Table 3.
Study | Study design | Treatment armsx | Primary end point | Results |
---|---|---|---|---|
FREEDOMS II43 | Phase II, 6-month, double-blind, parallel-group, placebo-controlled, multicenter | Fingolimod 0.5 mg orally, daily Fingolimod 1.25 mg orally, daily Placebo |
Total number of Gd+ lesions on T1-w MRI at month 6 | Free from Gd+ lesions: 82% |
FIRST34 | Phase IIIb, 4-month, open-label, single-arm, multicenter | Fingolimod 0.5 mg orally, daily ×16 weeks | Evaluate the short-term safety and tolerability profile of fingolimod 0.5 mg with focus on cardiac safety | Cardiac effects following FDO are transient, mostly asymptomatic, and observed in the first 6 hours post-dose Suggest no increased risk of symptomatic or serious cardiac events during treatment initiation in patients with preexisting cardiac conditions or in those receiving beta blockers or calcium-channel blockers |
CFTY72045 DIT0340 | Non-comparative, open-label, multicenter (Italy) | Fingolimod 0.5 mg orally on FDO | Evaluate the safety and tolerability data associated with initial dose of Fingolimod | Safety and tolerability in “real-world” setting was similar to what was seen in pivotal trials |
EPOC46,71 | 6-month, randomized, active comparator, open-label, multicenter | Fingolimod 0.5 mg orally, daily IFNβ-1a 44 μg subcutaneous, 3 times a week GA 20 mg, subcutaneous, daily |
Evaluate the safety and tolerability and patient outcomes who are changing from previous disease-modifying therapy to fingolimod | Safety and tolerability similar to what was seen in pivotal trials |
Abbreviations: Gd+, gadolinium-enhanced; T1-w, T1-weighted; MRI, magnetic resonance imaging; FDO, first-dose observation; IFNβ-1a, interferon beta-1a; GA, glatiramer acetate.