EARLiMS: Efficacy of Fingolimod in de Novo Patients Versus Fingolimod in Patients Previously Treated With a First Line Disease Modifying Therapy

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT01498887
Collaborator
(none)
347
47
2
48.1
7.4
0.2

Study Details

Study Description

Brief Summary

This study assessed the efficacy of fingolimod in patients with short duration relapsing-remitting multiple sclerosis who had not been previously treated with disease-modifying therapies (DMTs), versus patients with the same disease duration who had previously received first-line DMTs.

Condition or Disease Intervention/Treatment Phase
  • Drug: Fingolimod (FTY720)
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
347 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multi-centre, Open-label, Non-randomised, Parallel Group Clinical Trial to Assess the Efficacy of Fingolimod in Naive Patients Versus Fingolimod in Patients Previously Treated With Interferons or Glatiramer Acetate, Based on the Presence of Relapses in Patients With Relapsing-remitting Multiple Sclerosis.
Actual Study Start Date :
Dec 24, 2011
Actual Primary Completion Date :
Dec 26, 2015
Actual Study Completion Date :
Dec 26, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Naive or de novo participants

Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.

Drug: Fingolimod (FTY720)
Hard gelatin capsules containing 0.5 mg of fingolimod.

Experimental: Previously treated with first-line DMTs participants

Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.

Drug: Fingolimod (FTY720)
Hard gelatin capsules containing 0.5 mg of fingolimod.

Outcome Measures

Primary Outcome Measures

  1. Annual Relapse Rate (ARR) [12 months]

    ARR = 365 days * number of relapses / total days taking the study medication.

Secondary Outcome Measures

  1. Time to First Relapse [first day of treatment to the first day of a new neurological symptom or worsening of an existing one, up to 12 months]

    Time to first relapse was defined as the time from the first day of treatment to the first day of a new neurological symptom or worsening of an existing one.

  2. Change From Baseline in Expanded Disability Status Scale (EDSS) Score [baseline, 12 months]

    The EDSS is an ordinal clinical rating scale ranging from a total score of 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments. A negative change from baseline indicates improvement.

  3. Change From Baseline in Cerebral Volume [baseline, 12 months]

    Cerebral volume was assessed by magnetic resonance imaging (MRI). A negative change from baseline indicates improvement.

  4. Percentage of Participants With Mild, Moderate or Severe Relapse [12 months]

    The investigator classified a relapse as moderate-severe if oral or intravenous (IV) treatment (according to the local clinical practice) with steroids and/or hospitalization was needed. If neither oral nor IV treatment with steroids nor hospitalization was needed, the relapse was considered as mild.

  5. Percentage of Relapse-free Participants [12 months]

    Relapse-free participants were defined as participants who experienced no new neurological symptom or worsening of an existing one (relapses) during the 12-month treatment period with 0.5 mg fingolimod.

  6. Mean Number of T2 Active Lesions [12 months]

    The mean number of new or enlarged T2 active lesions was assessed by MRI.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients diagnosed with multiple sclerosis, according to the 2010 revised McDonald criteria, with a relapsing-remitting course, and with at least 9 T2 lesions consistent with the disease, with disease duration greater than or equal to one year and less than or equal to five years.

  • Patients who have had at least two relapses in the past two years and an Expanded Disability Status Scale score between 0 and 3.5, inclusive.

Patients

  • Treatment naïve: patients who have never been treated with a Disease Modifying Therapy or

  • Previously treated with a first-line Disease Modifying Therapy

Exclusion Criteria:
  • Patients who have received treatment with:

Fingolimod at any time (e.g. participation in a fingolimod clinical trial), Immunosuppressant drugs such as azathioprine or methotrexate at any time; Immunoglobulins in the past 6 months. Monoclonal antibodies including natalizumab, Cladribine, cyclophosphamide or mitoxantrone, at any time.

