Page last updated: 2024-11-07

fingolimod hydrochloride

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Fingolimod hydrochloride, also known as FTY720, is an immunosuppressant drug used to treat multiple sclerosis (MS). It is a sphingosine-1-phosphate (S1P) receptor modulator, specifically targeting S1P1 receptors. Fingolimod hydrochloride acts by preventing lymphocytes from leaving lymph nodes, thus reducing inflammation in the central nervous system. It is synthesized through a multi-step process starting from the natural product myriocin. Fingolimod hydrochloride was initially investigated for its potential to prevent organ transplant rejection, but its efficacy in reducing relapses and slowing disease progression in MS led to its approval for treatment. Ongoing research aims to explore its applications in other autoimmune diseases and to optimize its delivery and dosage for improved patient outcomes.'

Fingolimod Hydrochloride: A sphingosine-derivative and IMMUNOSUPPRESSIVE AGENT that blocks the migration and homing of LYMPHOCYTES to the CENTRAL NERVOUS SYSTEM through its action on SPHINGOSINE 1-PHOSPHATE RECEPTORS. It is used in the treatment of MULTIPLE SCLEROSIS. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

fingolimod hydrochloride : The hydrochloride salt of 2-amino-2-[2-(4-octylphenyl) ethyl]-1,3-propanediol (fingolimod). [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID107969
CHEMBL ID544665
CHEBI ID63112
SCHEMBL ID81362
MeSH IDM0259274

Synonyms (94)

Synonym
AC-1929
fingolimod (hydrochloride)
HY-12005
fingolimod hydrochloride
fty-720
tdi-132
gilenia
gilenya
fty-720a
imusera
fingolimod hydrochloride (jan/usan)
gilenya (tn)
D04187
162359-56-0
1,3-propanediol, 2-amino-2-(2-(4-octylphenyl)ethyl)-, hydrochloride
2-amino-2-(2-(4-octylphenyl)ethyl)-1,3-propanediol hydrochloride
fty 720
fingolimod hydrochloride [usan]
fty720 ,
fingolimod hcl
chebi:63112 ,
CHEMBL544665
fty-720 hydrochloride
fingolimod hydrochlorid
fty720 hydrochloride
fingolimod (as hydrochloride)
AKOS005145784
EC-000.2314
2-amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol hydrochloride
A25158
2-(4-octylphenethyl)-2-aminopropane-1,3-diol hydrochloride
FTY720 - FINGOLIMOD
2-amino-2-[2-(4-octyl-phenyl)-ethyl]-propane -1,3-diol hydrochloride
2-amino-2-(2-(4-octylphenyl)ethyl)propane-1,3-diol hydrochloride
2-amino-2-[2-(4-octylphenyl) ethyl]-1,3-propanediol hydrochloride
BCP9000705
FT-0643569
g926ec510t ,
unii-g926ec510t
BCPP000225
fty720,fingolimod
EPITOPE ID:156573
AM84549
CS-0114
S5002
fty720-d4 hydrochloride
fingolimod hydrochloride [who-dd]
fingolimod hydrochloride [ep monograph]
fingolimod hydrochloride [mi]
fingolimod hydrochloride [jan]
fingolimod hydrochloride [usp monograph]
fingolimod hydrochloride [orange book]
fingolimod hydrochloride [usp-rs]
SCHEMBL81362
smr004701287
MLS006010179
KS-1172
SWZTYAVBMYWFGS-UHFFFAOYSA-N
2-amino-2-[2-(4-octylphenyl)ethyl]-1,3-propanediol hydrochloride
2-amino-2-(4-octylphenethyl)propane-1,3-diol hydrochloride
mfcd00939512
2-amino-2-[2-(4-octylphenyl)-ethyl]-1,3-propanediol hydrochloride
fingolimod (fty720) hcl
2-amino-2-[2-(4-octyl-phenyl)-ethyl]-propane-1,3-diol hydrochloride
Q-101363
1,3-propanediol, 2-amino-2-[2-(4-octylphenyl)ethyl]-, hydrochloride
F1018
2-amino-2-[2-(4-n-octylphenyl)ethyl]propane-1,3-diol hydrochloride
2-amino-2-[2-(4-octylphenyl)ethyl]-1,3-propanediol, hydrochloride
DTXSID00167364 ,
2-amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol;hydrochloride
EX-A960
fingolimod hclfty-720
fingolimod, hcl
SW219384-1
fty720 free base
Q27132395
SR-01000942237-2
sr-01000942237
BCP01808
[1-hydroxy-2-(hydroxymethyl)-4-(4-octylphenyl)butan-2-yl]azanium;chloride
CCG-265016
1,3-propanediol, 2-amino-2-[2-(4-octylphenyl)ethyl]-, hydrochloride (1:1)
SY057854
fingolimodhydrochloride
BF164458
fingolimod hydrochloride- bio-x
fingolimod hydrochloride (ep monograph)
dtxcid5089855
2-amino-2-(2-(4-octylphenyl)ethyl)propan-1,3-diol hydrochloride
fingolimod hydrochloride (usp-rs)
fingolimod hydrochloride (usp monograph)
2-amino-2-(2-(4-octylphenyl) ethyl)-1,3-propanediol hydrochloride
2-amino-2-(2-(4-octylphenyl)ethyl)propane-1,3-diol monohydrochloride

Research Excerpts

Overview

Fingolimod hydrochloride is an effective immunomodulatory drug in improving relapsing-remitting multiple sclerosis (RRMS)

ExcerptReferenceRelevance
"Fingolimod hydrochloride is an effective immunomodulatory drug in improving relapsing-remitting multiple sclerosis (RRMS). "( Fingolimod-improved axonal and myelin integrity of white matter tracts associated with multiple sclerosis-related functional impairments.
Achiron, A; Gurevich, M; Stone, E; Waknin, R, 2018
)
1.92

Toxicity

ExcerptReferenceRelevance
" After completion of study drug administration, the patients were monitored until day 56 by serial laboratory tests, clinical examinations, and recording of adverse events."( Pharmacodynamics, pharmacokinetics, and safety of multiple doses of FTY720 in stable renal transplant patients: a multicenter, randomized, placebo-controlled, phase I study.
Chodoff, L; Ferguson, RM; Gonwa, TA; Kahan, BD; Karlix, JL; Leichtman, AB; Mulgaonkar, S; Schmouder, RL; Skerjanec, A, 2003
)
0.32
" Compared with placebo-treated patients, FTY720 subjects did not show a major increase in adverse events or a change in renal function."( Pharmacodynamics, pharmacokinetics, and safety of multiple doses of FTY720 in stable renal transplant patients: a multicenter, randomized, placebo-controlled, phase I study.
Chodoff, L; Ferguson, RM; Gonwa, TA; Kahan, BD; Karlix, JL; Leichtman, AB; Mulgaonkar, S; Schmouder, RL; Skerjanec, A, 2003
)
0.32
" In clinical trials, fingolimod was generally safe and well tolerated."( Mechanisms of fingolimod's efficacy and adverse effects in multiple sclerosis.
Chun, J; Cohen, JA, 2011
)
0.37
" Several screening studies and a first-dose observation (FDO) period are recommended due to adverse effects observed in clinical trials."( Early tolerability and safety of fingolimod in clinical practice.
Bermel, RA; Cohen, JA; Hara-Cleaver, C; Ontaneda, D; Rudick, RA, 2012
)
0.38
" Adverse events during FDO were self limited and included symptomatic bradycardia (n=3), chest tightness (n=2) and hypertension (n=1)."( Early tolerability and safety of fingolimod in clinical practice.
Bermel, RA; Cohen, JA; Hara-Cleaver, C; Ontaneda, D; Rudick, RA, 2012
)
0.38
"Fingolimod was well tolerated during FDO and adverse events were self limited."( Early tolerability and safety of fingolimod in clinical practice.
Bermel, RA; Cohen, JA; Hara-Cleaver, C; Ontaneda, D; Rudick, RA, 2012
)
0.38
" Safety and tolerability of fingolimod were evaluated by adverse events monitoring, laboratory tests, and ophthalmological and skin assessment."( Evaluation of efficacy, safety and tolerability of fingolimod in patients with the relapsing form of multiple sclerosis - 12-month observation. A preliminary report.
Maciejek, Z; Niezgodzińska-Maciejek, A; Wawrzyniak, S; Wójcik-Drączkowska, H,
)
0.13
" During fingolimod treatment there was no new relapse in any patient and no patient stopped the treatment because of any adverse event."( Evaluation of efficacy, safety and tolerability of fingolimod in patients with the relapsing form of multiple sclerosis - 12-month observation. A preliminary report.
Maciejek, Z; Niezgodzińska-Maciejek, A; Wawrzyniak, S; Wójcik-Drączkowska, H,
)
0.13
"In our study patients fingolimod was effective, safe and well tolerated independently of disease activity and previous treatment."( Evaluation of efficacy, safety and tolerability of fingolimod in patients with the relapsing form of multiple sclerosis - 12-month observation. A preliminary report.
Maciejek, Z; Niezgodzińska-Maciejek, A; Wawrzyniak, S; Wójcik-Drączkowska, H,
)
0.13
" Fingolimod 0·5 mg caused more of the following adverse events versus placebo: lymphopenia (27 [8%] patients vs 0 patients), increased alanine aminotransferase (29 [8%] vs six [2%]), herpes zoster infection (nine [3%] vs three [1%]), hypertension (32 [9%] vs 11 [3%]), first-dose bradycardia (five [1%] vs one [<0·5%]), and first-degree atrioventricular block (17 [5%] vs seven [2%])."( Safety and efficacy of fingolimod in patients with relapsing-remitting multiple sclerosis (FREEDOMS II): a double-blind, randomised, placebo-controlled, phase 3 trial.
Agius, MA; Calabresi, PA; Cappiello, L; Goodin, D; Jeffery, D; Kappos, L; Li, B; Lublin, FD; Radue, EW; Rammohan, KW; Reder, AT; Stites, T; Vollmer, T; von Rosenstiel, P, 2014
)
0.4
"2%) did not experience any adverse event (AE) following fingolimod administration."( Safety of the first dose of fingolimod for multiple sclerosis: results of an open-label clinical trial.
Brogi, D; Comi, G; Guidi, L; Laroni, A; Lugaresi, A; Mancardi, GL; Morra, VB; Pozzilli, C; Raimondi, D; Turrini, R; Uccelli, A, 2014
)
0.4
"These results, in a population who better resembled real-world clinical practice in terms of concomitant diseases and medications, are consistent with previous clinical trials and confirmed that the first dose administration of fingolimod is generally safe and well tolerated."( Safety of the first dose of fingolimod for multiple sclerosis: results of an open-label clinical trial.
Brogi, D; Comi, G; Guidi, L; Laroni, A; Lugaresi, A; Mancardi, GL; Morra, VB; Pozzilli, C; Raimondi, D; Turrini, R; Uccelli, A, 2014
)
0.4
" Frequent adverse effects include fatigue, gastrointestinal disturbance, headache and upper respiratory tract infection."( Overview and safety of fingolimod hydrochloride use in patients with multiple sclerosis.
Goldman, MD; Jones, DE; Ward, MD, 2014
)
0.71
" To preclude OSU-2S-mediated effects on these ubiquitous phosphatases in unintended cells and avoid potential adverse effects, we developed an OSU-2S-targeted delivery of immunonanoparticles (2A2-OSU-2S-ILP), that mediated selective cytotoxicity of CLL but not normal B cells through targeting receptor tyrosine kinase ROR1 expressed in leukemic but not normal B cells."( Tumor antigen ROR1 targeted drug delivery mediated selective leukemic but not normal B-cell cytotoxicity in chronic lymphocytic leukemia.
Andritsos, L; Baskar, S; Byrd, JC; Chen, CS; Chiang, CL; Flynn, J; Frissora, FW; Jones, J; Lee, LJ; Lee, RJ; Mani, R; Mao, Y; Mo, X; Muthusamy, N; Phelps, MA; Rader, C; Wang, J; Wu, Y; Yan, R; Yu, B; Yu, L; Zhao, Y, 2015
)
0.42
" Safety assessments included the incidence of adverse events and serious adverse events."( Efficacy and safety of fingolimod in Hispanic patients with multiple sclerosis: pooled clinical trial analyses.
Chinea Martinez, AR; Correale, J; Coyle, PK; Meng, X; Tenenbaum, N, 2014
)
0.4
" The risks associated with the use of fingolimod include cardiovascular adverse events (AEs)."( Long-term cardiac safety and tolerability of fingolimod in multiple sclerosis: A postmarketing study.
D'Onghia, M; Direnzo, V; Manni, A; Paolicelli, D; Tortorella, C; Trojano, M; Zoccolella, S, 2015
)
0.42
" Safety and tolerability assessments were based on adverse events, clinically notable laboratory abnormalities, vital signs, ophthalmic examinations, and electrocardiograms."( Safety and Tolerability of Fingolimod in Latin American Patients with Relapsing-Remitting Multiple Sclerosis: The Open-Label FIRST LATAM Study.
Alvarenga, R; Cruz, A; Frider, N; Ordoñez-Boschetti, L; Rey, R; Reynolds, T; Sinha, A, 2015
)
0.42
" Adverse events (AEs) were predominantly mild (n = 49, 35."( Safety and Tolerability of Fingolimod in Latin American Patients with Relapsing-Remitting Multiple Sclerosis: The Open-Label FIRST LATAM Study.
Alvarenga, R; Cruz, A; Frider, N; Ordoñez-Boschetti, L; Rey, R; Reynolds, T; Sinha, A, 2015
)
0.42
" Elevation of liver function tests (LFTs) and reduction in peripheral-blood lymphocyte counts were among the most common adverse events reported in phase II, phase III, and extension studies."( Safety and efficacy of reduced fingolimod dosage treatment.
Khoury, SJ; Sawaya, RA; Yamout, BI; Zeineddine, MM, 2015
)
0.42
" The drug is usually well tolerated, and common adverse effects include bradycardia, headache, influenza, diarrhea, back pain, increased liver enzyme levels, and cough."( Fingolimod-Associated Peripheral Vascular Adverse Effects.
Bramanti, P; Calabrò, RS; Guarneri, C; Mazzon, E; Russo, M; Sessa, E, 2015
)
0.42
" experimental autoimmune encephalomyelitis (EAE) but without the adverse effects observed with FTY720."( AKP-11 - A Novel S1P1 Agonist with Favorable Safety Profile Attenuates Experimental Autoimmune Encephalomyelitis in Rat Model of Multiple Sclerosis.
Dhindsa, JS; Gill, GS; Grobelny, DW; Samuvel, DJ; Saxena, N; Singh, AK; Singh, I, 2015
)
0.42
"3%) patients experienced adverse events with lymphopenia, increase liver enzymes, urinary tract infections and fatigue being the most common."( Safety and efficacy of fingolimod in clinical practice: The experience of an academic center in the Middle East.
Khoury, SJ; Tamim, H; Yamout, BI; Zeineddine, MM, 2015
)
0.42
" In our cohort fingolimod was safe and efficacious irrespective of comorbidities and previous treatment."( Efficacy and Safety of Fingolimod in an Unselected Patient Population.
Andelova, M; Derfuss, T; Kappos, L; Lindberg, RL; Naegelin, Y; Rasenack, M; Rychen, J; Sprenger, T; Stippich, C, 2016
)
0.43
" Search terms and medical subject headings used in trials involving PP2A activators as well as a specific search were performed for 'adverse events', 'serious adverse events', 'delays in treatment', ' side effects' and 'toxicity' for primary objectives."( A systematic evaluation of the safety and toxicity of fingolimod for its potential use in the treatment of acute myeloid leukaemia.
D'Crus, A; Enjeti, AK; Melville, K; Rowlings, P; Verrills, NM, 2016
)
0.43
" To choose between these DMTs, knowledge of side-effect profiles is imperative."( Update on monitoring and adverse effects of approved second-generation disease-modifying therapies in relapsing forms of multiple sclerosis.
Cano, CA; Dubey, D; Stüve, O, 2016
)
0.43
" Its use seems to be limited by significant adverse effects and regular monitoring requirement."( Update on monitoring and adverse effects of approved second-generation disease-modifying therapies in relapsing forms of multiple sclerosis.
Cano, CA; Dubey, D; Stüve, O, 2016
)
0.43
"In this review, we outline the potential adverse effects and recommended laboratory studies as part of the monitoring strategy following initiation of various DMTs."( Update on monitoring and adverse effects of approved second-generation disease-modifying therapies in relapsing forms of multiple sclerosis.
Cano, CA; Dubey, D; Stüve, O, 2016
)
0.43
" The patients had good disease control and no adverse events were reported."( Safety of switching from natalizumab straight into fingolimod in a group of JCV-positive patients with multiple sclerosis.
Alves-Leon, SV; Becker, J; Brooks, JB; Correa, EC; Damasceno, A; Fragoso, YD; Gama, PD; Gama, RA; Maciel, EP; Matta, AP; Winckler, TC, 2016
)
0.43
"5 mg were assessed by recording adverse events (AEs) and serious AEs (SAEs)."( Safety and tolerability of fingolimod in patients with relapsing-remitting multiple sclerosis: results of an open-label clinical trial in Italy.
Brescia Morra, V; Brogi, D; Comi, G; Guidi, L; Laroni, A; Lugaresi, A; Mancardi, GL; Pozzilli, C; Raimondi, D; Turrini, R; Uccelli, A, 2017
)
0.46
" The occurrence of adverse events was also assessed."( Safety and Efficacy of Fingolimod and Natalizumab in Multiple Sclerosis After the Failure of First-Line Therapy: Single Center Experience Based on the Treatment of Forty-Four Patients.
Lasek-Bal, A; Puz, P, 2016
)
0.43
" Fingolimod-associated macular oedema (FAME) is the most common ocular side effect but retinal haemorrhages and retinal vein occlusion can occur."( Fingolimod: therapeutic mechanisms and ocular adverse effects.
Fusi-Rubiano, W; Gupta, A; Keane, PA; Mandal, P; Yang, Y, 2017
)
0.46
" In the current study, we evaluated potential adverse effects of fingolimod eyedrops."( Adverse Effect Profile of Topical Ocular Administration of Fingolimod for Treatment of Dry Eye Disease.
Sun, L; Xiao, W; Ye, W; Zhang, N, 2017
)
0.46
" In a subset of 204 patients, we monitored cardiac and pulmonary adverse effects following treatment initiation."( Early safety and efficacy of fingolimod treatment in Denmark.
Koch-Henriksen, N; Magyari, M; Oturai, AB; Sellebjerg, F; Sørensen, PS; Voldsgaard, A, 2017
)
0.46
"Fingolimod appears to be safe and effective in MS patients in a clinical setting."( Early safety and efficacy of fingolimod treatment in Denmark.
Koch-Henriksen, N; Magyari, M; Oturai, AB; Sellebjerg, F; Sørensen, PS; Voldsgaard, A, 2017
)
0.46
" Serious adverse events were reported in 13."( Long-term efficacy and safety of fingolimod in Japanese patients with relapsing multiple sclerosis: 3-year results of the phase 2 extension study.
Auberson, LZ; Hao, Q; Itoyama, Y; Kikuchi, S; Kira, JI; Kurosawa, T; Nagato, K; Saida, T; Tsumiyama, I; Ueda, K, 2017
)
0.46
" The drug is safe and effective, and its first hours of use are associated with related to S1P receptors in the heart."( Multiple sclerosis treatment with fingolimod: profile of non-cardiologic adverse events.
Fragoso, YD, 2017
)
0.46
"Fingolimod is safe and well-tolerated and can reduce circulating lymphocytes in ALS patients."( Phase IIa trial of fingolimod for amyotrophic lateral sclerosis demonstrates acceptable acute safety and tolerability.
Appel, S; Atassi, N; Berry, JD; Gill, A; Goyal, N; Grasso, DL; Macklin, EA; Mateen, F; Mejia, NI; Paganoni, S; Perrin, S; Rivner, M; Simpson, E; Tassinari, V; Vieira, F, 2017
)
0.46
" Adverse effects of teriflunomide are well characterized and can be considered manageable."( Comparison of efficacy and safety of oral agents for the treatment of relapsing-remitting multiple sclerosis.
Bramanti, P; Guarnera, C; Mazzon, E, 2017
)
0.46
" Forty-two percent of patients experienced adverse events: headache, fatigue, liver enzyme elevation, and lymphopenia were the most commonly found."( Real-World Safety and Patient Profile of Fingolimod in Relapsing-Remitting Multiple Sclerosis: A Prospective Analysis in Buenos Aires, Argentina.
Cristiano, E; Miguez, J; Patrucco, L; Rojas, JI,
)
0.13
" We aimed to describe our experience with Fingolimod (FTY), correlating demographics, clinical and hematological features of the Relapsing MS (RMS) cohort with the occurring Adverse Events (AEs)."( Gender differences in safety issues during Fingolimod therapy: Evidence from a real-life Relapsing Multiple Sclerosis cohort.
Di Lecce, V; Direnzo, V; Iaffaldano, A; Iaffaldano, P; Manni, A; Paolicelli, D; Tortorella, C; Trojano, M; Zoccolella, S, 2017
)
0.46
" Mode of action, adverse effects, reported risks for infections and malignancies, and pregnancy related issues are discussed in the review."( Managing the side effects of multiple sclerosis therapy: pharmacotherapy options for patients.
Rommer, PS; Zettl, UK, 2018
)
0.48
" The overall adverse events in our study were similar to those in previous studies."( Clinical effectiveness and safety of fingolimod in relapsing remitting multiple sclerosis in Western Iran.
Afshari, D; Ansarian, A; Bostani, A; Moghadasi, AN; Moradian, N; Ouspid, E; Razazian, N; Sariaslani, P, 2018
)
0.48
" Demographic and clinical and imaging characteristics, including annualized relapse rate (ARR), Expanded Disability Status Score, previous treatment, adverse events, treatment duration, and reason for discontinuation, were analyzed."( Safety and Effectiveness of Fingolimod in Real-World Multiple Sclerosis Portuguese Patients.
Cheganças Capela, CM; Dos Santos Manita, MA; Fiadeiro Sequeira, JP; Gomes Pedrosa, RM; Lopes de Sousa, AS; Ribeiro de Barros, AH,
)
0.13
"8%) discontinued treatment because of adverse drug reactions, and 2 (3."( Safety and Effectiveness of Fingolimod in Real-World Multiple Sclerosis Portuguese Patients.
Cheganças Capela, CM; Dos Santos Manita, MA; Fiadeiro Sequeira, JP; Gomes Pedrosa, RM; Lopes de Sousa, AS; Ribeiro de Barros, AH,
)
0.13
" Fingolimod was well tolerated with low rates of discontinuation and adverse events."( Safety and Effectiveness of Fingolimod in Real-World Multiple Sclerosis Portuguese Patients.
Cheganças Capela, CM; Dos Santos Manita, MA; Fiadeiro Sequeira, JP; Gomes Pedrosa, RM; Lopes de Sousa, AS; Ribeiro de Barros, AH,
)
0.13
" Adverse events were also recorded during the follow-up period."( [Efficacy and safety of fingolimod in routine clinical practice in patients with relapsing-remitting multiple sclerosis in Spain: an intermediate analysis of the MS NEXT study].
Barrero, F; En Representacion de Los Investigadores Del Estudio Ms Next, ERLIDEMN; Garcia, E; Mallada-Frechin, J; Martinez-Gines, ML; Marzo-Sola, ME; Meca-Lallana, V; Ricart, J, 2018
)
0.48
"We retrospectively identified patients at 12 German neurology centers and analyzed risks for disease activity, adverse events, disability progression, and treatment discontinuation."( Efficacy and safety of alemtuzumab versus fingolimod in RRMS after natalizumab cessation.
Aufenberg, C; Doerck, S; Eienbroeker, C; Haas, J; Kleinschnitz, C; Klotz, L; Lang, M; Lee, DH; Limmroth, V; Linker, RA; Meuth, SG; Pawlitzki, M; Pfeuffer, S; Pul, R; Ruck, T; Schmidt, R; Straeten, FA; Straeten, V; Tackenberg, B; Wiendl, H; Wieshuber, M; Wildemann, B; Windhagen, S, 2019
)
0.51
" The pharmacovigilance component consists of informing patients of fingolimod recommendations, reminding patients of recommended medical tests, and tracking and monitoring symptoms, especially those of potential serious adverse fingolimod reactions."( Promoting transitions of care, safety, and medication adherence for patients taking fingolimod in community pharmacies.
Berger, J; Bourdin, A; Bugnon, O; Schluep, M, 2019
)
0.51
"Cardiac parameters and adverse events (AEs) were recorded by healthcare professionals performing fingolimod FDOs in the US Gilenya@Home program or in US Gilenya Assessment Network clinics."( Analysis of cardiac monitoring and safety data in patients initiating fingolimod treatment in the home or in clinic.
Brown, B; Kolodny, S; Meng, X; Osborne, JA; Weiss, JL; Williams, IM, 2019
)
0.51
"In clinical trials, Fingolimod was an efficacious and safe treatment for multiple sclerosis (MS)."( Short term real-world Fingolimod efficacy and safety in Emirati patients with multiple sclerosis.
Abusamra, E; Ceccarelli, A; Hussain, SI; Mifsud, V, 2020
)
0.56
" No significant difference was noted in the prevalence of adverse events between the fingolimod treatment group and the placebo/disease-modifying therapy groups."( The efficacy and safety of fingolimod in patients with relapsing multiple sclerosis: A meta-analysis.
Chen, CY; Cui, YM; Li, M; Ma, LY; Tian, X; Wu, Y; Yang, T; Zhou, S; Zhou, Y, 2020
)
0.56
" We examined laboratory test abnormalities and adverse health conditions in new users."( Short-term laboratory and related safety outcomes for the multiple sclerosis oral disease-modifying therapies: an observational study.
Carruthers, R; Evans, C; Kingwell, E; Marrie, RA; Tremlett, H; Walld, R; Zhang, T; Zhu, F, 2021
)
0.62
"The short-term, real-world incidences of abnormal laboratory results or adverse events were consistent with the pivotal clinical trial findings."( Short-term laboratory and related safety outcomes for the multiple sclerosis oral disease-modifying therapies: an observational study.
Carruthers, R; Evans, C; Kingwell, E; Marrie, RA; Tremlett, H; Walld, R; Zhang, T; Zhu, F, 2021
)
0.62
" Sociodemographic and medical characteristics, patient safety data (patient-reported symptoms, discontinuations due to adverse events (AEs), repeated first-dose monitoring), and medication adherence (implementation, persistence, reasons for discontinuation, influence of covariates, barriers and facilitators) were described."( Longitudinal analysis of safety and medication adherence of patients in the Fingolimod patient support program: a real-world observational study.
Berger, J; Bourdin, A; Bugnon, O; Locatelli, I; Schluep, M; Schneider, MP, 2021
)
0.62
" These reassuring findings indicate a lack of COVID-19 complications in PwMS on DMTs and support the hypothesis that it is safe to maintain ongoing treatment with these drugs in the current setting."( Safety of disease-modifying treatments in SARS-CoV-2 antibody-positive multiple sclerosis patients.
Baldanti, F; Bergamaschi, R; Fabbro, BD; Franciotta, D; Gastaldi, M; Mallucci, G; Zito, A, 2021
)
0.62
"13 %) experienced adverse events, mainly lymphopenia (5."( Real-world retrospective study of effectiveness and safety of FINgOlimod in relapsing remitting multiple sclerosis in the Middle East and North Africa (FINOMENA).
Ahmed, SF; Akkawi, N; Al Atat, R; Al Otaibi, H; Al-Aasmi, A; AlKawi, Z; Alroughani, R; Alsaadi, T; El Fadally, H; Hassan, A; Inshasi, J; Koussa, S; Mujtaba, A; Riachi, N; Zakaria, M, 2021
)
0.62
" Adverse events (AEs) were experienced by up to 41."( Four-year safety and effectiveness data from patients with multiple sclerosis treated with fingolimod: The Spanish GILENYA registry.
Álvarez-Cermeño, JC; Fernández, O; Hernández, MA; Marzo, ME; Meca-Lallana, JE; Meca-Lallana, V; Montalbán, X; Muñoz, D; Olascoaga, J; Oreja-Guevara, C; Pato, A; Ramió-Torrentà, L; Rodríguez-Antigüedad, A, 2021
)
0.62
"Amiselimod is an oral selective S1P1 receptor modulator with potentially fewer adverse effects than fingolimod."( A phase II, Multicentre, Randomised, Double-Blind, Placebo-controlled Study to Evaluate Safety, Tolerability, and Efficacy of Amiselimod in Patients with Moderate to Severe Active Crohn's Disease.
D'Haens, G; Danese, S; Davies, M; Hibi, T; Watanabe, M, 2022
)
0.72
" Seven participants had serious adverse events and four discontinued treatment in the amiselimod group."( A phase II, Multicentre, Randomised, Double-Blind, Placebo-controlled Study to Evaluate Safety, Tolerability, and Efficacy of Amiselimod in Patients with Moderate to Severe Active Crohn's Disease.
D'Haens, G; Danese, S; Davies, M; Hibi, T; Watanabe, M, 2022
)
0.72
" Our study confirms that COVID-19 vaccination is safe and well-tolerated in MS patients and should be recommended to all patients regardless of their current DMTs."( Immunogenicity and safety of mRNA COVID-19 vaccines in people with multiple sclerosis treated with different disease-modifying therapies.
Bianco, A; Capone, F; Cicia, A; Cortese, A; Cruciani, A; De Arcangelis, V; De Giglio, L; Di Lazzaro, V; Ferraro, E; Lucchini, M; Mirabella, M; Motolese, F; Rossi, M; Sancetta, B, 2022
)
0.72
" This study aimed to elucidate the risk of cardiovascular adverse events (AEs) in patients with multiple sclerosis (MS) treated with S1PR modulators (S1PRMs)."( Risk for Cardiovascular Adverse Events Associated With Sphingosine-1-Phosphate Receptor Modulators in Patients With Multiple Sclerosis: Insights From a Pooled Analysis of 15 Randomised Controlled Trials.
Gu, ZC; Lv, Y; Ma, CL; Zhao, Z; Zhong, MK, 2021
)
0.62
" Adverse events (AE) occurring in 75."( Long-term real-world effectiveness and safety of fingolimod over 5 years in Germany.
Albrecht, H; Ettle, B; Haas, J; Klotz, L; Lang, M; Lang, S; Lassek, C; Schmidt, S; Schulze-Topphoff, U; Winkelmann, VE; Ziemssen, T, 2022
)
0.72
"Pregnancy and postpartum period were generally safe for Czech women with MS."( Is pregnancy in MS patients safe and what is its impact on MS course? Real World evidence of 1533 pregnancies in Czech Republic.
Adamkova, J; Ampapa, R; Hanulikova, P; Horakova, D; Hradilek, P; Mares, J; Meluzinova, E; Pavliska, L; Stetkarova, I; Stourac, P; Vachova, M; Valis, M; Woznicova, I; Zapletalova, O, 2022
)
0.72
"CLARION aims to further evaluate adverse events of special interest in patients who are newly initiating treatment with cladribine tablets for relapsing multiple sclerosis (MS)."( The CLARION study design and status update: a long-term, registry-based study evaluating adverse events of special interest in patients with relapsing multiple sclerosis newly started on cladribine tablets.
Aydemir, A; Bezemer, I; Butzkueven, H; Korhonen, P; Moore, N; Sabidó, M; Sõnajalg, J, 2022
)
0.72
"By providing further information on adverse events of special interest during long-term follow-up, CLARION will assist neurologists and patients regarding treatment decision-making for management of relapsing MS."( The CLARION study design and status update: a long-term, registry-based study evaluating adverse events of special interest in patients with relapsing multiple sclerosis newly started on cladribine tablets.
Aydemir, A; Bezemer, I; Butzkueven, H; Korhonen, P; Moore, N; Sabidó, M; Sõnajalg, J, 2022
)
0.72
"3%) had ≥ 1 treatment-emergent adverse event (AE) and 20 (8."( Real-world effectiveness and safety of fingolimod in patients with multiple sclerosis in the Czech Republic: results from core and extension parts of the GOLEMS study up to 48 months.
Počíková, Z; Štěpánová, R; Tichá, V; Vytlačil, J, 2022
)
0.72
"SARS-CoV-2 mRNA vaccines were safe in a large group of ANC patients."( Difference in safety and humoral response to mRNA SARS-CoV-2 vaccines in patients with autoimmune neurological disorders: the ANCOVAX study.
Balboni, A; Borghi, A; Camilli, F; Di Felice, G; Giannoccaro, MP; Lazzarotto, T; Leone, M; Liguori, R; Lodi, V; Lugaresi, A; Panzera, I; Rinaldi, R; Salvi, F; Tappatà, M; Vacchiano, V; Zenesini, C, 2022
)
0.72
" Additional outcomes included the proportion of patients and time to: EDSS 6; new relapses; new T2-magnetic resonance imaging (MRI) lesions; no evidence of disease activity; and specific adverse events."( Effectiveness and Safety of Early High-Efficacy Versus Escalation Therapy in Relapsing-Remitting Multiple Sclerosis in Argentina.
Alonso, R; Caride, A; Carnero Contentti, E; Cristiano, E; Deri, N; Garcea, O; Lopez, PA; Patrucco, L; Pettinicchi, JP; Rojas, JI,
)
0.13
" No significant differences were observed in specific adverse events between groups."( Effectiveness and Safety of Early High-Efficacy Versus Escalation Therapy in Relapsing-Remitting Multiple Sclerosis in Argentina.
Alonso, R; Caride, A; Carnero Contentti, E; Cristiano, E; Deri, N; Garcea, O; Lopez, PA; Patrucco, L; Pettinicchi, JP; Rojas, JI,
)
0.13
"Our study shows that EHE therapies prevent disease progression, relapses, and new MRI lesions and demonstrated no increased risk of specific adverse events when compared with ES therapy."( Effectiveness and Safety of Early High-Efficacy Versus Escalation Therapy in Relapsing-Remitting Multiple Sclerosis in Argentina.
Alonso, R; Caride, A; Carnero Contentti, E; Cristiano, E; Deri, N; Garcea, O; Lopez, PA; Patrucco, L; Pettinicchi, JP; Rojas, JI,
)
0.13
" However, the adverse events related to these new agents remain largely unknown."( Novel multiple sclerosis agents-associated cardiotoxicity: A real-world pharmacovigilance study.
Abduljabar, H; Al-Yafeai, Z; Arvas, M; Carvajal-González, A; Patel, N; Patel, S, 2022
)
0.72
" food and drug administration (FDA) adverse events reporting system (FAERS), we comprehensively evaluated the cardiovascular complications of the newly FDA-approved anti-MS modifying therapies approved since 2015."( Novel multiple sclerosis agents-associated cardiotoxicity: A real-world pharmacovigilance study.
Abduljabar, H; Al-Yafeai, Z; Arvas, M; Carvajal-González, A; Patel, N; Patel, S, 2022
)
0.72
" Two CD20 (ocrelizumab, ofatumumab) and one CD25 inhibitors (daclizumab) were significantly associated with multiple cardiovascular adverse events."( Novel multiple sclerosis agents-associated cardiotoxicity: A real-world pharmacovigilance study.
Abduljabar, H; Al-Yafeai, Z; Arvas, M; Carvajal-González, A; Patel, N; Patel, S, 2022
)
0.72
" A higher rate of adverse events (AEs) was revealed for alemtuzumab versus all other high-efficacy DMTs; for alemtuzumab (average probability of an event: 98."( Comparative safety of high-efficacy disease-modifying therapies in relapsing-remitting multiple sclerosis: a systematic review and network meta-analysis.
Holko, P; Kawalec, P; Osiecka, O; Śladowska, K, 2022
)
0.72
" Neither clinical relapses nor severe adverse events were reported in pwMS after each dose of vaccine."( Humoral response and safety of the third booster dose of BNT162b2 mRNA COVID-19 vaccine in patients with multiple sclerosis treated with ocrelizumab or fingolimod.
Altieri, M; Bisecco, A; Capuano, R; Conte, M; Coppola, N; d'Ambrosio, A; Donnarumma, G; Galdiero, M; Gallo, A; Grimaldi, E; Medici, N; Tedeschi, G, 2022
)
0.72
" However, patients taking certain oral DMTs may experience gastrointestinal (GI)-related adverse events (AEs), particularly at dose titration."( The Patient and Clinician Assessment of Gastrointestinal (GI) Related Adverse Events Associated with Oral Disease-Modifying Therapies in Multiple Sclerosis: A Qualitative Study.
Cano, S; Elliott, E; Jivraj, F; Kang, S; Kapadia, S; Reedie, S; Rock, M; Strzok, S, 2022
)
0.72
"There is a lack of safety information about the post-marketing adverse effects of several disease-modifying drugs (DMDs) used to control multiple sclerosis (MS)."( Post marketing new adverse effects of oral therapies in multiple sclerosis: A systematic review.
Ataei, S; Esfahani, ME; Jenabi, E; Sahraian, MA; Salehi, AM, 2022
)
0.72
"The oral therapies have some significant post-marketing adverse effects that have been diagnosed in numerous case reports."( Post marketing new adverse effects of oral therapies in multiple sclerosis: A systematic review.
Ataei, S; Esfahani, ME; Jenabi, E; Sahraian, MA; Salehi, AM, 2022
)
0.72
" Hence, both are in the cory 1 of the Global Harmonization System (GHS) aquatic toxicity and are toxic to adult zebrafish life."( Comparison of the safety and efficacy of fingolimod and tofacitinib in the zebrafish model of colitis.
Abdollahi, M; Baeeri, M; Ghafour-Broujerdi, E; Gholami, M; Hassani, S; Mousavi, T; Rahimifard, M; Vakhshiteh, F, 2022
)
0.72
" These compounds differ in chemical structure, adverse effects, and efficacy points of view."( S1PR1 modulators in multiple sclerosis: Efficacy, safety, comparison, and chemical structure insights.
Alizadeh, AA; Borhannejad, B; Dastmalchi, S; Kandjani, OJ; Vahdati, SS; Yaqoubi, S, 2023
)
0.91
"This study indicated that fingolimod is a safe and effective adjuvant agent for schizophrenia treatment."( Efficacy and safety of adjunctive therapy with fingolimod in patients with schizophrenia: A randomized, double-blind, placebo-controlled clinical trial.
Akhondzadeh, S; Amanollahi, M; Ardakani, MK; Basti, FA; Jameie, M; Karbalaee, M; Mokhtari, S; Moradi, K; Parsaei, M; TaghaviZanjani, F, 2023
)
0.91
" Moreover, rituximab was well-tolerated, and no serious adverse events were reported."( Effectiveness and safety of switching from fingolimod and natalizumab to rituximab in patients with relapsing remitting multiple sclerosis.
Fakih, AU; Naser Moghadasi, A; Paybast, S; Sahraian, MA, 2023
)
0.91
" No serious adverse events were reported two weeks post-third dose."( Third COVID-19 vaccine dose for people with multiple sclerosis who did not seroconvert following two doses of BBIBP-CorV (Sinopharm) inactivated vaccine: A pilot study on safety and immunogenicity.
Chitsaz, A; Etemadifar, M; Ghasemi Movaghar, A; Lotfi, N; Salari, M; Sayahi, F; Sedaghat, N, 2023
)
0.91
" Safety outcomes included any adverse event (AE) observed during the study period and efficacy outcomes included both objective (disability progression and 2-year annualized relapse rate) and patient-reported assessments (Treatment Satisfaction Questionnaire for Medication (TSQM) v1."( A Prospective, Observational Study Assessing Effectiveness, Safety, and QoL of Greek Patients with Multiple Sclerosis Under Treatment with Fingolimod.
Dardiotis, E; Doskas, T; Fakas, N; Grigoriadis, N; Iliopoulos, I; Karageorgiou, K; Maltezou, M; Mitsikostas, DD; Orologas, A; Vikelis, M, 2023
)
0.91
" There are a few reports of melanoma as a side effect of Fingolimod in the literature."( Soft Palate Malignant Melanoma as an Adverse Effect of Fingolimod in Multiple Sclerosis: A Case Report and Literature Review.
Mozhdehipanah, H; Paybast, S; Safdarian, F,
)
0.13
" This study aims to investigate and compare adherence, adverse event (AE) profiles, and frequencies, main reasons for treatment discontinuation under Teriflunomide (TERI), Dimethyl Fumarate (DMF), and Fingolimod (FNG) for relapsing-remitting MS (RRMS) patients."( Real-life outcomes for oral disease-modifying treatments of relapsing-remitting multiple sclerosis patients: Adherence and adverse event profiles from Marmara University.
Engin, E; Günal, D; Sünter, G; Vural, E; Yıldırım, KA, 2023
)
0.91
" The most common reasons for treatment discontinuation in order of frequency were adverse events, the progression of the disease, and the persistence of relapses."( Real-life outcomes for oral disease-modifying treatments of relapsing-remitting multiple sclerosis patients: Adherence and adverse event profiles from Marmara University.
Engin, E; Günal, D; Sünter, G; Vural, E; Yıldırım, KA, 2023
)
0.91
"To compare adverse effects of immunotherapies for people with MS or clinically isolated syndrome (CIS), and to rank these treatments according to their relative risks of adverse effects through network meta-analyses (NMAs)."( Adverse effects of immunotherapies for multiple sclerosis: a network meta-analysis.
Benedetti, MD; Capobussi, M; Castellini, G; Featherstone, R; Filippini, G; Frau, S; Gonzalez-Lorenzo, M; Lucenteforte, E; Perduca, V; Tramacere, I; Virgili, G, 2023
)
0.91
" Our review, along with other work in the literature, confirms poor-quality reporting of adverse events from RCTs of interventions."( Adverse effects of immunotherapies for multiple sclerosis: a network meta-analysis.
Benedetti, MD; Capobussi, M; Castellini, G; Featherstone, R; Filippini, G; Frau, S; Gonzalez-Lorenzo, M; Lucenteforte, E; Perduca, V; Tramacere, I; Virgili, G, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" Interestingly, FTY720 displays pharmacokinetic characteristics suggesting that therapeutic drug monitoring (TDM) will not be essential for clinical applications."( Update on pharmacokinetic/pharmacodynamic studies with FTY720 and sirolimus.
Kahan, BD, 2002
)
0.31
" A pharmacodynamic model was established."( Pharmacodynamics of single doses of the novel immunosuppressant FTY720 in stable renal transplant patients.
Böhler, T; Brookman, L; Brunkhorst, R; Budde, K; L Schmouder, R; Mayer, T; Nashan, B; Nedelman, J; Neumayer, HH; Skerjanec, A; W Lücker, P, 2003
)
0.32
" Pharmacokinetic measurements revealed that FTY720 displayed linear relations of doses and concentrations over a wide range, but had no effect on CsA exposure."( Pharmacodynamics, pharmacokinetics, and safety of multiple doses of FTY720 in stable renal transplant patients: a multicenter, randomized, placebo-controlled, phase I study.
Chodoff, L; Ferguson, RM; Gonwa, TA; Kahan, BD; Karlix, JL; Leichtman, AB; Mulgaonkar, S; Schmouder, RL; Skerjanec, A, 2003
)
0.32
" We have studied the pharmacodynamic effects of FTY in stable renal allograft recipients taking part in a phase I clinical trial."( Pharmacodynamics of FTY720, the first member of a new class of immune-modulating therapeutics in transplantation medicine.
Böhler, T; Budde, K; Neumayer, HH; Schumann, B; Schütz, M; Waiser, J, 2003
)
0.32
"Both the peak concentration (0."( Single-dose FTY720 pharmacokinetics, food effect, and pharmacological responses in healthy subjects.
Barilla, D; Kovarik, JM; Kraus, G; Schmouder, R; Wang, Y, 2004
)
0.32
" Washout pharmacokinetics after the last dose indicated an elimination half-life averaging 8 days."( Multiple-dose FTY720: tolerability, pharmacokinetics, and lymphocyte responses in healthy subjects.
Barilla, D; Hunt, T; Kovarik, JM; Riviere, GJ; Schmouder, R; Wang, Y, 2004
)
0.32
"To evaluate the potential for a pharmacokinetic drug interaction between the immunomodulator FTY720 and cyclosporine to support the use of this drug combination in organ transplantation."( FTY720 and cyclosporine: evaluation for a pharmacokinetic interaction.
Barilla, D; Berthier, S; Büche, M; Gottlieb, AB; Kovarik, JM; Mayer, T; Rouilly, M; Schmouder, RL; Van Saders, C; Wang, Y,
)
0.13
" Likewise for cyclosporine, FTY720 coadministration did not alter the steady-state Cmax compared with cyclosporine given alone (1452 +/- 308 vs 1376 +/- 149 ng/mL, respectively) or AUC(tau) (6385 +/- 1578 vs 6031 +/- 1051 ng."( FTY720 and cyclosporine: evaluation for a pharmacokinetic interaction.
Barilla, D; Berthier, S; Büche, M; Gottlieb, AB; Kovarik, JM; Mayer, T; Rouilly, M; Schmouder, RL; Van Saders, C; Wang, Y,
)
0.13
" A prior physiology-based pharmacokinetic model fitted the concentration-time course of FTY720 in rats."( On the prediction of the human response: a recycled mechanistic pharmacokinetic/pharmacodynamic approach.
Lowe, PJ; Meno-Tetang, GM, 2005
)
0.33
" Both noncompartmental and population methods were used to estimate pharmacokinetic estimates in the patients."( FTY720, a novel immunomodulator in de novo kidney transplant patients: pharmacokinetics and exposure-response relationship.
Budde, K; Cole, E; Hsu, CH; Neumayer, HH; Schmouder, R; Skerjanec, A; Tedesco, H, 2005
)
0.33
" Compared with healthy controls, severe hepatic-impaired subjects had a doubled area under the concentration time curve (AUC) and 50% prolonged elimination half-life but a similar peak blood concentration."( Fingolimod (FTY720) in severe hepatic impairment: pharmacokinetics and relationship to markers of liver function.
Hartmann, S; Kovarik, JM; Picard, F; Riviere, GJ; Schmidt, HH; Schmouder, RL; Voss, B; Wagner, F; Weiss, M, 2006
)
0.33
" A physiologically based pharmacokinetic model was developed to predict the concentration of FTY720 in various organs of the body."( Physiologically based pharmacokinetic modeling of FTY720 (2-amino-2[2-(-4-octylphenyl)ethyl]propane-1,3-diol hydrochloride) in rats after oral and intravenous doses.
Heining, P; Jusko, WJ; Li, H; Lowe, P; Meno-Tetang, GM; Mis, S; Pyszczynski, N, 2006
)
0.33
"The aim of the study was to determine pharmacokinetic and pharmacodynamic profiles of FTY720 in cats and identify any toxic side effects."( Oral pharmacokinetic and pharmacodynamic effects of FTY720 in cats.
Chen, YJ; Downes, S; Gregory, C; Kyles, A, 2007
)
0.34
" The accurate prediction of the pharmacokinetic profile of fingolimod-P determined empirically in 2 large phase 3 trials provides external validation of the model."( Population pharmacokinetics of fingolimod phosphate in healthy participants.
David, OJ; Looby, M; Mercier, F; Schmouder, RL; Wu, K, 2012
)
0.38
" The pharmacokinetic profiles of fingolimod and fingolimod phosphate have been extensively investigated in studies in healthy volunteers, renal transplant recipients (the indication for which fingolimod was initially under clinical development, but the development was subsequently discontinued) and MS patients."( Clinical pharmacokinetics of fingolimod.
David, OJ; Kovarik, JM; Schmouder, RL, 2012
)
0.38
" The authors investigated if this pharmacodynamic effect impacts humoral and cellular immunogenicity."( Pharmacodynamic effects of steady-state fingolimod on antibody response in healthy volunteers: a 4-week, randomized, placebo-controlled, parallel-group, multiple-dose study.
Boulton, C; David, OJ; Meiser, K; Schmouder, R, 2012
)
0.38
"This article examines the characteristics of fingolimod, its pharmacokinetic properties and the efficacy and tolerability in MS."( Pharmacokinetic evaluation of fingolimod for the treatment of multiple sclerosis.
Constantinescu, CS; Tanasescu, R, 2014
)
0.4
" In this investigation, we present a semimechanistic pharmacokinetic model for the interconversion of S1PHK substrates and their respective phosphates in rats and humans with the aim of investigating whether characterization of the rate of phosphorylation in blood platelets constitutes a basis for interspecies scaling using fingolimod as a model compound."( Translational pharmacokinetic modeling of fingolimod (FTY720) as a paradigm compound subject to sphingosine kinase-mediated phosphorylation.
Danhof, M; Luttringer, O; Ploeger, BA; Snelder, N; Stanski, DR, 2014
)
0.4
"This open-label, single-sequence study in healthy subjects investigated the effects of steady-state carbamazepine on the pharmacokinetic (PK) profile of a single 2-mg dose of fingolimod."( Pharmacokinetic Interaction Between Fingolimod and Carbamazepine in Healthy Subjects.
Behrje, R; David, OJ; Hara, H; Lates, CD; Pal, P; Schmouder, R, 2018
)
0.48
" The developed method was validated and successfully applied for pharmacokinetic study after oral administration of fingolimod capsules."( A sensitive liquid chromatography-tandem mass spectrometry method for quantitative bioanalysis of fingolimod in human blood: Application to pharmacokinetic study.
Babu, B; Gopinath, R; Kumar, M; Narenderan, ST, 2020
)
0.56

