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Elezanumab

Phase 2

Acute Ischemic Stroke | Small molecule | Neurology |AbbVie Inc.|Last Updated: Feb 11, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment121

FDA Designations

No designations recorded

Clinical trial landscape

Elezanumab · 4 trials · 3 indications

Phase 2 4
NCT04309474A Safety and Efficacy Study of Intravenous (IV) Elezanumab Assessing Change in Neurologic Function in Adult Participants With Acute Ischemic StrokeAcute Ischemic Stroke
COMPLETED121 Analytics
NCT04295538Safety And Efficacy Study Of Intravenous (IV) Administration Of Elezanumab To Assess Change In Upper Extremity Motor Score (UEMS) In Adult Participants With Acute Traumatic Cervical Spinal Cord Injury (SCI)Spinal Cord Injury (SCI)
COMPLETED60 Analytics
NCT03737812A Study to Assess the Safety and Efficacy of Elezanumab When Added to Standard of Care in Progressive Forms of Multiple SclerosisMultiple Sclerosis (MS)
COMPLETED123 Analytics
NCT03737851A Study to Assess the Safety and Efficacy of Elezanumab When Added to Standard of Care in Relapsing Forms of Multiple SclerosisMultiple Sclerosis (MS)
COMPLETED208 Analytics
PHASE2COMPLETED
A Safety and Efficacy Study of Intravenous (IV) Elezanumab Assessing Change in Neurologic Function in Adult Participants With Acute Ischemic Stroke
Acute Ischemic StrokeUnlock trial analytics
PHASE2COMPLETED
Safety And Efficacy Study Of Intravenous (IV) Administration Of Elezanumab To Assess Change In Upper Extremity Motor Score (UEMS) In Adult Participants With Acute Traumatic Cervical Spinal Cord Injury (SCI)
Spinal Cord Injury (SCI)Unlock trial analytics
PHASE2COMPLETED
A Study to Assess the Safety and Efficacy of Elezanumab When Added to Standard of Care in Progressive Forms of Multiple Sclerosis
Multiple Sclerosis (MS)Unlock trial analytics
PHASE2COMPLETED
A Study to Assess the Safety and Efficacy of Elezanumab When Added to Standard of Care in Relapsing Forms of Multiple Sclerosis
Multiple Sclerosis (MS)Unlock trial analytics

Study Endpoints

Primary Endpoints

Analysis of the National Institutes of Health Stroke Scale (NIHSS) Total Score Area Under the Curve During the Treatment Period
Day 1 through Week 52

The National Institutes of Health Stroke Scale (NIHSS) is a neurological examination used to quantitatively measure the severity of acute stroke by evaluating impact of cerebral infarction on level of consciousness, gaze, visual field, facial palsy, motor ability of arm and leg, limb ataxia, sensation, language, dysarthria, and extinction/inattention. Domains are scored on a scale of 0 to 2, 0 to 3, or 0 to 4, for a total range of 0 to 42 points with higher scores indicating impairment. The monthly-adjusted AUC of the NIHSS total score for each treatment group was derived using the trapezoidal method and contrasts from a Mixed Model with Repeated Measures (MMRM). Please refer to the formula for AUCi in the Statistical Analysis Plan (SAP) where i = treatment group (placebo, elezanumab) and j = visit during the Treatment Period {Day 1, Day 2-4, Week 4, Week 8, Week 12, Week 24, Week 36, Week 52}.

Upper Extremity Motor Score (UEMS)
52 Weeks

The UEMS is a subscore of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) that grades function of 5 key muscles in the upper limbs on a scale of 0 to 5 on each side from total paralysis to active full range of movement, respectively.

Number of Participants Experiencing Adverse Events
Up to approximately 91 Weeks

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Mean Overall Response Score (ORS)
Week 52

The ORS is a composite score derived from 4 components: Expanded Disability Status Scale (EDSS), Timed 25-Foot Walk (T25FW), 9-Hole Peg Test in the dominant hand (9HPT-D), and 9HPT in the non-dominant hand (9HPT-ND). Clinically significant worsening = -1, no change = 0, clinically significant improvement = +1. The ORS is the sum of these scores for the EDSS: Timed 25-Foot Walk, 9-Hole Peg Test-dominant, and 9-Hole Peg Test-nondominant and ranges from -4 to + 4.

