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Interferon beta-1a

Phase 3

Multiple Sclerosis | Small molecule | Immunology |Novartis AG|Last Updated: Jun 8, 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 Enrollment240
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01892722Safety and Efficacy of Fingolimod in Pediatric Patients With Multiple SclerosisPHASE3 ACTIVE NOT_RECRUITING 240Jul 26, 2013Feb 18, 2030Jun 8, 202673 United States, Australia +23
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Study Endpoints
Primary Endpoints
Frequency of Relapses in Patients Treated for up to 24 Months
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
New/Newly Enlarged T2 Lesions
24 months
Time to First Relapse
24 months
Proportion of Patients Relapse-free
24 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
FingolimodEXPERIMENTALFingolimod was administered orally once daily at a dose of either 0.5 mg or 0.25 mg (depending on patient's body weight) with the aim to achieve systemic exposure in range of that in adults at the licensed 0.5 mg dose. Participants in this arm during core continued into extension and received open-label treatment
Interferon beta-1aACTIVE_COMPARATORAn intramuscular (IM) injection of Interferon beta-1a was administered once weekly during core phase. Participants switched to receive open-label fingolimod in extension phase
Fingolimod-Younger CohortEXPERIMENTALThe 'younger cohort' refers to the new pediatric patients to be recruited in the extension phase who fulfill any single one or a combination of the following criteria: being ≤12 years of age, or weighing ≤40 kg, or being prepubertal (i.e. pubertal status of Tanner stage \<2)
Interventions
NameTypeDescription
Interferon beta-1aDRUGAdministration once weekly via i.m. injections.
FingolimodDRUGAdministrated orally once daily: 0.5 mg capsule for patients over 40 kg or 0.25 mg capsule for patients 40 kg or less.
Placebo capsuleDRUGMatching placebo capsule required for double-dummy masking to blind formulations.
Placebo i.m. injectionDRUGMatching placebo i.m. injection required for double-dummy masking to blind formulations.
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Eligibility Criteria
Age Range10 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites73

Key Inclusion Criteria Core Phase: * diagnosis of multiple sclerosis * at least one MS relapse during the previous year or two MS relapses in the previous 2 years or evidence of Gd enhancing lesions on MRI within 6 months EDSS score of 0 to 5.5, inclusive Key Exclusion Criteria Core Phase: * pati...

Countries:United StatesAustraliaAustriaBrazilBulgariaCanadaCroatiaEstoniaFranceGermanyItalyLatviaLithuaniaMexicoNetherlandsPolandPuerto RicoRomaniaRussiaSerbiaSlovakiaSpainTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT01892722lastUpdatePostDate: changed
LOWJun 8, 2026NCT01892722lastUpdatePostDate: changed
LOWJun 8, 2026NCT01892722lastUpdatePostDate: changed
LOWMay 26, 2026NCT01892722primaryCompletionDate: changed
LOWMay 24, 2026NCT01892722studyFirstPostDate: changed