Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Dimethyl Fumarate
dimethyl · 12 trials · 6 indications
An AE is any untoward medical occurrence that does not necessarily have a causal relationship with treatment. An 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; any other medically important event that, in the opinion of the Investigator, may jeopardize the participant or may require intervention to prevent one of the other outcomes listed in the definition above.
An AE is any untoward medical occurrence that does not necessarily have a causal relationship with treatment.
Lymphocyte subsets include T cell, B cell and Natural killer (NK) cells.
T-cells subsets includes Activated CD4+ T-cell, Activated CD8+ T-cell, Activated CD8+ T-cell \[CD38+\], Activated Th (T helper) 1 phenotype, Activated Th17 phenotype, Activated Th2-enriched phenotype, Activated CD4+ T-cell \[CD38+HLA-DR+\], Activated CD4+ T-cell \[HLA-DR+\], Activated CD8+ T-cell \[HLA-DR+\], Central Memory (CM) CD4+ T-cell \[CD45RA-CCR7+\], CM CD4+ T-cell \[CD45RA-CCR7+\], CM CD8+ T-cell \[CD45RA-CCR7+\], Effector CD4+ T-cell \[CD45RA+CCR7-\], Effector CD8+ T-cell \[CD45RA+CCR7-\], Effector Memory (EM) CD4+ T-cell \[CD45RA-CCR7-\], EM CD8+ T-cell \[CD45RA-CCR7-\], Effector Regulatory T-cells, Effector CD4+ T-cell \[CD45RA+CCR7-\], Effector CD8+ T-cell \[CD45RA+CCR7-\], Naïve CD4+ T-cell \[CD45RA+\], Naïve CD8+ T-cell \[CD45RA+\], Naïve (N) CD8+ T-cell \[CD45RA+\], Naïve Regulatory T-cells, Terminal Effector Regulatory T-cells, Th1 phenotype, Th17 phenotype, Th2-enriched phenotype. Here, Change at week is represented as CW.
B-cell subsets include CD10+ Transitional B cells, CD138+ Plasma Cells, Ig (Immunoglobulin) D+ Memory B cells \[non-class switched\], IgD- Memory B cells \[class switched\], Naïve B cells, Plasma Cells \[CD10-\], Transitional B-cells and Plasmablasts. Here, Change at week is represented as CW.
Myeloid and natural killer cell subsets include CD56Bright NK cells, CD56Dim NK cells, Classical Monocytes, Myeloid dendritic cells, Non-classical Monocytes, Plasmacytoid dendritic cells, Total dendritic cells and Total monocytes \[CD14+\].
T-cell cytokine subsets include IFN (interferon) g+ (% of CD4+ T cells), IFNg+ (% of CD8+ T cells), IFNg+ (% of memory CD4+ T cells), IFNg+ (% of memory CD8+ T cells), IL- (interleukin) 17A+/IFNg- (% of CD4+ T cells), IL-17A+/IFNg- (% of CD8+ T cells), IL-17A+/IFNg- (% of memory CD4+ T cells), IL-17A+/IFNg- (% of memory CD8+ T cells), IL-2+ (% of CD4+ T cells), IL-2+ (% of CD8+ T cells), IL-2+ (% of memory CD4+ T cells), IL-2+ (% of memory CD8+ T cells), IL-4+ (% of CD4+ T cells), IL-4+ (% of CD8+ T cells), IL-4+ (% of memory CD4+ T cells) and IL-4+ (% of memory CD8+ T cells). Here, Change at week is represented as CW.
VLA-4/LFA-1 antigen subsets include CD11a+ (% of B cells), CD11a+ (% of T cells), CD11a+ (% of MNC), CD11a+ (% of dendritic cells \[CD11c++\]), CD11a+ (% of lymphocytes), CD11a+ (% of monocytes), CD11a+ (% of neutrophils), CD49d+ (% of B cells), CD49d+ (% of T cells), CD49d+ (% of MNC), CD49d+ (% of dendritic cells \[CD11c++\]), CD49d+ (% of lymphocytes), CD49d+ (% of monocytes) and CD49d+ (% of neutrophils).
Participants who were free of new or newly enlarging T2 hyperintense lesions were assessed on Brain MRI scans.
An adverse event (AE) was any unfavorable and unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An SAE was any untoward medical occurrence that at any dose resulted in death, in the view of the Investigator, placed the participant at immediate risk of death, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in a birth defect. TEAEs were defined as AEs occurring or worsening after beginning study treatment (after the first dose).
An AE was any unfavorable and unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
As measured by at least 2 standard deviation (SD) below Italian normative data of the Rao's Brief Repeatable Battery of Neuropsychological Tests (BRB) and a 100-item version of the Stroop Test. The Brief Repeatable Battery of Neuropsychological Tests (BRB-N) is a sensitive measure of cognitive impairment in multiple sclerosis (MS) patients. The Stroop Test is a test used to measure a person's sustained attention for word reading and color naming with and without interference.
An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
CSF Neurofilament Light Chain (NFL) is measured twice over a course of 48 weeks. Patients will have a spinal tap performed at baseline and again at week 48.
Percentage of participants with a ≥ 2-fold rise in anti-tetanus serum immunoglobulin G (IgG) levels (responders) from prevaccination to 4 weeks after Td vaccination.
An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug, whether or not related to the study drug. A serious adverse event (SAE) was any untoward medical occurrence that, at any dose: resulted in death; in the view of the Investigator, placed the participant at immediate risk of death (a life-threatening event); required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in a congenital anomaly/birth defect; was any other medically important event that, in the opinion of the Investigator, jeopardized the participant or required intervention to prevent one of the other outcomes above. TEAE was defined as having an onset date that was on or after the start of study treatment (BG00012), or that worsened after the start of study treatment.
Percentage of participants with potentially clinically significant hematology laboratory abnormalities.
Percentage of participants with post-baseline liver enzyme values above the upper limit of normal (ULN). Liver enzymes included alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transpeptidase (GGT), and bilirubin. Elevated ALT/AST (ALT/AST ≥ 3\*ULN) concurrent with elevated total bilirubin was also evaluated.
Percentage of participants with post-baseline values for selected urinalysis parameters requiring further evaluation. For urine microscopy, results were categorized for male and female participants. For males, normal/negative was considered 0 to 3 red blood cells/high-power field (rbc/hpf), and positive was categorized in the following stages: 4 to 10, 11 to 20, 21 to 149, and ≥ 150 rbc/hpf. For females, normal/negative was considered 0 to 8 rbc/hpf, and positive was categorized in the following stages: 9 to 20, 21 to 30, 31 to 149, and ≥ 150 rbc/hpf.
| Arm | Type | Description |
|---|---|---|
| dimethyl fumarate | EXPERIMENTAL | Participants will receive 120 mg capsule(s) taken orally. |
| BG00012 | EXPERIMENTAL | Participants will receive the recommended dose of 240 mg orally, twice a day |
| IFN β-1a (Avonex) | ACTIVE_COMPARATOR | Participants will receive the recommended dose of 30 μg (weekly) |
| Part I Placebo | PLACEBO_COMPARATOR | Placebo orally twice a day. In Part I: participants will be randomized into one of 2 groups: BG00012, 240 mg twice daily (BID) or matching placebo BID Participants will begin the study by taking 1 capsule orally BID for first 7 days and escalate their dosing from day 8 to 2 matching capsules orally BID. |
| Part I BG00012 | EXPERIMENTAL | BG00012 240 mg orally twice a day (participants will begin dosing at 120 mg BG00012 twice daily (BID) for the first 7 days and 240 mg BG00012 BID thereafter.) In Part I: participants will be randomized into one of 2 groups: BG00012, 240 mg twice daily (BID) or matching placebo BID |
| Part II BG00012 | EXPERIMENTAL | Part II: All participants will receive BG00012 240 mg orally twice a day (participants will begin dosing at 120 mg (1 capsule) BG00012 twice daily (BID) for the first 7 days and 240 mg (2 capsules) BG00012 BID thereafter. |
| BG00012 plus placebo | EXPERIMENTAL | In the first phase, participants will receive BG00012 240 mg (two 120 mg capsules) twice a day (BID) and 2 placebo capsules once a day. In the second phase participants will receive open-label BG00012 240 mg BID, for atleast 8 years. |
| Active drug | ACTIVE_COMPARATOR | Dimethyl fumarate, 240mg twice daily for 48 weeks |
| Placebo | PLACEBO_COMPARATOR | Placebo Oral Capsules, 2 tablets twice daily for 48 weeks |
