yingweiwo

Fingolimod (FTY-720)

Alias: FTY720 (free base); FTY720; 162359-55-9; 2-Amino-2-(4-octylphenethyl)propane-1,3-diol; 2-Amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol; Fingolimod [INN]; 2-Amino-2-[2-(4-octylphenyl)ethyl]-1,3-propanediol; Fty-720; fingolimodum; Fingolimod HCl; FTY-720; FTY 720; Trade name: Gilenia and Gilenya.
Cat No.:V17861 Purity: ≥98%
Fingolimod (formerly FTY720; FTY-720; FTY 720;trade names Gilenia and Gilenya), an approved medication for treating Multiple sclerosis, is a potent S1P (sphingosine 1-phosphate)antagonist with anticancer activity.
Fingolimod (FTY-720)
Fingolimod (FTY-720) Chemical Structure CAS No.: 162359-55-9
Product category: New1
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
100mg
250mg
500mg
1g
5g

Other Forms of Fingolimod (FTY-720):

  • Fingolimod-d4 hydrochloride (FTY720-d4)
  • Fingolimod-d4 (FTY720 free based-d4)
  • Fingolimod (FTY720) HCl
  • Fingolimod phosphate (FTY-720-P)
Official Supplier of:
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Fingolimod (formerly FTY720; FTY-720; FTY 720; trade names Gilenia and Gilenya), an approved medication for treating Multiple sclerosis, is a potent S1P (sphingosine 1-phosphate) antagonist with anticancer activity. It inhibits S1P with an IC50 of 0.033 nM in K562 and NK cells. It is a folk medicine emerged from Fungi. Fingolimod was firstly found to be a therapeutic agent in organ transplantation. It plays the role in MS treatment through receptor-mediated actions both on the immune system and in the CNS. Fingolimod is used to treat multiple sclerosis, and has antineoplastic activity.

Biological Activity I Assay Protocols (From Reference)
Targets
sphingosine 1-phosphate (S1P)(IC50 = 0.033 nM, in K562 and NK cells); PAK1
ln Vitro
Before surviving with NK cells, monocyte-derived immature dendritic cells (iDCs) were exposed to various doses of S1P for variable amounts of time. In these dishes, autologous or allogeneic iDCs that were exposed to 0.2–20 μM S1P for four hours considerably shielded the NK cells. For autologous iDCs and allogeneic iDCs, the IC50 values for S1P were determined to be 160 nM and 34 nM, respectively. Subsequently, fingolimod or SEW2871 at varying doses were able to counteract the inhibitory effect of S1P, with IC50 values of 173 or 15 nM, respectively [1]. It has been observed that fungiolimod causes LPA to be synthesized by preventing lysophospholipase automobility in cells. An important component of axonal development, axonal cAMP concentration, showed a strong correlation with fingolim therapy. Furthermore, fingolimod dramatically lowered the nerve center's LPA levels. Myelin thickness improvements are linked to PF-8380 therapy [2].
ln Vivo
Fourteen days after extrusion, fingolimod therapy led to a notable increase in nerves in wild-type C57BL/6 nozzles. On the other hand, T-deficient B-deleted Foxn1-/-nozzles treated with fingolimod demonstrated enhanced nerve regeneration. Though the average rate of nerve growth in Foxn1-/- nozzles treated with Fingolimod and control Foxn1-/- nozzles suggested that T deficit affects nerve regeneration. Possibility of a role, although only Foxn1-/-treated mice significantly outperformed C57BL/6 and fared better in functional examination [2]. Ex vivo radioactive autobinding was used to quantify the amount of 18F-GE180 tracer binding that occurred after animals treated with fingolimod for 28 days. The results showed that the binding potential of 18F-GE180 was significantly reduced (P<0.0001) after treatment with fingolimod.
Enzyme Assay
Detection of cytokines and chemokines release utilizing the ELISArray kits[1]
DCs or NK cells were incubated at a cell concentration of 1 × 106 cells/ml with either media or with 2 μM S1P, 10 nM SEW2871, 10 nM FTY720 or their combinations. DCs were also incubated with 1 μg/ml LPS. After 24 h incubation, the cells were harvested and the cell suspensions were centrifuged at 1,000 × g for 10 min before the supernatants were collected. Detection of the levels of various cytokines and chemokines was carried utilizing the Multi-Analyte ELISArray Kit as described by the manufacturers’ user manual. The kit analyzes the release of IL-1β, IL-4, IL-6, IL-10, IL-12, IL-17A, IFN-γ, TNF-α, TGF-β1, MCP-1, MIP-1α, and MIP-1β. Negative and positive controls supplied by the kits were also included[1].
