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Phase III Study With Teriflunomide Versus Placebo in Patients With First Clinical Symptom of Multiple Sclerosis (TOPIC)

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Sanofi Identifier:
First received: February 14, 2008
Last updated: December 16, 2013
Last verified: December 2013

The primary objective is to demonstrate that early intervention with Teriflunomide in patients presenting with their first clinical episode consistent with MS prevents or delays conversion to clinically definite Multiple Sclerosis [MS].

The secondary objectives are:

  • to demonstrate that Teriflunomide prevents or delays conversion to MS based on the revised McDonald Criteria and delays disability progression,
  • to evaluate the long-term safety of Teriflunomide,

in this population.

Condition Intervention Phase
Multiple Sclerosis
Drug: Teriflunomide
Drug: Placebo (for teriflunomide)
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: An International, Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Two Year Treatment With Teriflunomide 7 mg Once Daily and 14 mg Once Daily Versus Placebo in Patients With a First Clinical Episode Suggestive of Multiple Sclerosis Plus a Long Term Extension Period

Resource links provided by NLM:

Further study details as provided by Sanofi:

Primary Outcome Measures:
  • Conversion to clinically definite MS as defined by the occurrence of a relapse [ Time Frame: 108 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Conversion to definite MS as demonstrated by the dissemination of cerebral Magnetic Resonance Imaging (MRI) lesions in time (revised McDonald criteria 2005) [ Time Frame: 108 weeks ] [ Designated as safety issue: No ]
  • Annualized relapse rate (number of relapses per subject/year) [ Time Frame: 108 weeks ] [ Designated as safety issue: No ]
  • Burden of disease [ Time Frame: 108 weeks ] [ Designated as safety issue: No ]
    Change from baseline in the volume of abnormal brain tissue as assessed by cerebral MRI

  • Disability progression as assessed by the Kurtzke Expanded Disability Status Scale (EDSS) [ Time Frame: 108 weeks ] [ Designated as safety issue: No ]
  • Patient reported fatigue as assessed by the Fatigue Impact Scale (FIS) [ Time Frame: 108 weeks ] [ Designated as safety issue: No ]

Enrollment: 618
Study Start Date: February 2008
Estimated Study Completion Date: December 2015
Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Teriflunomide 7 mg Drug: Teriflunomide
Tablet, oral administration once daily
Other Names:
  • HMR1726
  • Aubagio
Experimental: Teriflunomide 14 mg Drug: Teriflunomide
Tablet, oral administration once daily
Other Names:
  • HMR1726
  • Aubagio
Placebo Comparator: Placebo Drug: Placebo (for teriflunomide)
Matching tablet, oral administration once daily

Detailed Description:

The study consists of 4 periods:

  • Screening period: up to 4 weeks,
  • Placebo-controlled treatment period: up to 108 weeks (at least 24 weeks for patients who experienced conversion to clinical definite MS),
  • Extension treatment period (without placebo-control): the extension period will continue until teriflunomide is commercially available in patient's country of residence.
  • Post-treatment washout period: 4 weeks after last treatment intake.

The maximal duration of the study period per patient is expected to be 116 weeks if he/she does not continue in the extension treatment period.


Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • First acute or subacute, well-defined neurological event consistent with demyelination (i.e. optic neuritis confirmed by an ophthalmologist, spinal cord syndrome, brainstem/cerebellar syndromes),
  • Onset of MS symptoms occurring within 90 days of randomization,
  • A screening MRI scan with 2 or more T2 lesions at least 3 mm in diameter that are characteristic of MS.

Exclusion Criteria:

  • Clinically relevant cardiovascular, hepatic, neurological, endocrine or other major systemic disease,
  • Significantly impaired bone marrow function,
  • Pregnancy or nursing,
  • Alcohol or drug abuse,
  • Use of cladribine, mitoxantrone, or other immunosuppressant agents such as azathioprine, cyclophosphamide, cyclosporin, methotrexate or mycophenolate before enrollment
  • Any known condition or circumstance that would prevent in the investigator's opinion compliance or completion of the study.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00622700

  Show 131 Study Locations
Sponsors and Collaborators
Study Director: Clinical Sciences & Operations Sanofi
  More Information

No publications provided

Responsible Party: Sanofi Identifier: NCT00622700     History of Changes
Other Study ID Numbers: EFC6260, HMR1726D-3005, 2006-001152-12
Study First Received: February 14, 2008
Last Updated: December 16, 2013
Health Authority: United States: Food and Drug Administration
Canada: Health Canada
France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Germany: Paul-Ehrlich-Institut

Keywords provided by Sanofi:
Clinically Isolated Syndrome

Additional relevant MeSH terms:
Multiple Sclerosis
Autoimmune Diseases
Autoimmune Diseases of the Nervous System
Demyelinating Autoimmune Diseases, CNS
Demyelinating Diseases
Immune System Diseases
Nervous System Diseases
Pathologic Processes processed this record on November 25, 2014