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BIIB017

Phase 3

Relapsing Multiple Sclerosis | Small molecule | Immunology |Biogen Inc.|Last Updated: Jan 25, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,767
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01939002Characterize Flu-like Symptoms in Relapsing Multiple Sclerosis Patients Transitioning From Non-Pegylated Interferon Beta (IFN-β) Therapies to Peginterferon Beta-1a (BIIB017)PHASE3 COMPLETED 251Nov 1, 2013Nov 1, 2015Jan 25, 201738 United States
NCT00906399Efficacy and Safety Study of Peginterferon Beta-1a in Participants With Relapsing Multiple SclerosisPHASE3 COMPLETED 1,516Jun 1, 2009Oct 1, 2013Sep 19, 2014178 United States, Belgium +24
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Study Endpoints
Primary Endpoints
Percentage of Participants Experiencing New or Increased FLS During the First 8 Weeks: Overall Population
during the first 8 weeks of treatment

The total Flu-like Symptoms Score (FLS-S) is the sum of all 4 symptom scores (muscle aches, chills, fatigue and fever), each rated from 0 (absent) to 3 (severe), with a range of 0-12 with 0 indicating no FLS and 12 indicating severe FLS. New or increased FLS is defined as an FLS overall score of 2 points or greater over Screening. Pre-dose data were not used; up to 48-hour data after dosing were used. Overall score was imputed as the average score after dose.

Annualized Relapse Rate (ARR) at 1 Year
1 Year

A relapse is defined as new or recurrent neurologic symptoms not associated with fever or infection, lasting for at least 24 hours, and accompanied by new objective neurologic findings. Only relapses confirmed by an independent neurology evaluation committee (INEC) are included in the analysis. Data after participants switched to alternative multiple sclerosis (MS) medications are excluded. Data were analyzed using negative binomial regression, adjusted for baseline Expanded Disability Status Scale (EDSS) score (\< 4 versus ≥ 4), baseline age (\< 40 versus ≥ 40 years), and baseline relapse rate (number of relapses in 3 years prior to study entry divided by 3).

Secondary Endpoints
Percentage of Participants Experiencing New or Increased FLS During the First 8 Weeks: Between FLS Management Arms
during the first 8 weeks of treatment
Percentage of Participants With Any FLS in the 4-Week Run-In Period, During the First 8 Weeks of Treatment, and During 48 Weeks of Treatment
4-week run-in period, first 8 weeks of treatment, 48 weeks of treatment
Shift in Percentage of Participants With Any FLS From 4-Week Run-In Period to the First 8 Weeks
4-week run-in period, first 8 weeks of treatment
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BIIB017 plus current FLS therapyEXPERIMENTALFollowing a 4-week run-in period (starting 1 day after the Screening Visit) in which participants administer non-pegylated IFN therapy, participants receive BIIB017 at an initial dose of 63 μg followed by 94 μg dose at Week 2 and 125 μg every 2 weeks from Week 4 to Week 46, plus current FLS management regimen as determined by the clinician.
BIIB017 plus naproxenEXPERIMENTALFollowing a 4-week run-in period (starting 1 day after the Screening Visit) in which participants administer non-pegylated IFN therapy, participants receive BIIB017 at an initial dose of 63 μg followed by 94 μg dose at Week 2 and 125 μg every 2 weeks from Week 4 to Week 46, plus 500 mg naproxen administered twice daily up to 24 hours prior to BIIB017 treatment and continuing for 48 hours following the BIIB017 injection for the first 8 weeks of treatment, and as recommended by the treating physician subsequently.
PlaceboPLACEBO_COMPARATORPlacebo every 2 weeks for 48 weeks followed by 125 µg peginterferon beta-1a subcutaneously every 2 or 4 weeks for 48 weeks.
Peginterferon Beta-1a Q2WEXPERIMENTAL125 µg peginterferon beta-1a subcutaneously every 2 weeks (Q2W) for 96 weeks.
Peginterferon Beta-1a Q4WEXPERIMENTAL125 µg peginterferon beta-1a subcutaneously every 4 weeks (Q4W) for 96 weeks. Participants received a placebo injection 2 weeks after each active injection (in order to maintain the blind with Q2W arm).
Interventions
NameTypeDescription
BIIB017DRUG -
naproxenDRUG -
BIIB017 (peginterferon beta-1a)DRUGSupplied as a liquid in pre-filled syringes to deliver 0.5 mL of 0.25 mg/mL (125 µg dose), self-administered by subcutaneous injection.
PlaceboDRUGMatched placebo provided in pre-filled syringes, to deliver 0.5 mL self-administered by subcutaneous injection.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites38

Key Inclusion Criteria: * Must have a confirmed diagnosis of relapsing forms of multiple sclerosis (MS), as defined by McDonald criteria #1-4 \[Polman 2005\] * Must have neurological findings consistent with an Expanded Disability Status Scale (EDSS) score of 0.0 - 5.0 * Must be treated with IFN-β ...

Countries:United StatesBelgiumBulgariaCanadaChileColombiaCroatiaCzechiaEstoniaFranceGeorgiaGermanyGreeceIndiaLatviaMexicoNetherlandsNew ZealandPeruPolandRomaniaRussiaSerbiaSpainUkraineUnited Kingdom
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