Adults 18 to 65, any sex, with Relapsing Remitting 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.
Baseline Serum Cytokine and Chemokine Levels of Healthy Controls and RRMS Patients - ELISAPrimary· Baseline
Blood samples were taken at baseline and measurements were performed before treatment of fingolimod.
CCL5 (RANTES)
Group
Value
95% CI
Healthy Controls
212.26
± 22.48
FTY720
404.31
± 55.189
IL-17A
Group
Value
95% CI
Healthy Controls
1.15
± 0.03
FTY720
1.06
± 0.029
CXCL13
Group
Value
95% CI
Healthy Controls
110.8
± 22.3
FTY720
139.68
± 46.631
IL6
Group
Value
95% CI
Healthy Controls
0.88
± 0.324
FTY720
66.53
± 65.411
IL8
Group
Value
95% CI
Healthy Controls
3.25
± 0.47
FTY720
3.57
± 0.553
IL13
Group
Value
95% CI
Healthy Controls
0.49
± 0.331
FTY720
0.3
± 0.15
IL23
Group
Value
95% CI
Healthy Controls
1.29
± 0.552
FTY720
3.04
± 0.924
VLA4
Group
Value
95% CI
Healthy Controls
1.17
± 0.396
FTY720
0.58
± 0.201
Baseline Flow Cytometry Analyses for Blood Cytokines and Chemokines in Healthy Controls and RRMS PatientsPrimary· Baseline
baseline peripheral blood flow cytometric analysis in study participants
CD3 abs
Group
Value
95% CI
Healthy Controls
2048.14
± 263.209
FTY720
1610.94
± 126.071
CD19 abs
Group
Value
95% CI
Healthy Controls
311.63
± 57.592
FTY720
327.63
± 44.421
NK abs
Group
Value
95% CI
Healthy Controls
281.33
± 39.106
FTY720
623.57
± 394.837
NKT abs
Group
Value
95% CI
Healthy Controls
135.86
± 16.627
FTY720
104.36
± 15.080
Hi CD16CD56 abs
Group
Value
95% CI
Healthy Controls
26.64
± 4.399
FTY720
20.44
± 3.506
CD4CD25 (CD3 gate)
Group
Value
95% CI
Healthy Controls
26.08
± 3.159
FTY720
27.08
± 1.251
Hi CD4CD25 (CD3 gate)
Group
Value
95% CI
Healthy Controls
2.83
± 0.383
FTY720
3.33
± 0.253
Serum Cytokine and Chemokine Levels inRRMS Patients Between VisitsSecondary· Baseline, month 3, month 6
Change of serum cytokine and chemokine levels measured by ELISA in RRMS patients treated with fingolimod between visits
CXCL13=BLC
Group
Value
95% CI
Visit 1
139.68
± 46.631
Visit 2
105.42
± 20.61
Visit 3
105.86
± 22.053
IL6
Group
Value
95% CI
Visit 1
66.53
± 65.411
Visit 2
49.98
± 49.263
Visit 3
149.62
± 144.622
IL8
Group
Value
95% CI
Visit 1
3.57
± 0.553
Visit 2
3.84
± 0.482
Visit 3
4.29
± 0.541
IL13
Group
Value
95% CI
Visit 1
0.3
± 0.15
Visit 2
0.35
± 0.208
Visit 3
0.48
± 0.289
CCL5= RANTES
Group
Value
95% CI
Visit 1
404.31
± 55.189
Visit 2
384.12
± 52.649
Visit 3
480.34
± 63.874
IL23
Group
Value
95% CI
Visit 1
3.04
± 0.924
Visit 2
2.01
± 0.629
Visit 3
2.15
± 0.699
VLA4
Group
Value
95% CI
Visit 1
0.58
± 0.201
Visit 2
0.76
± 0.356
Visit 3
0.82
± 0.36
CXCL10=IP-10 (CXCR3 ligand)
Group
Value
95% CI
Visit 1
18.18
± 2.405
Visit 2
18.46
± 2.356
Visit 3
20.54
± 3.008
Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS PatientsSecondary· Baseline, Month 3, Month 6
Peripheral blood chemokine cytokine levels measured by flow cytometry during fingolimod treatment in healthy controls at baseline and in RRMS patients between visits
CD3 abs
Group
Value
95% CI
Healthy Controls
2048.14
± 263.209
Visit 1
1610.94
± 126.071
Visit 2
339.74
± 43.44
Visit 3
314.75
± 30.15
CD19 abs
Group
Value
95% CI
Healthy Controls
311.63
± 57.592
Visit 1
327.63
± 44.421
Visit 2
32.9
± 5.347
Visit 3
26.56
± 2.879
NK abs
Group
Value
95% CI
Healthy Controls
281.33
± 39.106
Visit 1
623.57
± 394.837
Visit 2
203.66
± 30.487
Visit 3
181.97
± 20.715
NKT abs
Group
Value
95% CI
Healthy Controls
135.86
± 16.627
Visit 1
104.36
± 15.08
Visit 2
88.45
± 12.725
Visit 3
88.98
± 11.046
Hi CD16CD56 abs
Group
Value
95% CI
Healthy Controls
26.64
± 4.399
Visit 1
20.44
± 3.506
Visit 2
29.35
± 8.73
Visit 3
30.04
± 6.59
CD4CD25 (CD3 gate)
Group
Value
95% CI
Healthy Controls
26.08
± 3.159
Visit 1
27.03
± 1.251
Visit 2
9.24
± 1.407
Visit 3
9.22
± 1.399
Hi CD4CD25 (CD3 gate)
Group
Value
95% CI
Healthy Controls
2.83
± 0.383
Visit 1
3.33
± 0.253
Visit 2
2.03
± 0.302
Visit 3
1.77
± 0.267
Percent Blood Cytokines and Chemokines Via Flow Cytometry Analyses of Healthy Controls and RRMS Patients at BaselinePrimary· Baseline
Baseline peripheral blood flow cytometric analyses in study participants evaluated by flow cytometry analysis.
