Trial Outcomes & Findings for Fingolimod in Schizophrenia Patients (NCT NCT01779700)

NCT ID: NCT01779700

Last Updated: 2019-04-16

Results Overview

To determine the safety of fingolimod, as measured by the electrocardiogram (ECG) QT interval corrected by Bazett's (QTcB) value.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

Screening, Day 0, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42, Day 49, Day 56, Day 84, Day 112

Results posted on

2019-04-16

Participant Flow

Participant milestones

Participant milestones
Measure
Fingolimod
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Overall Study
STARTED
18
22
Overall Study
COMPLETED
14
17
Overall Study
NOT COMPLETED
4
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Fingolimod
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Overall Study
Adverse Event
4
3
Overall Study
Withdrawal by Subject
0
2

Baseline Characteristics

Fingolimod in Schizophrenia Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=99 Participants
22 Participants
n=107 Participants
40 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
36.33 years
STANDARD_DEVIATION 10.28 • n=99 Participants
37.00 years
STANDARD_DEVIATION 13.19 • n=107 Participants
36.70 years
STANDARD_DEVIATION 11.83 • n=206 Participants
Sex: Female, Male
Female
6 Participants
n=99 Participants
6 Participants
n=107 Participants
12 Participants
n=206 Participants
Sex: Female, Male
Male
12 Participants
n=99 Participants
16 Participants
n=107 Participants
28 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=99 Participants
21 Participants
n=107 Participants
37 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=99 Participants
12 Participants
n=107 Participants
21 Participants
n=206 Participants
Race (NIH/OMB)
White
8 Participants
n=99 Participants
8 Participants
n=107 Participants
16 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
18 participants
n=99 Participants
22 participants
n=107 Participants
40 participants
n=206 Participants

PRIMARY outcome

Timeframe: Screening, Day 0, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42, Day 49, Day 56, Day 84, Day 112

To determine the safety of fingolimod, as measured by the electrocardiogram (ECG) QT interval corrected by Bazett's (QTcB) value.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
QTcB Change
QTcB - Day 7
415.50 ms
Standard Deviation 16.71
417.00 ms
Standard Deviation 19.99
QTcB Change
QTcB - Day 14
418.28 ms
Standard Deviation 16.30
420.15 ms
Standard Deviation 16.24
QTcB Change
QTcB - Day 21
419.67 ms
Standard Deviation 18.90
412.00 ms
Standard Deviation 19.25
QTcB Change
QTcB - Day 28
424.06 ms
Standard Deviation 17.51
415.74 ms
Standard Deviation 18.26
QTcB Change
QTcB - Day 35
426.18 ms
Standard Deviation 25.31
419.00 ms
Standard Deviation 20.47
QTcB Change
QTcB - Day 42
425.53 ms
Standard Deviation 22.10
414.33 ms
Standard Deviation 17.81
QTcB Change
QTcB - Day 49
420.79 ms
Standard Deviation 24.50
413.53 ms
Standard Deviation 18.02
QTcB Change
QTcB - Day 56
420.67 ms
Standard Deviation 21.25
418.41 ms
Standard Deviation 18.38
QTcB Change
QTcB - Day 84
421.50 ms
Standard Deviation 26.18
420.68 ms
Standard Deviation 22.69
QTcB Change
QTcB - Day 112
419.67 ms
Standard Deviation 20.22
418.58 ms
Standard Deviation 18.88
QTcB Change
QTcB - Screening
416.50 ms
Standard Deviation 19.24
416.41 ms
Standard Deviation 17.69
QTcB Change
QTcB - Day 0
418.39 ms
Standard Deviation 23.47
423.27 ms
Standard Deviation 22.05

PRIMARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To determine the safety of fingolimod, as measured by the absolute lymphocyte count

