A Phase 4 interventional study of Fingolimod 0.5 mg in Relapsing Remitting Multiple Sclerosis, sponsored by Novartis Pharmaceuticals. Completed at 3 sites in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-09-30.
Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 4, Interventional, and Treatment
The main purpose of this study was to measure the serum levels of cytokines and chemokines that are known to increase during multiple sclerosis relapses.
Cytokines are a broad and loose category of small proteins that are important in cell signaling.
The second purpose of the study was to test the cytokine/chemokine changes measured in the 3rd and 6th months on the efficacy parameters.
615 studies on the registry are indexed under Multiple Sclerosis, Relapsing-Remitting; 80 are open to participants now.
This study's enrollment of 126 is above the median of 72 across 437 interventional studies indexed under Multiple Sclerosis, Relapsing-Remitting.
Browse Multiple Sclerosis, Relapsing-Remitting studies →Novartis Pharmaceuticals is the lead sponsor of 2,711 studies on the registry; 218 are open to participants now.
Of its 582 completed or terminated interventional studies of FDA-regulated products, 435 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
Drug: Fingolimod 0.5 mg
Healthy volunteers with no intervention or drug administered.
66 relapsing remitting MS (RRMS) patients were recruited. Patients who met all inclusion and none of the exclusion criteria were treated by Fingolimod 0.5 mg.
Baseline Serum Cytokine and Chemokine Levels of Healthy Controls and RRMS Patients - ELISA
Blood samples were taken at baseline and measurements were performed before treatment of fingolimod.
Time frame: Baseline
Baseline Flow Cytometry Analyses for Blood Cytokines and Chemokines in Healthy Controls and RRMS Patients
baseline peripheral blood flow cytometric analysis in study participants
Time frame: Baseline
Percent Blood Cytokines and Chemokines Via Flow Cytometry Analyses of Healthy Controls and RRMS Patients at Baseline
Baseline peripheral blood flow cytometric analyses in study participants evaluated by flow cytometry analysis.
Time frame: Baseline
Serum Cytokine and Chemokine Levels inRRMS Patients Between Visits
Change of serum cytokine and chemokine levels measured by ELISA in RRMS patients treated with fingolimod between visits
Time frame: Baseline, month 3, month 6
Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients
Peripheral blood chemokine cytokine levels measured by flow cytometry during fingolimod treatment in healthy controls at baseline and in RRMS patients between visits
Time frame: Baseline, Month 3, Month 6
Absolute Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients
Peripheral blood chemokine cytokine levels measured by flow cytometry at baseline and between visits during fingolimod treatment. Absolute counts of the cells were calculated according to the absolute lymphocyte counts and the percentages of cells. This allowed for a clear determination of cell counts and thus increased the reliability of the results.
Time frame: Baseline, Month 3, Month 6
Percent of Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients
Peripheral blood chemokine cytokine levels measured by flow cytometry in healthy controls at baseline and in RRMS patients between visits during fingolimod treatment
Time frame: Baseline, Month 3, Month 6
| Milestone | FTY720 | Healthy Volunteers |
|---|---|---|
| Started | 66 | 60 |
| Completed | 54 | 60 |
| Not completed | 12 | 0 |
| Withdrew: Lost to follow-up | 1 | 0 |
| Withdrew: Protocol violation | 3 | 0 |
| Withdrew: Withdrawal by subject | 5 | 0 |
| Withdrew: Adverse event | 3 | 0 |
Blood samples were taken at baseline and measurements were performed before treatment of fingolimod.