Compound-Compound Interactions

ExcerptReferenceRelevance
" The purpose of this study was to define an effective range of FTY720 doses that could be combined with a suboptimal dose (10 mg/kg) of cyclosporin for canine kidney allograft recipients."( An immunosuppressive regimen using FTY720 combined with cyclosporin in canine kidney transplantation.
Amemiya, H; Chiba, K; Hoshino, Y; Kakefuda, T; Kataoka, H; Kawaguchi, T; Rahman, F; Suzuki, S, 1998
)
0.3
"FTY720 alone (10-5000 ng/ml) or in combination with other drugs was added to human peripheral blood lymphocytes (PBLs) undergoing stimulation in vitro with phytohemagglutinin (PHA) or OKT3 monoclonal antibody."( Immunosuppressive effects of FTY720 alone or in combination with cyclosporine and/or sirolimus.
Kahan, BD; Okamoto, M; Qu, X; Stepkowski, SM; Tejpal, N; Wang, ME; Yu, J, 1998
)
0.3
" Using a DA donor-to-LEW recipient rat combination, we assessed the efficacy of peritransplant FTY720 alone or in combination with post-transplant tacrolimus on the survival of cardiac allografts."( Effect of peritransplant FTY720 alone or in combination with post-transplant tacrolimus in a rat model of cardiac allotransplantation.
Afford, SC; Antoniou, EA; D'Silva, M; McMaster, P; Pirenne, J; Xu, M, 1998
)
0.3
" We investigated therapy with FTY combined with tacrolimus (FK) in rat liver transplantation."( Immunosuppressive therapy using FTY720 combined with tacrolimus in rat liver transplantation.
Amemiya, H; Enosawa, S; Funeshima, N; Kitajima, M; Li, XK; Suzuki, S; Tamura, A, 2000
)
0.31
" In this study, we performed adCTLA4Ig transfection combined with FTY720 treatment in heart-grafted rats to determine if the combination could induce a mutual effect on graft survival."( Long-term graft acceptance in rat heart transplantation by CTLA4Ig gene transfection combined with FTY720 treatment.
Amemiya, H; Enosawa, S; Funeshima, N; Kita, Y; Li, XK; Nagai, H; Ogoshi, S; Ohba, M; Okuyama, T; Sasaguri, S; Suzuki, S; Zhang, H, 2001
)
0.31
"MPS in monotherapy and combined with FTY720 resulted in steep dose-response curves."( Efficacy of mycophenolate sodium as monotherapy and in combination with FTY720 in a DA-to-Lewis-rat heart-transplantation model.
Baumlin, Y; Hof, A; Hof, RP; Matsumoto, Y, 2002
)
0.31
" In conclusion, the fat-derived hormone adiponectin combined with FTY720 might be a novel combination drug therapy for prevention of small-for-size fatty liver graft injury."( Fat-derived hormone adiponectin combined with FTY720 significantly improves small-for-size fatty liver graft survival.
Fan, ST; Ho, JW; Lam, KS; Lee, TK; Li, XL; Lo, CM; Man, K; Ng, KT; Sun, CK; Xu, A; Zhao, Y, 2006
)
0.33
" In our mice model, FTY720 administered alone or in combination with CsA during 21 days increased skin allograft survival in a fully mismatched strain combination and did not cause significant changes in renal function."( FTY720 in combination with cyclosporine--an analysis of skin allograft survival and renal function.
Bueno, V; Burdmann, EA; Cury, PM; Silva, FR; Silva, LB, 2006
)
0.33
" In mice, FTY720 administered in combination with CsA during 21 days has prolonged skin allograft survival without causing significant renal changes."( Tacrolimus in combination with FTY720--an analysis of renal and blood parameters.
Bueno, V; Burdmann, EA; Franco, M; Gallo, AP; Silva, LB, 2006
)
0.33
"Although EVR and FTY720 monotherapy delayed the progression of CAN, their combination with CsA had no beneficial effect."( Treatment of chronic allograft nephropathy at late stages using everolimus or FTY720 in combination with cyclosporine.
Baumann, M; Heemann, U; Liu, S; Lutz, J; Roos, M; Schmaderer, C; Strobl, M, 2008
)
0.35
" We investigated whether FTY720 in combination with sirolimus (SRL) could cause renal toxicity in C57BL/6 mice when administered for 21 days."( Sirolimus in combination with FTY720: analysis of urinary and serum parameters.
Bueno, V; Cordeiro, JA; de Franco, MF; Lopes, CT; Pletiskaitz, TM, 2010
)
0.36
"FTY720 (fingolimod), a novel immunomodulator, has demonstrated potential for prevention of acute rejection in combination with cyclosporine."( FTY720 combined with tacrolimus in de novo renal transplantation: 1-year, multicenter, open-label randomized study.
Abramowicz, D; Hoitsma, AJ; Proot, P; Vanrenterghem, Y; Woodle, ES, 2011
)
0.37
"FTY720 combined with tacrolimus and steroids did not show a significant therapeutic advantage over MMF for the prevention of acute rejection in de novo renal transplant recipients."( FTY720 combined with tacrolimus in de novo renal transplantation: 1-year, multicenter, open-label randomized study.
Abramowicz, D; Hoitsma, AJ; Proot, P; Vanrenterghem, Y; Woodle, ES, 2011
)
0.37
" To assess whether the efficacy of a combined oral contraceptive (OC) could be compromised during fingolimod therapy, a steady-state, drug-drug interaction study of fingolimod with ethinylestradiol/levonorgestrel was performed in healthy female volunteers."( Pharmacokinetics of fingolimod (FTY720) and a combined oral contraceptive coadministered in healthy women: drug-drug interaction study results.
David, OJ; den Daas, I; Emotte, C; Jakab, A; Meiser, K; Ocwieja, M; Schmouder, R; Wemer, J, 2012
)
0.38
"The therapeutic efficacy of the novel immunomodulator FTY720 (Fingolimod), alone and in combination with betamethasone ointment, was examined in the NC/Nga mouse model of spontaneous steroid-resistant dermatitis."( Therapeutic approach to steroid-resistant dermatitis using novel immunomodulator FTY720 (Fingolimod) in combination with betamethasone ointment in NC/Nga mice.
Fujita, T; Inoue, M; Iwatsuki, R; Kohno, T; Tsuji, T; Yoshida, Y, 2012
)
0.38
" We investigated the therapeutic efficacy of the novel immunomodulator FTY720 (Fingolimod), alone and in combination with betamethasone valerate ointment, in the NC/Nga mouse model of mite-induced intractable dermatitis."( [Therapeutic approach to mite-induced intractable dermatitis using novel immunomodulator FTY720 (fingolimod) in combination with betamethasone ointment in NC/Nga mice].
Fujita, T; Kohno, T; Tsuji, T; Yoshida, Y, 2012
)
0.38
"The therapeutic capacity of an antibody directed against the T cell receptor (anti-TCR) of the TCR/CD3 complex alone or in combination with fingolimod (FTY720) to reverse the diabetic metabolic state through suppression of autoimmunity and stimulation of β cell regeneration was analyzed in the LEW."( Anti-TCR therapy combined with fingolimod for reversal of diabetic hyperglycemia by β cell regeneration in the LEW.1AR1-iddm rat model of type 1 diabetes.
Akin, M; Arndt, T; Hedrich, HJ; Jörns, A; Lenzen, S; Terbish, T; Wedekind, D; Zu Vilsendorf, AM, 2014
)
0.4
" In MDA-MB-468 and HCC1806 orthotopic TNBC xenograft tumors in nude mice, the drug combination inhibited tumor growth and prolonged mouse survival, although this effect was not significant for the gefitinib-resistant cell line HCC70."( Inhibition of basal-like breast cancer growth by FTY720 in combination with epidermal growth factor receptor kinase blockade.
Baxter, RC; Boyle, FM; de Silva, HC; Julovi, SM; Lin, MZ; Martin, JL, 2017
)
0.46
"This paper aims to observe and analyze the safety and clinical efficacy of Fingolimod combined with alteplase intravenous thrombolysis in the treatment of acute ischemic stroke."( Efficacy of fingolimod combined with alteplase in acute ischemic stroke and rehabilitation nursing.
Hua, L; Jing, Z; Liantao, Z; Lingling, L, 2019
)
0.51
" FTY720 in combination with the standard chemotherapeutic, cisplatin, decreased proliferation in a synergistic manner."( PP2A activation alone and in combination with cisplatin decreases cell growth and tumor formation in human HuH6 hepatoblastoma cells.
Aye, JM; Beierle, EA; Marayati, R; Mroczek-Musulman, E; Stafman, LL; Stewart, JE; Williams, AP, 2019
)
0.51
" Collectively, these results indicated that the lysosome‑targeted drug combination induces multiple organelle dysfunction and exerts a marked cytotoxic effect in PDAC cells."( Lysosome‑targeted drug combination induces multiple organelle dysfunctions and non‑canonical death in pancreatic cancer cells.
Hiramoto, M; Hirota, A; Kazama, H; Miyazaki, M; Miyazawa, K; Ogawa, M; Ota, K; Suzuki, S; Takano, N, 2022
)
0.72

Bioavailability

ExcerptReferenceRelevance
"53 l/h/kg, and bioavailability of about 38%."( Pharmacokinetics and cell trafficking dynamics of 2-amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol hydrochloride (FTY720) in cynomolgus monkeys after single oral and intravenous doses.
Arima, N; Chiba, K; Heining, P; Jusko, WJ; Li, H; Meno-Tetang, GM, 2002
)
0.31
" Furthermore, it displays high oral bioavailability and a low interindividual coefficient of variation."( FTY720: A new kid on the block for transplant immunosuppression.
Aki, FT; Kahan, BD, 2003
)
0.32
"Fingolimod (FTY720) is a first-in-class orally bioavailable compound that has shown efficacy in advanced clinical trials for the treatment of multiple sclerosis (MS)."( Mechanism of action of oral fingolimod (FTY720) in multiple sclerosis.
Chun, J; Hartung, HP,
)
0.13
" This protection might be mediated by so-called 'inside-out' signalling by S1P, as LNCaP-AI cells exhibit increased expression of S1P(2/3) receptors and reduced lipid phosphate phosphatase expression (compared with androgen-sensitive LNCaP cells) thereby potentially increasing the bioavailability of S1P at S1P(2/3) receptors."( FTY720 and (S)-FTY720 vinylphosphonate inhibit sphingosine kinase 1 and promote its proteasomal degradation in human pulmonary artery smooth muscle, breast cancer and androgen-independent prostate cancer cells.
Bittman, R; Lim, KG; Long, J; Loveridge, C; Pitson, SM; Pyne, NJ; Pyne, S; Tigyi, G; Tonelli, F, 2010
)
0.36
" The fingolimod-P concentration-time course after either single or multiple doses of fingolimod was described by a 2-compartment model with first-order apparent formation and elimination, lag time in the apparent formation, and dose-dependent relative bioavailability and apparent central volume of distribution."( Population pharmacokinetics of fingolimod phosphate in healthy participants.
David, OJ; Looby, M; Mercier, F; Schmouder, RL; Wu, K, 2012
)
0.38
" Results from these studies have demonstrated that fingolimod is efficiently absorbed, with an oral bioavailability of >90%, and its absorption is unaffected by dietary intake, therefore it can be taken without regard to meals."( Clinical pharmacokinetics of fingolimod.
David, OJ; Kovarik, JM; Schmouder, RL, 2012
)
0.38
" It does not appear that the various formulations differ significantly in terms of bioavailability or efficacy in adults."( First-line disease-modifying therapies in paediatric multiple sclerosis: a comprehensive overview.
Johnston, J; So, TY, 2012
)
0.38
" Previous reports showed that intranasal (IN) administration of drugs are the preferred non-invasive route, which bypasses BBB and improves their delivery and bioavailability in the central nervous system (CNS)."( Intranasal administration of fingolimod (FTY720) attenuates demyelination area in lysolecithin-induced demyelination model of rat optic chiasm.
Ahmadian, SR; Ghasemi-Kasman, M; Hashemian, M; Nosratiyan, N; Parsian, H; Rostami-Mansoor, S, 2022
)
0.72
" This therapeutic agent faces crucial drawbacks like poor bioavailability rate, risk of cardiotoxicity, potent immunosuppressive effects, and high cost."( CDX-modified chitosan nanoparticles remarkably reduce therapeutic dose of fingolimod in the EAE model of mice.
Abbaspour-Ravasjani, S; Bani, F; Beyrampour-Basmenj, H; Ebrahimi-Kalan, A; Gao, H; Ghadiri, T; Khodakarimi, S; Rahbarghazi, R; Sadeghi, MR; Seidi, K; Sepasi, T; Talebi, M; Zarebkohan, A, 2023
)
0.91

Dosage Studied

ExcerptRelevanceReference
" in the range of the steep part of its dose-response relationship."( The peripheral lymphocyte count predicts graft survival in DA to Lewis heterotopic heart transplantation treated with FTY720 and SDZ RAD.
Baumlin, Y; Hof, A; Hof, RP; Nikolova, Z, 2000
)
0.31
" On the day before transplantation we administered FTY720 orally to some of these animals at a dosage of 5 mg/kg and again on the day of transplantation."( Long-term graft acceptance in rat heart transplantation by CTLA4Ig gene transfection combined with FTY720 treatment.
Amemiya, H; Enosawa, S; Funeshima, N; Kita, Y; Li, XK; Nagai, H; Ogoshi, S; Ohba, M; Okuyama, T; Sasaguri, S; Suzuki, S; Zhang, H, 2001
)
0.31
" Drug efficacy and potency was calculated based on dose-response curves of the drug-mediated decrease in CD4(+)/CD8alpha(+)/CD25(+) cells."( Coexpression of CD4 and CD8alpha on rat T-cells in whole blood: a sensitive marker for monitoring T-cell immunosuppressive drugs.
Diaz-Romero, J; Vogt, G; Weckbecker, G, 2001
)
0.31
" Tumor growth was markedly suppressed at a dosage of 5 mg/kg or more without notable side effects."( Marked prevention of tumor growth and metastasis by a novel immunosuppressive agent, FTY720, in mouse breast cancer models.
Azuma, H; Fukui, R; Hoshiga, M; Ichimaru, N; Ishihara, T; Itoh, Y; Katsuoka, Y; Morimoto, J; Nonomura, N; Okuyama, A; Otsuki, Y; Suzuki, S; Takahara, S; Wang, JD, 2002
)
0.31
" The lymphocyte count returned to baseline within 72 h in all dosing cohorts except the highest."( First human trial of FTY720, a novel immunomodulator, in stable renal transplant patients.
Brunkhorst, R; Budde, K; Choudhury, S; Kraus, G; Lücker, PW; Mayer, T; Nashan, B; Neumayer, HH; Schmouder, RL; Skerjanec, A, 2002
)
0.31
"FTY720 is a novel immunomodulator that may provide an opportunity for a reduction in calcineurin inhibitor dosage in transplant recipients with renal/hepatic side effects."( Effects of immunosuppressant FTY720 on renal and hepatic hemodynamics in the rat.
Mabuchi, A; Tawadrous, MN; Wheatley, AM; Zimmermann, A, 2002
)
0.31
" Renal function and renal tubular parameters were examined in animals that received repeat high dosage of FTY720."( Effects of immunosuppressant FTY720 on renal and hepatic hemodynamics in the rat.
Mabuchi, A; Tawadrous, MN; Wheatley, AM; Zimmermann, A, 2002
)
0.31
" FTY720 at the same repeat oral dosage was, nevertheless, associated with a significantly lower 24 h sodium excretion and a significantly lower fractional excretion of sodium compared with those in control animals (223."( Effects of immunosuppressant FTY720 on renal and hepatic hemodynamics in the rat.
Mabuchi, A; Tawadrous, MN; Wheatley, AM; Zimmermann, A, 2002
)
0.31
"MPS in monotherapy and combined with FTY720 resulted in steep dose-response curves."( Efficacy of mycophenolate sodium as monotherapy and in combination with FTY720 in a DA-to-Lewis-rat heart-transplantation model.
Baumlin, Y; Hof, A; Hof, RP; Matsumoto, Y, 2002
)
0.31
" The lymphocyte count returned to baseline within 72 h in all dosing cohorts except the highest."( Pharmacodynamics of single doses of the novel immunosuppressant FTY720 in stable renal transplant patients.
Böhler, T; Brookman, L; Brunkhorst, R; Budde, K; L Schmouder, R; Mayer, T; Nashan, B; Nedelman, J; Neumayer, HH; Skerjanec, A; W Lücker, P, 2003
)
0.32
" To date, phase I single and multiple dosing studies conducted in stable renal transplant patients have revealed a favorable efficacy and tolerability profile."( FTY720 immunomodulation: optimism for improved transplant regimens.
Ferguson, R, 2004
)
0.32
" After direct dosage of FTY720 phosphate, lymphopenia is only transient in this strain, indicating that SPHK2 is constantly required to maintain FTY720 phosphate levels in vivo."( Sphingosine kinase type 2 is essential for lymphopenia induced by the immunomodulatory drug FTY720.
Baumruker, T; Billich, A; Bornancin, F; Kinzel, B; Mechtcheriakova, D; Müller, M; Reuschel, R; Urtz, N; Zemann, B, 2006
)
0.33
" FTY-720 significantly decreased plasma creatinine in a dose-response manner with a maximal reduction of approximately 73 and approximately 69% with doses of 240 and 48 microg/kg, respectively."( Selective sphingosine 1-phosphate 1 receptor activation reduces ischemia-reperfusion injury in mouse kidney.
Awad, AS; Foss, FW; Huang, L; Li, L; Lynch, KR; Macdonald, TL; Okusa, MD; Ye, H, 2006
)
0.33
" The model characterized well FTY720 disposition for this extensive dosing and tissue collection study in the rat."( Physiologically based pharmacokinetic modeling of FTY720 (2-amino-2[2-(-4-octylphenyl)ethyl]propane-1,3-diol hydrochloride) in rats after oral and intravenous doses.
Heining, P; Jusko, WJ; Li, H; Lowe, P; Meno-Tetang, GM; Mis, S; Pyszczynski, N, 2006
)
0.33
" FTY720 was administered by intraperitoneal injection starting at 10 days after tumor cell injection at a dosage of 5 mg/kg/day."( Marked suppression of tumor growth by FTY720 in a rat liver tumor model: the significance of down-regulation of cell survival Akt pathway.
Fan, ST; Ho, JW; Lee, TK; Lo, CM; Man, K; Ng, KT; Poon, RT; Sun, CK; Zhao, Y, 2007
)
0.34
"03 mg/kg was efficacious, but limiting the dosing period failed to prevent EAE despite a significant decrease in blood lymphocytes."( Brain penetration of the oral immunomodulatory drug FTY720 and its phosphorylation in the central nervous system during experimental autoimmune encephalomyelitis: consequences for mode of action in multiple sclerosis.
Balatoni, B; Beerli, C; Billich, A; Foster, CA; Hiestand, PC; Howard, LM; Persohn, E; Reuschel, R; Schwartz, M; Schweitzer, A, 2007
)
0.34
" This ligand-induced, receptor-mediated cell motility follows a typical bell-shaped dose-response curve, that is, stimulation with low concentrations of S1P enhances cell motility, whereas excess ligand stimulation does not enhance it."( Attenuation of cell motility observed with high doses of sphingosine 1-phosphate or phosphorylated FTY720 involves RGS2 through its interactions with the receptor S1P.
Igarashi, Y; Kohno, T, 2008
)
0.35
"Therapeutic dosing of FTY720 reduces naïve T cells and TCM, but not TEM, in blood, without affecting T cell function."( FTY720 therapy exerts differential effects on T cell subsets in multiple sclerosis.
Antel, J; Bar-Or, A; Brinkmann, V; Goebels, N; Kappos, L; Kristofic, C; Kuhle, J; Lindberg, RL; Mehling, M; Vedrine, C, 2008
)
0.35
" A recent provocative report indicated that low dosage of the sphingosine analog FTY720 caused lymphopenia in mice persistently infected with lymphocytic choriomeningitis virus (LCMV)-clone 13 (Cl 13) and induced viral clearance within 30 days post-treatment (Premenko-Lanier et al."( Treatment with a sphingosine analog does not alter the outcome of a persistent virus infection.
Marsolais, D; Oldstone, MB; Rosen, H; Walsh, KB; Welch, MJ, 2010
)
0.36
" Oral dosing of VPC03090 results in an approximate 1:1 phosphorylated/alcohol species ratio with a half-life of 30 h in mice."( Characterization of a sphingosine 1-phosphate receptor antagonist prodrug.
David, M; Huang, T; Kennedy, PC; Lynch, KR; Macdonald, TL; Mathews, TP; Peyruchaud, O; Tomsig, JL; Zhu, R, 2011
)
0.37
" S1P(1) agonism alone reduced pathological features as did fingolimod (maximally lymphopenic throughout), despite full reversal of lymphopenia within each dosing interval."( S1P(1) receptor modulation with cyclical recovery from lymphopenia ameliorates mouse model of multiple sclerosis.
Cahalan, SM; Cameron, MD; Gonzalez-Cabrera, PJ; Kago, T; Leaf, NB; Nguyen, N; Rosen, H; Sarkisyan, G, 2012
)
0.38
" Dosing recommendations are largely based on tolerability studies, with most children and adolescents tolerating the full adult doses."( First-line disease-modifying therapies in paediatric multiple sclerosis: a comprehensive overview.
Johnston, J; So, TY, 2012
)
0.38
"To make an informed benefit-risk evaluation of a drug, a range of doses needs to be evaluated and its dose-response and exposure-response relationships for safety and effectiveness assessed during drug development (International Conference on Harmonisation E4)."( Is this the dose for you?: the role of modeling.
Bhattaram, A; Huang, SM; Mehrotra, N; Wang, Y, 2013
)
0.39
" The dosage and temporal effect of the ceramide synthase inhibitor FTY720 on the LIRD retina were measured by histological and functional analyses."( Inhibition of de novo ceramide biosynthesis by FTY720 protects rat retina from light-induced degeneration.
Brush, RS; Chen, H; Eckerd, A; Elliott, MH; Huynh, TP; Mandal, NA; Tran, JA, 2013
)
0.39
" Group 3 animals were treated with the same dosage of FTY720 from day 0 to 100."( Early administration of FTY720 prevents chronic airway as well as vascular destruction in experimental rat lung transplantation.
Hirt, SW; Lehle, K; Puehler, T; Schmid, C; von Suesskind-Schwendi, M, 2013
)
0.39
"Astrocytes derived from human fetal CNS specimens and maintained in dissociated cultures were exposed to 100 nM of the biologically active form of FTY720 over a dosing regimen that ranged from a single exposure (with or without washout after 1 h) to daily exposures up to 5 days."( Dual effects of daily FTY720 on human astrocytes in vitro: relevance for neuroinflammation.
Antel, JP; Bar-Or, A; Bernier, LP; Cui, QL; Gris, P; Johnson, TA; Kennedy, TE; Leong, SY; Moore, CS; Séguéla, P; Wu, C, 2013
)
0.39
" Repeated FTY720 dosing concurrently maintained a functional cell response as measured by the inhibition of intracellular calcium release when stimulated by the cytokine IL-1β."( Dual effects of daily FTY720 on human astrocytes in vitro: relevance for neuroinflammation.
Antel, JP; Bar-Or, A; Bernier, LP; Cui, QL; Gris, P; Johnson, TA; Kennedy, TE; Leong, SY; Moore, CS; Séguéla, P; Wu, C, 2013
)
0.39
" The intravenous DMT natalizumab (Tysabri; dosed monthly) provides high therapeutic efficacy and good compliance but is considered a second-line intervention because of the associated increased risk for progressive multifocal leukoencephalopathy."( An update on new and emerging therapies for relapsing-remitting multiple sclerosis.
Weinstock-Guttman, B, 2013
)
0.39
" The risk for serious cardiovascular adverse events at the approved fingolimod dosage appears to be low in patients without pre-existing cardiac conditions."( Fingolimod: a review of its use in relapsing-remitting multiple sclerosis.
Sanford, M, 2014
)
0.4
" Using an animal model of MS, experimental autoimmune encephalomyelitis (EAE), we performed a dose-response study of Fingolimod (0."( Fingolimod treatment promotes proliferation and differentiation of oligodendrocyte progenitor cells in mice with experimental autoimmune encephalomyelitis.
Chopp, M; Ding, X; Elias, SB; Li, Y; Lu, M; Shang, X; Zhang, J; Zhang, ZG, 2015
)
0.42
"A total of 5 new agents and 1 new dosage formulation were approved by the FDA for the treatment of RRMS since 2010."( New FDA-Approved Disease-Modifying Therapies for Multiple Sclerosis.
Aloi, JJ; English, C, 2015
)
0.42
"Twenty-seven relapsing-remitting multiple sclerosis patients underwent 24-hour electrocardiogram recording before, at the first day of fingolimod treatment (1d) and after three months of continuous dosing (3mo)."( Effect of fingolimod on cardiac autonomic regulation in patients with multiple sclerosis.
Hartikainen, JE; Hartikainen, P; Laitinen, T; Laitinen, TM; Simula, S; Tarkiainen, T, 2016
)
0.43
"After an initial increase in parasympathetic regulation, continuous fingolimod dosing shifts cardiac autonomic regulation towards sympathetic predominance, especially in men."( Effect of fingolimod on cardiac autonomic regulation in patients with multiple sclerosis.
Hartikainen, JE; Hartikainen, P; Laitinen, T; Laitinen, TM; Simula, S; Tarkiainen, T, 2016
)
0.43
"3 or 1mg/kg dosage of FTY720, 1h before PTZ injections."( Fingolimod enhances myelin repair of hippocampus in pentylenetetrazol-induced kindling model.
Ghasemi-Kasman, M; Ghorbanian, D; Gol, M; Hassanzadeh, S; Javan, M; Mirnajafi-Zadeh, J, 2017
)
0.46
" We compared 2 year efficacy of DMF versus fingolimod at the approved dosage using a matching-adjusted indirect approach."( Comparative effectiveness using a matching-adjusted indirect comparison between delayed-release dimethyl fumarate and fingolimod for the treatment of multiple sclerosis.
Chan, A; Edwards, MR; Fox, RJ; Levison, D; Lewin, JB; Marantz, JL; Xiao, J; Zhang, A, 2017
)
0.46
" Defining the best drug dosing regimens to control the extent and duration of lymphopenia is critical to achieve the desired effects."( Selective Sphingosine 1-Phosphate Receptor 1 Agonist Is Protective Against Ischemia/Reperfusion in Mice.
Brait, VH; Gavaldà, A; Godessart, N; Planas, AM; Tarrasón, G, 2016
)
0.43
" Surprisingly, either delayed or abrogated efficacy was observed when scaffolds contained a dosage of fingolimod >0."( Local delivery of fingolimod from three-dimensional scaffolds impacts islet graft efficacy and microenvironment in a murine diabetic model.
Buchwald, P; Frei, AW; Jiang, K; Li, Y; Stabler, CL, 2018
)
0.48
" Reduced dosing of FNG in patients with lymphopenia led to increase in lymphocyte count but also increased disease activity in 25% of patients."( Predictors of hematological abnormalities in multiple sclerosis patients treated with fingolimod and dimethyl fumarate and impact of treatment switch on lymphocyte and leukocyte count.
Baharnoori, M; Chitnis, T; Chua, A; Diaz-Cruz, C; Gonzalez, CT; Healy, BC; Stankiewicz, J; Weiner, HL, 2018
)
0.48
" The recovery of spatial memory, besides a reduction of serum leptin levels, allied to central and peripheral elevation of the anti-inflammatory cytokine IL-10, was solely modulated by CTK 01512-2, dosed intrathecally."( Beneficial Effects of the Calcium Channel Blocker CTK 01512-2 in a Mouse Model of Multiple Sclerosis.
Campos, MM; da Costa, JC; Gomez, MV; Greggio, S; Silva, RBM; Venturin, GT, 2018
)
0.48
" Comparator DMTs were chosen to reflect different dosing regimens."( When does economic model type become a decisive factor in health technology appraisals? Learning from the expanding treatment options for relapsing-remitting multiple sclerosis.
Adlard, NE; Kroes, MA; Montgomery, SM; Noon, KM, 2018
)
0.48
" This may indicate that fingolimod sensitivity is higher in the Japanese population than in the western population because the fingolimod dosage used for the prevention of multiple sclerosis (MS) is the same in both populations."( Effect of dosage reduction on peripheral blood lymphocyte count in patients with multiple sclerosis receiving long-term fingolimod therapy.
Takahashi, K, 2019
)
0.51
" Furthermore, most preclinical antiepileptogenic studies lack information needed for translation, such as dose-blood level relationship, brain target engagement, and dose-response, and many use treatment parameters that cannot be applied clinically, for example, treatment initiation before or at the time of injury and dosing higher than tolerated human equivalent dosing."( Repurposed molecules for antiepileptogenesis: Missing an opportunity to prevent epilepsy?
Bar-Klein, G; Friedman, A; Hameed, MQ; Jozwiak, S; Kaminski, RM; Klein, P; Klitgaard, H; Koepp, M; Löscher, W; Prince, DA; Rotenberg, A; Twyman, R; Vezzani, A; Wong, M, 2020
)
0.56
" However, adjustments to dosing schedules may help de-risk the chance of infection further and reduce the concerns of people with MS being treated during the COVID-19 pandemic."( The underpinning biology relating to multiple sclerosis disease modifying treatments during the COVID-19 pandemic.
Amor, S; Baker, D; Giovannoni, G; Kang, AS; Schmierer, K, 2020
)
0.56
" We identified a complex pattern of responses, differing between (1) receptors, (2) dosage and (3) hippocampal sub-field."( Immunomodulation Eliminates Inflammation in the Hippocampus in Experimental Autoimmune Encephalomyelitis, but Does Not Ameliorate Anxiety-Like Behavior.
Dang, PT; Hale, MW; Kocovski, P; Marinis, S; Orian, JM; Tabassum-Sheikh, N, 2021
)
0.62
" Normal rats were used to optimize the USPIO dosage (5."( USPIO-SWI Shows Fingolimod Enhanced Alteplase Action on Angiographic Reperfusion in eMCAO Rats.
Fu, Y; Li, S; Lin, K; Lv, A; Tian, L; Wang, Z; Yan, Y; Zhao, W, 2022
)
0.72
" Relative to the vehicle group, oral dosing with fingolimod, beginning after disease onset (1 mg/kg/day), increased hip heights and knee joint movements, and reduced spinal cord demyelination."( Fingolimod attenuates gait deficits in mice subjected to experimental autoimmune encephalomyelitis.
Holman, SP; Kasheke, GDS; Robertson, GS, 2022
)
0.72
" dosed drugs, including monoclonal antibodies."( Using an animal model to predict the effective human dose for oral multiple sclerosis drugs.
Benet, LZ; Liu, W; Wang, Z; Waubant, EL; Yu, Z; Zhai, S, 2023
)
0.91
" The full treatment dosage of cladribine tablets is completed over two years and so these results may be conservative."( Comparative effectiveness of cladribine tablets versus fingolimod in the treatment of highly active multiple sclerosis: A real-world study.
Brownlee, WJ; Duncan, J; Haghikia, A; Harty, GT; Hayward, B; Kayaniyil, S; Khan, Z; Millar, S; Waser, N, 2023
)
0.91
"The results showed that crocin improves all studied factors, but remarkable improvements were observed in dosage of 10 mg/kg."( Effects of Crocin on brain neurotrophins, cognition, balance and pain in toxic-induced demyelination model.
Beygtashkhani, R; Farbod, Y; Fatemi, R; Moghaddam, HF, 2024
)
1.44
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (3)

RoleDescription
sphingosine-1-phosphate receptor agonistAn agonist that binds to and activates sphingosine 1-phosphate receptors.
immunosuppressive agentAn agent that suppresses immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-cells or by inhibiting the activation of helper cells. In addition, an immunosuppressive agent is a role played by a compound which is exhibited by a capability to diminish the extent and/or voracity of an immune response.
prodrugA compound that, on administration, must undergo chemical conversion by metabolic processes before becoming the pharmacologically active drug for which it is a prodrug.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
hydrochlorideA salt formally resulting from the reaction of hydrochloric acid with an organic base.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (5)

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Sphingosine 1-phosphate receptor 1Homo sapiens (human)EC50 (µMol)3.00000.00000.17597.8700AID639285
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (85)