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Levels of Lymphocyte
Absolute lymphocyte count - Baseline
1.99 10^3 lymphocytes/uL
Standard Deviation 0.57
1.97 10^3 lymphocytes/uL
Standard Deviation 0.64
Levels of Lymphocyte
Absolute lymphocyte count - 4 weeks
0.44 10^3 lymphocytes/uL
Standard Deviation 0.22
1.94 10^3 lymphocytes/uL
Standard Deviation 0.47
Levels of Lymphocyte
Absolute lymphocyte count - 8 weeks
0.49 10^3 lymphocytes/uL
Standard Deviation 0.32
2.00 10^3 lymphocytes/uL
Standard Deviation 0.76

PRIMARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

The Positive and Negative Syndrome Scale (PANSS) is a semi-structured interview, containing 30 items that assess symptoms of psychotic disorders including positive, negative, and general psychopathology symptoms. Positive symptoms are rated on 7 items, negative symptoms are rated on 7 items, and general psychopathology on 16 items. Scores for each item range from 1=absent to 7=extreme. Positive, negative, and general psychopathology symptoms can each respectively render total scores. Positive total scores ranging from 7-49, negative total scores ranging from 7-49, and general psychopathology scores ranging from 16-112. When all items are summed together a total score is generated. Total scores for all items range from 30-210, a lower score reflecting fewer symptoms.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Symptom Changes - PANSS Total Score
PANSS Total Score - Baseline
48.89 score on a scale
Standard Deviation 11.58
56.50 score on a scale
Standard Deviation 11.17
Symptom Changes - PANSS Total Score
PANSS Total Score - 4 weeks
49.78 score on a scale
Standard Deviation 14.69
53.60 score on a scale
Standard Deviation 12.17
Symptom Changes - PANSS Total Score
PANSS Total Score - 8 weeks
49.06 score on a scale
Standard Deviation 14.65
54.94 score on a scale
Standard Deviation 11.53

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

The Brief Assessment of Cognition in Schizophrenia (BACS) is a battery specifically designed to measure treatment-related changes in cognition. The BACS utilizes 6 tasks, and has alternate forms, thus minimizing practice effects. Each task generates a raw score (with a higher score indicating better performance): verbal memory 0-75; digit sequencing 0-28; token motor task 0-100; semantic\&letter fluency 0-148; symbol coding 0-110; and tower of London 0-22. The raw scores are used to generate a composite score that is calculated by summing t-scores derived by comparisons with a normative sample of 404 healthy controls. The six brief assessments' t-scores, are summed, and averaged to provide a composite t-score. The composite score min and max are between -43 and 100. A higher score indicating better cognitive performance.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Verbal Memory - BACS
BACS Verbal Memory - Baseline
30.89 score on a scale
Standard Deviation 9.61
37.45 score on a scale
Standard Deviation 11.65
Verbal Memory - BACS
BACS Verbal Memory - 4 weeks
33.50 score on a scale
Standard Deviation 8.87
35.45 score on a scale
Standard Deviation 9.56
Verbal Memory - BACS
BACS Verbal Memory - 8 weeks
34.69 score on a scale
Standard Deviation 10.62
36.11 score on a scale
Standard Deviation 11.53

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

The Brief Assessment of Cognition in Schizophrenia (BACS) is a battery specifically designed to measure treatment-related changes in cognition by utilizing 6 tasks, and has alternate forms, thus minimizing practice effects. Each task generates a raw score (with a higher score indicating better performance): verbal memory 0-75; digit sequencing 0-28; token motor task 0-100; semantic\&letter fluency 0-148; symbol coding 0-110; and tower of London 0-22. The raw scores are used to generate a composite score that is calculated by summing t-scores derived by comparisons with a normative sample of 404 healthy controls. The six brief assessments' t-scores, are summed, and averaged to provide a composite t-score. The composite score min and max are between -43 and 100. A higher score indicating better cognitive performance.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Cognition Change - BACS
BACS Composite Score - Baseline
25.17 score on a scale
Standard Deviation 14.75
30.95 score on a scale
Standard Deviation 9.48
Cognition Change - BACS
BACS Composite Score - 4 weeks
27.67 score on a scale
Standard Deviation 13.61
32.10 score on a scale
Standard Deviation 10.64
Cognition Change - BACS
BACS Composite Score - 8 weeks
31.13 score on a scale
Standard Deviation 12.52
33.50 score on a scale
Standard Deviation 11.45

