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Trial · NCT02047734

Efficacy and Safety Study of Ozanimod in Relapsing Multiple Sclerosis

NCT02047734, Phase 3, Completed, Celgene; results first posted 2021-02-11

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ConductScience Library. Efficacy and Safety Study of Ozanimod in Relapsing Multiple Sclerosis. Trials, record NCT02047734. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02047734

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Trial

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

Title
Efficacy and Safety Study of Ozanimod in Relapsing Multiple Sclerosis
NCT number
NCT02047734
Status
Completed
Phases
Phase 3
Enrollment
1,320 participants, actual
Lead sponsor
Celgene
Conditions
Relapsing Multiple Sclerosis
Interventions
Ozanimod, Ozanimod placebo, Interferon beta-1a, Interferon beta-1a placebo
First posted
2014-01-28
Last updated
2021-02-11
Other registries' IDs
eudract:2012-002714-40
Results first posted
2021-02-11

Source ClinicalTrials.gov

Registered outcomes11

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

ListOutcomeTime frameDescription
PrimaryAdjusted Annualized Relapse Rate (ARR) at the End of Month 24At the end of month 24
A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional system scale scores. Relapse rate was calculated as the total number of confirmed relapses divided by the total number of days in the study \* 365.25. ARR was based on a Poisson regression model, adjusted for region (Eastern Europe vs Rest of the World), age, and the Baseline number of gadolinium-enhancing lesions, and included the natural log transformation of time on study as an offset term.
SecondaryAdjusted Mean Number of New or Enlarging Hyperintense T2-Weighted Brain Magnetic Resonance Imaging (MRI) Lesions Per Scan Over 24 Months24 month treatment period; MRI scans were performed at Months 12 and 24
The adjusted mean number of new or enlarging hyperintense T2-weighted brain MRI lesions per scan was based on the cumulative number of new or enlarging T2 lesions since Baseline over 24 months. MRI images were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes. The adjusted mean per scan over 24 months was based based on a negative binomial regression model using observed data, adjusted for region (Eastern Europe vs. Rest of the World), age at Baseline, and Baseline number of GdE lesions. The natural log transformation of the number of available MRI scans over 24 months is used as an offset term.
SecondaryAdjusted Mean Number of Gadolinium Enhancing Brain Lesions at Month 24Month 24
MRI images were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes. The number of gadolinium-enhancing (GdE) lesions at 24 months was analyzed based on observed data using a negative binomial regression model adjusted for region (Eastern Europe vs Rest of World), Baseline age, and Baseline number of GdE lesions, with natural log transformation of number of available MRI scans over 24 months as an offset term (1 scan for per participant).
SecondaryTime to Onset of Disability Progression Confirmed After 3 MonthsFrom first dose to the end of the 24-month treatment period
EDSS is used to quantify disability and disability progression over time in MS. Based on a neurological examination, 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel \& bladder, cerebral, and other functions) are scored from 0 (no disability) to 5 or 6 (more severe disability). Ambulation is assessed based on distance the patient is able to walk, whether assistance is required or restrictions are present. The EDSS score ranges from 0 (normal) to 10 (death due to MS) in 0.5 unit increments. Disability progression is defined by a sustained worsening in EDSS score of 1.0 point or more confirmed after 3 months. Time to onset of disability progression was calculated from the date of first dose to the date of the first visit at which the 1.0 point increase in EDSS was met using Kaplan-Meier methods. Participants without a sustained disease progression event were censored on the date of their last assessment or last dose of study drug, whichever was later.
SecondaryTime to Onset of Disability Progression Confirmed After 6 MonthsFrom first dose to the end of the 24-month treatment period
EDSS is used to quantify disability and disability progression over time in MS. Based on a neurological examination, 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel \& bladder, cerebral, and other functions) are scored from 0 (no disability) to 5 or 6 (more severe disability). Ambulation is assessed based on distance the patient is able to walk, whether assistance is required or restrictions are present. The EDSS score ranges from 0 (normal) to 10 (death due to MS) in 0.5 unit increments. Disability progression is defined by a sustained worsening in EDSS score of 1.0 point or more confirmed after 3 months. Time to onset of disability progression was calculated from the date of first dose to the date of the first visit at which the 1.0 point increase in EDSS was met using Kaplan-Meier methods. Participants without a sustained disease progression event were censored on the date of their last assessment or last dose of study drug, whichever was later.
SecondaryPercentage of Participants Who Were Gadolinium Enhancing (GdE) Lesion-Free at Month 24Month 24
Participants were considered lesion free at Month 24 if they did not show evidence of GdE lesions at the Month 24 MRI scan. MRI images were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.
SecondaryPercentage of Participants Who Were New or Enlarging T2 Lesion-Free at Month 24Month 24MRI images were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.
SecondaryPercent Change From Baseline in Normalized Brain Volume to Month 24Baseline and Month 24Brain volume (a measure of brain atrophy) was measured by brain MRI scans that were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.
SecondaryChange From Baseline to Month 24 in Multiple Sclerosis Functional Composite (MSFC) Score Including the Low-Contrast Letter Acuity (LCLA) TestBaseline to Month 24
The MSFC-LCLA is a battery including the following 4 individual scales: * Timed 25-Foot Walk is an ambulation measure of walking 25 feet with time taken recorded in seconds * 9-Hole Peg Test (9HPT) is a quantitative measure of upper extremity (arm and hand) function * Symbol Digit Modalities Test (SDMT) is a measure of executive cognitive function that assesses processing speed, flexibility, and calculation ability * Low-Contrast Letter Acuity Test (LCLA) used a standardized set of charts to assess low contrast visual acuity, charts are scored according to the number of letters that are identified correctly Z-scores were calculated for for each component and averaged to create an overall composite score, using the study population as the reference population. A Z-score represents the number of standard deviations a patient's test result is higher (Z \> 0) or lower (Z \< 0) than the average test result (Z = 0) of the reference population. A positive change indicates improvement.
SecondaryMean Change From Baseline in Multiple Sclerosis Quality of Life (MSQOL)-54 Physical Health Composite Summary and Mental Health Composite Summary ScoresBaseline to Month 24
The MSQOL-54 is a multidimensional health-related QOL measure that combines both generic and MS-specific items into a single instrument. The instrument includes 12 subscales, two summary scores, and two single-item measures. The two summary scores - physical health and mental health - are derived from a weighted combination of scale scores. The physical health composite score includes Physical function, Health perceptions, Energy/fatigue, Role limitations - physical, Pain, Sexual function, Social function, and Health distress. The mental health composite score includes Health distress, Overall quality of life, Emotional well-being, Role limitations - emotional, and Cognitive function. Each composite summary score has a range from 0 to 100 where higher scores indicate better quality of life. A positive change from Baseline indicates improvement.

