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Trial · NCT03257358

A Study of Immune Phenotype Biomarkers in Patients With Relapsing Multiple Sclerosis (RMS) After Treatment With 0.5mg Fingolimod

NCT03257358, Phase 4, Completed, Novartis Pharmaceuticals; results first posted 2020-07-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Immune Phenotype Biomarkers in Patients With Relapsing Multiple Sclerosis (RMS) After Treatment With 0.5mg Fingolimod. Trials, record NCT03257358. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03257358

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Trial

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

Title
A Study of Immune Phenotype Biomarkers in Patients With Relapsing Multiple Sclerosis (RMS) After Treatment With 0.5mg Fingolimod
NCT number
NCT03257358
Status
Completed
Phases
Phase 4
Enrollment
382 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Relapsing Multiple Sclerosis
Interventions
Fingolimod
First posted
2017-08-22
Last updated
2021-10-07
Results first posted
2020-07-21

Source ClinicalTrials.gov

Registered outcomes48

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)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.
PrimaryChange From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)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.
PrimaryChange From Baseline to Month 6 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)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.
PrimaryChange From Baseline to Month 6 in CD4+ Th1 Cells (CXCR3+)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.
PrimaryChange From Baseline to Month 6 in CD4+ Th2 Cells (CCR4+)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.
PrimaryChange From Baseline to Month 6 in CD4+ Th17 Cells (CCR6+)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.
PrimaryChange From Baseline to Month 6 in CD8+ Naive T Cells (CCR7+CD45RA+)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.
PrimaryChange From Baseline to Month 6 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)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.
PrimaryChange From Baseline to Month 6 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)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.
PrimaryChange From Baseline to Month 6 in Naive B Lymphocytes (CD19+CD27-)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.

Outcomes48

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD4+ Th1 Cells (CXCR3+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD4+ Th2 Cells (CCR4+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD4+ Th17 Cells (CCR6+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD8+ Naive T Cells (CCR7+CD45RA+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)Baseline to Month 6Safety analysis setcells/uLMEAN
PRIMARYChange From Baseline to Month 6 in Naive B Lymphocytes (CD19+CD27-)Baseline to Month 6Safety analysis setcells/uLMEAN

Results by group260

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Cohort 1Baseline (BL) n=147,188404.4Standard Deviation 273.56cells/uL
Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Cohort 2Baseline (BL) n=147,1883.4Standard Deviation 20.69cells/uL
Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Cohort 1Month 6 n=97,1567.6Standard Deviation 38.04cells/uL
Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Cohort 2Month 6 n=97,1564.8Standard Deviation 23.52cells/uL
Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Cohort 1Change from BL to Month 6, n=97,156-411.4Standard Deviation 273.31cells/uL
Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)Cohort 2Change from BL to Month 6, n=97,1560.8Standard Deviation 25.12cells/uL
Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)Cohort 1Baseline (BL) n=147,188374.6Standard Deviation 216.36cells/uL
Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)Cohort 2Baseline (BL) n=147,18816.3Standard Deviation 45.11cells/uL
Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)Cohort 1Month 6 n=97,15619.6Standard Deviation 58.77cells/uL
Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)Cohort 2Month 6 n=97,15618.3Standard Deviation 42.89cells/uL

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1165
Overall StudySTARTEDCohort 2217
Overall StudyNever Received TreatmentCohort 12
Overall StudyNever Received TreatmentCohort 20
Overall StudyCOMPLETEDCohort 194
Overall StudyCOMPLETEDCohort 2183
Overall StudyNOT COMPLETEDCohort 171
Overall StudyNOT COMPLETEDCohort 234

Adverse events164

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherLeukopeniaBlood and lymphatic system disordersCohort 13163
otherLeukopeniaBlood and lymphatic system disordersCohort 22217
otherLymphopeniaBlood and lymphatic system disordersCohort 19163
otherLymphopeniaBlood and lymphatic system disordersCohort 21217
otherNeutropeniaBlood and lymphatic system disordersCohort 13163
otherNeutropeniaBlood and lymphatic system disordersCohort 23217
otherBradycardiaCardiac disordersCohort 12163
otherBradycardiaCardiac disordersCohort 20217
otherBlepharospasmEye disordersCohort 12163
otherBlepharospasmEye disordersCohort 20217

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 10163
Total, all-cause mortalityCohort 20217
Total, other adverse eventsCohort 170163
Total, other adverse eventsCohort 266217
Total, serious adverse eventsCohort 19163
Total, serious adverse eventsCohort 212217

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons2

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

ComparisonSource
Cohort 1 vs Cohort 2: deaths from any causeTrial comparisons
Cohort 1 vs Cohort 2: serious adverse eventsTrial comparisons

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/NCT03257358

GET https://conductscience.org/api/trials/v1/NCT03257358/registered?page=2