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

The Trail Making Test-Part B (Trails B) is a measure of visual attention and task switching. The task requires a subject to 'connect-the-dots' of 25 consecutive targets on a sheet of paper. In Part B version the subject alternates between numbers and letters (1, A, 2, B, etc.) The goal of the test is for the subject is to finish part B as quickly as possible, the time taken to complete the test is used as the primary performance metric. The score is the number of seconds it took to complete the test.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Cognition Change - Trails B
Trails B - Baseline
108.00 seconds
Standard Deviation 51.86
123.64 seconds
Standard Deviation 71.11
Cognition Change - Trails B
Trails B - 4 weeks
97.88 seconds
Standard Deviation 40.57
100.60 seconds
Standard Deviation 48.02
Cognition Change - Trails B
Trails B - 8 weeks
84.53 seconds
Standard Deviation 28.79
102.33 seconds
Standard Deviation 74.48

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

The Positive and Negative Syndrome Scale (PANSS) is a semi-structured interview, containing 30 items that assess symptoms of psychotic disorders including positive, negative, and general psychopathology symptoms. Positive symptoms are rated on 7 items, negative symptoms are rated on 7 items, and general psychopathology on 16 items. Scores for each item range from 1=absent to 7=extreme. Positive, negative, and general psychopathology symptoms can each respectively render total scores. Positive total scores ranging from 7-49, negative total scores ranging from 7-49, and general psychopathology scores ranging from 16-112. When all items are summed together a total score is generated. Total scores for all items range from 30-210, a lower score reflecting fewer symptoms.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Positive Symptom Change - PANSS
PANSS Positive Score - Baseline
10.83 score on a scale
Standard Deviation 4.94
13.64 score on a scale
Standard Deviation 5.59
Positive Symptom Change - PANSS
PANSS Positive Score - 4 weeks
11.89 score on a scale
Standard Deviation 6.24
14.00 score on a scale
Standard Deviation 5.52
Positive Symptom Change - PANSS
PANSS Positive Score - 8 weeks
10.06 score on a scale
Standard Deviation 4.74
13.06 score on a scale
Standard Deviation 5.40

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

The Positive and Negative Syndrome Scale (PANSS) is a semi-structured interview, containing 30 items that assess symptoms of psychotic disorders including positive, negative, and general psychopathology symptoms. Positive symptoms are rated on 7 items, negative symptoms are rated on 7 items, and general psychopathology on 16 items. Scores for each item range from 1=absent to 7=extreme. Positive, negative, and general psychopathology symptoms can each respectively render total scores. Positive total scores ranging from 7-49, negative total scores ranging from 7-49, and general psychopathology scores ranging from 16-112. When all items are summed together a total score is generated. Total scores for all items range from 30-210, a lower score reflecting fewer symptoms.

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Negative Symptom Change - PANSS
PANSS Negative Score - Baseline
15.00 score on a scale
Standard Deviation 4.79
16.59 score on a scale
Standard Deviation 5.32
Negative Symptom Change - PANSS
PANSS Negative Score - 4 weeks
13.89 score on a scale
Standard Deviation 3.53
14.80 score on a scale
Standard Deviation 5.20
Negative Symptom Change - PANSS
PANSS Negative Score - 8 weeks
15.44 score on a scale
Standard Deviation 4.35
15.06 score on a scale
Standard Deviation 4.67

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-10 plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-10
IL10 - Baseline
16.11 pg/ml
Standard Deviation 20.81
11.94 pg/ml
Standard Deviation 13.38
Plasma Cytokines Levels - IL-10
IL10 - 4 weeks
15.50 pg/ml
Standard Deviation 20.67
9.23 pg/ml
Standard Deviation 10.68
Plasma Cytokines Levels - IL-10
IL10 - 8 weeks
16.28 pg/ml
Standard Deviation 20.96
10.42 pg/ml
Standard Deviation 9.84

