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Trial · NCT00289978

Efficacy and Safety of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis

NCT00289978, Phase 3, Completed, Novartis; results first posted 2011-03-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis. Trials, record NCT00289978. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00289978

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Trial

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

Title
Efficacy and Safety of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis
NCT number
NCT00289978
Status
Completed
Phases
Phase 3
Enrollment
1,272 participants, actual
Lead sponsor
Novartis
Conditions
Relapsing-remitting Multiple Sclerosis
Interventions
Fingolimod 1.25 mg, Fingolimod 0.5 mg, Placebo
First posted
2006-02-10
Last updated
2012-04-11
Results first posted
2011-03-16

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryEstimated Annualized Aggregate Relapse Rate (ARR)Baseline to end of study (Month 24)
The ARR is defined as the number of confirmed relapses in a year. A relapse is defined as the appearance of a new or worsening of a previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding relapse. The abnormality must be present for at least 24 hours and occur in the absence of fever or infection. The annualized ARR for each treatment group was the mean of the annualized ARRs for all patients in the group calculated as the total number of confirmed relapses divided by the total number of days on study, multiplied by 365.25.
SecondaryPercentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)Baseline to end of study (Month 24)
EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the following: One point increase from baseline in patients with baseline EDSS score from 0 to 5.0; or half a point increase in patients with baseline EDSS score of 5.5 or above. A 3-month confirmed disability progression required onset EDSS, 3-month confirming EDSS, and all EDSS in between to meet the disability progression criteria. Percent of free of disability progression was calculated using the Kaplan Meier method.
SecondaryNumber of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With BaselineBaseline to end of study (Month 24)
The number of new or newly enlarged T2 lesions at Month 24 in comparison to baseline was assessed with T2-weighted magnetic resonance image (MRI) scans. A T2-weighted MRI scan utilizes particular values of the echo time (TE) and the repetition time (TR) parameters of image acquisition. Inflammation and tissue damage are seen as bright areas in T2 images and are often referred to as T2 lesions. T2-weighted MRI scans are a sensitive way to evaluate the brain for demyelinating diseases, such as multiple sclerosis.

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEstimated Annualized Aggregate Relapse Rate (ARR)Baseline to end of study (Month 24)This analysis was conducted using the Intent-to-treat (ITT) population which includes all patients who were randomized and received at least one dose of study drug.Relapses per yearNUMBER
SECONDARYPercentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)Baseline to end of study (Month 24)Intent-to-treat population (ITT): All patients who were randomized and received at least one dose of study medication.Percentage of participantsNUMBER
SECONDARYNumber of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With BaselineBaseline to end of study (Month 24)Intent-to-treat population (ITT): All patients who were randomized and received at least one dose of study medication.T2 lesionsMEAN

Results by group9

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

OutcomeGroupCategoryValueSpreadUnits
Estimated Annualized Aggregate Relapse Rate (ARR)Fingolimod 1.25 mg0.1695% Confidence Interval 0.13 to 0.19Relapses per year
Estimated Annualized Aggregate Relapse Rate (ARR)Fingolimod 0.5 mg0.1895% Confidence Interval 0.15 to 0.22Relapses per year
Estimated Annualized Aggregate Relapse Rate (ARR)Placebo0.4095% Confidence Interval 0.34 to 0.47Relapses per year
Percentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)Fingolimod 1.25 mg83.495% Confidence Interval 1.87Percentage of participants
Percentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)Fingolimod 0.5 mg82.395% Confidence Interval 1.89Percentage of participants
Percentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)Placebo75.995% Confidence Interval 2.17Percentage of participants
Number of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With BaselineFingolimod 1.25 mg2.5Standard Deviation 5.52T2 lesions
Number of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With BaselineFingolimod 0.5 mg2.5Standard Deviation 7.19T2 lesions
Number of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With BaselinePlacebo9.8Standard Deviation 13.17T2 lesions

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDFingolimod 1.25 mg429
Overall StudySTARTEDFingolimod 0.5 mg425
Overall StudySTARTEDPlacebo418
Overall StudyCOMPLETEDFingolimod 1.25 mg332
Overall StudyCOMPLETEDFingolimod 0.5 mg369
Overall StudyCOMPLETEDPlacebo332
Overall StudyNOT COMPLETEDFingolimod 1.25 mg97
Overall StudyNOT COMPLETEDFingolimod 0.5 mg56
Overall StudyNOT COMPLETEDPlacebo86

Adverse events549

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVertigoEar and labyrinth disordersFingolimod 1.25 mg18429
otherVertigoEar and labyrinth disordersFingolimod 0.5 mg18425
otherVertigoEar and labyrinth disordersPlacebo21418
otherDiarrhoeaGastrointestinal disordersFingolimod 1.25 mg40429
otherDiarrhoeaGastrointestinal disordersFingolimod 0.5 mg50425
otherDiarrhoeaGastrointestinal disordersPlacebo30418
otherNauseaGastrointestinal disordersFingolimod 1.25 mg38429
otherNauseaGastrointestinal disordersFingolimod 0.5 mg38425
otherNauseaGastrointestinal disordersPlacebo36418
otherFatigueGeneral disordersFingolimod 1.25 mg46429

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFingolimod 1.25 mg
Total, all-cause mortalityFingolimod 0.5 mg
Total, all-cause mortalityPlacebo
Total, other adverse eventsFingolimod 1.25 mg346429
Total, other adverse eventsFingolimod 0.5 mg355425
Total, other adverse eventsPlacebo323418
Total, serious adverse eventsFingolimod 1.25 mg51429
Total, serious adverse eventsFingolimod 0.5 mg43425
Total, serious adverse eventsPlacebo56418

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
20089952DERIVEDPubMed
22494956DERIVEDPubMed
22751847DERIVEDPubMed
23531349DERIVEDPubMed
25245812DERIVEDPubMed
25876471DERIVEDPubMed
26121423DERIVEDPubMed
27733070DERIVEDPubMed
35698787DERIVEDPubMed

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/NCT00289978

GET https://conductscience.org/api/trials/v1/NCT00289978/events?page=2