ClinicalTrials.gg
CompletedNCT01625182Updated Oct 30, 2017Results posted

Evaluate Efficacy and Safety of Fingolimod 0.5 mg Orally Once Daily Versus Placebo in Chronic Inflammatory Demyelinating Polyradiculoneuropathy Patients.

A Phase 3 interventional study of Fingolimod and Placebo Comparator in Chronic Inflammatory Demyelinating Polyradiculoneuropathy, sponsored by Novartis Pharmaceuticals. Completed at 67 sites in 15 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-10-30.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 55 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in United States — 20 open to participants now, 25 under way, 10 of them phase 3. Polyradiculoneuropathy, Chronic Inflammatory Demyelinating · United States.

Enrollment
15th of 42
106 · median 74
Started
2012
with 1 other
Phase 3
15 of 55
8 open now
Registered
9th of 55
by date

Among the 55 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in United States, this one is the 15th largest by enrollment of the 42 interventional ones that give a count, is one of 2 that started in 2012, is one of 15 in phase 3, and was the 9th registered.

Polyradiculoneuropathy, Chronic Inflammatory Demyelinating

137 studies on the registry are indexed under Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; 51 are open to participants now.

Browse Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies →

Open to participants now

20 of the 55 studies in Polyradiculoneuropathy, Chronic Inflammatory Demyelinating with a site in United States are open now. Recruiting first, the newest first:

15 more — sign in →

All 20 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 36 Polyradiculoneuropathy, Chronic Inflammatory Demyelinating studies recruiting now, 24 (67%) set no upper age limit and 9 (25%) stop at 75 or younger; 4 take children under 18; 2 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

The study was designed to evaluate the efficacy and safety of fingolimod in the treatment of chronic inflammatory demyelinating polyradiculoneuropathy compared with placebo.

Read the detailed description

This study was a double-blind, randomized, multicenter, placebo-controlled, parallel-group study in patients with a diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy and treated with IVIg, corticosteroids, or both therapies prior to study entry. Patients meeting the eligibility criteria were randomly assigned in a ratio of 1:1 to receive oral fingolimod (0.5 mg/day) or matching placebo.

The study consisted of 3 periods: a Screening Period, a Double-blind Treatment Period and a Follow-up Period after discontinuation of study drug treatment. Patients who complete the study will have an option to enter an extension.

03

Conditions studied

  • Chronic Inflammatory Demyelinating Polyradiculoneuropathy

Keywords

  • chronic inflammatory demyelinating polyradiculoneuropathy, CIDP, FTY720, fingolimod.
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • written must be obtained before any assessment is performed
  • The diagnosis of CIDP will use the definition of the EFNS/PNS Task Force First Revision. Patients must either have a clinical diagnosis of CIDP fulfilling the clinical inclusion criteria for typical CIDP or one of the following atypical forms of CIDP: pure motor, or asymmetrical (MADSAM [Lewis-Sumner syndrome]), or IgA or IgG (not IgM) MGUS paraprotein associated.
  • All patients must also fulfill the clinical exclusion criteria and the definite electrodiagnostic criteria of the EFNS/PNS Task Force First Revision.
  • disability defined by an INCAT Disability Scale score of 1-9 or, if INCAT score is 0, a documented history of disability sufficient to require treatment within the past 2 years following reduction or interruption of CIDP treatment
  • receiving IVIg treatment (minimal dose equivalent to 0.4 g/kg every 4 weeks for a minimum of 12 weeks) or (minimal dose equivalent to prednisone 10 mg/day) treatment prior to the screening visit
  • history of documented deterioration confirmed by clinical examination during therapy or upon interruption or reduction of therapy within 18 months prior to Screening
  • stable CIDP symptoms for the 6 weeks before randomization

