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.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 89.69 | ± 23.99 |
| Placebo | 77.81 | ± 32.19 |
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Assessment of Tecfidera® in Radiologically Isolated Syndrome (RIS)
Phase 4 trial testing Tecfidera in Multiple Sclerosis (MS) in 87 participants. Completed in 31 March 2021.
| Lead sponsor | University of Texas Southwestern Medical Center |
|---|---|
| Phase | Phase 4 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | quadruple |
| Primary purpose | treatment |
| Enrollment | 87 |
| Start date | 19 March 2016 |
| Primary completion | 31 March 2021 |
| Estimated completion | 31 March 2021 |
| Sites | 11 locations across United States |
University of Texas Southwestern Medical Center
18 and older, any sex, with Multiple Sclerosis (MS). Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
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.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 89.69 | ± 23.99 |
| Placebo | 77.81 | ± 32.19 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 0.005 | ± 0.03 |
| Placebo | 0.04 | ± 0.03 |
Number of newly enlarging T2 lesions is measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 0.03 | ± 0.003 |
| Placebo | 0.10 | ± 0.07 |
Number of new T2 lesions as measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 0.09 | ± 0.06 |
| Placebo | 0.54 | ± 0.28 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 0.12 | ± 0.07 |
| Placebo | 0.62 | ± 0.30 |
Number of contrast enhancing lesions is measured by follow-up MRI at 96 weeks in the placebo group and in the Tecfidera group.
| Group | Value | 95% CI |
|---|---|---|
| Tecfidera | 0.07 | ± 0.38 |
| Placebo | 0 | ± 0 |
Time frame: 2 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Tecfidera | Placebo |
|---|---|---|---|
| Procedural headache | Injury, poisoning and procedural complications | — | — |
| Spondylolysis | Musculoskeletal and connective tissue disorders | — | — |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Invasive ductal breast carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Renal cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Migraine | Nervous system disorders | — | — |
| Spontaneous cerebrospinal fluid leak syndrome | Nervous system disorders | — | — |
| Reaction | System | Tecfidera | Placebo |
|---|---|---|---|
| Flushing | Vascular disorders | — | — |
| Headache | Nervous system disorders | — | — |
| Hypoaesthesia | Nervous system disorders | — | — |
| Paraesthesia | Nervous system disorders | — | — |
| Sinusitis | Infections and infestations | — | — |
| Back pain | Musculoskeletal and connective tissue disorders | — | — |
| Constipation | Gastrointestinal disorders | — | — |
| Fatigue | General disorders | — | — |
| Nasopharyngitis | Infections and infestations | — | — |
| Urticaria | Skin and subcutaneous tissue disorders | — | — |
| Vision blurred | Eye disorders | — | — |
| Diarrhoea | Gastrointestinal disorders | — | — |
| Chest discomfort | General disorders | — | — |
| Fall | Injury, poisoning and procedural complications | — | — |
| Blood glucose increased | Investigations | — | — |
| Muscle spasms | Musculoskeletal and connective tissue disorders | — | — |
| Muscular weakness | Musculoskeletal and connective tissue disorders | — | — |
| Dizziness | Nervous 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.
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).
8 peer-reviewed publications reference this trial (live from Europe PMC):
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