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BIIB091

Phase 2

Relapsing Forms of Multiple Sclerosis | Small molecule | Immunology |Biogen Inc.|Last Updated: Feb 20, 2026

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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment127
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05798520A Study to Learn About the Safety of BIIB091 and Its Effect on Brain Inflammation When Taken Alone or With Diroximel Fumarate (DRF) in Adults With Relapsing Forms of Multiple Sclerosis (MS)PHASE2 COMPLETED 127Jul 25, 2023Feb 10, 2026Feb 20, 202677 United States, Bulgaria +8
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Study Endpoints
Primary Endpoints
Part 1: Number of Participants With Adverse Events (AEs)
Day 1 up to Week 50

An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product or auxiliary medicinal product, whether or not related to the medicinal (investigational) product or auxiliary medicinal product.

Part 1: Number of Participants With Serious Adverse Events (SAEs)
From signing the informed consent form (ICF) to Week 50

SAE is any untoward medical occurrence that at any dose results in death, in the view of the investigator, places the participant at immediate risk of death (a life-threatening event), requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect or is a medically important event.

Part 2: Cumulative Number of New T1 Gadolinium-Enhancing (GdE) Lesions
Week 8 to Week 16
Secondary Endpoints
Part 1: Cumulative Number of New T1 Gadolinium-Enhancing (GdE) Lesions
Week 8 to Week 16
Part 1: Cumulative Number of New or Enlarging T2 Hyperintense Lesions
Week 8 to Week 16
Part 1: Cumulative Volume of New or Enlarging T2 Hyperintense Lesions
Week 8 to Week 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: BIIB091 High Dose + Matching Placebo for DRFEXPERIMENTALParticipants will receive BIIB091 high dose and matching placebo for DRF, orally, for up to 48 weeks.
Part 1: BIIB091 Low Dose + Matching Placebo for DRFEXPERIMENTALParticipants will receive BIIB091 low dose and matching placebo for DRF, orally, for up to 48 weeks.
Part 1: DRF + Matching Placebo for BIIB091ACTIVE_COMPARATORParticipants will receive DRF standard dose and matching placebo for BIIB091, orally, for up to 48 weeks.
Part 2: BIIB091 + DRF Standard DoseEXPERIMENTALParticipants will receive selected dose of BIIB091 (based on Part 1 data) and DRF standard dose, orally, for up to 48 weeks.
Part 2: BIIB091 + DRF Low DoseEXPERIMENTALParticipants will receive selected dose of BIIB091 (based on Part 1 data) and DRF low dose, orally, for up to 48 weeks.
Part 2: DRF + Matching Placebo for BIIB091ACTIVE_COMPARATORParticipants will receive DRF standard dose and matching placebo for BIIB091, orally, for up to 48 weeks.
Interventions
NameTypeDescription
BIIB091DRUGAdministered as specified in the treatment arm.
DRFDRUGAdministered as specified in the treatment arm.
PlaceboDRUGAdministered as specified in the treatment arm.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites77

Key Inclusion Criteria: 1. Diagnosis of RMS \[relapsing-remitting multiple sclerosis (RRMS) or active secondary progressive multiple sclerosis (SPMS)\] in accordance with the 2017 Revised McDonald criteria. 2. Time since MS symptom onset is \<20 years. 3. Must have expanded disability status scale ...

Countries:United StatesBulgariaCzechiaGermanyItalyPolandPuerto RicoRomaniaSpainSwitzerland
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