Exclusion criteria

Exclusion Criteria

  • other chronic demyelinating neuropathies, including: Distal Acquired Demyelinating Symmetric Neuropathy (DADS) Multifocal Motor Neuropathy (MMN) pure sensory CIDP hematopoietic except for MGUS
  • conditions in which the pathogenesis of the neuropathy may be different from CIDP such as: Lyme disease, POEMS syndrome, osteosclerotic myeloma, Castleman's disease
  • treatment with plasma exchange within 2 months of randomization, /chemotherapeutic medications: azathioprine, cyclophosphamide, cyclosporine, mycophenolate, etanercept, methotrexate tacrolimus or other immunosuppressive drugs within 6 months of randomization or 5 half-lives (whichever is later), Rituximab in the 2 years prior to randomization (patients that have received rituximab between 1 and 2 years should have B-cell levels within normal range), other cytotoxic immunosuppressive medications with sustained effects (including mitoxantrone, alemtuzumab, cladribine) at any time, hematopoietic stem cell transplantation at any time
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
106 participants (actual)

Study arms

  • Experimental
    Fingolimod (FTY720)

    Participants received Fingolimod 0.5 mg orally once daily.

    Drug: Fingolimod

  • Placebo comparator
    Placebo

    Participants received matching placebo to Fingolimod orally once daily.

    Drug: Placebo Comparator

Interventions

  • Fingolimod 0.5 mg capsules

  • DrugPlacebo Comparator

    Matching placebo capsules

06

What researchers measure

Primary outcomes

  1. Time to First Confirmed Worsening on the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale

    Confirmed worsening in CIDP was measured by the adjusted INCAT Disability Scale. The adjusted INCAT disability scale measures arm disability and leg disability. For arm disability the scale ranges from 0 (no upper limb problems) to 5 (inability to use either arm for any purposeful movement). The leg disability scale ranges from 0 (walking not affected) to 5 (restricted to wheelchair, unable to stand and walk a few steps with help). The total adjusted INCAT disability score is calculated by the sum of the arm and leg disability scores where the total score ranges from 0 to 10. A confirmed worsening was defined as an increase by 1 or more points on the adjusted INCAT disability scale from the value at baseline.

    Time frame: Month 12

Secondary outcomes

  1. Change From Baseline for Grip Strength, Dominant Hand

    Grip strength measurements were done using a vigorimeter. With this device, the pressure in the bulb exercised by the participant was registered on a manometer via a rubber junction tube. Both the dominant and non-dominant hands were tested. A negative change from baseline indicates deterioration.

    Time frame: baseline, Month 6, Month 12

  2. Change From Baseline for Grip Strength, Non-dominant Hand

    Grip strength measurements were done using a vigorimeter. With this device, the pressure in the bulb exercised by the participant was registered on a manometer via a rubber junction tube. Both the dominant and non-dominant hands were tested. A negative change from baseline indicates deterioration.

    Time frame: baseline, Month 6, Month 12

  3. Change From Baseline for Rasch-Built Linearly Weighted Overall Disability Scale (R-ODS)

    This questionnaire was constructed using the patients' perception of their ability to perform daily and social activities. The questionnaire comprises 24 items ranging from ability to read a book or newspaper (as the easiest item to accomplish) to ability to run (most difficult item to accomplish). The obtained raw summed score was translated subsequently to a convenient centile metric score ranging from 0 (most severe disability) to 100 (no disability at all). A higher score indicated a better health status. A negative change from baseline indicates deterioration.

    Time frame: baseline, Month 6, Month 12

07

Results

Posted Sep 19, 2017

Participant flow

Participant flow — Overall Study
MilestoneFingolimod (FTY720)Placebo
Started5452
Completed3441
Not completed2011
Withdrew: Administrative problems10
Withdrew: Protocol deviation02
Withdrew: Adverse event20
Withdrew: Withdrawal by subject51
Withdrew: Lack of efficacy128

Outcome measures

PrimaryTime to First Confirmed Worsening on the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale

Confirmed worsening in CIDP was measured by the adjusted INCAT Disability Scale. The adjusted INCAT disability scale measures arm disability and leg disability. For arm disability the scale ranges from 0 (no upper limb problems) to 5 (inability to use either arm for any purposeful movement). The leg disability scale ranges from 0 (walking not affected) to 5 (restricted to wheelchair, unable to stand and walk a few steps with help). The total adjusted INCAT disability score is calculated by the sum of the arm and leg disability scores where the total score ranges from 0 to 10. A confirmed worsening was defined as an increase by 1 or more points on the adjusted INCAT disability scale from the value at baseline.

