A Multinational, Randomized, Double-blind, Parallel-group, Placebo-controlled Study Assessing the Safety and Tolerability
Overview
- Phase
- Phase 2
- Intervention
- Laquinimod 0.6
- Conditions
- Relapsing Multiple Sclerosis
- Sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Primary Endpoint
- Safety and efficacy
- Status
- Withdrawn
- Last Updated
- 12 years ago
Overview
Brief Summary
A multinational, multicenter, randomized, double-blind, parallel-group, placebo-controlled study to assess the safety, tolerability and efficacy of two daily doses of oral laquinimod (0.6mg or 1.2mg) in adjunct to glatiramer acetate (GA) or interferon-beta (IFN-B) in relapsing remitting multiple sclerosis (RRMS) subjects
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects must have a documented MS diagnosis as defined by the Revised McDonald criteria \[Ann Neurol 2011: 69:292-302\], with a relapsing-remitting disease course.
- •Subjects must be ambulatory with an EDSS score of 1-5.5 (inclusive) at the baseline visit.
- •Subjects must be relapse-free and in a stable neurological condition and free of corticosteroid treatment \[intravenous (IV), intramuscular (IM) and/or oral\] 30 days prior to screening (month -1).
- •Subjects must be treated with either Copaxone® or an IFN-B preparation (Avonex®, Betaseron®/Betaferon®, Rebif® or Extavia®), at a stable dose for at least 6 months prior to the screening visit (switching between IFN-B preparations during the 6 months prior to screening is allowed; switching between any IFN-B preparation and GA, or vice versa, is exclusionary).
- •Subjects must have had experienced at least one documented relapse in the 36 weeks prior to randomization, with an incomplete recovery of the neurological functions as compared to pre-relapse status.
- •Subjects must be between 18 and 55 years of age, inclusive.
- •Women of child-bearing potential must practice an acceptable method of birth control \[acceptable methods of birth control in this study include: surgical sterilization, intrauterine devices, oral contraceptive, contraceptive patch, long-acting injectable contraceptive or double-barrier method (condom or diaphragm with spermicide)\].
- •Subjects must be able to sign and date a written informed consent prior to entering the study.
- •Subjects must be willing and able to comply with the protocol requirements for the duration of the study.
Exclusion Criteria
- •An onset of a relapse between Month -1 (Screening) and 0 (Baseline), unstable neurological condition or any treatment with corticosteroids \[intravenous (IV), intramuscular (IM) and/or oral\] or Adrenocorticotropic hormone.
- •Use of experimental or investigational drugs, and/or participation in drug clinical studies within the 6 months prior to Screening.
- •Use of immunosuppressive including Mitoxantrone (Novantrone®) or cytotoxic agents within 6 months prior to the screening visit.
- •Previous use of either of the following: natalizumab (Tysabri®), cladribine, laquinimod, and fingolimod (Gilenya®).
- •Previous treatment with intravenous immunoglobulin (IVIG) within 2 months prior to screening visit.
- •Systemic corticosteroid treatment of ≥30 consecutive days duration within 2 months prior to screening visit.
- •Previous total body irradiation or total lymphoid irradiation.
- •Previous stem cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation.
- •Use of moderate/strong inhibitors of cytochrome P450 CYP3A4 within 2 weeks prior to the screening visit.
- •Use of inducers of CYP3A4 within 2 weeks prior to the screening visit.
Arms & Interventions
Laquinimod 0.6
GA 20 mg/1mL or an IFN-B preparation + oral daily administration of laquinimod 0.6 mg
Intervention: Laquinimod 0.6
Laquinimod 1.2
GA 20 mg/1mL or an IFN-B preparation + oral daily administration of laquinimod 1.2 mg
Intervention: Laquinimod 1.2
GA or IFN + Placebo
GA 20 mg/1mL or an IFN-B preparation + oral daily placebo
Intervention: Glatiramer Acetate or interferon-beta+ Placebo
Outcomes
Primary Outcomes
Safety and efficacy
Time Frame: 10 months
To assess the safety, tolerability and efficacy of laquinimod in RRMS
Secondary Outcomes
- Tolerability(10 months)