Efficacy and safety of ozanimod in multiple sclerosis

Ozanimod, an oral immunomodulator, selectively targets sphingosine 1-phosphate receptors 1 and 5. Evaluate efficacy, safety, and tolerability of ozanimod in relapsing multiple sclerosis. In the RADIANCE Part A phase II study (NCT01628393), participants with relapsing multiple sclerosis were randomiz...

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Autores: Cohen, Jeffrey A.|||0000-0001-9245-9772, Comi, Giancarlo|||0000-0002-6989-1054, Arnold, Douglas Lorne|||0000-0003-4266-0106, Bar-Or, Amit|||0000-0001-7179-0335, Selmaj, Krzysztof W.|||0000-0003-1213-7218, Steinman, Lawrence|||0000-0002-2437-2250, Havrdova, Eva K, Cree, Bruce A. C.|||0000-0001-7689-2533, Montalbán, Xavier, Hartung, Hans-Peter|||0000-0002-0614-6989, Huang, Vivian, Frohna, Paul, Skolnick, Brett E., Kappos, Ludwig|||0000-0003-4175-5509
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:227974
Acceso en línea:https://ddd.uab.cat/record/227974
https://dx.doi.org/urn:doi:10.1177/1352458518789884
Access Level:acceso abierto
Palabra clave:Clinical trial
Disease-modifying therapies
MRI
Relapsing/remitting
T2 lesions
Multiple sclerosis
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spelling Efficacy and safety of ozanimod in multiple sclerosisDose-blinded extension of a randomized phase II studyCohen, Jeffrey A.|||0000-0001-9245-9772Comi, Giancarlo|||0000-0002-6989-1054Arnold, Douglas Lorne|||0000-0003-4266-0106Bar-Or, Amit|||0000-0001-7179-0335Selmaj, Krzysztof W.|||0000-0003-1213-7218Steinman, Lawrence|||0000-0002-2437-2250Havrdova, Eva KCree, Bruce A. C.|||0000-0001-7689-2533Montalbán, XavierHartung, Hans-Peter|||0000-0002-0614-6989Huang, VivianFrohna, PaulSkolnick, Brett E.Kappos, Ludwig|||0000-0003-4175-5509Clinical trialDisease-modifying therapiesMRIRelapsing/remittingT2 lesionsMultiple sclerosisOzanimod, an oral immunomodulator, selectively targets sphingosine 1-phosphate receptors 1 and 5. Evaluate efficacy, safety, and tolerability of ozanimod in relapsing multiple sclerosis. In the RADIANCE Part A phase II study (NCT01628393), participants with relapsing multiple sclerosis were randomized (1:1:1) to once-daily ozanimod hydrochloride (0.5 or 1 mg) or placebo. After 24 weeks, participants could enter a 2-year, dose-blinded extension. Ozanimod-treated participants continued their assigned dose; placebo participants were re-randomized (1:1) to ozanimod hydrochloride 0.5 or 1 mg (equivalent to ozanimod 0.46 and 0.92 mg). A total of 223 (89.6%) of the 249 participants completed the blinded extension. At 2 years of the extension, the percentage of participants who were gadolinium-enhancing lesion-free ranged from 86.5% to 94.6%. Unadjusted annualized relapse rate during the blinded extension (week 24-end of treatment) was 0.32 for ozanimod hydrochloride 0.5 mg → ozanimod hydrochloride 0.5 mg, 0.18 for ozanimod hydrochloride 1 mg → ozanimod hydrochloride 1 mg, 0.30 for placebo → ozanimod hydrochloride 0.5 mg, and 0.18 for placebo → ozanimod hydrochloride 1 mg. No second-degree or higher atrioventricular block or serious opportunistic infection was reported. Ozanimod demonstrated sustained efficacy in participants continuing treatment up to 2 years and reached similar efficacy in participants who switched from placebo; no unexpected safety signals emerged. 22018-01-0120182018-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/227974https://dx.doi.org/urn:doi:10.1177/1352458518789884reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2279742026-06-06T12:50:31Z
dc.title.none.fl_str_mv Efficacy and safety of ozanimod in multiple sclerosis
Dose-blinded extension of a randomized phase II study
title Efficacy and safety of ozanimod in multiple sclerosis
spellingShingle Efficacy and safety of ozanimod in multiple sclerosis
Cohen, Jeffrey A.|||0000-0001-9245-9772
Clinical trial
Disease-modifying therapies
MRI
Relapsing/remitting
T2 lesions
Multiple sclerosis
title_short Efficacy and safety of ozanimod in multiple sclerosis
title_full Efficacy and safety of ozanimod in multiple sclerosis
title_fullStr Efficacy and safety of ozanimod in multiple sclerosis
title_full_unstemmed Efficacy and safety of ozanimod in multiple sclerosis
title_sort Efficacy and safety of ozanimod in multiple sclerosis
dc.creator.none.fl_str_mv Cohen, Jeffrey A.|||0000-0001-9245-9772
Comi, Giancarlo|||0000-0002-6989-1054
Arnold, Douglas Lorne|||0000-0003-4266-0106
Bar-Or, Amit|||0000-0001-7179-0335
Selmaj, Krzysztof W.|||0000-0003-1213-7218
Steinman, Lawrence|||0000-0002-2437-2250
Havrdova, Eva K
Cree, Bruce A. C.|||0000-0001-7689-2533
Montalbán, Xavier
Hartung, Hans-Peter|||0000-0002-0614-6989
Huang, Vivian
Frohna, Paul
Skolnick, Brett E.