Processvia Protein(s)Taxonomy
blood vessel maturationSphingosine 1-phosphate receptor 1Homo sapiens (human)
cardiac muscle tissue growth involved in heart morphogenesisSphingosine 1-phosphate receptor 1Homo sapiens (human)
sphingosine-1-phosphate receptor signaling pathwaySphingosine 1-phosphate receptor 1Homo sapiens (human)
chemotaxisSphingosine 1-phosphate receptor 1Homo sapiens (human)
cell adhesionSphingosine 1-phosphate receptor 1Homo sapiens (human)
G protein-coupled receptor signaling pathwaySphingosine 1-phosphate receptor 1Homo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwaySphingosine 1-phosphate receptor 1Homo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwaySphingosine 1-phosphate receptor 1Homo sapiens (human)
brain developmentSphingosine 1-phosphate receptor 1Homo sapiens (human)
cell population proliferationSphingosine 1-phosphate receptor 1Homo sapiens (human)
cell migrationSphingosine 1-phosphate receptor 1Homo sapiens (human)
transmission of nerve impulseSphingosine 1-phosphate receptor 1Homo sapiens (human)
lamellipodium assemblySphingosine 1-phosphate receptor 1Homo sapiens (human)
actin cytoskeleton organizationSphingosine 1-phosphate receptor 1Homo sapiens (human)
regulation of cell adhesionSphingosine 1-phosphate receptor 1Homo sapiens (human)
neuron differentiationSphingosine 1-phosphate receptor 1Homo sapiens (human)
positive regulation of cell migrationSphingosine 1-phosphate receptor 1Homo sapiens (human)
regulation of bone mineralizationSphingosine 1-phosphate receptor 1Homo sapiens (human)
leukocyte chemotaxisSphingosine 1-phosphate receptor 1Homo sapiens (human)
regulation of bone resorptionSphingosine 1-phosphate receptor 1Homo sapiens (human)
endothelial cell differentiationSphingosine 1-phosphate receptor 1Homo sapiens (human)
positive regulation of transcription by RNA polymerase IISphingosine 1-phosphate receptor 1Homo sapiens (human)
positive regulation of smooth muscle cell proliferationSphingosine 1-phosphate receptor 1Homo sapiens (human)
positive regulation of positive chemotaxisSphingosine 1-phosphate receptor 1Homo sapiens (human)
negative regulation of stress fiber assemblySphingosine 1-phosphate receptor 1Homo sapiens (human)
heart trabecula morphogenesisSphingosine 1-phosphate receptor 1Homo sapiens (human)
T cell migrationSphingosine 1-phosphate receptor 1Homo sapiens (human)
angiogenesisSphingosine 1-phosphate receptor 1Homo sapiens (human)
regulation of metabolic processSphingosine 1-phosphate receptor 1Homo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwaySphingosine 1-phosphate receptor 1Homo sapiens (human)
blood vessel developmentSphingosine kinase 2Homo sapiens (human)
positive regulation of cytokine production involved in immune responseSphingosine kinase 2Homo sapiens (human)
sphingosine-1-phosphate receptor signaling pathwaySphingosine kinase 2Homo sapiens (human)
sphinganine-1-phosphate biosynthetic processSphingosine kinase 2Homo sapiens (human)
sphingosine metabolic processSphingosine kinase 2Homo sapiens (human)
brain developmentSphingosine kinase 2Homo sapiens (human)
cell population proliferationSphingosine kinase 2Homo sapiens (human)
positive regulation of cell population proliferationSphingosine kinase 2Homo sapiens (human)
sphingolipid biosynthetic processSphingosine kinase 2Homo sapiens (human)
negative regulation of cell growthSphingosine kinase 2Homo sapiens (human)
positive regulation of interleukin-13 productionSphingosine kinase 2Homo sapiens (human)
positive regulation of interleukin-6 productionSphingosine kinase 2Homo sapiens (human)
positive regulation of tumor necrosis factor productionSphingosine kinase 2Homo sapiens (human)
positive regulation of mast cell activation involved in immune responseSphingosine kinase 2Homo sapiens (human)
positive regulation of apoptotic processSphingosine kinase 2Homo sapiens (human)
regulation of canonical NF-kappaB signal transductionSphingosine kinase 2Homo sapiens (human)
positive regulation of mast cell degranulationSphingosine kinase 2Homo sapiens (human)
transcription initiation-coupled chromatin remodelingSphingosine kinase 2Homo sapiens (human)
sphingosine biosynthetic processSphingosine kinase 2Homo sapiens (human)
positive regulation of protein kinase C signalingSphingosine kinase 2Homo sapiens (human)
positive regulation of calcium ion importSphingosine kinase 2Homo sapiens (human)
regulation of reactive oxygen species biosynthetic processSphingosine kinase 2Homo sapiens (human)
cellular response to phorbol 13-acetate 12-myristateSphingosine kinase 2Homo sapiens (human)
regulation of cytochrome-c oxidase activitySphingosine kinase 2Homo sapiens (human)
positive regulation of ceramide biosynthetic processSphingosine kinase 2Homo sapiens (human)
regulation of ATP biosynthetic processSphingosine kinase 2Homo sapiens (human)
phosphorylationSphingosine kinase 2Homo sapiens (human)
negative regulation of apoptotic processSphingosine kinase 1Homo sapiens (human)
positive regulation of fibroblast proliferationSphingosine kinase 1Homo sapiens (human)
blood vessel developmentSphingosine kinase 1Homo sapiens (human)
sphingosine-1-phosphate receptor signaling pathwaySphingosine kinase 1Homo sapiens (human)
protein acetylationSphingosine kinase 1Homo sapiens (human)
sphingosine metabolic processSphingosine kinase 1Homo sapiens (human)
inflammatory responseSphingosine kinase 1Homo sapiens (human)
brain developmentSphingosine kinase 1Homo sapiens (human)
cell population proliferationSphingosine kinase 1Homo sapiens (human)
positive regulation of peptidyl-threonine phosphorylationSphingosine kinase 1Homo sapiens (human)
regulation of tumor necrosis factor-mediated signaling pathwaySphingosine kinase 1Homo sapiens (human)
phosphorylationSphingosine kinase 1Homo sapiens (human)
calcium-mediated signalingSphingosine kinase 1Homo sapiens (human)
regulation of endocytosisSphingosine kinase 1Homo sapiens (human)
sphingolipid biosynthetic processSphingosine kinase 1Homo sapiens (human)
positive regulation of cell growthSphingosine kinase 1Homo sapiens (human)
positive regulation of cell migrationSphingosine kinase 1Homo sapiens (human)
positive regulation of protein ubiquitinationSphingosine kinase 1Homo sapiens (human)
regulation of interleukin-1 beta productionSphingosine kinase 1Homo sapiens (human)
positive regulation of interleukin-17 productionSphingosine kinase 1Homo sapiens (human)
response to tumor necrosis factorSphingosine kinase 1Homo sapiens (human)
intracellular signal transductionSphingosine kinase 1Homo sapiens (human)
cellular response to vascular endothelial growth factor stimulusSphingosine kinase 1Homo sapiens (human)
negative regulation of apoptotic processSphingosine kinase 1Homo sapiens (human)
positive regulation of angiogenesisSphingosine kinase 1Homo sapiens (human)
positive regulation of mitotic nuclear divisionSphingosine kinase 1Homo sapiens (human)
positive regulation of mitotic cell cycleSphingosine kinase 1Homo sapiens (human)
positive regulation of smooth muscle contractionSphingosine kinase 1Homo sapiens (human)
sphingosine biosynthetic processSphingosine kinase 1Homo sapiens (human)
sphingoid catabolic processSphingosine kinase 1Homo sapiens (human)
regulation of phagocytosisSphingosine kinase 1Homo sapiens (human)
positive regulation of NF-kappaB transcription factor activitySphingosine kinase 1Homo sapiens (human)
cellular response to hydrogen peroxideSphingosine kinase 1Homo sapiens (human)
DNA biosynthetic processSphingosine kinase 1Homo sapiens (human)
regulation of neuroinflammatory responseSphingosine kinase 1Homo sapiens (human)
negative regulation of ceramide biosynthetic processSphingosine kinase 1Homo sapiens (human)
positive regulation of p38MAPK cascadeSphingosine kinase 1Homo sapiens (human)
positive regulation of non-canonical NF-kappaB signal transductionSphingosine kinase 1Homo sapiens (human)
regulation of microglial cell activationSphingosine kinase 1Homo sapiens (human)
regulation of endosomal vesicle fusionSphingosine kinase 1Homo sapiens (human)
cellular response to growth factor stimulusSphingosine kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (17)

Processvia Protein(s)Taxonomy
G protein-coupled receptor bindingSphingosine 1-phosphate receptor 1Homo sapiens (human)
G protein-coupled receptor activitySphingosine 1-phosphate receptor 1Homo sapiens (human)
protein bindingSphingosine 1-phosphate receptor 1Homo sapiens (human)
sphingosine-1-phosphate receptor activitySphingosine 1-phosphate receptor 1Homo sapiens (human)
sphingolipid bindingSphingosine 1-phosphate receptor 1Homo sapiens (human)
lipid kinase activitySphingosine kinase 2Homo sapiens (human)
protein bindingSphingosine kinase 2Homo sapiens (human)
ATP bindingSphingosine kinase 2Homo sapiens (human)
sphinganine kinase activitySphingosine kinase 2Homo sapiens (human)
D-erythro-sphingosine kinase activitySphingosine kinase 2Homo sapiens (human)
small GTPase bindingSphingosine kinase 2Homo sapiens (human)
sphingosine-1-phosphate receptor activitySphingosine kinase 2Homo sapiens (human)
histone bindingSphingosine kinase 2Homo sapiens (human)
magnesium ion bindingSphingosine kinase 1Homo sapiens (human)
lipid kinase activitySphingosine kinase 1Homo sapiens (human)
DNA bindingSphingosine kinase 1Homo sapiens (human)
protein bindingSphingosine kinase 1Homo sapiens (human)
calmodulin bindingSphingosine kinase 1Homo sapiens (human)
ATP bindingSphingosine kinase 1Homo sapiens (human)
lipid bindingSphingosine kinase 1Homo sapiens (human)
sphinganine kinase activitySphingosine kinase 1Homo sapiens (human)
acetyltransferase activitySphingosine kinase 1Homo sapiens (human)
D-erythro-sphingosine kinase activitySphingosine kinase 1Homo sapiens (human)
sphingosine-1-phosphate receptor activitySphingosine kinase 1Homo sapiens (human)
protein phosphatase 2A bindingSphingosine kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (19)

Processvia Protein(s)Taxonomy
nucleoplasmSphingosine 1-phosphate receptor 1Homo sapiens (human)
endosomeSphingosine 1-phosphate receptor 1Homo sapiens (human)
plasma membraneSphingosine 1-phosphate receptor 1Homo sapiens (human)
external side of plasma membraneSphingosine 1-phosphate receptor 1Homo sapiens (human)
intracellular membrane-bounded organelleSphingosine 1-phosphate receptor 1Homo sapiens (human)
membrane raftSphingosine 1-phosphate receptor 1Homo sapiens (human)
plasma membraneSphingosine 1-phosphate receptor 1Homo sapiens (human)
cytoplasmSphingosine 1-phosphate receptor 1Homo sapiens (human)
nucleusSphingosine kinase 2Homo sapiens (human)
nucleoplasmSphingosine kinase 2Homo sapiens (human)
cytoplasmSphingosine kinase 2Homo sapiens (human)
mitochondrionSphingosine kinase 2Homo sapiens (human)
mitochondrial inner membraneSphingosine kinase 2Homo sapiens (human)
lysosomal membraneSphingosine kinase 2Homo sapiens (human)
endoplasmic reticulumSphingosine kinase 2Homo sapiens (human)
cytosolSphingosine kinase 2Homo sapiens (human)
membraneSphingosine kinase 2Homo sapiens (human)
nucleosomeSphingosine kinase 2Homo sapiens (human)
intracellular membrane-bounded organelleSphingosine kinase 2Homo sapiens (human)
membraneSphingosine kinase 2Homo sapiens (human)
cytoplasmSphingosine kinase 2Homo sapiens (human)
presynapseSphingosine kinase 1Homo sapiens (human)
nucleusSphingosine kinase 1Homo sapiens (human)
nucleoplasmSphingosine kinase 1Homo sapiens (human)
cytoplasmSphingosine kinase 1Homo sapiens (human)
cytosolSphingosine kinase 1Homo sapiens (human)
plasma membraneSphingosine kinase 1Homo sapiens (human)
clathrin-coated pitSphingosine kinase 1Homo sapiens (human)
endocytic vesicleSphingosine kinase 1Homo sapiens (human)
early endosome membraneSphingosine kinase 1Homo sapiens (human)
presynapseSphingosine kinase 1Homo sapiens (human)
intracellular membrane-bounded organelleSphingosine kinase 1Homo sapiens (human)
membraneSphingosine kinase 1Homo sapiens (human)
cytoplasmSphingosine kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (99)

Assay IDTitleYearJournalArticle
AID1660287Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced spleen swelling at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660273Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool bleeding at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge measured on day 432020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID196253Immunosuppressive activity against skin allograft in F344 recipient (rat) from LEW donor (rat) at a concentration of 0.1 mg/kg2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660247Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in stool consistency score at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 m2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660298Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced mononuclear cell infiltration in spleen at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-chal2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID183610Lymphocyte-decreasing effect against F344 rats.2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660326Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in S1PR1 mRNA level at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/k2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660337Antiinflammatory activity in human THP1 cells assessed as reduction in LPS-induced TNFalpha mRNA level at 0.5 uM cotreated with 0.5 uM berberine incubated for 1 hr followed by LPS challenge and measured after 4 to 6 hrs by q-PCR method2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660286Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in DSS-induced colon swelling at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660334Antiinflammatory activity in human THP1 cells assessed as reduction in LPS-induced IL6 mRNA level at 1 uM incubated for 1 hr followed by LPS challenge and measured after 4 to 6 hrs by q-PCR method2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660275Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool consistency score at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660299Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced mononuclear cell infiltration in spleen at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-cha2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID662675Lymphopenic activity in C57BL/6 mouse assessed as reduction in blood lymphocytes after 4 to 8 weeks relative to control2012Bioorganic & medicinal chemistry letters, Jun-15, Volume: 22, Issue:12
Identification of benzoxazole analogs as novel, S1P(3) sparing S1P(1) agonists.
AID1660335Antiinflammatory activity in human THP1 cells assessed as reduction in LPS-induced TNFalpha mRNA level at 1 uM incubated for 1 hr followed by LPS challenge and measured after 4 to 6 hrs by q-PCR method2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1677875Prodrug conversion in rat blood assessed as SPHK1/SPHK2-mediated compound phosphorylation by measuring intrinsic clearance by LC-MS/MS analysis2020Bioorganic & medicinal chemistry, 11-01, Volume: 28, Issue:21
Design and synthesis of analogues of the sphingosine-1-phosphate receptor 1 agonist IMMH001 with improved phosphorylation rate in human blood.
AID1660243Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as effect on body weight at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge and measured after day 12 to day 182020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID628836Half life in human2011Bioorganic & medicinal chemistry letters, Oct-01, Volume: 21, Issue:19
Discovery and characterization of potent and selective 4-oxo-4-(5-(5-phenyl-1,2,4-oxadiazol-3-yl)indolin-1-yl)butanoic acids as S1P₁ agonists.
AID183445T cell-decreasing effect in spleen cells of WKAH rat which were injected into foot-pad of LEW rat.2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660341Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in phosphorylated STAT3 level at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 202020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660253Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in disease activity index at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660331Effect on total S1PR1 expression in DSS-induced C57BL/6 mouse model of subchronic relapsing colitis at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by Western blot analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660282Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reversal of DSS-induced colon shortening at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID639286Agonist activity at EGFP-tagged S1P1 receptor expressed in human UOS2 cells assessed as receptor internalization in endosomes at 3 uM after 60 mins relative to S1P2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID1660255Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in DSS-induced colon shortening at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660249Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in stool bleeding scores at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS challenge and measured on day 192020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660288Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced spleen swelling at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 202020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660259Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in colon swelling at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg berb2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660256Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in DSS-induced colon shortening at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660330Effect on total STAT3 expression in DSS-induced C57BL/6 mouse model of subchronic relapsing colitis at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by Western blot analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1677873Prodrug conversion in rat blood assessed as SPHK1/SPHK2-mediated compound phosphorylation by measuring Vmax by LC-MS/MS analysis2020Bioorganic & medicinal chemistry, 11-01, Volume: 28, Issue:21
Design and synthesis of analogues of the sphingosine-1-phosphate receptor 1 agonist IMMH001 with improved phosphorylation rate in human blood.
AID1660297Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced inflammatory cell infiltration in colon at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-cha2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1677872Prodrug conversion in human blood assessed as SPHK1/SPHK2-mediated compound phosphorylation by measuring Km by LC-MS/MS analysis2020Bioorganic & medicinal chemistry, 11-01, Volume: 28, Issue:21
Design and synthesis of analogues of the sphingosine-1-phosphate receptor 1 agonist IMMH001 with improved phosphorylation rate in human blood.
AID196255Immunosuppressive activity against skin allograft in F344 recipient (rat) from LEW donor (rat) at a concentration of 1 mg/kg2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660310Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in heart at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berberine by hem2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID182934In vivo immunosuppressive effect of compound was determined on host versus graft reaction (HvGR) using popliteal lymph node gain assay in rat1998Bioorganic & medicinal chemistry letters, Jan-06, Volume: 8, Issue:1
Synthesis and biological evaluation of 2,2-disubstituted 2-aminoethanols: analogues of FTY720.
AID1660285Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in DSS-induced colon swelling at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID637900Immunosuppressant activity in Balb/C mouse assessed as decrease in circulating CD3+ T cells at 10 mg/kg, po measured after 30 mins by flow cytometric analysis2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID1660305Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in heart at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge by hematoxylin and eosin staining based l2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID639287Agonist activity at EGFP-tagged S1P1 receptor expressed in human UOS2 cells assessed as receptor internalization in endosomes at 10 uM after 60 mins relative to S1P2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID182789Decrease in number of T cells in peripheral blood after administration for 4 days in rat1998Bioorganic & medicinal chemistry letters, Jan-06, Volume: 8, Issue:1
Synthesis and biological evaluation of 2,2-disubstituted 2-aminoethanols: analogues of FTY720.
AID196257Immunosuppressive activity against skin allograft in F344 recipient (rat) from LEW donor (rat) at a concentration of 10 mg/kg; Toxic2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660283Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reversal of DSS-induced colon shortening at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660278Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool consistency score at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660269Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool consistency score at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge measured on day 242020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID639291Immunosuppressant activity in Balb/C mouse assessed as decrease in circulating CD3+ T cells at 0.1 mg/kg, po measured after 30 mins by flow cytometric analysis2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID639292Immunosuppressant activity in Balb/C mouse assessed as decrease in circulating CD3+ T cells at 0.3 mg/kg, po measured after 30 mins by flow cytometric analysis2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID1660314Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in lung at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berberine by hema2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660313Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in brain at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berberine by hem2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660294Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced inflammatory cell infiltration in colon at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-chal2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660339Inhibition of STAT3 activation in human THP1 cells assessed as reduction in LPS-induced phosphorylated STAT3 expression at 0.5 uM cotreated with 0.5 uM berberine incubated for 1 hr followed by LPS challenge and measured after 4 to 6 hrs by Western blot an2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID639288Cytotoxicity against HLF cells2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID1660340Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in phosphorylated STAT3 level at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by Western blot a2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660270Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool bleeding at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge measured on day 382020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660320Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in TNFalpha mRNA level at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by RT-qPCR analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660321Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in IL6 mRNA level at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by RT-qPCR analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID639285Agonist activity at EGFP-tagged S1P1 receptor expressed in human UOS2 cells assessed as receptor internalization in endosomes after 60 mins2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID183137Lymphocyte-decreasing effect against F344 rats.2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660332Effect on total STAT3 expression in DSS-induced C57BL/6 mouse model of subchronic relapsing colitis at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg berberine by Western blot analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1677870Prodrug conversion in human blood assessed as SPHK1/SPHK2-mediated compound phosphorylation by measuring intrinsic clearance by LC-MS/MS analysis2020Bioorganic & medicinal chemistry, 11-01, Volume: 28, Issue:21
Design and synthesis of analogues of the sphingosine-1-phosphate receptor 1 agonist IMMH001 with improved phosphorylation rate in human blood.
AID1660336Antiinflammatory activity in human THP1 cells assessed as reduction in LPS-induced IL6 mRNA level at 0.5 uM cotreated with 0.5 uM berberine incubated for 1 hr followed by LPS challenge and measured after 4 to 6 hrs by q-PCR method2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660280Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in disease activity index at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/k2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660250Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in stool bleeding score at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/k2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660319Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in IL17 mRNA level at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by RT-qPCR analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660323Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in IL17 mRNA level at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660261Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in spleen swelling at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID196259Immunosuppressive activity against skin allograft in F344 recipient (rat) from LEW donor (rat) at a concentration of 3 mg/kg2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660252Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in disease activity index at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS challenge and measured on day 12020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID196254Immunosuppressive activity against skin allograft in F344 recipient (rat) from LEW donor (rat) at a concentration of 0.3 mg/kg2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID1660311Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in liver at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berberine by hem2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660272Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool consistency score at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge measured on day 432020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID183454Immunosuppressive activity against LEW rats transfected with spleen cells of WKAH rat in Popliteal Lymph Node Gain Assay.2000Journal of medicinal chemistry, Jul-27, Volume: 43, Issue:15
Synthesis and immunosuppressive activity of 2-substituted 2-aminopropane-1,3-diols and 2-aminoethanols.
AID662674Lymphopenic activity in C57BL/6 mouse assessed as reduction in blood lymphocytes relative to control2012Bioorganic & medicinal chemistry letters, Jun-15, Volume: 22, Issue:12
Identification of benzoxazole analogs as novel, S1P(3) sparing S1P(1) agonists.
AID1660295Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced multiple erosive lesions in colon at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660244Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as effect on body weight at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg berberine 2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660277Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in disease activity index at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/k2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660292Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced multiple erosive lesions in colon at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660333Effect on total S1PR1 expression in DSS-induced C57BL/6 mouse model of subchronic relapsing colitis at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg berberine by Western blot analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660325Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in IL6 mRNA level at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg 2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660274Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in disease activity index at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge and measured on day 432020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660312Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in kidney at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berberine by he2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660246Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in stool consistency scores at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS challenge and measured on day2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1677874Prodrug conversion in rat blood assessed as SPHK1/SPHK2-mediated compound phosphorylation by measuring Km by LC-MS/MS analysis2020Bioorganic & medicinal chemistry, 11-01, Volume: 28, Issue:21
Design and synthesis of analogues of the sphingosine-1-phosphate receptor 1 agonist IMMH001 with improved phosphorylation rate in human blood.
AID1660271Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in disease activity index at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge and measured on day 242020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660322Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in S1PR1 mRNA level at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge by RT-qPCR analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660293Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced loss of colon crypt and columnar epithelium at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660262Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in spleen swelling at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 mg/kg ber2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660309Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in lung at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge by hematoxylin and eosin staining based li2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660276Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool bleeding at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berber2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660308Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in brain at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge by hematoxylin and eosin staining based l2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID637899Immunosuppressant activity in Balb/C mouse assessed as decrease in circulating CD3+ T cells at 3 mg/kg, po measured after 30 mins by flow cytometric analysis2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID1660338Inhibition of STAT3 activation in human THP1 cells assessed as reduction in LPS-induced phosphorylated STAT3 expression at 1 uM incubated for 1 hr followed by LPS challenge and measured after 4 to 6 hrs by Western blot analysis2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID637898Immunosuppressant activity in Balb/C mouse assessed as decrease in circulating CD3+ T cells at 1 mg/kg, po measured after 30 mins by flow cytometric analysis2012Bioorganic & medicinal chemistry letters, Jan-01, Volume: 22, Issue:1
Novel immunomodulators based on an oxazolin-2-one-4-carboxamide scaffold.
AID1660279Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in stool bleeding at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge cotreated with 20 mg/kg berber2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660306Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in liver at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge by hematoxylin and eosin staining based l2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660296Anti-colitis activity against DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as reduction in DSS-induced loss of colon crypt and columnar epithelium at 0.15 mg/kg, po administered once daily for 30 days starting from day 13 post DSS2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660307Toxicity in DSS-induced C57BL/6 mouse model of chronic relapsing colitis assessed as induction of abnormalities in kidney at 0.3 mg/kg, po administered once daily for 30 days starting from day 13 post DSS-challenge by hematoxylin and eosin staining based 2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1677871Prodrug conversion in human blood assessed as SPHK1/SPHK2-mediated compound phosphorylation by measuring Vmax by LC-MS/MS analysis2020Bioorganic & medicinal chemistry, 11-01, Volume: 28, Issue:21
Design and synthesis of analogues of the sphingosine-1-phosphate receptor 1 agonist IMMH001 with improved phosphorylation rate in human blood.
AID1660324Antiinflammatory activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in TNFalpha mRNA level at 0.15 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge cotreated with 20 m2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
AID1660258Anti-colitis activity against DSS-induced C57BL/6 mouse model of subchronic relapsing colitis assessed as reduction in colon swelling at 0.3 mg/kg, po administered once daily for 14 days starting from day 5 post DSS-challenge2020Journal of natural products, 06-26, Volume: 83, Issue:6
Anti-inflammatory Efficacy of Combined Natural Alkaloid Berberine and S1PR Modulator Fingolimod at Low Doses in Ulcerative Colitis Preclinical Models.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (2,693)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's56 (2.08)18.2507
2000's478 (17.75)29.6817
2010's1535 (57.00)24.3611
2020's624 (23.17)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 35.94

