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Trial · NCT00213135

A Safety and Efficacy Study of Oral Cladribine in Subjects With Relapsing-remitting Multiple Sclerosis (RRMS)

NCT00213135, Phase 3, Completed, EMD Serono; results first posted 2013-12-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Safety and Efficacy Study of Oral Cladribine in Subjects With Relapsing-remitting Multiple Sclerosis (RRMS). Trials, record NCT00213135. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00213135

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Safety and Efficacy Study of Oral Cladribine in Subjects With Relapsing-remitting Multiple Sclerosis (RRMS)
NCT number
NCT00213135
Status
Completed
Phases
Phase 3
Enrollment
1,326 participants, actual
Lead sponsor
EMD Serono
Conditions
Multiple Sclerosis, Relapsing-Remitting
Interventions
Cladribine 5.25 mg/kg, Cladribine 3.5 mg/kg, Placebo
First posted
2005-09-21
Last updated
2014-02-07
Results first posted
2013-12-02

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnnualized Qualifying Relapse RateWeek 96
A qualifying relapse was defined as an increase of 2 points in at least one functional system of the expanded disability status scale (EDSS) or an increase of 1 point in at least two functional systems (excluding changes in bowel or bladder function or cognition) in the absence of fever, lasting for at least 24 hours and to have been preceded by at least 30 days of clinical stability or improvement. Expanded disability status scale (EDSS) assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis \[MS\]) was calculated. The annualized relapse rate for each treatment group was calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25.
SecondaryPercentage of Relapse-free ParticipantsWeek 96
A qualifying relapse was defined as an increase of 2 points in at least one functional system of the EDSS or an increase of 1 point in at least two functional systems (excluding changes in bowel or bladder function or cognition) in the absence of fever, lasting for at least 24 hours and to have been preceded by at least 30 days of clinical stability or improvement. Expanded disability status scale (EDSS) assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated.
SecondaryTime to Disability ProgressionBaseline up to Week 96
Time to disability progression was defined as the time to a sustained increase in EDSS score of at least 1 point if baseline EDSS score between 0.5 and 4.5 inclusively, or at least 1.5 points if the baseline EDSS score was 0, or at least 0.5 point if the baseline EDSS score was at least 5, over a period of at least three months. Expanded disability status scale (EDSS) assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. Tenth Percentile of time to sustained increase in EDSS score was reported using Kaplan-Meier survival curve.
SecondaryMean Number of Combined Unique (CU) Lesions, Active Time Constant 2 (T2) Lesions, and Active Time Constant 1 (T1) Gadolinium-Enhanced (Gd+) Lesions Per Participant Per ScanWeek 96Mean Number of CU lesions, active T2 lesions, and active T1 Gd+ lesions were measured by using magnetic resonance imaging (MRI) scans.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnualized Qualifying Relapse RateWeek 96The intention-to-treat (ITT) population included all participants who were randomized in the study.relapses per yearNUMBER
SECONDARYPercentage of Relapse-free ParticipantsWeek 96The ITT population included all participants who were randomized in the study.percentage of participantsNUMBER
SECONDARYTime to Disability ProgressionBaseline up to Week 96The ITT population included all participants who were randomized in the study.monthsNUMBER
SECONDARYMean Number of Combined Unique (CU) Lesions, Active Time Constant 2 (T2) Lesions, and Active Time Constant 1 (T1) Gadolinium-Enhanced (Gd+) Lesions Per Participant Per ScanWeek 96The ITT population included all participants who were randomized in the study.lesionsLEAST_SQUARES_MEAN

Results by group18

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Annualized Qualifying Relapse RateCladribine 5.25 mg/kg0.1595% Confidence Interval 0.58relapses per year
Annualized Qualifying Relapse RateCladribine 3.5 mg/kg0.1495% Confidence Interval 0.59relapses per year
Annualized Qualifying Relapse RatePlacebo0.3395% Confidence Interval 0.88relapses per year
Percentage of Relapse-free ParticipantsCladribine 5.25 mg/kg78.9percentage of participants
Percentage of Relapse-free ParticipantsCladribine 3.5 mg/kg79.7percentage of participants
Percentage of Relapse-free ParticipantsPlacebo60.9percentage of participants
Time to Disability ProgressionCladribine 5.25 mg/kg13.6months
Time to Disability ProgressionCladribine 3.5 mg/kg13.6months
Time to Disability ProgressionPlacebo10.8months
Mean Number of Combined Unique (CU) Lesions, Active Time Constant 2 (T2) Lesions, and Active Time Constant 1 (T1) Gadolinium-Enhanced (Gd+) Lesions Per Participant Per ScanCladribine 5.25 mg/kgCU lesions0.38Standard Error 0.08lesions

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCladribine 5.25 mg/kg456
Overall StudySTARTEDCladribine 3.5 mg/kg433
Overall StudySTARTEDPlacebo437
Overall StudyCOMPLETEDCladribine 5.25 mg/kg406
Overall StudyCOMPLETEDCladribine 3.5 mg/kg398
Overall StudyCOMPLETEDPlacebo380
Overall StudyNOT COMPLETEDCladribine 5.25 mg/kg50
Overall StudyNOT COMPLETEDCladribine 3.5 mg/kg35
Overall StudyNOT COMPLETEDPlacebo57

Adverse events483

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherArthralgiaMusculoskeletal and connective tissue disordersCladribine 5.25 mg/kg23454
otherArthralgiaMusculoskeletal and connective tissue disordersCladribine 3.5 mg/kg27430
otherArthralgiaMusculoskeletal and connective tissue disordersPlacebo21435
otherBack painMusculoskeletal and connective tissue disordersCladribine 5.25 mg/kg39454
otherBack painMusculoskeletal and connective tissue disordersCladribine 3.5 mg/kg34430
otherBack painMusculoskeletal and connective tissue disordersPlacebo28435
otherDepressionPsychiatric disordersCladribine 5.25 mg/kg25454
otherDepressionPsychiatric disordersCladribine 3.5 mg/kg18430
otherDepressionPsychiatric disordersPlacebo13435
otherDiarrhoeaGastrointestinal disordersCladribine 5.25 mg/kg31454

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCladribine 5.25 mg/kg
Total, all-cause mortalityCladribine 3.5 mg/kg
Total, all-cause mortalityPlacebo
Total, other adverse eventsCladribine 5.25 mg/kg324454
Total, other adverse eventsCladribine 3.5 mg/kg286430
Total, other adverse eventsPlacebo242435
Total, serious adverse eventsCladribine 5.25 mg/kg41454
Total, serious adverse eventsCladribine 3.5 mg/kg36430
Total, serious adverse eventsPlacebo28435

Papers14

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
20089960RESULTPubMed
22017519DERIVEDPubMed
28140753DERIVEDPubMed
28255849DERIVEDPubMed
28817997DERIVEDPubMed
29992396DERIVEDPubMed
32447743DERIVEDPubMed
33969750DERIVEDPubMed
34370275DERIVEDPubMed
35003076DERIVEDPubMed

1 to 10 of 14

See all 14 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00213135

GET https://conductscience.org/api/trials/v1/NCT00213135/events?page=2