Mean Overall Response Score (ORS) at Week 52
Week 52

The ORS is a composite score derived from 4 components: Expanded Disability Status Scale (EDSS), Timed 25-Foot Walk (T25FW), 9-Hole Peg Test in the dominant hand (9HPT-D), and 9HPT in the non-dominant hand (9HPT-ND). Clinically significant worsening = -1, no change = 0, clinically significant improvement = +1. The ORS is the sum of these scores for the EDSS: Timed 25-Foot Walk, 9-Hole Peg Test-dominant, and 9-Hole Peg Test-nondominant and ranges from -4 to + 4.

Secondary Endpoints

Responder Status Based on Modified Rankin Scale (mRS)
Week 52
Change from Baseline in Spinal Cord Independence Measures (SCIM III) Self-Care Score
Week 0 through Week 52
Change in Upper Extremity Motor Score (UEMS) From Baseline
Week 0 through Week 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ElezanumabEXPERIMENTALParticipants will receive elezanumab 1800 mg
PlaceboPLACEBO_COMPARATORParticipants will receive placebo for elezanumab
Elezanumab 400mg DoseEXPERIMENTALParticipants randomized to receive 400mg of elezanumab by intravenous infusion.
Elezanumab 1800 mg DoseEXPERIMENTALParticipants randomized to receive 1800mg of elezanumab by intravenous infusion.
Elezanumab Dose 1EXPERIMENTALParticipants randomized to receive double-blind elezanumab Dose 1 by intravenous infusion.
Elezanumab Dose 2EXPERIMENTALParticipants randomized to receive double-blind elezanumab Dose 2 by intravenous infusion.

Interventions

NameTypeDescription
ElezanumabDRUGIntravenous (IV) infusion
PlaceboDRUGIntravenous (IV) infusion
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Eligibility Criteria

Age Range30 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites42

Inclusion Criteria: * Clinical diagnosis of acute ischemic stroke, supported by acute brain computed tomography (CT) or magnetic resonance imaging (MRI) consistent with the clinical diagnosis. * Able to randomize within 24 hours of last known normal. * National Institute of Health Stroke Scale (NIH...

Countries:United StatesAustraliaCanadaJapanSouth KoreaSpainIsrael
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Frequently asked questions about Elezanumab

What is Elezanumab used for?

Elezanumab is an investigational small molecule being developed for neurological conditions, including acute ischemic stroke, spinal cord injury (SCI), and multiple sclerosis (MS). It is administered intravenously and has been studied in Phase 2 clinical trials for these indications.

Who makes Elezanumab?

Elezanumab is developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker ABBV. AbbVie has sponsored multiple clinical trials evaluating the drug's safety and efficacy in neurological disorders.

What phase is Elezanumab in?

Elezanumab is in Phase 2 clinical development. It has completed four Phase 2 trials, with no active trials currently enrolling. The drug remains investigational and has not been approved by regulatory authorities for any indication.

What clinical trials is Elezanumab in?

Elezanumab has completed four Phase 2 trials: NCT03737812 and NCT03737851 in multiple sclerosis, NCT04295538 in spinal cord injury, and NCT04309474 in acute ischemic stroke. These trials were randomized, double-blind, and placebo-controlled, enrolling a total of 331 participants.

How does Elezanumab work?

Elezanumab is a small molecule that targets a specific molecular pathway involved in neurological damage and repair. By modulating this target, it aims to reduce injury and promote functional recovery in conditions like stroke, spinal cord injury, and multiple sclerosis.

Is Elezanumab the same as any other drug?

No alternative names for Elezanumab have been reported. It is identified solely by its generic name and is being developed exclusively by AbbVie for neurological indications.