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    Clinical Trial Results:
    Peripheral neuropathy as potential side effect in patients with multiple sclerosis treated with teriflunomide.

    Summary
    EudraCT number
    2021-002810-15
    Trial protocol
    BE  
    Global end of trial date
    20 Jan 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    25 Apr 2022
    First version publication date
    25 Apr 2022
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    CHUB-Neuro-ENMG-MS
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    CHU Brugmann
    Sponsor organisation address
    4 Place A. Van Gehuchten , Brussels, Belgium, 1020
    Public contact
    Neurology Department, CHU Brugmann, 32 24772446, Bernard.DACHY@chu-brugmann.be
    Scientific contact
    Neurology Department, CHU Brugmann, 32 24772446, Bernard.DACHY@chu-brugmann.be
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    04 Mar 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    20 Jan 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Jan 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To explore the incidence of peripheral nerve abnormalities, investigated by Nerve Conduction Study, in patients with multiple sclerosis treated with teriflunomide.
    Protection of trial subjects
    Aubagio (teriflunomide) is used as standard of care medication in the CHU Brugmann Hospital for patients with a diagnosis of multiple sclerosis (MS). Nerve conduction studies are routinely performed in the Neurology Departement and do not put the patients at risk.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    19 Jul 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 12
    Worldwide total number of subjects
    12
    EEA total number of subjects
    12
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    11
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Patients were included in the CHU Brugmann Hospital (Brussels, Belgium) only. Patients with previous diagnosis of multiple sclerosis and currently treated with teriflunomide as standard of care were retrospectively identified and prospectively screened for peripheral nerve abnormalities by Nerve Conduction Studies.

    Pre-assignment
    Screening details
    20 patients were identified in specialized consultations in multiple sclerosis of CHU Brugmann Hospital. 12 patients signed the informed consent. They all completed all the examinations of the Nerve Conduction Stimulation Testing.

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Teriflunomide
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Teriflunomide
    Investigational medicinal product code
    Other name
    Aubagio 14 mg
    Pharmaceutical forms
    Coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Aubagio 14mg (coated tablet) once per day, oral use

    Number of subjects in period 1
    Teriflunomide
    Started
    12
    Completed
    12

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Overall Trial
    Reporting group description
    -

    Reporting group values
    Overall Trial Total
    Number of subjects
    12 12
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    11 11
        From 65-84 years
    1 1
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    4 4
        Male
    8 8

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Teriflunomide
    Reporting group description
    -

    Primary: Mean DL, right median nerve, motor response

    Close Top of page
    End point title
    Mean DL, right median nerve, motor response [1]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.0 (2.5 to 3.85)
    No statistical analyses for this end point

    Primary: Mean distal amplitude , right median nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude , right median nerve, motor response [2]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    8.3 (3.1 to 13.5)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, right median nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, right median nerve, motor response [3]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    7.8 (2.9 to 12.9)
    No statistical analyses for this end point

    Primary: Mean NCV, right median nerve, motor response

    Close Top of page
    End point title
    Mean NCV, right median nerve, motor response [4]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    59 (52 to 64)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, right median nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, right median nerve, motor response [5]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    27 (23 to 29)
    No statistical analyses for this end point

    Primary: Mean DL, left median nerve, motor response

    Close Top of page
    End point title
    Mean DL, left median nerve, motor response [6]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.2 (2.7 to 3.9)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, left median nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude, left median nerve, motor response [7]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    7.1 (3.4 to 11.9)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, left median nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, left median nerve, motor response [8]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [8] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    6.6 (2.8 to 11.6)
    No statistical analyses for this end point

    Primary: Mean NCV, left median nerve, motor response

    Close Top of page
    End point title
    Mean NCV, left median nerve, motor response [9]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    58 (53 to 67)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, left median nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, left median nerve, motor response [10]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    26 (22 to 29)
    No statistical analyses for this end point

    Primary: Mean DL, right ulnar nerve, motor response

    Close Top of page
    End point title
    Mean DL, right ulnar nerve, motor response [11]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.3 (1.7 to 2.7)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, right ulnar nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude, right ulnar nerve, motor response [12]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [12] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    8.2 (5.7 to 12.5)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, right ulnar nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, right ulnar nerve, motor response [13]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    7.4 (4.8 to 9.7)
    No statistical analyses for this end point

