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Safety and Tolerability of Conversion From Oral, Injectable, or Infusion Disease Modifying Therapies to Dose-titrated Oral Siponimod (Mayzent) in Advancing RMS Patients. (EXCHANGE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03623243
Recruitment Status : Recruiting
First Posted : August 9, 2018
Last Update Posted : August 11, 2021
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )

Brief Summary:
To assess safety and tolerability of patients converting from approved Relapsing Multiple Sclerosis (RMS) Disease Modifying Therapies (DMTs) to siponimod.

Condition or disease Intervention/treatment Phase
Multiple Sclerosis, Relapsing MS, Advancing Multiple Sclerosis Drug: Siponimod Phase 3

Detailed Description:
This is a 6-month, open-label, multi-center, single arm design, including advancing RMS patients, evaluating the overall safety and tolerability profile of converting from oral, injectable or infusion RMS DMTs to oral siponimod.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 400 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: Open-label single arm study
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Exploring the Safety and Tolerability of Conversion From Oral, Injectable, or Infusion Disease Modifying Therapies to Dose-titrated Oral Siponimod (Mayzent) in Patients With Advancing Forms of Relapsing Multiple Sclerosis: A 6-month Open Label, Multi- Center Phase IIIb Study
Actual Study Start Date : February 14, 2019
Estimated Primary Completion Date : January 11, 2022
Estimated Study Completion Date : January 12, 2022

Resource links provided by the National Library of Medicine

Drug Information available for: Siponimod

Arm Intervention/treatment
Experimental: Siponimod 2 mg
Siponimod 2mg tablets taken once daily after a 5 day titration
Drug: Siponimod
Siponimod 2mg tablets taken once daily
Other Name: BAF312

Primary Outcome Measures :
  1. Number of patients with treatment emergent adverse events [ Time Frame: Baseline up to 6 months ]
    Adverse events considered to be drug related will be collected to assess safety and tolerability at scheduled visits after converting from disease modifying therapies

Secondary Outcome Measures :
  1. Number of patients satisfied with treatment as measured by Treatment Satisfaction Questionnaire for Medication [ Time Frame: Baseline up to 6 months ]
    TSQM9 - Treatment Satisfaction Questionnaire for Medication: measures patient satisfaction with the medication in 3 domains: effectiveness, convenience, and global satisfaction. TSQM-9 domain scores range from 0 to 100, with higher scores indicating greater satisfaction for that domain.

  2. Change in Heart Rate from baseline [ Time Frame: Baseline to 6 hours post initial treatment ]
    Heart rate will be evaluated from the time of initial dose intake until 6 hours post dose intake via heart monitor

  3. Treatment compliance with Siponimod [ Time Frame: Baseline up to 6 months ]
    Drug accountability will be assessed by pill counts at the site. Compliance is defined as being 80% adherent.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Key Inclusion Criteria:

  1. Signed informed consent.
  2. Male or female aged 18 to 65 years (inclusive).
  3. Patients with advancing RMS as defined by the principal investigator.
  4. Prior history of relapsing MS (RMS), with or without progressive features, according to the 2010 Revised McDonald or Lublin criteria (Lublin et al, 2013).
  5. EDSS score of >/= 2.0 to 6.5 (inclusive).
  6. Having been continuously treated with RMS Disease Modifying Therapies.

Key Exclusion criteria:

  1. Pregnant or nursing (lactating) women.
  2. Patients with any medically unstable condition as determined by the investigator.
  3. History of hypersensitivity to the study drug or to drugs of similar chemical classes.

Other protocol-defined inclusion/exclusion criteria may apply.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03623243

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Contact: Novartis Pharmaceuticals 1-888-669-6682
Contact: Novartis Pharmaceuticals

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Sponsors and Collaborators
Novartis Pharmaceuticals
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Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
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Responsible Party: Novartis Pharmaceuticals Identifier: NCT03623243    
Other Study ID Numbers: CBAF312AUS02
First Posted: August 9, 2018    Key Record Dates
Last Update Posted: August 11, 2021
Last Verified: August 2021
Individual Participant Data (IPD) Sharing Statement:
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

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Novartis ( Novartis Pharmaceuticals ):
Multiple Sclerosis; Advancing Multiple Sclerosis; conversion; siponimod;adult,BAF312,disease modifying therapies, cognitive assessment,open-label
Additional relevant MeSH terms:
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Multiple Sclerosis
Pathologic Processes
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Autoimmune Diseases
Immune System Diseases
Sphingosine 1 Phosphate Receptor Modulators
Molecular Mechanisms of Pharmacological Action
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs