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Fingolimod

Phase 3

Multiple Sclerosis (MS) | Small molecule | Immunology |Novartis AG|Last Updated: May 14, 2026

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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment129
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04926818Efficacy and Safety of Ofatumumab and Siponimod Compared to Fingolimod in Pediatric Patients With Multiple SclerosisPHASE3 ACTIVE NOT_RECRUITING 129Oct 5, 2021Feb 28, 2031May 14, 202651 United States, Argentina +23
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Study Endpoints
Primary Endpoints
Annualized relapse rate (ARR) in target pediatric participants
Baseline up to 24 months

Frequency of relapses assessed by the annualized relapse rate (ARR). The ARR is defined as the average number of confirmed relapses per year (total number of confirmed relapses divided by the total days in the study multiplied by 365.25).

Secondary Endpoints
Annualized relapse rate (ARR) as compared to historical interferon β-1a data
Baseline up to 24 months
Annualized T2 lesion rate
Baseline up to 24 months
Neurofilament light chain (NfL) concentrations
Day 1, Months 3,6,12,18,24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ofatumumab - 20 mg injection/ placeboEXPERIMENTALOfatumumab as a solution for injection in an autoinjector containing 20 mg ofatumumab (50 mg/mL, 0.4 mL content) for subcutaneous administration. A loading dose at Day1, Day 7 and Day 14 and then injections every 4 weeks/ 6 weeks (depending on patient's body weight).
siponimod - 0.5 mg, 1 mg or 2 mg/ placeboEXPERIMENTALSiponimod tablet administered orally once daily. Titration period, Day 1 to Day 6, first dose is either 0.1 mg or 0.25 mg up to daily dose of either 0.5 mg, 1 mg or 2 mg (depending on CYP2C9 genotype and body weight).
fingolimod - 0.5 mg or 0.25 mg/ placeboACTIVE_COMPARATORFingolimod capsule administered orally once daily at a dose of either 0.5 mg or 0.25 mg (depending on patient's body weight).
Interventions
NameTypeDescription
FingolimodDRUGFingolimod capsule administered orally once daily at a dose of either 0.5 mg or 0.25 mg (depending on patient's body weight).
OfatumumabDRUGOfatumumab as a solution for injection in an autoinjector containing 20 mg ofatumumab (50 mg/mL, 0.4 mL content) for subcutaneous administration. A loading dose at Day1, Day 7 and Day 14 and then injections every 4 weeks/ 6 weeks (depending on patient's body weight).
SiponimodDRUGSiponimod tablet administered orally once daily. Titration period, Day 1 to Day 6, first dose is either 0.1 mg or 0.25 mg up to daily dose of either 0.5 mg, 1 mg or 2 mg (depending on CYP2C9 genotype and body weight).
Fingolimod placeboOTHERFingolimod matching placebo capsule
Siponimod placeboOTHERSiponimod matching placebo tablet
Ofatumumab placeboOTHEROfatumumab matching placebo autoinjector
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Eligibility Criteria
Age Range10 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: 1. Between 10 to \<18 years of age (i.e., have not yet had their 18th birthday) at randomization 2. Diagnosis of multiple sclerosis 3. EDSS score of 0 to 5.5, inclusive 4. At least one MS relapse/attack during the previous year or two MS relapses in the previous two years prior ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChileCroatiaEstoniaFranceGermanyGuatemalaIndiaIsraelItalyLatviaMexicoPolandPortugalSerbiaSlovakiaSpainTaiwanTurkey (Türkiye)
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04926818primaryCompletionDate: changed
LOWMay 24, 2026NCT04926818studyFirstPostDate: changed