    Primary: Mean NCV, right ulnar nerve, motor response

    Close Top of page
    End point title
    Mean NCV, right ulnar nerve, motor response [14]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [14] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    62 (53 to 74)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, right ulnar nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, right ulnar nerve, motor response [15]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [15] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    28 (23 to 30)
    No statistical analyses for this end point

    Primary: Mean DL, left ulnar nerve, motor nerve

    Close Top of page
    End point title
    Mean DL, left ulnar nerve, motor nerve [16]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [16] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.4 (2.0 to 2.9)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, left ulnar nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude, left ulnar nerve, motor response [17]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [17] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    8.8 (5.7 to 12.9)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, left ulnar nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, left ulnar nerve, motor response [18]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [18] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    8.3 (4.6 to 11.7)
    No statistical analyses for this end point

    Primary: Mean NCV, left ulnar nerve, motor response

    Close Top of page
    End point title
    Mean NCV, left ulnar nerve, motor response [19]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [19] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    59 (54 to 66)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, left ulnar nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, left ulnar nerve, motor response [20]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [20] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    27 (23 to 30)
    No statistical analyses for this end point

    Primary: Mean DL, right peroneal nerve, motor response

    Close Top of page
    End point title
    Mean DL, right peroneal nerve, motor response [21]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [21] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.9 (2.8 to 6.8)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, right peroneal nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude, right peroneal nerve, motor response [22]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [22] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    6.9 (1.9 to 10.2)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, right peroneal nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, right peroneal nerve, motor response [23]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [23] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    6.4 (1.7 to 10.3)
    No statistical analyses for this end point

    Primary: Mean NCV, right peroneal nerve, motor response

    Close Top of page
    End point title
    Mean NCV, right peroneal nerve, motor response [24]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [24] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    48 (40 to 56)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, right peroneal nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, right peroneal nerve, motor response [25]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [25] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    49 (42 to 62)
    No statistical analyses for this end point

    Primary: Mean DL, Left peroneal nerve, motor response

    Close Top of page
    End point title
    Mean DL, Left peroneal nerve, motor response [26]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [26] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    4.0 (3.1 to 5.6)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, left peroneal nerve, motor response

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    End point title
    Mean distal amplitude, left peroneal nerve, motor response [27]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [27] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    5.9 (3.8 to 10)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, left peroneal nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, left peroneal nerve, motor response [28]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [28] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    5.5 (3.1 to 9.8)
    No statistical analyses for this end point

    Primary: Mean NCV, left peroneal nerve, motor response

    Close Top of page
    End point title
    Mean NCV, left peroneal nerve, motor response [29]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [29] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    47 (43 to 51)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, left peroneal nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, left peroneal nerve, motor response [30]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [30] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    50 (42 to 59)
    No statistical analyses for this end point

    Primary: Mean DL, right tibial nerve, motor response

    Close Top of page
    End point title
    Mean DL, right tibial nerve, motor response [31]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [31] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    4.2 (3.1 to 5)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, right tibial nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude, right tibial nerve, motor response [32]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [32] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    11.9 (5.9 to 16.9)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, right tibial nerve, motor response

    Close Top of page
    End point title
    Mean proximal amplitude, right tibial nerve, motor response [33]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [33] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    9.3 (4.7 to 13.4)
    No statistical analyses for this end point

    Primary: Mean NCV, right tibial nerve, motor response

    Close Top of page
    End point title
    Mean NCV, right tibial nerve, motor response [34]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [34] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    46 (40 to 53)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, right tibial nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, right tibial nerve, motor response [35]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [35] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    51 (42 to 59)
    No statistical analyses for this end point

    Primary: Mean DL, left tibial nerve, motor response

    Close Top of page
    End point title
    Mean DL, left tibial nerve, motor response [36]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [36] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    4.4 (3.3 to 6.0)
    No statistical analyses for this end point

    Primary: Mean distal amplitude, left tibial nerve, motor response

    Close Top of page
    End point title
    Mean distal amplitude, left tibial nerve, motor response [37]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [37] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    12.5 (5.6 to 23.7)
    No statistical analyses for this end point

    Primary: Mean NCV, left tibial nerve, motor response

    Close Top of page
    End point title
    Mean NCV, left tibial nerve, motor response [38]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [38] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    46 (41 to 54)
    No statistical analyses for this end point