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index35.94 (24.57)
Research Supply Index7.98 (2.92)
Research Growth Index5.43 (4.65)
Search Engine Demand Index53.90 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (35.94)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials157 (5.67%)5.53%
Reviews380 (13.71%)6.00%
Case Studies227 (8.19%)4.05%
Observational98 (3.54%)0.25%
Other1,909 (68.89%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (96)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A 4-month, Open-label, Multi-center Study to Explore Tolerability and Safety and Health Outcomes of FTY720 in Patients With Relapsing Forms of Multiple Sclerosis [NCT01127750]Phase 32,417 participants (Actual)Interventional2010-05-31Completed
Long-term, Prospective,Multinational, Parallel-cohort Study Monitoring Safety in Patients With MS Newly Started With Fingolimod Once Daily or Treated With Another Approved Disease-modifying Therapy [NCT01442194]3,076 participants (Actual)Observational2011-08-01Completed
A 6-month, Randomized, Active Comparator, Open-label, Multi-Center Study to Evaluate Patient Outcomes, Safety and Tolerability of Fingolimod (FTY720) 0.5 mg/Day in Patients With Relapsing Remitting Multiple Sclerosis Who Are Candidates for MS Therapy Chan [NCT01317004]Phase 461 participants (Actual)Interventional2011-05-31Completed
A Randomized, Single Dose, Crossover, Bioequivalence Study of Fingolimod 0.5 mg Capsule (Asofarma S.A.I. y C., Argentina) Compared With Gilenya 0.5 mg Capsule (Novartis Pharmaceuticals, Australia Pty Ltd) in Fasting Healthy Subjects [NCT03757338]Phase 133 participants (Actual)Interventional2015-10-23Completed
A 6-month Multicenter, Single-arm, Open-label Study to Investigate Changes in Biomarkers After Initiation of Treatment With 0.5 mg Fingolimod (FTY720) in Patients With Relapsing-remitting Multiple Sclerosis [NCT01310166]Phase 4447 participants (Actual)Interventional2011-02-28Completed
A Long Term, Multicenter, Non-interventional, Observational Study Monitoring Long-term Safety and Effectiveness of Fingolimod 0.5 mg in Patients With Multiple Sclerosis Who Have Participated in the Fingolimod Clinical Development Program [NCT01281657]64 participants (Actual)Observational2011-02-28Completed
Czech Pharmaco-epidemiological Real World Data Study Focused on Effectiveness of Different Disease Modifying Drugs [NCT05762003]17,478 participants (Actual)Observational2019-01-01Completed
A 32-week, Monocentric, Exploratory, Single Arm Study to Assess Immune Function and MRI Disease Activity in Patients With RRMS Transferred From Previous Treatment With Natalizumab to Gilenya® (Fingolimod) [NCT02325440]Phase 415 participants (Anticipated)Interventional2014-03-31Recruiting
Prevention of Paclitaxel-Associated Neuropathy With Fingolimod: a Pilot Trial [NCT03941743]Phase 12 participants (Actual)Interventional2019-12-12Completed
A Randomised Controlled Trial of Combinating an Immune Modulator Fingolimod With Alteplase Bridging With Mechanical Thrombectomy in Acute Ischemic Stroke [NCT04675762]Phase 2118 participants (Anticipated)Interventional2021-01-15Recruiting
An Investigator-initiated, Multicenter, Phase IV, Open-label Study to Evaluate the Biological Basis for Disease Progression in Relapsing-remitting Multiple Sclerosis Patients Treated in Routine Practice With Gilenya for 2 Years [NCT02137707]135 participants (Actual)Observational2012-11-30Completed
A Phase 2, Randomized, Placebo-Controlled Study to Evaluate Fingolimod for the Abrogation of Interstitial Fibrosis and Tubular Atrophy Following Kidney Transplantation [NCT05285878]Phase 220 participants (Anticipated)Interventional2022-07-28Enrolling by invitation
Evaluating the Effect of Fingolimod With Fish Oil Compared to Fingolimod With Placebo on Tumor Necrosis Factor-α , Interleukin1b , Interleukin6, and Interferon-gamma in Patients With Relapsing-Remitting Multiple Sclerosis [NCT02939079]Phase 2/Phase 350 participants (Actual)Interventional2015-04-30Completed
A 12-Month, Prospective, Multicenter, Two-cohort, Nonrandomized, Open-label Study in Adult Patients With Relapsing Multiple Sclerosis (RMS), to Investigate Changes in Immune Phenotype Biomarkers After Treatment With 0.5mg Fingolimod [FLUENT] [NCT03257358]Phase 4382 participants (Actual)Interventional2017-09-19Completed
A Multicentric Randomized PRAGmatic Trial to Compare the Effectiveness of Fingolimod Versus Dimethyl-Fumarate on Patient Overall Disease Experience in Relapsing Remitting Multiple Sclerosis: Novel Data to Inform Decision-makers [NCT03345940]Phase 455 participants (Actual)Interventional2017-04-30Terminated(stopped due to termination of the study due to the slowness of the recruitment activity, according to the contract signed with the Sponsor)
A 24-month, Open-label, Prospective, Multicenter Interventional, Single-arm Study Assessing the Efficacy and Safety of Fingolimod (Gilenya) 0.5 mg in Relapsing Multiple Sclerosis (RMS) Patients in China [NCT04667949]Phase 498 participants (Actual)Interventional2021-02-20Active, not recruiting
Efficacy of Fingolimod in the Treatment of New Coronavirus Pneumonia (COVID-19) [NCT04280588]Phase 20 participants (Actual)Interventional2020-02-22Withdrawn(stopped due to No participants enrolled)
A Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing the Efficacy and Safety of 0.5mg Fingolimod Administered Orally Once Daily Versus Placebo in Patients With Primary Progressive Multiple Sclerosis and An Open-label [NCT00731692]Phase 3970 participants (Actual)Interventional2008-07-28Terminated(stopped due to The extension study was terminated early after the results of the core study showed the study did not meet primary endpoint; confirmed disability progression)
A Double-blind, Randomized, Placebo-controlled, Parallel, Time-lagged, Ascending, Multi-centre, Multiple-dose Study to Measure the Magnitude and Time Course of the Effect of FTY720 on FEV1 and Other Pulmonary Function Tests (FVC, FEF25-75%, and FEV1/FVC) [NCT00785083]Phase 236 participants (Actual)Interventional2008-09-30Completed
Assessing Induction of Type II (M2) Monocytes/Macrophages in Patients Receiving Gilenya. [NCT02225977]125 participants (Actual)Observational2013-07-31Completed
A 18-month, Open-label, Rater-blinded, Randomized, Multi-center, Active-controlled, Parallel-group Pilot Study to Assess Efficacy and Safety of Fingolimod in Comparison to Interferon Beta 1b in Treating the Cognitive Symptoms Associated to Relapsing-remit [NCT01333501]Phase 4151 participants (Actual)Interventional2011-05-31Completed
A Phase 1 Clinical Study to Assess Safety and Efficacy of Oral Fingolimod (FTY720) in Children With Rett Syndrome. [NCT02061137]Phase 1/Phase 26 participants (Actual)Interventional2013-08-31Completed
A Multicenter, Randomized, Open-Label Study to Assess the Impact of Natalizumab Versus Fingolimod on Central Nervous System Tissue Damage and Recovery in Active Relapsing-Remitting Multiple Sclerosis Subjects [NCT02342704]Phase 4111 participants (Actual)Interventional2014-11-30Terminated(stopped due to Business Decision)
[NCT02193217]Phase 181 participants (Actual)InterventionalCompleted
Efficacy and Safety of Fingolimod in Minimal Invasive Treatment of Intracerebral Hemorrhage [NCT06087965]Phase 1/Phase 240 participants (Anticipated)Interventional2023-10-11Not yet recruiting
Combinating Fingolimod With Endovascular Treatment in Acute Ischemic Stroke [NCT04629872]Phase 230 participants (Anticipated)Interventional2020-11-12Recruiting
Fingolimod for Type 2 Diabetes Mellitus: a Pilot, Prospective, Randomized, and Open Label Single-center Study [NCT05307731]Phase 440 participants (Anticipated)Interventional2022-03-15Recruiting
A Phase III Multicenter, Randomized, Double-Blind, Double-Dummy Study To Evaluate Safety And Efficacy Of Ocrelizumab In Comparison With Fingolimod In Children And Adolescents With Relapsing-Remitting Multiple Sclerosis [NCT05123703]Phase 3233 participants (Anticipated)Interventional2022-02-04Recruiting
Pregnancy Outcomes in Women Exposed to Diroximel Fumarate [NCT05688436]1,178 participants (Anticipated)Observational [Patient Registry]2021-09-24Recruiting
A 12-month Double-blind, Randomized, Multicenter, Active-controlled, Parallel-group Study Comparing the Efficacy and Safety of 0.5 mg and 1.25 mg Fingolimod (FTY720) Administered Orally Once Daily Versus Interferon ß-1a (Avonex) Administered im Once Weekl [NCT00340834]Phase 31,292 participants (Actual)Interventional2006-05-31Completed
A 24-month, Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing the Efficacy and Safety of Fingolimod 1.25 mg and 0.5 mg Administered Orally Once Daily Versus Placebo in Patients With Relapsing-remitting Multiple Scle [NCT00289978]Phase 31,272 participants (Actual)Interventional2006-01-31Completed
An Open-label, Single-dose, Parallel-group Study to Compare the Pharmacokinetics of FTY720 and Metabolites in Subjects With Severe Renal Impairment With That in Matched Healthy Control Subjects [NCT00731523]Phase 118 participants (Actual)Interventional2008-07-31Completed
An Extension of the 6-month, Double-blind, Randomized, Placebo-controlled, Parallel-group, Multicenter Study Comparing Efficacy and Safety of FTY720 0.5 mg and 1.25 mg Administered Orally Once Daily in Patients With Relapsing Multiple Sclerosis [NCT00670449]Phase 2143 participants (Actual)Interventional2008-04-30Completed
An Extension of the 24-month, Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing Efficacy and Safety of Fingolimod (FTY720) 1.25 mg and 0.5 mg Administered Orally Once Daily Versus Placebo in Patients With Relapsing- [NCT00662649]Phase 3920 participants (Actual)Interventional2008-02-29Completed
A 4-month, Prospective, Open-label, Multi-center Phase IV Study to Assess Response to Fingolimod Initiation According to Coping Profile in Adult Patients With Highly Active Relapsing Remitting Multiple Sclerosis in France [NCT01420055]Phase 4189 participants (Actual)Interventional2011-08-31Completed
A 6-month, Double-blind, Randomized, Placebo-controlled, Parallel-group, Multicenter Study Comparing Efficacy and Safety of FTY720 0.5 mg and 1.25 mg Administered Orally Once Daily in Patients With Relapsing Multiple Sclerosis [NCT00537082]Phase 2171 participants (Actual)Interventional2007-09-30Completed
24-month Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study Comparing the Efficacy and Safety of 0.5 mg and 1.25 mg Fingolimod (FTY720) Administered Orally Once Daily Versus Placebo in Patients With Relapsing-remitting Multipl [NCT00355134]Phase 31,083 participants (Actual)Interventional2006-06-30Completed
Double-blind, Randomized, Placebo-controlled, Parallel-group, Multicenter Study Evaluating the Safety, Tolerability and Effect on MRI Lesion Parameters of FTY720 vs Placebo in Patients With Relapsing Multiple Sclerosis Including 18 Month Extension Phase [NCT00333138]Phase 2281 participants (Actual)Interventional2003-05-31Completed
A 12 Month Study, With a 6-month, Double-blind, Randomized, Placebo-controlled, Multi-center Parallel- Groups, Treatment Phase Evaluating Efficacy and Safety of Fingolimod 0.5 mg and a 6-month, Open-label, Treatment Phase, in Chinese Patients With Relapsi [NCT01941004]Phase 30 participants (Actual)Interventional2014-06-30Withdrawn
A Two-year Extension to a One-year, Multicenter, Partially Blinded, Double Dummy, Randomized Study to Evaluate the Efficacy and Safety of FTY720 Combined With Reduced-dose or Full-dose Cyclosporine, USP [Modified] (Novartis Brand) and Corticosteroids Vers [NCT00239811]Phase 3684 participants Interventional2004-04-30Completed
Efficacy and Safety of FTY720 for the Treatment of Acute Stroke [NCT02002390]Phase 222 participants (Actual)Interventional2012-10-31Completed
Treatment of Established Chemotherapy-Induced Neuropathy With Fingolimod: A Pilot Trial [NCT03943498]Early Phase 12 participants (Actual)Interventional2019-05-24Completed
A 3-month Blinded, Randomized, Multicenter, Placebo-controlled Study to Evaluate the Effect of Treatment With Fingolimod on the Immune Response Following Seasonal Influenza Vaccination and Tetanus Toxoid Booster Injection in Patients With Relapsing Forms [NCT01199861]Phase 3138 participants (Actual)Interventional2010-08-31Completed
Determining the Effectiveness of earLy Intensive Versus Escalation Approaches for the Treatment of Relapsing-Remitting Multiple Sclerosis [NCT03535298]Phase 4800 participants (Anticipated)Interventional2019-01-03Recruiting
An Open Label Randomized, Single Dose, Two-way Crossover Bioequivalence Study to Determine the Bioequivalence of Fingolimod From Sphingomod 0.5 mg Hard Gelatin Capsules (Hikma Pharma, Egypt) Versus Gilenya 0.5 mg Hard Capsules (Novartis Pharma AG, Basle, [NCT04657744]Phase 134 participants (Actual)Interventional2020-08-10Completed
A 6-month, Randomized, Active Comparator, Open-label, Multi-Center Study to Evaluate Patient OutComes, Safety and Tolerability of Fingolimod (FTY720) 0.5 mg/Day in Patients With Relapsing Forms of Multiple Sclerosis Who Are Candidates for MS Therapy Chang [NCT01216072]Phase 41,053 participants (Actual)Interventional2010-08-31Completed
A 2-year Randomized, 3-arm, Double-blind, Non-inferiority Study Comparing the Efficacy and Safety of Ofatumumab and Siponimod Versus Fingolimod in Pediatric Patients With Multiple Sclerosis Followed by an Open-label Extension [NCT04926818]Phase 3180 participants (Anticipated)Interventional2021-10-05Recruiting
A Randomised Controlled Trial of Combinating an Immune Modulator Fingolimod With Alteplase Bridging With Mechanical Thrombectomy in Acute Ischemic Stroke [NCT02956200]Phase 20 participants (Actual)Interventional2016-11-30Withdrawn
Impact of Fingolimod Adherence on Outcomes [NCT05141669]694 participants (Actual)Observational2020-05-18Completed
A 2 Year, Double-blind, Randomized, Multicenter, Active-controlled Core Phase to Evaluate Safety & Efficacy of Daily Fingolimod vs Weekly Interferon β-1a im in Pediatric Patients With Multiple Sclerosis and 5 Year Fingolimod Extension Phase [NCT01892722]Phase 3220 participants (Anticipated)Interventional2013-07-26Recruiting
A Pragmatic Trial to Evaluate the Intermediate-term Effects of Early, Aggressive Versus Escalation Therapy in People With Multiple Sclerosis [NCT03500328]900 participants (Anticipated)Interventional2018-05-02Recruiting
FINGORHYMS - Effects of Fingolimod on Heart Rhythm and Heart Rate Variability in Patients With Multiple Sclerosis [NCT03216915]100 participants (Anticipated)Observational2013-06-01Recruiting
A One-year, Multicenter, Partially Blinded, Double-dummy, Randomized Study to Evaluate the Efficacy and Safety of FTY720 Combined With Reduced-dose or Full-dose Cyclosporine, USP [Modified] (Novartis Brand) and Corticosteroids Versus Mycophenolate Mofetil [NCT00239785]Phase 3684 participants Interventional2003-04-30Completed
A Two-year Extension to a One-year, Multicenter, Partially Blinded, Double-dummy, Randomized Study to Evaluate the Efficacy and Safety of FTY720 Combined With Reduced-dose or Full-dose Cyclosporine, USP [Modified] (Novartis Brand) and Corticosteroids Vers [NCT00239863]Phase 3684 participants Interventional2004-05-31Completed
Two-year Extension of a One-year, Multicenter, Randomized, Partially-blinded Study of the Safety and Efficacy of FTY720 Combined With Corticosteroids and Full or Reduced-dose Cyclosporine, USP [Modified] (Novartis Brand) in de Novo Adult Renal Transplant [NCT00239902]Phase 2396 participants Interventional2002-05-31Completed
Safety and Efficacy of FTY720 in Adult Patients Who Receive a Kidney Transplant [NCT00099801]Phase 30 participants Interventional2005-01-31Completed
A Randomized, Parallel Group, Double-blind, Placebo Controlled, 14 Days Multiple-dose Treatment to Assess the Pulmonary and Cardiac Pharmacodynamics of FTY720 (0.5 and 1.25 mg) in Healthy Volunteers [NCT00416845]Phase 139 participants (Actual)Interventional2006-10-31Completed
Efficacy and Safety of FTY720 in Patients Who Receive a Kidney Transplantation [NCT00098735]Phase 3140 participants Interventional2004-04-30Completed
Safety and Efficacy of FTY720 in Adult Patients Who Receive a Kidney Transplant [NCT00099749]Phase 2/Phase 3255 participants Interventional2003-11-30Completed
The Multi-National Gilenya Pregnancy Exposure Registry in Multiple Sclerosis [NCT01285479]500 participants (Anticipated)Observational [Patient Registry]2011-10-15Recruiting
A Single Arm, Open-label, Multicenter Study Evaluating the Long-term Safety and Tolerability of 0.5 mg Fingolimod (FTY720) Administered Orally Once Daily in Patients With Relapsing Forms of Multiple Sclerosis [NCT01201356]Phase 34,125 participants (Actual)Interventional2010-09-13Completed
An Open-Label, Balanced, Randomized, 2-Treatment, 2-Sequence, 2-Period, Single Dose, Crossover Oral Bioequivalence Study of Two Formulations of Fingolimod Capsules (3 x 0.5 mg) in Healthy Adult Human Subjects Under Fasting Conditions [NCT05145621]Phase 126 participants (Actual)Interventional2015-10-29Completed
Pharmacogenetic Investigation of Susceptibility to Liver Toxicity in Patients With Multiple Sclerosis Treated With Fingolimod [NCT05516303]65 participants (Anticipated)Observational2022-06-07Recruiting
Efficacy and Safety of FTY720 in Patients Who Receive a Kidney Transplant [NCT00099736]Phase 3696 participants (Actual)Interventional2003-05-07Completed
Long-term Follow up of Patients With Relapsing-remitting Multiple Sclerosis Enrolled in the Multicenter, Single-arm, Open-label Biobank Study (CFTY720DDE01), to Investigate Changes in Biomarkers After 48 Months of Treatment With 0.5 mg Fingolimod (FTY720) [NCT02720107]Phase 4133 participants (Actual)Interventional2016-05-12Completed
Safety and Effectiveness of Generic Fingolimod (Sphingomod®, Hikma) in Patients With Relapsing-Remitting Multiple Sclerosis in Egypt [NCT05423769]30 participants (Anticipated)Observational2022-01-19Active, not recruiting
A 24-month Extension of a One-year, Multicenter, Double Blinded Double Dummy, Randomized Study to Evaluate the Safety and Efficacy of Two Doses of FTY720 Combined With Full-dose Cyclosporine, USP [Modified] (Novartis Brand) and Steroids Versus Mycophenola [NCT00239798]Phase 2255 participants Interventional2004-11-30Completed
A Two-year Extension to a One-year, Multicenter, Open-label, Randomised Study to Evaluate the Safety and Efficacy of FTY720 Combined With Tacrolimus and Steroids Versus Mycophenolate Mofetyl Combined With Tacrolimus and Steroids, in de Novo Adult Renal Tr [NCT00239876]Phase 3140 participants Interventional2005-05-31Completed
Revascularization Pretreated With Fingolimod in Acute Stroke [NCT04718064]20 participants (Anticipated)Interventional2021-02-01Not yet recruiting
A 12-month, Open-label, Multicenter Study to Evaluate the Efficacy and Safety of Fingolimod in the Treatment of Relapsing-remitting Multiple Sclerosis Patients With Neutralizing Antibodies to Interferon Beta [NCT01621269]Phase 40 participants (Actual)Interventional2013-06-30Withdrawn
Phase II/III Study to Investigate the Effects of Fingolimod Versus Interferon Beta-1b on Visual Recovery After Optic Neuritis [NCT01647880]Phase 2/Phase 315 participants (Actual)Interventional2013-07-31Terminated(stopped due to delayed recruitment)
A 48-week, Double-blind, Randomized, Multi-center, Parallel-group Study Comparing Structural Changes in the Retina and Evolution of Visual Function After Immediate Versus Delayed Treatment With Fingolimod in Patients With Acute Demyelinating Optic Neuriti [NCT01757691]Phase 22 participants (Actual)Interventional2013-08-31Terminated(stopped due to Discontinuation of this study was based on Novartis decision to discontinue development of fingolimod for the treatment of ADON)
The Long-term Effect of Fingolimod on Circulating Immunocompetent Mononuclear Cells in Patients With Multiple Sclerosis [NCT01755871]Phase 48 participants (Actual)Interventional2013-01-31Terminated(stopped due to lack of recruitment)
A 6-month, Randomized, Active Comparator, Open-label, Multi-Center Study to Evaluate Patient Outcomes, Safety and Tolerability of (Fingolimod) 0.5 mg/Day in Patients With Relapsing Remitting Multiple Sclerosis Who Are Candidates for Multiple Sclerosis (MS [NCT01534182]Phase 4298 participants (Actual)Interventional2012-01-31Completed
A 12-month, Prospective, Multi-center Post-authorization Commitment (PAC) Study Monitoring Safety in Adult Patients With Relapsing-remitting Multiple Sclerosis Newly Initiated on Gilenya (Fingolimod) in Taiwan (SPRING) [NCT04480853]Phase 430 participants (Anticipated)Interventional2020-10-12Recruiting
COMparison Between All immunoTherapies for Multiple Sclerosis. An Observational Long-term Prospective Cohort Study of Safety, Efficacy and Patient's Satisfaction of MS Disease Modulatory Treatments in Relapsing-remitting Multiple Sclerosis [NCT03193866]3,526 participants (Actual)Observational [Patient Registry]2017-06-02Active, not recruiting
A Multicenter, Randomized, Active-controlled Study to Assess the Safety, Tolerability, and Efficacy of FTY720 in Patients With Acute, Noninfectious Intermediate, Posterior and Pan Uveitis [NCT01791192]Phase 20 participants (Actual)Interventional2013-11-30Withdrawn
Effects of Fingolimod (Gilenya®) on Cytokine and Chemokine Levels in Relapsing Remitting Multiple Sclerosis Patients [NCT02373098]Phase 4126 participants (Actual)Interventional2015-03-31Completed
Phase IIa Double-Blind, Placebo-Controlled Study to Evaluate the Safety of Oral Fingolimod in Patients With Amyotrophic Lateral Sclerosis (ALS) [NCT01786174]Phase 230 participants (Actual)Interventional2013-08-31Completed
Safety and Efficacy of Fingolimod in Schizophrenia Patients Who Have Suboptimal Responses to Antipsychotic Drug Treatment [NCT01779700]Phase 240 participants (Actual)Interventional2013-01-31Completed
A 1-week, Open-label, Multi-center Study to Explore Conduction Abnormalities During First Dose Administration of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis [NCT01585298]Phase 46,998 participants (Actual)Interventional2012-04-29Completed
Effect of Fingolimod on Neurodegeneration, Brain Atrophy and Cognitive Impairment in Relapsing Remitting Multiple Sclerosis Patients [NCT02575365]Phase 44 participants (Actual)Interventional2016-02-16Terminated(stopped due to The trial was terminated due to low enrollment.)
A Double-blind, Randomized, Multicenter, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Fingolimod 0.5 mg Administered Orally Once Daily Versus Placebo in Patients With Chronic Inflammatory Demyelinating Polyradiculoneurop [NCT01625182]Phase 3106 participants (Actual)Interventional2012-12-22Completed
A 32-week, Patient- and Rater-blinded, Randomized, Multi-center, Parallel-group Study to Evaluate Disease Control and Safety in Patients With Relapsing Remitting Multiple Sclerosis Transferred From Previous Treatment With Natalizumab to Fingolimod (FTY720 [NCT01499667]Phase 3142 participants (Actual)Interventional2011-09-30Terminated(stopped due to Based on recent publications, determination of natalizumub washout period was no longer relevant.)
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 [NCT01498887]Phase 4347 participants (Actual)Interventional2011-12-24Completed
A 21-week, Multicenter, Open Label Study to Evaluate the Safety and Tolerability Profile of the Combination of a SSRI or SNRI Antidepressive Therapy With Oral Fingolimod in the Treatment of RRMS Patients With Mild to Moderate Depression [NCT01436643]Phase 454 participants (Actual)Interventional2011-11-30Terminated(stopped due to Due to slow enrollment the study was terminated early)
A Safety Study of Fingolimod With Radiation and Temozolomide in Newly Diagnosed High Grade Glioma [NCT02490930]Early Phase 15 participants (Actual)Interventional2015-07-31Completed
A 3-year Multi-center Study to Describe the Long Term Changes of Optical Coherence Tomography (OCT) Parameters in Patients Under Treatment With Gilenya® [NCT01705236]Phase 487 participants (Actual)Interventional2012-08-20Completed
A 12 -Month, Open-label, Multi-center Pilot Study to Explore the Health Outcomes of FTY720 in RRMS Patients Who Have Previously Been Treated With Other Disease Modifying Therapies (DMT)- Fine [NCT01578330]Phase 442 participants (Actual)Interventional2012-10-31Completed
A 4-month, Open-label, Multi-center Study to Explore the Safety and Tolerability of Fingolimod 0.5 mg in Patients With Relapsing-remitting Multiple Sclerosis [NCT01497262]Phase 3162 participants (Actual)Interventional2012-02-29Completed
A 12-month, Prospective, Randomized, Active-controlled, Open-label Study to Evaluate the Patient Retention of Fingolimod vs. Approved First-line Disease Modifying Therapies in Adults With Relapsing Remitting Multiple Sclerosis (PREFERMS) [NCT01623596]Phase 4881 participants (Actual)Interventional2012-06-08Completed
Funktionelle Evaluation Des Autonomen Nervensystems im Zusammenhang Mit Der Erstmaligen Einnahme Von 0,5mg Fingolimod (Gilenya) Bei Patienten Mit schubförmig Verlaufender Multipler Sklerose [NCT02048072]Phase 433 participants (Actual)Interventional2013-07-31Completed
STATURE: A Prospective Observational Study of the relationShip beTween Oral DMT bURden and adhErence in People With MS [NCT04676204]323 participants (Anticipated)Observational2020-09-25Enrolling by invitation
Fingolimod as a Treatment of Cerebral Edema After Intracerebral Hemorrhage [NCT04088630]Early Phase 128 participants (Actual)Interventional2020-08-07Active, not recruiting
Long-term, Open-label, Multicenter Study Assessing Long-term Cardiovascular Risks in Patients Treated With Fingolimod [NCT02232061]Phase 46 participants (Actual)Interventional2014-09-29Completed
A 12-month, Randomized, Rater- and Dose-blinded Study to Compare the Efficacy and Safety of Fingolimod 0.25 mg and 0.5 mg Administered Orally Once Daily With Glatiramer Acetate 20 mg Administered Subcutaneously Once Daily in Patients With Relapsing-remitt [NCT01633112]Phase 31,064 participants (Actual)Interventional2012-08-09Terminated(stopped due to slow recruitment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00289978 (3) [back to overview]Estimated Annualized Aggregate Relapse Rate (ARR)
NCT00289978 (3) [back to overview]Number of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With Baseline
NCT00289978 (3) [back to overview]Percentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)
NCT00333138 (11) [back to overview]Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 6 (Core)
NCT00333138 (11) [back to overview]Percentage of Participants Free of T1-weighted Lesions
NCT00333138 (11) [back to overview]Mean Trough Blood Concentrations of FTY720
NCT00333138 (11) [back to overview]Mean Number of New T2-weighted Lesions
NCT00333138 (11) [back to overview]Change From Baseline in Volume of Total T2-weighted Lesions
NCT00333138 (11) [back to overview]Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 60
NCT00333138 (11) [back to overview]Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 12
NCT00333138 (11) [back to overview]Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at End of Study
NCT00333138 (11) [back to overview]Volume of T2-weighted Lesions
NCT00333138 (11) [back to overview]Percentage of Patients Free of Gd-enhanced T1-weighted and New T2- Weighted Lesions by Visit
NCT00333138 (11) [back to overview]Time to Event Analysis: Kaplan Meier Estimates of Percentage of Relapse-free Patients
NCT00340834 (6) [back to overview]Percentage of Participants Free of 3-month and 6-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Extension Phase of the Study
NCT00340834 (6) [back to overview]Percentage of Participants Free of 3-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Core Phase of the Study
NCT00340834 (6) [back to overview]Estimated Annualized Aggregate Relapse Rate (ARR) in the Core Phase of the Study
NCT00340834 (6) [back to overview]Number of New or Newly Enlarged T2 Lesions in Comparison With Baseline in the Core Phase of the Study
NCT00340834 (6) [back to overview]Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study
NCT00340834 (6) [back to overview]Number of New or Newly Enlarged T2 Lesions in the Extension Phase of the Study
NCT00355134 (11) [back to overview]Percentage of Participants Free of 6-month Confirmed Disability Progression at Month 24 and End of Study
NCT00355134 (11) [back to overview]Percentage of Participants Free of 3-month Confirmed Disability Progression at Month 24 and End of Study
NCT00355134 (11) [back to overview]Percent Change From Baseline in Brain Volume
NCT00355134 (11) [back to overview]Number of New or Newly Enlarged T2 Lesions
NCT00355134 (11) [back to overview]Percentage of Participants Relapse-free up to Month 24
NCT00355134 (11) [back to overview]Number of Gadolinium-enhanced T1 Lesions
NCT00355134 (11) [back to overview]Aggregate Annualized Relapse Rate (ARR) Estimate up to End of Study
NCT00355134 (11) [back to overview]Aggregate Annualized Relapse Rate (ARR) Estimate up to Month 24
NCT00355134 (11) [back to overview]Percentage of Participants Relapse-free up to End of Study
NCT00355134 (11) [back to overview]Change From Baseline in Lesion Volume at Month 24 (Core Phase)
NCT00355134 (11) [back to overview]Change From Baseline in Multiple Sclerosis Functional Composite (MSFC) Z-score
NCT00537082 (4) [back to overview]Number of Patients Free of New or Newly Enlarged T2 Lesions
NCT00537082 (4) [back to overview]Annualized Relapse Rate (ARR) at 6 Months
NCT00537082 (4) [back to overview]Number of Patients Free of Gadolinium-enhanced T1-Weighted Magnetic Resonance Imaging (MRI) Lesions at Both Month 3 and Month 6
NCT00537082 (4) [back to overview]Number of Patients Free of MS Relapse up to Month 6 (Confirmed Relapse Only)
NCT00662649 (9) [back to overview]Annualized Aggregate Relapse Rate (ARR) During Months 0 to End of Study(Core [CFTY720D2301/NCT00289978] and Extension Study)
NCT00662649 (9) [back to overview]Change (Expressed as Ratio) in the Annualized Aggregate Relapse Rate (ARR) From Months 0-24 (Core Study) to Months 24-48 (Extension Study)
NCT00662649 (9) [back to overview]Percent Change in Brain Volume From Month 0 End of Study (Core and Extension Study)
NCT00662649 (9) [back to overview]Time to First 3-month Confirmed Disability Progression up to End of Study Based on Expanded Disability Status Scale (EDSS): Kaplan-Meier Estimate of Percentage of Patients Free of Disability Progression
NCT00662649 (9) [back to overview]Annualized Aggregate Relapse Rate (ARR) During Months 0-24 (Core Study) and Months 24-48 (Extension Study)
NCT00662649 (9) [back to overview]Change in Mean Number of New or Newly Enlarged T2 Magnetic Resonance Imaging (MRI) Lesions During Months 0-24 (Core Study) and Months 24-48 (Extension Study)
NCT00662649 (9) [back to overview]Percent Change in Brain Volume From Month 0 to Month 24 (Core Study) and From Month 24 to Month 48 (Extension Study)
NCT00662649 (9) [back to overview]Percentage of Patients Free of New or Newly Enlarged T2 Magnetic Resonance Imaging (MRI) Lesions During Months 0-24 (Core Study) and Months 24-48 (Extension Study)
NCT00662649 (9) [back to overview]Time to First Confirmed Relapse up to End of Study: Kaplan-Meier Estimate of Percentage of Patients Relapse-free
NCT00670449 (6) [back to overview]Percentage of Patients Relapse-free at the End of the Study
NCT00670449 (6) [back to overview]Aggregate Annualized Relapse Rate (ARR) Based on Confirmed Relapses
NCT00670449 (6) [back to overview]Change From Core Study Baseline in the Expanded Disability Status Scale (EDSS) Score
NCT00670449 (6) [back to overview]Percentage of Patients Free From 3-month and 6-month Confirmed Disability Progression at Their Last Expanded Disability Status Scale (EDSS) Assessment
NCT00670449 (6) [back to overview]Percentage of Patients Free of Gd-enhanced T1 Weighted Magnetic Resonance Imaging (MRI) Lesions
NCT00670449 (6) [back to overview]Percentage of Patients Free of New or Newly Enlarged T2 Weighted MRI Lesions
NCT00731692 (15) [back to overview]Change From Baseline in Multiple Sclerosis Walking Scale (MSWS-12 Score)
NCT00731692 (15) [back to overview]Change From Baseline in PRIMUS-Activities
NCT00731692 (15) [back to overview]Change From Baseline in the Patient Reported Indices in Multiple Sclerosis (PRIMUS-QoL Score)
NCT00731692 (15) [back to overview]Change From Baseline in Unidimensional Fatigue Impact (U-FIS) Score
NCT00731692 (15) [back to overview]Change in MSFC Z-score and Subscale Scores From Baseline to Month 36
NCT00731692 (15) [back to overview]Kaplan Meier Estimate -Percentage of Participants With 3- Month Confirmed Disability Progression Based on 25' TWT.
NCT00731692 (15) [back to overview]Kaplan Meier Estimate -Percentage of Participants With 3- Month Confirmed Disability Progression Based on 9-HPT.
NCT00731692 (15) [back to overview]Kaplan-Meier Estimate of the Risk of 3- Month Confirmed Disability Progression Based on Expanded Disability Status Scale (EDSS)
NCT00731692 (15) [back to overview]Kaplan-Meier Estimate of the Risk of 3-month Confirmed Disability Progression Based on Composite Endpoint
NCT00731692 (15) [back to overview]Number of Gd-enhancing Lesions at Month 36
NCT00731692 (15) [back to overview]Number of New/Enlarging T2 Lesions Per Year Measured From Baseline to Month 36
NCT00731692 (15) [back to overview]Percent Change From Baseline in Brain Volume at Month 36
NCT00731692 (15) [back to overview]Percent Change in Total T2 Lesion Volume From Baseline to Month 36
NCT00731692 (15) [back to overview]Blood Concentrations of Fingolimod and Fingolimod-phosphate
NCT00731692 (15) [back to overview]Change From Baseline in European Quality of Life - 5 Dimensions (EQ-5D Score)
NCT01199861 (7) [back to overview]Number of Participants With Adverse Events (AEs)
NCT01199861 (7) [back to overview]Change From Baseline in Seasonal Influenza Vaccine Antibody-titer 6 Weeks After Vaccination
NCT01199861 (7) [back to overview]Change From Baseline in Seasonal Influenza Vaccine Antibody-titer 3 Weeks After Vaccination
NCT01199861 (7) [back to overview]Immune Response 6 Weeks After Tetanus Toxoid Booster
NCT01199861 (7) [back to overview]Immune Response 6 Weeks After Seasonal Influenza Vaccination
NCT01199861 (7) [back to overview]Immune Response 3 Weeks After Tetanus Toxoid Booster
NCT01199861 (7) [back to overview]Immune Response 3 Weeks After Seasonal Influenza Vaccination
NCT01201356 (11) [back to overview]Part I: Number of Participants With Categorized Change From First Dose of Fingolimod in Expanded Disability Status Scale (EDSS) Overall Score
NCT01201356 (11) [back to overview]Parts I and II: Number of Participants With Adverse Events, Serious Adverse Event, and Death
NCT01201356 (11) [back to overview]Part I: Percent Brain Volume Change (PBVC) Relative to First Dose of Fingolimod
NCT01201356 (11) [back to overview]Part I: Number of Participants With Relapses (Confirmed and Unconfirmed) From First Dose of Fingolimod
NCT01201356 (11) [back to overview]Part I: Number of Participants With Confirmed 6-month Disability Progression After First Dose of Fingolimod
NCT01201356 (11) [back to overview]Part I: Change From First Dose of Fingolimod in Total T2 Lesions Volume
NCT01201356 (11) [back to overview]Part I: Change From First Dose of Fingolimod in Total T1 Hypointense Lesions Volume
NCT01201356 (11) [back to overview]Part I: Change From First Dose of Fingolimod in Expanded Disability Status Scale (EDSS)
NCT01201356 (11) [back to overview]Part I: Annualized Rate of Brain Atrophy (ARBA) Relative to First Dose of Fingolimod
NCT01201356 (11) [back to overview]Part I: Aggregate Annualized Relapse Rates (ARR) From First Dose of Fingolimod
NCT01201356 (11) [back to overview]Part I: Annualized Rates of New or Newly Enlarging T2 Lesions (ARneT2) Compared With First Dose of Fingolimod
NCT01216072 (10) [back to overview]Change From Baseline in the Patient-reported Effectiveness Subscale Using the TSQM v1.4
NCT01216072 (10) [back to overview]Change From Baseline in the Patient-reported Convenience Subscale Using the TSQM v1.4
NCT01216072 (10) [back to overview]Physician-reported Clinical Global Impression of Improvement (CGI-I)
NCT01216072 (10) [back to overview]Number of Patients Who Experienced Adverse Events, Serious Adverse Events and Death
NCT01216072 (10) [back to overview]Change From Baseline in Patient-reported Health-related Quality-of-life Using the Short Form Health Survey v2 Standard (SF-36 v2)
NCT01216072 (10) [back to overview]Change From Baseline in Patient-reported Fatigue Using the Fatigue Severity Scale (FSS)
NCT01216072 (10) [back to overview]Change From Baseline in Patient-reported Activities of Daily Living (ADL) Using the Multiple Sclerosis Activities Scale (PRIMUS-Activities) at Month 6
NCT01216072 (10) [back to overview]Change From Baseline in Patient-reported Depression Using the Beck Depression Inventory (BDI-II)
NCT01216072 (10) [back to overview]Change From Baseline in the Patient-reported Side Effects Subscale Using the TSQM v1.4
NCT01216072 (10) [back to overview]Change From Baseline in the Global Satisfaction Subscale of the Treatment Satisfaction Questionnaire for Medication (TSQM) at Month 6
NCT01317004 (7) [back to overview]Change From Baseline in Patient-reported Depression
NCT01317004 (7) [back to overview]Change From Baseline in Patient-reported Fatigue
NCT01317004 (7) [back to overview]Change From Baseline in Patient-reported Treatment Satisfaction
NCT01317004 (7) [back to overview]Change From Baseline in Patient-Reported Effectiveness and Convenience
NCT01317004 (7) [back to overview]Change From Baseline in Patient-reported Health Related Quality of Life (QOL)
NCT01317004 (7) [back to overview]Physician-reported Clinical Global Impression of Improvement (CGI-I)
NCT01317004 (7) [back to overview]Change From Baseline in Patient-reported Activities of Daily Living (ADL)
NCT01333501 (21) [back to overview]Change From Screening in the Number of T1 Gd+ Enhancing Lesions
NCT01333501 (21) [back to overview]Changes in Quality of Life, by Means of the Multiple Sclerosis Quality of Life (MSQoL-54)
NCT01333501 (21) [back to overview]Change From Screening in Spatial Recall Test - Delayed Recall (SPART-D)
NCT01333501 (21) [back to overview]Change From Screening in DKEFS Condition 2: Sort Recognition, Sort Recognition Description Score- Card Set 1+2
NCT01333501 (21) [back to overview]Change From Screening in DKEFS Condition 1: Free Sorting, Free Sorting, Description Score, Card Set 1+2
NCT01333501 (21) [back to overview]Change From Screening in Delis-Kaplan Executive Function System (DKEFS) Condition 1: Free Sorting, Confirmed Correct Sort- Card Set 1+2
NCT01333501 (21) [back to overview]Change From Screening in the Number of New T2 Lesions
NCT01333501 (21) [back to overview]Change From Screening in Symbol Digit Modalities Test (SDMT) Raw Score
NCT01333501 (21) [back to overview]Change From Screening in Spatial Recall Test (SPART) Raw Score
NCT01333501 (21) [back to overview]Change From Screening in Montgomery-Asberg Depression Rating Scale (MADRS)
NCT01333501 (21) [back to overview]Change From Screening in Paced Auditory Serial Addition Test - 2 (PASAT 2) Raw Score
NCT01333501 (21) [back to overview]Change From Screening in Paced Auditory Serial Addition Test - 3 Seconds (PASAT 3) Raw Score
NCT01333501 (21) [back to overview]Change From Screening in Selective Reminding Test - Consistent Long Term Retrieval (SRT-CLTR) Raw Score
NCT01333501 (21) [back to overview]Change From Screening in Selective Reminding Test - Long-Term Storage (SRT-LTS) Raw Score
NCT01333501 (21) [back to overview]Change From Screening in Selective Reminding Test - Delayed Recall (SRT-D) Raw Score
NCT01333501 (21) [back to overview]Changes in the Environmental Status Scale Score (ESS)
NCT01333501 (21) [back to overview]Changes From Baseline in Fatigue Impact Scale (mFIS, Total Score and Scores of the 3 Individual Domains).
NCT01333501 (21) [back to overview]Change From Screening in Word List Generation (WLG)
NCT01333501 (21) [back to overview]Change From Screening in the Volume of Total T2 Lesions
NCT01333501 (21) [back to overview]Change From Screening in the Volume of Total T1 Hypointense Lesions
NCT01333501 (21) [back to overview]Change From Screening in the Percentage of Brain Volume Change
NCT01436643 (1) [back to overview]Number of Participants Who Experienced Adverse Events, Serious Adverse Events and Death
NCT01497262 (2) [back to overview]Number of Participants With Adverse Events as a Measure of Safety and Tolerability
NCT01497262 (2) [back to overview]Number (%) of Patients With AE of Special Interest Including Bradyarrhythmia, BP Increase, Liver Transaminase Elevations, Infections , Macula Oedema.
NCT01498887 (7) [back to overview]Percentage of Participants With Mild, Moderate or Severe Relapse
NCT01498887 (7) [back to overview]Time to First Relapse
NCT01498887 (7) [back to overview]Percentage of Relapse-free Participants
NCT01498887 (7) [back to overview]Mean Number of T2 Active Lesions
NCT01498887 (7) [back to overview]Change From Baseline in Expanded Disability Status Scale (EDSS) Score
NCT01498887 (7) [back to overview]Annual Relapse Rate (ARR)
NCT01498887 (7) [back to overview]Change From Baseline in Cerebral Volume
NCT01499667 (8) [back to overview]Number of Active (New or Newly Enlarging) T2 Lesions From the Last Natalizumab Infusion (Baseline) up to the Initiation of Fingolimod Treatment
NCT01499667 (8) [back to overview]Number of Active (New or Newly Enlarging) T2 Lesions From the Last Natalizumab Infusion (Baseline) Through 8 Weeks of Fingolimod Treatment
NCT01499667 (8) [back to overview]Number of Active (New or Newly Enlarging) T2 Lesions During the 24 Weeks After the Last Natalizumab Infusion (Baseline)
NCT01499667 (8) [back to overview]Number of Active (New or Newly Enlarging) T2 Lesions During the First 8 Weeks of Fingolimod Treatment
NCT01499667 (8) [back to overview]Number of Participants With Adverse Events (AE), Serious Adverse Events (SAE) and Death During Washout Period
NCT01499667 (8) [back to overview]Number of Participants With Adverse Events (AE), Serious Adverse Events (SAE) and Death During Fingolimod Treatment
NCT01499667 (8) [back to overview]Cumulative Number of Gadolinium-enhancing T1 Lesions From the Last Natalizumab Infusion
NCT01499667 (8) [back to overview]Change From Baseline in Expanded Disability Status Scale (EDSS) by Washout Group
NCT01534182 (5) [back to overview]Change in Patient-reported Depression
NCT01534182 (5) [back to overview]Change in Patient-reported Treatment Satisfaction
NCT01534182 (5) [back to overview]Change in Patient-reported Health-related Quality-of-life Using the Short Form Health Survey v2 Acute (SF-36 v2 Acute)
NCT01534182 (5) [back to overview]Changes in Patient-reported Effectiveness, Side Effects and Convenience
NCT01534182 (5) [back to overview]Number of Patients Who Experienced Adverse Events, Serious Adverse Events and Death
NCT01578330 (4) [back to overview]Mean Patient-Reported Treatment Satisfaction Questionnaire for Medication Scores (TSQM-9)
NCT01578330 (4) [back to overview]Mean Patient-reported Health-related Quality-of-life With Fingolimod (Short Form Health Survey: SF-36).
NCT01578330 (4) [back to overview]Mean Patient-reported Health-related Quality-of-life With Fingolimod (Short Form Health Survey: SF-36).
NCT01578330 (4) [back to overview]Mean Patient-reported Health-related Quality-of-life With Fingolimod (Short Form Health Survey: SF-36).
NCT01585298 (5) [back to overview]Number of Patients With Cardiac Adverse Events
NCT01585298 (5) [back to overview]Number of Participants With Bradyarrhythmic Electrocardiogram (ECG) Events
NCT01585298 (5) [back to overview]Number of Patients With Heart Rate Below 45 Beats Per Minute (BPM)
NCT01585298 (5) [back to overview]Participants With 2nd or 3rd Degree Atrioventricular (AV) Block
NCT01585298 (5) [back to overview]Number of Participants With Prolonged QTc Interval (Friderica)
NCT01623596 (6) [back to overview]Participant Retention Rate Over 12 Months
NCT01623596 (6) [back to overview]Change From Baseline of Symbol Digit Modalities Test (SDMT) Scores (Oral Test) by Visit (Randomized Treatment / Randomized Phase)
NCT01623596 (6) [back to overview]Number of Satisfied Participants Per Medication Satisfaction Questionnaire (MSQ) Score
NCT01623596 (6) [back to overview]Percent Change From Baseline in Brain Volume From Month 12 to Last Visit (Randomized)
NCT01623596 (6) [back to overview]Primary and Secondary Reasons for Discontinuation From Randomized Treatment: Randomized Set
NCT01623596 (6) [back to overview]Change From Baseline of Symbol Digit Modalities Test (SDMT) Scores (Written Test) by Visit (Randomized Treatment / Randomized Phase)
NCT01625182 (4) [back to overview]Change From Baseline for Rasch-Built Linearly Weighted Overall Disability Scale (R-ODS)
NCT01625182 (4) [back to overview]Change From Baseline for Grip Strength, Non-dominant Hand
NCT01625182 (4) [back to overview]Change From Baseline for Grip Strength, Dominant Hand
NCT01625182 (4) [back to overview]Time to First Confirmed Worsening on the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale
NCT01633112 (9) [back to overview]Gd Enhancing T1 Lesion Volume
NCT01633112 (9) [back to overview]Percentage of Patients Free of New T1 Hypointense Lesions
NCT01633112 (9) [back to overview]Percent Brain Volume Change From Baseline
NCT01633112 (9) [back to overview]Number of Participants Free of New/Newly Enlarged T2 Lesions
NCT01633112 (9) [back to overview]New or Newly Enlarging T2 Lesions
NCT01633112 (9) [back to overview]Gd Enhancing T1 Lesion Count
NCT01633112 (9) [back to overview]Change From Baseline in T2 Lesion Volume
NCT01633112 (9) [back to overview]Confirmed Annualized Relapse Rate
NCT01633112 (9) [back to overview]Change From Baseline in TSQM Scales
NCT01705236 (6) [back to overview]Change From Baseline to Month 12, 24 and 36 in Average Quadrant Retinal Nerve Fiber Layer Thickness (RNFLT)
NCT01705236 (6) [back to overview]Change From Baseline to Month 12 and 24 in Average Retinal Nerve Fiber Layer Thickness (RNFLT)
NCT01705236 (6) [back to overview]Change From Baseline to Month 36 in Average Retinal Nerve Fiber Layer Thickness (RNFLT)
NCT01705236 (6) [back to overview]Number of Participants With Adverse Events
NCT01705236 (6) [back to overview]Change From Baseline to Month 12, 24 and 36 in Total Macular Volume (TMV)
NCT01705236 (6) [back to overview]Change From Baseline to Month 12, 24 and 36 in Ganglion Cell Inner Plexiform (GCIP)
NCT01757691 (1) [back to overview]Number of Particpants With Adverse Events as a Measure of Safety and Tolerability
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IFNgamma
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-10
NCT01779700 (17) [back to overview]Levels of Lymphocyte
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-8
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-17A
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-1BETA
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-2
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-4
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - IL-6
NCT01779700 (17) [back to overview]Plasma Cytokines Levels - TNFa
NCT01779700 (17) [back to overview]Positive Symptom Change - PANSS
NCT01779700 (17) [back to overview]Symptom Changes - PANSS Total Score
NCT01779700 (17) [back to overview]Verbal Memory - BACS
NCT01779700 (17) [back to overview]Cognition Change - Trails B
NCT01779700 (17) [back to overview]QTcB Change
NCT01779700 (17) [back to overview]Negative Symptom Change - PANSS
NCT01779700 (17) [back to overview]Cognition Change - BACS
NCT01786174 (5) [back to overview]ALSFRS-R Total Score at Weeks 0, 2, 4 and 8
NCT01786174 (5) [back to overview]Change in Slow Vital Capacity Score (SVC)
NCT01786174 (5) [back to overview]Forced Expiratory Volume in 1 Second (FEV1)
NCT01786174 (5) [back to overview]Forced Expiratory Volume in 1 Second (FEV1) / Slow Vital Capacity (SVC) Ratio
NCT01786174 (5) [back to overview]Lymphocyte (T-Cell) Subset Trajectories
NCT01892722 (1) [back to overview]Frequency of Relapses in Patients Treated for up to 24 Months
NCT02048072 (1) [back to overview]RMSSD Normal Breathing
NCT02232061 (1) [back to overview]Participants Who Experienced at Least One Qualifying Cardiovascular Adverse Event
NCT02342704 (6) [back to overview]Change From Baseline in Symbol Digit Modalities Test (SDMT) at Week 24
NCT02342704 (6) [back to overview]Change From Baseline in SDMT at Week 52
NCT02342704 (6) [back to overview]Change From Baseline in Total T1-Hypointense and Total T2-Hyperintense Lesion Volumes at Week 24
NCT02342704 (6) [back to overview]Change From Baseline in Total T1-Hypointense and Total T2-Hyperintense Lesion Volumes at Week 52
NCT02342704 (6) [back to overview]Cumulative Number of New T1-Gd+ Lesions
NCT02342704 (6) [back to overview]Cumulative Number of New or Enlarging T2 Lesions
NCT02373098 (7) [back to overview]Baseline Flow Cytometry Analyses for Blood Cytokines and Chemokines in Healthy Controls and RRMS Patients
NCT02373098 (7) [back to overview]Baseline Serum Cytokine and Chemokine Levels of Healthy Controls and RRMS Patients - ELISA
NCT02373098 (7) [back to overview]Percent Blood Cytokines and Chemokines Via Flow Cytometry Analyses of Healthy Controls and RRMS Patients at Baseline
NCT02373098 (7) [back to overview]Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients
NCT02373098 (7) [back to overview]Percent of Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients
NCT02373098 (7) [back to overview]Serum Cytokine and Chemokine Levels inRRMS Patients Between Visits
NCT02373098 (7) [back to overview]Absolute Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients
NCT02720107 (4) [back to overview]Change From Baseline in Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at Month 6 and Month 48 (FAS)
NCT02720107 (4) [back to overview]Change in Immune Status of B Cells, Monocytes and Natural Killer Cells (NK) Cells (FAS)
NCT02720107 (4) [back to overview]Change in T Cells Status (Decrease or Increase) at Month 48 (FAS)
NCT02720107 (4) [back to overview]Percentage of Participants With Disability Progression as Measured by Expanded Disability Status Scale (EDSS) (FAS)
NCT02939079 (12) [back to overview]Serum Level of IL6
NCT02939079 (12) [back to overview]Serum Level of IL6
NCT02939079 (12) [back to overview]Serum Level of IL1b
NCT02939079 (12) [back to overview]Serum Level of IL1b
NCT02939079 (12) [back to overview]Serum Level of IL1b
NCT02939079 (12) [back to overview]Serum Level of IFN-gamma
NCT02939079 (12) [back to overview]Serum Level of IFN-gamma
NCT02939079 (12) [back to overview]Serum Level of IFN-gamma
NCT02939079 (12) [back to overview]Serum Level of TNF-α
NCT02939079 (12) [back to overview]Serum Level of TNF-α
NCT02939079 (12) [back to overview]Serum Level of TNF-α
NCT02939079 (12) [back to overview]Serum Level of IL6
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Total CD4+ Absolute Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Total CD19+ Differential Cell Count (%)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Total CD19+ Absolute Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Regulatory B Lymphocytes (CD19+CD24+CD38+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Neutrophils (CD16+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Naive B Lymphocytes (CD19+CD27-)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Monocytes (CD14+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD8+ Naive T Cells (CCR7+CD45RA+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD4+ Th2 Cells (CCR4+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD4+ Th17 Cells (CCR6+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD4+ Th1 Cells (CXCR3+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD4+ Naive T Cells (CCR7+CD45RA+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline in T2 Lesion Burden
NCT03257358 (48) [back to overview]Change From Baseline in Patient Determined Disease Steps (PDDS)
NCT03257358 (48) [back to overview]Change From Baseline for New Gd-Enhancing T1 Lesion Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Memory B Lymphocytes (CD19+CD27+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD8+ Naive T Cells (CCR7+CD45RA+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Memory B Lymphocytes (CD19+CD27+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Monocytes (CD14+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Naive B Lymphocytes (CD19+CD27-)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Neutrophils (CD16+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in NK Cells (CD56+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Regulatory B Lymphocytes (CD19+CD24+CD38+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Total CD19+ Absolute Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Total CD19+ Differential Cell Count (%)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Total CD4+ Absolute Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Total CD4+ Differential Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Total CD8+ Absolute Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in Total CD8+ Differential Cell Counts (%)
NCT03257358 (48) [back to overview]Change From Baseline to Months 6 and 12 in the Anti-JCV Antibody Index (Index/Value)
NCT03257358 (48) [back to overview]Multiple Sclerosis (MS) Relapses During Treatment
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in NK Cells (CD56+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD4+ Th2 Cells (CCR4+)
NCT03257358 (48) [back to overview]Number of Participants Who Received Steroid Treatment for MS Relapses During Treatment
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD4+ Th17 Cells (CCR6+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD4+ Th1 Cells (CXCR3+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Total CD8+ Differential Cell Counts (%)
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Total CD8+ Absolute Cell Count
NCT03257358 (48) [back to overview]Change From Baseline to Month 12 in Total CD4+ Differential Cell Count (%)

Estimated Annualized Aggregate Relapse Rate (ARR)

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. (NCT00289978)
Timeframe: Baseline to end of study (Month 24)

InterventionRelapses per year (Number)
Fingolimod 1.25 mg0.16
Fingolimod 0.5 mg0.18
Placebo0.40

[back to top]

Number of New or Newly Enlarged T2 Lesions at Month 24 in Comparison With Baseline

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. (NCT00289978)
Timeframe: Baseline to end of study (Month 24)

InterventionT2 lesions (Mean)
Fingolimod 1.25 mg2.5
Fingolimod 0.5 mg2.5
Placebo9.8

[back to top]

Percentage of Patients Free of Disability Progression at Month 24 Assessed With the Expanded Disability Status Scale (EDSS)

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. (NCT00289978)
Timeframe: Baseline to end of study (Month 24)

InterventionPercentage of participants (Number)
Fingolimod 1.25 mg83.4
Fingolimod 0.5 mg82.3
Placebo75.9

[back to top]

Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 6 (Core)

Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis. (NCT00333138)
Timeframe: Month 6 (Core)

InterventionGD- enhanced T1 lesions (Mean)
Placebo2.3
Fingolimod (FTY720) 1.25 mg/Day1.4
Fingolimod (FTY720) 5.0 mg/Day0.4

[back to top]

Percentage of Participants Free of T1-weighted Lesions

A patient was defined as free of lesions if s/he had zero lesions. The last observation was the last observation available for each patient which ranged from 1 to 2801 days (NCT00333138)
Timeframe: Baseline, Months 6 (core), 12, 60 and Last Observation (up to 80 months in average)

,,
Interventionpercentage of participants (Number)
Baseline (Core) n=93, 92, 93Month 6 (Core) n= 83, 90, 87Month 12 (Extension) n= 72, 77, 71Month 60 (Extension) n= 45, 49, 44Last observation (Extension) n= 92, 93, 92
Fingolimod (FTY720) 1.25 mg/Day52.276.783.191.883.9
Fingolimod (FTY720) 5.0 mg/Day48.478.288.793.283.7
Placebo49.547.079.291.181.5

[back to top]

Mean Trough Blood Concentrations of FTY720

For each patient, the arithmetic mean of the two FTY720 trough blood levels from month 3 and 6 was calculated. This was taken as the patient's steady-state trough levels. Venous blood samples (3 mL) were collected before the dose in ethylenediaminetetraacetic acid (EDTA)-containing tubes at protocol-scheduled visits at months 3 and 6 in all patients. (NCT00333138)
Timeframe: Month 3 and 6