| pg/ml | Healthy Controls | FTY720 |
|---|---|---|
| CCL5 (RANTES) | 212.26 ± 22.48 | 404.31 ± 55.189 |
| IL-17A | 1.15 ± 0.03 | 1.06 ± 0.029 |
| CXCL13 | 110.8 ± 22.3 | 139.68 ± 46.631 |
| IL6 | 0.88 ± 0.324 | 66.53 ± 65.411 |
| IL8 | 3.25 ± 0.47 | 3.57 ± 0.553 |
| IL13 | 0.49 ± 0.331 | 0.3 ± 0.15 |
| IL23 | 1.29 ± 0.552 | 3.04 ± 0.924 |
| VLA4 | 1.17 ± 0.396 | 0.58 ± 0.201 |
| CXCL10=IP-10 (CXCR3 ligand) | 16.09 ± 1.76 | 18.18 ± 2.405 |
| CCL2=MCP-1 | 52.88 ± 4.281 | 62.89 ± 8.42 |
| IL4 | 2.02 ± 0.077 | 2.36 ± 0.149 |
| TNF alpha | 1.1 ± 0.195 | 1.06 ± 0.1 |
| IL22 | 22.36 ± 0.581 | 22.41 ± 0.547 |
baseline peripheral blood flow cytometric analysis in study participants
| absolute cell count | Healthy Controls | FTY720 |
|---|---|---|
| CD3 abs | 2048.14 ± 263.209 | 1610.94 ± 126.071 |
| CD19 abs | 311.63 ± 57.592 | 327.63 ± 44.421 |
| NK abs | 281.33 ± 39.106 | 623.57 ± 394.837 |
| NKT abs | 135.86 ± 16.627 | 104.36 ± 15.080 |
| Hi CD16CD56 abs | 26.64 ± 4.399 | 20.44 ± 3.506 |
| CD4CD25 (CD3 gate) | 26.08 ± 3.159 | 27.08 ± 1.251 |
| Hi CD4CD25 (CD3 gate) | 2.83 ± 0.383 | 3.33 ± 0.253 |
Change of serum cytokine and chemokine levels measured by ELISA in RRMS patients treated with fingolimod between visits
| pg/ml | Visit 1 | Visit 2 | Visit 3 |
|---|---|---|---|
| CXCL13=BLC | 139.68 ± 46.631 | 105.42 ± 20.61 | 105.86 ± 22.053 |
| IL6 | 66.53 ± 65.411 | 49.98 ± 49.263 | 149.62 ± 144.622 |
| IL8 | 3.57 ± 0.553 | 3.84 ± 0.482 | 4.29 ± 0.541 |
| IL13 | 0.3 ± 0.15 | 0.35 ± 0.208 | 0.48 ± 0.289 |
| CCL5= RANTES | 404.31 ± 55.189 | 384.12 ± 52.649 | 480.34 ± 63.874 |
| IL23 | 3.04 ± 0.924 | 2.01 ± 0.629 | 2.15 ± 0.699 |
| VLA4 | 0.58 ± 0.201 | 0.76 ± 0.356 | 0.82 ± 0.36 |
| CXCL10=IP-10 (CXCR3 ligand) | 18.18 ± 2.405 | 18.46 ± 2.356 | 20.54 ± 3.008 |
| CCL2=MCP-1 | 62.89 ± 8.42 | 74.38 ± 10.011 | 92.73 ± 13.626 |
| IL4 | 2.36 ± 0.149 | 1.94 ± 0.099 | 2.12 ± 0.145 |
| IL17A | 1.06 ± 0.029 | 1.09 ± 0.04 | 1.04 ± 0.033 |
| TNF | 1.06 ± 0.1 | 1.26 ± 0.196 | 1.12 ± 0.139 |
| IL22 | 22.41 ± 0.69 | 22.45 ± 0.843 | 22.99 ± 0.739 |
Peripheral blood chemokine cytokine levels measured by flow cytometry during fingolimod treatment in healthy controls at baseline and in RRMS patients between visits
| pg/ml | Healthy Controls | Visit 1 | Visit 2 | Visit 3 |
|---|---|---|---|---|
| CD3 abs | 2048.14 ± 263.209 | 1610.94 ± 126.071 | 339.74 ± 43.44 | 314.75 ± 30.15 |
| CD19 abs | 311.63 ± 57.592 | 327.63 ± 44.421 | 32.9 ± 5.347 | 26.56 ± 2.879 |
| NK abs | 281.33 ± 39.106 | 623.57 ± 394.837 | 203.66 ± 30.487 | 181.97 ± 20.715 |
| NKT abs | 135.86 ± 16.627 | 104.36 ± 15.08 | 88.45 ± 12.725 | 88.98 ± 11.046 |
| Hi CD16CD56 abs | 26.64 ± 4.399 | 20.44 ± 3.506 | 29.35 ± 8.73 | 30.04 ± 6.59 |
| CD4CD25 (CD3 gate) | 26.08 ± 3.159 | 27.03 ± 1.251 | 9.24 ± 1.407 | 9.22 ± 1.399 |
| Hi CD4CD25 (CD3 gate) | 2.83 ± 0.383 | 3.33 ± 0.253 | 2.03 ± 0.302 | 1.77 ± 0.267 |
Baseline peripheral blood flow cytometric analyses in study participants evaluated by flow cytometry analysis.
