Evaluation of Patient Reported Outcomes in RRMS Patients Candidates for MS Therapy Change and Transitioned to Fingolimod 0.5 mg (EPOC)
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Purpose
A 6-month, Randomized, Active Comparator, Open-label, Multi-Center Study to Evaluate Patient Outcomes, Safety and Tolerability of (fingolimod) 0.5 mg/day in Patients with Relapsing Remitting Multiple Sclerosis who are candidates for MS therapy change from Previous Disease Modifying Therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Relapsing Remitting Multiple Sclerosis |
Drug: Fingolimod 0.5 mg/day per os Drug: Interferon β- 1a |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A 6-month, Randomized, Active Comparator, Open-label, Multi-Center Study to Evaluate Patient Outcomes, Safety and Tolerability of (Fingolimod) 0.5 mg/Day in Patients With Relapsing Remitting Multiple Sclerosis Who Are Candidates for Multiple Sclerosis (MS) Therapy Change From Previous Disease Modifying Therapy (DMT) |
- Change in patient-reported treatment satisfaction [ Time Frame: Baseline, 6 months ] [ Designated as safety issue: No ]
The Treatment Satisfaction Questionnaire for Medication (TSQM) v 1.4 will be used to evaluate change in Global Satisfaction following change in therapy .
Responses to items are summed and transformed so that higher scores indicate greater satisfaction. Specifically, TSQM v 1.4 scale scores are computed by adding the items loading on each domain. The lowest possible score is subtracted from the composite score and divided by the greatest possible score range. This provides a transformed score between 0 and 1 that is then multiplied by 100.
- Evaluation of Patient Reported Outcomes in Patients with Relapsing Remitting Multiple Sclerosis (RRMS) who are candidates for MS Therapy Change and Transitioned to Fingolimod 0.5 mg (EPOC) [ Time Frame: Experiencing at 6 Months ] [ Designated as safety issue: Yes ]The assessment of safety will be based mainly on the frequency of adverse events and on the number of laboratory values that fall outside of pre-determined ranges. Other safety data (e.g., vital signs, ophthalmic and cardiovascular findings) will be summarized, as appropriate.
- Changes in patient-reported effectiveness, side effects and convenience subscales with fingolimod vs. DMT standard of care, using the TSQM v1.4, in patients who have been previously treated for RRMS [ Time Frame: Baseline, 6 months ] [ Designated as safety issue: No ]TSQM v 1.4 subscales for effectiveness, and convenience will be included. The analysis of variable will be similar to the analysis of the primary variable
- Change in patient-reported depression with fingolimod vs. DMT standard of care, using the Beck Depression Inventory (BDI-I), in patients who have been previously treated for RRMS [ Time Frame: Baseline, 6 months ] [ Designated as safety issue: No ]
As BDI-I is brief and not confounded with neurological symptoms, it is recommended for depression evaluation in patients with multiple sclerosis.
If suicidal ideation is detected by the BDI-I, evaluation and appropriate treatment must be initiated immediately according to the clinical judgment of the investigator or treating physician, and the site must notify the monitor. The event will be reported as an SAE and data will be captured on an electronic Case Report Form (eCRF) identifying the serious adverse event (SAE). The BDI-I will be completed at screening and 3 and 6 months.
- Change in patient-reported health-related quality-of-life with fingolimod vs. DMT standard of care, using the Short Form Health Survey v2 acute (SF-36 v2 acute), in patients who have been previously treated for RRMS [ Time Frame: Baseline, 6 months ] [ Designated as safety issue: No ]The SF-36 is a health-related quality of life instrument used in numerous disease states, including MS (Brazier et al 1992). It is a self-administered survey that measures 8 domains of health including: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems and general mental health. Two summary scale scores can be calculated: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). The SF-36v2 acute will be completed at screening and month 6.
| Enrollment: | 313 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 | Drug: Fingolimod 0.5 mg/day per os |
| Experimental: 2 |
Drug: Interferon β- 1a
Interferon β- 1a 44 mcg subcutaneously three times a week or glatiramer acetate subcutaneously, 20 mg a day
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Written informed consent must be obtained before any assessment is performed.
- Patients must be diagnosed with relapsing remitting MS (RRMS) as defined by 2005 revised McDonald criteria (McDonald et al 2001, Polman et al 2005) (Appendix 2).
- Patients who explicitly agree to be assigned to a treatment group that may receive or DMT after having been informed about their respective benefits and possible adverse events by the investigator.
- Male or female patients aged 18-70 years.
- An Expanded Disability Status Scale (EDSS) score of 0-6 inclusive.