,
Interventionng/mL (Mean)
Month 3 (core)Month 6 (core)
FTY720 1.25 mg/Day7.647.38
FTY720 5.0 mg/Day30.528.9

[back to top]

Mean Number of New T2-weighted Lesions

New T2 lesions at a specific visit were assessed relative to the previous visit scan. The total number of lesions (Month 1 to end of study) is calculated as the sum of the number of lesions at Months 1 to 6, Month 12, Month 60 and last observation. The last observation was the last observation available for each patient which ranged from 1 to 2801 days (NCT00333138)
Timeframe: (Core) Month 6 and (Extension) 12, 60, last observation (up to 80 months in average)

,,
InterventionGD enhanced T2 lesions (Mean)
Month 6 (Core), n= 82,88, 84Month 12 (Extension) n=71, 79, 71Month 60 (Extension) n=45, 50, 43Last observation (Extension) n=92, 93, 91
Fingolimod (FTY720) 1.25 mg/Day0.51.40.50.6
Fingolimod (FTY720) 5.0 mg/Day0.10.60.30.5
Placebo1.00.80.40.7

[back to top]

Change From Baseline in Volume of Total T2-weighted Lesions

Change in volume of total T2-weighted lesions by visit were summarized. Negative values indicate improvement (reduction in lesion volume) and positive values worsening (increase in lesion volume). The last observation was the last observation available for each patient which ranged from 1 to 2801 days. (NCT00333138)
Timeframe: Baseline to month 6, 12, 60 and Last observation (up to 80 months in average)

,,
Interventionmm^3 (Mean)
Month 6 (core) n=85, 89, 86Month 12 (extension) n=73, 77, 71Month 60 (extension) n=45, 49, 43Last observation (extension) n= 87, 89, 87
Fingolimod (FTY720) 1.25 mg/Day-115.811.66-204.09-92.24
Fingolimod (FTY720) 5.0 mg/Day-607.97-513.35-1429.98-907.48
Placebo146.15144.96-621.82-178.86

[back to top]

Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 60

Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis. (NCT00333138)
Timeframe: Month 60 (extension)

InterventionGD- enhanced T1 lesions (Mean)
Placebo0.2
Fingolimod (FTY720) 1.25 mg/Day0.2
Fingolimod (FTY720) 5.0 mg/Day0.1

[back to top]

Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at Month 12

Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis. (NCT00333138)
Timeframe: Month 12 (extension)

InterventionGD- enhanced T1 lesions (Mean)
Placebo0.4
Fingolimod (FTY720) 1.25 mg/Day1.0
Fingolimod (FTY720) 5.0 mg/Day0.2

[back to top]

Mean Number of Gadolinium (Gd)-Enhanced T1-weighted Lesions at End of Study

Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis. The last observation was the last observation available for each patient which ranged from 1 to 2801 days (NCT00333138)
Timeframe: Last observation (Up to 80 months in average)

InterventionGD- enhanced T1 lesions (Mean)
Placebo0.8
Fingolimod (FTY720) 1.25 mg/Day0.4
Fingolimod (FTY720) 5.0 mg/Day0.5

[back to top]

Volume of T2-weighted Lesions

Volume of total T2-weighted lesions by visit were summarized. The last observation was the last observation available for each patient which ranged from 1 to 2801 days (NCT00333138)
Timeframe: (Core) Month 6 and (Extension) 12, 60, last observation (up to 80 months in average)

,,
Interventionmm^3 (Mean)
Month 6 (Core) n=85, 91, 87Month 12 (Extension) n= 73, 79, 72Month 60 (Extension) n=45, 50, 44Last observation (Extension) n=87, 91, 88
Fingolimod (FTY720) 1.25 mg/Day10084.610707.19498.710090.2
Fingolimod (FTY720) 5.0 mg/Day8331.18363.26626.98061.8
Placebo9016.08264.16698.38757.2

[back to top]

Percentage of Patients Free of Gd-enhanced T1-weighted and New T2- Weighted Lesions by Visit

A patient was defined as free of lesions if s/he had zero lesions. The sum of all new T2-weighted lesions at Month 1 to last observation was zero (the sum is missing if one of the assessments was missing). New T2 lesions at a specific visit were assessed relative to the previous visit scan. Exception: new T2 lesions at Month 24 were assessed relative to Month 12. The last observation was the last observation available for each patient which ranged from 1 to 2801 days (NCT00333138)
Timeframe: Month 6 and 12, 60, last observation (up to 80 months in average)

,,
Interventionpercentage of paticipants (Number)
Month 6 (Core), n= 80, 87, 83Month 12 (Extension) n=70, 77, 70Month 60 (Extension) n=45, 49, 43Last observation (Extension) n=92, 93,90
Fingolimod (FTY720) 1.25 mg/Day77.067.587.876.3
Fingolimod (FTY720) 5.0 mg/Day80.772.983.778.9
Placebo47.557.188.972.8

[back to top]

Time to Event Analysis: Kaplan Meier Estimates of Percentage of Relapse-free Patients

The Expanded Disability Status Scale (EDSS) is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel & bladder, cerebral, other functions). An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the EDSS score based on the following criteria: 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. Percent of patients free of disability progression was calculated using the Kaplan-Meier method. The last observation was the last observation available for each patient which ranged from 1 to 2801 days (NCT00333138)
Timeframe: Month 6,12,60 and Last observation (up to 80 months in average)

,,
Interventionpercentage of participants (Number)
0 days (n=93,94,94)200 days (n=57, 73, 70)400 days (n=48, 63, 60)600 days (n=41, 57, 52)800 days (n=38, 48, 48)1000 days (n=35, 42, 45)1200 days (n=30, 38 40)1400 days (n=29, 36, 35)1600 days (n=27, 34, 34)1800 days (n=25, 33, 33)2000 days (n=23, 31, 31)2200 days (n=22, 28, 30)2400 days (n=21, 26, 27)2600 days (n=9, 12, 12)2880 days (n=0, 0, 0)
Fingolimod (FTY720) 1.25 mg/Day1.000.860.780.760.750.700.660.630.610.610.590.550.550.550
Fingolimod (FTY720) 5.0 mg/Day1.000.860.790.780.750.750.700.700.680.680.660.660.660.660
Placebo1.000.690.620.580.550.530.510.510.510.510.510.490.460.440

[back to top]

Percentage of Participants Free of 3-month and 6-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Extension Phase of the Study

The EDSS is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel & bladder, cerebral, other functions). An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the EDSS score based on the following criteria: 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. Percent of patients free of disability progression was calculated using the Kaplan-Meier method. (NCT00340834)
Timeframe: Baseline to end of study (up to approximately 4.5 years)

,,
InterventionPercentage of participants (Number)
Free of 3-month progressionFree of 6-month progression
Fingolimod 0.5 mg71.2879.76
Fingolimod 1.25 mg67.0179.54
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg73.4081.61

[back to top]

Percentage of Participants Free of 3-month Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at the End of the Core Phase of the Study

The EDSS is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel & bladder, cerebral, other functions). An overall score ranging from 0 (normal) to 10 (death due to MS) is calculated. Disability progression was determined by the EDSS score based on the following criteria: 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. Percent of patients free of disability progression was calculated using the Kaplan-Meier method. (NCT00340834)
Timeframe: Baseline to Month 12

InterventionPercentage of participants (Number)
Fingolimod 1.25 mg93.3
Fingolimod 0.5 mg94.1
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg92.1

[back to top]

Estimated Annualized Aggregate Relapse Rate (ARR) in the Core Phase of the Study

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 calculated using negative binomial regression adjusted by treatment, country, number of relapses in the previous 2 years, and the baseline Expanded Disability Status Scale score. (NCT00340834)
Timeframe: Baseline to Month 12

InterventionEstimate relapses per year (Number)
Fingolimod 1.25 mg0.203
Fingolimod 0.5 mg0.161
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg0.331

[back to top]

Number of New or Newly Enlarged T2 Lesions in Comparison With Baseline in the Core Phase of the Study

The number of new or newly enlarged T2 lesions 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. (NCT00340834)
Timeframe: Baseline to Month 12

InterventionT2 lesions (Mean)
Fingolimod 1.25 mg1.6
Fingolimod 0.5 mg1.6
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg2.6

[back to top]

Estimated Annualized Aggregate Relapse Rate (ARR) in the Core and Extension Phases of the Study

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 calculated using negative binomial regression adjusted by treatment, country, number of relapses in the previous 2 years, and the baseline Expanded Disability Status Scale score. (NCT00340834)
Timeframe: Month 0 to end of study (up to approximately 4.5 years)

,,
InterventionEstimated relapses per year (Number)
Month 12 to Month 24, n=330, 356, 341Month 24 to Month 36, n=287, 321, 293Month 36 to Month 48, n=267, 303, 271Month 48 to end of study, n=36, 38, 29Month 0 to end of study, n=420, 429, 431
Fingolimod 0.5 mg0.1820.110NANA0.166
Fingolimod 1.25 mg0.1560.116NANA0.192
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg0.2660.121NANA0.271

[back to top]

Number of New or Newly Enlarged T2 Lesions in the Extension Phase of the Study

The number of new or newly enlarged T2 lesions 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. (NCT00340834)
Timeframe: Month 12 to end of study (up to approximately 3.5 years)

,,
InterventionT2 lesions (Mean)
Month 12 to Month 24Month 24 to Month 36, n=255, 289, 258Month 36 to Month 48, n=36, 34, 35Last MRI scan to end of study, n=275, 309, 290
Fingolimod 0.5 mg0.871.040.590.86
Fingolimod 1.25 mg1.081.400.971.75
Interferon β-1a µg/Fingolimod 1.25 or 0.5 mg0.970.720.491.03

[back to top]

Percentage of Participants Free of 6-month Confirmed Disability Progression at Month 24 and End of Study

Disability progression was defined using the following criteria: One point increase from baseline in patients with Baseline Expanded Disability Status Scale (EDSS) score from 0 to 5.0; or half a point increase from Baseline in patients with Baseline EDSS score of 5.5 or above. A 6-month confirmed disability progression was defined as a 6-month sustained increase from Baseline in EDSS score. The EDSS quantifies disability in multiple sclerosis in 8 functional systems; the score ranges from 0 (normal) to 10 (death due to MS). Progression curves were generated by the Kaplan-Meier method. (NCT00355134)
Timeframe: 24 months and end of study (up to approximately 54 months)

,,
Interventionpercentage of participants (Number)
At Month 24At end of study
Fingolimod 0.5 mg86.274.89
Fingolimod 1.25 mg86.979.92
Placebo82.275.03

[back to top]

Percentage of Participants Free of 3-month Confirmed Disability Progression at Month 24 and End of Study

Disability progression was defined using the following criteria: One point increase from baseline in patients with Baseline Expanded Disability Status Scale (EDSS) score from 0 to 5.0; or half a point increase from Baseline in patients with Baseline EDSS score of 5.5 or above. A 3-month confirmed disability progression was defined as a 3-month sustained increase from Baseline in EDSS score. The EDSS quantifies disability in multiple sclerosis in 8 functional systems; the score ranges from 0 (normal) to 10 (death due to MS). Progression curves were generated by the Kaplan-Meier method. (NCT00355134)
Timeframe: 24 months and end of study (up to approximately 54 months)

,,
Interventionpercentage of participants (Number)
At month 24At end of study
Fingolimod 0.5 mg74.758.89
Fingolimod 1.25 mg78.366.64
Placebo71.063.51

[back to top]

Percent Change From Baseline in Brain Volume

Brain volume was measured using magnetic resonance imaging (MRI). Change from Baseline in brain volume is expressed as a percentage of the Baseline brain volume. (NCT00355134)
Timeframe: Baseline, Month 24 and end of study (up to approximately 54 months)

,,
Interventionpercent change (Mean)
Month 24 [N=247; 266; 249]End of study [N=178; 187; 182]
Fingolimod 0.5 mg-0.858-1.266
Fingolimod 1.25 mg-0.595-1.130
Placebo-1.279-1.694

[back to top]

Number of New or Newly Enlarged T2 Lesions

Inflammatory disease activity was assessed by magnetic resonance imaging (MRI) measurement of the number of new or newly enlarged T2 lesions, by year. (NCT00355134)
Timeframe: From Baseline until Month 48

,,
Interventionlesions (Mean)
Core Phase (Month 0 to 24) [N=245; 264; 251]Month 24 to 36 [N=103; 111; 102]Month 36 to 48 [N=24; 15; 15]
Fingolimod 0.5 mg2.30.450.07
Fingolimod 1.25 mg1.60.630.13
Placebo8.90.632.53

[back to top]

Percentage of Participants Relapse-free up to Month 24

Estimates of the percentage of participants relapse-free at 24 months were generated from Kaplan-Meier curves of the time to first relapse. A relapse was defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5C) or infection. A relapse was confirmed by an Independent Evaluating Physician. (NCT00355134)
Timeframe: 24 months

Interventionpercentage of participants (Number)
Fingolimod 1.25 mg73.2
Fingolimod 0.5 mg71.5
Placebo52.7

[back to top]

Number of Gadolinium-enhanced T1 Lesions

Inflammatory disease activity was assessed by magnetic resonance imaging (MRI) measurement of the number of gadolinium-enhanced T1 lesions. (NCT00355134)
Timeframe: Month 24 and end of study (up to approximately 54 months)

,,
Interventionlesions (Mean)
Core Phase (Month 24) [N=251; 269; 256]End of Extension study [N=184; 194; 184]
Fingolimod 0.5 mg0.370.09
Fingolimod 1.25 mg0.240.46
Placebo1.220.45

[back to top]

Aggregate Annualized Relapse Rate (ARR) Estimate up to End of Study

"ARR is the average number of relapses in a year calculated by negative binomial regression as the sum of confirmed relapses of all patients in the group divided by the sum of the number of days on study of all patients in the group and multiplied by 365.25.~A relapse was defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5C) or known infection. A relapse must be confirmed by the Independent Evaluating Physician (examining neurologist).~ARR estimates were calculated from a negative binomial regression model adjusted for treatment, pooled center, number of relapses in the previous 2 years prior to enrollment, and Baseline expanded disability status scale (EDSS)." (NCT00355134)
Timeframe: From Baseline until end of study (up to approximately 54 months).

Interventionrelapses per year (Number)
Fingolimod 1.25 mg0.180
Fingolimod 0.5 mg0.192
Placebo0.363

[back to top]

Aggregate Annualized Relapse Rate (ARR) Estimate up to Month 24

"ARR is the average number of relapses in a year calculated by negative binomial regression as the sum of confirmed relapses of all patients in the group divided by the sum of the number of days on study of all patients in the group and multiplied by 365.25.~A relapse was defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5C) or known infection. A relapse must be confirmed by the Independent Evaluating Physician (examining neurologist).~ARR estimates were calculated from a negative binomial regression model adjusted for treatment, pooled center, number of relapses in the previous 2 years prior to enrollment, and Baseline expanded disability status scale (EDSS)." (NCT00355134)
Timeframe: 24 months

Interventionrelapses per year (Number)
Fingolimod 1.25 mg0.203
Fingolimod 0.5 mg0.208
Placebo0.403

[back to top]

Percentage of Participants Relapse-free up to End of Study

Estimates of the percentage of participants relapse-free at end of study were generated from Kaplan-Meier curves of the time to first relapse. A relapse was defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5C) or infection. A relapse was confirmed by an Independent Evaluating Physician. (NCT00355134)
Timeframe: From Baseline until the end of study (up to approximately 54 months)

Interventionpercentage of participants (Number)
Fingolimod 1.25 mg63.88
Fingolimod 0.5 mg66.57
Placebo49.12

[back to top]

Change From Baseline in Lesion Volume at Month 24 (Core Phase)

Change from Baseline in lesion volume was measured by MRI for T2 lesions and for T1 hypointense lesions. (NCT00355134)
Timeframe: Baseline and Month 24

,,
Interventionmm^3 (Mean)
T2 lesions [N=248, 266, 251]T1 hypointense lesions [N=247, 266, 248]
Fingolimod 0.5 mg-223.27-111.28
Fingolimod 1.25 mg-436.92-99.13
Placebo541.83-37.68

[back to top]

Change From Baseline in Multiple Sclerosis Functional Composite (MSFC) Z-score

The Multiple Sclerosis Functional Composite (MSFC) is a multidimensional clinical outcome measure that includes quantitative tests of leg function/ambulation (Timed 25-Foot Walk), arm function (9-Hole Peg Test), and cognitive function (Paced Auditory Serial Addition Test). The overall MSFC z-score as an average of the three standardized scores derived using baseline data pooled over each treatment arm as reference population. Higher scores reflect better neurological function and a positive change from Baseline indicates improvement. (NCT00355134)
Timeframe: Baseline, Month 24 and end of study (up to approximately 54 months)

,,
Interventionunits on a scale (Mean)
Month 24 [N=250; 271; 258]End of Study [N=174; 187; 184]
Fingolimod 0.5 mg0.00-0.091
Fingolimod 1.25 mg-0.080.011
Placebo-0.070.019

[back to top]

Number of Patients Free of New or Newly Enlarged T2 Lesions

The number of T2 lesions were obtained from MRI scans at Screening visit. The numbers of new/newly enlarging T2 lesions were obtained from MRI scans at Month 3 or more. New lesions were identified by comparing each lesion already seen in previous examinations. Lesions expanding throughout several slices were counted as only one lesion. (NCT00537082)
Timeframe: up to Month 3 and up to Month 6

,,
InterventionParticipants (Number)
Month 3 (n = 50, 49, 51)Month 6 (n = 48, 48, 50)
FTY720 0.5 mg3431
FTY720 1.25 mg3028
Placebo2318

[back to top]

Annualized Relapse Rate (ARR) at 6 Months

Annualized relapse rate (ARR) of the treatment group is calculated by taking the total number of confirmed relapses for all the patients in the treatment group divided by the total number of days on study for all patients in the group and multiplied by 365.25 to obtain the annual rate. (NCT00537082)
Timeframe: 6 Months

InterventionRelapses per year (Number)
FTY720 1.25 mg0.407
FTY720 0.5 mg0.512
Placebo1.131

[back to top]

Number of Patients Free of Gadolinium-enhanced T1-Weighted Magnetic Resonance Imaging (MRI) Lesions at Both Month 3 and Month 6

Brain Magnetic Resonance Imaging (MRI) was performed at Month 3 and Month 6. Gadolinium-enhancing lesions (active lesions) represent acute inflammatory activity only and dissipate within 2-8 weeks of appearance. MRI scans were analyzed by blinded readers at the central MRI Evaluation Center to ensure consistency. Any Gd-enhanced T1 weighted MRI data obtained less than 14 days after the steroid used to treat MS relapses is invalid and excluded. (NCT00537082)
Timeframe: Month 3 and Month 6

InterventionParticipants (Number)
FTY720 1.25 mg43
FTY720 0.5 mg35
Placebo21

[back to top]

Number of Patients Free of MS Relapse up to Month 6 (Confirmed Relapse Only)

A relapse must have been confirmed by a neurologist and was confirmed when it was accompanied by an increase of at least half a step (0.5) on the Expanded Disability Status Scale (EDSS) or an increase of 1 point on two different Functional Systems (FS) of the EDSS or 2 points on one of the FS (excluding Bowel/Bladder or Cerebral FS). (NCT00537082)
Timeframe: up to Month 6

InterventionParticipants (Number)
FTY720 1.25 mg45
FTY720 0.5 mg45
Placebo37

[back to top]

Annualized Aggregate Relapse Rate (ARR) During Months 0 to End of Study(Core [CFTY720D2301/NCT00289978] and Extension Study)

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. (NCT00662649)
Timeframe: Months 0 to end of study (maximum up to 60 months)

InterventionRelapses per year (Number)
Fingolimod 1.25 mg0.164
Fingolimod 0.5 mg0.185
Placebo-fingolimod0.357

[back to top]

Change (Expressed as Ratio) in the Annualized Aggregate Relapse Rate (ARR) From Months 0-24 (Core Study) to Months 24-48 (Extension Study)

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. (NCT00662649)
Timeframe: Months 0-24 (core study) and Months 24-48 (extension study)

InterventionRatio of relapses per year (Number)
Fingolimod 1.25 mg1.164
Fingolimod 0.5 mg0.850
Placebo-fingolimod 1.25 mg0.547
Placebo-fingolimod 0.5 mg0.446

[back to top]

Percent Change in Brain Volume From Month 0 End of Study (Core and Extension Study)

Calculations of brain volume change were performed using the structural image evaluation of normalized atrophy (SIENA), software included in the Functional Magnetic Resonance Imaging of the Brain (FMRIB) software library. SIENA is a fully automated method for estimating temporal brain volume change. (NCT00662649)
Timeframe: Months 0 to end of study (maximum up to 60 months)

InterventionPercent change (Mean)
Fingolimod 1.25 mg-1.639
Fingolimod 0.5 mg-1.674
Placebo-fingolimod-2.241

[back to top]

Time to First 3-month Confirmed Disability Progression up to End of Study Based on Expanded Disability Status Scale (EDSS): Kaplan-Meier Estimate of Percentage of Patients Free of Disability Progression

Kurtzke's Expanded Disability Status Scale (EDSS) is a scale for assessing neurologic impairment in multiple sclerosis (MS) includes a series of scores in each of eight functional systems such as Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel & Bladder, Cerebral, and Other. The EDSS steps range from 0 (normal) to 10 (death due to MS). The Kaplan-Meier estimates of the percentage of participants free of disability progression at end of study and their 95% CIs were provided for each treatment group. (NCT00662649)
Timeframe: Core baseline to end of study (maximum up to 60 months)

InterventionPercentage of patients (Number)
Fingolimod 1.25 mg74.15
Fingolimod 0.5 mg73.90
Placebo-fingolimod66.28

[back to top]

Annualized Aggregate Relapse Rate (ARR) During Months 0-24 (Core Study) and Months 24-48 (Extension Study)

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. (NCT00662649)
Timeframe: Months 0-24 (core study) and Months 24-48 (extension study)

,,,
InterventionRelapses per year (Number)
Months 0-24Months 24-48
Fingolimod 0.5 mg0.1110.095
Fingolimod 1.25 mg0.0640.074
Placebo-fingolimod 0.5 mg0.2920.130
Placebo-fingolimod 1.25 mg0.3010.164

[back to top]

Change in Mean Number of New or Newly Enlarged T2 Magnetic Resonance Imaging (MRI) Lesions During Months 0-24 (Core Study) and Months 24-48 (Extension Study)

The number of new or newly enlarged T2 lesions was assessed with T2-weighted 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. (NCT00662649)
Timeframe: Months 0-24 (core study) and Months 24-48 (extension study)

,,,
InterventionLesions (Mean)
Months 0-24Months 24-48Change from Months 0-24 to Months 24-48
Fingolimod 0.5 mg2.662.58-0.09
Fingolimod 1.25 mg2.141.71-0.43
Placebo-fingolimod 0.5 mg8.121.43-6.68
Placebo-fingolimod 1.25 mg12.832.34-10.48

[back to top]

Percent Change in Brain Volume From Month 0 to Month 24 (Core Study) and From Month 24 to Month 48 (Extension Study)

Calculations of brain volume change were performed using the structural image evaluation of normalized atrophy (SIENA), software included in the Functional Magnetic Resonance Imaging of the Brain (FMRIB) software library. SIENA is a fully automated method for estimating temporal brain volume change. (NCT00662649)
Timeframe: Months 0-24 (core study) and Months 24-48 (extension study)

,,,
InterventionPercent change (Mean)
Month 0 to Month 24, n=75, 109, 41, 49Month 24 to Month 48, n=75, 109, 41, 49
Fingolimod 0.5 mg-0.983-0.780
Fingolimod 1.25 mg-1.011-0.871
Placebo-fingolimod 0.5 mg-1.419-0.903
Placebo-fingolimod 1.25 mg-1.511-1.103

[back to top]

Percentage of Patients Free of New or Newly Enlarged T2 Magnetic Resonance Imaging (MRI) Lesions During Months 0-24 (Core Study) and Months 24-48 (Extension Study)

The number of new or newly enlarged T2 lesions was assessed with T2-weighted 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. (NCT00662649)
Timeframe: Months 0-24 (core study) and Months 24-48 (extension study)

,,,
InterventionPercentage of patients (Number)
Months 0-24Months 24-48
Fingolimod 0.5 mg50.369.3
Fingolimod 1.25 mg53.257.1
Placebo-fingolimod 0.5 mg23.255.1
Placebo-fingolimod 1.25 mg18.552.3

[back to top]

Time to First Confirmed Relapse up to End of Study: Kaplan-Meier Estimate of Percentage of Patients Relapse-free

A relapse was confirmed when it was accompanied by an increase of at least half a step (0.5) on the Expanded Disability Status Scale (EDSS) or an increase of 1 point on two different Functional Systems (FS) of the EDSS or 2 points on one of the FS (excluding Bowel/Bladder or Cerebral FS). Kaplan-Meier estimates of the percentage of relapse-free patients at end of study and and 95% confidence intervals (CIs) were presented for the treatment groups. (NCT00662649)
Timeframe: Core baseline to end of study (maximum up to 60 months)

InterventionPercentage of patients (Number)
Fingolimod 1.25 mg59.85
Fingolimod 0.5 mg59.29
Placebo-fingolimod37.18

[back to top]

Percentage of Patients Relapse-free at the End of the Study

Patients who did not experience any relapses confirmed by a neurologist during the study were regarded as relapse-free patients. (NCT00670449)
Timeframe: Baseline to the end of the study (up to 4 years)

InterventionPercentage of patients (Number)
Fingolimod 0.5 mg45.2
Fingolimod 1.25 mg62.1
Placebo-fingolimod48.3

[back to top]

Aggregate Annualized Relapse Rate (ARR) Based on Confirmed Relapses

The ARR was defined as the total number of relapses for all patients in the treatment arm / total number of days in the study for all patients in the treatment arm for the specific period of time × 365.25. General definition of relapse: Appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from the onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (< 37.5°C) or infection. A relapse was to be confirmed by a neurologist trained on the Expanded Disability Status Scale (EDSS). A relapse must be accompanied by an increase of at least half a step (0.5) on the EDSS or an increase of 1 point on 2 different Functional Systems (FS) of the EDSS or 2 points on 1 of the FS (excluding Bowel/Bladder or Cerebral FS). (NCT00670449)
Timeframe: Months 0-6, 6-12, 12-24, 24-36, 36-48, and 48 to the end of the study (up to 4 years)

,,
InterventionRelapses per year (Number)
Month 0 to 6 (N=57, 54, 57)Month 6 to 12 (N=47, 46, 50)Month 12 to 24 (N=44, 43, 39)Month 24 to 36 (N=41, 40, 34)Month 36 to 48 (N=28, 23, 23)Month 48 to end of study (N=8, 6, 3)
Fingolimod 0.5 mg0.5390.2270.1660.1910.1640.000
Fingolimod 1.25 mg0.4040.2840.2230.0580.0750.000
Placebo-fingolimod1.1310.2320.2220.1620.3090.000

[back to top]

Change From Core Study Baseline in the Expanded Disability Status Scale (EDSS) Score

Disability progression was measured by the EDSS score. A trained neurologist grades the multiple sclerosis (MS) disability of the patient on a scale of 0-5 (no to severe disability) in 8 Functional Systems (FS): Pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual, cerebral (or mental), and other. The EDSS score ranges from 0-10 (normal to dead) with higher scores indicating greater disability. A 3-month confirmed disability progression was defined as a 3-month sustained increase from baseline in the EDSS score, that is, every EDSS score obtained (scheduled or unscheduled) within 3-months after the first progression met the following progression criteria: One point (1) increase from baseline in patients with baseline EDSS score from 0 to 5.0; or half a point (0.5) increase in patients with baseline EDSS score of 5.5 or above. A 6-month confirmed disability progression was defined exactly the same except that the sustained progression had to last 6 months. (NCT00670449)
Timeframe: Baseline to Months 12, 24, 36, 48, and end of study (up to 4 years)

,,
InterventionUnits on a scale (Mean)
Month 12 (N=45, 43, 40)Month 24 (N=42, 40, 35)Month 36 (N=25, 21, 23)Month 48 (N=3, 4, 1)End of study (N=37, 36, 32)
Fingolimod 0.5 mg-0.02-0.120.161.170.00
Fingolimod 1.25 mg-0.02-0.06-0.07-0.63-0.17
Placebo-fingolimod-0.23-0.21-0.370.00-0.31

[back to top]

Percentage of Patients Free From 3-month and 6-month Confirmed Disability Progression at Their Last Expanded Disability Status Scale (EDSS) Assessment

Disability progression was measured by the EDSS score. A trained neurologist grades the multiple sclerosis (MS) disability of the patient on a scale of 0-5 (no to severe disability) in 8 Functional Systems (FS): Pyramidal, cerebellar, brainstem, sensory, bowel and bladder, visual, cerebral (or mental), and other. The EDSS score ranges from 0-10 (normal to dead) with higher scores indicating greater disability. A 3-month confirmed disability progression was defined as a 3-month sustained increase from baseline in the EDSS score, that is, every EDSS score obtained (scheduled or unscheduled) within 3-months after the first progression met the following progression criteria: One point (1) increase from baseline in patients with baseline EDSS score from 0 to 5.0; or half a point (0.5) increase in patients with baseline EDSS score of 5.5 or above. A 6-month confirmed disability progression was defined exactly the same except that the sustained progression had to last 6 months. (NCT00670449)
Timeframe: Baseline to the end of the study (up to 4 years)

,,
InterventionPercentage of patients (Number)
Free from 3-month confirmed disability progressionFree from 6-month confirmed disability progression
Fingolimod 0.5 mg74.387.1
Fingolimod 1.25 mg82.490.7
Placebo-fingolimod90.692.3

[back to top]

Percentage of Patients Free of Gd-enhanced T1 Weighted Magnetic Resonance Imaging (MRI) Lesions

To ensure consistency, MRI scans were evaluated centrally at the Institute of Neurotherapeutics in Kyoto, Japan. After checking the scans for completeness and quality, all scans were analyzed by blinded readers (experienced neurologists). The number of Gd-enhanced T1 weighted MRI lesions were counted and recorded. Lesions expanding through several slices were counted as only 1 lesion. (NCT00670449)
Timeframe: Months 6, 9, 12, 18, 24, 36, and 48

,,
InterventionPercentage of patients (Number)
Month 6 (N=44, 48, 50)Month 9 (N=44, 39, 41)Month 12 (N=44, 42, 36)Month 18 (N=42, 40, 37)Month 24 (N=38, 39, 33)Month 36 (N=25, 21, 22)Month 48 (N=3, 4, 1)
Fingolimod 0.5 mg88.690.997.792.994.792.0100.0
Fingolimod 1.25 mg97.994.997.692.594.985.775.0
Placebo-fingolimod58.092.788.994.690.990.9100.0

[back to top]

Percentage of Patients Free of New or Newly Enlarged T2 Weighted MRI Lesions

To ensure consistency, MRI scans were evaluated centrally at the Institute of Neurotherapeutics in Kyoto, Japan. After checking the scans for completeness and quality, all scans were analyzed by blinded readers (experienced neurologists). The number of new or newly enlarged T2 weighted MRI lesions were counted and recorded. New lesions were identified by comparing each lesion with previous scans. Lesions expanding through several slices were counted as only 1 lesion. (NCT00670449)
Timeframe: Months 0-3, 3-6, 6-9, 9-12, 12-18, 18-24, 24-36,36-48, and 48 to the end of the study (up to 4 years)

,,
InterventionPercentage of patients (Number)
Month 0 to 3 (N=49, 50, 51)Month 3 to 6 (N=43, 47, 48)Month 6 to 9 (N=44, 39, 40)Month 9 to 12 (N=44, 42, 35)Month 12 to 18 (N=43, 40, 37)Month 18 to 24 (N=39, 39, 33)Month 24 to 36 (N=25, 21, 22)Month 36 to 48 (N=3, 4, 1)Month 48 to end of study (N=3, 3, 1)
Fingolimod 0.5 mg69.486.088.693.288.494.992.0100.0100.0
Fingolimod 1.25 mg60.091.592.395.290.092.390.5100.0100.0
Placebo-fingolimod45.143.870.085.791.987.990.9100.0100.0

[back to top]

Change From Baseline in Multiple Sclerosis Walking Scale (MSWS-12 Score)

The Multiple Sclerosis Walking Scaleis a patient reported measure of walking quality (Hobart et al 2003), consisting of 12 items asking patients to rate the impact of MS upon their walking ability. Responses were captured on a 3-point scale ranging from 1 (Not at all) to 3 (A lot) for items 1 to 3 and on a 5-point scale ranging from 1 (not limited) to 5 (extremely) for items 4 to 12. All 12 item scores were summed to obtain a total score ranging from 12 (good) to 54 (poor) which is the MSWS-12 scale score. The total score was transformed to a 0 to 100 scale score. The MSWS-12 scale score will be transformed to a 0-100 scale score before any summaries or statistical analyses are performed. The transformed score is obtained by subtracting 12 and divided by 42 and multiplying by 100 (i.e., transformed scale score = (raw scale score- 12)/42*100). (NCT00731692)
Timeframe: Baseline, 36 months

InterventionScore on a scale (Mean)
FTY720 1.25 mg to 0.5 mg6.4444
FTY720 0.5 mg to 0.5 mg5.5616
Placebo9.5899

[back to top]

Change From Baseline in PRIMUS-Activities

The activities subscale of PRIMUS contains 15 items and each item is given a score of 0 (able to do on own without difficulties), 1 (able to do on own with difficulties), or 2 (unable to do on own). All 15 items were summed to obtain a total score ranging from 0 (good) to 30 (poor). (NCT00731692)
Timeframe: Baseline, 36 months

InterventionScore on a scale (Mean)
FTY720 1.25 mg to 0.5 mg3.5504
FTY720 0.5 mg to 0.5 mg2.6324
Placebo2.8830

[back to top]

Change From Baseline in the Patient Reported Indices in Multiple Sclerosis (PRIMUS-QoL Score)

The quality of life scale contains 22 items. Each item will be given a score of 1 or 0. A score of 1 (or 0) indicates the presence (or absence) of the symptom or adverse quality of life. All 22 item scores will be summed to obtain a total score ranging from 0 (good) to 22 (poor), which is the PRIMUS QoL scale score (NCT00731692)
Timeframe: Baseline, 36 months

InterventionScore on a scale (Mean)
FTY720 1.25 mg to 0.5 mg0.2424
FTY720 0.5 mg to 0.5 mg0.5921
Placebo0.9597

[back to top]

Change From Baseline in Unidimensional Fatigue Impact (U-FIS) Score

Unidimensional Fatigue Impact Scale (U-FIS), contains 22 patient-reported items that assess the impact of fatigue on cognitive, physical, and psychosocial functioning. Responses formed a single unidimensional scale measuring fatigue impact. The U-FIS was calculated and analyzed according to the U-FIS scoring manual. The U-FIS scale contains 22 items with 5 possible outcomes for each item. Two response categories (about half the time and a lot of the time) were combined into 1 category to obtain 4 possible outcomes: 0 (never), 1 (a little of the time), 2 (about half the time/a lot of the time), and 3 (all the time). The 22 condensed item scores were summed to obtain a total score ranging from 0 (no fatigue) to 66 (severe fatigue impact). (NCT00731692)
Timeframe: Baseline, 36 months

InterventionScore on a scale (Mean)
FTY720 1.25 mg to 0.5 mg1.3197
FTY720 0.5 mg to 0.5 mg2.8451
Placebo3.1394

[back to top]

Change in MSFC Z-score and Subscale Scores From Baseline to Month 36

The Multiple Sclerosis Functional Composite (MSFC) is a multidimensional clinical outcome measure that includes quantitative tests of leg function/ambulation (Timed 25-Foot Walk), arm function (9-Hole Peg Test), and cognitive function (Paced Auditory Serial Addition Test). The overall MSFC z-score as an average of the three standardized scores derived using baseline data pooled over each treatment arm as reference population. Higher scores reflect better neurological function and a positive change from Baseline indicates improvement. (NCT00731692)
Timeframe: Baseline to Month 36

InterventionZ-scores (Mean)
FTY720 0.5 mg-0.189
Placebo-0.212

[back to top]

Kaplan Meier Estimate -Percentage of Participants With 3- Month Confirmed Disability Progression Based on 25' TWT.

The 25' TWT is a quantitative measure of lower extremity function designed and validated for evaluation of MS patients. N= Total number of patients included in the analysis (NCT00731692)
Timeframe: up to 36 months after the last patient was randomized

InterventionPercentage of Participants (Number)
FTY720 0.5 mg to 0.5 mg54.8
Placebo56.7

[back to top]

Kaplan Meier Estimate -Percentage of Participants With 3- Month Confirmed Disability Progression Based on 9-HPT.

The 9-HPT is a quantitative measure of upper extremity (arm and hand) function designed and validated for evaluation of MS patients. N= Total number of patients included in the analysis (NCT00731692)
Timeframe: up to 36 months after the last patient was randomized

InterventionPercentge of Participants (Number)
FTY720 0.5 mg to 0.5 mg25.0
Placebo24.9

[back to top]

Kaplan-Meier Estimate of the Risk of 3- Month Confirmed Disability Progression Based on Expanded Disability Status Scale (EDSS)

The Expanded Disability Status Scale (EDSS) is a scale for assessing neurologic impairment in MS (Kurtzke 1983) and includes a series of scores in each of 8 functional systems and the EDSS steps (ranging from 0 (normal) to 10 (death due to MS)). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. Fatigue is not included in the Cerebral score of the EDSS. The score ranges from 0 (normal) to 10 (death due to MS) (NCT00731692)
Timeframe: up to 36 months after the last patient was randomized

InterventionPercentage of Participants (Number)
FTY720 0.5 mg to 0.5 mg54.3
Placebo58.7

[back to top]

Kaplan-Meier Estimate of the Risk of 3-month Confirmed Disability Progression Based on Composite Endpoint

3-month sustained increase from Baseline in EDSS (at least 1 point increase from Baseline for patients with a Baseline value of 5 or less or at least 0.5 point increase from Baseline for patients with a Baseline value of 5.5 or more) or 3-month sustained increase of at least 20% from BL in the time taken to complete the timed 25-foot walk test (25' TWT); or 3-month sustained increase of at least 20% from BL in the time taken to complete the 9-HPT. The 25' TWT is a quantitative measure of lower extremity function. The EDSS is a scale assessing neurologic impairment, including a series of scores in each of 8 functional systems: Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. The score ranges from 0 (normal) to 10 (death due to MS)). The 9-hole peg test (9-HPT) is a quantitative measure of upper extremity (arm and hand) function. (NCT00731692)
Timeframe: up to 36 months after the last patient was randomized

InterventionPercentage of Participants (Number)
FTY720 0.5 mg to 0.5 mg77.2
Placebo80.3

[back to top]

Number of Gd-enhancing Lesions at Month 36

Inflammatory disease, as measured by number of T1 Gd-enhancing lesions, was assessed by MRI scanning of the brain and full spinal cord. N= Total number of patients included in the analysis (NCT00731692)
Timeframe: Baseline to 36 months

InterventionGd-enhanced lesions per patient per scan (Least Squares Mean)
FTY720 0.5 mg to 0.5 mg0.05
Placebo0.21

[back to top]

Number of New/Enlarging T2 Lesions Per Year Measured From Baseline to Month 36

Inflammatory disease, as measured by number of new or newly-enlarging T2 lesions, was assessed by Magnetic resonance Imaging (MRI) scanning of the brain and full spinal cord. N= Total number of patients included in the analysis (NCT00731692)
Timeframe: Baseline to 36 months

InterventionT2 Lesions per year (Least Squares Mean)
FTY720 0.5 mg to 0.5 mg0.13
Placebo0.50

[back to top]

Percent Change From Baseline in Brain Volume at Month 36

The percent change from Baseline in brain volume was analyzed using a random coefficients model. The model included: 1) fixed effects: treatment and region and 2) continuous covariates: time, number of Gd enhancing lesions at Baseline, Baseline T2 volume, and normalized brain volume at Baseline. Time as a continuous covariate allowed for the estimation of different slopes and intercepts among treatment groups. (NCT00731692)
Timeframe: Baseline to month 36

InterventionPercent Change (Least Squares Mean)
FTY720 0.5 mg to 0.5 mg-1.49
Placebo-1.53

[back to top]

Percent Change in Total T2 Lesion Volume From Baseline to Month 36

Inflammatory disease as measured by percent change in total T2 lesion volume (mm3) was assessed by MRI. N= Total number of patients included in the analysis (NCT00731692)
Timeframe: Baseline to month 36

InterventionPercent Change (Mean)
FTY720 0.5 mg to 0.5 mg-9.2
Placebo8.9

[back to top]

Blood Concentrations of Fingolimod and Fingolimod-phosphate

"Concentrations of fingolimod and fingolimod-phosphate in whole blood were determined by validated liquid chromatography methods with tandem mass spectrometry. The lower limits of quantification were 0.08 ng/ml for fingolimod and 0.1 ng/ml for fingolimod-phosphate.~Venous blood samples were collected for the analysis." (NCT00731692)
Timeframe: Month 3 up to 36 months

,,
Interventionng/ml (Mean)
Month 3 Fingolimod (n=64, 179)Month 12 Fingolimod (n=23, 161)Month 18 Fingolimod (n=71,155)Month 24 Fingolimod (n=67, 160)Month 30 Fingolimod (n=62, 158)Month 36 Fingolimod (n=55, 118)End of treatment Fingolimod (n=32, 115)Month 3 Fingolimod-Phosphate (n=64, 179)Month 12 Fingolimod-Phosphate (n=23, 161)Month 18 Fingolimod-Phosphate (n=71,155)Month 24 Fingolimod-Phosphate (n=67, 160)Month 30 Fingolimod-Phosphate (n=62, 158)Month 36 Fingolimod-Phosphate (n=55, 118)End of treatment Fingolimod-Phosphate (n=32, 115
FTY720 0.5 mg to 0.5 mg2.582.552.592.642.602.632.571.401.431.411.441.481.511.50
FTY720 1.25 mg to 0.5 mg6.046.24NANANANANA3.203.21NANANANANA
FTY720 1.25mg to 0.5 mgNA2.872.442.412.522.442.02NA1.541.341.351.321.321.19

[back to top]

Change From Baseline in European Quality of Life - 5 Dimensions (EQ-5D Score)

EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state (confined to bed). Scoring formula developed by EuroQoL Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range -0.594 to 1.000; higher score indicates a better health state. (NCT00731692)
Timeframe: Baseline, 36 months

InterventionScore on a scale (Mean)
FTY720 1.25 mg to 0.5 mg-0.0332
FTY720 0.5 mg to 0.5 mg-0.0475
Placebo-0.0539

[back to top]

Number of Participants With Adverse Events (AEs)

"Relationship to study drug was determined by the investigator (suspected/not suspected).~A serious AE is defined as an event which fulfills one of the following criteria:~is fatal or life-threatening;~results in persistent or significant disability/incapacity;~constitutes a congenital anomaly/birth defect;~requires inpatient hospitalization or prolongation of existing hospitalization;~is medically significant, i.e., jeopardizes the patient or may require intervention to prevent one of the outcomes listed above." (NCT01199861)
Timeframe: From first dose of study drug until 45 days after the last dose of study drug (130 days).

