August 18, 2017
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August 22, 2017
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June 26, 2020
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July 21, 2020
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October 7, 2021
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September 19, 2017
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March 5, 2019 (Final data collection date for primary outcome measure)
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- Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD4+ Th1 Cells (CXCR3+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD4+ Th2 Cells (CCR4+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD4+ Th17 Cells (CCR6+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD8+ Naive T Cells (CCR7+CD45RA+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Naive B Lymphocytes (CD19+CD27-) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Memory B Lymphocytes (CD19+CD27+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Regulatory B Lymphocytes (CD19+CD24+CD38+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Monocytes (CD14+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Neutrophils (CD16+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in NK Cells (CD56+) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Total CD4+ Absolute Cell Count [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Total CD4+ Differential Cell Count [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Total CD8+ Absolute Cell Count [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Total CD8+ Differential Cell Counts (%) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Total CD19+ Absolute Cell Count [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 6 in Total CD19+ Differential Cell Count (%) [ Time Frame: Baseline to Month 6 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
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- Change in CD4+ and CD8+ naïve T-cells, central memory T-cells, and effector memory T-cells from baseline to Month 6. [ Time Frame: Baseline to Month 6 ]
Blood samples will be collected to assess this outcome.
- Change in CD4+ Th1, Th2, and Th17 cells from baseline to Month 6. [ Time Frame: Baseline to Month 6 ]
Blood samples will be collected to assess this outcome.
- Change in naïve B-cells, memory B-cells, and regulatory B-cells from baseline to Month 6. [ Time Frame: Baseline to Month 6 ]
Blood samples will be collected to assess this outcome.
- Change in monocytes, neutrophils, and NK cells from baseline to Month 6. [ Time Frame: Baseline to Month 6 ]
Blood samples will be collected to assess this outcome.
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- Change From Baseline to Month 12 in CD4+ Naive T Cells (CCR7+CD45RA+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD4+ Th1 Cells (CXCR3+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD4+ Th2 Cells (CCR4+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD4+ Th17 Cells (CCR6+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD8+ Naive T Cells (CCR7+CD45RA+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Naive B Lymphocytes (CD19+CD27-) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Memory B Lymphocytes (CD19+CD27+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Regulatory B Lymphocytes (CD19+CD24+CD38+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Monocytes (CD14+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Neutrophils (CD16+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in NK Cells (CD56+) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Total CD4+ Absolute Cell Count [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Total CD4+ Differential Cell Count (%) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Total CD8+ Absolute Cell Count [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Total CD8+ Differential Cell Counts (%) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Total CD19+ Absolute Cell Count [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Change From Baseline to Month 12 in Total CD19+ Differential Cell Count (%) [ Time Frame: Baseline to Month 12 ]
Blood samples (approximately 60-80 ml) were collected at specifiied visits for biomarker and hematology assessments. In Cohort 1 patients it was critical that the blood sample was collected prior to administration of fingolimod, first dose observation (FDO). A central laboratory was used for analysis of all specimens collected.
- Multiple Sclerosis (MS) Relapses During Treatment [ Time Frame: Baseline to Month 12 ]
A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection.
- Number of Participants Who Received Steroid Treatment for MS Relapses During Treatment [ Time Frame: Baseline to Month 12 ]
A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection.
- Change From Baseline in Patient Determined Disease Steps (PDDS) [ Time Frame: Baseline to Month 12 ]
PDDS scoring ranges 0 to 8. 0 = Normal; 1 = Mild disability; 2 = Moderate disability; 3 = Gait disability; 4 = Early cane; 5 = Late cane; 6 = Bilateral support; 7 = Wheelchair/scooter; 8 = Bedridden.
- Change From Baseline in T2 Lesion Burden [ Time Frame: Baseline to Month 12 ]
- Change From Baseline for New Gd-Enhancing T1 Lesion Count [ Time Frame: Baseline to Month 12 ]
- Change From Baseline to Months 6 and 12 in the Anti-JCV Antibody Index (Index/Value) [ Time Frame: Baseline to Month 6 and 12 ]
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- Change in anti-JCV antibody status (+ or -) / index from baseline to Months 3, 6, and 12. [ Time Frame: Baseline to Months 3, 6, and 12 ]
Blood samples will be collected to assess this outcome.
- Association of change in anti-JCV antibody status/index and change in CD4+ and CD8+ naïve T-cells, central memory T-cells, and effector memory T-cells from baseline to Months 3 and 12. [ Time Frame: Baseline to Months 3 and 12 ]
Blood samples will be collected to assess this outcome.
