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NCT02373098

Fingolimod Effect on Cytokine and Chemokine Levels

Completed Phase 4 Results posted Last updated 30 September 2019
What this trial tests

Phase 4 trial testing Fingolimod 0.5 mg in Relapsing Remitting Multiple Sclerosis in 126 participants. Completed in 18 January 2017.

Timeline
31 March 2015
Primary endpoint
18 January 2017
18 January 2017

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment126
Start date31 March 2015
Primary completion18 January 2017
Estimated completion18 January 2017
Sites3 locations across Turkey (Türkiye)

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

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 - ELISA Primary · Baseline

Blood samples were taken at baseline and measurements were performed before treatment of fingolimod.

CCL5 (RANTES)
GroupValue95% CI
Healthy Controls212.26± 22.48
FTY720404.31± 55.189
IL-17A
GroupValue95% CI
Healthy Controls1.15± 0.03
FTY7201.06± 0.029
CXCL13
GroupValue95% CI
Healthy Controls110.8± 22.3
FTY720139.68± 46.631
IL6
GroupValue95% CI
Healthy Controls0.88± 0.324
FTY72066.53± 65.411
IL8
GroupValue95% CI
Healthy Controls3.25± 0.47
FTY7203.57± 0.553
IL13
GroupValue95% CI
Healthy Controls0.49± 0.331
FTY7200.3± 0.15
IL23
GroupValue95% CI
Healthy Controls1.29± 0.552
FTY7203.04± 0.924
VLA4
GroupValue95% CI
Healthy Controls1.17± 0.396
FTY7200.58± 0.201
Baseline Flow Cytometry Analyses for Blood Cytokines and Chemokines in Healthy Controls and RRMS Patients Primary · Baseline

baseline peripheral blood flow cytometric analysis in study participants

CD3 abs
GroupValue95% CI
Healthy Controls2048.14± 263.209
FTY7201610.94± 126.071
CD19 abs
GroupValue95% CI
Healthy Controls311.63± 57.592
FTY720327.63± 44.421
NK abs
GroupValue95% CI
Healthy Controls281.33± 39.106
FTY720623.57± 394.837
NKT abs
GroupValue95% CI
Healthy Controls135.86± 16.627
FTY720104.36± 15.080
Hi CD16CD56 abs
GroupValue95% CI
Healthy Controls26.64± 4.399
FTY72020.44± 3.506
CD4CD25 (CD3 gate)
GroupValue95% CI
Healthy Controls26.08± 3.159
FTY72027.08± 1.251
Hi CD4CD25 (CD3 gate)
GroupValue95% CI
Healthy Controls2.83± 0.383
FTY7203.33± 0.253
Serum Cytokine and Chemokine Levels inRRMS Patients Between Visits Secondary · 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
GroupValue95% CI
Visit 1139.68± 46.631
Visit 2105.42± 20.61
Visit 3105.86± 22.053
IL6
GroupValue95% CI
Visit 166.53± 65.411
Visit 249.98± 49.263
Visit 3149.62± 144.622
IL8
GroupValue95% CI
Visit 13.57± 0.553
Visit 23.84± 0.482
Visit 34.29± 0.541
IL13
GroupValue95% CI
Visit 10.3± 0.15
Visit 20.35± 0.208
Visit 30.48± 0.289
CCL5= RANTES
GroupValue95% CI
Visit 1404.31± 55.189
Visit 2384.12± 52.649
Visit 3480.34± 63.874
IL23
GroupValue95% CI
Visit 13.04± 0.924
Visit 22.01± 0.629
Visit 32.15± 0.699
VLA4
GroupValue95% CI
Visit 10.58± 0.201
Visit 20.76± 0.356
Visit 30.82± 0.36
CXCL10=IP-10 (CXCR3 ligand)
GroupValue95% CI
Visit 118.18± 2.405
Visit 218.46± 2.356
Visit 320.54± 3.008
Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients Secondary · 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
GroupValue95% CI
Healthy Controls2048.14± 263.209
Visit 11610.94± 126.071
Visit 2339.74± 43.44
Visit 3314.75± 30.15
CD19 abs
GroupValue95% CI
Healthy Controls311.63± 57.592
Visit 1327.63± 44.421
Visit 232.9± 5.347
Visit 326.56± 2.879
NK abs
GroupValue95% CI
Healthy Controls281.33± 39.106
Visit 1623.57± 394.837
Visit 2203.66± 30.487
Visit 3181.97± 20.715
NKT abs
GroupValue95% CI
Healthy Controls135.86± 16.627
Visit 1104.36± 15.08
Visit 288.45± 12.725
Visit 388.98± 11.046
Hi CD16CD56 abs
GroupValue95% CI
Healthy Controls26.64± 4.399
Visit 120.44± 3.506
Visit 229.35± 8.73
Visit 330.04± 6.59
CD4CD25 (CD3 gate)
GroupValue95% CI
Healthy Controls26.08± 3.159
Visit 127.03± 1.251
Visit 29.24± 1.407
Visit 39.22± 1.399
Hi CD4CD25 (CD3 gate)
GroupValue95% CI
Healthy Controls2.83± 0.383
Visit 13.33± 0.253
Visit 22.03± 0.302
Visit 31.77± 0.267
Percent Blood Cytokines and Chemokines Via Flow Cytometry Analyses of Healthy Controls and RRMS Patients at Baseline Primary · Baseline

Baseline peripheral blood flow cytometric analyses in study participants evaluated by flow cytometry analysis.