Cell Assay
Immature DCs were left intact or were incubated with 2 μM S1P, 10 nM FTY720 , 10 nM SEW2871 or the combinations of S1P with these drugs for 4 h. As a control 1 μg/ml LPS was used. The cells were washed and incubated in a 96-well plate (v-bottom, 2 × 105 cells per well), washed again and resuspended in PBS buffer containing 0.1% sodium azide. They were labeled with 1 μg/ml FITC-conjugated mouse anti-human CD80, 1 μg/ml FITC-conjugated mouse anti-human CD83, 1 μg/ml FITC-conjugated mouse anti-human CD86, 1 μg/ml FITC-conjugated mouse anti-human HLA-class I, 1 μg/ml FITC-conjugated mouse anti-human HLA-DR, 1 μg/ml FITC-conjugated mouse anti-human HLA-E, or 1 μg/ml FITC-conjugated mouse IgG as a control. The cells were washed twice, and examined in the flow cytometer. Markers were set according to the isotype control FITC-conjugated mouse IgG.[1]
To stain NK cells with antibodies for various NK cell activating receptors, they were either left untreated or incubated with 2 μM S1P for 4 h, washed and stained with 1 μg/ml PE-conjugated mouse anti-human NKp30 (CD337), 1 μg/ml PE-conjugated mouse anti-human NKp44 (CD336), 1 μg/ml PE-conjugated mouse anti-human NKG2D (CD314), or as a control 1 μg/ml PE-conjugated mouse IgG1, for 45 min at 4°C. NK cells were also stained with 1 μg/ml FITC-conjugated anti-killer inhibitory receptor (KIR)/CD158 antibody which recognizes KIR2DL2, KIR2DL3, KIR2DS2 and KIR2DS4, and as a control with FITC-conjugated mouse IgG. The cells were washed twice, and examined in the flow cytometer. Markers were set according to the isotype control PE-conjugated or FITC-conjugated mouse IgG.
Animal Protocol
Methods:[3]
Chronic focal experimental autoimmune encephalitis (EAE)-like lesions were induced in Lewis rats (n = 24) via stereotactic intrastriatal injection of heat-killed bacillus Calmette-Guérin (BCG) and subsequent activation using an intradermal injection of BCG in complete Freund adjuvant. This process resulted in a delayed-type hypersensitivity (DTH)-like EAE lesion. The extent of neuroinflammation surrounding the lesion was measured using (18)F-GE180 as a PET radioligand. The imaging was performed before and after treatment with fingolimod (0.3 mg/kg/d by mouth, 28 d) or vehicle as a control. In addition to imaging, autoradiography and immunohistochemistry experiments were performed to verify the in vivo results.
Results: [3]
The chronic DTH EAE lesion led to increased ligand binding in the ipsilateral, compared with contralateral, hemisphere when PET imaging was performed with the translocator protein-binding radioligand (18)F-GE180. Treatment with fingolimod led to a highly significant reduction in the binding potential, which could be demonstrated using both in vivo and ex vivo imaging (fingolimod vs. vehicle treatment, P < 0.0001). The area of increased (18)F-GE180 signal mapped closely to the area of activated microglial cells detected by immunohistochemistry.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Fingolimod is slowly but efficiently absorbed in the gastrointestinal tract. AUC varies greatly, depending on the patient, and pharmacokinetic studies demonstrate a range of AUC values for fingolimod. The Tmax of fingolimod ranges between 12-16 hours and its bioavailability is 90-93%. Steady-state concentrations of fingolimod are achieved within 1-2 months after initiation when it is administered in a single daily dose.
About 81% of an oral dose of fingolimod is excreted in the urine in the form of inactive metabolites. Intact fingolimod and its active metabolite account for less than 2.5% of the dose, and can be found excreted in the feces.
The volume of distribution of fingolimod is about 1200±260 L. It is approximately 86% distributed in the red blood cells (RBC).
Fingolimod blood clearance is 6.3±2.3 L/h, according to prescribing information. Another resource mentions it ranges from 6-8 L/h.
Metabolism / Metabolites
Sphingosine kinase metabolizes fingolimod to an active metabolite, fingolimod phosphate. Fingolimod metabolism occurs via 3 major metabolic pathways: firstly, phosphorylation of the (S)-enantiomer of fingolimod-phosphate (pharmacologically active), secondly, oxidation by cytochrome P450 4F2 (CYP4F2), and thirdly, fatty acid-like metabolism to various inactive metabolites. The formation of inactive non-polar ceramide analogs of fingolimod also occurs during its metabolism.
