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fampridine

Phase 3

Multiple Sclerosis | Small molecule | Immunology |Biogen Inc.|Last Updated: Mar 27, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment646
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02219932Efficacy and Safety Study of Prolonged-Release Fampridine in Participants With Multiple SclerosisPHASE3 COMPLETED 646Sep 1, 2014Feb 1, 2016Mar 27, 201787 United States, Bulgaria +9
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Study Endpoints
Primary Endpoints
Proportion of Participants Achieving a Mean Improvement of ≥ 8 Points From Baseline on the Multiple Sclerosis Walking Scale (MSWS-12) Over 24 Weeks
Baseline to 24 weeks

MSWS-12 is a participant self-assessment of the walking limitations due to MS during the past 2 weeks. It contains 12 items that measure the impact of MS on walking. Items are summed to generate a total score and transformed to a scale with a range of 0 to 100, where higher scores indicate greater impact on walking. A responder is defined as a participant with a mean improvement of at least 8 points over 24 weeks compared to baseline. Baseline is defined as the mean at Screening and Day 1 visits. If a participant has a mean MSWS-12 score of \< 0.5 over the double-blind period, and a baseline MSWS-12 score of \< 8 points, the participant is counted as a responder. A participant who indicates they cannot walk at all on MSWS-12 during any double-blind visit, and who shows severe disability and an inability to walk on other efficacy assessments is counted as a non-responder. Estimated proportion obtained from binomial proportions.

Secondary Endpoints
Proportion of Participants Achieving a Mean Improvement From Baseline of ≥ 15% in Timed Up and Go (TUG) Speed Over 24 Weeks
Baseline to Week 24
Change From Baseline in Multiple Sclerosis Impact Scale-29 (MSIS-29) Physical Score Over 24 Weeks
Baseline to Week 24
Change From Baseline in Berg Balance Scale (BBS) Over 24 Weeks
Baseline to Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Fampridine 10 mg BIDEXPERIMENTALProlonged-release fampridine 10 mg twice daily (BID) for up to 24 weeks
PlaceboPLACEBO_COMPARATORMatched placebo 10 mg BID for up to 24 weeks
Interventions
NameTypeDescription
fampridineDRUG -
PlaceboDRUGMatched placebo
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites87

Key Inclusion Criteria: * Must have a diagnosis of primary-progressive, secondary-progressive, progressive-relapsing, or relapsing-remitting MS per revised McDonald Committee criteria \[McDonald 2001; Polman 2005\] as defined by Lublin and Reingold \[Lublin and Reingold 1996\] of at least 3 months ...

Countries:United StatesBulgariaCzechiaFinlandItalyLithuaniaNetherlandsPolandRussiaSerbiaUnited Kingdom
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