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BG00012 Dose 1

Phase 3

Healthy | Small molecule | Other |Biogen Inc.|Last Updated: Jun 13, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials3
Total Enrollment258

FDA Designations

No designations recorded

Clinical trial landscape

BG00012 Dose 1 · 3 trials · 1 indication

Phase 3 1Phase 1 2
NCT01568112Effect of Aspirin Pretreatment or Slow Dose Titration on Flushing and Gastrointestinal Events in Healthy Volunteers Receiving Delayed-release Dimethyl FumarateHealthy
COMPLETED173 Analytics
PHASE3COMPLETED
Effect of Aspirin Pretreatment or Slow Dose Titration on Flushing and Gastrointestinal Events in Healthy Volunteers Receiving Delayed-release Dimethyl Fumarate
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Reporting Overall Flushing Events During the Overall Treatment Period, as Assessed by the Modified Flushing Severity Scale (MFSS)
Day 1 to Week 8

Participant-reported flushing side effect events during the treatment period recorded on the eDiary as assessed by MFSS. MFSS questionnaire measures the side effects related to flushing following drug administration. Flushing means redness, warmth, tingling or itching of the skin. This questionnaire relates only to the period of time since the investigational drug was administered and was to be completed within 10 hours of taking the study drug (2 times/day). Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects).

Percentage of Participants Reporting Overall Flushing Events During Weeks 1 to 4 (Combined), as Assessed by MFSS
Week 1 to Week 4

Participant-reported flushing side effect events during Weeks 1 to 4 recorded on the eDiary as assessed by MFSS. MFSS questionnaire measures the side effects related to flushing following drug administration. Flushing means redness, warmth, tingling or itching of the skin. This questionnaire relates only to the period of time since the investigational drug was administered and was to be completed within 10 hours of taking the study drug (2 times/day). Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects).

Percentage of Participants Reporting Overall Flushing Events During Weeks 5 to 8 (Combined), as Assessed by MFSS
Week 5 to Week 8

Participant-reported flushing side effect events during Weeks 1 to 4 recorded on the eDiary as assessed by MFSS. MFSS questionnaire measures the side effects related to flushing following drug administration. Flushing means redness, warmth, tingling or itching of the skin. This questionnaire relates only to the period of time since the investigational drug was administered and was to be completed within 10 hours of taking the study drug (2 times/day). Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects).

Worst Severity Scores of Overall Flushing During Weeks 1 to 4 of Treatment (Combined), as Assessed by MFSS
Day 1 to Week 4

Worst severity of participant-reported flushing events during Weeks 1-4 of treatment combined, recorded on the eDiary as assessed by MFSS. MFSS questionnaire measures the side effects related to flushing following drug administration. Flushing means redness, warmth, tingling or itching of the skin. This questionnaire relates only to the period of time since the investigational drug was administered and was to be completed within 10 hours of taking the study drug (2 times/day). Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects).

Worst Severity Scores of Overall Flushing During Weeks 5 to 8 of Treatment (Combined), as Assessed by MFSS
Week 5 to Week 8

Worst severity of participant-reported flushing events during Weeks 1-4 of treatment combined, recorded on the eDiary as assessed by MFSS. MFSS questionnaire measures the side effects related to flushing following drug administration. Flushing means redness, warmth, tingling or itching of the skin.This questionnaire relates only to the period of time since the investigational drug was administered and was to be completed within 10 hours of taking the study drug (2 times/day). Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects).

Percentage of Participants Reporting Overall Flushing Events During the Overall Treatment Period, as Assessed by the Modified Global Flushing Severity Scale (MGFSS)
Day 2 to Week 8

Participant-reported flushing events during the overall treatment period, recorded on the hand-held participant reporting device (eDiary) as assessed by MGFSS. The MGFSS measures the side effects related to flushing during the past 24 hours. Flushing means redness, warmth, tingling or itching of the skin. Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects). Day 1 data are not included in the analysis because MGFSS question refers to events reported in the 24 hours after the first dose on Day 1.

Percentage of Participants Reporting Overall Flushing Events During Weeks 1 to 4 of Treatment (Combined), as Assessed by MGFSS
Day 2 to Week 4

Participant-reported flushing events during Weeks 1 to 4 of treatment (combined), recorded on the hand-held participant reporting device (eDiary) as assessed by MGFSS. The MGFSS measures the side effects related to flushing during the past 24 hours. Flushing means redness, warmth, tingling or itching of the skin. Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects). Day 1 data are not included in the analysis because MGFSS question refers to events reported in the 24 hours after the first dose on Day 1.

