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Relapsing Remitting Multiple SclerosisPhase 2NCT00745615

An Extension Study of LAQ/5062 Exploring the Long Term Safety, Tolerability and Clinical Effect Parameters During the Disease

A Phase 2 study testing Laquinimod in people with Relapsing Remitting Multiple Sclerosis, run by Teva Pharmaceutical Industries, Ltd. at 45 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a multinational, multicenter, randomized, double-blind, parallel-group active extension of LAQ/5062 study (NCT00349193), assessing the tolerability, safety and efficacy of two doses (0.3 mg and 0.6 mg) of laquinimod, orally administered in participants with relapsing remitting multiple sclerosis (RRMS)… Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Relapsing Remitting Multiple Sclerosis
What is being tested?
Laquinimod
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
257 participants
Where
45 sitesin 9 countries
Study dates
7 Dec 2005to 23 Jul 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Inclusion Criteria - Participants must have completed the 36 weeks of treatment (completion of the full 36 weeks or as requested by the Sponsor) of the active double-blind phase. - Women of childbearing potential (for example, women who were not postmenopausal or surgically sterilized) must have practiced 2 acceptable methods of birth control for the duration of the study and until 30 days after the last dose of study medication (acceptable methods of birth control in this open-label extension phase included intrauterine devices, barrier methods [condom or diaphragm with spermicide], and hormonal methods of birth control [for example, oral contraceptive, contraceptive patch, and long-acting injectable contraceptive]). - Participants must have been willing and able to comply with the protocol requirements for the duration of LAQ/5063 OL. - Participants must have given signed, written informed consent prior to entering LAQ/5063 OL. - For the 36 months further extension: Participants must have completed the 24 months of treatment of the first period of the open label phase. Exclusion Criteria - For the 36 month further extension: Premature discontinuation from LAQ/5063 OL phase prior to completion of 24 months of treatment period. - Pregnancy or breastfeeding. - Participants with clinically significant or unstable medical or surgical condition, detected or worsened during the active double-blind phase of LAQ/5063, which would have precluded safe and complete study participation. - Use of experimental drugs, immunosuppressive drugs, and/or participation in clinical studies within the period from termination of LAQ/5063 active double-blind phase to LAQ/5063 OL. - Previous treatment with immunomodulators with the exception of laquinimod (including interferon [IFN] 1a and 1b, glatiramer acetate, and intravenous [IV] immunoglobulin) within 2 months prior to entering the open-label phase for those subjects who had a time gap between termination of LAQ/5063 active double-blind phase to LAQ/5063 OL. - Use of corticosteroids within 30 days prior to entering the open-label phase, except for IV methylprednisolone 1 grams/day for a maximum of 3 days, in the period from termination of LAQ/5063 active double-blind phase to LAQ/5063 OL. - Use of potent inhibitors of cytochrome P3A4 (CYP3A4) within 2 weeks prior to LAQ/5063 OL and/or use of fluoxetine 1 month prior to entering LAQ/5063 OL, in the period from termination of LAQ/5063 active double-blind phase to LAQ/5063 OL. - Use of the following substrates of cytochrome P1A2 (CYP1A2): theophylline and/or warfarin within 2 weeks prior to entering LAQ/5063 OL, in the period from termination of LAQ/5063 active double-blind phase to LAQ/5063 OL. - Use of amiodarone in the period from termination of LAQ/5063 active double-blind phase to LAQ/5063 OL. - Following the switch to new formulation (capsules), hypersensitivity to mannitol, meglumine, or sodium stearyl fumarate.

Trial locations and contacts

45 sites in 9 countries.

