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NCT01628393: RADIANCE

Efficacy and Safety Study of Ozanimod (RPC1063) in Relapsing Multiple Sclerosis Patients

Completed Phase 2, PHASE3 Results posted Last updated 11 February 2021
What this trial tests

Phase 2, PHASE3 trial testing Ozanimod in Relapsing Multiple Sclerosis in 258 participants. Completed in 11 May 2016.

Timeline
18 September 2012
Primary endpoint
13 April 2014
11 May 2016

Quick facts

Lead sponsorCelgene
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment258
Start date18 September 2012
Primary completion13 April 2014
Estimated completion11 May 2016
Sites58 locations across Georgia, Italy, Russia, Greece, Ukraine, Belgium, Serbia, Hungary

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

Adults 18 to 55, any sex, with Relapsing Multiple Sclerosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Total Number of Gadolinium-Enhancing (GdE) Lesions Assessed on Brain Magnetic Resonance Imaging (MRI) From Week 12 to Week 24 Primary · From Week 12 to Week 24; MRI was performed at Weeks 12, 16, 20, and 24

The cumulative number of total GdE lesions on MRI from Week 12 to Week 24. MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

GroupValue95% CI
Placebo11.1± 29.87
Ozanimod 0.5 mg1.9± 4.77
Ozanimod 1 mg1.5± 3.44
The Number of Gadolinium-Enhancing Lesions on Brain MRI Scan at Week 24 Secondary · Week 24

MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

GroupValue95% CI
Placebo3.2± 9.81
Ozanimod 0.5 mg0.4± 1.27
Ozanimod 1 mg0.2± 0.59
The Total Number of New or Enlarging Hyperintense T2-Weighted Brain MRI Lesions From Week 12 to Week 24 Secondary · Week 12 to Week 24; MRI was performed at Weeks 12, 16, 20, and 24

The cumulative number of new or enlarging hyperintense T2-weighted brain MRI lesions from Week 12 to Week 24. MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

GroupValue95% CI
Placebo9.0± 20.87
Ozanimod 0.5 mg1.4± 3.21
Ozanimod 1 mg0.8± 1.86
Adjusted Annualized Relapse Rate (ARR) at Week 24 Secondary · Week 24

A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional syst

GroupValue95% CI
Placebo0.500.22 – 1.15
Ozanimod 0.5 mg0.350.15 – 0.82
Ozanimod 1 mg0.240.09 – 0.61
Number of Participants With Treatment Emergent Adverse Events (TEAE) During the Placebo-Controlled Treatment Period Secondary · From first dose of study drug up to Week 24, or up to 28 days after the last dose for participants who did not enter the extension period.

An adverse event (AE) is any untoward medical occurrence that does not necessarily have a causal relationship with the investigational product (IP), including an abnormal laboratory finding, symptom or disease temporally associated with the use of an IP whether or not considered related to the IP. Serious AEs were events that resulted in death, were life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability or incapacity, were congenital abnormalities/birth defects, or important medical events which may have required

Any TEAE
GroupValue95% CI
Placebo52
Ozanimod 0.5 mg57
Ozanimod 1 mg47
Any moderate or severe TEAE
GroupValue95% CI
Placebo23
Ozanimod 0.5 mg23
Ozanimod 1 mg13
Any severe TEAE
GroupValue95% CI
Placebo1
Ozanimod 0.5 mg2
Ozanimod 1 mg1
Any TEAE related to study drug
GroupValue95% CI
Placebo1
Ozanimod 0.5 mg1
Ozanimod 1 mg0
Any serious TEAE
GroupValue95% CI
Placebo0
Ozanimod 0.5 mg3
Ozanimod 1 mg0
Any serious TEAE related to study drug
GroupValue95% CI
Placebo0
Ozanimod 0.5 mg0
Ozanimod 1 mg0
Any TEAE leading to discontinuation of study drug
GroupValue95% CI
Placebo0
Ozanimod 0.5 mg0
Ozanimod 1 mg0
Any death related to study drug
GroupValue95% CI
Placebo0
Ozanimod 0.5 mg0
Ozanimod 1 mg0
Number of Participants With Treatment Emergent Adverse Events (TEAE) During Ozanimod Exposure Secondary · From the first dose of ozanimod, either in the placebo-controlled or the blinded extension period, up to 4 weeks after the last dose; mean duration of exposure was 25.4, 30.9, 24.6, and 32.3 months in each treatment group respectively.