  • Other protocol defined inclusion/exclusion criteria may apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novartis Investigative Site East Gosford New South Wales Australia 2250
2 Novartis Investigative Site Kanwal New South Wales Australia 2259
3 Novartis Investigative Site Liverpool New South Wales Australia 2170
4 Novartis Investigative Site New Lambton Heights New South Wales Australia 2305
5 Novartis Investigative Site Sydney New South Wales Australia 2050
6 Novartis Investigative Site Auchenflower Queensland Australia 4066
7 Novartis Investigative Site Adelaide South Australia Australia
8 Novartis Investigative Site Box Hill Victoria Australia 3128
9 Novartis Investigative Site Fitzroy Victoria Australia 3011
10 Novartis Investigative Site Melbourne Victoria Australia 3000
11 Novartis Investigative Site Parkville Victoria Australia 3050
12 Novartis Investigative Site Nedlands Western Australia Australia 6009
13 Novartis Investigative Site Bedford Park Australia SA 5042
14 Novartis Investigative Site Brisbane Queensland Australia 4029
15 Novartis Investigative Site Geelong VIC Australia 3220
16 Novartis Investigative Site Ferrol A Coruna Spain 15405
17 Novartis Investigative Site Córdoba Andalucia Spain 14004
18 Novartis Investigative Site Granada Andalucia Spain 18012
19 Novartis Investigative Site Malaga Andalucia Spain 29010
20 Novartis Investigative Site Sevilla Andalucia Spain 41009
21 Novartis Investigative Site Sevilla Andalucia Spain 41014
22 Novartis Investigative Site Oviedo Asturias Spain 33006
23 Novartis Investigative Site Santander Cantabria Spain 39008
24 Novartis Investigative Site Albacete Castilla La Mancha Spain 02006
25 Novartis Investigative Site Valladolid Castilla Y Leon Spain 47011
26 Novartis Investigative Site Leon Castilla Y León Spain 24080
27 Novartis Investigative Site Badalona Catalunya Spain 08916
28 Novartis Investigative Site Barcelona Catalunya Spain 08035
29 Novartis Investigative Site Barcelona Catalunya Spain 08036
30 Novartis Investigative Site Tarragona Cataluña Spain 43007
31 Novartis Investigative Site Valencia Comunidad Valenciana Spain 46010
32 Novartis Investigative Site Valencia Comunidad Valenciana Spain 46017
33 Novartis Investigative Site Valencia Comunidad Valenciana Spain 46026
34 Novartis Investigative Site La Coruna Galicia Spain 15006
35 Novartis Investigative Site Palma De Mallorca Islas Baleares Spain 07120
36 Novartis Investigative Site Las Palmas de Gran Canaria Las Palmas De G.C Spain 35010
37 Novartis Investigative Site Pamplona Navarra Spain 31008
38 Novartis Investigative Site Barakaldo Pais Vasco Spain 48903
39 Novartis Investigative Site Bilbao Pais Vasco Spain 48013
40 Novartis Investigative Site Barcelona Spain 08041
41 Novartis Investigative Site Las Palmas de Gran Canaria Spain 35016
42 Novartis Investigative Site Madrid Spain 28006
43 Novartis Investigative Site Madrid Spain 28007
44 Novartis Investigative Site Madrid Spain 28034
45 Novartis Investigative Site Madrid Spain 28040
46 Novartis Investigative Site Madrid Spain 28041
47 Novartis Investigative Site Santa Cruz de Tenerife Spain 38009

Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01498887
Other Study ID Numbers:
  • CFTY720DES03
  • 2011-003484-30
First Posted:
Dec 26, 2011
Last Update Posted:
Jan 25, 2019
Last Verified:
Aug 1, 2018
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Novartis Pharmaceuticals
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail This was an open-label, non-randomized, parallel group study.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Period Title: Overall Study
STARTED 200 147
Safety Set 200 147
Intent-to-treat 185 135
COMPLETED 184 136
NOT COMPLETED 16 11

Baseline Characteristics

Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants Total
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Total of all reporting groups
Overall Participants 185 135 320
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
33.1
(8.08)
34.0
(7.44)
33.5
(7.81)
Sex: Female, Male (Count of Participants)
Female
137
74.1%
88
65.2%
225
70.3%
Male
48
25.9%
47
34.8%
95
29.7%

Outcome Measures

1. Primary Outcome
Title Annual Relapse Rate (ARR)
Description ARR = 365 days * number of relapses / total days taking the study medication.
Time Frame 12 months

Outcome Measure Data

Analysis Population Description
The ITT population was analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 185 135
Mean (Standard Deviation) [Relapses per year]
0.290
(0.7399)
0.354
(0.8547)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Naive or de Novo Participants, Previously Treated With First-line DMTs Participants
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3118
Comments
Method Wilcoxon (Mann-Whitney)
Comments
2. Secondary Outcome
Title Time to First Relapse
Description Time to first relapse was defined as the time from the first day of treatment to the first day of a new neurological symptom or worsening of an existing one.
Time Frame first day of treatment to the first day of a new neurological symptom or worsening of an existing one, up to 12 months

