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NCT02739542: ARISE

Assessment of Tecfidera® in Radiologically Isolated Syndrome (RIS)

Completed Phase 4 Results posted Last updated 11 May 2022
What this trial tests

Phase 4 trial testing Tecfidera in Multiple Sclerosis (MS) in 87 participants. Completed in 31 March 2021.

Timeline
19 March 2016
Primary endpoint
31 March 2021
31 March 2021

Quick facts

Lead sponsorUniversity of Texas Southwestern Medical Center
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment87
Start date19 March 2016
Primary completion31 March 2021
Estimated completion31 March 2021
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Texas Southwestern Medical Center

Who can join

18 and older, any sex, with Multiple Sclerosis (MS). 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.

The Time From Randomization to the First Demyelinating Event (Acute or Development of an Initial Symptom Resulting in a Progressive Clinical Course) Primary · 96 weeks

The primary outcome measure for this trial is the time to the first acute or progressive neurological event resulting from CNS demyelination from randomization into the trial.

GroupValue95% CI
Tecfidera89.69± 23.99
Placebo77.81± 32.19
Change in Lesion Volume on T2-weighted MRI Secondary · Baseline, 96 weeks

Change in lesion volume on T2-weighted MRI is measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.

GroupValue95% CI
Tecfidera0.005± 0.03
Placebo0.04± 0.03
Number of Newly Enlarging T2 Lesions Secondary · 96 weeks

Number of newly enlarging T2 lesions is measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.

GroupValue95% CI
Tecfidera0.03± 0.003
Placebo0.10± 0.07
Number of New T2 Lesions Secondary · 96 weeks

Number of new T2 lesions as measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.

GroupValue95% CI
Tecfidera0.09± 0.06
Placebo0.54± 0.28
Newly Enlarging T2 Lesions and New T2 Lesions Combined Secondary · 96 weeks

Newly enlarging T2 lesions and new T2 lesions combined is measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.

GroupValue95% CI
Tecfidera0.12± 0.07
Placebo0.62± 0.30
Number of Contrast Enhancing Lesions Secondary · 96 weeks

Number of contrast enhancing lesions is measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.

GroupValue95% CI
Tecfidera0.07± 0.38
Placebo0± 0

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tecfidera
Serious: 4/44 (9%)
Deaths: 0/44
Placebo
Serious: 4/43 (9%)
Deaths: 0/43

Serious adverse events (8 terms)

ReactionSystemTecfideraPlacebo
Procedural headacheInjury, poisoning and procedural complications
SpondylolysisMusculoskeletal and connective tissue disorders
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
MigraineNervous system disorders
Spontaneous cerebrospinal fluid leak syndromeNervous system disorders
Other adverse events (18 terms — click to expand)

ReactionSystemTecfideraPlacebo
FlushingVascular disorders
HeadacheNervous system disorders
HypoaesthesiaNervous system disorders
ParaesthesiaNervous system disorders
SinusitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
FatigueGeneral disorders
NasopharyngitisInfections and infestations
UrticariaSkin and subcutaneous tissue disorders
Vision blurredEye disorders
DiarrhoeaGastrointestinal disorders
Chest discomfortGeneral disorders
FallInjury, poisoning and procedural complications
Blood glucose increasedInvestigations
Muscle spasmsMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders

Most-reported serious reactions: Procedural headache, Spondylolysis, Breast cancer, Invasive ductal breast carcinoma, Prostate cancer, Renal cancer, Migraine, Spontaneous cerebrospinal fluid leak syndrome.

Data from ClinicalTrials.gov NCT02739542 adverse events section.

Sponsor's own description

The purpose of this investigation is to systematically study the efficacy of Tecfidera in those individuals who possess incidental white matter anomalies within the brain following a MRI study that is performed for a reason other than for the evaluation of MS (multiple sclerosis).

Publications & conference data

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

  1. Dimethyl Fumarate Delays Multiple Sclerosis in Radiologically Isolated Syndrome.
    Okuda DT, Kantarci O, Lebrun-Frénay C, Sormani MP, et al · · 2023 · cited 77× · PMID 36401339 · DOI 10.1002/ana.26555
  2. Risk Factors and Time to Clinical Symptoms of Multiple Sclerosis Among Patients With Radiologically Isolated Syndrome.
    Lebrun-Frénay C, Rollot F, Mondot L, Zephir H, et al · · 2021 · cited 53× · PMID 34633424 · DOI 10.1001/jamanetworkopen.2021.28271
  3. Assessment of Early Evidence of Multiple Sclerosis in a Prospective Study of Asymptomatic High-Risk Family Members.
    Xia Z, Steele SU, Bakshi A, Clarkson SR, et al · · 2017 · cited 44× · PMID 28114441 · DOI 10.1001/jamaneurol.2016.5056
  4. The Multiple Sclerosis Prodrome: Evidence to Action.
    Tremlett H, Munger KL, Makhani N. · · 2021 · cited 29× · PMID 35173664 · DOI 10.3389/fneur.2021.761408
  5. Biological Markers in Early Multiple Sclerosis: the Paved Way for Radiologically Isolated Syndrome.
    Rival M, Galoppin M, Thouvenot E. · · 2022 · cited 19× · PMID 35572543 · DOI 10.3389/fimmu.2022.866092
  6. Secondary Prevention in Radiologically Isolated Syndromes and Prodromal Stages of Multiple Sclerosis.
    Amato MP, De Stefano N, Inglese M, Morena E, et al · · 2022 · cited 12× · PMID 35359637 · DOI 10.3389/fneur.2022.787160
  7. Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation.
    Mathis BJ, Kato H, Hiramatsu Y. · · 2022 · cited 5× · PMID 36497112 · DOI 10.3390/cells11233855
  8. Prevalence, Severity, and Clinical Management of Brain Incidental Findings in Healthy Young Adults: MRi-Share Cross-Sectional Study.
    Soumaré A, Beguedou N, Laurent A, Brochet B, et al · · 2021 · cited 5× · PMID 34093421 · DOI 10.3389/fneur.2021.675244

Verify or expand the search:

Other trials of Tecfidera

Trials testing the same drug.

Other recruiting trials for Multiple Sclerosis (MS)

Currently open trials in the same condition.

Other University of Texas Southwestern Medical Center 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/NCT02739542.

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