| Percent of cells | Healthy Controls | FTY720 |
|---|---|---|
| CD3 % | 76.52 ± 1.494 | 71.92 ± 1.134 |
| CD19 % | 11.57 ± 1.018 | 13.72 ± 1.336 |
| NK % | 11.04 ± 1.328 | 10.17 ± 1.169 |
| NKT % | 5.65 ± 0.855 | 5.19 ± 0.766 |
| Hi CD16CD56 % | 1.05 ± 0.183 | 0.93 ± 0.145 |
| CD3CD4 % (Lymphogate) | 41.19 ± 2.483 | 44.91 ± 1.321 |
| CD3CD8 % (Lymphogate) | 23.23 ± 2.175 | 22.91 ± 1.188 |
| CD3CD4 % (CD3 gate) | 57.38 ± 2.722 | 62.99 ± 1.446 |
| CD3CD8 % (CD3 gate) | 35.11 ± 2.305 | 31.20 ± 1.351 |
| CD4+IFNg+ (in CD4+) | 7.42 ± 1.994 | 3.61 ± 1.037 |
| CD4+IL17+ (in CD4+) | 1.23 ± 0.173 | 1.27 ± 0.298 |
| CD8+IFNg+ (in CD8+) | 16.45 ± 3.896 | 5.47 ± 2.463 |
| CD8+IL17+ (in CD8+) | 1.71 ± 0.636 | 4.20 ± 0.923 |
| IFNg+ (in CD4+CD25+) | 7.1 ± 1.896 | 1.98 ± 0.469 |
| IL17+ (in CD4+CD25+) | 2.35 ± 0.264 | 2.06 ± 0.410 |
| CD4+IL10+ (in CD4+) | 1.64 ± 0.33 | 0.72 ± 0.196 |
| CD4+IL4+ (in CD4+) | 1.44 ± 0.294 | 0.96 ± 0.410 |
| CD4-CD8-IL4+ (in CD4-CD8-) | 1.31 ± 0.31 | 2.62 ± 1.125 |
| CD8+IL10+ (in CD8+) | 0.52 ± 0.089 | 0.31 ± 0.096 |
| CD8+IL4+ % (in CD8+) | 5.64 ± 3.74 | 1.87 ± 0.538 |
| IL10+ (in CD4+CD25+) | 2.57 ± 0.228 | 1.81 ± 0.464 |
| IL4+ (in CD4+CD25+) | 1.88 ± 0.34 | 0.50 ± 0.105 |
| CD4+TNFa+ (in CD4+) | 46.86 ± 4.892 | 23.72 ± 4.707 |
| CD4+IL9+ (in CD4+) | 0.22 ± 0.109 | 0.54 ± 0.163 |
| CD8+TNFa+ (in CD8+) | 35 ± 4.876 | 11.78 ± 2.679 |
| CD8+IL9+ (in CD8+) | 0.14 ± 0.087 | 0.90 ± 0.245 |
| TNFa+ (in CD4+CD25+) | 52.82 ± 5.019 | 23.29 ± 4.430 |
| IL9+ (in CD4+CD25+) | 5.06 ± 4.497 | 0.59 ± 0.221 |
Peripheral blood chemokine cytokine levels measured by flow cytometry at baseline and between visits during fingolimod treatment. Absolute counts of the cells were calculated according to the absolute lymphocyte counts and the percentages of cells. This allowed for a clear determination of cell counts and thus increased the reliability of the results.