Outcome Measure Data

Analysis Population Description
The ITT population was analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 185 135
Median (95% Confidence Interval) [months]
NA
NA
3. Secondary Outcome
Title Change From Baseline in Expanded Disability Status Scale (EDSS) Score
Description The EDSS is an ordinal clinical rating scale ranging from a total score of 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments. A negative change from baseline indicates improvement.
Time Frame baseline, 12 months

Outcome Measure Data

Analysis Population Description
Participants from the ITT population with both baseline and 12 month values were analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 182 130
Mean (Standard Deviation) [score on a scale]
0.000
(0.8040)
-0.077
(0.7911)
4. Secondary Outcome
Title Change From Baseline in Cerebral Volume
Description Cerebral volume was assessed by magnetic resonance imaging (MRI). A negative change from baseline indicates improvement.
Time Frame baseline, 12 months

Outcome Measure Data

Analysis Population Description
Participants from the ITT population with both baseline and 12 month values were analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 92 43
Mean (95% Confidence Interval) [Percent change]
-0.595
-0.387
5. Secondary Outcome
Title Percentage of Participants With Mild, Moderate or Severe Relapse
Description The investigator classified a relapse as moderate-severe if oral or intravenous (IV) treatment (according to the local clinical practice) with steroids and/or hospitalization was needed. If neither oral nor IV treatment with steroids nor hospitalization was needed, the relapse was considered as mild.
Time Frame 12 months

Outcome Measure Data

Analysis Population Description
Only participants from the ITT population with severity values were analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 47 39
Mild
42.55
23%
38.46
28.5%
Moderate
57.45
31.1%
56.41
41.8%
Severe
0.00
0%
5.13
3.8%
6. Secondary Outcome
Title Percentage of Relapse-free Participants
Description Relapse-free participants were defined as participants who experienced no new neurological symptom or worsening of an existing one (relapses) during the 12-month treatment period with 0.5 mg fingolimod.
Time Frame 12 months

Outcome Measure Data

Analysis Population Description
The ITT population was analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 185 135
Number [Percent]
71.89
66.67
7. Secondary Outcome
Title Mean Number of T2 Active Lesions
Description The mean number of new or enlarged T2 active lesions was assessed by MRI.
Time Frame 12 months

Outcome Measure Data

Analysis Population Description
Participants from the ITT population with 12 month T2 lesion numbers were analyzed. The ITT consisted of all participants included in the safety population who met the inclusion/exclusion criteria and had at least one primary endpoint (ARR) measurement recorded.
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
Measure Participants 163 106
Mean (Standard Deviation) [T2 lesions]
2.0
(3.36)
1.6
(2.72)

