Evaluate Efficacy and Safety of Fingolimod 0.5 mg Orally Once Daily Versus Placebo in Chronic Inflammatory Demyelinating Polyradiculoneuropathy Patients.
|Chronic Inflammatory Demyelinating Polyradiculoneuropathy||Drug: Fingolimod Drug: Placebo Comparator||Phase 3|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Participant, Care Provider, Investigator, Outcomes Assessor
Primary Purpose: Treatment
|Official Title:||A Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Fingolimod 0.5 mg Administered Orally Once Daily Versus Placebo in Patients With Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)|
- time to first confirmed worsening on the adjusted INCAT Disability Scale by 1 point or more from the value at Baseline, in patients who being treated with IVIg and/or corticosteroids prior to the study start. [ Time Frame: Month 36 ]The time to the first confirmed worsening on the adjusted INCAT Disability Scale Score has to be confirmed by the Independent Evaluating Physician at any scheduled or unscheduled visit. The INCAT Disability Scale has been applied to measure disability in inflammatory neuropathies. The INCAT Disability Scale has been demonstrated to possess good clinimetric properties, has proven to correlate well with patients' perception of their disease state, and, importantly, is easily administered and requires minimal training.
- The change from Baseline for grip strength [ Time Frame: Month 6/ Month 36 ]Grip strength measurements will be done using a vigorimeter. With this device, the pressure in the bulb exercised by the patient is registered on a manometer via a rubber junction tube. The grip strength has been demonstrated to be responsive in various studies examining patients with inflammatory neuropathies.
- The change from Baseline for Rasch-Built Linearly Weighted Overall Disability Scale (R-ODS) [ Time Frame: Month 6/ Month 36 ]This questionnaire was constructed using the patients' perception of their ability to perform daily and social activities. The final 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).
- safety and tolerability of fingolimod compared with placebo in patients with CIDP [ Time Frame: Month 36 ]Measured by AE/SAE, hematology and biochemistry lab tests, vital signs, ECG, and pulmonary function test
|Actual Study Start Date:||December 20, 2012|
|Study Completion Date:||September 1, 2016|
|Primary Completion Date:||September 1, 2016 (Final data collection date for primary outcome measure)|
|Experimental: Fingolimod 0.5mg/day||
Fingolimod 0.5 mg capsules to be taken orally once daily
|Placebo Comparator: Placebo||
Drug: Placebo Comparator
Matching placebo capsules to be taken orally once daily
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01625182
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|Study Director:||Novartis Pharmaceuticals||Novartis Pharmaceuticals|