E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Relapsing Multiple Scerosis |
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E.1.1.1 | Medical condition in easily understood language |
Relapsing Multiple Sclerosis |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 27.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10080700 |
E.1.2 | Term | Relapsing multiple sclerosis |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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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 efficacy of fingolimod 0.5mg on annualized relapse rate (ARR) in participants with RMS treated for up to 24 months. |
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E.2.2 | Secondary objectives of the trial |
1. To evaluate the safety and tolerability of fingolimod 0.5mg in participants with RMS treated for up to 24 months. 2. To evaluate the efficacy of fingolimod 0.5mg on MRI lesions. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Participant 10 to 17 years old inclusive with weight > 40kg. -Participant 18 to 65 years old inclusive; -Participants with relapsing multiple sclerosis -Participants never used fingolimod before enrollment -Subjects with Expanded Disability Status Scale (EDSS) score of 0 - 6.0 (inclusive) at Screening |
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E.4 | Principal exclusion criteria |
-Participants with certain cardiovascular conditions and/or findings in the screening ECG. -Diagnosis of macular edema during screening visit. -Increased risk for opportunistic infections -Participants with known active malignancies. -Participants who have been treated with teriflunomide within 3.5 months prior to baseline, except if active washout. -Participants with severe active infections, active chronic infection. -Participants with severe liver impairment. -Pregnant confirmed by a positive pregnancy test or nursing (lactating) women. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Change from baseline in Annualized relapse rate(ARR) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1.The number of Adverse events (AE) and serious adverse events (SAE) 2.Change from baseline in T1 hypo-intense lesion volume 3.Change from baseline in T2 lesion volum 4.Change from baseline in Gd-enhancing T1 lesion volume 5.Change from baseline in number of T1 hypo-intense lesions 6.Change from baseline in number of new/newly enlarged T2 lesions 7.Change from baseline in number of Gd-enhancing T1 lesions |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
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 | No |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA 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.8.9.2 | In all countries concerned by the trial years | 5 |