Time frame:
Month 12
Reported as:
Median · Days
Time to First Confirmed Worsening on the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale
DaysFingolimod (FTY720)Placebo
Time to First Confirmed Worsening on the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale721.0 (159.0 to NA)540.0 (183.0 to NA)
Statistical analysis
  • Fingolimod (FTY720) vs Placebo · Regression, Cox · p = 0.9838 · Hazard ratio (hr): 1.0 · 95% CI 0.6 to 1.7
SecondaryChange From Baseline for Grip Strength, Dominant Hand

Grip strength measurements were done using a vigorimeter. With this device, the pressure in the bulb exercised by the participant was registered on a manometer via a rubber junction tube. Both the dominant and non-dominant hands were tested. A negative change from baseline indicates deterioration.

Time frame:
baseline, Month 6, Month 12
Reported as:
Least squares mean · kPa
Change From Baseline for Grip Strength, Dominant Hand
kPaFingolimod (FTY720)Placebo
Month 6-2.6 (-8.09 to 2.80)-3.8 (-9.37 to 1.70)
Month 12-0.8 (-6.47 to 4.96)-3.9 (-9.68 to 1.94)
SecondaryChange From Baseline for Grip Strength, Non-dominant Hand

Grip strength measurements were done using a vigorimeter. With this device, the pressure in the bulb exercised by the participant was registered on a manometer via a rubber junction tube. Both the dominant and non-dominant hands were tested. A negative change from baseline indicates deterioration.

Time frame:
baseline, Month 6, Month 12
Reported as:
Least squares mean · kPa
Change From Baseline for Grip Strength, Non-dominant Hand
kPaFingolimod (FTY720)Placebo
Month 6-2.7 (-8.13 to 2.66)-6.1 (-11.59 to -0.66)
Month 12-1.2 (-6.69 to 4.37)-5.0 (-10.57 to 0.64)
SecondaryChange From Baseline for Rasch-Built Linearly Weighted Overall Disability Scale (R-ODS)

This questionnaire was constructed using the patients' perception of their ability to perform daily and social activities. The questionnaire comprises 24 items ranging from ability to read a book or newspaper (as the easiest item to accomplish) to ability to run (most difficult item to accomplish). The obtained raw summed score was translated subsequently to a convenient centile metric score ranging from 0 (most severe disability) to 100 (no disability at all). A higher score indicated a better health status. A negative change from baseline indicates deterioration.

Time frame:
baseline, Month 6, Month 12
Reported as:
Least squares mean · score on a scale
Change From Baseline for Rasch-Built Linearly Weighted Overall Disability Scale (R-ODS)
score on a scaleFingolimod (FTY720)Placebo
Month 6-6.4 (-9.57 to -3.15)-5.5 (-8.89 to -2.21)
Month 12-5.7 (-9.07 to -2.37)-5.1 (-8.54 to -1.57)