Adverse Events

Time Frame Adverse events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All adverse events reported in this record are from date of First Patient First Treatment until Last Patient Last Visit, approximately 4 years.
Adverse Event Reporting Description
Arm/Group Title Naive or de Novo Participants Previously Treated With First-line DMTs Participants All Participants
Arm/Group Description Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months. Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.
All Cause Mortality
Naive or de Novo Participants Previously Treated With First-line DMTs Participants All Participants
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Naive or de Novo Participants Previously Treated With First-line DMTs Participants All Participants
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 11/200 (5.5%) 4/147 (2.7%) 15/347 (4.3%)
Cardiac disorders
Atrioventricular block 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Atrioventricular block second degree 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Bradycardia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Sinus bradycardia 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Hepatobiliary disorders
Cholelithiasis 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Hepatitis acute 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Immune system disorders
Drug hypersensitivity 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Infections and infestations
Lower respiratory tract infection 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Diffuse large B-cell lymphoma 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Nervous system disorders
Brain oedema 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Epilepsy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Multiple sclerosis relapse 2/200 (1%) 1/147 (0.7%) 3/347 (0.9%)
Partial seizures 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Reproductive system and breast disorders
Ovarian cyst 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Other (Not Including Serious) Adverse Events
Naive or de Novo Participants Previously Treated With First-line DMTs Participants All Participants
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 143/200 (71.5%) 114/147 (77.6%) 257/347 (74.1%)
Blood and lymphatic system disorders
Anaemia 3/200 (1.5%) 0/147 (0%) 3/347 (0.9%)
Iron deficiency anaemia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Lymphadenitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Lymphadenopathy 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Lymphocytosis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Lymphopenia 9/200 (4.5%) 7/147 (4.8%) 16/347 (4.6%)
Microcytic anaemia 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Cardiac disorders
Atrioventricular block first degree 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Bradycardia 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Palpitations 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Tachycardia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Congenital, familial and genetic disorders
Retinal anomaly congenital 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Ear and labyrinth disorders
Cerumen impaction 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Ear pain 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Hypoacusis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Tinnitus 2/200 (1%) 1/147 (0.7%) 3/347 (0.9%)
Vertigo 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Eye disorders
Amblyopia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Astigmatism 2/200 (1%) 1/147 (0.7%) 3/347 (0.9%)
Conjunctival haemorrhage 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Conjunctivitis 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Diplopia 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Dry eye 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Erythema of eyelid 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Eye pain 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Eyelid oedema 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Macular oedema 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Myopia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Ocular hyperaemia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Optic atrophy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Pinguecula 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Presbyopia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Retinal pigment epitheliopathy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Strabismus 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Vision blurred 2/200 (1%) 3/147 (2%) 5/347 (1.4%)
Visual impairment 2/200 (1%) 2/147 (1.4%) 4/347 (1.2%)
Vitreous floaters 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Gastrointestinal disorders
Abdominal discomfort 3/200 (1.5%) 1/147 (0.7%) 4/347 (1.2%)
Abdominal distension 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Abdominal pain 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Abdominal pain upper 5/200 (2.5%) 3/147 (2%) 8/347 (2.3%)
Constipation 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Dental caries 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Dental cyst 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Diarrhoea 5/200 (2.5%) 9/147 (6.1%) 14/347 (4%)
Dyspepsia 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Gastritis 3/200 (1.5%) 1/147 (0.7%) 4/347 (1.2%)
Gastrointestinal motility disorder 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Gastrooesophageal reflux disease 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Gingival bleeding 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Haemorrhoids 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Hyperchlorhydria 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Mouth ulceration 4/200 (2%) 1/147 (0.7%) 5/347 (1.4%)
Nausea 7/200 (3.5%) 5/147 (3.4%) 12/347 (3.5%)
Odynophagia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Oesophagitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Oral discomfort 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Oral pain 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Stomatitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Toothache 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Vomiting 2/200 (1%) 4/147 (2.7%) 6/347 (1.7%)
General disorders
Adverse drug reaction 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Chest discomfort 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Chest pain 1/200 (0.5%) 3/147 (2%) 4/347 (1.2%)
Exercise tolerance decreased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Fatigue 11/200 (5.5%) 9/147 (6.1%) 20/347 (5.8%)
Gait disturbance 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Influenza like illness 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Pain 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Pyrexia 1/200 (0.5%) 5/147 (3.4%) 6/347 (1.7%)
Hepatobiliary disorders
Biliary colic 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hepatic function abnormal 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Hepatomegaly 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hypertransaminasaemia 3/200 (1.5%) 0/147 (0%) 3/347 (0.9%)
Immune system disorders
Hypersensitivity 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Infections and infestations