Outcomes12

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAdjusted Annualized Relapse Rate (ARR) at the End of Month 24At the end of month 24
The ITT population included all randomized participants who received at least 1 dose of study drug; participants were analyzed according to the treatment they were randomized to receive and not according to what they actually received, if different.
relapses/yearNUMBER
SECONDARYAdjusted Mean Number of New or Enlarging Hyperintense T2-Weighted Brain Magnetic Resonance Imaging (MRI) Lesions Per Scan Over 24 Months24 month treatment period; MRI scans were performed at Months 12 and 24ITT Population included all randomized participants who received at least 1 dose of study drug. Includes participants with non-missing MRI results.lesions/scanLEAST_SQUARES_MEAN
SECONDARYAdjusted Mean Number of Gadolinium Enhancing Brain Lesions at Month 24Month 24The ITT population consisted of all randomized participants who received at least 1 dose of study medication. Includes participants with non-missing GdE MRI results at Month 24.lesionsLEAST_SQUARES_MEAN
SECONDARYTime to Onset of Disability Progression Confirmed After 3 MonthsFrom first dose to the end of the 24-month treatment periodThe ITT population consisted of all randomized participants who received at least 1 dose of study medication.daysMEDIAN
SECONDARYTime to Onset of Disability Progression Confirmed After 6 MonthsFrom first dose to the end of the 24-month treatment periodThe ITT population consisted of all randomized participants who received at least 1 dose of study medication.daysMEDIAN
SECONDARYPercentage of Participants Who Were Gadolinium Enhancing (GdE) Lesion-Free at Month 24Month 24ITT population included all randomized participants who received at least 1 dose of study drug; participants with missing data at Month 24 were considered non-responders.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Were New or Enlarging T2 Lesion-Free at Month 24Month 24The ITT population consisted of all randomized participants who received at least 1 dose of study medication; Participants with missing data at Month 24 were considered non-responders.percentage of participantsNUMBER
SECONDARYPercent Change From Baseline in Normalized Brain Volume to Month 24Baseline and Month 24ITT Population; last observation carried forward was used for participants with missing data at Month 24 (only post-baseline MRI scans were carried forward)percent changeMEAN
SECONDARYChange From Baseline to Month 24 in Multiple Sclerosis Functional Composite (MSFC) Score Including the Low-Contrast Letter Acuity (LCLA) TestBaseline to Month 24The ITT population with available MSFC Z-scoresZ-scoreMEAN
SECONDARYMean Change From Baseline in Multiple Sclerosis Quality of Life (MSQOL)-54 Physical Health Composite Summary and Mental Health Composite Summary ScoresBaseline to Month 24The ITT population consisted of all randomized participants who received at least 1 dose of study medication. Missing data were imputed using a mixed-effects regression model.units on a scaleMEAN