Biological Half-Life
The half-life of fingolimod and its active metabolite ranges from 6-9 days.
Toxicity/Toxicokinetics
Hepatotoxicity
In large randomized controlled trials of fingolimod in patients with multiple sclerosis, serum ALT elevations above 3 times ULN were reported in 8% to 14% of fingolimod compared to 2% to 3% of placebo recipients. The enzyme elevations were usually transient and not associated with symptoms or jaundice and required drug discontinuation in less than 1% of cases. No instances of acute hepatitis or clinically apparent liver injury were reported in the preregistration trials of fingolimod. Subsequent to its approval and more wide scale use, however, instances of clinically apparent liver injury attributed to fingolimod were reported including cases of acute liver failure requiring emergency liver transplantation. The onset of liver injury was often within days or weeks of starting treatment and the pattern of liver enzyme elevations was usually hepatocellular. In addition, at least one instance of reactivation of hepatitis B in an inactive HBsAg carrier has been reported. Thus, mild-to-moderate and transient serum enzyme elevations during therapy are not uncommon, and clinically apparent liver injury with jaundice due to fingolimod can occur.
Likelihood score: C (probable cause of clinically apparent liver injury as well as reactivation of hepatitis B in susceptible patients).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
Although fingolimod and its active metabolite are highly bound in maternal plasma and unlikely to reach the breastmilk in large amounts, it is potentially toxic to the breastfed infant. Because there is no published experience with fingolimod during breastfeeding, expert opinion generally recommends that it should be avoided during breastfeeding, especially while nursing a newborn or preterm infant. However, the manufacturer's labeling does not recommend against its use in breastfeeding.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
Relevant published information was not found as of the revision date.
Protein Binding
The protein binding of fingolimod and its active metabolite exceeds 99.7%.
References

[1]. FTY720 and SEW2871 reverse the inhibitory effect of S1P on natural killer cell mediated lysis of K562 tumor cells and dendritic cells but not on cytokine release. Cancer Immunol Immunother. 2010, 59(4), 575-586.

[2]. Fingolimod promotes peripheral nerve regeneration via modulation of lysophospholipid signaling. J Neuroinflammation. 2016 Jun 10;13(1):143.

[3]. In vivo PET imaging demonstrates diminished microglial activation after fingolimod treatment in an animal model of multiple sclerosis. J Nucl Med. 2015 Feb;56(2):305-10.

[4]. Modification of lymphocyte migration to Peyer's patches by inhibition of sphingosine-1-phosphate lyase ameliorates murine colitis. J Gastroenterol Hepatol. 2018 Jan 15.

Additional Infomation
Pharmacodynamics
In multiple sclerosis, fingolimod binds to sphingosine receptors, reducing its associated neuroinflammation.In COVID-19, it may reduce lung inflammation and improve the clinical outcomes of patients with this disease. Fingolimod causes a transient reduction in heart rate and AV conduction during treatment initiation. It has the potential to prolong the QT interval.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C19H33NO2
Molecular Weight
307.478
Exact Mass
307.251
Elemental Analysis
C, 74.22; H, 10.82; N, 4.56; O, 10.41
CAS #
162359-55-9
Related CAS #
Fingolimod-d4;1346747-38-3;Fingolimod-d4 hydrochloride;1346604-90-7;Fingolimod hydrochloride;162359-56-0; 162359-55-9; 402615-91-2 (phosphate); 207113-62-0 (octanoic acid); 1242271-26-6 (palmitamide); 207113-64-2 (hexanoic acid)
PubChem CID
107970
Appearance
White to off-white solid powder
Density
1.0±0.1 g/cm3
Boiling Point
479.5±45.0 °C at 760 mmHg
Melting Point
102-107
Flash Point
243.8±28.7 °C
Vapour Pressure
0.0±1.3 mmHg at 25°C
Index of Refraction
1.531
LogP
5.25
Hydrogen Bond Donor Count
3
Hydrogen Bond Acceptor Count
3
Rotatable Bond Count
12
Heavy Atom Count
22
Complexity
258
Defined Atom Stereocenter Count
0
InChi Key
KKGQTZUTZRNORY-UHFFFAOYSA-N
InChi Code
InChI=1S/C19H33NO2/c1-2-3-4-5-6-7-8-17-9-11-18(12-10-17)13-14-19(20,15-21)16-22/h9-12,21-22H,2-8,13-16,20H2,1H3
Chemical Name
2-Amino-2-[2-(4-octylphenyl)ethyl]-1,3-propandiol
Synonyms
FTY720 (free base); FTY720; 162359-55-9; 2-Amino-2-(4-octylphenethyl)propane-1,3-diol; 2-Amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol; Fingolimod [INN]; 2-Amino-2-[2-(4-octylphenyl)ethyl]-1,3-propanediol; Fty-720; fingolimodum; Fingolimod HCl; FTY-720; FTY 720; Trade name: Gilenia and Gilenya.