AEs are reported from the start of the placebo-controlled period for participants originally assigned to ozanimod and from the start of the extension period for participants who switched to ozanimod after Week 24. Serious AEs were events that resulted in death, were life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability or incapacity, were congenital abnormalities/birth defects, or important medical events which may have required medical intervention to prevent one of the above outcomes. The investigator assess

Any TEAE
GroupValue95% CI
Placebo / Ozanimod 0.5 mg26
Ozanimod 0.5 mg73
Placebo / Ozanimod 1 mg32
Ozanimod 1 mg61
Any moderate or severe TEAE
GroupValue95% CI
Placebo / Ozanimod 0.5 mg17
Ozanimod 0.5 mg42
Placebo / Ozanimod 1 mg18
Ozanimod 1 mg35
Any severe TEAE
GroupValue95% CI
Placebo / Ozanimod 0.5 mg2
Ozanimod 0.5 mg4
Placebo / Ozanimod 1 mg1
Ozanimod 1 mg2
Any TEAE related to study drug
GroupValue95% CI
Placebo / Ozanimod 0.5 mg2
Ozanimod 0.5 mg3
Placebo / Ozanimod 1 mg1
Ozanimod 1 mg3
Any serious TEAE
GroupValue95% CI
Placebo / Ozanimod 0.5 mg2
Ozanimod 0.5 mg10
Placebo / Ozanimod 1 mg3
Ozanimod 1 mg6
Any serious TEAE related to study drug
GroupValue95% CI
Placebo / Ozanimod 0.5 mg0
Ozanimod 0.5 mg0
Placebo / Ozanimod 1 mg0
Ozanimod 1 mg0
Any TEAE leading to discontinuation of study drug
GroupValue95% CI
Placebo / Ozanimod 0.5 mg2
Ozanimod 0.5 mg1
Placebo / Ozanimod 1 mg1
Ozanimod 1 mg0
Any death related to study drug
GroupValue95% CI
Placebo / Ozanimod 0.5 mg0
Ozanimod 0.5 mg0
Placebo / Ozanimod 1 mg0
Ozanimod 1 mg0
Number of Gadolinium-Enhancing (GdE) Lesions During the Extension Period Secondary · Weeks 24, 48, 72, and 120

MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

Week 24 (start of extension period)
GroupValue95% CI
Placebo / Ozanimod 0.5 mg4.5± 13.02
Ozanimod 0.5 mg0.4± 1.28
Placebo / Ozanimod 1 mg1.9± 5.93
Ozanimod 1 mg0.2± 0.60
Week 48
GroupValue95% CI
Placebo / Ozanimod 0.5 mg0.6± 2.63
Ozanimod 0.5 mg0.4± 1.30
Placebo / Ozanimod 1 mg0.4± 1.35
Ozanimod 1 mg0.2± 0.56
Week 72
GroupValue95% CI
Placebo / Ozanimod 0.5 mg0.4± 1.95
Ozanimod 0.5 mg0.4± 1.41
Placebo / Ozanimod 1 mg0.1± 0.28
Ozanimod 1 mg0.2± 0.56
Week 120
GroupValue95% CI
Placebo / Ozanimod 0.5 mg0.1± 0.46
Ozanimod 0.5 mg0.4± 1.49
Placebo / Ozanimod 1 mg0.1± 0.37
Ozanimod 1 mg0.2± 0.51
Total Number of New or Enlarging Hyperintense T2-Weighted Brain MRI Lesions In the Extension Period Secondary · Weeks 12 to 24 of the placebo-controlled period and Week 24 to 72 (first year) and Week 72 - 120 (second year) in the extension period

The cumulative number of new or enlarging hyperintense T2-weighted brain MRI lesions from Week 12 to Week 24 in the placebo controlled period (reference) and during the first and second years of the extension period. MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

Week 12 to 24
GroupValue95% CI
Placebo / Ozanimod 0.5 mg10.8± 3.58
Ozanimod 0.5 mg1.4± 0.35
Placebo / Ozanimod 1 mg7.3± 3.07
Ozanimod 1 mg0.9± 0.21
Week 24 to 72
GroupValue95% CI
Placebo / Ozanimod 0.5 mg4.3± 1.99
Ozanimod 0.5 mg2.8± 0.72
Placebo / Ozanimod 1 mg1.5± 0.39
Ozanimod 1 mg1.9± 0.84
Week 72 to 120
GroupValue95% CI
Placebo / Ozanimod 0.5 mg3.2± 1.31
Ozanimod 0.5 mg2.3± 0.61
Placebo / Ozanimod 1 mg1.9± 0.48
Ozanimod 1 mg0.7± 0.16

Adverse events — posted to ClinicalTrials.gov

Time frame: Placebo-controlled period: From first dose of study drug up to Week 24, or up to 28 days after the last dose for participants who did not enter the extension period. Extension period: From the first dose of ozanimod in the blinded extension period, up to 4 weeks after the last dose; up to 96 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo-Controlled Period: Placebo
Serious: 0/88 (0%)
Deaths: 0/88
Placebo-Controlled Period: Ozanimod 0.5 mg
Serious: 3/87 (3%)
Deaths: 0/87
Placebo-Controlled Period: Ozanimod 1.0 mg
Serious: 0/83 (0%)
Deaths: 0/83
Extension Period: Ozanimod 0.5 mg
Serious: 10/126 (8%)
Deaths: 0/126
Extension Period: Ozanimod 1.0 mg
Serious: 9/123 (7%)
Deaths: 0/123

Serious adverse events (24 terms)

