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GDC-0853

Phase 3

Rheumatoid Arthritis | Small molecule | Immunology |Roche Holding AG|Trials Updated: Oct 13, 2026

GDC-0853 development status

Highest phase Phase 3 (NCT04544449)
Phase scored for RHHBYPhase 2
Registered trials 17 across 2 sponsors since Nov 2013

GDC-0853 target and mechanism

Molecular targetBruton’s tyrosine kinase
Target classKinase
ModalitySmall molecule

Also known as RO7010939, Fenebrutinib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials10
Total Enrollment4,095

FDA Designations

No designations recorded

GDC-0853 clinical trials

GDC-0853 · 10 trials · 6 indications

Phase 3 3Phase 2 6Phase 1 1
NCT04586023Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Teriflunomide in Relapsing Multiple Sclerosis (RMS)Relapsing Multiple Sclerosis
ACTIVE NOT_RECRUITING751 Analytics
NCT04586010A Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Teriflunomide in Relapsing Multiple Sclerosis (RMS)Relapsing Multiple Sclerosis
ACTIVE NOT_RECRUITING746 Analytics
NCT04544449A Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Ocrelizumab in Adult Participants With Primary Progressive Multiple SclerosisMultiple Sclerosis, Primary Progressive
ACTIVE NOT_RECRUITING985 Analytics
PHASE3ACTIVE NOT_RECRUITING
Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Teriflunomide in Relapsing Multiple Sclerosis (RMS)
Relapsing Multiple SclerosisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Teriflunomide in Relapsing Multiple Sclerosis (RMS)
Relapsing Multiple SclerosisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Ocrelizumab in Adult Participants With Primary Progressive Multiple Sclerosis
Multiple Sclerosis, Primary ProgressiveUnlock trial analytics

Study Endpoints

Primary Endpoints

Annualized Relapse Rate (ARR)
Minimum of 96 weeks
Time to Onset of Composite 12-Week Confirmed Disability Progression (cCDP12)
Minimum of 120 weeks
Plasma Concentration of Fenebrutinib
Up to Week 96
Total Number of New T1 Gadolinium (Gd)-enhancing Lesions on Brain Observed Through Magnetic Resonance Imaging (MRI) Scans
At Week 12
DBT Phase: New Gadolinium (Gd) - Enhancing T1 Lesion Rate Observed on Magnetic Resonance Imaging (MRI) Scans of the Brain Over 12 Weeks
MRI scans performed at Weeks 4, 8 and 12

Radiologic evaluation for Gd enhancing T1 lesion rate was performed using a standardized MRI protocol at screening, and at Weeks 4, 8, and 12. All MRI scans were read by a centralized reading center for efficacy endpoints. The total number of new Gd-enhancing T1 lesions were calculated as the sum of the individual number of new lesions observed at Weeks 4, 8 and 12. The lesion rate (new lesions per scan) was estimated from a negative binomial regression model for the total number of events and was adjusted for the covariate 'presence or absence of T1 Gd+ lesions on the screening MRI'. Log-transformed number of scans were included in the negative binomial model as an "offset" variable to account for different number of scans.

Change From Baseline in the Urticaria Activity Score Over 7 Days (UAS7) at Day 57
Baseline and Day 57

The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals (hives) and the intensity of the pruritus (itch) over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. The maximum UAS7 value is 42. A higher score indicates worse disease. A negative change score (Day 57 score minus Baseline score) indicates improvement.

Systemic Lupus Erythematosus Responder Index (SRI)-4 Response at Week 48
Week 48

The Systemic Lupus Erythematosus Responder Index (SRI)-4 measures reduction in SLE disease activity and is a composite measure that includes the SLE Disease Activity Index (SLEDAI-2K), British Isles Lupus Activity Group (BILAG) 2004 and Physician Global Assessment. It is defined as: 1) Reduction of ≥4 points from baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score; 2) no new British Isles Lupus Assessment Group (BILAG) A or no more than 1 new BILAG B disease activity scores and 3) no worsening (defined as an increase of ≥0.3 points \[10 mm\] from baseline) in the Physician's Global Assessment of Disease Activity. The score range is from 0 to 100, with higher scores indicating greater disease activity.

Percentage of Participants With Adverse Events (AEs)
Day 1 up until 8 weeks after the last dose of study drug (up to 1 year, 2 months)

An Adverse Event (AE) was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events.

Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response at Week 52
Week 52

ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant \[either C-reactive protein or Erythrocyte Sedimentation Rate\].

Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response at Day 84, Comparison Between GDC-0853 and Placebo (Cohort 1)
Day 84

ACR50 response is defined as a ≥ 50% improvement (reduction) compared with baseline for both total joint count-68 joints (TJC68) and swollen joint count-66 joints (SJC66), as well as for three of the additional five ACR core set variables: Patient's Assessment of Pain over the previous 24 hours: using a Visual Analog Scale (VAS) left end of the line 0=no pain to right end of the line 100=unbearable pain; Patient's Global Assessment of Disease Activity and Physician's Global Assessment of Disease Activity over the previous 24 hours using a VAS where left end of the line 0=no disease activity to right end of the line 100=maximum disease activity; Health Assessment Questionnaire: 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities, 0=without difficulty to 3=unable to do; and acute-phase reactant \[either C-reactive protein or Erythrocyte Sedimentation Rate\].