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
Ethanol : ~7.69 mg/mL (~25.01 mM)
DMSO : ~2 mg/mL (~6.50 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 1 mg/mL (3.25 mM) (saturation unknown) in 10% EtOH + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 10.0 mg/mL clear EtOH stock solution to 400 μL of PEG300 and mix evenly; then add 50 μL of Tween-80 to the above solution and mix evenly; then add 450 μL of normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 1 mg/mL (3.25 mM) (saturation unknown) in 10% EtOH + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 10.0 mg/mL clear EtOH stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 1 mg/mL (3.25 mM) (saturation unknown) in 10% EtOH + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 10.0 mg/mL clear EtOH stock solution to 900 μL of corn oil and mix well.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.2522 mL 16.2612 mL 32.5224 mL
5 mM 0.6504 mL 3.2522 mL 6.5045 mL
10 mM 0.3252 mL 1.6261 mL 3.2522 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
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Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
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Clinical Trial Information
Study to Evaluate the Effectiveness and Safety of Ozanimod Compared to Fingolimod in Children and Adolescents With Relapsing Remitting Multiple Sclerosis
CTID: NCT06408259
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-11-29
Examining the Risk of Skin Cancer in Multiple Sclerosis Patients Using Fingolimod: a Population-Based Study
CTID: NCT06705608
Phase:    Status: Completed
Date: 2024-11-26
Fingolimod as a Treatment of Cerebral Edema After Intracerebral Hemorrhage
CTID: NCT04088630
PhaseEarly Phase 1    Status: Completed
Date: 2024-11-20
Study of Efficacy and Safety of Fingolimod (Gilenya) 0.5 mg in Chinese Patients With Relapsing Multiple Sclerosis (RMS) Patients
CTID: NCT04667949
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-11-20
Safety and Efficacy Study of Fingolimod in Taiwanese Adults (≥ 20years) With Relapsing Remitting Multiple Sclerosis
CTID: NCT04480853
Phase: Phase 4    Status: Recruiting
Date: 2024-11-15
View More

Efficacy and Safety of Ofatumumab and Siponimod Compared to Fingolimod in Pediatric Patients With Multiple Sclerosis
CTID: NCT04926818
Phase: Phase 3    Status: Recruiting
Date: 2024-10-04


A Study To Evaluate Safety And Efficacy Of Ocrelizumab In Comparison With Fingolimod In Children And Adolescents With Relapsing-Remitting Multiple Sclerosis
CTID: NCT05123703
Phase: Phase 3    Status: Recruiting
Date: 2024-10-01
Safety and Effectiveness of Generic Fingolimod (Sphingomod®, Hikma) in Patients With Relapsing-Remitting Multiple Sclerosis in Egypt
CTID: NCT05423769
Phase:    Status: Completed
Date: 2024-08-23
Fingolimod for Type 2 Diabetes Mellitus
CTID: NCT05307731
Phase: Phase 4    Status: Recruiting
Date: 2024-07-30
Safety and Efficacy of Fingolimod in Pediatric Patients With Multiple Sclerosis
CTID: NCT01892722
Phase: Phase 3    Status: Recruiting
Date: 2024-07-10
The Gilenya Pregnancy Registry
CTID: NCT01285479
Phase:    Status: Recruiting
Date: 2024-03-15
Fingolimod in Minimal Invasive Treatment of Intracerebral Hemorrhage
CTID: NCT06087965
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2023-10-18
A Study to Assess Pregnancy Outcomes in Women Exposed to Diroximel Fumarate
CTID: NCT05688436
Phase:    Status: Recruiting
Date: 2023-10-13
Fingolimod in Treating Patients With Chemotherapy-Induced Neuropathy
CTID: NCT03943498
PhaseEarly Phase 1    Status: Completed
Date: 2023-09-11
Fingolimod in Preventing Paclitaxel-Associated Neuropathy in Patients With Breast Cancer
CTID: NCT03941743
Phase: Phase 1    Status: Completed
Date: 2023-07-21
Combinating Fingolimod With Alteplase Bridging With Thrombectomy in Acute Ischemic Stroke
CTID: NCT04675762
Phase: Phase 2    Status: Recruiting
Date: 2023-04-18
Fingolimod for the Abrogation of Interstitial Fibrosis and Tubular Atrophy Following Kidney Transplantation
CTID: NCT05285878
