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CTRI Number  CTRI/2024/07/071351 [Registered on: 25/07/2024] Trial Registered Prospectively
Last Modified On: 22/07/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   This study investigated the safety and tolerability of tolebrutinib in people with different forms of multiple sclerosis (MS) 
Scientific Title of Study   An interventional, Phase 3 extension study to investigate long-term safety and tolerability of tolebrutinib in participants with relapsing multiple sclerosis, primary progressive multiple sclerosis, or nonrelapsing secondary progressive multiple sclerosis. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
LTS17043 Amendment Version no. 1 dated 12 Jul 2023  Protocol Number 
NCT06372145  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr J Dinesh Kumar 
Designation  Medical Advisor, India and South East Asia Cluster 
Affiliation  Sanofi Healthcare India Private Limited 
Address  Sanofi House CTS No 117 L&T Business Park Saki Vihar Road, Mumbai, MAHARASHTRA

Mumbai
MAHARASHTRA
400072
India 
Phone  09790753835  
Fax    
Email  dineshkumar.jeyaprakash@sanofi.com  
 
Details of Contact Person
Public Query
 
Name  Venkateshwar Chaubey 
Designation  Clinical Project Leader 
Affiliation  Sanofi Healthcare India Private Limited 
Address  Sanofi House, C.T.S. No. 117/B, L&T Business Park, Saki
Vihar Road, Powai, Mumbai, Maharashtra, 400 072, India
Mumbai
MAHARASHTRA
400072
India 
Phone  9540013386  
Fax    
Email  venkateshwar.chaubey@sanofi.com  
 
Source of Monetary or Material Support  
Sanofi Healthcare India Private Limited, Sanofi House CTS No 117 L&T Business Park Saki Vihar Road, Mumbai, MAHARASHTRA- 400072  
 
Primary Sponsor  
Name  Sanofi Healthcare India Pvt Limited (SHIPL) 
Address  Sanofi House, C.T.S. No. 117/B, L&T Business Park, Saki Vihar Road, Powai, Mumbai, Maharashtra, 400 072, India 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Argentina
Australia
Austria
Belgium
Brazil
Bulgaria
Canada
Chile
China
Colombia
Croatia
Czech Republic
Denmark
Egypt
Estonia
Finland
Georgia
Germany
Greece
Hong Kong
Hungary
India
Israel
Italy
Japan
Latvia
Lithuania
Malaysia
Mexico
Netherlands
Norway
Peru
Poland
Portugal
Republic of Korea
Romania
Serbia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Taiwan
Thailand
Tunisia
Ukraine
United Arab Emirates
United Kingdom
United States of America
France
Turkey  
Sites of Study  
No of Sites = 8  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ayush Agarwal  All India Institute of Medical Sciences (AIIMS)  Room No 702, 7th Floor, Department of Neurology, Neuroscience Centre, Ansari Nagar
New Delhi
DELHI 
8193900444

ayushthetaurian@gmail.com 
Dr Manish Mahajan  Artemis Hospital  Dept of Neurology, Sector 51, Gurugram- 122001
Gurgaon
HARYANA 
8557873567

drmanishneurology@gmail.com 
Dr Praveen Gupta  Fortis Memorial Research Institute  2nd Floor, Clinical Research Department, Fortis Memorial Research Institute, Opp, Huda City Centre, Metro Station, Sector-44, Pincode-122002
Gurgaon
HARYANA 
9891907903

praveen.gupta@fortishealthcare.com 
Dr Chithra P  Government medical college  Department of Neurology Government Medical College, Thiruvananthapuram, Pin code-695611
Thiruvananthapuram
KERALA 
9446230317

drthomasiypeneuro@gmail.com 
Dr Sanjay Ganpat Ramteke  Jasleen Hospital  Brain Clinic Jasleen Hospital, Department of Neurology, Opp. Big Bazar, Panchsheel Square, Dhantoli, Nagpur 440012
Nagpur
MAHARASHTRA 
9890332286