    Primary: Mean F-wave latency, left tibial nerve, motor response

    Close Top of page
    End point title
    Mean F-wave latency, left tibial nerve, motor response [39]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [39] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    51 (45 to 59)
    No statistical analyses for this end point

    Primary: Mean DL onset, right median nerve, sensory response

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    End point title
    Mean DL onset, right median nerve, sensory response [40]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [40] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.8 (2.3 to 3.3)
    No statistical analyses for this end point

    Primary: Mean DL Peak, right median nerve, sensory response

    Close Top of page
    End point title
    Mean DL Peak, right median nerve, sensory response [41]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [41] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.6 (3.1 to 4.4)
    No statistical analyses for this end point

    Primary: Mean amplitude, right median nerve, sensory response

    Close Top of page
    End point title
    Mean amplitude, right median nerve, sensory response [42]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [42] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    29.6 (19.2 to 59.2)
    No statistical analyses for this end point

    Primary: Mean NCV, right median nerve, sensory response

    Close Top of page
    End point title
    Mean NCV, right median nerve, sensory response [43]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [43] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    52 (46 to 59)
    No statistical analyses for this end point

    Primary: Mean DL onset, left median nerve, sensory response

    Close Top of page
    End point title
    Mean DL onset, left median nerve, sensory response [44]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [44] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.9 (2.5 to 3.4)
    No statistical analyses for this end point

    Primary: Mean DL peak, left median nerve, sensory response

    Close Top of page
    End point title
    Mean DL peak, left median nerve, sensory response [45]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [45] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.7 (3.3 to 4.4)
    No statistical analyses for this end point

    Primary: Mean amplitude, left median nerve, sensory response

    Close Top of page
    End point title
    Mean amplitude, left median nerve, sensory response [46]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [46] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    29.3 (19.6 to 64.3)
    No statistical analyses for this end point

    Primary: Mean NCV, left median nerve, sensory response

    Close Top of page
    End point title
    Mean NCV, left median nerve, sensory response [47]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [47] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    51 (46 to 63)
    No statistical analyses for this end point

    Primary: Mean DL onset, right ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean DL onset, right ulnar nerve, sensory response [48]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [48] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.5 (1.9 to 2.8)
    No statistical analyses for this end point

    Primary: Mean DL peak, right ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean DL peak, right ulnar nerve, sensory response [49]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [49] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.3 (2.5 to 4.0)
    No statistical analyses for this end point

    Primary: Mean amplitude, right ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean amplitude, right ulnar nerve, sensory response [50]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [50] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    28.7 (18.0 to 52.8)
    No statistical analyses for this end point

    Primary: Mean NCV, right ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean NCV, right ulnar nerve, sensory response [51]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [51] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    50 (45 to 59)
    No statistical analyses for this end point

    Primary: Mean DL onset, left ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean DL onset, left ulnar nerve, sensory response [52]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [52] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.5 (2.0 to 2.8)
    No statistical analyses for this end point

    Primary: Mean DL peak, left ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean DL peak, left ulnar nerve, sensory response [53]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [53] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.3 (2.7 to 3.8)
    No statistical analyses for this end point

    Primary: Mean amplitude, left ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean amplitude, left ulnar nerve, sensory response [54]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [54] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    27.7 (13.5 to 52.6)
    No statistical analyses for this end point

    Primary: Mean NCV, left ulnar nerve, sensory response

    Close Top of page
    End point title
    Mean NCV, left ulnar nerve, sensory response [55]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [55] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    50 (45 to 57)
    No statistical analyses for this end point

    Primary: Mean DL onset, right radial nerve, sensory response

    Close Top of page
    End point title
    Mean DL onset, right radial nerve, sensory response [56]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [56] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.0 (1.7 to 2.2)
    No statistical analyses for this end point

    Primary: Mean DL peak, right radial nerve, sensory response

    Close Top of page
    End point title
    Mean DL peak, right radial nerve, sensory response [57]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [57] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.7 (2.3 to 3.0)
    No statistical analyses for this end point

    Primary: Mean amplitude, right radial nerve, sensory response

    Close Top of page
    End point title
    Mean amplitude, right radial nerve, sensory response [58]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [58] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    23.4 (15.1 to 44.4)
    No statistical analyses for this end point