ReactionSystemPlacebo-Controlled Period:…Placebo-Controlled Period:…Placebo-Controlled Period:…Extension Period: Ozanimod…Extension Period: Ozanimod…
PancytopeniaBlood and lymphatic system disorders
Acute Myocardial InfarctionCardiac disorders
Irritable Bowel SyndromeGastrointestinal disorders
HepatitisHepatobiliary disorders
Proctitis InfectiousInfections and infestations
Clavicle FractureInjury, poisoning and procedural complications
ConcussionInjury, poisoning and procedural complications
InjuryInjury, poisoning and procedural complications
Lower Limb FractureInjury, poisoning and procedural complications
Rheumatoid ArthritisMusculoskeletal and connective tissue disorders
Cauda Equina SyndromeNervous system disorders
HeadacheNervous system disorders
Intracranial AneurysmNervous system disorders
Optic NeuritisNervous system disorders
DepressionPsychiatric disorders
Somatoform DisorderPsychiatric disorders
Urethral StenosisRenal and urinary disorders
MenometrorrhagiaReproductive system and breast disorders
Ovarian CystReproductive system and breast disorders
Uterine Cervical Squamous MetaplasiaReproductive system and breast disorders
Uterine HaemorrhageReproductive system and breast disorders
Stasis DermatitisSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Other adverse events (8 terms — click to expand)

ReactionSystemPlacebo-Controlled Period:…Placebo-Controlled Period:…Placebo-Controlled Period:…Extension Period: Ozanimod…Extension Period: Ozanimod…
Upper Respiratory Tract InfectionInfections and infestations
NasopharyngitisInfections and infestations
Alanine Aminotransferase IncreasedInvestigations
Gamma-Glutamyltransferase IncreasedInvestigations
Back PainMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HypertensionVascular disorders
Urinary Tract InfectionInfections and infestations

Most-reported serious reactions: Pancytopenia, Acute Myocardial Infarction, Irritable Bowel Syndrome, Hepatitis, Proctitis Infectious, Clavicle Fracture, Concussion, Injury.

Data from ClinicalTrials.gov NCT01628393 adverse events section.

Sponsor's own description

This study is a two-part trial consisting of Part A (presented in this record) and Part B (see NCT02047734). The primary objective in Part A of this study was to demonstrate the superior efficacy of ozanimod compared to placebo by showing a reduction in the cumulative number of total gadolinium-enhancing (GdE) lesions from Week 12 to Week 24 in patients with relapsing multiple sclerosis (RMS).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting the sphingosine-1-phosphate axis in cancer, inflammation and beyond.
    Kunkel GT, Maceyka M, Milstien S, Spiegel S. · · 2013 · cited 377× · PMID 23954895 · DOI 10.1038/nrd4099
  2. Safety and efficacy of the selective sphingosine 1-phosphate receptor modulator ozanimod in relapsing multiple sclerosis (RADIANCE): a randomised, placebo-controlled, phase 2 trial.
    Cohen JA, Arnold DL, Comi G, Bar-Or A, et al · · 2016 · cited 130× · PMID 26879276 · DOI 10.1016/s1474-4422(16)00018-1
  3. Sphingosine 1-phosphate Receptor Modulator Therapy for Multiple Sclerosis: Differential Downstream Receptor Signalling and Clinical Profile Effects.
    Chun J, Giovannoni G, Hunter SF. · · 2021 · cited 115× · PMID 33289881 · DOI 10.1007/s40265-020-01431-8
  4. Sphingosine 1-Phosphate Receptor Modulators for the Treatment of Multiple Sclerosis.
    Chaudhry BZ, Cohen JA, Conway DS. · · 2017 · cited 99× · PMID 28812220 · DOI 10.1007/s13311-017-0565-4
  5. The S1P-S1PR Axis in Neurological Disorders-Insights into Current and Future Therapeutic Perspectives.
    Lucaciu A, Brunkhorst R, Pfeilschifter JM, Pfeilschifter W, et al · · 2020 · cited 53× · PMID 32580348 · DOI 10.3390/cells9061515
  6. Review article: the sphingosine 1 phosphate/sphingosine 1 phosphate receptor axis - a unique therapeutic target in inflammatory bowel disease.
    Wang J, Goren I, Yang B, Lin S, et al · · 2022 · cited 31× · PMID 34932238 · DOI 10.1111/apt.16741
  7. Oral Therapies for Multiple Sclerosis.
    Faissner S, Gold R. · · 2019 · cited 31× · PMID 29500302 · DOI 10.1101/cshperspect.a032011
  8. Efficacy and safety of ozanimod in multiple sclerosis: Dose-blinded extension of a randomized phase II study.
    Cohen JA, Comi G, Arnold DL, Bar-Or A, et al · · 2019 · cited 28× · PMID 30043658 · DOI 10.1177/1352458518789884

Verify or expand the search:

Other trials of Ozanimod

Trials testing the same drug.

Other recruiting trials for Relapsing Multiple Sclerosis

Currently open trials in the same condition.

Other Celgene trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01628393.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing