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BIIB091

Phase 2

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

BIIB091 development status

Highest phase Phase 2
Registered trials 5 across 1 sponsor since May 2019

BIIB091 target and mechanism

ModalitySmall molecule

Also known as [14C]-BIIB091

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment127

FDA Designations

No designations recorded

BIIB091 clinical trials

BIIB091 · 1 trial · 1 indication

Phase 2 1
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)Relapsing Forms of Multiple Sclerosis
COMPLETED127 Analytics
PHASE2COMPLETED
A 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)
Relapsing Forms of Multiple SclerosisUnlock trial analytics

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 to 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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Frequently asked questions about BIIB091

What is BIIB091 used for?

BIIB091 is an investigational small molecule being studied for the treatment of relapsing forms of multiple sclerosis (MS). It is designed to address brain inflammation associated with MS. The drug is in Phase 2 clinical development and has not been approved for any indication.

Who is developing BIIB091?

BIIB091 is being developed by Biogen Inc., which trades on the Nasdaq under the ticker symbol BIIB. Biogen is the sponsor of the clinical program evaluating the drug in relapsing forms of multiple sclerosis.

What phase is BIIB091 in?

BIIB091 is in Phase 2 clinical development. The Phase 2 trial has been completed. The drug remains investigational and has not received regulatory approval for any indication.

What clinical trials is BIIB091 in?

BIIB091 has been evaluated in one Phase 2 clinical trial, NCT05798520, titled a 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. The trial is completed and enrolled 127 participants.

Is BIIB091 the same as [14C]-BIIB091?

Yes, [14C]-BIIB091 is an alternative name for BIIB091. The carbon-14 labeled form is used in certain studies, but both refer to the same investigational drug candidate being developed by Biogen for relapsing forms of multiple sclerosis.

How does BIIB091 work?

BIIB091 is a small molecule. Its mechanism of action has not been publicly disclosed. It is being studied for its effect on brain inflammation in relapsing forms of multiple sclerosis, but the specific molecular target is not available.