Adverse events

Non-serious events are listed at a 0.0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fingolimod (FTY720)—9/54 (16.7%)40/54 (74.1%)
Placebo—4/52 (7.7%)42/52 (80.8%)
Overall Participants—13/106 (12.3%)82/106 (77.4%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventFingolimod (FTY720)PlaceboOverall Participants
Chronic inflammatory demyelinating polyradiculoneuropathyNervous system disorders2/541/523/106
Ankle fractureInjury, poisoning and procedural complications0/541/521/106
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/541/521/106
Cauda equina syndromeNervous system disorders0/541/521/106
NephrolithiasisRenal and urinary disorders0/541/521/106
Oedema peripheralGeneral disorders1/540/521/106
Abdominal sepsisInfections and infestations1/540/521/106
CellulitisInfections and infestations1/540/521/106
BursitisMusculoskeletal and connective tissue disorders1/540/521/106
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/540/521/106
Most frequent other events
Showing 10 of 234
Most frequent other events
EventFingolimod (FTY720)PlaceboOverall Participants
HeadacheNervous system disorders12/548/5220/106
HypertensionVascular disorders10/541/5211/106
NasopharyngitisInfections and infestations6/547/5213/106
Pain in extremityMusculoskeletal and connective tissue disorders7/543/5210/106
NauseaGastrointestinal disorders2/546/528/106
FatigueGeneral disorders4/546/5210/106
ParaesthesiaNervous system disorders5/540/525/106
InsomniaPsychiatric disorders1/544/525/106
FallInjury, poisoning and procedural complications4/541/525/106
Back painMusculoskeletal and connective tissue disorders4/543/527/106

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Fingolimod (FTY720)PlaceboTotal
Mean54.3 ± 13.3254.6 ± 11.6854.5 ± 12.48
Sex: Female, Male
Sex: Female, Male(Participants)Fingolimod (FTY720)PlaceboTotal
Female172239
Male373067
08

Study locations

67 sites
  • Novartis Investigative Site
    Orange, California 92868, United States
  • Novartis Investigative Site
    Miami, Florida 33136, United States
  • Novartis Investigative Site
    Saint Petersburg, Florida 33713, United States
  • Novartis Investigative Site
    Chicago, Illinois 60637, United States
  • Novartis Investigative Site
    Louisville, Kentucky 40202, United States
  • Novartis Investigative Site
    Boston, Massachusetts 02115, United States
  • Novartis Investigative Site
    New York, New York 10032, United States
  • Novartis Investigative Site
    Patchogue, New York 11772, United States
  • Novartis Investigative Site
    Plainview, New York 11803, United States
  • Novartis Investigative Site
    Columbus, Ohio 43210, United States
  • Novartis Investigative Site
    Houston, Texas 77030, United States
  • Novartis Investigative Site
    Burlington, Vermont 05401, United States
  • Novartis Investigative Site
    Sydney, New South Wales 2050, Australia
  • Novartis Investigative Site
    Auchenflower, Queensland 4066, Australia
  • Novartis Investigative Site
    Fitzroy, Victoria 3065, Australia
  • Novartis Investigative Site
    Parkville, Victoria 3050, Australia
  • Novartis Investigative Site
    Bruxelles, 1200, Belgium
  • Novartis Investigative Site
    Leuven, 3000, Belgium
  • Novartis Investigative Site
    Liege, 4000, Belgium
  • Novartis Investigative Site
    Kingston, Ontario K7L 2V7, Canada
  • Novartis Investigative Site
    Québec, Quebec G1J 1Z4, Canada
  • Novartis Investigative Site
    Greenfield Park, J4V 2J2, Canada
  • Novartis Investigative Site
    Montreal, H3A 2B4, Canada
  • Novartis Investigative Site
    Praha 5, 150 06, Czechia
  • Novartis Investigative Site
    Limoges, 87042, France
  • Novartis Investigative Site
    Marseille cedex 05, 13385, France
  • Novartis Investigative Site
    Montpellier, 34295, France
  • Novartis Investigative Site
    Paris, 75013, France
  • Novartis Investigative Site
    Pessac Cedex, 33604, France
  • Novartis Investigative Site
    Strasbourg, 67091, France
  • Novartis Investigative Site
    Koeln, Nordrhein-Westfalen 50937, Germany
  • Novartis Investigative Site
    Bochum, 44791, Germany
  • Novartis Investigative Site
    Düsseldorf, 40225, Germany
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Göttingen, 37075, Germany
  • Novartis Investigative Site
    Athens, GR 151 25, Greece
  • Novartis Investigative Site
    Thessaloniki, 546 36, Greece
  • Novartis Investigative Site
    Thessaloniki, 57010, Greece
  • Novartis Investigative Site
    Haifa, Israel
  • Novartis Investigative Site
    Ramat Gan, 52621, Israel
  • Novartis Investigative Site
    Tel Aviv, 64239, Israel
  • Novartis Investigative Site
    Legnano, MI 20025, Italy
  • Novartis Investigative Site
    Rozzano, MI 20089, Italy
  • Novartis Investigative Site
    Cefalù, PA 90015, Italy
  • Novartis Investigative Site
    Ferrara, 44100, Italy
  • Novartis Investigative Site
    Milano, Italy
  • Novartis Investigative Site
    Pisa, 56126, Italy
  • Novartis Investigative Site
    Rome, 00168, Italy
  • Novartis Investigative Site
    Nagoya, Aichi 466-8560, Japan
  • Novartis Investigative Site
    Sayama, Osaka 589-8511, Japan
  • Novartis Investigative Site
    Bunkyo, Tokyo 113-8519, Japan
  • Novartis Investigative Site
    Kodaira, Tokyo 187-8551, Japan
  • Novartis Investigative Site
    Aomori, 030-8553, Japan
  • Novartis Investigative Site
    Chiba, 260-8677, Japan
  • Novartis Investigative Site
    Amsterdam, 1105 AZ, Netherlands
  • Novartis Investigative Site
    Maastricht, 5800, Netherlands
  • Novartis Investigative Site
    Gdansk, 80-803, Poland
  • Novartis Investigative Site
    Katowice, 40-662, Poland
  • Novartis Investigative Site
    Lodz, 93-121, Poland
  • Novartis Investigative Site
    Barcelona, Cataluña 08025, Spain
  • Novartis Investigative Site
    L´Hospitalet de Llobregat, Cataluña 08907, Spain
  • Novartis Investigative Site
    Madrid, 28040, Spain
  • Novartis Investigative Site
    Headington, Oxfordshire OX3 9DU, United Kingdom
  • Novartis Investigative Site
    Glasgow, G51 4TF, United Kingdom
  • Novartis Investigative Site
    Liverpool, L9 7LJ, United Kingdom
  • Novartis Investigative Site
    London, WC1N 3BG, United Kingdom
  • Novartis Investigative Site
    Newcastle Upon Tyne, NE1 4LP, United Kingdom
09