Acute tonsillitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Bacterial vaginosis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Bronchitis 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Conjunctivitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Conjunctivitis viral 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Cystitis 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Ear infection 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Folliculitis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Fungal skin infection 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Gastric infection 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Gastroenteritis 9/200 (4.5%) 6/147 (4.1%) 15/347 (4.3%)
Gastroenteritis viral 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Genital herpes 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Genitourinary tract infection 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hand-foot-and-mouth disease 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Herpes ophthalmic 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Herpes simplex 2/200 (1%) 1/147 (0.7%) 3/347 (0.9%)
Herpes zoster 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Influenza 3/200 (1.5%) 3/147 (2%) 6/347 (1.7%)
Laryngitis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Lower respiratory tract infection 3/200 (1.5%) 0/147 (0%) 3/347 (0.9%)
Molluscum contagiosum 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Nasopharyngitis 16/200 (8%) 8/147 (5.4%) 24/347 (6.9%)
Onychomycosis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Ophthalmic herpes zoster 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Oral herpes 7/200 (3.5%) 5/147 (3.4%) 12/347 (3.5%)
Paronychia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Periodontitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Pertussis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Pharyngitis 8/200 (4%) 4/147 (2.7%) 12/347 (3.5%)
Pharyngitis bacterial 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Pharyngitis streptococcal 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Pharyngotonsillitis 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Pneumonia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Respiratory tract infection 4/200 (2%) 2/147 (1.4%) 6/347 (1.7%)
Rhinitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Sinusitis 3/200 (1.5%) 2/147 (1.4%) 5/347 (1.4%)
Sinusitis bacterial 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Skin infection 0/200 (0%) 3/147 (2%) 3/347 (0.9%)
Tinea versicolour 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Tonsillitis 6/200 (3%) 3/147 (2%) 9/347 (2.6%)
Tonsillitis bacterial 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Tooth abscess 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Tooth infection 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Tracheobronchitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Upper respiratory tract infection 15/200 (7.5%) 12/147 (8.2%) 27/347 (7.8%)
Urinary tract infection 15/200 (7.5%) 15/147 (10.2%) 30/347 (8.6%)
Viral infection 3/200 (1.5%) 0/147 (0%) 3/347 (0.9%)
Viral pharyngitis 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Vulvovaginal candidiasis 2/200 (1%) 5/147 (3.4%) 7/347 (2%)
Vulvovaginal mycotic infection 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Wound infection bacterial 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Injury, poisoning and procedural complications
Accident 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Contusion 3/200 (1.5%) 0/147 (0%) 3/347 (0.9%)
Fall 1/200 (0.5%) 3/147 (2%) 4/347 (1.2%)
Foot fracture 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Ligament sprain 2/200 (1%) 1/147 (0.7%) 3/347 (0.9%)
Maternal exposure during pregnancy 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Muscle injury 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Road traffic accident 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Investigations
Alanine aminotransferase increased 2/200 (1%) 5/147 (3.4%) 7/347 (2%)
Aspartate aminotransferase increased 0/200 (0%) 5/147 (3.4%) 5/347 (1.4%)
B-lymphocyte count decreased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Blood calcium decreased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Blood chloride increased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Blood cholesterol increased 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Blood iron decreased 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Blood pressure increased 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Blood triglycerides increased 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
CD4 lymphocytes decreased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
CD8 lymphocytes decreased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Electrocardiogram T wave abnormal 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Gamma-glutamyltransferase increased 0/200 (0%) 3/147 (2%) 3/347 (0.9%)
Hepatic enzyme increased 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Liver function test abnormal 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Low density lipoprotein increased 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Lymphocyte count decreased 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Micturition urgency 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
T-lymphocyte count decreased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Transaminases abnormal 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Weight decreased 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Weight increased 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Metabolism and nutrition disorders
Diabetes mellitus 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Dyslipidaemia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Hypercholesterolaemia 3/200 (1.5%) 4/147 (2.7%) 7/347 (2%)
Hypertriglyceridaemia 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Hypocalcaemia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Hypokalaemia 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Hypophosphataemia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Lactose intolerance 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Polydipsia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Vitamin D deficiency 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Musculoskeletal and connective tissue disorders
Arthralgia 1/200 (0.5%) 3/147 (2%) 4/347 (1.2%)
Back pain 12/200 (6%) 4/147 (2.7%) 16/347 (4.6%)
Bursitis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Haemophilic arthropathy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Muscle contracture 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Muscle spasms 0/200 (0%) 3/147 (2%) 3/347 (0.9%)
Muscular weakness 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Musculoskeletal pain 1/200 (0.5%) 3/147 (2%) 4/347 (1.2%)
Musculoskeletal stiffness 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Myokymia 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Neck pain 5/200 (2.5%) 6/147 (4.1%) 11/347 (3.2%)
Pain in extremity 2/200 (1%) 2/147 (1.4%) 4/347 (1.2%)
Sjogren's syndrome 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Spondylolisthesis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Synovial cyst 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Tendonitis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Anogenital warts 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Basal cell carcinoma 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Fibroadenoma of breast 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Fibrous histiocytoma 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Melanocytic naevus 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Seborrhoeic keratosis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Skin papilloma 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Superficial spreading melanoma stage unspecified 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Nervous system disorders