    Primary: Mean NCV, right radial nerve, sensory response

    Close Top of page
    End point title
    Mean NCV, right radial nerve, sensory response [59]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [59] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    51 (45 to 60)
    No statistical analyses for this end point

    Primary: Mean DL onset, left radial nerve, sensory response

    Close Top of page
    End point title
    Mean DL onset, left radial nerve, sensory response [60]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [60] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.0 (1.7 to 2.2)
    No statistical analyses for this end point

    Primary: Mean DL peak, left radial nerve, sensory response

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    End point title
    Mean DL peak, left radial nerve, sensory response [61]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [61] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    2.7 (2.3 to 3.1)
    No statistical analyses for this end point

    Primary: Mean amplitude, left radial nerve, sensory response

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    End point title
    Mean amplitude, left radial nerve, sensory response [62]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [62] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    21.5 (15.5 to 30.5)
    No statistical analyses for this end point

    Primary: Mean NCV, left radial nerve, sensory response

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    End point title
    Mean NCV, left radial nerve, sensory response [63]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [63] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    51 (46 to 60)
    No statistical analyses for this end point

    Primary: Mean DL peak, right sural nerve, sensory response

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    End point title
    Mean DL peak, right sural nerve, sensory response [64]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [64] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    4.4 (3.5 to 5.4)
    No statistical analyses for this end point

    Primary: Mean amplitude, right sural nerve, sensory response

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    End point title
    Mean amplitude, right sural nerve, sensory response [65]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [65] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    11.3 (5.6 to 20.1)
    No statistical analyses for this end point

    Primary: Mean NCV, right sural nerve, sensory response

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    End point title
    Mean NCV, right sural nerve, sensory response [66]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [66] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    43 (35 to 46)
    No statistical analyses for this end point

    Primary: Mean DL onset, left sural nerve, sensory response

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    End point title
    Mean DL onset, left sural nerve, sensory response [67]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [67] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.3 (2.9 to 4.0)
    No statistical analyses for this end point

    Primary: Mean DL peak, left sural nerve, sensory response

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    End point title
    Mean DL peak, left sural nerve, sensory response [68]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [68] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    4.4 (3.8 to 5.3)
    No statistical analyses for this end point

    Primary: Mean amplitude, left sural nerve, sensory response

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    End point title
    Mean amplitude, left sural nerve, sensory response [69]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [69] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: µV
        arithmetic mean (full range (min-max))
    9.9 (5.2 to 21.7)
    No statistical analyses for this end point

    Primary: Mean NCV, left sural nerve, sensory response

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    End point title
    Mean NCV, left sural nerve, sensory response [70]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [70] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: m/s
        arithmetic mean (full range (min-max))
    42 (35 to 48)
    No statistical analyses for this end point

    Primary: Mean proximal amplitude, left tibial nerve, motor response

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    End point title
    Mean proximal amplitude, left tibial nerve, motor response [71]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [71] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: mV
        arithmetic mean (full range (min-max))
    10.2 (4.7 to 19.5)
    No statistical analyses for this end point

    Primary: Mean DL onset, right sural nerve, sensory response

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    End point title
    Mean DL onset, right sural nerve, sensory response [72]
    End point description
    End point type
    Primary
    End point timeframe
    Nerve conduction study performed only once, timepoint depending on the delays to obtain an appointment for this examination.
    Notes
    [72] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a monocentric, open-label, non-controlled, not randomized, phase IV study. There is only one study arm.
    End point values
    Teriflunomide
    Number of subjects analysed
    12
    Units: ms
        arithmetic mean (full range (min-max))
    3.3 (2.5 to 4.0)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Entire trial
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    Current nomenclature
    Dictionary version
    2022
    Reporting groups
    Reporting group title
    Teriflunomide
    Reporting group description
    -

    Serious adverse events
    Teriflunomide
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Teriflunomide
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: There were no non-serious adverse events reported by the principal investigator. The IMP used in this trial (teriflunomide) has a marketing authorization and is indicated for patients with multiple sclerosis. Inclusion criteria restricted the trial population to patients already taking teriflunomide as standard of care medication for their multiple sclerosis. The trial interventions were limited to the screening (once only) for peripheral nerve abnormalities by Nerve Conduction Studies.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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