CD3 %
GroupValue95% CI
Healthy Controls76.52± 1.494
FTY72071.92± 1.134
CD19 %
GroupValue95% CI
Healthy Controls11.57± 1.018
FTY72013.72± 1.336
NK %
GroupValue95% CI
Healthy Controls11.04± 1.328
FTY72010.17± 1.169
NKT %
GroupValue95% CI
Healthy Controls5.65± 0.855
FTY7205.19± 0.766
Hi CD16CD56 %
GroupValue95% CI
Healthy Controls1.05± 0.183
FTY7200.93± 0.145
CD3CD4 % (Lymphogate)
GroupValue95% CI
Healthy Controls41.19± 2.483
FTY72044.91± 1.321
CD3CD8 % (Lymphogate)
GroupValue95% CI
Healthy Controls23.23± 2.175
FTY72022.91± 1.188
CD3CD4 % (CD3 gate)
GroupValue95% CI
Healthy Controls57.38± 2.722
FTY72062.99± 1.446
Absolute Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients Secondary · 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)
GroupValue95% CI
Healthy Controls41.19± 2.483
Visit 144.91± 1.321
Visit 213.64± 1.712
Visit 313.9± 1.522
CD3CD8 (Lymphogate)
GroupValue95% CI
Healthy Controls23.23± 2.175
Visit 122.91± 1.188
Visit 232.93± 1.967
Visit 332.22± 2.169
CD3CD4 (CD3 gate)
GroupValue95% CI
Healthy Controls57.38± 2.722
Visit 162.99± 1.446
Visit 223.26± 2.726
Visit 324± 2.788
CD3CD8 (CD3 gate)
GroupValue95% CI
Healthy Controls35.11± 2.305
Visit 131.2± 1.351
Visit 259.52± 2.534
Visit 359.66± 2.642
CD4+IFNg+ (in CD4+)
GroupValue95% CI
Healthy Controls7.42± 1.994
Visit 13.61± 1.037
Visit 27.85± 2.197
Visit 313.97± 2.972
CD4+IL17+ (in CD4+)
GroupValue95% CI
Healthy Controls1.23± 0.173
Visit 11.27± 0.298
Visit 21.26± 0.224
Visit 32.02± 0.342
CD8+IFNg+ (in CD8+)
GroupValue95% CI
Healthy Controls16.45± 3.896
Visit 15.47± 2.463
Visit 25.73± 1.968
Visit 314.7± 3.834
CD8+IL17+ (in CD8+)
GroupValue95% CI
Healthy Controls1.71± 0.636
Visit 14.2± 0.923
Visit 29.22± 3.105
Visit 32.23± 0.505
Percent of Peripheral Blood Cytokine and Chemokine Measurements in Healthy Controls and RRMS Patients Secondary · 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 %
GroupValue95% CI
Healthy Controls76.52± 1.494
Visit 171.92± 1.134
Visit 257.61± 2.401
Visit 359.29± 2.318
CD19 %
GroupValue95% CI
Healthy Controls11.57± 0.018
Visit 113.72± 1.336
Visit 26.13± 0.847
Visit 35.14± 0.427
NK %
GroupValue95% CI
Healthy Controls0.427± 1.328
Visit 110.17± 1.169
Visit 234.48± 2.758
Visit 333.91± 2.238
NKT %
GroupValue95% CI
Healthy Controls5.65± 0.855
Visit 15.19± 0.766
Visit 215.55± 1.726
Visit 317.66± 1.985
Hi CD16CD56 %
GroupValue95% CI
Healthy Controls1.05± 0.183
Visit 10.93± 0.145
Visit 25.29± 1.296
Visit 36.20± 1.423
CD8+IL4+ % (in CD8+)
GroupValue95% CI
Healthy Controls5.64± 3.74
Visit 11.87± 0.538
Visit 23.13± 0.964
Visit 31.91± 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.

Fingolimod 0.5 mg
Serious: 3/66 (5%)
Deaths: 0/66
All Patients
Serious: 3/66 (5%)
Deaths: 0/66

Serious adverse events (2 terms)

ReactionSystemFingolimod 0.5 mgAll Patients
Sinus bradycardiaCardiac disorders
Herpes zosterInfections and infestations
Other adverse events (6 terms — click to expand)

ReactionSystemFingolimod 0.5 mgAll Patients
InfluenzaInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
White blood cell count decreasedInvestigations
HeadacheNervous system disorders
Muscle contractions involuntaryNervous system disorders

Most-reported serious reactions: Sinus bradycardia, Herpes zoster.

Data from ClinicalTrials.gov NCT02373098 adverse events section.

Sponsor's own description

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.

Verify or expand the search:

Other trials of Fingolimod 0.5 mg

Trials testing the same drug.

Other recruiting trials for Relapsing Remitting Multiple Sclerosis

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

Verify against primary sources

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/NCT02373098.

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