- Must have received continuous treatment with a single approved and indicated MS DMT for a minimum of 6 months prior to the screening visit. Patients must continue with this MS DMT until the randomization visit.
- Naïve to treatment with fingolimod.
Exclusion Criteria:
- A manifestation of MS other than those defined in the inclusion criteria.
- A history of chronic disease of the immune system other than MS or a known immunodeficiency syndrome.
- History of malignancy of any organ system.
- Diagnosis of macular edema during Screening Phase.
- Patients with active systemic bacterial, viral or fungal infections, or known to have AIDS or to have positive HIV antibody test.
- Patients who have received any live or live attenuated vaccines (including for varicella-zoster virus or measles) within 2 months prior to baseline.
- Patients who have received total lymphoid irradiation or bone marrow transplantation.
- History of selected immune system treatments and/or medications.
- Any medically unstable condition, as assessed by the investigator.
- Selected cardiovascular, or hepatic conditions
- Selected abnormal laboratory values.
- Patients with any other disease or clinical condition (including neurologic or psychiatric disorders) which may affect patient enrollment into the study and study medication use by the Investigators' opinion.
- Participation in any clinical research study evaluating another not approved in Russia investigational drug or therapy within 6 months prior to baseline.
- History of hypersensitivity to the study drug or to drugs of similar chemical classes.
- Pregnant or nursing (lactating) women.
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations| Russian Federation | |
| Novartis Investigative Site | |
| Arkhangelsk, Russia, Russian Federation, 163045 | |
| Novartis Investigative Site | |
| Barnaul, Russian Federation, 656024 | |
| Novartis Investigative Site | |
| Belgorod, Russian Federation, 308007 | |
| Novartis Investigative Site | |
| Kazan, Russian Federation, 420021 | |
| Novartis Investigative Site | |
| Kemerovo, Russian Federation, 650066 | |
| Novartis Investigative Site | |
| Khanty-Mantiysk, Russian Federation, 628012 | |
| Novartis Investigative Site | |
| Kirov, Russian Federation, 610014 | |
| Novartis Investigative Site | |
| Krasnodar, Russian Federation, 350086 | |
| Novartis Investigative Site | |
| Kursk, Russian Federation, 305007 | |
| Novartis Investigative Site | |
| Moscow, Russian Federation, 127018 | |
| Novartis Investigative Site | |
| Moscow, Russian Federation, 119992 | |
| Novartis Investigative Site | |
| N.Novgorod, Russian Federation, 603126 | |
| Novartis Investigative Site | |
| Nizhniy Novgorod, Russian Federation, 603076 | |
| Novartis Investigative Site | |
| Nizhny Novgorod, Russian Federation, 603155 | |
| Novartis Investigative Site | |
| Novosibirsk, Russian Federation, 630087 | |
| Novartis Investigative Site | |
| Perm, Russian Federation, 614097 | |
| Novartis Investigative Site | |
| Saransk, Russian Federation, 430032 | |
| Novartis Investigative Site | |
| Saratov, Russian Federation, 410030 | |
| Novartis Investigative Site | |
| Smolensk, Russian Federation, 214019 | |
| Novartis Investigative Site | |
| St. Petersburg, Russian Federation, 197376 | |
| Novartis Investigative Site | |
| Tomsk, Russian Federation, 634050 | |
| Novartis Investigative Site | |
| Tumen, Russian Federation, 625000 | |
| Novartis Investigative Site | |
| Tver, Russian Federation, 170036 | |
| Novartis Investigative Site | |
| Ufa, Russian Federation, 450071 | |
| Novartis Investigative Site | |
| Ulyanovsk, Russian Federation, 432063 | |
| Novartis Investigative Site | |
| Yaroslavl, Russian Federation, 150030 | |
| Study Director: | Novartis Pharmaceuticals | Novartis Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Novartis ( Novartis Pharmaceuticals ) |
| ClinicalTrials.gov Identifier: | NCT01534182 History of Changes |
| Other Study ID Numbers: | CFTY720DRU01 |
| Study First Received: | February 8, 2012 |
| Last Updated: | March 14, 2013 |
| Health Authority: | United States: Food and Drug Administration Russia: Ministry of Health of the Russian Federation |
Keywords provided by Novartis:
|
Relapsing Remitting Multiple Sclerosis (RRMS) Fingolimod Disease Modifying Therapy (DMT) TSQM-9 |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis Multiple Sclerosis, Relapsing-Remitting Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System Nervous System Diseases Demyelinating Diseases Autoimmune Diseases Immune System Diseases Pathologic Processes |
Interferons Fingolimod Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antiviral Agents Anti-Infective Agents Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 22, 2013