CD3 %
Group
Value
95% CI
Healthy Controls
76.52
± 1.494
FTY720
71.92
± 1.134
CD19 %
Group
Value
95% CI
Healthy Controls
11.57
± 1.018
FTY720
13.72
± 1.336
NK %
Group
Value
95% CI
Healthy Controls
11.04
± 1.328
FTY720
10.17
± 1.169
NKT %
Group
Value
95% CI
Healthy Controls
5.65
± 0.855
FTY720
5.19
± 0.766
Hi CD16CD56 %
Group
Value
95% CI
Healthy Controls
1.05
± 0.183
FTY720
0.93
± 0.145
CD3CD4 % (Lymphogate)
Group
Value
95% CI
Healthy Controls
41.19
± 2.483
FTY720
44.91
± 1.321
CD3CD8 % (Lymphogate)
Group
Value
95% CI
Healthy Controls
23.23
± 2.175
FTY720
22.91
± 1.188
CD3CD4 % (CD3 gate)
Group
Value
95% CI
Healthy Controls
57.38
± 2.722
FTY720
62.99
± 1.446
Absolute Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS PatientsSecondary· Baseline, Month 3, Month 6
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.
CD3CD4 (Lymphogate)
Group
Value
95% CI
Healthy Controls
41.19
± 2.483
Visit 1
44.91
± 1.321
Visit 2
13.64
± 1.712
Visit 3
13.9
± 1.522
CD3CD8 (Lymphogate)
Group
Value
95% CI
Healthy Controls
23.23
± 2.175
Visit 1
22.91
± 1.188
Visit 2
32.93
± 1.967
Visit 3
32.22
± 2.169
CD3CD4 (CD3 gate)
Group
Value
95% CI
Healthy Controls
57.38
± 2.722
Visit 1
62.99
± 1.446
Visit 2
23.26
± 2.726
Visit 3
24
± 2.788
CD3CD8 (CD3 gate)
Group
Value
95% CI
Healthy Controls
35.11
± 2.305
Visit 1
31.2
± 1.351
Visit 2
59.52
± 2.534
Visit 3
59.66
± 2.642
CD4+IFNg+ (in CD4+)
Group
Value
95% CI
Healthy Controls
7.42
± 1.994
Visit 1
3.61
± 1.037
Visit 2
7.85
± 2.197
Visit 3
13.97
± 2.972
CD4+IL17+ (in CD4+)
Group
Value
95% CI
Healthy Controls
1.23
± 0.173
Visit 1
1.27
± 0.298
Visit 2
1.26
± 0.224
Visit 3
2.02
± 0.342
CD8+IFNg+ (in CD8+)
Group
Value
95% CI
Healthy Controls
16.45
± 3.896
Visit 1
5.47
± 2.463
Visit 2
5.73
± 1.968
Visit 3
14.7
± 3.834
CD8+IL17+ (in CD8+)
Group
Value
95% CI
Healthy Controls
1.71
± 0.636
Visit 1
4.2
± 0.923
Visit 2
9.22
± 3.105
Visit 3
2.23
± 0.505
Percent of Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS PatientsSecondary· Baseline, Month 3, Month 6
Peripheral blood chemokine cytokine levels measured by flow cytometry in healthy controls at baseline and in RRMS patients between visits during fingolimod treatment
CD3 %
Group
Value
95% CI
Healthy Controls
76.52
± 1.494
Visit 1
71.92
± 1.134
Visit 2
57.61
± 2.401
Visit 3
59.29
± 2.318
CD19 %
Group
Value
95% CI
Healthy Controls
11.57
± 0.018
Visit 1
13.72
± 1.336
Visit 2
6.13
± 0.847
Visit 3
5.14
± 0.427
NK %
Group
Value
95% CI
Healthy Controls
0.427
± 1.328
Visit 1
10.17
± 1.169
Visit 2
34.48
± 2.758
Visit 3
33.91
± 2.238
NKT %
Group
Value
95% CI
Healthy Controls
5.65
± 0.855
Visit 1
5.19
± 0.766
Visit 2
15.55
± 1.726
Visit 3
17.66
± 1.985
Hi CD16CD56 %
Group
Value
95% CI
Healthy Controls
1.05
± 0.183
Visit 1
0.93
± 0.145
Visit 2
5.29
± 1.296
Visit 3
6.20
± 1.423
CD8+IL4+ % (in CD8+)
Group
Value
95% CI
Healthy Controls
5.64
± 3.74
Visit 1
1.87
± 0.538
Visit 2
3.13
± 0.964
Visit 3
1.91
± 1.225
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse Events (AEs) are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All AEs reported in this record are from date of First Patient First Visit until 30 days after Last Patient Last Visit) up to approximately 2 years..
Reporting threshold: 0.0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The main purpose of this study was to measure the serum levels of cytokines and chemokines that are known to increase during multiple sclerosis relapses.
Cytokines are a broad and loose category of small proteins that are important in cell signaling.
The second purpose of the study was to test the cytokine/chemokine changes measured in the 3rd and 6th months on the efficacy parameters.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Novartis Pharmaceuticals
Last refreshed: 30 September 2019
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/NCT02373098.