- Association of change in anti-JCV antibody status/index and change in CD4+ Th1, Th2, and Th17 cells from baseline to Months 3 and 12. [ Time Frame: Baseline to Months 3 and 12 ]
Blood samples will be collected to assess this outcome.
- Association of change in anti-JCV antibody status/index and change in naïve B-cells, memory B-cells, and regulatory B-cells from baseline to Months 3 and 12. [ Time Frame: Baseline to Months 3 and 12 ]
Blood samples will be collected to assess this outcome.
- Association of change in anti-JCV antibody status/index and change in monocytes, neutrophils and NK cells from baseline to Months 3 and 12. [ Time Frame: Baseline to Months 3 and 12 ]
Blood samples will be collected to assess this outcome.
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Not Provided
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Not Provided
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A Study of Immune Phenotype Biomarkers in Patients With Relapsing Multiple Sclerosis (RMS) After Treatment With 0.5mg Fingolimod
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A 12-Month, Prospective, Multicenter, Two-cohort, Nonrandomized, Open-label Study in Adult Patients With Relapsing Multiple Sclerosis (RMS), to Investigate Changes in Immune Phenotype Biomarkers After Treatment With 0.5mg Fingolimod [FLUENT]
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A study of immune phenotype biomarkers in patients with Relapsing Multiple Sclerosis (RMS) after treatment with 0.5mg fingolimod
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This study used a 2-cohort, nonrandomized, open-label, multicenter design. Cohort 1: The first cohort was to be comprised of approximately 200 patients with RMS, who were newly prescribed commercially available fingolimod 0.5 mg/day. Cohort 2: The second cohort was to be comprised of approximately 200 RMS patients who had been on commercially available fingolimod 0.5 mg/day continuously without interruption of treatment for at least ≥ 2 years. Patients from both cohorts were recruited simultaneously from up to 125 MS centers in the United States. Both cohorts ran concurrently. The study consisted of 2 periods: Screening (up to 4 weeks) and Treatment period from Baseline (end of screening period considered as Day 1) up to 12 months with visits conducted at 3,6 and 12 months with a 14 day follow-up post treatment..
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Interventional
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Phase 4
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Allocation: Non-Randomized Intervention Model: Parallel Assignment Intervention Model Description: Two-cohort, non-randomized, open-label multicenter Masking: None (Open Label) Primary Purpose: Basic Science
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Relapsing Multiple Sclerosis
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Drug: Fingolimod
Commercially available 0.5mg hard capsules, taken orally once per day
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- Cohort 1
RMS patients who were newly prescribed commercially available fingolimod 0.5mg per day
Intervention: Drug: Fingolimod
- Cohort 2
RMS patients who had been on commercially available fingolimod 0.5mg per day continuously for ≥ 2 years
Intervention: Drug: Fingolimod
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Not Provided
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Completed
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382
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400
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June 28, 2019
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March 5, 2019 (Final data collection date for primary outcome measure)
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Inclusion Criteria:
- Diagnosis of relapsing forms of Multiple Sclerosis
- Patients who started commercially prescribed fingolimod therapy 0.5mg per day OR patients already on commercially prescribed fingolimod 0.5mg per day continuously for ≥ 2 years
Exclusion Criteria (per USPI):
- Patients who in the last 6 months experienced myocardial infarction, unstable angina, stroke, transient ischemic stroke, decompensated heart failure requiring hospitalization or Class III/IV heart failure
- History or presence of Mobitz Type II second-degree or third-degree atrioventricular block or sick sinus syndrome, unless patient had a functioning pacemaker
- Baseline QTc interval ≥ 500 msec
- Treatment with Class Ia or Class III anti-arrhythmic drugs
- Patients who had a hypersensitivity reaction to fingolimod or any of the excipients
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Sexes Eligible for Study: |
All |
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18 Years and older (Adult, Older Adult)
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No
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Contact information is only displayed when the study is recruiting subjects
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United States
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NCT03257358
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CFTY720DUS40
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No
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Studies a U.S. FDA-regulated Drug Product: |
Yes |
Studies a U.S. FDA-regulated Device Product: |
No |
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Plan to Share IPD: |
Yes |
Plan Description: |
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 |
URL: |
https://www.clinicalstudydatarequest.com |
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Novartis ( Novartis Pharmaceuticals )
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Same as current
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Novartis Pharmaceuticals
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Same as current
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Not Provided
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Not Provided
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Novartis
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October 2021
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