Percentage of Participants Reporting Overall Flushing Events During Weeks 5 to 8 of Treatment (Combined), as Assessed by MGFSS
Week 5 to Week 8

Participant-reported flushing events during Weeks 5 to 8 of treatment (combined), recorded on the hand-held participant reporting device (eDiary) as assessed by MGFSS. The MGFSS measures the side effects related to flushing during the past 24 hours. Flushing means redness, warmth, tingling or itching of the skin. Each question is rated on a scale from 0 (no flushing side effects) to 10 (extreme flushing side effects). Day 1 data are not included in the analysis because MGFSS question refers to last 24 hours flushing score.

Percentage of Participants Reporting Gastrointestinal (GI) Events During the Overall Treatment Period, as Assessed by the Modified Acute Gastrointestinal Scale (MAGISS)
Day 1 to Week 8

The MAGISS is a participant-reported questionnaire about side effects of the gastrointestinal system following drug administration, and is based on a 0- to 10-point scale, with 0 representing absence of symptoms and 10 representing the most severe symptoms. A participant was considered having overall GI side effect if he/she had a score of \>=1 for at least one of the GI side effects including nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating and flatulence.

Percentage of Participants Reporting GI Events During Weeks 1 to 4 of Treatment (Combined), as Assessed by MAGISS
Day 1 to Week 4

The MAGISS is a participant-reported questionnaire about side effects of the gastrointestinal system following drug administration, and is based on a 0- to 10-point scale, with 0 representing absence of symptoms and 10 representing the most severe symptoms. A participant was considered having overall GI side effect if he/she had a score of \>=1 for at least one of the GI side effects including nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating and flatulence.

Percentage of Participants Reporting GI Events During Weeks 5 to 8 of Treatment (Combined), as Assessed by MAGISS
Week 5 to Week 8

The MAGISS is a participant-reported questionnaire about side effects of the gastrointestinal system following drug administration, and is based on a 0- to 10-point scale, with 0 representing absence of symptoms and 10 representing the most severe symptoms. A participant was considered having overall GI side effect if he/she had a score of \>=1 for at least one of the GI side effects including nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating and flatulence.

Worst Severity Scores of Acute GI Events During Weeks 1 to 4 of Treatment (Combined), as Assessed by MAGISS
Day 1 to Week 4

Severity of GI-related events using the MAGISS to measure GI symptoms (nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating, flatulence), based on a 0- to 10-point scale, with 0 representing absence of symptoms and 10 representing the most severe symptoms.

Worst Severity Scores of Acute GI Events During Weeks 5 to 8 of Treatment (Combined), as Assessed by MAGISS
Week 5 to Week 8

Severity of GI-related events using the MAGISS to measure GI symptoms (nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating, flatulence), based on a 0- to 10-point scale, with 0 representing absence of symptoms and 10 representing the most severe symptoms.

Percentage of Participants Reporting GI Events During the Overall Treatment Period, as Assessed by the Modified Overall Gastrointestinal Symptom Scale (MOGISS)
Day 1 to Week 8

The MOGISS is a questionnaire about overall side effects related to the gastrointestinal system (including nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating, and flatulence) during the 24 hours prior to each AM dose. Participants were to answer the questions at the same time each day, before the morning drug administration.

Percentage of Participants Reporting GI Events During Weeks 1 to 4 (Combined), as Assessed by the Modified Overall Gastrointestinal Symptom Scale (MOGISS)
Week 1 to Week 4

The MOGISS is a questionnaire about overall side effects related to the gastrointestinal system (including nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating, and flatulence) during the 24 hours prior to each AM dose. Participants were to answer the questions at the same time each day, before the morning drug administration.

Percentage of Participants Reporting GI Events During Weeks 5 to 8 (Combined), as Assessed by the Modified Overall Gastrointestinal Symptom Scale (MOGISS)
Week 5 to Week 8

The MOGISS is a questionnaire about overall side effects related to the gastrointestinal system (including nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, indigestion, constipation, bloating, and flatulence) during the 24 hours prior to each AM dose. Participants were to answer the questions at the same time each day, before the morning drug administration.

AUC of BG00012
First dose to 24 hours
Cmax of BG00012
First dose to 24 hours
PK profiles of the current BG00012 standard formulation and the BG00012 API formulation in healthy volunteers. Primary PK parameter will be the area under the plasma concentration curve
4 days post dosing period 2

Secondary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious AEs (SAEs)
Day 1 up to end of Safety Follow-up (9 weeks)
Clinical Laboratory Shifts From Baseline in Reported Values: Hematology
Day 1 to Week 8
Clinical Laboratory Shifts From Baseline in Reported Values: Blood Chemistry
Day 1 to Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeSUPPORTIVE_CARE