Phase: Phase 2    Status: Enrolling by invitation
Date: 2023-01-26
Relationship Between Oral DMT Burden and Adherence in MS
CTID: NCT04676204
Phase:    Status: Enrolling by invitation
Date: 2022-08-31
Fingolimod in Endovascular Treatment of Ischemic Stroke
CTID: NCT04629872
Phase: Phase 2    Status: Unknown status
Date: 2022-04-13
Safety Study in Patients With Multiple Sclerosis Treated Fingolimod or Other Approved Disease-modifying Therapies
CTID: NCT01442194
Phase:    Status: Completed
Date: 2022-01-14
Oral Bio-equivalence Study
CTID: NCT05145621
Phase: Phase 1    Status: Completed
Date: 2021-12-21
Impact of Fingolimod Adherence on Outcomes
CTID: NCT05141669
Phase:    Status: Completed
Date: 2021-12-16
A Study of Immune Phenotype Biomarkers in Patients With Relapsing Multiple Sclerosis (RMS) After Treatment With 0.5mg Fingolimod
CTID: NCT03257358
Phase: Phase 4    Status: Completed
Date: 2021-10-07
Combinating Fingolimod With Alteplase Bridging With Mechanical Thrombectomy in Acute Ischemic Stroke
CTID: NCT02956200
Phase: Phase 2    Status: Withdrawn
Date: 2021-07-22
Long-term Safety and Tolerability of 0.5 mg Fingolimod in Patients With Relapsing Forms of Multiple Sclerosis
CTID: NCT01201356
Phase: Phase 3    Status: Completed
Date: 2021-04-21
Long-term, Open-label, Multicenter Study Assessing Long-term Cardiovascular Risks
CTID: NCT02232061
Phase: Phase 4    Status: Completed
Date: 2021-02-10
Revascularization Pretreated With Fingolimod in Acute Stroke
CTID: NCT04718064
Phase: N/A    Status: Unknown status
Date: 2021-01-22
Evaluation of Patient Retention of Fingolimod vs. Currently Approved Disease Modifying Therapy in Patients With Relapsing Remitting Multiple Sclerosis.
CTID: NCT01623596
Phase: Phase 4    Status: Completed
Date: 2021-01-05
Pharmacokinetics (PK) and Metabolism of FTY720 in Patients With Severe Renal Impairment and Healthy Matched Subjects.
CTID: NCT00731523
Phase: Phase 1    Status: Completed
Date: 2020-12-09
Fingolimod in COVID-19
CTID: NCT04280588
Phase: Phase 2    Status: Withdrawn
Date: 2020-11-13
A 3-year Multi-center Study to Describe Changes of OCT Parameters Under Treatment With Gilenya®
CTID: NCT01705236
Phase: Phase 4    Status: Completed
Date: 2020-03-02
Fingolimod Versus Dimethyl-fumarate in Multiple Sclerosis
CTID: NCT03345940
Phase: Phase 4    Status: Terminated
Date: 2019-10-31
Fingolimod Effect on Cytokine and Chemokine Levels
CTID: NCT02373098
Phase: Phase 4    Status: Completed
Date: 2019-09-30
MS Study Evaluating Safety and Efficacy of Two Doses of Fingolimod Versus Copaxone
CTID: NCT01633112
Phase: Phase 3    Status: Terminated
Date: 2019-05-28
Evaluating of the Effect of Fingolimod With Fish Oil on Relapsing-Remitting Multiple Sclerosis Patients
CTID: NCT02939079
Phase: Phase 2/Phase 3    Status: Completed
Date: 2019-05-14
Fingolimod in Schizophrenia Patients
CTID: NCT01779700
Phase: Phase 2    Status: Completed
Date: 2019-04-16
Effect of Fingolimod on Neurodegeneration
CTID: NCT02575365
Phase: Phase 4    Status: Terminated
Date: 2019-02-27
Follow up Study of Patients on Fingolimod Who Were Enrolled in the Original Biobank Study (CFTY720DDE01)
CTID: NCT02720107
Phase: Phase 4    Status: Completed
Date: 2019-02-08
Efficacy of Fingolimod in de Novo Patients Versus Fingolimod in Patients Previously Treated With a First Line Disease Modifying Therapy
CTID: NCT01498887
Phase: Phase 4    Status: Completed
Date: 2019-01-25
Bioequivalence Study of a Test Capsule Formulation of Fingolimod With the Reference Capsule Formulation of Fingolimod
CTID: NCT03757338
Phase: Phase 1    Status: Completed
Date: 2018-11-29
Efficacy and Safety of FTY720 for Acute Stroke
CTID: NCT02002390
Phase: Phase 2    Status: Completed
Date: 2018-10-17
Study to Assess Safety and Efficacy of Fingolimod in Children With Rett Syndrome
CTID: NCT02061137
Phase: Phase 1/Phase 2    Status: Completed
Date: 2018-06-15
Evaluate Efficacy and Safety of Fingolimod 0.5 mg Orally Once Daily Versus Placebo in Chronic Inflammatory Demyelinating Polyradiculoneuropathy Patients.