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-17A plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-17A
IL17A - Baseline
3.09 pg/ml
Standard Deviation 3.03
3.72 pg/ml
Standard Deviation 6.87
Plasma Cytokines Levels - IL-17A
IL17A - 4 weeks
2.58 pg/ml
Standard Deviation 2.39
2.43 pg/ml
Standard Deviation 2.15
Plasma Cytokines Levels - IL-17A
IL17A - 8 weeks
2.58 pg/ml
Standard Deviation 2.36
2.69 pg/ml
Standard Deviation 2.27

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-1BETA plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-1BETA
IL1BETA - Baseline
0.87 pg/ml
Standard Deviation 0.81
0.69 pg/ml
Standard Deviation 0.53
Plasma Cytokines Levels - IL-1BETA
IL1BETA - 4 weeks
0.81 pg/ml
Standard Deviation 0.82
0.72 pg/ml
Standard Deviation 0.63
Plasma Cytokines Levels - IL-1BETA
IL1BETA - 8 weeks
0.82 pg/ml
Standard Deviation 0.76
0.74 pg/ml
Standard Deviation 0.68

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-2 plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-2
IL2 - Baseline
1.74 pg/ml
Standard Deviation 2.42
1.27 pg/ml
Standard Deviation 1.43
Plasma Cytokines Levels - IL-2
IL2 - 4 weeks
1.96 pg/ml
Standard Deviation 2.95
1.20 pg/ml
Standard Deviation 1.63
Plasma Cytokines Levels - IL-2
IL2 - 8 weeks
1.77 pg/ml
Standard Deviation 2.55
1.20 pg/ml
Standard Deviation 1.24

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-4 plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-4
IL4 - Baseline
30.99 pg/ml
Standard Deviation 30.86
30.74 pg/ml
Standard Deviation 33.76
Plasma Cytokines Levels - IL-4
IL4 - 4 weeks
27.40 pg/ml
Standard Deviation 23.61
31.34 pg/ml
Standard Deviation 31.24
Plasma Cytokines Levels - IL-4
IL4 - 8 weeks
24.20 pg/ml
Standard Deviation 24.57
32.16 pg/ml
Standard Deviation 34.78

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-6 plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-6
IL6 - Baseline
2.15 pg/ml
Standard Deviation 2.28
1.90 pg/ml
Standard Deviation 1.75
Plasma Cytokines Levels - IL-6
IL6 - 4 weeks
2.22 pg/ml
Standard Deviation 2.62
1.81 pg/ml
Standard Deviation 1.99
Plasma Cytokines Levels - IL-6
IL6 - 8 weeks
2.16 pg/ml
Standard Deviation 2.66
1.96 pg/ml
Standard Deviation 1.56

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IL-8 plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IL-8
IL8 - Baseline
4.29 pg/ml
Standard Deviation 5.55
3.83 pg/ml
Standard Deviation 4.63
Plasma Cytokines Levels - IL-8
IL8 - 4 weeks
3.81 pg/ml
Standard Deviation 3.71
3.69 pg/ml
Standard Deviation 4.28
Plasma Cytokines Levels - IL-8
IL8 - 8 weeks
4.18 pg/ml
Standard Deviation 4.77
3.69 pg/ml
Standard Deviation 4.00

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess TNFa plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - TNFa
TNFa - Baseline
2.11 pg/ml
Standard Deviation 2.16
1.76 pg/ml
Standard Deviation 1.32
Plasma Cytokines Levels - TNFa
TNFa - 4 weeks
2.02 pg/ml
Standard Deviation 2.77
1.86 pg/ml
Standard Deviation 1.38
Plasma Cytokines Levels - TNFa
TNFa - 8 weeks
2.00 pg/ml
Standard Deviation 2.19
1.61 pg/ml
Standard Deviation 1.09

SECONDARY outcome

Timeframe: Baseline, 4 weeks, 8 weeks

To assess IFNgamma plasma cytokines levels changes in participants taking fingolimod versus placebo