| Non-Pegylated IFN Treated Plus Vaccinations | ACTIVE_COMPARATOR | Participants on a stable approved dose of a non pegylated IFN for ≥3 months will receive 3 vaccinations on Day 1 intramuscularly in the specified order: Td 0.5 mL PPSV23 0.5 mL MCV4 0.5 mL |
| Tecfidera Treated Plus Vaccinations | EXPERIMENTAL | Participants on a stable approved dose of Tecfidera (240 mg BID) for ≥6 months will receive 3 vaccinations on Day 1 intramuscularly in the specified order: Td 0.5 mL PPSV23 0.5 mL MCV4 0.5 mL |
| Glatiramer acetate (GA) and dimethyl fumarate | EXPERIMENTAL | Participants taking a stable dose of GA for at least 12 months prior to the study remain on that dose throughout the study. Dimethyl fumarate is administered at 120 mg three times a day (TID) on Days 1-7, and 240 mg TID on Day 8 until the end of treatment (approximately 6 months). |
| Interferon beta (IFNβ) and dimethyl fumarate | EXPERIMENTAL | Participants taking a stable dose of one of the IFNβ products for at least 12 months prior to the study remain on that product and dose throughout the study. Dimethyl fumarate is administered at 120 mg three times a day (TID) on Days 1-7, and 240 mg TID on Day 8 until the end of treatment (approximately 6 months). |
| BG00012 Part 1 | EXPERIMENTAL | BG00012 120 mg delivered to varying locations of the GI tract |
| BG00012 Part 2 | EXPERIMENTAL | BG00012 240 mg delivered to varying locations of the GI tract |
| BG00012 plus ASA | EXPERIMENTAL | - |
| BG00012 plus ASA matching placebo | EXPERIMENTAL | - |
| BG00012 Placebo plus ASA | PLACEBO_COMPARATOR | - |
| BG00012 Placebo plus ASA matching placebo | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| dimethyl fumarate | DRUG | administered orally |
| Interferon β-1a | DRUG | administered by intramuscular injection |
| Placebo | DRUG | Two placebo capsules orally BID |
| tetanus diphtheria toxoids vaccine | BIOLOGICAL | Administered as described in the treatment arm |
| 23-valent pneumococcal polysaccharide vaccine | BIOLOGICAL | Administered as described in the treatment arm |
| meningococcal polysaccharide diphtheria conjugate vaccine (quadrivalent) | BIOLOGICAL | Administered as described in the treatment arm |
| non-pegylated interferon | DRUG | Throughout the study participants will remain on their existing, stable dosing regimen of non-pegylated IFN. |
| Dimethyl Fumarate (BG00012) | DRUG | - |
| Aspirin | DRUG | - |
| BG00012 matching placebo | DRUG | - |
| ASA matching placebo | DRUG | - |
Key Inclusion Criteria: * Ability of parents, legal guardians, and/or subjects to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use confidential health information in accordance with national and local subject privacy regulations. S...
Dimethyl Fumarate is used for the treatment of relapsing forms of multiple sclerosis, including relapsing-remitting multiple sclerosis (RRMS). It is also studied in healthy volunteers and in primary progressive multiple sclerosis. The drug is being developed as a small molecule therapy for these neurological conditions.
Dimethyl Fumarate is developed by Biogen Inc., a biotechnology company traded on the NASDAQ under the ticker symbol BIIB. Biogen is conducting clinical trials to evaluate the drug's safety and efficacy in patients with multiple sclerosis, including relapsing-remitting forms of the disease.
Dimethyl Fumarate is in Phase 1 of clinical development, though completed trials include Phase 2 and Phase 3 studies. The drug is investigational and not yet approved by regulatory authorities. It has completed four clinical trials with a total enrollment of 2,225 participants.
Dimethyl Fumarate has completed four clinical trials, including NCT02410200, a Phase 2 study in pediatric RRMS patients; NCT02525874, a Phase 3 study on lymphocyte subsets; NCT02555215, a Phase 3 extension study in pediatric patients; and NCT02579681, a Phase 3 cognition study in RRMS patients.
Dimethyl Fumarate is also known as Dimethyl Fumarate. The drug is referred to by both names in clinical research and medical literature. This alternative name is used interchangeably when discussing the compound in the context of multiple sclerosis treatment trials.
Dimethyl Fumarate is not FDA approved and remains an investigational drug in clinical development. The completed trials have evaluated its use in multiple sclerosis, but regulatory approval has not been granted. The drug is still undergoing study to determine its safety and effectiveness.