CTID: NCT01625182
Phase: Phase 3    Status: Completed
Date: 2017-10-30
Efficacy and Safety of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis With Optional Extension Phase
CTID: NCT00340834
Phase: Phase 3    Status: Completed
Date: 2017-09-21
A Safety Study of Fingolimod With Radiation and Temozolomide in Newly Diagnosed High Grade Glioma
CTID: NCT02490930
PhaseEarly Phase 1    Status: Completed
Date: 2017-09-13
Impact of Natalizumab Versus Fingolimod in Relapsing-Remitting Multiple Sclerosis (RRMS) Participants
CTID: NCT02342704
Phase: Phase 4    Status: Terminated
Date: 2017-06-09
Safety and Efficacy of Fingolimod in MS Patients in China
CTID: NCT01941004
Phase: Phase 3    Status: Withdrawn
Date: 2017-04-21
ENGYNE Exploring Gilenya in Patients With Neutralizing Antibodies Against Interferon
CTID: NCT01621269
Phase: Phase 4    Status: Withdrawn
Date: 2017-04-20
Fingolimod Versus Interferon Beta 1b in Cognitive Symptoms
CTID: NCT01333501
Phase: Phase 4    Status: Completed
Date: 2017-03-21
Fingolimod -Response According to Coping - Evaluation
CTID: NCT01420055
Phase: Phase 4    Status: Completed
Date: 2016-11-18
Biomarker Study After Initiation of Treatment With Fingolimod (FTY720) in Patients With Relapsing-remitting Multiple Sclerosis
CTID: NCT01310166
Phase: Phase 4    Status: Completed
Date: 2016-11-18
Long-term Effect of Fingolimod on Circulating Immunocompetent Mononuclear Cells in Patients With Multiple Sclerosis
CTID: NCT01755871
Phase: Phase 4    Status: Terminated
Date: 2016-06-09
A 12 -Month, Open-label, Multi-center Study to Explore the Health Outcomes of FTY720
CTID: NCT01578330
Phase: Phase 4    Status: Completed
Date: 2016-06-07
Patients With Relapse Remitting Multiple Sclerosis (RRMS): Candidates for MS Therapy Change
CTID: NCT01317004
Phase: Phase 4    Status: Completed
Date: 2015-06-22
Fingolimod (FTY720) in Acute Demyelinating Optic Neuritis (ADON)
CTID: NCT01757691
Phase: Phase 2    Status: Terminated
Date: 2015-05-04
Safety and Tolerability of Fingolimod in Patients With Relapsing-remitting Multiple Sclerosis
CTID: NCT01497262
Phase: Phase 3    Status: Completed
Date: 2015-03-19
A Phase 1 Study to Explore the Cardiac Pharmacodynamics of MT-1303
CTID: NCT02193217
Phase: Phase 1    Status: Completed
Date: 2015-02-20
Study to Assess Immune Function and MRI Disease Activity in RRMS Patients When Switching From Natalizumab to Gilenya
CTID: NCT02325440
Phase: Phase 4    Status: Unknown status
Date: 2014-12-25
Combination of Antidepressants and Fingolimod Relapsing-remitting Multiple Sclerosis (RRMS) Patients With Depression
CTID: NCT01436643
Phase: Phase 4    Status: Terminated
Date: 2014-09-25
Disease Control and Safety in Patients With Relapsing Remitting Multiple Sclerosis (RRMS) Switching From Natalizumab to Fingolimod
CTID: NCT01499667
Phase: Phase 3    Status: Terminated
Date: 2014-08-08
Evaluation of Patient Reported Outcomes in RRMS Patients Candidates for MS Therapy Change and Transitioned to Fingolimod 0.5 mg (EPOC)
CTID: NCT01534182
Phase: Phase 4    Status: Completed
Date: 2014-08-08
-----------------
COMBAT-MS (COMparison Between All immunoTherapies for Multiple Sclerosis)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-05-22
Evaluation of clinical response in relation to the immunological status change in RRMS patients treated with Gilenya (fingolimod) for 12 months.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2016-09-23
Effects of fingolimod on functional brain adaptation and clinical measures in multiple sclerosis
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2014-12-17
A Multicenter, Randomized, Open-Label Study to Assess the Impact of Natalizumab versus Fingolimod on Central Nervous System Tissue Damage and Recovery in Active Relapsing-Remitting Multiple Sclerosis Subjects
CTID: null
Phase: Phase 4    Status: Prematurely Ended, Completed
Date: 2014-11-10
Long-term, open-label, multicenter study assessing long-term cardiovascular risks in patients treated with fingolimod
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-07-30
Long-term follow-up at 10-years of patients enrolled in the fingolimod Phase II program in relapsing multiple sclerosis
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-04-09
A 32-week, monocentric, exploratory, single arm study to assess immune function and MRI disease activity in patients with relapsing remitting multiple sclerosis (RRMS) transferred from previous treatment with Natalizumab to Gilenya® (Fingolimod)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-03-13