Outcome measures

Outcome measures
Measure
Fingolimod
n=18 Participants
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 Participants
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Plasma Cytokines Levels - IFNgamma
IFNgamma - 8 weeks
4.32 pg/ml
Standard Deviation 3.38
5.62 pg/ml
Standard Deviation 4.40
Plasma Cytokines Levels - IFNgamma
IFNgamma - Baseline
5.32 pg/ml
Standard Deviation 4.17
8.32 pg/ml
Standard Deviation 16.21
Plasma Cytokines Levels - IFNgamma
IFNgamma - 4 weeks
4.61 pg/ml
Standard Deviation 3.54
4.95 pg/ml
Standard Deviation 3.70

Adverse Events

Fingolimod

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Fingolimod
n=18 participants at risk
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 participants at risk
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Psychiatric disorders
Hospitalization for exacerbation of schizophrenia
0.00%
0/18 • Screening through day 112
4.5%
1/22 • Number of events 1 • Screening through day 112
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/18 • Screening through day 112
4.5%
1/22 • Number of events 1 • Screening through day 112

Other adverse events

Other adverse events
Measure
Fingolimod
n=18 participants at risk
0.5mg of fingolimod, oral administration, daily, for 8 weeks. Fingolimod: 0.5mg each day of 8 week cycle
Placebo
n=22 participants at risk
placebo, oral administration, daily, for 8 weeks. placebo: 1 tablet each day of 8 week cycle
Cardiac disorders
Asymptomatic Bradycardia
16.7%
3/18 • Number of events 3 • Screening through day 112
13.6%
3/22 • Number of events 4 • Screening through day 112
Blood and lymphatic system disorders
Hyponatremia
0.00%
0/18 • Screening through day 112
13.6%
3/22 • Number of events 3 • Screening through day 112
Gastrointestinal disorders
diarrhea
16.7%
3/18 • Number of events 3 • Screening through day 112
9.1%
2/22 • Number of events 2 • Screening through day 112
General disorders
headache
16.7%
3/18 • Number of events 3 • Screening through day 112
9.1%
2/22 • Number of events 2 • Screening through day 112
Musculoskeletal and connective tissue disorders
Low back pain
5.6%
1/18 • Number of events 1 • Screening through day 112
4.5%
1/22 • Number of events 2 • Screening through day 112
Cardiac disorders
QTc Interval Prolongation
11.1%
2/18 • Number of events 2 • Screening through day 112
0.00%
0/22 • Screening through day 112
Cardiac disorders
Mobitz I AV Block
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
Cardiac disorders
Sinus Tachycardia
5.6%
1/18 • Number of events 1 • Screening through day 112
4.5%
1/22 • Number of events 1 • Screening through day 112
Cardiac disorders
Hypertension, intermittent
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
Blood and lymphatic system disorders
Lymphocytopenia
100.0%
18/18 • Number of events 18 • Screening through day 112
4.5%
1/22 • Number of events 1 • Screening through day 112
Blood and lymphatic system disorders
Neutropenia
11.1%
2/18 • Number of events 2 • Screening through day 112
0.00%
0/22 • Screening through day 112
Gastrointestinal disorders
Nausea
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
Hepatobiliary disorders
Elevated Liver Enzymes
27.8%
5/18 • Number of events 5 • Screening through day 112
0.00%
0/22 • Screening through day 112
Eye disorders
Blurry vision
16.7%
3/18 • Number of events 3 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
Dry mouth
11.1%
2/18 • Number of events 2 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
Exacerbation of Allergic Rhinitis
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
Musculoskeletal and connective tissue disorders
Chest wall pain
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
Insomnia
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
mood lability
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
Fatigue
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
Psychiatric disorders
Increased auditory hallucinations
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
Paresthesia
5.6%
1/18 • Number of events 1 • Screening through day 112
4.5%
1/22 • Number of events 1 • Screening through day 112
General disorders
Stuttering
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
General disorders
Dyskinetic Movement
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112
Psychiatric disorders
Worsening of intermittent panic attacks
5.6%
1/18 • Number of events 1 • Screening through day 112
0.00%
0/22 • Screening through day 112

Additional Information

Dr. Alan Breier

Indiana University

Phone: 317-880-8495

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place