References and documents

Publications

  • Hughes R, Dalakas MC, Merkies I, Latov N, Leger JM, Nobile-Orazio E, Sobue G, Genge A, Cornblath D, Merschhemke M, Ervin CM, Agoropoulou C, Hartung HP; FORCIDP Trial Investigators. Oral fingolimod for chronic inflammatory demyelinating polyradiculoneuropathy (FORCIDP Trial): a double-blind, multicentre, randomised controlled trial. Lancet Neurol. 2018 Aug;17(8):689-698. doi: 10.1016/S1474-4422(18)30202-3. Epub 2018 Jul 9. Erratum In: Lancet Neurol. 2018 Nov;17(11):933. doi: 10.1016/S1474-4422(18)30363-6. PubMed 30001923 ↗

Individual participant data

Plan to share: Undecided — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2012 to primary completion in Sep 2016, 44 months.

Results were first posted in Sep 2017, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 19, 2012
First posted
Jun 21, 2012
StartActual
Dec 22, 2012
Primary completionActual
Sep 3, 2016
CompletionActual
Sep 3, 2016
Results first posted
Sep 19, 2017
Last update
Oct 30, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 30, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01625182
Responsible party
Sponsor
First posted
Jun 21, 2012
Start date
Dec 22, 2012
Primary completion
Sep 3, 2016
Completion
Sep 3, 2016
Results posted
Sep 19, 2017
Last update
Oct 30, 2017

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Discussion

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Studies of the drug tested here: Fingolimod

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