,
Interventionparticipants (Number)
Any adverse eventAE related to study drugSerious adverse eventAdverse events leading to discontinuation
Fingolimod824211
Placebo341120

[back to top]

Change From Baseline in Seasonal Influenza Vaccine Antibody-titer 6 Weeks After Vaccination

Change from Baseline was expressed by the ratio of post-vaccination to pre-vaccination antibody titer for each of the three strains included in the seasonal influenza vaccine. Inhibition of an immune response to each strain included in the seasonal influenza vaccine was assessed by the relative difference of the geometric mean antibody titer ratio on fingolimod as compared to placebo six weeks after a single dose of seasonal influenza vaccine. (NCT01199861)
Timeframe: Pre-vaccination (Week 6) and 6 weeks after vaccination (Study Week 12).

,
Interventionratio (Number)
A/California/7/09(H1N1)A/Perth/16/2009(H3N2)B/Brisbane/60/2008
Fingolimod1.810.361.08
Placebo2.910.282.07

[back to top]

Change From Baseline in Seasonal Influenza Vaccine Antibody-titer 3 Weeks After Vaccination

Change from Baseline was expressed by the ratio of post-vaccination to pre-vaccination antibody titer for each of the three strains included in the seasonal influenza vaccine. Inhibition of an immune response to each strain included in the seasonal influenza vaccine was assessed by the relative difference of the geometric mean antibody titer ratio on fingolimod as compared to placebo three weeks after a single dose of seasonal influenza vaccine. (NCT01199861)
Timeframe: Pre-vaccination (Week 6) and 3 weeks after vaccination (Study Week 9).

,
Interventionratio (Number)
A/California/7/09(H1N1)A/Perth/16/2009(H3N2)B/Brisbane/60/2008
Fingolimod2.450.491.34
Placebo4.140.362.40

[back to top]

Immune Response 6 Weeks After Tetanus Toxoid Booster

"Percentage of participants with an immune response to a single dose of tetanus toxoid six weeks after vaccination. A patient was considered a responder to tetanus toxoid booster vaccination if one of the following criteria was met:~Seroconversion: The pre-vaccination antibody titer measurement was <0.1 IU/ml and the post-vaccination measurement was ≥0.4 IU/ml.~Significant increase: The pre-vaccination antibody titer measurement was ≥0.1 IU/ml and the increase in antibody titer from this to the post-vaccination measurement was ≥4- fold." (NCT01199861)
Timeframe: Week 6 (pre-vaccination) and 6 weeks after vaccination (Study Week 12)

Interventionpercentage of participants (Number)
Fingolimod37.5
Placebo48.8

[back to top]

Immune Response 6 Weeks After Seasonal Influenza Vaccination

"Percentage of participants who responded to treatment with the seasonal influenza vaccine 6 weeks after vaccination. Response was defined as patients fulfilling one of the following criteria for at least one of the three strains contained in the seasonal influenza vaccine:~Seroconversion: The pre-vaccination antibody titer measurement was <1:10 and the post-vaccination measurement is ≥1:40.~Significant increase in antibody titer: The pre-vaccination antibody titer measurement was ≥1:10 and the increase in antibody titer from this to the post-vaccination measurement is ≥ 4-fold." (NCT01199861)
Timeframe: Week 6 (pre-vaccination) and 6 weeks after vaccination (Study week 12).

Interventionpercentage of participants (Number)
Fingolimod43.2
Placebo74.4

[back to top]

Immune Response 3 Weeks After Tetanus Toxoid Booster

"Percentage of participants with an immune response to a single dose of tetanus toxoid three weeks after vaccination. A patient was considered a responder to tetanus toxoid booster vaccination if one of the following criteria was met:~Seroconversion: The pre-vaccination antibody titer measurement was <0.1 IU/ml and the post-vaccination measurement was ≥0.4 IU/ml.~Significant increase: The pre-vaccination antibody titer measurement was ≥0.1 IU/ml and the increase in antibody titer from this to the post-vaccination measurement was ≥4- fold." (NCT01199861)
Timeframe: Week 6 (pre-vaccination) and 3 weeks after vaccination (Study Week 9)

Interventionpercentage of participants (Number)
Fingolimod40.0
Placebo60.5

[back to top]

Immune Response 3 Weeks After Seasonal Influenza Vaccination

"Percentage of participants who responded to treatment with the seasonal influenza vaccine 3 weeks after vaccination. Response was defined as patients fulfilling one of the following criteria for at least one of the three strains contained in the seasonal influenza vaccine:~Seroconversion: The pre-vaccination antibody titer measurement was <1:10 and the post-vaccination measurement is ≥1:40.~Significant increase in antibody titer: The pre-vaccination antibody titer measurement was ≥1:10 and the increase in antibody titer from this to the post-vaccination measurement is ≥ 4-fold." (NCT01199861)
Timeframe: Week 6 (pre-vaccination) and 3 weeks after vaccination (Study week 9)

Interventionpercentage of participants (Number)
Fingolimod53.3
Placebo83.7

[back to top]

Part I: Number of Participants With Categorized Change From First Dose of Fingolimod in Expanded Disability Status Scale (EDSS) Overall Score

"The EDSS is a scale for assessing neurological impairment in MS (Kurtzke 1983) including (1) a series of scores in each of eight functional systems, and (2) the EDSS steps (ranging from 0 (normal) to 10 (death due to MS). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. Based on the assessment of each FS, the participant's overall score is categorized as Improvement, Stable or Deterioration.~If baseline EDSS score is <=5, improvement is indicated by an EDSS score change of <= -1, stable is indicated by an EDSS score change of > -1 and <= 0.5, deterioration is indicated by an EDSS score change of > 0.5; if baseline EDSS score is > 5, improvement is indicated by an EDSS score change of <= -0.5, stable is indicated by an EDSS score change of > -0.5 and <= 0, deterioration is indicated by an EDSS score change of > 0. Only descriptive analysis performed." (NCT01201356)
Timeframe: Month 3 to Month 6 Follow-up

InterventionParticipants (Count of Participants)
Month 372327500Month 672327500Month 972327500Month 1272327500Month 1572327500Month 1872327500Month 2172327500Month 2472327500Month 2772327500Month 3072327500Month 3372327500Month 3672327500Month 3972327500Month 4272327500Month 4572327500Month 4872327500Month 5172327500Month 5472327500Month 5772327500Month 6072327500Month 6372327500Month 6672327500Month 6972327500Month 7272327500Month 7572327500Month 7872327500Month 8172327500Month 8472327500Month 8772327500Month 9072327500Month 9372327500Month 9672327500Month 9972327500Month 10272327500Month 10572327500Month 10872327500Month 11172327500Month 11472327500Month 11772327500Month 12072327500Month 12372327500Month 12672327500Month 12972327500Month 13272327500Month 13572327500Month 13872327500Month 14172327500Month 14472327500Month 14772327500Month 15072327500Month 15372327500Month 15672327500Month 15972327500Month 16272327500End of study72327500Month 3 follow-up72327500Month 6 follow-up72327500
ImprovementStableDeterioration
Fingolimod 0.5 mg/Day374
Fingolimod 0.5 mg/Day3126
Fingolimod 0.5 mg/Day269
Fingolimod 0.5 mg/Day508
Fingolimod 0.5 mg/Day2900
Fingolimod 0.5 mg/Day340
Fingolimod 0.5 mg/Day482
Fingolimod 0.5 mg/Day2425
Fingolimod 0.5 mg/Day304
Fingolimod 0.5 mg/Day422
Fingolimod 0.5 mg/Day1930
Fingolimod 0.5 mg/Day322
Fingolimod 0.5 mg/Day405
Fingolimod 0.5 mg/Day1764
Fingolimod 0.5 mg/Day285
Fingolimod 0.5 mg/Day345
Fingolimod 0.5 mg/Day1361
Fingolimod 0.5 mg/Day271
Fingolimod 0.5 mg/Day376
Fingolimod 0.5 mg/Day1524
Fingolimod 0.5 mg/Day320
Fingolimod 0.5 mg/Day1299
Fingolimod 0.5 mg/Day294
Fingolimod 0.5 mg/Day313
Fingolimod 0.5 mg/Day1271
Fingolimod 0.5 mg/Day270
Fingolimod 0.5 mg/Day305
Fingolimod 0.5 mg/Day1204
Fingolimod 0.5 mg/Day326
Fingolimod 0.5 mg/Day1172
Fingolimod 0.5 mg/Day292
Fingolimod 0.5 mg/Day309
Fingolimod 0.5 mg/Day1065
Fingolimod 0.5 mg/Day288
Fingolimod 0.5 mg/Day284
Fingolimod 0.5 mg/Day1015
Fingolimod 0.5 mg/Day276
Fingolimod 0.5 mg/Day282
Fingolimod 0.5 mg/Day948
Fingolimod 0.5 mg/Day287
Fingolimod 0.5 mg/Day875
Fingolimod 0.5 mg/Day263
Fingolimod 0.5 mg/Day250
Fingolimod 0.5 mg/Day838
Fingolimod 0.5 mg/Day264
Fingolimod 0.5 mg/Day244
Fingolimod 0.5 mg/Day784
Fingolimod 0.5 mg/Day247
Fingolimod 0.5 mg/Day256
Fingolimod 0.5 mg/Day788
Fingolimod 0.5 mg/Day251
Fingolimod 0.5 mg/Day694
Fingolimod 0.5 mg/Day245
Fingolimod 0.5 mg/Day175
Fingolimod 0.5 mg/Day577
Fingolimod 0.5 mg/Day234
Fingolimod 0.5 mg/Day182
Fingolimod 0.5 mg/Day540
Fingolimod 0.5 mg/Day191
Fingolimod 0.5 mg/Day165
Fingolimod 0.5 mg/Day499
Fingolimod 0.5 mg/Day216
Fingolimod 0.5 mg/Day503
Fingolimod 0.5 mg/Day193
Fingolimod 0.5 mg/Day440
Fingolimod 0.5 mg/Day206
Fingolimod 0.5 mg/Day156
Fingolimod 0.5 mg/Day437
Fingolimod 0.5 mg/Day201
Fingolimod 0.5 mg/Day136
Fingolimod 0.5 mg/Day398
Fingolimod 0.5 mg/Day226
Fingolimod 0.5 mg/Day150
Fingolimod 0.5 mg/Day456
Fingolimod 0.5 mg/Day217
Fingolimod 0.5 mg/Day132
Fingolimod 0.5 mg/Day407
Fingolimod 0.5 mg/Day207
Fingolimod 0.5 mg/Day147
Fingolimod 0.5 mg/Day450
Fingolimod 0.5 mg/Day227
Fingolimod 0.5 mg/Day120
Fingolimod 0.5 mg/Day413
Fingolimod 0.5 mg/Day204
Fingolimod 0.5 mg/Day143
Fingolimod 0.5 mg/Day386
Fingolimod 0.5 mg/Day187
Fingolimod 0.5 mg/Day117
Fingolimod 0.5 mg/Day375
Fingolimod 0.5 mg/Day186
Fingolimod 0.5 mg/Day110
Fingolimod 0.5 mg/Day325
Fingolimod 0.5 mg/Day159
Fingolimod 0.5 mg/Day283
Fingolimod 0.5 mg/Day154
Fingolimod 0.5 mg/Day103
Fingolimod 0.5 mg/Day261
Fingolimod 0.5 mg/Day131
Fingolimod 0.5 mg/Day87
Fingolimod 0.5 mg/Day138
Fingolimod 0.5 mg/Day74
Fingolimod 0.5 mg/Day198
Fingolimod 0.5 mg/Day101
Fingolimod 0.5 mg/Day181
Fingolimod 0.5 mg/Day79
Fingolimod 0.5 mg/Day31
Fingolimod 0.5 mg/Day94
Fingolimod 0.5 mg/Day52
Fingolimod 0.5 mg/Day88
Fingolimod 0.5 mg/Day42
Fingolimod 0.5 mg/Day14
Fingolimod 0.5 mg/Day45
Fingolimod 0.5 mg/Day26
Fingolimod 0.5 mg/Day11
Fingolimod 0.5 mg/Day36
Fingolimod 0.5 mg/Day10
Fingolimod 0.5 mg/Day39
Fingolimod 0.5 mg/Day18
Fingolimod 0.5 mg/Day12
Fingolimod 0.5 mg/Day30
Fingolimod 0.5 mg/Day19
Fingolimod 0.5 mg/Day21
Fingolimod 0.5 mg/Day7
Fingolimod 0.5 mg/Day22
Fingolimod 0.5 mg/Day15
Fingolimod 0.5 mg/Day16
Fingolimod 0.5 mg/Day8
Fingolimod 0.5 mg/Day3
Fingolimod 0.5 mg/Day9
Fingolimod 0.5 mg/Day5
Fingolimod 0.5 mg/Day2
Fingolimod 0.5 mg/Day6
Fingolimod 0.5 mg/Day0
Fingolimod 0.5 mg/Day1
Fingolimod 0.5 mg/Day610
Fingolimod 0.5 mg/Day2419
Fingolimod 0.5 mg/Day785
Fingolimod 0.5 mg/Day203
Fingolimod 0.5 mg/Day907
Fingolimod 0.5 mg/Day381
Fingolimod 0.5 mg/Day29
Fingolimod 0.5 mg/Day111

[back to top]

Parts I and II: Number of Participants With Adverse Events, Serious Adverse Event, and Death

Analysis of absolute and relative frequencies for Adverse Event (AE), Serious Adverse Event (SAE) and Deaths by primary System Organ Class (SOC) to demonstrate that Fingolimod 0.5 mg/day is safe in patients with relapsing forms of Multiple Sclerosis (MS) through the monitoring of relevant clinical and laboratory safety parameters. Only descriptive analysis performed. (NCT01201356)
Timeframe: Baseline (Part I) to Month 6 Follow-up (Part II), up to 8 years

InterventionParticipants (Count of Participants)
Adverse Event (AEs)Serious Adverse Events (SAEs)Deaths
Fingolimod 0.5 mg/Day212551516

[back to top]

Part I: Percent Brain Volume Change (PBVC) Relative to First Dose of Fingolimod

Descriptive statistics on percent brain volume change from first dose of fingolimod baseline were presented by visit. A negative change from baseline indicates improvement. (NCT01201356)
Timeframe: Month 3 to Month 156

InterventionPercent change (Mean)
Percent volume change at Month 3Percent volume change at Month 6Percent volume change at Month 12Percent volume change at Month 24Percent volume change at Month 36Percent volume change at Month 48Percent volume change at Month 60Percent volume change at Month 72Percent volume change at Month 84Percent volume change at Month 96Percent volume change at Month 108Percent volume change at Month 120Percent volume change at Month 132Percent volume change at Month 144Percent volume change at Month 156
Fingolimod 0.5 mg/Day-0.19-0.20-0.36-0.74-1.03-1.44-1.65-2.02-2.38-2.41-2.91-3.42-4.61-4.21-4.33

[back to top]

Part I: Number of Participants With Relapses (Confirmed and Unconfirmed) From First Dose of Fingolimod

"A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection.~In Study Part One, a relapse must be confirmed by an Expanded Disability Status Scale (EDSS) certified Physician within 7 days of the onset of symptoms. A relapse is confirmed when it is accompanied by an increase of at least half a step (0.5) on the EDSS or an increase of 1 point on two different Functional Systems (FS) of the EDSS or 2 points on one of the FS (excluding Bowel/Bladder or Cerebral FS). Month 0 is the first dose of fingolimod study drug among all studies in which patient participated. Only descriptive analysis performed." (NCT01201356)
Timeframe: Month 0 (Core Baseline) to End of Follow-up Visit (an average of 162 months)

InterventionParticipants (Number)
Month 0 to Month 6Month 0 to Month 12Month 0 to Month 24Month 0 to Month 36Month 0 to Month 48Month 0 to Month 60Month 0 to Month 72Month 0 to Month 84Month 0 to Month 96Month 0 to Month 108Month 0 to Month 120Month 0 to Month 132Month 0 to Month 144Month 0 to Month 156Month 0 to end of StudyMonth 0 to end of Follow-up
Fingolimod 0.5 mg/Day65599214611794212723832616279329443036306330723075307929703079

[back to top]

Part I: Number of Participants With Confirmed 6-month Disability Progression After First Dose of Fingolimod

Disability progression was defined based on an increase in the EDSS score by 1.5 point for patients with a first dose of fingolimod (FDF) baseline EDSS score of 0, 1 point for patients with FDF baseline EDSS of >=1 and <=5.5, and by 0.5 points for patients with an FDF baseline EDSS>5.5, confirmed after 6 months and all intermediate EDSS assessments. A 6-month confirmed disability progression was defined as a 6-month sustained increase from the reference (potential onset of progression) value in the EDSS scores. i.e., every EDSS score (scheduled or unscheduled) within a 6-month duration after the first progression should meet the progression criteria as specified above. The confirmation could only happen at a scheduled visit and in the absence of a relapse. Only descriptive analysis performed. (NCT01201356)
Timeframe: Month 12 to Month 156

InterventionParticipants (Number)
Month 12Month 24Month 36Month 48Month 60Month 72Month 84Month 96Month 108Month 120Month 132Month 144Month 156
Fingolimod 0.5 mg/Day212336434519590659714753767772775776777

[back to top]

Part I: Change From First Dose of Fingolimod in Total T2 Lesions Volume

Total volume of T2 lesions was summarized by presenting descriptive statistics for change from first dose of fingolimod baseline values by visit. (NCT01201356)
Timeframe: Month 3 to End of Study (Study Completion Visit)

Interventionmm^3 (Mean)
T2 volume change at Month 3T2 volume change at Month 6T2 volume change at Month 12T2 volume change at Month 24T2 volume change at Month 36T2 volume change at Month 48T2 volume change at Month 60T2 volume change at Month 72T2 volume change at Month 84T2 volume change at Month 96T2 volume change at Month 108T2 volume change at Month 120T2 volume change at Month 132T2 volume change at Month 144T2 volume change at Month 156T2 volume change at End of Study
Fingolimod 0.5 mg/Day-749.5-207.0-55.016.2235.8875.11546.31719.21635.81303.91562.01393.1905.9702.7274.01588.5

[back to top]

Part I: Change From First Dose of Fingolimod in Total T1 Hypointense Lesions Volume

T1 hypointense lesion (black hole) volume was summarized by presenting descriptive statistics for change from first dose of fingolimod baseline values by visit. (NCT01201356)
Timeframe: Month 3 to End of Study (Study Completion Visit)

Interventionmm^3 (Mean)
T1 volume change at Month 3T1 volume change at Month 12T1 volume change at Month 24T1 volume change at Month 36T1 volume change at Month 48T1 volume change at Month 60T1 volume change at Month 72T1 volume change at Month 84T1 volume change at Month 96T1 volume change at Month 108T1 volume change at Month 120T1 volume change at Month 132T1 volume change at End of Study
Fingolimod 0.5 mg/Day-519.849.164.1151.08524.8853.6975.7930.1753.4628.7817.3726.7800.6

[back to top]

Part I: Change From First Dose of Fingolimod in Expanded Disability Status Scale (EDSS)

The EDSS is a scale for assessing neurological impairment in MS (Kurtzke 1983) including (1) a series of scores in each of eight functional systems, and (2) the EDSS steps (ranging from 0 (normal) to 10 (death due to MS). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, Cerebral and Other functions. Based on the assessment of each FS, the participant's overall score is determined between 0 to 10. A negative change from baseline indicates improvement. Only descriptive analysis performed. (NCT01201356)
Timeframe: Month 0 (Core Baseline) to End of Follow-up Visit (an average of 162 months)

InterventionEDDS Overall Score (Mean)
Baseline (BL)Change from BL at Month 3Change from BL at Month 6Change from BL at Month 9Change from BL at Month 12Change from BL at Month 15Change from BL at Month 18Change from BL at Month 21Change from BL at Month 24Change from BL at Month 27Change from BL at Month 30Change from BL at Month 33Change from BL at Month 36Change from BL at Month 39Change from BL at Month 42Change from BL at Month 45Change from BL at Month 48Change from BL at Month 51Change from BL at Month 54Change from BL at Month 57Change from BL at Month 60Change from BL at Month 63Change from BL at Month 66Change from BL at Month 69Change from BL at Month 72Change from BL at Month 75Change from BL at Month 78Change from BL at Month 81Change from BL at Month 84Change from BL at Month 87Change from BL at Month 90Change from BL at Month 93Change from BL at Month 96Change from BL at Month 99Change from BL at Month 102Change from BL at Month 105Change from BL at Month 108Change from BL at Month 111Change from BL at Month 114Change from BL at Month 117Change from BL at Month 120Change from BL at Month 123Change from BL at Month 126Change from BL at Month 129Change from BL at Month 132Change from BL at Month 135Change from BL at Month 138Change from BL at Month 141Change from BL at Month 144Change from BL at Month 147Change from BL at Month 150Change from BL at Month 153Change from BL at Month 156Change from BL at Month 159Change from BL at Month 162Change from BL at End of studyChange from BL at Month 3 follow-upChange from BL at Month 6 follow-up
Fingolimod 0.5 mg/Day2.39-0.06-0.07-0.09-0.07-0.08-0.05-0.08-0.01-0.03-0.00-0.020.010.020.040.060.060.060.040.090.170.080.150.140.220.130.280.180.250.240.290.180.310.180.300.210.280.240.300.350.400.600.380.400.400.510.420.540.600.670.440.230.261.170.750.140.290.56

[back to top]

Part I: Annualized Rate of Brain Atrophy (ARBA) Relative to First Dose of Fingolimod

"The annualized rate of brain volume change is an averaged annual percentage change in brain volume. ARBA was calculated as: ARBA = [(SIENA/100+1) ^ (365.25/#days)-1]*100 where SIENA=(Vk/V0-1)*100 and Vk is the brain volume at time k, V0 is the brain volume at time 0 and k is the total number of days in the study for all patients for that specific period of time) × 365.25. Only descriptive analysis performed." (NCT01201356)
Timeframe: Month 3 to Month 156

InterventionRatio (Mean)
Month 3Month 6Month 12Month 24Month 36Month 48Month 60Month 72Month 84Month 96Month 108Month 120Month 132Month 144Month 156
Fingolimod 0.5 mg/Day-0.73-0.39-0.35-0.37-0.35-0.37-0.34-0.35-0.35-0.31-0.33-0.36-0.43-0.36-0.35

[back to top]

Part I: Aggregate Annualized Relapse Rates (ARR) From First Dose of Fingolimod

Annualized relapse rate (ARR) is defined as the number of all relapses (including both confirmed and unconfirmed relapses) experienced during a specific period of time adjusted to a one-year period. ARR is calculated as follows: (total number of all relapses) / (total number of days in the study for all patients for that specific period of time) x 365.25. Month 0 is the first dose of fingolimod study drug among all studies in which patient participated. Only descriptive analysis performed. (NCT01201356)
Timeframe: Month 0 (Core Baseline) to End of Follow-up Visit (an average of 162 months)

InterventionAnnual number of relapses per patient (Number)
Month 0 to Month 6Month 0 to Month 12Month 0 to Month 24Month 0 to Month 36Month 0 to Month 48Month 0 to Month 60Month 0 to Month 72Month 0 to Month 84Month 0 to Month 96Month 0 to Month 108Month 0 to Month 120Month 0 to Month 132Month 0 to Month 144Month 0 to Month 156Month 0 to end of StudyMonth 0 to end of Follow-up
Fingolimod 0.5 mg/Day0.3250.2730.2370.2170.2080.1970.1900.1820.1770.1720.1700.1700.1690.1690.1660.169

[back to top]

Part I: Annualized Rates of New or Newly Enlarging T2 Lesions (ARneT2) Compared With First Dose of Fingolimod

Annualized rate of new/newly enlarging T2 lesions (ARneT2) is defined as the number of new or newly enlarging T2 lesions experienced during a specific period of time adjusted to a one-year period. ARneT2 was calculated as follows: (total number of new/newly enlarging T2 lesions) / (total number of days in the study for all patients for that specific period of time) x 365.25.Month 0 is the first dose of fingolimod study drug among all studies in which patient participated. Only descriptive analysis performed. (NCT01201356)
Timeframe: Month 0 (Core Baseline) to End of Study (an average of Month 156)

InterventionAnnual number of T2 lesions per patient (Number)
Month 0 to Month 3Month 0 to Month 6Month 0 to Month 12Month 0 to Month 24Month 0 to Month 36Month 0 to Month 48Month 0 to Month 60Month 0 to Month 72Month 0 to Month 84Month 0 to Month 96Month 0 to Month 108Month 0 to Month 120Month 0 to Month 132Month 0 to Month 144Month 0 to Month 156Month 0 to end of study
Fingolimod 0.5 mg/Day12.3242.0731.3601.0421.0111.0080.9570.9630.9060.8130.7130.7020.6590.6810.6370.751

[back to top]

Change From Baseline in the Patient-reported Effectiveness Subscale Using the TSQM v1.4

The effectiveness scale was scored as follows: 1(extremely dissatisfied) to 7(extremely satisfied). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. A positive change from baseline indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 6

Interventionunits on a scale (Mean)
Fingolimod15.5
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)2.8

[back to top]

Change From Baseline in the Patient-reported Convenience Subscale Using the TSQM v1.4

The convenience subscale was scored as follows: questions 9 and 10 scored as 1(extremely difficult) to 7 (extremely easy), and question 11 scored as 1(extremely inconvenient) to 7 (extremely convenient). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. A positive change from baseline indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 6

Interventionunits on a scale (Mean)
Fingolimod41.8
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)1.5

[back to top]

Physician-reported Clinical Global Impression of Improvement (CGI-I)

The CGI-I is a rating scale allowing a physician-reported global evaluation of the subject's improvement over time. The Investigator assessed the subject's clinical change relative to the symptoms at baseline on the CGI-I, a seven-point scale, with rating as follows: 1=Very much improved, 2=Much improved, 3=Minimally improved, 4=No change, 5=Minimally worse, 6=Much worse, 7=Very much worse. The assessments were completed at Month 3 and Month 6. A lower score indicates improvement. (NCT01216072)
Timeframe: Month 3, Month 6

,
Interventionunits on a scale (Mean)
Month 3 (n=758,242)Month 6 (n=727,228)
Fingolimod3.43.2
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)3.93.9

[back to top]

Number of Patients Who Experienced Adverse Events, Serious Adverse Events and Death

In this analysis, patients with all (serious and non-serious) adverse events, serious adverse events and death were reported. (NCT01216072)
Timeframe: 9 months (6 month core + 3 month Extension)

,,
InterventionParticipants (Number)
Adverse Events (serious and non-serious)Serious Adverse EventsDeath
Extension Fingolimod Period12370
Fingolimod617310
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)15250

[back to top] [back to top]

Change From Baseline in Patient-reported Fatigue Using the Fatigue Severity Scale (FSS)

The Fatigue Severity Scale (FSS) is a 9-item assessment scale measuring fatigue and its effects, using a scale from 1 to 7, with higher scores indicating greater fatigue, or greater negative effects of fatigue on daily living. The FSS 9 item total score was calculated by summing the first 9 item scores and dividing by the number of non-missing items. If no more than 20% of the items were missing, the total score was the product of the mean response of the non missing items and the total number of items. If more than 20% of all items were missing, the total score was set to missing. A negative change from baseline indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 3, Month 6

,
Interventionunits on a scale (Mean)
Change from Baseline to Month 3 (n=710,232)Change from Baseline to Month 6 (n=687,218)
Fingolimod-0.3-0.4
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)0.00.0

[back to top]

Change From Baseline in Patient-reported Activities of Daily Living (ADL) Using the Multiple Sclerosis Activities Scale (PRIMUS-Activities) at Month 6

The PRIMUS activity measure is a 15-item assessment of patient-reported ADL. The PRIMUS-Activities total score was calculated by summing the 15 item scores after recoding the responses from 1 - 3 to 0 - 2. Totals scores range from 0 to 30 with higher scores indicating greater activity limitation. If no more than 20% of the items were missing, the total score was the product of the mean response of the non-missing items and the total number of items. If more than 20% of all items were missing, the total score was set to missing. A negative change from baseline indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 6

Interventionunits on a scale (Mean)
Fingolimod-0.6
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)-0.2

[back to top]

Change From Baseline in Patient-reported Depression Using the Beck Depression Inventory (BDI-II)

The Beck Depression Inventory (BDI-II) is a 21-question multiple-choice self-report inventory. Each item is scored from 0 to 3. The questions in the BDI-II refer to how the patient has been feeling over the past two weeks specifically. The BDI-II total score was calculated by summing the 21 item scores. Final scores ranged from 0 to 63 where higher scores indicated more severe depression. If no more than 20% of the items were missing, the total score was the product of the mean response of the non-missing items and the total number of items. If more than 20% of all items were missing, the total score was set to missing. A negative change indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 3, Month 6

,
Interventionunits on a scale (Mean)
Change from Baseline to Month 3 (n=748,236)Change from Baseline to Month 6 (n=709,223)
Fingolimod-3.2-3.4
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)-0.8-0.6

[back to top]

Change From Baseline in the Patient-reported Side Effects Subscale Using the TSQM v1.4

The Side Effects subscale was scored as follows: question 4 scored as 0(no) or 1(yes); question 5 scored as 1(extremely bothersome) to 5(not at all bothersome); and questions 6 - 8 scored as 1(a great deal) to 5(not at all). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. A positive change from baseline indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 6

Interventionunits on a scale (Mean)
Fingolimod22.9
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)3.5

[back to top]

Change From Baseline in the Global Satisfaction Subscale of the Treatment Satisfaction Questionnaire for Medication (TSQM) at Month 6

The TSQM was developed and validated as a general measure for treatment satisfaction. It contains 14 items assessing the following 4 domains: effectiveness (sum of scores for questions 1 - 3), side effects (sum of scores for questions 4 - 8), convenience (sum of scores for questions 9 - 11) and Global Satisfaction (sum of scores for questions 12 - 14). The primary analysis was on Global Satisfaction. Question 12 scored as 1(not at all confident) to 5 (extremely confident); question 13 scored as 1(not at all certain) to 5(extremely certain); and question 14 scored as 1(extremely dissatisfied) to 7(extremely satisfied). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. A positive change from baseline indicates improvement. (NCT01216072)
Timeframe: Baseline, Month 6

Interventionunits on a scale (Mean)
Fingolimod22.5
Multiple Sclerosis Disease Modifying Treatments (MS DMTs)3.5

[back to top]

Change From Baseline in Patient-reported Depression

The Beck Depression Inventory Fast Screen (BDI-FS) is a brief, multiple choice, self reported inventory designed to evaluate depression in patients with medical illness. The BDI-FS score was calculated summing the 7 items of the questionnaire. Each item ranged from 0 (not present) to 3 (severe). The total score ranges from 0-3 (minimal depression), 4-8 (mild depression), 9-12 (moderate depression) and 13-21 (severe depression). A negative change from baseline indicates improvement. (NCT01317004)
Timeframe: 6 months

Interventionscore on a scale (Mean)
Fingolimod-1.15
Multiple Sclerosis Disease Modifying Treatment (MS DMT)-0.12

[back to top]

Change From Baseline in Patient-reported Fatigue

The fatigue Severity Scale (FSS) is a 9-item scale used to assess fatigue. The FSS score was calculated summing the 9 items of the questionnaire and dividing by the number of non-missing items (each item is based on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree)). A negative change from baseline indicates improvement. (NCT01317004)
Timeframe: 6 months

Interventionscore on a scale (Mean)
Fingolimod-0.18
Multiple Sclerosis Disease Modifying Treatment (MS DMT)-0.32

[back to top]

Change From Baseline in Patient-reported Treatment Satisfaction

The Treatment Satisfaction Questionnaire for Medication (TSQM-9) is a psychometric measure of a patient's satisfaction with medication. It consists of 3 subscales: effectiveness, convenience and global satisfaction. The scores were computed by adding items for each domain, i.e. 1 to 3 for effectiveness, 4 - 6 for convenience and 7 to 9 for global satisfaction. The lowest possible score (1 for each item and 3 for all 3 subscales) was subtracted from the composite score and divided by the greatest possible score range. The greatest range was (7-1) X 3 items = 18 for the effectiveness and convenience, and (5-1) x 3 items = 12 for global satisfaction. This provided a transformed score between 0 and 1 that was then multiplied by 100. A positive change from baseline indicates improvement. (NCT01317004)
Timeframe: baseline, 6 months

Interventionscore on a scale (Mean)
Fingolimod19.57
Multiple Sclerosis Disease Modifying Treatment (MS DMT)5.83

[back to top]

Change From Baseline in Patient-Reported Effectiveness and Convenience

The Treatment Satisfaction Questionnaire for Medication (TSQM-9) is a psychometric measure of a patient's satisfaction with medication. It consists of 3 subscales: effectiveness, convenience and global satisfaction. The scores were computed by adding items for each domain, i.e. 1 to 3 for effectiveness, 4 - 6 for convenience and 7 to 9 for global satisfaction. The lowest possible score (1 for each item and 3 for all 3 subscales) was subtracted from the composite score and divided by the greatest possible score range. The greatest range was (7-1) X 3 items = 18 for the effectiveness and convenience, and (5-1) x 3 items = 12 for global satisfaction. This provided a transformed score between 0 and 1 that was then multiplied by 100. A positive change from baseline indicates improvement. (NCT01317004)
Timeframe: 6 months

,
Interventionscore on a scale (Mean)
EffectivenessConvenience
Fingolimod13.5324.64
Multiple Sclerosis Disease Modifying Treatment (MS DMT)-1.6712.78

[back to top] [back to top]

Physician-reported Clinical Global Impression of Improvement (CGI-I)

The CGI-I is a rating scale allowing a physician-reported global evaluation of the subject's improvement over time. The Investigator assessed the subject's clinical change relative to the symptoms at baseline on the CGI-I, a seven-point scale, with rating as follows: 1=Very much improved, 2=Much improved, 3=Minimally improved, 4=No change, 5=Minimally worse, 6=Much worse, 7=Very much worse. A lower score and a negative change from baseline indicate improvement. (NCT01317004)
Timeframe: 6 months

,
InterventionPercentage of participants (Number)
Much improvedMinimally improvedNo changeMinimally worse
Fingolimod13.6436.3647.732.27
Multiple Sclerosis Disease Modifying Treatment (MS DMT)11.1111.1166.6711.11

[back to top]

Change From Baseline in Patient-reported Activities of Daily Living (ADL)

The PRIMUS activity measure is a 15-item assessment used to evaluate patient-reported activities of daily living. The PRIMUS activities score was calculated summing the 15 items, after recoding the responses from 1 - 3 to 0 - 2. Therefore, the total score ranged from 0 - 3-, where high scores were indicative of greater function limitation. A negative change from baseline indicates improvement. (NCT01317004)
Timeframe: baseline, 6 months

Interventionscore on a scale (Mean)
Fingolimod0.19
Multiple Sclerosis Disease Modifying Treatment (MS DMT)0.15

[back to top]

Change From Screening in the Number of T1 Gd+ Enhancing Lesions

Total number of post-baseline Gd-enhanced lesions is calculated as a sum of all Gd-enhanced lesions seen on post-baseline scans per visit. Real (not per slice) lesions are counted in this analysis (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionNumber of new lesions (Mean)
Fingolimod-0.64
Interferon Beta 1b0.59

[back to top]

Changes in Quality of Life, by Means of the Multiple Sclerosis Quality of Life (MSQoL-54)

A 54 question measure covers 12 domains; assesses mental and physical health. The physical health composite score is a weighted average of the physical health scales, such as physical function, health perceptions, and energy. The mental health composite score is a weighted average of the mental health scales, such as overall quality of life, cognitive function, and health distress. Each domain has a range from 0 to 100 where higher means better. (NCT01333501)
Timeframe: Baseline, 18 months

,
InterventionScore (Least Squares Mean)
Mental health composite scorePhysical health composite score
Fingolimod4.76-1.80
Interferon Beta 1b-2.31-4.75

[back to top]

Change From Screening in Spatial Recall Test - Delayed Recall (SPART-D)

Spatial Recall Test (SPART) for visuospatial learning and delayed recall.Spatial Recall Test (10/36): The spatial recall test assesses visuospatial learning and delayed recall (10/36-D). A checkerboard with ten checkers arranged in a pattern was shown to the subject for ten seconds. The subject was then asked to reproduce the same pattern with ten checkers on an empty checkerboard. The test includes three consecutive trials. The score was the total number of correct responses for the tree trials. The total score ranged from 0 to 10. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod0.41
Interferon Beta 1b0.44

[back to top]

Change From Screening in DKEFS Condition 2: Sort Recognition, Sort Recognition Description Score- Card Set 1+2

The Delis-Kaplan Executive Function System - Sorting Test is one of the nine tests presented in the DKEFS manual and explores the patient's executive abilities. It has a standard form (version A, administered at screening and Month-18 visit) and an alternate form (version B, administered at Month-9 visit). The standard form consists of the practice card set, card set 1 and card set 2. The alternate form consists of the same practice card set, card set 3 and card set 4. Free sorting and sort recognition. In free sorting, six scores were obtained: Confirmed Correct sorts for card sets 1 and 2 (or 3 and 4 for version B), sum of confirmed Correct Sorts, Free Sorting Description score for card set 1 and 2 (or 3 and 4 for version B) and sum of Free Sorting Description scores. The total score ranged from 0 to 64. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod2.15
Interferon Beta 1b7.38

[back to top]

Change From Screening in DKEFS Condition 1: Free Sorting, Free Sorting, Description Score, Card Set 1+2

The Delis-Kaplan Executive Function System - Sorting Test is one of the nine tests presented in the DKEFS manual and explores the patient's executive abilities. It has a standard form (version A, administered at screening and Month-18 visit) and an alternate form (version B, administered at Month-9 visit). The standard form consists of the practice card set, card set 1 and card set 2. The alternate form consists of the same practice card set, card set 3 and card set 4. In free sorting, six scores were obtained: Confirmed Correct sorts for card sets 1 and 2 (or 3 and 4 for version B), sum of confirmed Correct Sorts, Free Sorting Description score for card set 1 and 2 (or 3 and 4 for version B) and sum of Free Sorting Description scores. In sort recognition, a description score for card set 1 and 2 (or 3 and 4 for version B) was obtained, as well as the sum of description scores of both sets. The total score ranged from 0 to 64. Higher values represent a better outcome (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod1.52
Interferon Beta 1b3.69

[back to top]

Change From Screening in Delis-Kaplan Executive Function System (DKEFS) Condition 1: Free Sorting, Confirmed Correct Sort- Card Set 1+2

The Delis-Kaplan Executive Function System - Sorting Test is one of the nine tests presented in the DKEFS manual and explores the patient's executive abilities. It has a standard form (version A, administered at screening and Month-18 visit) and an alternate form (version B, administered at Month-9 visit). The standard form consists of the practice card set, card set 1 and card set 2. The alternate form consists of the same practice card set, card set 3 and card set 4. The DKFES test consisted of two testing procedures: free sorting and sort recognition. In free sorting, six scores were obtained: Confirmed Correct sorts for card sets 1 and 2 (or 3 and 4 for version B), sum of confirmed Correct Sorts. In sort recognition, a description score for card set 1 and 2 (or 3 and 4 for version B) was obtained, as well as the sum of description scores of both sets. The total score ranged from 0 to 16. Higher values represent a better outcome (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod0.57
Interferon Beta 1b0.82

[back to top]

Change From Screening in the Number of New T2 Lesions

New T2 lesions at a specific visit were assessed relative to the previous visit scan. The total number of lesions (visit 8 to 18 month) is calculated as the sum of the number of lesions. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionNumber of new lesions (Mean)
Fingolimod1.25
Interferon Beta 1b3.33

[back to top]

Change From Screening in Symbol Digit Modalities Test (SDMT) Raw Score

Symbol Digit Modality Test (SDMT) for sustained attention and information processing speed. It presents a series of nine symbols, each of which is paired with a single digit labeled 1-9 in a key at the top of the sheet. The reminder of the page has a pseudo-randomized sequence of symbols, and the patient must respond with the digit associated with each of these as quickly as possible. The score is the number of correct answers in 90 seconds. The total score ranged from 0 to 110. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod2.19
Interferon Beta 1b3.93

[back to top]

Change From Screening in Spatial Recall Test (SPART) Raw Score

Spatial Recall Test (SPART) for visuospatial learning and delayed recall.Spatial Recall Test (10/36): The spatial recall test assesses visuospatial learning and delayed recall (10/36-D). A checkerboard with ten checkers arranged in a pattern is shown to the subject for ten seconds. The subject is then asked to reproduce the same pattern with ten checkers on an empty checkerboard. The test includes three consecutive trials. The score is the total number of correct responses for the tree trials. The total score ranged from 0 to 30. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod1.46
Interferon Beta 1b3.06

[back to top]

Change From Screening in Montgomery-Asberg Depression Rating Scale (MADRS)

MADRS measures the overall severity of depressive symptoms. The MADRS had a 10-item checklist. Items are rated on a scale of 0-6, for a total numeric range of scores from 0 (depressive symptoms absent) to 60 (numerically highest level of depressive symptoms). (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod-0.77
Interferon Beta 1b0.13

[back to top]

Change From Screening in Paced Auditory Serial Addition Test - 2 (PASAT 2) Raw Score

Paced Auditory Serial Addition Test (PASAT) for working memory (and sustained attention and information processing speed). The patient hears a series of numbers from recordings that are presented at the rate of one every 2 seconds in the second part of the test (PASAT-2). The patient was asked to add each consecutive digit to the one immediately preceding it. Sixty-one digits are presented for each part, and each part has a maximum of 60 correct answers. The total score ranged from 0 to 60. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod4.79
Interferon Beta 1b4.42

[back to top]

Change From Screening in Paced Auditory Serial Addition Test - 3 Seconds (PASAT 3) Raw Score

Paced Auditory Serial Addition Test (PASAT) for working memory (and sustained attention and information processing speed). The patient hears a series of numbers from recordings that are presented at the rate of one every 3 seconds in the first part of the test (PASAT-3). The patient is asked to add each consecutive digit to the one immediately preceding it. Sixty-one digits are presented for each part, and each part has a maximum of 60 correct answers. The total score ranged from 0 to 60. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod7.14
Interferon Beta 1b6.68

[back to top]

Change From Screening in Selective Reminding Test - Consistent Long Term Retrieval (SRT-CLTR) Raw Score

Brief Repeatable Battery (BRB)- widely used as a clinical and research tool, with 68% sensitivity and 85% specificity. It consists of the serial administration of 5 tests. One of the tests is SRT (Selective Reminding Test) for episodic memory (verbal learning and delayed recall). A word recalled on two consecutive trials is considered to have entered long-term storage (LTS) on the first of these trials and scored as LTS on all following trials. The total of the words in LTS of all six trials is then summed. If a word in LTS is consistently recalled on all subsequent trials, it is then scored as Consistent Long Term Retrieval (CLTR). The total of the words in CLTR of all six trials is summed. The total score ranged from 0 to 72. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod5.93
Interferon Beta 1b3.96

[back to top]

Change From Screening in Selective Reminding Test - Long-Term Storage (SRT-LTS) Raw Score

Brief Repeatable Battery (BRB)- widely used as a clinical and research tool, with 68% sensitivity and 85% specificity. It consists of the serial administration of 5 tests. One of the tests is SRT (Selective Reminding Test) for episodic memory (verbal learning and delayed recall). A word recalled on two consecutive trials is considered to have entered long-term storage (LTS) on the first of these trials and scored as LTS on all following trials. The total of the words in LTS of all six trials is then summed. The total score ranged from 0 to 72. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

Interventionraw score (Least Squares Mean)
Fingolimod6.32
Interferon Beta 1b4.46

[back to top]

Change From Screening in Selective Reminding Test - Delayed Recall (SRT-D) Raw Score

The tests SRT (Selective Reminding Test) for episodic memory (verbal learning and delayed recall). The Delayed SRT test is the total number of words recalled after a delayed period. The total score ranged from 0 to 12. Higher values represent a better outcome. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod0.57
Interferon Beta 1b0.39

[back to top]

Changes in the Environmental Status Scale Score (ESS)

The Environmental Status Scale (ESS) is used to quickly evaluate a patient for handicap. It was derived from a measure of socio-economic status. It consists of seven parameters: (1) actual work status, (2) financial and economic status, (3) personal residence or home, (4) personal assistance required, (5) transportation, (6) community services, (7) social activity. Each parameter has a single score from minimum 0 to maximum 5. ESS score is the sum of the points for all 7 parameters: minimum score: 0; maximum score: 35. The higher the score the greater the handicap (NCT01333501)
Timeframe: Baseline, 18 month

InterventionScore (Mean)
Fingolimod1.08
Interferon Beta 1b0.91

[back to top]

Changes From Baseline in Fatigue Impact Scale (mFIS, Total Score and Scores of the 3 Individual Domains).

