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    Summary
    EudraCT Number:2010-019028-30
    Sponsor's Protocol Code Number:CFTY720D2320
    National Competent Authority:UK - MHRA
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-08-02
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedUK - MHRA
    A.2EudraCT number2010-019028-30
    A.3Full title of the trial
    A 3-month blinded, randomized, multicenter, placebo controlled study to evaluate the effect of treatment with fingolimod on the immune response following seasonal influenza vaccination and tetanus toxoid booster injection in patients with relapsing forms of multiple sclerosis.
    A.4.1Sponsor's protocol code numberCFTY720D2320
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorNovartis Pharma Services AG
    B.1.3.4CountrySwitzerland
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameFTY720
    D.3.2Product code FTY720D
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNfingolimod
    D.3.9.1CAS number 162359-56-0
    D.3.9.2Current sponsor codeFTY720
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number0.5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCapsule, hard
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Relapsing forms of multiple sclerosis.
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 12.1
    E.1.2Level LLT
    E.1.2Classification code 10048393
    E.1.2Term Multiple sclerosis relapse
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the immune response in MS patients treated with fingolimod (compared to placebo) three weeks after a single dose of seasonal influenza vaccine as assessed by the proportion of patients showing seroconversion or showing a significant increase in the HAI antibody titers against at least one of three virus strain antigens after vaccination.
    E.2.2Secondary objectives of the trial
    • To evaluate the immune response in MS patients treated with fingolimod (compared to placebo) six weeks after a single dose of seasonal influenza vaccine as assessed by the proportion of patients showing seroconversion or showing a significant increase in the HAI antibody titers against at least one of three virus strain antigens after vaccination. • To evaluate the immune response to a single dose of tetanus toxoid (TT) as assessed by the proportion of patients with seroconversion or a significant increase (≥4-fold) in antibody titers. • To estimate the inhibition of an immune response to each strain included in the seasonal influenza vaccine as assessed by the relative difference of the geometric mean antibody titer ratio on fingolimod as compared to placebo three and six weeks after a single dose of seasonal influenza vaccine. For a detailed description of the Secondary Objectives, please refer to section 2.2 of the enclosed protocol.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Patients eligible for inclusion in this study have to fulfill all of the following criteria: 1. Written informed consent must be obtained before any assessment is performed. 2. Male and female patients aged 18-55 years. 3. Lifetime tetanus vaccination. 4. Patients with relapsing forms of MS, defined by 2005 revised McDonald criteria. 5. Patients with Expanded Disability Status Scale (EDSS) score of 0-6.5. 6. Agree to receive 2010/11 northern hemisphere seasonal influenza vaccine 7. Agree to receive tetanus toxoid booster vaccine
    E.4Principal exclusion criteria
    Patients fulfilling any of the following criteria are not eligible for inclusion into the study: 1. Patients with a manifestation of MS other than relapsing MS. 2. History of vaccination with 2010/11 northern hemisphere seasonal influenza vaccine or plans to receive outside this study. 3. Laboratory-confirmed influenza disease within 6 months prior to Visit 1. 4. History of vaccination with H1N1 (2009 pandemic swine flu) vaccine or documented confirmed or suspected H1N1 influenza disease within 3 months prior to Day 1. 5. History of tetanus booster vaccination in one year prior to randomization. 6. History of anaphylaxis or serious reaction after administration of any vaccine, or hypersensitivity to eggs, egg protein, chicken feathers, influenza viral protein, neomycin, kanamycin, or any other vaccine component, chemically related substance, or component of the potential packaging materials. 7. Patients who have had an allergic reaction to previous tetanus vaccine 8. Patients with a history of chronic disease of the immune system other than MS or with a known immunodeficiency syndrome. 9. History or presence of malignancy (except for successfully treated basal or squamous cell carcinoma of skin). 10. A known or ‘new’ diagnosis of diabetes mellitus (if screening blood glucose is suspicious for diabetes [≥126 mg/dL or ≥7 mmol/L if fasting; ≥200 mg/dL or 11.1 mmol/L if random testing] a patient should be further evaluated for diabetes mellitus). 11. Diagnosis of macular edema during Pre-randomization Phase (patients with a history of macular edema will be allowed to enter the study provided that they do not have macular edema at the ophthalmic screening visit). 12. Patients with active systemic bacterial, viral or fungal infections, or known to have Hepatitis B, Hepatitis C infection or to have positive Hepatitis B surface antigen or Hepatitis C antibody tests. 13. Negative for varicella-zoster virus IgG antibodies at Screening. 14. Have received or expect to receive any live or live-attenuated vaccines (including for varicella-zoster virus or measles) within 2 months prior to randomization or during the study. 15. Patients who have received total lymphoid irradiation or bone marrow transplantation. 16. Patients who have been treated with listed medication types 17. Patients with any medically unstable condition, as assessed by the primary treating physician at each site. 18. Patients with any of the listed cardiovascular conditions 19. Patients with any of the following pulmonary conditions: • pulmonary fibrosis; • active tuberculosis. 20. Patients with any of the listed hepatic conditions 21. Patients with any of the listed abnormal laboratory values: 22. Patients with any of the listed neurologic/psychiatric disorders: 23. Participation in any clinical research study evaluating another investigational drug or therapy within 6 months prior to Baseline. 24. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (> 5 mIU/ml) 25. Women of child-bearing potential 26. History of hypersensitivity to any of the study drugs or to drugs of similar chemical classes 27. Prior participation in a trial with fingolimod. For a detailed descrition of all exclusion criteria, please refer to section 4.2 of the enclosed protocol.
    E.5 End points
    E.5.1Primary end point(s)
    The primary variable is the responder rate to the seasonal influenza vaccine at Visit 7. The responder rate is defined as the proportion of patients fulfilling one of the following criteria for at least one of the three strains contained in the seasonal influenza vaccine: • Seroconversion: the pre-vaccination antibody titer measurement (Visit 6) is <1:10 and the post-vaccination measurement is ≥1:40. • Significant increase: the pre-vaccination antibody titer measurement (Visit 6) is ≥1:10 and the increase in antibody titer from this to the post-vaccination measurement is ≥4-fold.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety No
    E.6.5Efficacy No
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Immunogenicity.
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind Yes
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned5
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA21
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months7
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months10
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state20
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 80
    F.4.2.2In the whole clinical trial 120
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2010-07-02
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2010-07-30
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2011-05-17
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