| absolute cell count | Healthy Controls | Visit 1 | Visit 2 | Visit 3 |
|---|---|---|---|---|
| CD3CD4 (Lymphogate) | 41.19 ± 2.483 | 44.91 ± 1.321 | 13.64 ± 1.712 | 13.9 ± 1.522 |
| CD3CD8 (Lymphogate) | 23.23 ± 2.175 | 22.91 ± 1.188 | 32.93 ± 1.967 | 32.22 ± 2.169 |
| CD3CD4 (CD3 gate) | 57.38 ± 2.722 | 62.99 ± 1.446 | 23.26 ± 2.726 | 24 ± 2.788 |
| CD3CD8 (CD3 gate) | 35.11 ± 2.305 | 31.2 ± 1.351 | 59.52 ± 2.534 | 59.66 ± 2.642 |
| CD4+IFNg+ (in CD4+) | 7.42 ± 1.994 | 3.61 ± 1.037 | 7.85 ± 2.197 | 13.97 ± 2.972 |
| CD4+IL17+ (in CD4+) | 1.23 ± 0.173 | 1.27 ± 0.298 | 1.26 ± 0.224 | 2.02 ± 0.342 |
| CD8+IFNg+ (in CD8+) | 16.45 ± 3.896 | 5.47 ± 2.463 | 5.73 ± 1.968 | 14.7 ± 3.834 |
| CD8+IL17+ (in CD8+) | 1.71 ± 0.636 | 4.2 ± 0.923 | 9.22 ± 3.105 | 2.23 ± 0.505 |
| IFNg+ (in CD4+CD25+) | 7.1 ± 1.896 | 1.98 ± 0.469 | 7.07 ± 1.719 | 9.31 ± 1.699 |
| IL17+ (in CD4+CD25+) | 2.35 ± 0.264 | 2.06 ± 0.41 | 1.85 ± 0.31 | 2.7 ± 0.451 |
| CD4+IL10+ (in CD4+) | 1.64 ± 0.33 | 0.72 ± 0.196 | 1.51 ± 0.422 | 2.14 ± 0.486 |
| CD4+IL4+ (in CD4+) | 1.44 ± 2.94 | 0.96 ± 0.41 | 1.45 ± 0.294 | 2.32 ± 0.43 |
| CD4-CD8-IL4+ (in CD4-CD8-) | 1.31 ± 0.31 | 2.62 ± 1.125 | 1.77 ± 0.267 | 2.64 ± 0.909 |
| CD8+IL10+ (in CD8+) | 0.52 ± 0.089 | 0.31 ± 0.096 | 0.25 ± 0.107 | 0.67 ± 0.169 |
| IL10+ (in CD4+CD25+) | 2.57 ± 0.228 | 1.81 ± 0.464 | 2.88 ± 0.471 | 4.03 ± 0.793 |
| IL4+ (in CD4+CD25+) | 1.88 ± 0.34 | 0.5 ± 0.105 | 1.22 ± 0.224 | 1.49 ± 0.316 |
| CD4+TNFa+ (in CD4+) | 46.86 ± 4.892 | 23.72 ± 4.707 | 29.45 ± 5.681 | 49.96 ± 5.832 |
| CD4+IL9+ (in CD4+) | 0.22 ± 0.109 | 0.54 ± 0.163 | 0.4 ± 0.098 | 0.47 ± 0.143 |
| CD8+TNFa+ (in CD8+) | 35 ± 4.876 | 11.78 ± 2.679 | 20.93 ± 5.361 | 41.53 ± 6.18 |
| CD8+IL9+ (in CD8+) | 0.14 ± 0.087 | 0.9 ± 0.245 | 0.13 ± 0.061 | 0.14 ± 0.068 |
| TNFa+ (in CD4+CD25+) | 52.82 ± 0.019 | 23.29 ± 4.43 | 30.39 ± 5.391 | 40.4 ± 4.907 |
| IL9+ (in CD4+CD25+) | 5.06 ± 4.497 | 0.59 ± 0.221 | 0.72 ± 0.213 | 1.3 ± 0.507 |
Peripheral blood chemokine cytokine levels measured by flow cytometry in healthy controls at baseline and in RRMS patients between visits during fingolimod treatment
| percent of cell count | Healthy Controls | Visit 1 | Visit 2 | Visit 3 |
|---|---|---|---|---|
| CD3 % | 76.52 ± 1.494 | 71.92 ± 1.134 | 57.61 ± 2.401 | 59.29 ± 2.318 |
| CD19 % | 11.57 ± 0.018 | 13.72 ± 1.336 | 6.13 ± 0.847 | 5.14 ± 0.427 |
