This is a multicenter, longitudinal, single-arm, open-label study to describe the change from baseline in cognitive processing speed, measured by the SDMT, in subjects with RMS treated with ozanimod HCl 1 mg at 3 years. All subjects will receive orally administered ozanimod HCl 1 mg. The primary efficacy endpoint is the proportion of subjects with a clinically meaningful increase in raw score of ≥ 4 points or 10% from baseline (improved). The treatment period is 36 months. For all subjects who finish the subject and for those who discontinue, there will be a 30-day (± 15 days) and a 90-day (± 10 days) Safety Follow-up Visit. There is no planned protocol extension following the end of the study. Approximately 250 subjects with RMS will be recruited for this study. Subjects with RMS will be enrolled in this study if they have received ≤ 1 DMT, have an EDSS ≤ 3.5, and have been diagnosed with RMS within 5 years of study entry. The Investigator will be responsible for the overall conduct of the study at the site, confirmation of subject eligibility, routine study subject clinical management including for MS relapses, and management of AEs.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
188
Oral capsule
Local Institution - 123
Birmingham, Alabama, United States
Local Institution - 136
Cullman, Alabama, United States
Local Institution - 153
Mobile, Alabama, United States
Local Institution - 162
Phoenix, Arizona, United States
Local Institution - 128
Pasadena, California, United States
Local Institution - 164
Proportion of subjects with an increase in raw score of ≥ 4 points or 10% from baseline (improved)
Symbol Digit Modalities Test
Time frame: Up to approximately 3 years
Proportion of subjects with a decrease in raw score of ≥ 4 points or 10% from baseline (worsened)
Symbol Digit Modalities Test
Time frame: Up to approximately 3 years
Proportion of subjects with a raw score change from baseline who do not meet the improved or worsened definition (stable)
Symbol Digit Modalities Test
Time frame: Up to approximately 3 years
Proportion of subjects with an increase in raw score of ≥ 3 points from baseline
Symbol Digit Modalities Test
Time frame: Up to approximately 3 years
Proportion of subjects with a decrease in raw score of ≥ 3 points from baseline
Symbol Digit Modalities Test
Time frame: Up to approximately 3 years
Change from baseline in Symbol Digit Modalities Test (SMDT)
The SDMT is a measure of cognitive processing speed
Time frame: Up to approximately 3 years
Percent change from baseline in thalamic, cortical grey matter, whole brain, lateral ventricular, and MOV volumes
Magnetic resonance imaging (MRI) brain volume
Time frame: Up to approximately 3 years
Proportion of subjects free of gadolinium enhancing (GdE) lesions over 3 years
Magnetic Resonance Imaging
Time frame: Up to approximately 3 years
GdE lesion volume over 3 years
Magnetic Resonance Imaging
Time frame: Up to approximately 3 years
Number of unique new or enlarging hyperintense T2-weighted lesions and their volume from baseline to Year 3
Magnetic Resonance Imaging
Time frame: Up to approximately 3 years
Number of unique new or enlarging hypointense T1 weighted lesions and their volume from baseline to Year 3
Magnetic Resonance Imaging
Time frame: Up to approximately 3 years
Treatment Satisfaction Questionnaire for Medication (TSQM v1.4)
Change is TSQM score over 3 years
Time frame: Up to approximately 3 years
Work Productivity and Activity Impairment-Multiple Sclerosis (WPAI-MS)
Change in WPAI score over 3 years
Time frame: Up to approximately 3 years
Fatigue Severity Scale (FSS)
The Fatigue Severity Scale (FSS) questionnaire contains nine statements that attempt to explore severity of fatigue symptoms.
Time frame: Up to approximately 3 years
Multiple Sclerosis Quality of Life-54 (MSQOL-54)
The MSQOL-54 is a multidimensional health-related QOL measure that combines both generic and MS-specific items into a single instrument
Time frame: Up to approximately 3 years
Hospital Anxiety and Depression Scale (HADS)
The HADS was developed to identify anxiety disorders and depression among subjects in nonpsychiatric hospital clinics
Time frame: Up to approximately 3 years
Annualized relapse rate (ARR)
Change in relapse rate over 3 years
Time frame: Up to approximately 3 years
Timed 25-foot Walk (T25W)
Disability progression assessed by 20% worsening from baseline over 3 years on T25W
Time frame: Up to approximately 3 years
Nine-hole Peg Test (9-HPT)
Change from baseline in the time in seconds needed to complete test activity
Time frame: Up to approximately 3 years
Expanded Disability Status Scale (EDSS)
Change from baseline in EDSS score (0-10) yearly and at 3 years
Time frame: Up to approximately 3 years
Adverse Events (AEs)
An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a subject during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the subject's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a pre-existing condition) should be considered an AE.
Time frame: Up to approximately 3 years
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Sacramento, California, United States
Local Institution - 107
Aurora, Colorado, United States
Local Institution - 102
Colorado Springs, Colorado, United States
Local Institution - 144
Fort Collins, Colorado, United States
Local Institution - 109
Washington D.C., District of Columbia, United States
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