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IMU-838

Phase 3

Multiple Sclerosis | Small molecule | Immunology |Immunic, Inc.|Last Updated: Feb 23, 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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment1,121
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05134441Study to Evaluate the Efficacy, Safety, and Tolerability of IMU-838 in Patients With Relapsing Multiple SclerosisPHASE3 ACTIVE NOT_RECRUITING 1,121Nov 18, 2021Sep 1, 2033Feb 23, 202691 United States, Albania +14
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Study Endpoints
Primary Endpoints
To evaluate efficacy of IMU-838 versus placebo regarding time to first relapse
72 weeks

Survival analysis of time to first relapse, occurred after the start of study treatment administration and before the end of the double-blind period, censored at a maximum of 72 weeks.

Secondary Endpoints
Effect of IMU-838 versus placebo on volume of new T2 lesions
72 weeks
Effect of IMU-838 versus placebo on disability progression
72 weeks
Effect of IMU-838 versus placebo on cognitive performance
72 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
IMU-838EXPERIMENTALIMU-838 (vidofludimus calcium), a small molecule inhibitor of DHODH. Formulation: Tablets with 15 or 30 mg IMU-838 for once daily oral intake in the morning.
PlaceboPLACEBO_COMPARATORMatching placebo, as described for the test product, identical number of tablets as given for IMU-838.
Interventions
NameTypeDescription
IMU-838 tabletsDRUGPatients are randomized to IMU-838 or placebo in ratio 1:1
Placebo matching IMU-838 tabletsDRUGPatients are randomized to IMU-838 or placebo in ratio 1:1
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites91

Inclusion Criteria: * Male or female patient (age ≥18 to ≤55 years). * Patients with an established diagnosis of MS according to 2017 McDonald Criteria. * Patients with RMS comprising of relapsing remitting MS (RRMS) and active secondary progressive MS, both defined according to Lublin criteria 199...

Countries:United StatesAlbaniaAlgeriaBulgariaGeorgiaGermanyIndiaJordanLebanonLithuaniaMexicoMoldovaMontenegroNorth MacedoniaPolandUkraine
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05134441primaryCompletionDate: changed
LOWMay 24, 2026NCT05134441studyFirstPostDate: changed