45 sites in 9 countries

Russia9 sites
  • Teva Investigational Site 186

    Moscow

  • Teva Investigational Site 187

    Moscow

  • Teva Investigational Site 188

    Moscow

  • Teva Investigational Site 189

    Moscow

  • Teva Investigational Site 180

    Saint Petersburg

  • Teva Investigational Site 181

    Saint Petersburg

  • Teva Investigational Site 182

    Saint Petersburg

  • Teva Investigational Site 184

    Saint Petersburg

  • Teva Investigational Site 185

    Saint Petersburg

Other trials in Russia

Germany6 sites
  • Teva Investigational Site 681

    Berlin

  • Teva Investigational Site 684

    Erfurt

  • Teva Investigational Site 687

    Hamburg

  • Teva Investigational Site 683

    Mainz

  • Teva Investigational Site 686

    Ulm

  • Teva Investigational Site 685

    Würzburg

Other trials in Germany

Poland6 sites
  • Teva Investigational Site 281

    Bydgoszcz

  • Teva Investigational Site 280

    Katowice

  • Teva Investigational Site 285

    Katowice

  • Teva Investigational Site 283

    Lodz

  • Teva Investigational Site 284

    Lublin

  • Teva Investigational Site 282

    Wroclaw

Other trials in Poland

Spain6 sites
  • Teva Investigational Site 782

    Barakaldo

  • Teva Investigational Site 785

    Barcelona

  • Teva Investigational Site 781

    Bilbao

  • Teva Investigational Site 784

    L'Hospitalet de Llobregat

  • Teva Investigational Site 780

    Madrid

  • Teva Investigational Site 783

    Seville

Other trials in Spain

Hungary4 sites
  • Teva Investigational Site 580

    Debrecen

  • Teva Investigational Site 581

    Gyula

  • Teva Investigational Site 583

    Miskolc

  • Teva Investigational Site 584

    Veszprém

Other trials in Hungary

Italy4 sites
  • Teva Investigational Site 483

    Cagliari

  • Teva Investigational Site 484

    Milan

  • Teva Investigational Site 486

    Milan

  • Teva Investigational Site 488

    Siena

Other trials in Italy

United Kingdom4 sites
  • Teva Investigational Site 884

    Liverpool

  • Teva Investigational Site 882

    London

  • Teva Investigational Site 881

    Sheffield

  • Teva Investigational Site 883

    Stoke-on-Trent

Other trials in United Kingdom

Czechia3 sites
  • Teva Investigational Site 382

    Hradec Králové

  • Teva Investigational Site 380

    Prague

  • Teva Investigational Site 384

    Praha 5- Motol

Other trials in Czechia

Israel3 sites
  • Teva Investigational Site 982

    Haifa

  • Teva Investigational Site 980

    Jerusalem

  • Teva Investigational Site 981

    Ramat Gan, IL

Other trials in Israel

About this study

Official title: An Active Extension of LAQ/5062 Study. A Multinational, Multicenter, Randomized, Double-Blind, Parallel-Group Study to Evaluate the Safety, Tolerability and Efficacy of Two Doses (0.3 mg and 0.6 mg) of Laquinimod, Orally Administered in Relapsing Remitting (R-R) Multiple Sclerosis (MS) Subjects (Study LAQ/5063 Active Double-Blind Phase) Followed by an Open Label Phase of Laquinimod 0.6 mg Daily (LAQ/5063 OL)

This is a multinational, multicenter, randomized, double-blind, parallel-group active extension of LAQ/5062 study (NCT00349193), assessing the tolerability, safety and efficacy of two doses (0.3 mg and 0.6 mg) of laquinimod, orally administered in participants with relapsing remitting multiple sclerosis (RRMS), followed by an open-label phase of laquinimod 0.6 mg daily. This study is LAQ/5063 (i.e., double-blind extension) and LAQ/5063 OL (i.e., subsequent open-label extension). - The first period of the extension study is an active, double-blind period. Participants from the active treatment arms in LAQ/5062 continue their assigned treatment in blinded fashion. Participants who were assigned to placebo treatment in LAQ/5062 are equally randomized in blinded-fashion to laquinimod 0.6 mg or laquinimod 0.3 mg. - Once termination visit of LAQ/5063 active double-blind phase (completion of the full 36 weeks or as requested by the Sponsor) is performed, all participants continue on laquinimod 0.6 mg daily as an open-label intervention. The open-label period continues as long as the Sponsor continues the development of laquinimod 0.6 mg for RRMS or early discontinuation.

Being tested
Laquinimod, Placebo
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LaquinimodDrug

    Also called TV-5600

    Laquinimod tablets/capsules will be administered as per the dose and schedule specified in the respective arms.

