A Study to Evaluate Safety and Efficacy of BIIB091 in Participants With Relapsing Forms of Multiple Sclerosis
Relapsing Forms of Multiple Sclerosis
About this trial
This is an interventional treatment trial for Relapsing Forms of Multiple Sclerosis focused on measuring Multiple Sclerosis, Diroximel fumarate, BIIB091
Eligibility Criteria
Key Inclusion Criteria: Diagnosis of RMS [relapsing-remitting multiple sclerosis (RRMS) or active secondary progressive multiple sclerosis (SPMS)] in accordance with the 2017 Revised McDonald criteria. Time since MS symptom onset is <20 years. Must have expanded disability status scale (EDSS) score of 0 through 5.0 at screening. Must have at least 1 of the following occurring prior to Baseline (Day 1): ≥2 clinical relapses in the last 24 months (but not within 30 days prior to Baseline [Day 1]) with at least 1 relapse during the last 12 months prior to randomization. ≥1 clinical relapse within the past 24 months (but not within 30 days prior to Baseline [Day 1]) and ≥1 new brain MRI lesion (Gd positive and/or new or enlarging T2 hyperintense lesion) within the past 12 months prior to randomization. The screening MRI could be used to satisfy this criterion (if needed for inclusion, local read is required). For new or enlarging T2 hyperintense lesions, the reference scan cannot be >12 months prior to randomization. ≥1 GdE lesion on brain MRI within 6 months prior to randomization. Key Exclusion Criteria: Diagnosis of primary progressive multiple sclerosis (PPMS) in accordance with the 2017 Revised McDonald criteria. An MS relapse that has occurred within 30 days prior to Baseline (Day 1) or the participant has not stabilized from a previous relapse at the time of screening. History of severe allergic, anaphylactic reactions or hypersensitivity reaction to BIIB091 or DRF, the excipients contained in the formulation, and if appropriate, any diagnostic agents to be administered during the study, including the following: Known hypersensitivity to any components of the study treatment Known hypersensitivity to previous fumarate or bruton's tyrosine kinase (BTK) inhibitor treatments History of hypersensitivity to parenteral administration of Gd-based contrast agents Evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection within the past 4 weeks prior to Baseline. History or positive test result at screening for human immunodeficiency virus (HIV). Current or history of hepatitis C infection regardless of viral load. Current or possible hepatitis B. Current enrollment or plan to enroll in any other drug, biological, device, clinical study, or treatment with an investigational drug or approved therapy for investigational use within 90 days prior to randomization or 5 half-lives of the drug or therapy, whichever is longer. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- HonorHealth NeurologyRecruiting
- University of Colorado School of MedicRecruiting
- Fort Wayne Neurological CenterRecruiting
- International Neurorehabilitation InstituteRecruiting
- Washington UniversityRecruiting
- The Boster Center for Multiple SclerosisRecruiting
- Neurology Clinic, PCRecruiting
- Fondazione Istituto G.Giglio di CefalùRecruiting
- Caribbean Center for Clinical ResearchRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Active Comparator
Experimental
Experimental
Active Comparator
Part 1: BIIB091 High Dose + Matching Placebo for DRF
Part 1: BIIB091 Low Dose + Matching Placebo for DRF
Part 1: DRF + Matching Placebo for BIIB091
Part 2: BIIB091 + DRF Standard Dose
Part 2: BIIB091 + DRF Low Dose
Part 2: DRF + Matching Placebo for BIIB091
Participants will receive BIIB091 high dose and matching placebo for DRF, orally, for up to 48 weeks.
Participants will receive BIIB091 low dose and matching placebo for DRF, orally, for up to 48 weeks.
Participants will receive DRF standard dose and matching placebo for BIIB091, orally, for up to 48 weeks.
Participants will receive selected dose of BIIB091 (based on Part 1 data) and DRF standard dose, orally, for up to 48 weeks.
Participants will receive selected dose of BIIB091 (based on Part 1 data) and DRF low dose, orally, for up to 48 weeks.
Participants will receive DRF standard dose and matching placebo for BIIB091, orally, for up to 48 weeks.