Modified Fatigue Impact Scale (mFIS) questionnaire is described at each time point to evaluate fatigue by means of usual descriptive statistics. Three domains were also defined: Physical Subscale (sum of items 4, 6, 7, 10, 13, 14, 17, 20, 21 and therefore ranging from 0 to 36), Cognitive Subscale (sum of items 1, 2, 3, 5, 11, 12, 15, 16, 18, 19 and therefore ranging from 0 to 40) and Psychosocial Subscale (sum of items 8, 9 and therefore ranging from 0 to 8). Finally, mFIS - overall score ranged from 0 to 80. The mFIS total score was computed as the sum of scores for each item. Lower values represent a better outcome. (NCT01333501)
Timeframe: Baseline, 18 months

InterventionScore (Least Squares Mean)
Fingolimod2.36
Interferon Beta 1b6.67

[back to top]

Change From Screening in Word List Generation (WLG)

Word List Generation (COWAT/WLG): The COWAT assesses verbal fluency on semantic stimulus by asking the patient to produce as many words as possible belonging to a semantic category. The test assessed the verbal fluency, recorded all the possible correct word that a patients should give in 90 sec. No maximum range is available. Higher values represent a better outcome. The score was the number of correct words. The more words the patient pronounces, the better it is. We can imagine that the minimum value might be zero words, , but it is not a score scale. (NCT01333501)
Timeframe: Screening (-1month), 18 month

InterventionRaw score (Least Squares Mean)
Fingolimod0.39
Interferon Beta 1b0.24

[back to top]

Change From Screening in the Volume of Total T2 Lesions

Change in volume of total T2-weighted lesions by visit were summarized. Negative values indicate improvement (reduction in lesion volume) and positive values worsening (increase in lesion volume (NCT01333501)
Timeframe: Screening (-1 month), 18 months

Interventionmm^3 (Mean)
Fingolimod176.25
Interferon Beta 1b711.81

[back to top]

Change From Screening in the Volume of Total T1 Hypointense Lesions

Volume of hypointense post-gadolinium T1 lesion component was measured by MRI scan. Means were estimated using a Mixed-effect model with repeated measures (MMRM) by-visit interaction. (NCT01333501)
Timeframe: Screening (-1month), 18 month

Interventionmm^3 (Mean)
Fingolimod391.96
Interferon Beta 1b213.93

[back to top]

Change From Screening in the Percentage of Brain Volume Change

Calculations of brain volume change were performed using the structural image evaluation of normalized atrophy (SIENA), software included in the Functional Magnetic Resonance Imaging of the Brain (FMRIB) software library. SIENA is a fully automated method for estimating temporal brain volume change. (NCT01333501)
Timeframe: Screening (-1month), 18 month

Interventionpercentage of brain volume (Mean)
Fingolimod-0.60
Interferon Beta 1b-0.96

[back to top]

Number of Participants Who Experienced Adverse Events, Serious Adverse Events and Death

"In this analysis patients with all (serious and non-serious) adverse events, and death were reported.~See Safety Section." (NCT01436643)
Timeframe: 21 weeks

,,,
InterventionParticipants (Number)
Any Adverse EventDeathSerious Adverse Event
Citalopram and Fingolimod1201
Fingolimod1501
Fluoxetine and Fingolimod1100
Venlafaxine and Fingolimod1201

[back to top]

Number of Participants With Adverse Events as a Measure of Safety and Tolerability

Any Adverse Event was defined as occurrence of any symptom regardless of intensity grade, Serious Adverse Event (SAEs) assessed as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in persistent or significant disability/incapacity (NCT01497262)
Timeframe: 28 weeks

InterventionParticipants (Number)
Adverse Events (AE)Serious Adverse Event (SAE)Deaths
Fingolimod 0.5 mg100120

[back to top]

Number (%) of Patients With AE of Special Interest Including Bradyarrhythmia, BP Increase, Liver Transaminase Elevations, Infections , Macula Oedema.

The incidence of events in special areas of safety interest (including bradyarrhythmias, BP increase, liver function, infections and macular oedema) were assessed by the nature and frequency of AE reporting. These areas of special interest have been identified and potential risks of fingolimod based on knowledge from clinical trials and post-marketing reporting. (NCT01497262)
Timeframe: 4 months

InterventionPercent of Participants (Number)
BradyarrhythmiasBlood pressure increaseHypertensionLiver Transaminase evaluationsInfectionsMacula Oedema
Fingolimod 0.5 mg8.60.62.53.728.40

[back to top]

Percentage of Participants With Mild, Moderate or Severe Relapse

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. (NCT01498887)
Timeframe: 12 months

,
InterventionPercentage of participants (Number)
MildModerateSevere
Naive or de Novo Participants42.5557.450.00
Previously Treated With First-line DMTs Participants38.4656.415.13

[back to top]

Time to First Relapse

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. (NCT01498887)
Timeframe: first day of treatment to the first day of a new neurological symptom or worsening of an existing one, up to 12 months

Interventionmonths (Median)
Naive or de Novo ParticipantsNA
Previously Treated With First-line DMTs ParticipantsNA

[back to top]

Percentage of Relapse-free Participants

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. (NCT01498887)
Timeframe: 12 months

InterventionPercent (Number)
Naive or de Novo Participants71.89
Previously Treated With First-line DMTs Participants66.67

[back to top]

Mean Number of T2 Active Lesions

The mean number of new or enlarged T2 active lesions was assessed by MRI. (NCT01498887)
Timeframe: 12 months

InterventionT2 lesions (Mean)
Naive or de Novo Participants2.0
Previously Treated With First-line DMTs Participants1.6

[back to top]

Change From Baseline in Expanded Disability Status Scale (EDSS) Score

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. (NCT01498887)
Timeframe: baseline, 12 months

Interventionscore on a scale (Mean)
Naive or de Novo Participants0.000
Previously Treated With First-line DMTs Participants-0.077

[back to top]

Annual Relapse Rate (ARR)

ARR = 365 days * number of relapses / total days taking the study medication. (NCT01498887)
Timeframe: 12 months

InterventionRelapses per year (Mean)
Naive or de Novo Participants0.290
Previously Treated With First-line DMTs Participants0.354

[back to top]

Change From Baseline in Cerebral Volume

Cerebral volume was assessed by magnetic resonance imaging (MRI). A negative change from baseline indicates improvement. (NCT01498887)
Timeframe: baseline, 12 months

InterventionPercent change (Mean)
Naive or de Novo Participants-0.595
Previously Treated With First-line DMTs Participants-0.387

[back to top]

Number of Active (New or Newly Enlarging) T2 Lesions From the Last Natalizumab Infusion (Baseline) up to the Initiation of Fingolimod Treatment

Lesions were measured by MRIs and the number of active (new or newly enlarging) T2 lesions was calculated from baseline to beginning of treatment. (NCT01499667)
Timeframe: 8, 12 and 16 weeks (number of active T2 lesions during the washout period only)

InterventionCount of active T2 lesions (Mean)
8-week Washout + Fingolimod (FTY720)0.4
12-week Washout + Fingolimod (FTY720)2.1
16-week Washout + Fingolimod (FTY720)3.6

[back to top]

Number of Active (New or Newly Enlarging) T2 Lesions From the Last Natalizumab Infusion (Baseline) Through 8 Weeks of Fingolimod Treatment

Active lesions were measured on brain MRI scans, performed at week 8, compared to the prior scan. The primary variable was analyzed by fitting a negative binomial regression model adjusted for washout group. (NCT01499667)
Timeframe: Number of active T2 lesions from last natalizumab dose through 8 weeks of fingolimod treatment

InterventionCount of Active T2 Lesions (Mean)
8-week Washout + Fingolimod (FTY720)2.1
12-week Washout + Fingolimod (FTY720)1.7
16-week Washout + Fingolimod (FTY720)8.2

[back to top]

Number of Active (New or Newly Enlarging) T2 Lesions During the 24 Weeks After the Last Natalizumab Infusion (Baseline)

Lesions will be measured by MRIs and the number of active (new or newly enlarging) T2 lesions will be calculated for 24 weeks from baseline. (NCT01499667)
Timeframe: Baseline up to 24 weeks

InterventionCount of Active T2 Lesions (Mean)
8-week Washout + Fingolimod (FTY720)3.2
12-week Washout + Fingolimod (FTY720)4.4
16-week Washout + Fingolimod (FTY720)7.7

[back to top]

Number of Active (New or Newly Enlarging) T2 Lesions During the First 8 Weeks of Fingolimod Treatment

Lesions were measured by MRIs and the number of active (new or newly enlarging) T2 lesions was calculated for first 8 weeks of fingolimod treatment. (NCT01499667)
Timeframe: Number of active T2 lesions during 8 wks of fingolimod treatment

InterventionCount of Active T2 Lesions (Mean)
8-week Washout + Fingolimod (FTY720)1.5
12-week Washout + Fingolimod (FTY720)2.1
16-week Washout + Fingolimod (FTY720)4.2

[back to top]

Number of Participants With Adverse Events (AE), Serious Adverse Events (SAE) and Death During Washout Period

Adverse events were summarized by the number of patients having any adverse event overall. (NCT01499667)
Timeframe: Baseline to maximum of 16 weeks

,,
Interventionparticipants (Number)
Any Adverse EventsSerious Adverse EventsDeath
12-week Washout + Fingolimod (FTY720)1200
16-week Washout + Fingolimod (FTY720)2510
8-week Washout + Fingolimod (FTY720)1300

[back to top]

Number of Participants With Adverse Events (AE), Serious Adverse Events (SAE) and Death During Fingolimod Treatment

Adverse events were summarized by the number of patients having any adverse event overall. (NCT01499667)
Timeframe: Baseline to maximum of 16 weeks

,,
Interventionparticipants (Number)
Any Adverse EventsSerious Adverse EventsDeath
12-week Washout + Fingolimod (FTY720)2050
16-week Washout + Fingolimod (FTY720)2830
8-week Washout + Fingolimod (FTY720)3520

[back to top]

Cumulative Number of Gadolinium-enhancing T1 Lesions From the Last Natalizumab Infusion

Gadolinium-enhancing lesions will be measured on post-contrast T1-weighted brain MRI scans (NCT01499667)
Timeframe: 8 weeks and 24 weeks

,,
InterventionNumber of Gd enhanced T1 Lesions (Mean)
Week 8 (n=1,1,0)Week 24 (n=10,12,21)
12-week Washout + Fingolimod (FTY720)2.03.4
16-week Washout + Fingolimod (FTY720)NA3.6
8-week Washout + Fingolimod (FTY720)25.06.3

[back to top]

Change From Baseline in Expanded Disability Status Scale (EDSS) by Washout Group

Kurtzke's Expanded Disability Status Scale (EDSS) measures the changes in neurologic impairment, either chronic (progression over time), or acute (MS relapses). The EDSS steps range from 0 (normal) to 10 (death due to MS). Relapse severity is assessed based on severity of neurologic impairment as evaluated using the EDSS. (NCT01499667)
Timeframe: Baseline to week 16 and week 32

,,
InterventionUnits on a scale (Mean)
Week 16 (n=40, 33, 39)Week 32 (n= 40,30,39)
12-week Washout + Fingolimod (FTY720)-0.03-0.13
16-week Washout + Fingolimod (FTY720)0.230.08
8-week Washout + Fingolimod (FTY720)0.110.11

[back to top]

Change in Patient-reported Depression

The Beck Depression Inventory (BDI-I) scale was used to measure this outcome. The scale consists of 21 items to assess the intensity of depression in clinical and normal patients. Each item is a list of four statements arranged in increasing severity about a particular symptom of depression. Each item was scored from 0 - 3. If more than one score was provided for an item, the maximum score was considered the item score. The total score was calculated as the sum of all individual items and then compared to a key to determine the depression's severity. The standard key ranges were: 0 - 9 indicated minimal depression; 10 - 18 indicated mild depression; 19 - 29 indicated moderate depression and 30 - 63 indicated severe depression. Higher total scores indicate more severe depressive symptoms. (NCT01534182)
Timeframe: Baseline, 6 months

Interventionscores on a scale (Mean)
Fingolimod-2.88
Standard Disease Modifying Therapy (DMT)-1.86

[back to top]

Change in Patient-reported Treatment Satisfaction

The Treatment Satisfaction Questionnaire for Medication (TSQM) contains 14 items assessing the following 4 domains: effectiveness (items 1 - 3), side effects (items 4 - 8), convenience (items 9 - 11) and global satisfaction (items 12 - 14). The primary outcome was measured on the global satisfaction domain. Item 12 scored as 1 (not at all confident) to 5 (extremely confident); item 13 scored as 1 (not at all certain) to 5 (extremely certain); and item 14 scored as 1 (extremely dissatisfied) to 7 (extremely satisfied). Responses to items were summed and transformed: specifically, TSQM v 1.4 domain scale scores were computed by adding the items loading on each domain. The lowest possible score was subtracted from the composite score and divided by the greatest possible score range. This provided a transformed score between 0 and 1 that was then multiplied by 100. The final transformed score ranges from 0 to 100, with higher scores indicating better treatment satisfaction. (NCT01534182)
Timeframe: Baseline, 6 months

Interventionscores on a scale (Mean)
Fingolimod22.69
Standard Disease Modifying Therapy (DMT)13.92

[back to top] [back to top]

Changes in Patient-reported Effectiveness, Side Effects and Convenience

TSQM v 1.4 domains for effectiveness, side effects and convenience were used to evaluate this outcome. The effectiveness domain for items 1 - 3 was scored as: 1 (extremely dissatisfied) to 7 (extremely satisfied). For the side effects domain, item 4 scored as 0(no) or 1(yes); item 5 scored as 1 (extremely bothersome) to 5 (not at all bothersome); and items 6 - 8 scored as 1 (a great deal) to 5 (not at all). For the convenience domain, items 9 and 10 scored as 1(extremely difficult) to 7 (extremely easy), and item 11 scored as 1 (extremely inconvenient) to 7 (extremely convenient). For each domain, scale scores were computed by adding the items loading on each domain. The lowest possible score was subtracted from the composite score and divided by the greatest possible score range. This provided a transformed score between 0 and 1 that was then multiplied by 100. The final transformed score ranges from 0 to 100, with higher scores indicating better treatment satisfaction. (NCT01534182)
Timeframe: Baseline, 6 months

,
Interventionscores on a scale (Mean)
EffectivenessSide effectsConvenience
Fingolimod21.5726.7525.38
Standard Disease Modifying Therapy (DMT)11.5613.0710.57

[back to top]

Number of Patients Who Experienced Adverse Events, Serious Adverse Events and Death

Participants were monitored for adverse events, serious adverse events and death throughout the study. (NCT01534182)
Timeframe: 6 months

,
InterventionParticipants (Number)
Adverse events (serious and non-serious)Serious adverse eventsDeaths
Fingolimod7320
Standard Disease Modifying Therapy (DMT)2600

[back to top]

Mean Patient-Reported Treatment Satisfaction Questionnaire for Medication Scores (TSQM-9)

The Treatment Satisfaction Questionnaire for Medication (TSQM-9) is a psychometric measure of a patient's satisfaction with medication. It consists of 3 subscales: effectiveness, convenience and global satisfaction. The scores were computed by adding items for each domain, i.e. 1 to 3 for effectiveness, 4 - 6 for convenience and 7 to 9 for global satisfaction. The lowest possible score (1 for each item and 3 for all 3 subscales) was subtracted from the composite score and divided by the greatest possible score range. The greatest range was (7-1) X 3 items = 18 for the effectiveness and convenience, and (5-1) x 3 items = 12 for global satisfaction. This provided a transformed score between 0 and 1 that was then multiplied by 100. A positive change from baseline indicates improvement. (NCT01578330)
Timeframe: Baseline and month 12

InterventionScores on a scale (Mean)
Baseline (n=34)Month 12 (n=32)
Fingolimod, FTY72032.044.7

[back to top] [back to top] [back to top] [back to top]

Number of Patients With Cardiac Adverse Events

The number of participants with the occurrence of subsequent cardiac adverse events (AEs) and serious cardiac AEs during study was assessed. Cardiac events were defined as the following Medical Dictionary for Regulatory Activities (MedDRA) preferred terms: angina pectoris, chest discomfort, dizziness, dyspnoea, dyspnoea exertional, fatigue, palpitations, syncope, vertigo, vertigo positional and vision blurred. (NCT01585298)
Timeframe: 7 days

InterventionParticipants (Number)
Cardiac eventsSerious cardiac AEs
Fingolimod4899

[back to top]

Number of Participants With Bradyarrhythmic Electrocardiogram (ECG) Events

The number of participants with bradyarrhythmic electrocardiogram (ECG) events was assessed. Bradyarrhythmic ECG events are defined as QTc Fridericia time > 450 ms for males and > 470 ms for females. (NCT01585298)
Timeframe: up to day 7

InterventionParticipants (Number)
Fingolimod26

[back to top]

Number of Patients With Heart Rate Below 45 Beats Per Minute (BPM)

Number of patients with heart rate below 45 beats bpm in ECG during first dose observation (NCT01585298)
Timeframe: baseline during 6 hour monitoring post dose

InterventionParticipants (Number)
Fingolimod63

[back to top]

Participants With 2nd or 3rd Degree Atrioventricular (AV) Block

AV Blocks/Heart block is an abnormal heart rhythm where the heart beats too slowly; the electrical signals that tell the heart to contract are partially intermittent (Type 2:1) or slowed (1st and 2nd degree) or blocked (3rd degree) between the upper chambers (atria) and the lower chambers (ventricles). In 2nd degree AV Blocks, electrical impulses are intermittent (type 2:1) or delayed w/ each subsequent heartbeat (Mobitz type I) until a beat fails to reach the ventricles entirely. This type of block often is physiologic and observed in a highly relaxed state & during sleep. In 2nd degree AV Blocks type II, the atria electrical impulses are unable to reach the ventricles, a more serious condition. In 3rd degree AV Blocks (complete heart block), none of the electrical impulses reach either the atria or the ventricles. Patients can experience simultaneously both types of 2nd or 3rd degree AV Blocks without any symptoms. (NCT01585298)
Timeframe: baseline, during 6 hour monitoring post first dose observation

InterventionParticipants (Number)
Any AV block ll degree or higherAV block ll degree: Mobitz type I degreeAV block II degree: Mobitz type II degreeAV block II degree: 2:1AV block III degree
Fingolimod1201170431

[back to top]

Number of Participants With Prolonged QTc Interval (Friderica)

"Number of patients with conduction abnormalities such as QT prolongation, first degree AV block during treatment initiation.~The QT interval is a period between the activation and the regeneration of ventricular contraction. A prolonged QT interval can be a potential marker of cardiac arrhythmias.~Two patients of the safety analysis set discontinued the study without having received treatment, but safety information was collected on these two patients." (NCT01585298)
Timeframe: baseline post-dose

InterventionParticipants (Number)
Female, QTcFridericia Interval > 470 msMale, QTcF Interval > 450 ms
Fingolimod76

[back to top]

Participant Retention Rate Over 12 Months

Comparison effectiveness of fingolimod versus approved first-line disease modifying therapies by measuring the rate of participant retention on randomized treatment over a 12-month period (Full analysis set) (NCT01623596)
Timeframe: at 12 months

Interventionparticipants (Number)
Fingolimod352
Disease Modifying Therapy (MS-DMT)125

[back to top]

Change From Baseline of Symbol Digit Modalities Test (SDMT) Scores (Oral Test) by Visit (Randomized Treatment / Randomized Phase)

"Summary statistics Compare cognitive impairment measured by Symbol Digit Modalities Test (SDMT) scores. The SDMT score and its change from baseline value were summarized by visit. For the change from baseline values at each visit, ANCOVA adjusted for treatment naivety, corresponding baseline values, and age was performed for treatment comparisons~The SDMT measures the time to pair abstract symbols with specific numbers. The test requires elements of attention, visuoperceptual processing, working memory, and psychomotor speed. The score is the number of correctly coded items from 0-110 in 90 seconds. The total score provides a measure of the speed and accuracy of symbol-digit substitution.~NOTE: Higher scores indicate better performance." (NCT01623596)
Timeframe: baseline, 6 months, 12 months, and Last assessment which is either at Month 12 or at early discontinuation

,
InterventionSDMT score (Mean)
Baseline (n=76,70)Change at 6 months (n=70,64)Change at 12 months (n=58, 18)Change at Last assessment (n=73, 65)
Disease Modifying Therapy (MS-DMT)51.600.201.400.40
Fingolimod52.002.203.203.30

[back to top]

Number of Satisfied Participants Per Medication Satisfaction Questionnaire (MSQ) Score

"Summary statistics for Medication Satisfaction Questionnaire[Question: Overall, how satisfied are you with your current medication?] (Randomized treatment / randomized phase): Fingolimod vs MS-DMT" (NCT01623596)
Timeframe: Baseline, 1 month, 3 months, 6 months, 9 months, at 12 months & Last assessment during randomized phase which is either at Month 12 or at early discontinuation

,
Interventionparticipants (Number)
Baseline, Extremely dissatisfiedBaseline, Very dissatisfiedBaseline, Somewhat dissatisfiedBaseline, Neither dissatisfied nor satisfiedBaseline, Somewhat satisfiedBaseline, Very satisfiedBaseline, Extremely satisfiedBaseline, Missing1 month, Extremely dissatisfied1 month, Very dissatisfied1 month, Somewhat dissatisfied1 month, Neither dissatisfied nor satisfied1 month, Somewhat satisfied1 month, Very satisfied1 month, Extremely satisfied1 month, Missing3 months, Extremely dissatisfied3 months, Very dissatisfied3 months, Somewhat dissatisfied3 months, Neither dissatisfied nor satisfied3 months, Somewhat satisfied3 months, Very satisfied3 months, Extremely satisfied3 months, Missing6 months, Extremely dissatisfied6 months, Very dissatisfied6 months, Somewhat dissatisfied6 months, Neither dissatisfied nor satisfied6 months, Somewhat satisfied6 months, Very satisfied6 months, Extremely satisfied6 months, Missing9 months, Extremely dissatisfied9 months, Very dissatisfied9 months, Somewhat dissatisfied9 months, Neither dissatisfied nor satisfied9 months, Somewhat satisfied9 months, Very satisfied9 months, Extremely satisfied9 months, Missing12 months, Extremely dissatisfied12 months, Very dissatisfied12 months, Somewhat dissatisfied12 months, Neither dissatisfied nor satisfied12 months, Somewhat satisfied12 months, Very satisfied12 months, Extremely satisfied12 months, MissingLast assessment, Extremely dissatisfiedLast assessment, Very dissatisfiedLast assessment, Somewhat dissatisfiedLast assessment,Neither dissatisfied nor satisfiedLast assessment, Somewhat satisfiedLast assessment, Very satisfiedLast assessment, Extremely satisfiedLast assessment, Missing
Disease Modifying Therapy (DS-DMT)161339614631172052937527489974010193842537391308291113244667262324612152958292753448226026301466157586994376
Fingolimod1022296235421421981483252161154451111464315314420815112557130151367812214213514563771127341151508214152345431281623

[back to top]

Percent Change From Baseline in Brain Volume From Month 12 to Last Visit (Randomized)

Summary statistics for percent change from month 12 in brain volume by visit (Randomized treatment / randomized phase) in patients treated with fingolimod vs.DMTs as measured by MRI (NCT01623596)
Timeframe: 12 months, and Last assessment which is either at Month 12 or at early discontinuation

,
Interventionpercent change in brain volume (Mean)
Percent change at 12 months (n=323, 111)Percent change at Last assessment (n=370, 246)
Disease Modifying Therapy-0.555-0.420
Fingolimod-0.396-0.385

[back to top]

Primary and Secondary Reasons for Discontinuation From Randomized Treatment: Randomized Set

"Reasons for discontinuation in participants treated with fingolimod vs. DMT over 12 months of treatment~Total discontinued (Primary reason): Fingolimod arm: 27, MS-DMT arm: 27 = 54 participants~Total discontinued (Secondary reason): Fingolimod arm: 257, MS-DMT arm: 256 = 513 participants~Throughout the study, investigators evaluated each patient for occurrence of randomized treatment discontinuation and determined the primary and secondary reasons for such discontinuation. At every visit, the investigator evaluated the patients and determined if they should continue on randomized treatment or change to alternative treatment. Treatment discontinuation was a clinically meaningful measure related to safety, efficacy, and tolerability over time, reflecting the therapeutic effectiveness of study treatment." (NCT01623596)
Timeframe: at 12 months

,
Interventionparticipants (Number)
Occurrence of relapse (Primary reason)Disease activity present in MRI (Primary reason)Injection site reaction (Primary reason)Flu-like symptoms (Primary reason)Lipoatrophy (Primary reason)Depression (Primary reason)Hepatic side effects (Primary reason)Spasticity (Primary reason)Infection (Primary reason)Macular edema (Primary reason)Bradycardia (Primary reason)Needle phobia (Primary reason)Inconvenient administration (Primary reason)Frequency of injections (Primary reason)Neutralizing antibodies present (Primary reason)Other (Primary reason)Occurrence of relapse (Secondary reason)Disease activity present in MRI (Secondary reason)Injection site reaction (Secondary reason)Flu-like symptoms (Secondary reason)Lipoatrophy (Secondary reason)Depression (Secondary reason)Hepatic side effects (Secondary reason)Spasticity (Secondary reason)Infection (Secondary reason)Macular edema (Secondary reason)Bradycardia (Secondary reason)Needle phobia (Secondary reason)Inconvenient administration (Secondary reason)Frequency of injections (Secondary reason)Neutralizing antibodies present (Secondary reason)Other (Secondary reason)
Disease Modifying Therapy (MS-DMT)146613414310001333290583540161602000185545065
Fingolimod5000017001000001302010051010000017

[back to top]

Change From Baseline of Symbol Digit Modalities Test (SDMT) Scores (Written Test) by Visit (Randomized Treatment / Randomized Phase)

"Summary statistics Compare cognitive impairment measured by Symbol Digit Modalities Test (SDMT) scores. The SDMT score and its change from baseline value were summarized by visit. For the change from baseline values at each visit, ANCOVA adjusted for treatment naivety, corresponding baseline values, and age was performed for treatment comparisons~The SDMT measures the time to pair abstract symbols with specific numbers. The test requires elements of attention, visuoperceptual processing, working memory, and psychomotor speed. The score is the number of correctly coded items from 0-110 in 90 seconds. The total score provides a measure of the speed and accuracy of symbol-digit substitution.~NOTE: Higher scores indicate better performance." (NCT01623596)
Timeframe: baseline, 6 months, 12 months, Last assessment which is either at Month 12 or at early discontinuation

,
InterventionSDMT score (Mean)
Baseline (n=355,348)Change at 6 months (n=339,322)Change at 12 months (n=282,105)Change at Last assessment (n=342, 324)
Disease Modifying Therapy (MS-DMT)48.500.700.400.70
Fingolimod48.90-0.500.700.80

[back to top]

Change From Baseline for Rasch-Built Linearly Weighted Overall Disability Scale (R-ODS)

This questionnaire was constructed using the patients' perception of their ability to perform daily and social activities. The questionnaire comprises 24 items ranging from ability to read a book or newspaper (as the easiest item to accomplish) to ability to run (most difficult item to accomplish). The obtained raw summed score was translated subsequently to a convenient centile metric score ranging from 0 (most severe disability) to 100 (no disability at all). A higher score indicated a better health status. A negative change from baseline indicates deterioration. (NCT01625182)
Timeframe: baseline, Month 6, Month 12

,
Interventionscore on a scale (Least Squares Mean)
Month 6Month 12
Fingolimod (FTY720)-6.4-5.7
Placebo-5.5-5.1

[back to top]

Change From Baseline for Grip Strength, Non-dominant Hand

Grip strength measurements were done using a vigorimeter. With this device, the pressure in the bulb exercised by the participant was registered on a manometer via a rubber junction tube. Both the dominant and non-dominant hands were tested. A negative change from baseline indicates deterioration. (NCT01625182)
Timeframe: baseline, Month 6, Month 12

,
InterventionkPa (Least Squares Mean)
Month 6Month 12
Fingolimod (FTY720)-2.7-1.2
Placebo-6.1-5.0

[back to top]

Change From Baseline for Grip Strength, Dominant Hand

Grip strength measurements were done using a vigorimeter. With this device, the pressure in the bulb exercised by the participant was registered on a manometer via a rubber junction tube. Both the dominant and non-dominant hands were tested. A negative change from baseline indicates deterioration. (NCT01625182)
Timeframe: baseline, Month 6, Month 12

,
InterventionkPa (Least Squares Mean)
Month 6Month 12
Fingolimod (FTY720)-2.6-0.8
Placebo-3.8-3.9

[back to top]

Time to First Confirmed Worsening on the Adjusted Inflammatory Neuropathy Cause and Treatment (INCAT) Disability Scale

Confirmed worsening in CIDP was measured by the adjusted INCAT Disability Scale. The adjusted INCAT disability scale measures arm disability and leg disability. For arm disability the scale ranges from 0 (no upper limb problems) to 5 (inability to use either arm for any purposeful movement). The leg disability scale ranges from 0 (walking not affected) to 5 (restricted to wheelchair, unable to stand and walk a few steps with help). The total adjusted INCAT disability score is calculated by the sum of the arm and leg disability scores where the total score ranges from 0 to 10. A confirmed worsening was defined as an increase by 1 or more points on the adjusted INCAT disability scale from the value at baseline. (NCT01625182)
Timeframe: Month 12

InterventionDays (Median)
Fingolimod (FTY720)721.0
Placebo540.0

[back to top]

Gd Enhancing T1 Lesion Volume

Inflammatory activity based on MRI measurement of Gd enhancing T1 lesion count (NCT01633112)
Timeframe: Baseline, 12 months/end of study

,,
Interventioncubic centimeter (Mean)
BaselineMonth 12/end of study
FTY720 0.25 mg0.320.05
FTY720 0.5 mg0.310.06
GA 20 mg0.220.12

[back to top]

Percentage of Patients Free of New T1 Hypointense Lesions

Based on MRI measures of new T1 hypointense lesions (NCT01633112)
Timeframe: 12 months

InterventionPercentage (Number)
FTY720 0.5 mg55.3
FTY720 0.25 mg52.1
GA 20 mg44.3

[back to top]

Percent Brain Volume Change From Baseline

Using a Central MRI vendor to ensure calibrated MRI scanning equipment across all sites, MRI scans were performed on subjects following the established parameters and transferred to the central vendor for review of quality and assessment/evaluation. (NCT01633112)
Timeframe: Baseline, 12 months, end of study

InterventionPercentages of volume change (Mean)
FTY720 0.5 mg-0.652
FTY720 0.25 mg-0.636
GA 20 mg-0.561

[back to top]

Number of Participants Free of New/Newly Enlarged T2 Lesions

Inflammatory activity based on MRI measurement of new/newly enlarged T2 lesion count. (NCT01633112)
Timeframe: At 12 months/end of study

InterventionParticipants (Number)
FTY720 0.5 mg156
FTY720 0.25 mg155
GA 20 mg96

[back to top]

New or Newly Enlarging T2 Lesions

Inflammatory activity based on MRI measurement of new/newly enlarged T2 lesion count. (NCT01633112)
Timeframe: At 12 months/end of study

InterventionLesions (Mean)
FTY720 0.5 mg2.6
FTY720 0.25 mg3.3
GA 20 mg5.7

[back to top]

Gd Enhancing T1 Lesion Count

Inflammatory activity based on MRI measurement of Gd enhancing T1 lesion count (NCT01633112)
Timeframe: At 12 months/end of study

Interventionlesions (Mean)
FTY720 0.5 mg0.4
FTY720 0.25 mg0.4
GA 20 mg0.9

[back to top]

Change From Baseline in T2 Lesion Volume

Inflammatory activity based on MRI measurement of new/newly enlarged T2 lesion volume (NCT01633112)
Timeframe: Baseline, 12 months/end of study

Interventioncubic centimeters (cc) (Mean)
FTY720 0.5 mg-0.14
FTY720 0.25 mg-0.05
GA 20 mg0.42

[back to top]

Confirmed Annualized Relapse Rate

Annualized relapse rate (ARR) was defined as the average number of confirmed relapses per year (i.e., the total number of confirmed relapses divided by the total days in the study multiplied by 365.25). The number of relapses included all the confirmed relapses experienced during the study from first dose to end of study. (NCT01633112)
Timeframe: up to 12 months

Interventionrelapses/year (Number)
FTY720 0.5 mg0.153
FTY720 0.25 mg0.221
GA 20 mg0.258

[back to top]

Change From Baseline in TSQM Scales

Treatment Satisfaction Questionnaire for Medication (TSQM) was developed and validated as a general measure for treatment satisfaction. Each scale score was calculated by summing individual items and then transformed to a 0-100 scale. Higher summary scores indicate better satisfaction with study drug. (NCT01633112)
Timeframe: 6 months, 12 months/end of study

,,
Interventionscore on a scale (Mean)
Global Satisfaction (Month 6)Global Satisfaction (Month 12)Effectiveness (Month 6)Effectiveness (Month 12)Side Effects (Month 6)Side Effects (Month 12)Convenience (Month 6)Convenience (Month 12)
FTY720 0.25 mg23.420.518.217.918.817.226.526.5
FTY720 0.5 mg20.819.215.216.816.916.230.729.5
GA 20 mg14.49.412.98.09.37.64.40.8

[back to top]

Change From Baseline to Month 12, 24 and 36 in Average Quadrant Retinal Nerve Fiber Layer Thickness (RNFLT)

Change from baseline in average quadrant RNFL thickness to months 12, 24 and 36 (or last values in case of missing data) in the Full Analysis Set (FAS). Average quadrant RNFL thickness was the average of valid measurements of the right and left eye and assessed by optical coherence tomography (OCT). Quadrant RNFL thickness were: Nasal-inferior; nasal-superior; temporal-inferior; temporal-superior. (NCT01705236)
Timeframe: Baseline, month 12, month 24, month 36

Interventionmicrometer (Mean)
Nasal-superior RNFL thickness: month 12Nasal-superior RNFL thickness: month 24Nasal-superior RNFL thickness: month 36Nasal-inferior RNFL thickness: month 12Nasal-inferior RNFL thickness: month 24Nasal-inferior RNFL thickness: month 36Temporal-inferior RNFL thickness: month 12Temporal-inferior RNFL thickness: month 24Temporal-inferior RNFL thickness: month 36Temporal-superior RNFL thickness: month 12Temporal-superior RNFL thickness: month 24Temporal-superior RNFL thickness: month 36
Fingolimod - Longitudinal Assessment0.5-0.4-0.7-1.2-1.6-2.1-1.2-1.6-2.3-0.5-0.4-1.1

[back to top]

Change From Baseline to Month 12 and 24 in Average Retinal Nerve Fiber Layer Thickness (RNFLT)

Change from baseline in average RNFL thickness to months 12 and 24 (or last values in case of missing data) in the Full Analysis Set (FAS). Average RNFL thickness was the average of valid measurements of the right and left eye and assessed by optical coherence tomography (OCT). (NCT01705236)
Timeframe: Baseline, month 12, month 24

Interventionmicrometer (Mean)
Change from baseline to month 12Change from baseline to month 24
Fingolimod - Longitudinal Assessment-0.8-1.1

[back to top]

Change From Baseline to Month 36 in Average Retinal Nerve Fiber Layer Thickness (RNFLT)

The primary endpoint was the change, i.e. the absolute difference, in average RNFL thickness from baseline to month 36 (or last values in case of missing data) in the Full Analysis Set (FAS). Average RNFL thickness was the average of valid measurements of the right and left eye and assessed by optical coherence tomography (OCT). (NCT01705236)
Timeframe: Baseline, month 36

Interventionmicrometer (Mean)
Fingolimod - Longitudinal Assessment-1.5

[back to top]

Number of Participants With Adverse Events

Number of participants with adverse events and specifically macular edema. (NCT01705236)
Timeframe: 36 months

InterventionParticipants (Count of Participants)
No. of subjects with any AENo. of subjects with macular edema
Fingolimod - Longitudinal Assessment800

[back to top]

Change From Baseline to Month 12, 24 and 36 in Total Macular Volume (TMV)