  • PlaceboDrug

    Placebo matching to laquinimod will be administered as per the dose and schedule specified in the respective arms.

Study groups in NCT00745615
Study groupRoleWhat they receive
Double-Blind: Laquinimod 0.3 mgExperimentalParticipants who will be receiving laquinimod 0.3 milligram (mg) tablet once daily orally in double-blind core study, will continue to receive laquinimod 0.3 mg tablet once daily orally in double-blind extension period of this study for up to Week 36.
Receives: Drug: Laquinimod
Double-Blind: Laquinimod 0.6 mgExperimentalParticipants who will be receiving laquinimod 0.6 mg (2 tablets of 0.3 mg each) once daily orally in double-blind core study, will continue to receive laquinimod 0.6 mg once daily orally in double-blind extension period of this study for up to Week 36.
Receives: Drug: Laquinimod
Double-Blind: Placebo/Laquinimod 0.3 mgExperimentalParticipants who will be receiving placebo matching to laquinimod 0.3 mg tablet once daily orally in double-blind core study, will receive laquinimod 0.3 mg tablet once daily orally in double-blind extension period of this study for up to Week 36.
Receives: Drug: Laquinimod; Drug: Placebo
Double-Blind: Placebo/Laquinimod 0.6 mgExperimentalParticipants who will be receiving placebo matching to laquinimod 0.6 mg (2 tablets of placebo) once daily orally in double-blind core study, will receive laquinimod 0.6 mg once daily orally in double-blind extension period of this study for up to Week 36.
Receives: Drug: Laquinimod; Drug: Placebo
Open-Label: Laquinimod 0.3 mg/Laquinimod 0.6 mgExperimentalParticipants who will be receiving laquinimod 0.3 mg tablet once daily orally either in double-blind core study or double-blind extension period, will receive laquinimod 0.6 mg capsule once daily orally in open-label extension period of this study until termination (as long as the Sponsor will continue the development of laquinimod 0.6 mg for RRMS) or early discontinuation (up to approximately 10.5 years).
Receives: Drug: Laquinimod
Open Label: Laquinimod 0.6 mgExperimentalParticipants who will be receiving laquinimod 0.6 mg (2 tablets of 0.3 mg each) once daily orally either in double-blind core study or double-blind extension period, will receive laquinimod 0.6 mg capsule once daily orally in open-label extension period of this study until termination (as long as the Sponsor will continue the development of laquinimod 0.6 mg for RRMS) or early discontinuation (up to approximately 10.5 years).
Receives: Drug: Laquinimod

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Double-Blind Extension Period: Number of Participants With Adverse Events (AEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.

    Measured: Baseline (Week 0) to Week 36

  2. Open-label Extension Period: Number of Participants With AEs

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.

    Measured: Baseline (Month 0/termination visit of double-blind extension phase [completion of full 36 weeks] until termination (as long as the Sponsor continued the development of laquinimod 0.6 mg for RRMS) or early discontinuation (up to approximately 10.5 years)

  3. Double-Blind Period: Number of Participants Who Prematurely Discontinued From the Study Due to Any Reason and Due to AEs

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs.

    Measured: Baseline (Week 0) to Week 36

  4. Open-Label Period: Number of Participants Who Prematurely Discontinued From the Study Due to Any Reason and Due to AEs

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both SAEs and non-serious AEs.

    Measured: Baseline (Month 0/termination visit of double-blind extension phase [completion of full 36 weeks] until termination (as long as the Sponsor continued the development of laquinimod 0.6 mg for RRMS) or early discontinuation (up to approximately 10.5 years)

Secondary outcomes (7)
  1. Double-Blind Period: Relapse Rate: Total Number of Confirmed Relapses

    Relapse was defined as the appearance of one or more new neurological abnormalities or the reappearance of one or more previously observed neurological abnormalities, lasting for at least 48 hours (in the absence of fever or any infection) and immediately preceded by an improving neurological state of at least 30 days from onset of previous relapse. An event was counted as a relapse only when the participant's symptoms were accompanied by observed objective neurological changes, consistent with an increase of at least 0.5 in the Expanded disability status scale (EDSS); or one grade in the score of 2 or more of the 7 Functional Systems (FS) (excluding changes in bowel or bladder function or cognition); or 2 grades in the score of one of the FS as compared to the previous evaluation. EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis [MS]).