Kappos, Ludwig|||0000-0003-4175-5509
author Cohen, Jeffrey A.|||0000-0001-9245-9772
author_facet Cohen, Jeffrey A.|||0000-0001-9245-9772
Comi, Giancarlo|||0000-0002-6989-1054
Arnold, Douglas Lorne|||0000-0003-4266-0106
Bar-Or, Amit|||0000-0001-7179-0335
Selmaj, Krzysztof W.|||0000-0003-1213-7218
Steinman, Lawrence|||0000-0002-2437-2250
Havrdova, Eva K
Cree, Bruce A. C.|||0000-0001-7689-2533
Montalbán, Xavier
Hartung, Hans-Peter|||0000-0002-0614-6989
Huang, Vivian
Frohna, Paul
Skolnick, Brett E.
Kappos, Ludwig|||0000-0003-4175-5509
author_role author
author2 Comi, Giancarlo|||0000-0002-6989-1054
Arnold, Douglas Lorne|||0000-0003-4266-0106
Bar-Or, Amit|||0000-0001-7179-0335
Selmaj, Krzysztof W.|||0000-0003-1213-7218
Steinman, Lawrence|||0000-0002-2437-2250
Havrdova, Eva K
Cree, Bruce A. C.|||0000-0001-7689-2533
Montalbán, Xavier
Hartung, Hans-Peter|||0000-0002-0614-6989
Huang, Vivian
Frohna, Paul
Skolnick, Brett E.
Kappos, Ludwig|||0000-0003-4175-5509
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Clinical trial
Disease-modifying therapies
MRI
Relapsing/remitting
T2 lesions
Multiple sclerosis
topic Clinical trial
Disease-modifying therapies
MRI
Relapsing/remitting
T2 lesions
Multiple sclerosis
description Ozanimod, an oral immunomodulator, selectively targets sphingosine 1-phosphate receptors 1 and 5. Evaluate efficacy, safety, and tolerability of ozanimod in relapsing multiple sclerosis. In the RADIANCE Part A phase II study (NCT01628393), participants with relapsing multiple sclerosis were randomized (1:1:1) to once-daily ozanimod hydrochloride (0.5 or 1 mg) or placebo. After 24 weeks, participants could enter a 2-year, dose-blinded extension. Ozanimod-treated participants continued their assigned dose; placebo participants were re-randomized (1:1) to ozanimod hydrochloride 0.5 or 1 mg (equivalent to ozanimod 0.46 and 0.92 mg). A total of 223 (89.6%) of the 249 participants completed the blinded extension. At 2 years of the extension, the percentage of participants who were gadolinium-enhancing lesion-free ranged from 86.5% to 94.6%. Unadjusted annualized relapse rate during the blinded extension (week 24-end of treatment) was 0.32 for ozanimod hydrochloride 0.5 mg → ozanimod hydrochloride 0.5 mg, 0.18 for ozanimod hydrochloride 1 mg → ozanimod hydrochloride 1 mg, 0.30 for placebo → ozanimod hydrochloride 0.5 mg, and 0.18 for placebo → ozanimod hydrochloride 1 mg. No second-degree or higher atrioventricular block or serious opportunistic infection was reported. Ozanimod demonstrated sustained efficacy in participants continuing treatment up to 2 years and reached similar efficacy in participants who switched from placebo; no unexpected safety signals emerged.
publishDate 2018
dc.date.none.fl_str_mv 2
2018-01-01
2018
2018-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/227974
https://dx.doi.org/urn:doi:10.1177/1352458518789884
url https://ddd.uab.cat/record/227974
https://dx.doi.org/urn:doi:10.1177/1352458518789884
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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