About: Placebo-Controlled Phase 3 Study of Oral BG-12 for Relapsing Multiple Sclerosis     Goto   Sponge   NotDistinct   Permalink

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  • METHODS We conducted a randomized, double-blind, placebo-controlled phase 3 study involving patients with relapsing-remitting multiple sclerosis. Patients were randomly assigned to receive oral BG-12 at a dose of 240 mg twice daily, BG-12 at a dose of 240 mg three times daily, or placebo. The primary end point was the proportion of patients who had a relapse by 2 years. Other end points included the annualized relapse rate, the time to confirmed progression of disability, and findings on MRI. RESULTS The estimated proportion of patients who had a relapse was significantly lower in the two BG-12 groups than in the placebo group (27% with BG-12 twice daily and 26% with BG-12 thrice daily vs. 46% with placebo, P<0.001 for both comparisons). The annualized relapse rate at 2 years was 0.17 in the twice-daily BG-12 group and 0.19 in the thrice-daily BG-12 group, as compared with 0.36 in the placebo group, representing relative reductions of 53% and 48% with the two BG-12 regimens, respectively (P<0.001 for the comparison of each BG-12 regimen with placebo). The estimated proportion of patients with confirmed progression of disability was 16% in the twice-daily BG-12 group, 18% in the thrice-daily BG-12 group, and 27% in the placebo group, with significant relative risk reductions of 38% with BG-12 twice daily (P = 0.005) and 34% with BG-12 thrice daily (P = 0.01). BG-12 also significantly reduced the number of gadolinium-enhancing lesions and of new or enlarging T-2-weighted hyperintense lesions (P<0.001 for the comparison of each BG-12 regimen with placebo). Adverse events associated with BG-12 included flushing and gastrointestinal events, such as diarrhea, nausea, and upper abdominal pain, as well as decreased lymphocyte counts and elevated liver aminotransferase levels.
  • METHODS We conducted a randomized, double-blind, placebo-controlled phase 3 study involving patients with relapsing-remitting multiple sclerosis. Patients were randomly assigned to receive oral BG-12 at a dose of 240 mg twice daily, BG-12 at a dose of 240 mg three times daily, or placebo. The primary end point was the proportion of patients who had a relapse by 2 years. Other end points included the annualized relapse rate, the time to confirmed progression of disability, and findings on MRI. RESULTS The estimated proportion of patients who had a relapse was significantly lower in the two BG-12 groups than in the placebo group (27% with BG-12 twice daily and 26% with BG-12 thrice daily vs. 46% with placebo, P<0.001 for both comparisons). The annualized relapse rate at 2 years was 0.17 in the twice-daily BG-12 group and 0.19 in the thrice-daily BG-12 group, as compared with 0.36 in the placebo group, representing relative reductions of 53% and 48% with the two BG-12 regimens, respectively (P<0.001 for the comparison of each BG-12 regimen with placebo). The estimated proportion of patients with confirmed progression of disability was 16% in the twice-daily BG-12 group, 18% in the thrice-daily BG-12 group, and 27% in the placebo group, with significant relative risk reductions of 38% with BG-12 twice daily (P = 0.005) and 34% with BG-12 thrice daily (P = 0.01). BG-12 also significantly reduced the number of gadolinium-enhancing lesions and of new or enlarging T-2-weighted hyperintense lesions (P<0.001 for the comparison of each BG-12 regimen with placebo). Adverse events associated with BG-12 included flushing and gastrointestinal events, such as diarrhea, nausea, and upper abdominal pain, as well as decreased lymphocyte counts and elevated liver aminotransferase levels. (en)
Title
  • Placebo-Controlled Phase 3 Study of Oral BG-12 for Relapsing Multiple Sclerosis
  • Placebo-Controlled Phase 3 Study of Oral BG-12 for Relapsing Multiple Sclerosis (en)
skos:prefLabel
  • Placebo-Controlled Phase 3 Study of Oral BG-12 for Relapsing Multiple Sclerosis
  • Placebo-Controlled Phase 3 Study of Oral BG-12 for Relapsing Multiple Sclerosis (en)
skos:notation
  • RIV/00064203:_____/12:8454!RIV13-MZ0-00064203
http://linked.open...avai/predkladatel
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  • I
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  • 12
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  • 158781
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  • RIV/00064203:_____/12:8454
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  • controlled trial; oxidative stress; cells; fingolimod; disability; pathway (en)
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  • US - Spojené státy americké
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  • [72CEE7424633]
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  • New England Journal of Medicine
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  • 367
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  • Ambler, Z.
  • Gold, R.
  • Kappos, L.
  • Novák, J.
  • Yang, M.
  • Goldman, M.
  • Rektor, I.
  • Ware, J.
  • Meluzínová, Eva
  • Confavreux, C.
  • Giovannoni, G.
  • Polman, C.
  • Barnett, M.
  • Grammond, P.
  • Lechner-Scott, J.
  • Havrdova, E.
  • Arnold, D.
  • Vachová, M.
  • Antel, J.
  • Bakris, G.
  • Bar-Or, A.
  • Belachew, S.
  • Beran, R.
  • Berger, T.
  • Bhan, V.
  • Bouchart, J. P.
  • Brandes, D.
  • Brassat, D.
  • Brinar, V.
  • Butzkueven, H.
  • Camu, W.
  • Casse, R.
  • Chapman, C.
  • Christie, S.
  • Chung, R.
  • Clavelou, P.
  • Cohen, B.
  • Coman, AI
  • Dawson, KT
  • Decoo, D.
  • Demarin, V.
  • Deyn, PP
  • Diem, R.
  • Doležil, D.
  • Dubois, B.
  • Fazekas, F.
  • Gallacher, P.
  • Grgic, S.
  • Herndon, R.
  • Jacques, F.
  • Kanovsky, P.
  • Kowey, PR
  • Macdonell, R.
  • Medaer, R.
  • Milla, C.
  • Miller, A.
  • Paine, M.
  • Ransmayr, G.
  • Richert, J.
  • Rudež, J.
  • Schwartz, R.
  • Seeldrayers, P.
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