Amnesia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Aphonia 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Balance disorder 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Burning sensation 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Carpal tunnel syndrome 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Cervicobrachial syndrome 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Dizziness 5/200 (2.5%) 7/147 (4.8%) 12/347 (3.5%)
Dysaesthesia 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Epilepsy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Head discomfort 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Headache 17/200 (8.5%) 17/147 (11.6%) 34/347 (9.8%)
Hemiparesis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hyperreflexia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Hypersomnia 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hypoaesthesia 1/200 (0.5%) 3/147 (2%) 4/347 (1.2%)
Lethargy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Migraine 6/200 (3%) 6/147 (4.1%) 12/347 (3.5%)
Migraine with aura 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Migraine without aura 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Multiple sclerosis relapse 2/200 (1%) 1/147 (0.7%) 3/347 (0.9%)
Neuralgia 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Neurological symptom 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Neuropathy peripheral 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Optic neuritis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Paraesthesia 3/200 (1.5%) 4/147 (2.7%) 7/347 (2%)
Partial seizures 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Presyncope 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Restless legs syndrome 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Sciatica 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Sensorimotor disorder 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Sleep paralysis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Somnolence 1/200 (0.5%) 2/147 (1.4%) 3/347 (0.9%)
Syncope 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Tension headache 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Typical aura without headache 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Uhthoff's phenomenon 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
VIIth nerve paralysis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Psychiatric disorders
Adjustment disorder with mixed anxiety and depressed mood 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Anxiety 11/200 (5.5%) 6/147 (4.1%) 17/347 (4.9%)
Anxiety disorder 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Bruxism 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Confusional state 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Depressed mood 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Depression 9/200 (4.5%) 6/147 (4.1%) 15/347 (4.3%)
Dysthymic disorder 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Generalised anxiety disorder 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Insomnia 5/200 (2.5%) 3/147 (2%) 8/347 (2.3%)
Laziness 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Personality disorder 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Renal and urinary disorders
Dysuria 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Lower urinary tract symptoms 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Micturition urgency 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Neurogenic bladder 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Pollakiuria 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Polyuria 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Renal colic 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Renal pain 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Urinary incontinence 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Urinary retention 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Reproductive system and breast disorders
Amenorrhoea 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Benign prostatic hyperplasia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Cervical dysplasia 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Dysmenorrhoea 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Erectile dysfunction 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Menorrhagia 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Menstrual disorder 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Metrorrhagia 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Sexual dysfunction 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Respiratory, thoracic and mediastinal disorders
Cough 1/200 (0.5%) 4/147 (2.7%) 5/347 (1.4%)
Dyspnoea 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Epistaxis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Nasal dryness 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Oropharyngeal pain 3/200 (1.5%) 1/147 (0.7%) 4/347 (1.2%)
Skin and subcutaneous tissue disorders
Acne 3/200 (1.5%) 2/147 (1.4%) 5/347 (1.4%)
Actinic keratosis 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Alopecia 4/200 (2%) 3/147 (2%) 7/347 (2%)
Dermatitis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Dermatitis allergic 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Dermatitis atopic 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Eczema 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Eczema nummular 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Erythema 0/200 (0%) 2/147 (1.4%) 2/347 (0.6%)
Hand dermatitis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hidradenitis 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hyperhidrosis 2/200 (1%) 0/147 (0%) 2/347 (0.6%)
Night sweats 1/200 (0.5%) 1/147 (0.7%) 2/347 (0.6%)
Pain of skin 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Rash 4/200 (2%) 0/147 (0%) 4/347 (1.2%)
Rash macular 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Rash pruritic 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Seborrhoeic dermatitis 2/200 (1%) 2/147 (1.4%) 4/347 (1.2%)
Skin depigmentation 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Skin discolouration 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Skin fissures 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Skin hypertrophy 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Skin lesion 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Solar lentigo 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Surgical and medical procedures
Intraocular lens implant 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Skin lesion excision 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Tooth extraction 1/200 (0.5%) 0/147 (0%) 1/347 (0.3%)
Vascular disorders
Flushing 0/200 (0%) 1/147 (0.7%) 1/347 (0.3%)
Hypertension 1/200 (0.5%) 3/147 (2%) 4/347 (1.2%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.

Results Point of Contact

Name/Title Study Director
Organization Novartis Pharmaceuticals
Phone 862-778-8300
Email
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01498887
Other Study ID Numbers:
  • CFTY720DES03
  • 2011-003484-30
First Posted:
Dec 26, 2011
Last Update Posted:
Jan 25, 2019
Last Verified:
Aug 1, 2018