ssrt95@yahoo.co.in 
Dr Lekha Pandit  Justice K S Hegde Charitable Hospital, Dept. of Neurology, Mangalore  Dept. of Neurology, Deralakatte, Karnataka 575018
Dakshina Kannada
KARNATAKA 
9845084343

panditmng@gmail.com 
Dr Dheeraj Khurana  Postgraduate Institute of Medical Education and Research  Room No. 18, Department of Neurology, Ground Floor, Block A, Nehru Hospital, PGIMER, Sector 12, Chandigarh, Punjab-160012
Chandigarh
CHANDIGARH 
9815066990

dherajk@yahoo.com 
Dr Anshu Rohatgi  Sir Gangaram Hospital  Admission Block, 4th Floor, Room Number#1412, Rajinder Nagar, New Delhi, Delhi 110060
New Delhi
DELHI 
9810159046

rohatgianshu@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 8  
Name of Committee  Approval Status 
Artemis health Sciences, Institutional Ethics Committee  Approved 
Central Ethics Committee, Nitte Deemed to be University, University Enclave Medical Sciences Complex Deralakatte  Submittted/Under Review 
Human Ethics Committee Government medical college  Submittted/Under Review 
IEC, Fortis Memorial Research Institute  Submittted/Under Review 
Institute Ethics Committee, All India Institute of Medical Sciences  Submittted/Under Review 
Institutional Ethics Committee, PGIMER  Approved 
Jasleen Hospital’s, Ethics Committee, Maharashtra  Approved 
Sir Ganga Ram Hospital, Ethics Committee  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G35||Multiple sclerosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  SAR442168 60 mg Placebo matched to SAR442168  Unit dose strength(s) 60 mg Dose formulation Tablet Dosage level(s) Once daily Route of administration Oral, 36 months treatment 
Comparator Agent  Teriflunomide 14 mg Placebo matched to Teriflunomide  Unit dose strength(s) 14 mg Dose formulation Tablet Dosage level(s) Once daily Route of administration Oral, 36 months treatment 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  I 01. Participants with RMS, PPMS, or NRSPMS who completed the Phase 2b LTS16004 study or 1 of the 4 Phase 3 pivotal tolebrutinib studies (EFC16033, EFC16034, EFC16645, EFC16035) on IMP.
I02: Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
I 03. The participant is capable of giving signed informed consent. 
 
ExclusionCriteria 
Details  E 01. The participant is at risk for or has a persistent chronic, active (including fever ≥38°C and clinically unstable), or recurring systemic infection, as judged by the Investigator.
E 02. For participants initiating OL tolebrutinib in the LTS17043 study: Participants at risk of developing or having reactivation of hepatitis, ie, results at the unblinding visit (RMS) or opt-in visit (PMS) for serological markers for hepatitis B and C viruses indicating acute or chronic infection. See the Study Manual for further details.
E 03. Active alcohol use disorder or a history of alcohol or drug abuse within 1 year prior to the opt-in visit 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To determine the long-term safety and tolerability of tolebrutinib in participants with RMS and PMS  60 months 
 
Secondary Outcome  
Outcome  TimePoints 
To assess long-term efficacy of OL tolebrutinib on disability progression, relapse rate (only in participants with RMS), and MRI parameters in participants with RMS and PMS  60 months 
 
Target Sample Size   Total Sample Size="2500"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   05/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  16/04/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="5"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The goal of this Phase 3 extension study is to demonstrate long-term safety and tolerability of tolebrutinib in participants with different forms of MS who participated in the Phase 2b LTS16004 study or 1 of the 4 Phase 3 pivotal tolebrutinib studies. Long-term efficacy will also be assessed by key secondary endpoints evaluating disability progression, relapse rate (only in participants with RMS), number of new or enlarging T2-hyperintense lesions, and T2 lesion volume. Together with evaluation of other secondary and tertiary endpoints, this study will provide a comprehensive evaluation of the long-term safety, tolerability, and efficacy of tolebrutinib in the MS population.

 
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