Treatment Arms

ArmTypeDescription
BG00012EXPERIMENTALParticipants received BG00012 for 8 weeks (120 mg BID during the first week and 240 mg BID during the subsequent 7 weeks) and premedication with ASA placebo during the first 4 weeks.
PlaceboPLACEBO_COMPARATORParticipants received BG00012 placebo for 8 weeks and premedication with ASA placebo during the first 4 weeks.
BG00012 + ASAEXPERIMENTALParticipants received BG00012 for 8 weeks (120 mg BID during the first week and 240 mg BID during the subsequent 7 weeks) and premedication with ASA during the first 4 weeks.
BG00012 Slow TitrationEXPERIMENTALParticipants received BG00012 for 8 weeks (120 mg once daily \[QD\] during Week 1, 120 mg BID during Week 2, 240 mg AM/120mg PM during Week 3, and 240 mg BID during Week 4, and 240 mg BID during Weeks 5 to 8) and premedication with ASA placebo during the first 4 weeks.
Chinese Subjects - Dose 1 BG00012EXPERIMENTAL -
Chinese Subjects - Dose 2 BG00012EXPERIMENTAL -
Japanese Subjects - Dose 1 BG00012EXPERIMENTAL -
Japanese Subjects - Dose 2 BG00012EXPERIMENTAL -
Caucasian Subjects - Dose 1 BG00012EXPERIMENTAL -
Caucasian Subjects - Dose 2 BG00012EXPERIMENTAL -
BG00012 APIACTIVE_COMPARATORBG00012 API

Interventions

NameTypeDescription
BG00012 (dimethyl fumarate)DRUGEach capsule contains 120 mg dimethyl fumarate (DMF). Fast titration involves taking one 120 mg capsule in the morning and one in the evening (240 mg daily) for one week, and then escalating to a dose of 480 mg daily (two capsules morning and evening) for the remainder of the study.Slow titration expands the dose escalation time to 4 weeks.
BG00012 placeboDRUGPlacebo matching BG00012
ASADRUG325 mg microcoated aspirin (ASA)
ASA placeboDRUGPlacebo matching aspirin
BG00012 Dose 1DRUG -
BG00012 Dose 2DRUG -
BG00012DRUGSequence 1: Oral 240 mg BG00012 Standard Formulation \& Following 7 day washout period, 240 mg BG00012 API. Sequence 2: 240 mg BG00012 API \& Following 7 day washout period, 240 mg BG00012 Standard Formulation.
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Eligibility Criteria

Age Range25 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Key Inclusion Criteria: * Must give written informed consent and any authorizations required by local law * Must have a body mass index (BMI) of between 18.0 to 34.0 kg/m\^2,inclusive. * Ability to complete the tolerability scales by accurately using the hand-held subject reporting device * Subject...

Countries:United StatesAustraliaChina
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Frequently asked questions about BG00012 Dose 1

What is BG00012 used for?

BG00012 is an investigational small molecule being studied for the treatment of relapsing-remitting multiple sclerosis and active rheumatoid arthritis. It is developed by Biogen Inc. (NASDAQ: BIIB) and is currently in clinical development, with completed trials in both indications.

What does BG00012 target?

BG00012 is a small molecule developed by Biogen Inc. (NASDAQ: BIIB) for neurological and inflammatory conditions. Its specific molecular target has not been disclosed in available clinical trial information, and it is being evaluated for its efficacy and safety in relapsing-remitting multiple sclerosis and rheumatoid arthritis.

Who makes BG00012?

BG00012 is being developed by Biogen Inc., a biotechnology company traded on NASDAQ under the ticker BIIB. Biogen is conducting clinical trials to evaluate the drug's safety and efficacy in patients with relapsing-remitting multiple sclerosis and rheumatoid arthritis.

What phase is BG00012 in?

BG00012 has completed Phase 1, Phase 2, and Phase 3 clinical trials. The most advanced completed studies are Phase 3 trials in relapsing-remitting multiple sclerosis, and a Phase 2 trial in rheumatoid arthritis. BG00012 is investigational and not yet approved by regulatory authorities.

What clinical trials is BG00012 in?

BG00012 has completed three clinical trials: NCT00420212, a Phase 3 study in relapsing-remitting multiple sclerosis with 1,234 participants; NCT00451451, a Phase 3 study with active reference in relapsing-remitting multiple sclerosis with 1,417 participants; and NCT00810836, a Phase 2 study with methotrexate in active rheumatoid arthritis with 153 participants.

Is BG00012 the same as dimethyl fumarate?

BG00012 is an investigational drug developed by Biogen Inc. (NASDAQ: BIIB) for relapsing-remitting multiple sclerosis and rheumatoid arthritis. It has completed Phase 3 trials in multiple sclerosis and Phase 2 trials in rheumatoid arthritis, but its chemical identity and relationship to other compounds have not been disclosed in the available clinical trial data.