Percentage of Participants With Adverse Events
Day 1 up to 8 weeks after last dose (up to Week 20)

An Adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events. A SAE was any experience that suggested a significant hazard, contraindication, side effect or precaution that: resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was medically significant.

Safety: Incidence of dose-limiting toxicities (DLTs) of GDC-0853
Approximately 1 year
Safety: Maximum tolerated dose (MTD) of GDC-0853
Approximately 1 year

Secondary Endpoints

Time to Onset of Composite 12-week Confirmed Disability Progression (cCDP12)
Minimum of 96 weeks
Time to Onset of Composite 24-week Confirmed Disability Progression (cCDP24)
Minimum of 96 weeks
Time to Onset of 12-week Confirmed Disability Progression (CDP12)
Minimum of 96 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
FenebrutinibEXPERIMENTALParticipants will receive oral (PO) fenebrutinib, with teriflunomide-matching placebo.
TeriflunomideACTIVE_COMPARATORParticipants will receive PO teriflunomide, with fenebrutinib-matching placebo in a blinded fashion.
OcrelizumabACTIVE_COMPARATORParticipants will receive IV ocrelizumab and oral fenebrutinib-matching placebo.
PlaceboPLACEBO_COMPARATORParticipants will receive oral placebo.
Cohort 1: PlaceboPLACEBO_COMPARATORParticipants received matching placebo twice daily from Day 1 to 56.
Cohort 1: GDC-0853 200mg BIDEXPERIMENTALParticipants received GDC-0853 200mg twice daily from Day 1 to 56.
Cohort 2: PlaceboPLACEBO_COMPARATORParticipants received matching placebo up to twice daily from Day 1 to 56.
Cohort 2: GDC-0853 50mg QDEXPERIMENTALParticipants received GDC-0853 50mg once daily from Day 1 to 56.
Cohort 2: GDC-0853 150mg QDEXPERIMENTALParticipants received GDC-0853 150mg once daily from Day 1 to 56.
Cohort 2: GDC-0853 200mg BIDEXPERIMENTALParticipants received GDC-0853 200mg twice daily from Day 1 to 56.
GDC-0853 (150mg) QDEXPERIMENTALParticipants received GDC-0853 (150mg) orally once daily (QD) starting on Day 1 and ending at Week 48, in combination with background standard of care therapy.
GDC-0853 (200mg) BIDEXPERIMENTALParticipants received GDC-0853 (200mg) orally twice daily (BID) starting on Day 1 and ending at Week 48, in combination with background standard of care therapy.
GDC-0853 (200mg BID) Cohort 1EXPERIMENTALParticipants received GDC-0853 orally twice daily (BID) for 52 weeks, after completing 12 weeks in Cohort 1 of Study GA29350. Cohort 1 participants in GA29350 were enrolled with moderate to severe active Rheumatoid Arthritis (RA) and an inadequate response to previous methotrexate (MTX) therapy and then randomized to 12 weeks of GDC-0853 (50 mg daily, 150 mg daily, or 200 mg BID), adalimumab, or placebo.
GDC-0853 (200mg BID) Cohort 2EXPERIMENTALParticipants received GDC-0853 orally twice daily (BID) for 52 weeks, after completing 12 weeks in Cohort 2 of Study GA29350. Cohort 2 participants in GA29350 were enrolled with moderate to severe active Rheumatoid Arthritis (RA) and an inadequate response to one or two tumor necrosis factor (TNF) inhibitors and methotrexate (MTX) therapy, and then randomized to 12 weeks of GDC-0853 (200 mg BID) or placebo.
Cohort 1: GDC-0853 High Dose + Adalimumab PlaceboEXPERIMENTALParticipants of Cohort 1 will receive GDC-0853 high dose, orally once daily along with placebo matched to adalimumab, subcutaneously every 2 weeks (Q2W) starting on Day 1 for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 milligrams per week (mg/week) (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Cohort 1: GDC-0853 Low Dose + Adalimumab PlaceboEXPERIMENTALParticipants of Cohort 1 will receive GDC-0853 low dose, orally once daily along with placebo matched to adalimumab, subcutaneously Q2W starting on Day 1 for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Cohort 1: GDC-0853 Mid Dose + Adalimumab PlaceboEXPERIMENTALParticipants of Cohort 1 will receive GDC-0853 mid dose, orally twice daily along with placebo matched to adalimumab, subcutaneously Q2W starting on Day 1 for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Cohort 1: GDC-0853 Placebo + AdalimumabACTIVE_COMPARATORParticipants of Cohort 1 will receive placebo matched to GDC-0853, orally once daily along with adalimumab, subcutaneously Q2W starting on Day 1 for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Cohort 1: GDC-0853 Placebo + Adalimumab PlaceboPLACEBO_COMPARATORParticipants of Cohort 1 will receive placebo matched to GDC-0853, orally once daily along with placebo matched to adalimumab, subcutaneously Q2W starting on Day 1 for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Cohort 2: GDC-0853 High DoseEXPERIMENTALParticipants of Cohort 2 will receive GDC-0853 high dose, orally twice daily for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Cohort 2: GDC-0853 PlaceboPLACEBO_COMPARATORParticipants of Cohort 2 will receive placebo matched to GDC-0853, orally twice daily for 12 weeks. Participants will remain on a stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines) and folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
Dose-escalationEXPERIMENTAL -