Does targeting of S1P receptors reduce microglial activation in multiple sclerosis?
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-12-20
Hematopoietic Stem Cell Therapy for Patients with Inflammatory Multiple Sclerosis Failing Alternate Approved Therapy: A Randomized Study
CTID: null
Phase: Phase 2    Status: Completed
Date: 2013-11-04
Essai de phase IV, multicentrique, ouvert, visant à tester la différence d’efficacité du Natalizumab, versus le fingolimod, 2 médicaments ayant une AMM pour le traitement de la sclérose en plaques
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-09-12
A multicenter, randomized, active-controlled study to assess the safety, tolerability, and efficacy of FTY720 in patients with acute, noninfectious intermediate, posterior and pan uveitis
CTID: null
Phase: Phase 2    Status: Completed, Prematurely Ended
Date: 2013-05-08
An open-label, single arm study to provide access to fingolimod to MS patients who completed fingolimod phase IIIb studies and who benefited from treatment with fingolimod or do not have suitable alternative treatment options, but do not have access to the reimbursed drug
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2013-04-15
A two-year, double-blind, randomized, multicenter, active controlled study to evaluate the safety and efficacy of fingolimod administered orally once daily versus interferon β-1a i.m. once weekly in pediatric patients with multiple sclerosis with five-year fingolimod Extension Phase
CTID: null
Phase: Phase 3    Status: Ongoing, Trial now transitioned, GB - no longer in EU/EEA, Prematurely Ended, Completed
Date: 2013-04-02
Monitoring natural killer cells in multiple sclerosis patients treated with fingolimod: a monocentric, prospective, one year, baseline-to-treatment, open-label, single group pilot trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-02-13
A 48-week, double-blind, randomized, multi-center, parallelgroup study comparing structural changes in the retina and evolution of visual function after immediate versus delayed treatment with fingolimod in patients with acute demyelinating optic neuritis
CTID: null
Phase: Phase 2    Status: Completed, Prematurely Ended
Date: 2013-01-29
Open-label, single-arm extension study to the double-blind, randomized, multicenter, placebo-controlled, parallel-group study comparing the efficacy and safety of 0.5 mg FTY720 administered orally once daily versus placebo in patients with primary progressive multiple sclerosis
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2012-11-07
Modification of the visual outcome after optic neuritis in CIS or MS by Gilenya®
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2012-10-26
A 6 months, randomized, multicenter, parallel-group, open-label study to evaluate the effect of an individualized patient support program on treatment satisfaction in Fingolimod (FTY720)-treated patients with relapsing-remitting multiple sclerosis
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-10-15
Effect of fingolimod on cardiac autonomic regulation in MS-patients
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-10-12
A double-blind, randomized, multicenter, placebo-controlled, parallel-group study to evaluate the efficacy and safety of 0.5 mg fingolimod administered orally once daily versus placebo in patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP)
CTID: null
Phase: Phase 2, Phase 3    Status: Prematurely Ended, Completed
Date: 2012-10-08
A 3-year, multi-center study to evaluate optical coherence tomography as an outcome measure in patients with multiple sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-09-19
A 3-year, multi-center study to describe the long term changes of optical coherence tomography (OCT) parameters in patients under treatment with Gilenya®
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-08-01
A 1-week, open-label, multi-center study to explore conduction abnormalities during first dose administration of fingolimod in patients with relapsing-remitting multiple sclerosis (START)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-06-27
A 6-month, multicenter, randomized, controlled parallel group study to evaluate the effect of physical training on fatigue in patients with relapsing-remitting multiple sclerosis treated with fingolimod (Gilenya®), followed by a 6 month optional extension phase
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-11-08