    Measured: Baseline (Week 0) up to end of active double-blind phase or termination/early termination visit (up to Week 36)

  2. Double-Blind Period: Percentage of Relapse-Free Participants

    Relapse was defined as the appearance of one or more new neurological abnormalities or the reappearance of one or more previously observed neurological abnormalities, lasting for at least 48 hours (in the absence of fever or any infection) and immediately preceded by an improving neurological state of at least 30 days from onset of previous relapse. An event was counted as a relapse only when the participant's symptoms were accompanied by observed objective neurological changes, consistent with an increase of at least 0.5 in the EDSS; or one grade in the score of 2 or more of the 7 FS (excluding changes in bowel or bladder function or cognition); or 2 grades in the score of one of the FS as compared to the previous evaluation. EDSS assesses disability in 8 functional systems with an overall score ranging from 0 (normal) to 10 (death due to MS).

    Measured: Baseline (Week 0) up to end of active double-blind phase or termination/early termination visit (up to Week 36)

  3. Double-Blind Period: Number of Enhancing Lesions on T1-Weighted Images

    Inflammatory disease activity was assessed by magnetic resonance imaging (MRI) measurement of the number of gadolinium-enhanced T1 lesions. T1-weighted scan was taken after administration of gadolinium-gadopentetic acid (Gd-DTPA).

    Measured: At the end of active double-blind phase or termination/early termination visit (up to Week 36)

  4. Double-Blind Period: Number of New T2 Lesions

    Inflammatory disease activity was assessed by MRI measurement of the number of new T2 lesions.

    Measured: At the end of active double-blind phase or termination/early termination visit (up to Week 36)

  5. Double-Blind Period: Volume of T2 Lesions

    Volume of T2 lesion was assessed by magnetic MRI.

    Measured: At the end of active double-blind phase or termination/early termination visit (up to Week 36)

  6. Double-Blind Period: Number of New Hypointense T1 Lesion on Enhanced T1 Scans

    Inflammatory disease activity was assessed by MRI measurement of the number of new hypointense T1 lesions.

    Measured: At the end of active double-blind phase or termination/early termination visit (up to Week 36)

  7. Double-Blind Period: Kurtzke's Expanded Disability Status Scale (EDSS) Score

    EDSS (developed by John F. Kurtzke) is a scale for assessing disability in 8 functional systems (visual, brain stem, pyramidal, cerebellar, sensory, bowel and bladder, cerebral, and other functions). Each functional system score and an overall score ranges from 0 to 10, where 0 = Normal; 1-1.5 = No disability, but some abnormal neurological signs; 2-2.5 = Minimal disability; 3-4.5 = Moderate disability, affecting daily activities, but can still walk; 5-8 = More severe disability, impairing daily activities and requiring assistance with walking; 8.5-9.5 = Very severe disability, restricting to bed; 10 = Death due to MS. A lower score indicated less disability.

    Measured: At the end of active double-blind phase or termination/early termination visit (up to Week 36)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Sep 2008 (estimated)
  2. Study start7 Dec 2005
  3. Primary completion23 Jul 2017
  4. Study completion23 Jul 2017

Why it stopped: Sponsor terminated RRMS studies as sufficient long term clinical data was collected for the study drug in the relevant dose.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
257 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00745615
Sponsor's protocol ID
LAQ/5063OL
Other IDs
LAQ/5063, 2005-004334-41, 2005
Status last verified
Mar 2019
First submitted
2 Sep 2008
Last updated
27 Mar 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Laquinimod in people with Relapsing Remitting Multiple Sclerosis, run by Teva Pharmaceutical Industries, Ltd. at 45 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 27 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in Russia, Germany, Poland, Spain, Hungary and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Mar 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Double-Blind Extension Period: Number of Participants With Adverse Events (AEs) (time frame: Baseline (Week 0) to Week 36). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2019.

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