Results by group63

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

OutcomeGroupCategoryValueSpreadUnits
Adjusted Annualized Relapse Rate (ARR) at the End of Month 24Interferon Beta-1a0.27695% Confidence Interval 0.234 to 0.324relapses/year
Adjusted Annualized Relapse Rate (ARR) at the End of Month 24Ozanimod 0.5 mg0.21895% Confidence Interval 0.183 to 0.259relapses/year
Adjusted Annualized Relapse Rate (ARR) at the End of Month 24Ozanimod 1 mg0.17295% Confidence Interval 0.142 to 0.208relapses/year
Adjusted Mean Number of New or Enlarging Hyperintense T2-Weighted Brain Magnetic Resonance Imaging (MRI) Lesions Per Scan Over 24 MonthsInterferon Beta-1a3.18395% Confidence Interval 2.640 to 3.838lesions/scan
Adjusted Mean Number of New or Enlarging Hyperintense T2-Weighted Brain Magnetic Resonance Imaging (MRI) Lesions Per Scan Over 24 MonthsOzanimod 0.5 mg2.09295% Confidence Interval 1.741 to 2.514lesions/scan
Adjusted Mean Number of New or Enlarging Hyperintense T2-Weighted Brain Magnetic Resonance Imaging (MRI) Lesions Per Scan Over 24 MonthsOzanimod 1 mg1.83595% Confidence Interval 1.523 to 2.211lesions/scan
Adjusted Mean Number of Gadolinium Enhancing Brain Lesions at Month 24Interferon Beta-1a0.37395% Confidence Interval 0.256 to 0.543lesions
Adjusted Mean Number of Gadolinium Enhancing Brain Lesions at Month 24Ozanimod 0.5 mg0.19795% Confidence Interval 0.131 to 0.296lesions
Adjusted Mean Number of Gadolinium Enhancing Brain Lesions at Month 24Ozanimod 1 mg0.17695% Confidence Interval 0.116 to 0.266lesions
Time to Onset of Disability Progression Confirmed After 3 MonthsInterferon Beta-1aNA95% Confidence Interval NA to NAdays

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDInterferon Beta-1a (IFN β-1a)443
Overall StudySTARTEDOzanimod 0.5 mg443
Overall StudySTARTEDOzanimod 1 mg434
Overall StudyReceived TreatmentInterferon Beta-1a (IFN β-1a)441
Overall StudyReceived TreatmentOzanimod 0.5 mg439
Overall StudyReceived TreatmentOzanimod 1 mg433
Overall StudyCOMPLETEDInterferon Beta-1a (IFN β-1a)376
Overall StudyCOMPLETEDOzanimod 0.5 mg374
Overall StudyCOMPLETEDOzanimod 1 mg388
Overall StudyNOT COMPLETEDInterferon Beta-1a (IFN β-1a)67

Adverse events294

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInfluenza Like IllnessGeneral disordersInterferon Beta-1a215440
otherInfluenza Like IllnessGeneral disordersOzanimod 0.5 mg26439
otherInfluenza Like IllnessGeneral disordersOzanimod 1 mg27434
otherPyrexiaGeneral disordersInterferon Beta-1a27440
otherPyrexiaGeneral disordersOzanimod 0.5 mg12439
otherPyrexiaGeneral disordersOzanimod 1 mg10434
otherNasopharyngitisInfections and infestationsInterferon Beta-1a48440
otherNasopharyngitisInfections and infestationsOzanimod 0.5 mg59439
otherNasopharyngitisInfections and infestationsOzanimod 1 mg68434
otherPharyngitisInfections and infestationsInterferon Beta-1a15440

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityInterferon Beta-1a0440
Total, all-cause mortalityOzanimod 0.5 mg1439
Total, all-cause mortalityOzanimod 1 mg0434
Total, other adverse eventsInterferon Beta-1a275440
Total, other adverse eventsOzanimod 0.5 mg185439
Total, other adverse eventsOzanimod 1 mg199434
Total, serious adverse eventsInterferon Beta-1a28440
Total, serious adverse eventsOzanimod 0.5 mg31439
Total, serious adverse eventsOzanimod 1 mg28434

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
31492652RESULTPubMed
40462564DERIVEDPubMed

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.

Tests1

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

TestNamed as
Symbol CodingSecondary outcome

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.

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