| NK % | 0.427 ± 1.328 | 10.17 ± 1.169 | 34.48 ± 2.758 | 33.91 ± 2.238 |
| NKT % | 5.65 ± 0.855 | 5.19 ± 0.766 | 15.55 ± 1.726 | 17.66 ± 1.985 |
| Hi CD16CD56 % | 1.05 ± 0.183 | 0.93 ± 0.145 | 5.29 ± 1.296 | 6.20 ± 1.423 |
| CD8+IL4+ % (in CD8+) | 5.64 ± 3.74 | 1.87 ± 0.538 | 3.13 ± 0.964 | 1.91 ± 1.225 |
Collected over Adverse Events (AEs) are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All AEs reported in this record are from date of First Patient First Visit until 30 days after Last Patient Last Visit) up to approximately 2 years.. Non-serious events are listed at a 0.0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Fingolimod 0.5 mg | 0/66 (0%) | 3/66 (4.5%) | 7/66 (10.6%) |
| All Patients | 0/66 (0%) | 3/66 (4.5%) | 7/66 (10.6%) |
| Event | Fingolimod 0.5 mg | All Patients |
|---|---|---|
| Sinus bradycardiaCardiac disorders | 2/66 | 2/66 |
| Herpes zosterInfections and infestations | 1/66 | 1/66 |
| Event | Fingolimod 0.5 mg | All Patients |
|---|---|---|
| InfluenzaInfections and infestations | 2/66 | 2/66 |
| Gamma-glutamyltransferase increasedInvestigations | 1/66 | 1/66 |
| Lymphocyte count decreasedInvestigations | 1/66 | 1/66 |
| White blood cell count decreasedInvestigations | 1/66 | 1/66 |
| HeadacheNervous system disorders | 1/66 | 1/66 |
| Muscle contractions involuntaryNervous system disorders | 1/66 | 1/66 |
Safety set
| Age, Continuous(Years) | FTY720 | Healthy Volunteers | Total |
|---|---|---|---|
| Mean | 35.75 ± 8.20 | 34.73 ± 9.62 | 35.27 ± 8.89 |
| Sex: Female, Male(Participants) | FTY720 | Healthy Volunteers | Total |
|---|---|---|---|
| Female | 46 | 40 | 86 |
| Male | 20 | 20 | 40 |
| Race/Ethnicity, Customized(Participants) | FTY720 | Healthy Volunteers | Total |
|---|---|---|---|
| Turkish | 66 | 60 | 126 |
Documents are hosted by the registry — open the source record to download them.
Ran from Mar 2015 to primary completion in Jan 2017, 21 months.
Results were first posted in Sep 2019, 2 years 8 months after primary completion.
Of 31 phase 4 interventional studies under Multiple Sclerosis, Relapsing-Remitting, half reached primary completion within 44 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 66. This study's 21 months is below that.
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Studies of the drug tested here: Fingolimod
Multiple Sclerosis, Relapsing-Remitting →