experienced no new neurological symptom or worsening of an existing one (relapses) during the 12-month treatment period with 0.5 mg fingolimod.
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Timepoint [5]
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12 months
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Secondary outcome [6]
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Mean Number of T2 Active Lesions
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Assessment method [6]
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The mean number of new or enlarged T2 active lesions was assessed by MRI.
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Timepoint [6]
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12 months
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Eligibility
Key inclusion criteria
* Patients diagnosed with multiple sclerosis, according to the 2010 revised McDonald criteria, with a relapsing-remitting course, and with at least 9 T2 lesions consistent with the disease, with disease duration greater than or equal to one year and less than or equal to five years.
* Patients who have had at least two relapses in the past two years and an Expanded Disability Status Scale score between 0 and 3.5, inclusive.
Patients
* Treatment naïve: patients who have never been treated with a Disease Modifying Therapy or
* Previously treated with a first-line Disease Modifying Therapy
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients who have received treatment with:
Fingolimod at any time (e.g. participation in a fingolimod clinical trial), Immunosuppressant drugs such as azathioprine or methotrexate at any time; Immunoglobulins in the past 6 months. Monoclonal antibodies including natalizumab, Cladribine, cyclophosphamide or mitoxantrone, at any time.
- Other protocol defined inclusion/exclusion criteria may apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/12/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
26/12/2015
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Sample size
Target
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Accrual to date
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Final
347
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Novartis Investigative Site - East Gosford
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Recruitment hospital [2]
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Novartis Investigative Site - Kanwal
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Recruitment hospital [3]
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Novartis Investigative Site - Liverpool
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Recruitment hospital [4]
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Novartis Investigative Site - New Lambton Heights
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Recruitment hospital [5]
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Novartis Investigative Site - Sydney
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Recruitment hospital [6]
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Novartis Investigative Site - Auchenflower
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Recruitment hospital [7]
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Novartis Investigative Site - Adelaide
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Recruitment hospital [8]
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Novartis Investigative Site - Box Hill
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Recruitment hospital [9]
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Novartis Investigative Site - Fitzroy
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Recruitment hospital [10]
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Novartis Investigative Site - Melbourne
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Recruitment hospital [11]
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Novartis Investigative Site - Parkville
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Recruitment hospital [12]
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Novartis Investigative Site - Nedlands
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Recruitment hospital [13]
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Novartis Investigative Site - Bedford Park
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Recruitment hospital [14]
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Novartis Investigative Site - Brisbane Queensland
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Recruitment hospital [15]
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Novartis Investigative Site - Geelong VIC
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Recruitment postcode(s) [1]
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2250 - East Gosford
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Recruitment postcode(s) [2]
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2259 - Kanwal
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Recruitment postcode(s) [3]
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2170 - Liverpool
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Recruitment postcode(s) [4]
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2305 - New Lambton Heights
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Recruitment postcode(s) [5]
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2050 - Sydney
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Recruitment postcode(s) [6]
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4066 - Auchenflower
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Recruitment postcode(s) [7]
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- Adelaide
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Recruitment postcode(s) [8]
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3128 - Box Hill
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Recruitment postcode(s) [9]
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3011 - Fitzroy
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Recruitment postcode(s) [10]
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3000 - Melbourne
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Recruitment postcode(s) [11]
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3050 - Parkville
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Recruitment postcode(s) [12]
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6009 - Nedlands
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Recruitment postcode(s) [13]
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SA 5042 - Bedford Park
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Recruitment postcode(s) [14]
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4029 - Brisbane Queensland
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Recruitment postcode(s) [15]
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3220 - Geelong VIC
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Recruitment outside Australia
Country [1]
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Spain
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State/province [1]
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A Coruna
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Country [2]
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Spain
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State/province [2]
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Andalucia
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Country [3]
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Spain
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State/province [3]
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Asturias
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Country [4]
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Spain
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State/province [4]
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Cantabria
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Country [5]
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Spain
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State/province [5]
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Castilla La Mancha
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Country [6]
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Spain
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State/province [6]
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Castilla Y Leon
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Country [7]
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Spain
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State/province [7]
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Castilla Y León
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Country [8]
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Spain
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State/province [8]
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Catalunya
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Country [9]
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Spain
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State/province [9]
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Cataluña
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Country [10]
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Spain
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State/province [10]
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Comunidad Valenciana
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Country [11]
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Spain
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State/province [11]
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Galicia
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Country [12]
0
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Spain
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State/province [12]
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Islas Baleares
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Country [13]
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Spain
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State/province [13]
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Las Palmas De G.C
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Country [14]
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Spain
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State/province [14]
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Navarra
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Country [15]
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Spain
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State/province [15]
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Pais Vasco
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Country [16]
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Spain
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State/province [16]
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Barcelona
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Country [17]
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Spain
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State/province [17]
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Las Palmas de Gran Canaria
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Country [18]
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Spain
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State/province [18]
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Madrid
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Country [19]
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Spain
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State/province [19]
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Santa Cruz de Tenerife
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study assessed the efficacy of fingolimod in patients with short duration relapsing-remitting multiple sclerosis who had not been previously treated with disease-modifying therapies (DMTs), versus patients with the same disease duration who had previously received first-line DMTs.
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Trial website
https://clinicaltrials.gov/study/NCT01498887
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01498887