A multi-centre, open-label, non-randomised, parallel group clinical trial to assess the efficacy of fingolimod in naïve patients versus fingolimod in patients previously treated with interferons or glatiramer acetate, based on the presence of relapses in patients with relapsing-remitting multiple sclerosis.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-10-26
A 32-week, patient- and rater-blinded, randomized, multi-center, parallel-group study to evaluate disease control and safety in patients with relapsing remitting multiple sclerosis transferred from previous treatment with natalizumab to fingolimod (FTY720)
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2011-08-26
« GRACE : Gilenya® - Réponse Au Coping - Evaluation » Etude multicentrique de phase IV, prospective, en ouvert, d'une durée de 4 mois, visant à comparer la réponse à l’initiation du fingolimod (Gilenya®) selon le profil de « coping » chez des patients adultes présentant une sclérose en plaques rémittente-récurrente très active en France.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-06-14
“An open-label, multi-center, expanded access study with fingolimod in patients with relapsing-remitting multiple sclerosis for whom no suitable therapy exists”
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-04-12
A 6-month, Randomized, Active Comparator, Open-label, Multi-Center Study to Evaluate Patient OutComes, Safety and Tolerability of Fingolimod (FTY720) 0.5 mg/day in Patients with Relapsing Remitting Multiple Sclerosis who are candidates for MS therapy change from Previous Disease Modifying Therapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-03-15
A 18-month, open-label, rater-blinded, randomized, multi-center, active-controlled, parallel-group pilot study to assess efficacy and safety of fingolimod (Gilenya) in comparison to interferon beta-1b in treating the cognitive symptoms associated to relapsing-remitting multiple sclerosis and to assess possible relationship of these effects to regional brain atrophy.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-12-28
A single arm, open-label, multicenter study evaluating the long-term safety and tolerability of 0.5 mg fingolimod (FTY720) administered orally once daily in patients with relapsing forms of multiple sclerosis.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-08-06
A 3-month blinded, randomized, multicenter, placebo controlled study to evaluate the effect of treatment with fingolimod on the immune response following seasonal influenza vaccination and tetanus toxoid booster injection in patients with relapsing forms of multiple sclerosis.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2010-07-07
A double-blind, randomized, multicenter, placebo-controlled, parallel-group study comparing the efficacy and safety of 0.5 mg fingolimod administered orally once daily versus placebo in patients with primary progressive multiple sclerosis.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-02-04
A 24-month double-blind, randomized, multicenter, placebocontrolled, parallel-group study comparing the efficacy and safety of 0.5 mg and 1.25 mg fingolimod (FTY720) administered orally once daily versus placebo in patients with relapsing-remitting multiple sclerosis.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-09-10
A double-blind, randomized, placebo-controlled, parallel, time-lagged, ascending, multi-centre, multiple-dose study to measure the magnitude and time course of the effect of FTY720 on FEV1 and other pulmonary function tests (FVC, FEF25-75%, and FEV1/FVC) in patients with moderate asthma.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-05-01
A 12-month double-blind, randomized, multicenter, active controlled, parallel-group study comparing the efficacy and safety of 0.5 mg and 1.25 mg fingolimod (FTY720) administered orally once daily versus interferon β-1a (Avonex®) administered i.m. once weekly in patients with relapsing-remitting multiple sclerosis with optional Extension Phase
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-10-19
A 24-month, double-blind, randomized, multicenter, placebo-controlled, parallel-group study comparing efficacy and safety of FTY720 1.25 mg and 0.5 mg administered orally once daily versus placebo in patients with relapsing-remitting multiple sclerosis
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-12-19

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