Change from baseline in TMV to months 12, 24 and 36 (or last values in case of missing data) in the Full Analysis Set (FAS). (NCT01705236)
Timeframe: 12, 24 and 36 months

InterventionCubic millimeter (Mean)
Change from baseline to month 12Change from baseline to month 24Change from baseline to month 36
Fingolimod - Longitudinal Assessment-0.03-0.04-0.06

[back to top]

Change From Baseline to Month 12, 24 and 36 in Ganglion Cell Inner Plexiform (GCIP)

"Change from baseline in GCIP to months 12, 24 and 36 (or last values in case of missing data) in the Full Analysis Set (FAS).~The change in Ganglion cell layer thickness (GCLT) had been defined as secondary endpoint in the protocol, but OCT measured the GCIP instead. This was done because both layers were not clearly separable by OCT. GCIP was calculated as mean of the inner sectors (nasal, superior, temporal, and inferior) and declared as usual parameter instead. This change was introduced prior to data base lock, but the derivation of GCIP was corrected after data base lock." (NCT01705236)
Timeframe: Baseline, month 12, month 24, month 36

Interventionmicrometer (Mean)
Change from baseline to month 12Change from baseline to month 24Change from baseline to month 36
Fingolimod - Longitudinal Assessment-0.49-0.42-0.46

[back to top]

Number of Particpants With Adverse Events as a Measure of Safety and Tolerability

Number of particpants with Adverse events as a measure of safety and tolerability (NCT01757691)
Timeframe: Weeks 0, 4, 8, 12, 18, 24, 36, 48, 60

InterventionParticipants (Number)
Adverse Events (AE)DeathNon -Fatal Seriuos Aderse Event (SAE)
Fingolimod 0.5mg/Daily100

[back to top]

Plasma Cytokines Levels - IFNgamma

To assess IFNgamma plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IFNgamma - BaselineIFNgamma - 4 weeksIFNgamma - 8 weeks
Fingolimod5.324.614.32
Placebo8.324.955.62

[back to top]

Plasma Cytokines Levels - IL-10

To assess IL-10 plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL10 - BaselineIL10 - 4 weeksIL10 - 8 weeks
Fingolimod16.1115.5016.28
Placebo11.949.2310.42

[back to top]

Levels of Lymphocyte

To determine the safety of fingolimod, as measured by the absolute lymphocyte count (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Intervention10^3 lymphocytes/uL (Mean)
Absolute lymphocyte count - BaselineAbsolute lymphocyte count - 4 weeksAbsolute lymphocyte count - 8 weeks
Fingolimod1.990.440.49
Placebo1.971.942.00

[back to top]

Plasma Cytokines Levels - IL-8

To assess IL-8 plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL8 - BaselineIL8 - 4 weeksIL8 - 8 weeks
Fingolimod4.293.814.18
Placebo3.833.693.69

[back to top]

Plasma Cytokines Levels - IL-17A

To assess IL-17A plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL17A - BaselineIL17A - 4 weeksIL17A - 8 weeks
Fingolimod3.092.582.58
Placebo3.722.432.69

[back to top]

Plasma Cytokines Levels - IL-1BETA

To assess IL-1BETA plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL1BETA - BaselineIL1BETA - 4 weeksIL1BETA - 8 weeks
Fingolimod0.870.810.82
Placebo0.690.720.74

[back to top]

Plasma Cytokines Levels - IL-2

To assess IL-2 plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL2 - BaselineIL2 - 4 weeksIL2 - 8 weeks
Fingolimod1.741.961.77
Placebo1.271.201.20

[back to top]

Plasma Cytokines Levels - IL-4

To assess IL-4 plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL4 - BaselineIL4 - 4 weeksIL4 - 8 weeks
Fingolimod30.9927.4024.20
Placebo30.7431.3432.16

[back to top]

Plasma Cytokines Levels - IL-6

To assess IL-6 plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
IL6 - BaselineIL6 - 4 weeksIL6 - 8 weeks
Fingolimod2.152.222.16
Placebo1.901.811.96

[back to top]

Plasma Cytokines Levels - TNFa

To assess TNFa plasma cytokines levels changes in participants taking fingolimod versus placebo (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionpg/ml (Mean)
TNFa - BaselineTNFa - 4 weeksTNFa - 8 weeks
Fingolimod2.112.022.00
Placebo1.761.861.61

[back to top]

Positive Symptom Change - PANSS

The Positive and Negative Syndrome Scale (PANSS) is a semi-structured interview, containing 30 items that assess symptoms of psychotic disorders including positive, negative, and general psychopathology symptoms. Positive symptoms are rated on 7 items, negative symptoms are rated on 7 items, and general psychopathology on 16 items. Scores for each item range from 1=absent to 7=extreme. Positive, negative, and general psychopathology symptoms can each respectively render total scores. Positive total scores ranging from 7-49, negative total scores ranging from 7-49, and general psychopathology scores ranging from 16-112. When all items are summed together a total score is generated. Total scores for all items range from 30-210, a lower score reflecting fewer symptoms. (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionscore on a scale (Mean)
PANSS Positive Score - BaselinePANSS Positive Score - 4 weeksPANSS Positive Score - 8 weeks
Fingolimod10.8311.8910.06
Placebo13.6414.0013.06

[back to top]

Symptom Changes - PANSS Total Score

The Positive and Negative Syndrome Scale (PANSS) is a semi-structured interview, containing 30 items that assess symptoms of psychotic disorders including positive, negative, and general psychopathology symptoms. Positive symptoms are rated on 7 items, negative symptoms are rated on 7 items, and general psychopathology on 16 items. Scores for each item range from 1=absent to 7=extreme. Positive, negative, and general psychopathology symptoms can each respectively render total scores. Positive total scores ranging from 7-49, negative total scores ranging from 7-49, and general psychopathology scores ranging from 16-112. When all items are summed together a total score is generated. Total scores for all items range from 30-210, a lower score reflecting fewer symptoms. (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionscore on a scale (Mean)
PANSS Total Score - BaselinePANSS Total Score - 4 weeksPANSS Total Score - 8 weeks
Fingolimod48.8949.7849.06
Placebo56.5053.6054.94

[back to top]

Verbal Memory - BACS

The Brief Assessment of Cognition in Schizophrenia (BACS) is a battery specifically designed to measure treatment-related changes in cognition. The BACS utilizes 6 tasks, and has alternate forms, thus minimizing practice effects. Each task generates a raw score (with a higher score indicating better performance): verbal memory 0-75; digit sequencing 0-28; token motor task 0-100; semantic&letter fluency 0-148; symbol coding 0-110; and tower of London 0-22. The raw scores are used to generate a composite score that is calculated by summing t-scores derived by comparisons with a normative sample of 404 healthy controls. The six brief assessments' t-scores, are summed, and averaged to provide a composite t-score. The composite score min and max are between -43 and 100. A higher score indicating better cognitive performance. (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionscore on a scale (Mean)
BACS Verbal Memory - BaselineBACS Verbal Memory - 4 weeksBACS Verbal Memory - 8 weeks
Fingolimod30.8933.5034.69
Placebo37.4535.4536.11

[back to top]

Cognition Change - Trails B

The Trail Making Test-Part B (Trails B) is a measure of visual attention and task switching. The task requires a subject to 'connect-the-dots' of 25 consecutive targets on a sheet of paper. In Part B version the subject alternates between numbers and letters (1, A, 2, B, etc.) The goal of the test is for the subject is to finish part B as quickly as possible, the time taken to complete the test is used as the primary performance metric. The score is the number of seconds it took to complete the test. (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionseconds (Mean)
Trails B - BaselineTrails B - 4 weeksTrails B - 8 weeks
Fingolimod108.0097.8884.53
Placebo123.64100.60102.33

[back to top]

QTcB Change

To determine the safety of fingolimod, as measured by the electrocardiogram (ECG) QT interval corrected by Bazett's (QTcB) value. (NCT01779700)
Timeframe: Screening, Day 0, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42, Day 49, Day 56, Day 84, Day 112

,
Interventionms (Mean)
QTcB - ScreeningQTcB - Day 0QTcB - Day 7QTcB - Day 14QTcB - Day 21QTcB - Day 28QTcB - Day 35QTcB - Day 42QTcB - Day 49QTcB - Day 56QTcB - Day 84QTcB - Day 112
Fingolimod416.50418.39415.50418.28419.67424.06426.18425.53420.79420.67421.50419.67
Placebo416.41423.27417.00420.15412.00415.74419.00414.33413.53418.41420.68418.58

[back to top]

Negative Symptom Change - PANSS

The Positive and Negative Syndrome Scale (PANSS) is a semi-structured interview, containing 30 items that assess symptoms of psychotic disorders including positive, negative, and general psychopathology symptoms. Positive symptoms are rated on 7 items, negative symptoms are rated on 7 items, and general psychopathology on 16 items. Scores for each item range from 1=absent to 7=extreme. Positive, negative, and general psychopathology symptoms can each respectively render total scores. Positive total scores ranging from 7-49, negative total scores ranging from 7-49, and general psychopathology scores ranging from 16-112. When all items are summed together a total score is generated. Total scores for all items range from 30-210, a lower score reflecting fewer symptoms. (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionscore on a scale (Mean)
PANSS Negative Score - BaselinePANSS Negative Score - 4 weeksPANSS Negative Score - 8 weeks
Fingolimod15.0013.8915.44
Placebo16.5914.8015.06

[back to top]

Cognition Change - BACS

The Brief Assessment of Cognition in Schizophrenia (BACS) is a battery specifically designed to measure treatment-related changes in cognition by utilizing 6 tasks, and has alternate forms, thus minimizing practice effects. Each task generates a raw score (with a higher score indicating better performance): verbal memory 0-75; digit sequencing 0-28; token motor task 0-100; semantic&letter fluency 0-148; symbol coding 0-110; and tower of London 0-22. The raw scores are used to generate a composite score that is calculated by summing t-scores derived by comparisons with a normative sample of 404 healthy controls. The six brief assessments' t-scores, are summed, and averaged to provide a composite t-score. The composite score min and max are between -43 and 100. A higher score indicating better cognitive performance. (NCT01779700)
Timeframe: Baseline, 4 weeks, 8 weeks

,
Interventionscore on a scale (Mean)
BACS Composite Score - BaselineBACS Composite Score - 4 weeksBACS Composite Score - 8 weeks
Fingolimod25.1727.6731.13
Placebo30.9532.1033.50

[back to top]

ALSFRS-R Total Score at Weeks 0, 2, 4 and 8

The ALSFRS-R is a quickly administered (5 minutes) ordinal rating scale (ratings 0-4) used to determine subjects' assessment of their capability and independence in 12 functional activities. All 12 activities are relevant in ALS. Initial validity was established by documenting that in ALS patients, change in ALSFRS-R scores correlated with change in strength over time, was closely associated with quality of life measures, and predicted survival. (NCT01786174)
Timeframe: Week 0, Week 2, Week 4 and Week 8

,
Interventionscores on a scale (Mean)
Week 0Week 2Week 4Week 8
Gilenya (Fingolimod)38.6038.1538.0336.74
Placebo38.6038.2937.8837.10

[back to top]

Change in Slow Vital Capacity Score (SVC)

The vital capacity (VC) (percent of predicted normal) was determined using the slow VC method. Vital Capacity is the maximum amount of air a person can expel from the lungs after a maximum inhalation. A subject's VC depends on their age, sex and height. The value is recorded as a percent of predicted normal. (NCT01786174)
Timeframe: Week 0, Week 2, Week 4 and Week 8

,
InterventionPercentage of predicted max value (Mean)
Week 0Week 2Week 4Week 8
Gilenya (Fingolimod)88.2888.5486.5186.02
Placebo88.2888.5486.7087.59

[back to top]

Forced Expiratory Volume in 1 Second (FEV1)

Forced Expiratory Volume (FEV1): Forced Expiratory Volume (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. (NCT01786174)
Timeframe: Screening, Week 0, Week 2, and Week 4

,
InterventionPercentage of predicted max value (Mean)
ScreeningWeek 0Week 2Week 4
Gilenya (Fingolimod)84.7081.9381.1980.38
Placebo84.7081.9380.3078.16

[back to top]

Forced Expiratory Volume in 1 Second (FEV1) / Slow Vital Capacity (SVC) Ratio

"Forced Expiratory Volume (FEV1): Forced Expiratory Volume (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation.~Slow Vital Capacity (SVC): Vital Capacity is the maximum amount of air a person can expel from the lungs after a maximum inhalation. A subject's VC depends on their age, sex and height. The value is recorded as a percent of predicted normal." (NCT01786174)
Timeframe: Screening, Week 0, Week 2, and Week 4

,
InterventionPercentage of predicted max value (Mean)
ScreeningWeek 0Week 2Week 4
Gilenya (Fingolimod)77.3974.3675.4676.34
Placebo77.3974.3673.1471.49

[back to top]

Lymphocyte (T-Cell) Subset Trajectories

Gilenya (fingolimod) has been shown to successfully reduce circulating lymphocytes (a type of white blood cell) by blocking their egress (exit) from the lymph nodes. A secondary objective of the study is to quantify the effect of the treatment on circulating lymphocyte populations in patients with ALS. (NCT01786174)
Timeframe: Week 0, Week 2, and Week 4

,
Intervention10^3/uL (Mean)
Week 0Week 2Week 4
Gilenya (Fingolimod)1.7510.5800.499
Placebo1.7511.7321.822

[back to top]

Frequency of Relapses in Patients Treated for up to 24 Months

Frequency of relapses assessed by the annualized relapse rate (ARR). The ARR is defined as the average number of confirmed relapses per year (total number of confirmed relapses divided by the total days in the study multiplied by 365.25). (NCT01892722)
Timeframe: 24 months

InterventionConfirmed relapse per year (Mean)
Fingolimod0.122
Interferon Beta-1a0.675

[back to top]

RMSSD Normal Breathing

"Root Mean Square of the Successive Differences (RMSSD) is one of a few time-domain tools used to assess heart rate variability, the successive differences being neighboring RR or pulse intervals.~It is calculated as the square root of the mean of the squares of the successive differences between adjacent RR intervals or pulse intervals.~In this study pulse intervals were measured non-invasively during five minutes, while subjects were supine, breathing regularly.~Measurements were done at two timepoints t=0 and t=4,5hours. RMSSD was compared between these two timepoints." (NCT02048072)
Timeframe: t-4,5 hours

Interventionmilliseconds (Mean)
Gilenya14.10

[back to top]

Participants Who Experienced at Least One Qualifying Cardiovascular Adverse Event

Participants from study CFTY720D2406 who experienced a qualifying cardiovascular adverse event were transferred to this study. Qualifying cardiovascular events included, but were not limited to, sudden unexplained death, cardiovascular death, myocardial infarction (MI), Q-wave MI, stroke (ischemic or hemorrhagic), unstable angina requiring hospitalization, congestive heart failure requiring hospitalization, complete heart block, ventricular fibrillation, torsade de pointes, hypertensive emergency and any other suspected life threatening cardiovascular condition. (NCT02232061)
Timeframe: Within 6 months of qualifying event up to 64 months

Interventionparticipants (Number)
Fingolimod0

[back to top]

Change From Baseline in Symbol Digit Modalities Test (SDMT) at Week 24

The SDMT measures the time to pair abstract symbols with specific numbers. The test requires elements of attention, visuoperceptual processing, working memory, and psychomotor speed. The score is the number of correctly coded items from 0-110 in 90 seconds. The total score provides a measure of the speed and accuracy of symbol-digit substitution. (NCT02342704)
Timeframe: Baseline, Week 24

Interventionunits on a scale (Mean)
Natalizumab3.79
Fingolimod3.24

[back to top]

Change From Baseline in SDMT at Week 52

The SDMT measures the time to pair abstract symbols with specific numbers. The test requires elements of attention, visuoperceptual processing, working memory, and psychomotor speed. The score is the number of correctly coded items from 0-110 in 90 seconds. The total score provides a measure of the speed and accuracy of symbol-digit substitution. (NCT02342704)
Timeframe: Baseline, Week 52

Interventionunits on a scale (Mean)
Fingolimod2.11

[back to top]

Change From Baseline in Total T1-Hypointense and Total T2-Hyperintense Lesion Volumes at Week 24

As assessed by magnetic resonance imaging (MRI). (NCT02342704)
Timeframe: Baseline, Week 24

,
Interventionpercentage change (Mean)
T1 Lesion Volume ChangeT2 Lesion Volume Change
Fingolimod1.813.32
Natalizumab0.50.08

[back to top]

Change From Baseline in Total T1-Hypointense and Total T2-Hyperintense Lesion Volumes at Week 52

As assessed by MRI. (NCT02342704)
Timeframe: Baseline, Week 52

Interventionpercentage change (Mean)
T1 Lesion Volume ChangeT2 Lesion Volume Change
Fingolimod-15.315.6

[back to top]

Cumulative Number of New T1-Gd+ Lesions

(NCT02342704)
Timeframe: Baseline, Week 4, Week 12, Week 24

,
Interventionlesions (Mean)
From Baseline to Week 4From Baseline to Week 12From Baseline to Week 24
Fingolimod1.692.272.6
Natalizumab0.620.680.72

[back to top]

Cumulative Number of New or Enlarging T2 Lesions

(NCT02342704)
Timeframe: Baseline, Week 24

Interventionlesions (Mean)
Natalizumab1.33
Fingolimod1.94

[back to top]

Baseline Flow Cytometry Analyses for Blood Cytokines and Chemokines in Healthy Controls and RRMS Patients

baseline peripheral blood flow cytometric analysis in study participants (NCT02373098)
Timeframe: Baseline

,
Interventionabsolute cell count (Mean)
CD3 absCD19 absNK absNKT absHi CD16CD56 absCD4CD25 (CD3 gate)Hi CD4CD25 (CD3 gate)
FTY7201610.94327.63623.57104.3620.4427.083.33
Healthy Controls2048.14311.63281.33135.8626.6426.082.83

[back to top]

Baseline Serum Cytokine and Chemokine Levels of Healthy Controls and RRMS Patients - ELISA

Blood samples were taken at baseline and measurements were performed before treatment of fingolimod. (NCT02373098)
Timeframe: Baseline

,
Interventionpg/ml (Mean)
CCL5 (RANTES)IL-17ACXCL13IL6IL8IL13IL23VLA4CXCL10=IP-10 (CXCR3 ligand)CCL2=MCP-1IL4TNF alphaIL22
FTY720404.311.06139.6866.533.570.33.040.5818.1862.892.361.0622.41
Healthy Controls212.261.15110.80.883.250.491.291.1716.0952.882.021.122.36

[back to top]

Percent Blood Cytokines and Chemokines Via Flow Cytometry Analyses of Healthy Controls and RRMS Patients at Baseline

Baseline peripheral blood flow cytometric analyses in study participants evaluated by flow cytometry analysis. (NCT02373098)
Timeframe: Baseline

,
InterventionPercent of cells (Mean)
CD3 %CD19 %NK %NKT %Hi CD16CD56 %CD3CD4 % (Lymphogate)CD3CD8 % (Lymphogate)CD3CD4 % (CD3 gate)CD3CD8 % (CD3 gate)CD4+IFNg+ (in CD4+)CD4+IL17+ (in CD4+)CD8+IFNg+ (in CD8+)CD8+IL17+ (in CD8+)IFNg+ (in CD4+CD25+)IL17+ (in CD4+CD25+)CD4+IL10+ (in CD4+)CD4+IL4+ (in CD4+)CD4-CD8-IL4+ (in CD4-CD8-)CD8+IL10+ (in CD8+)CD8+IL4+ % (in CD8+)IL10+ (in CD4+CD25+)IL4+ (in CD4+CD25+)CD4+TNFa+ (in CD4+)CD4+IL9+ (in CD4+)CD8+TNFa+ (in CD8+)CD8+IL9+ (in CD8+)TNFa+ (in CD4+CD25+)IL9+ (in CD4+CD25+)
FTY72071.9213.7210.175.190.9344.9122.9162.9931.203.611.275.474.201.982.060.720.962.620.311.871.810.5023.720.5411.780.9023.290.59
Healthy Controls76.5211.5711.045.651.0541.1923.2357.3835.117.421.2316.451.717.12.351.641.441.310.525.642.571.8846.860.22350.1452.825.06

[back to top]

Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients

Peripheral blood chemokine cytokine levels measured by flow cytometry during fingolimod treatment in healthy controls at baseline and in RRMS patients between visits (NCT02373098)
Timeframe: Baseline, Month 3, Month 6

,,,
Interventionpg/ml (Mean)
CD3 absCD19 absNK absNKT absHi CD16CD56 absCD4CD25 (CD3 gate)Hi CD4CD25 (CD3 gate)
Healthy Controls2048.14311.63281.33135.8626.6426.082.83
Visit 11610.94327.63623.57104.3620.4427.033.33
Visit 2339.7432.9203.6688.4529.359.242.03
Visit 3314.7526.56181.9788.9830.049.221.77

[back to top]

Percent of Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients

Peripheral blood chemokine cytokine levels measured by flow cytometry in healthy controls at baseline and in RRMS patients between visits during fingolimod treatment (NCT02373098)
Timeframe: Baseline, Month 3, Month 6

,,,
Interventionpercent of cell count (Mean)
CD3 %CD19 %NK %NKT %Hi CD16CD56 %CD8+IL4+ % (in CD8+)
Healthy Controls76.5211.570.4275.651.055.64
Visit 171.9213.7210.175.190.931.87
Visit 257.616.1334.4815.555.293.13
Visit 359.295.1433.9117.666.201.91

[back to top]

Serum Cytokine and Chemokine Levels inRRMS Patients Between Visits

Change of serum cytokine and chemokine levels measured by ELISA in RRMS patients treated with fingolimod between visits (NCT02373098)
Timeframe: Baseline, month 3, month 6

,,
Interventionpg/ml (Mean)
CXCL13=BLCIL6IL8IL13CCL5= RANTESIL23VLA4CXCL10=IP-10 (CXCR3 ligand)CCL2=MCP-1IL4IL17ATNFIL22
Visit 1139.6866.533.570.3404.313.040.5818.1862.892.361.061.0622.41
Visit 2105.4249.983.840.35384.122.010.7618.4674.381.941.091.2622.45
Visit 3105.86149.624.290.48480.342.150.8220.5492.732.121.041.1222.99

[back to top]

Absolute Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients

"Peripheral blood chemokine cytokine levels measured by flow cytometry at baseline and between visits during fingolimod treatment.~Absolute counts of the cells were calculated according to the absolute lymphocyte counts and the percentages of cells. This allowed for a clear determination of cell counts and thus increased the reliability of the results." (NCT02373098)
Timeframe: Baseline, Month 3, Month 6

,,,
Interventionabsolute cell count (Mean)
CD3CD4 (Lymphogate)CD3CD8 (Lymphogate)CD3CD4 (CD3 gate)CD3CD8 (CD3 gate)CD4+IFNg+ (in CD4+)CD4+IL17+ (in CD4+)CD8+IFNg+ (in CD8+)CD8+IL17+ (in CD8+)IFNg+ (in CD4+CD25+)IL17+ (in CD4+CD25+)CD4+IL10+ (in CD4+)CD4+IL4+ (in CD4+)CD4-CD8-IL4+ (in CD4-CD8-)CD8+IL10+ (in CD8+)IL10+ (in CD4+CD25+)IL4+ (in CD4+CD25+)CD4+TNFa+ (in CD4+)CD4+IL9+ (in CD4+)CD8+TNFa+ (in CD8+)CD8+IL9+ (in CD8+)TNFa+ (in CD4+CD25+)IL9+ (in CD4+CD25+)
Healthy Controls41.1923.2357.3835.117.421.2316.451.717.12.351.641.441.310.522.571.8846.860.22350.1452.825.06
Visit 144.9122.9162.9931.23.611.275.474.21.982.060.720.962.620.311.810.523.720.5411.780.923.290.59
Visit 213.6432.9323.2659.527.851.265.739.227.071.851.511.451.770.252.881.2229.450.420.930.1330.390.72
Visit 313.932.222459.6613.972.0214.72.239.312.72.142.322.640.674.031.4949.960.4741.530.1440.41.3

[back to top]

Change From Baseline in Disability Progression Assessed With the Expanded Disability Status Scale (EDSS) at Month 6 and Month 48 (FAS)

"EDSS is a scale for assessing neurologic impairment in MS. It is a two-part system including~(1) a series of scores in each of eight functional systems, and (2) the EDSS steps (ranging from 0 (normal) to 10 (death due to MS). The definition of disability progression was based on increases in EDSS from baseline and depended on the EDSS baseline value: Disability progression was defined as a 1.5 increase in EDSS from baseline in subjects with a baseline EDSS score between 0.0 and 0.5, as a 1.0 increase in EDSS from baseline in subjects with a baseline EDSS score between 1.0 and 5.0 inclusive and 0.5 increase from baseline in subjects with EDSS score > 5.0." (NCT02720107)
Timeframe: Baseline, month 6 up to approximately 48 months

Interventionscores on a scale (Mean)
BaselineMonth 6Month 48Change from baseline to month 6Change from month 6 to month 48Change from baseline to month 48
Fingolimod2.72.62.7-0.10.20.0

[back to top]

Change in Immune Status of B Cells, Monocytes and Natural Killer Cells (NK) Cells (FAS)

Changes in immune status of B cells (CD19+, CD20+, CD69+), monocytes (CD14+) and NK cells (CD56+) were analyzed as a percentage of parent cell population (CD4+, CD8+ or total lymphocytes) by flow cytometry (NCT02720107)
Timeframe: Baseline up to approximately 48 months

Interventionpercentage of parent population (Least Squares Mean)
B cellsMonocytesNatural Killer cells
Fingolimod-7.242.328.0

[back to top]

Change in T Cells Status (Decrease or Increase) at Month 48 (FAS)

Aim of trial was to was to show reduction of CD4+ and CD8+ naïve T cells (CCR7+CD45RA+), central memory T cells (CCR7+CD45RA-), central memory Th17 cells (CD4+ CCR4+ and CCR6+), and an elevation of 2 types of effector memory T cells TEM (CCR7- CD45RA-) and TEMRA (CCR7- CD45RA+) in peripheral venous blood. Changes from baseline to month 48 in biomarkers were analyzed for all patients in the FAS. (NCT02720107)
Timeframe: Baseline up to approximately 48 months

Interventionpercentage of parent population (Least Squares Mean)
CD4+ Naïve T cellsCD4+Central memory T cellsCD4+ Effector memory T cellsCD8+ Naïve T cellsCD8+ Central memory T cellsCD8+ Effector memory T cellsTH17 central memory cells
Fingolimod-23.7-1.222.2-37.2-1.6-12.9-0.6

[back to top]

Percentage of Participants With Disability Progression as Measured by Expanded Disability Status Scale (EDSS) (FAS)

"EDSS is a scale for assessing neurologic impairment in MS. It is a two-part system including~(1) a series of scores in each of eight functional systems, and (2) the EDSS steps (ranging from 0 (normal) to 10 (death due to MS). The definition of disability progression was based on increases in EDSS from baseline and depended on the EDSS baseline value: Disability progression was defined as a 1.5 increase in EDSS from baseline in subjects with a baseline EDSS score between 0.0 and 0.5, as a 1.0 increase in EDSS from baseline in subjects with a baseline EDSS score between 1.0 and 5.0 inclusive and 0.5 increase from baseline in subjects with EDSS score > 5.0." (NCT02720107)
Timeframe: Baseline up to approximately 48 months

Interventionpercentage of participants (Number)
Fingolimod21.54

[back to top]

Serum Level of IL6

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 6 months after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil6.65
Fingolimod and Placebo6.17

[back to top]

Serum Level of IL6

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 1 year after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil6.17
Fingolimod and Placebo6.05

[back to top]

Serum Level of IL1b

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: Baseline

InterventionPg/ml (Mean)
Fingolimod and Fish Oil13.76
Fingolimod and Placebo14

[back to top]

Serum Level of IL1b

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 6 months after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil13.61
Fingolimod and Placebo13.47

[back to top]

Serum Level of IL1b

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 1 year after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil13.17
Fingolimod and Placebo13.15

[back to top]

Serum Level of IFN-gamma

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: Baseline

InterventionPg/ml (Mean)
Fingolimod and Fish Oil6.38
Fingolimod and Placebo6.98

[back to top]

Serum Level of IFN-gamma

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 6 months after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil5.71
Fingolimod and Placebo6.37

[back to top]

Serum Level of IFN-gamma

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 1 year after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil5.92
Fingolimod and Placebo5.99

[back to top]

Serum Level of TNF-α

5 cc of venous blood is taken from patients and are kept in test tubes without ethylenediaminetetraacetic acid (EDTA). Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: Baseline

InterventionPg/ml (Mean)
Fingolimod and Fish Oil37.16
Fingolimod and Placebo28.79

[back to top]

Serum Level of TNF-α

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 6 months after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil28.03
Fingolimod and Placebo17.18

[back to top]

Serum Level of TNF-α

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: 1 year after intervention

InterventionPg/ml (Mean)
Fingolimod and Fish Oil21.20
Fingolimod and Placebo16.47

[back to top]

Serum Level of IL6

5 cc of venous blood is taken from patients and are kept in test tubes without EDTA. Test tubes are kept one hour immobilized so that clotted blood and serum are separated. Then, the serum is divided into four samples of 0.5 cc for immunologic testing of all primary outcomes. Immunologic testing is performed by sandwich ELISA method using Diaclone ® kits (made in France) and according to manufacturer's instructions. (NCT02939079)
Timeframe: Baseline

InterventionPg/ml (Mean)
Fingolimod and Fish Oil6.19
Fingolimod and Placebo6.33

[back to top]

Change From Baseline to Month 12 in Total CD4+ Absolute Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=156,213Change from BL to Month 12 n=94,176
Cohort 1936.3-844.9
Cohort 264.40.7

[back to top]

Change From Baseline to Month 12 in Total CD19+ Differential Cell Count (%)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=152,213Change from BL to Month 12 n=89,176
Cohort 113.97-8.86
Cohort 24.810.20

[back to top]

Change From Baseline to Month 12 in Total CD19+ Absolute Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=151,213Change from BL to Month 12 n=88,176
Cohort 1259.7-218.9
Cohort 221.41.0

[back to top]

Change From Baseline to Month 12 in Regulatory B Lymphocytes (CD19+CD24+CD38+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=144,212Change from BL to Month 12 n=82,174
Cohort 112.3-7.7
Cohort 25.30.8

[back to top]

Change From Baseline to Month 12 in Neutrophils (CD16+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=149,197Change from BL to Month 12 n=87, 164
Cohort 14041.4-815.9
Cohort 23717.9-345.0

[back to top]

Change From Baseline to Month 12 in Naive B Lymphocytes (CD19+CD27-)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=144,212Change from BL to Month 12 n=82,174
Cohort 1201.11-177.0
Cohort 218.1-0.5

[back to top]

Change From Baseline to Month 12 in Monocytes (CD14+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=150,197Change from BL to Month 12 n=86,164
Cohort 1329.657.1
Cohort 2251.7112.4

[back to top]

Change From Baseline to Month 12 in CD8+ Naive T Cells (CCR7+CD45RA+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Change from BL to Month 12 n=83,150
Cohort 1150.9-126.3
Cohort 21.80.6

[back to top]

Change From Baseline to Month 12 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Change from BL to Month 12 n=83,150
Cohort 193.1-86.5
Cohort 25.60.0

[back to top]

Change From Baseline to Month 12 in CD4+ Th2 Cells (CCR4+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=148,212Change from BL to Month 12
Cohort 135.9-36.3
Cohort 21.10.4

[back to top]

Change From Baseline to Month 12 in CD4+ Th17 Cells (CCR6+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=148,212Change from BL to Month 12 n=88,175
Cohort 155.5-52.1
Cohort 22.40.5

[back to top]

Change From Baseline to Month 12 in CD4+ Th1 Cells (CXCR3+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=148,211Change from BL to Month 12 n=88,175
Cohort 153.8-42.3
Cohort 211.1-2.1

[back to top]

Change From Baseline to Month 12 in CD4+ Naive T Cells (CCR7+CD45RA+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Change from BL to Month 12 n=82,150
Cohort 1404.4-376.3
Cohort 23.4-0.8

[back to top]

Change From Baseline to Month 12 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Change from BL to Month 12 n=83,150
Cohort 174.3-50.4
Cohort 222.8-3.3

[back to top]

Change From Baseline to Month 12 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Change from BL to Month 12 n=83,150
Cohort 1374.6-356.8
Cohort 216.33.9

[back to top]

Change From Baseline in T2 Lesion Burden

(NCT03257358)
Timeframe: Baseline to Month 12

,
Interventionnumber of lesions (Mean)
Baseline (BL) n=91,84Month 12 n=21,17Change from BL to Month 12 n=21,17
Cohort 18.16.5-0.8
Cohort 29.713.13.2

[back to top]

Change From Baseline in Patient Determined Disease Steps (PDDS)

PDDS scoring ranges 0 to 8. 0 = Normal; 1 = Mild disability; 2 = Moderate disability; 3 = Gait disability; 4 = Early cane; 5 = Late cane; 6 = Bilateral support; 7 = Wheelchair/scooter; 8 = Bedridden. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventionscores (Mean)
Baseline (BL) n=163,217Month 12 n=103,188Change from BL to Month 12 n=103,188
Cohort 11.71.8-0.1
Cohort 21.81.8-0.0

[back to top]

Change From Baseline for New Gd-Enhancing T1 Lesion Count

(NCT03257358)
Timeframe: Baseline to Month 12

,
Interventionnumber of lesions (Mean)
Baseline (BL) n=125,147Month 12 n=33,28Change from BL to Month 12 n=33,28
Cohort 10.40.1-0.2
Cohort 20.20.20.2

[back to top]

Change From Baseline to Month 12 in Memory B Lymphocytes (CD19+CD27+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=144,212Change from BL to Month 12 n=82,174
Cohort 161.8-46.4
Cohort 23.31.4

[back to top]

Change From Baseline to Month 6 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Month 6 n=97,156Change from BL to Month 6 n=97,156
Cohort 1108.255.4-40.6
Cohort 263.852.6-12.5

[back to top]

Change From Baseline to Month 6 in CD8+ Naive T Cells (CCR7+CD45RA+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Month 6 n=97,156Change from BL to Month 6 n=97,156
Cohort 1150.94.2-139.3
Cohort 21.83.31.2

[back to top]

Change From Baseline to Month 6 in Memory B Lymphocytes (CD19+CD27+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=144,212Month 6 n=101,176Change from BL to Month 6 n=101,176
Cohort 161.83.8-55.1
Cohort 23.34.00.3

[back to top]

Change From Baseline to Month 6 in Monocytes (CD14+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=150,197Month 6 n=105,166Change from BL to Month 6 n=105,166
Cohort 1329.6384.766.1
Cohort 2251.7379.2123.1

[back to top]

Change From Baseline to Month 6 in Naive B Lymphocytes (CD19+CD27-)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=144,212Month 6 n=101,176Change from BL to Month 6 n=101,176
Cohort 1201.115.0-181.4
Cohort 218.117.8-0.2

[back to top]

Change From Baseline to Month 6 in Neutrophils (CD16+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=149,197Month 6 n=105,166Change from BL to Month 6 n=105,166
Cohort 14041.43505.4-586.0
Cohort 23717.93312.6-439.6

[back to top]

Change From Baseline to Month 6 in CD8+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Month 6 n=97,156Change from BL to Month 6 n=97,156
Cohort 193.15.9-85.2
Cohort 25.66.10.0

[back to top]

Change From Baseline to Month 6 in NK Cells (CD56+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=149,197Month 6 n=105,166Change from BL to Month 6 n=105,166
Cohort 1166.4133.6-29.4
Cohort 2181.0154.5-28.0

[back to top]

Change From Baseline to Month 6 in Regulatory B Lymphocytes (CD19+CD24+CD38+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=144,212Month 6 n=101,176Change from BL to Month 6 n=101,176
Cohort 112.34.8-7.4
Cohort 25.36.10.9

[back to top]

Change From Baseline to Month 6 in Total CD19+ Absolute Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=151,213Month 6 n=106,179Change from BL to Month 6 n=106,179
Cohort 1259.719.5-231.3
Cohort 221.421.80.1

[back to top]

Change From Baseline to Month 6 in Total CD19+ Differential Cell Count (%)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=152,213Month 6 n=107,180Change from BL to Month 6 n=107,180
Cohort 113.975.38-8.53
Cohort 24.814.830.23

[back to top]

Change From Baseline to Month 6 in Total CD4+ Absolute Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=156,213Month 6 n=110,182Change from BL to Month 6 n=110,182
Cohort 1936.353.4-884.1
Cohort 264.471.31.4

[back to top]

Change From Baseline to Month 6 in Total CD4+ Differential Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=157,213Month 6 n=111,183Change from BL to Month 6 n=111,183
Cohort 149.4011.08-39.09
Cohort 211.9512.820.32

[back to top]

Change From Baseline to Month 6 in Total CD8+ Absolute Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=156,213Month 6 n=110,182Change from BL to Month 6 n=110,182
Cohort 1419.9120.1-266.2
Cohort 2124.6116.8-13.5

[back to top]

Change From Baseline to Month 6 in Total CD8+ Differential Cell Counts (%)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=157,213Month 6 n=111,183Change from BL to Month 6
Cohort 121.8625.334.63
Cohort 225.2524.99-0.39

[back to top]

Change From Baseline to Months 6 and 12 in the Anti-JCV Antibody Index (Index/Value)

(NCT03257358)
Timeframe: Baseline to Month 6 and 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=159,215Change from BL to Month 6 n=116,195Change from BL to Month 12 n=100,180
Cohort 11.2730.0380.040
Cohort 21.3910.0450.145

[back to top]

Multiple Sclerosis (MS) Relapses During Treatment

A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventionrelapses (Number)
Number of patients with relapsesTotal number of relapsesRelapses not requiring steroid useRelapses requiring steroid useMild relapseModerate relapseSevere relapse
Cohort 1111257561
Cohort 2131358850

[back to top]

Change From Baseline to Month 12 in NK Cells (CD56+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=149,197Change from BL to Month 12 n=87,164
Cohort 1166.4-32.6
Cohort 2181.0-28.9

[back to top]

Change From Baseline to Month 12 in CD8+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Change from BL to Month 12 n=83,150
Cohort 1108.2-55.9
Cohort 263.8-15.9

[back to top]

Change From Baseline to Month 6 in CD4+ Th2 Cells (CCR4+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=148,212Month 6 n=104,181Change from BL to Month 6 n=104,181
Cohort 135.91.7-36.1
Cohort 21.11.60.5

[back to top]

Number of Participants Who Received Steroid Treatment for MS Relapses During Treatment

A relapse is defined as the appearance of a new neurological abnormality or worsening of previously stable or improving pre-existing neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The abnormality must be present for at least 24 hours and occur in the absence of fever (<37.5°C) or infection. (NCT03257358)
Timeframe: Baseline to Month 12

,
InterventionParticipants (Count of Participants)
Patients with ≥ 1 relapsesPatients with relapse who received ≥ 1 steroidCorticosteroids for systemic useMethylprednisolone sodium succinateMethylprednisolonePrednisone
Cohort 11177430
Cohort 21388423

[back to top]

Change From Baseline to Month 6 in CD4+ Th17 Cells (CCR6+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=148,212Month 6 n=104,181Change from BL to Month 6 n=104,181
Cohort 155.53.1-53.2
Cohort 22.42.80.5

[back to top]

Change From Baseline to Month 6 in CD4+ Th1 Cells (CXCR3+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=148,211Month 6 n=104,180Change from BL to Month 6 n=104,180
Cohort 153.87.6-43.6
Cohort 211.111.7-0.7

[back to top]

Change From Baseline to Month 6 in CD4+ Naive T Cells (CCR7+ CD45RA+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Month 6 n=97,156Change from BL to Month 6, n=97,156
Cohort 1404.47.6-411.4
Cohort 23.44.80.8

[back to top]

Change From Baseline to Month 6 in CD4+ Effector Memory T Cells (CCR7-CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Month 6, n=97,156Change from BL to Month 6 n=97,156
Cohort 174.318.2-51.5
Cohort 222.821.7-2.0

[back to top]

Change From Baseline to Month 6 in CD4+ Central Memory T Cells (CCR7+CD45RA-CD45RO+)

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. (NCT03257358)
Timeframe: Baseline to Month 6

,
Interventioncells/uL (Mean)
Baseline (BL) n=147,188Month 6 n=97,156Change from BL to Month 6, n=97,156
Cohort 1374.619.6-368.9
Cohort 216.318.31.1

[back to top]

Change From Baseline to Month 12 in Total CD8+ Differential Cell Counts (%)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=157,213Change from BL to Month 12 n=95,176
Cohort 121.864.33
Cohort 225.250.34

[back to top]

Change From Baseline to Month 12 in Total CD8+ Absolute Cell Count

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=156,213Change from BL to Month 12 n=94,176
Cohort 1419.9-265.1
Cohort 2124.6-11.6

[back to top]

Change From Baseline to Month 12 in Total CD4+ Differential Cell Count (%)

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. (NCT03257358)
Timeframe: Baseline to Month 12

,
Interventioncells/uL (Mean)
Baseline (BL) n=157,213Change from BL to Month 12 n=95,176
Cohort 149.40-37.90
Cohort 211.950.70

[back to top]