E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Relapsing multiple sclerosis. |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 12.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10048393 |
E.1.2 | Term | Multiple sclerosis relapse |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the safety and tolerability profile of fingolimod 0.5 mg in patients with relapsing forms of MS including a broader patient population than has been previously studied in clinical trials with fingolimod. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal 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 or female subjects aged 18-65 years 3. Subjects with relapsing forms of MS, defined by 2005 revised McDonald criteria 4. Patients with Expanded Disability Status Scale (EDSS) score of 0-6.5. |
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E.4 | Principal exclusion criteria |
Patients fulfilling any of the following criteria are not eligible for inclusion in this study: 1. Patients with a manifestation of MS other than relapsing MS. 2. Patients with a history of chronic disease of the immune system other than MS which requires systemic immunosuppressive treatment, or a known immunodeficiency syndrome. 3. History or presence of malignancy other than localized basal or squamous cell carcinoma of the skin. 4. Diabetic patients with moderate or severe non-proliferative diabetic retinopathy or proliferative diabetic retinopathy and uncontrolled diabetic patients with HbA1c > 8%. 5. Diagnosis of macular edema during Screening 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). 6. Patients with active systemic bacterial, viral or fungal infections, or known to have AIDS, Hepatitis B, Hepatitis C infection or to have positive HIV antibody, Hepatitis B surface antigen or Hepatitis C antibody tests. 7. Negative for varicella-zoster virus IgG antibodies at Screening 8. Have received any live or live attenuated vaccines (including for varicella-zoster virus or measles) within 1 month prior to baseline 9. Patients who have received total lymphoid irradiation or bone marrow transplantation. 10. Patients who expect to be treated with any disease modifying drugs (DMD) during the study (IFN-β, glatiramer acetate); however no washout is needed for DMDs prior to baseline. 11. Patients who have been treated with: • corticosteroids or adrenocorticotropic hormones (ACTH) within 1 month prior to baseline; • immunosuppressive medications such as azathioprine or methotrexate within 3 months prior to baseline; • immunoglobulins and/or monoclonal antibodies (including natalizumab) within 3 months prior to baseline; • cladribine, cyclophosphamide or mitoxantrone at any time. 12. Patients with any medically unstable condition, as assessed by the primary treating physician at each site. 13. Patients with any of the following cardiovascular conditions and/or findings in the screening ECG-recording: • history of cardiac arrest; • myocardial infarction within the past 6 months prior to enrollment or with current unstable ischemic heart disease; • known history of angina pectoris due to coronary spasm or history of Raynaud’s phenomenon; • cardiac failure at time of Screening (Class III, according to New York Heart Association Classification) or any severe cardiac disease as determined by the investigator; • history or presence of a Mobitz 2 second degree AV block or a third degree AV block or an increased QTc interval >450 ms in males and >470 ms in females corrected using Bazett’s formula; • Patients receiving Class Ia (ajmaline, disopyramide, procainamide, quinidine) and III antiarrhythmic drugs (e.g., amiodarone, bretylium, sotalol, ibutilide, azimilide, dofetilide). • resting pulse rate <45 bpm prior to baseline; • bradycardia measured by continuous ambulatory ECG of <40 bpm at any hour (mean) or of <30 bpm at any time (beat to beat) • proven history of sick sinus syndrome or sino-atrial heart block; • hypertension, not controlled by prescribed medications 14. Patients with pulmonary fibrosis 15. Patients with any of the following hepatic conditions • chronic liver or biliary disease; • total bilirubin greater than 2 times the upper limit of the normal range, unless in context of Gilbert’s syndrome • conjugated bilirubin greater than 2 times the upper limit of the normal range • AST (SGOT), ALT (SGPT) greater than 2 times the upper limit of the normal range; • alkaline phosphatase (AP) greater than 1.5 times the upper limit of the normal range; • gamma-glytamyl-transferase (GGT) greater than 3 times the upper limit of the normal range;
For a detailed descrition of all exclusion criteria, please see section 4.2 of the enclosed protocol. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Adverse events (AEs), laboratory, vital signs, 1st dose Holter-ECG-recording, and ophthalmology assessments and skin assessment data will be used to evaluate the primary objective.
Please see Section 9.3 of the enclosed protocol for a detailed description. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
patient reported outcomes |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | 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.8.4.1 | Number of sites anticipated in Member State concerned | 20 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 220 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial 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
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 5 |