Interventions

NameTypeDescription
FenebrutinibDRUGParticipants will receive fenebrutinib.
TeriflunomideDRUGParticipants will receive teriflunomide.
PlaceboDRUGParticipants will receive teriflunomide-matching placebo or fenebrutinib-matching placebo.
OcrelizumabDRUGParticipants will receive ocrelizumab.
Placebo matched to ocrelizumabDRUGParticipants will receive ocrelizumab-matching placebo.
Placebo matched to fenebrutinibDRUGParticipants will receive fenebrutinib-matching placebo
GDC-0853DRUGGDC-0853 will be administered orally at dosages of 50, 150 and 200mg to participants, as per the dosing schedules described above.
AdalimumabDRUGParticipants will receive adalimumab, subcutaneously Q2W starting on Day 1 for 12 weeks.
Folic AcidDRUGParticipants will receive stable background therapy of folic acid of at least 5 mg total dose weekly (or equivalent) as per investigator's discretion.
MTXDRUGParticipants will receive stable background therapy of MTX 15-25 mg/week (oral or parenteral; for participants entering the trial on MTX doses 15 mg/week, doses as low as 7.5 mg/week are allowed only if there is clear documentation in the medical record that higher doses were not tolerated or that the dose of MTX is the highest acceptable dose based on local clinical practice guidelines).
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites106

Inclusion Criteria: * Expanded Disability Status Scale (EDSS) score of 0 - 5.5 at screening * A diagnosis of RMS in accordance with the revised 2017 McDonald Criteria * Ability to complete the 9-hole Peg Test (9-HPT) for each hand in \< 240 seconds * Ability to perform the Timed 25-foot Walk Test (...

Countries:United StatesAustriaBrazilBulgariaCanadaDenmarkFranceGreeceGuatemalaIndiaItalyMexicoPolandRussiaSouth KoreaTurkey (Türkiye)United KingdomArgentinaChinaDominican RepublicFinlandGeorgiaGermanyHong KongHungaryKenyaNetherlandsNorth MacedoniaPeruPortugalSerbiaSpainSwitzerlandTunisiaUkraineAustraliaChileColombiaIsraelPuerto RicoBosnia and HerzegovinaCroatiaCzechiaSlovakiaTaiwan
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Recent Changes (Last 90 Days)

LOWOct 13, 2026NCT07161258lastUpdatePostDate: changed
LOWOct 13, 2026NCT07161258lastUpdatePostDate: changed
LOWOct 13, 2026NCT07161258lastUpdatePostDate: changed
MEDIUMSep 25, 2026NCT05119569Completion: 2026-12-26 → 2027-06-30
MEDIUMSep 25, 2026NCT05119569Completion: 2026-12-26 → 2027-06-30
LOWSep 21, 2026NCT04586010lastUpdatePostDate: changed
LOWSep 21, 2026NCT04586010lastUpdatePostDate: changed
LOWSep 17, 2026NCT04586023lastUpdatePostDate: changed
MEDIUMSep 17, 2026NCT04544449Completion: 2027-02-28 → 2027-07-21
LOWSep 17, 2026NCT04586023lastUpdatePostDate: changed
MEDIUMSep 17, 2026NCT04544449Completion: 2027-02-28 → 2027-07-21
LOWSep 10, 2026NCT07161258lastUpdatePostDate: changed
LOWSep 10, 2026NCT07161258lastUpdatePostDate: changed
LOWSep 3, 2026NCT04586023lastUpdatePostDate: changed
LOWSep 3, 2026NCT04544449Completion: 2027-07-21 → 2027-02-28
LOWSep 3, 2026NCT04586023lastUpdatePostDate: changed
LOWSep 3, 2026NCT04544449Completion: 2027-07-21 → 2027-02-28
LOWAug 19, 2026NCT05119569Completion: 2026-12-30 → 2026-12-26
LOWAug 19, 2026NCT05119569Completion: 2026-12-30 → 2026-12-26
LOWAug 14, 2026NCT04586010lastUpdatePostDate: changed

Frequently asked questions about GDC-0853

What is GDC-0853?

GDC-0853 is an investigational small molecule drug developed by Roche Holding AG (ticker RHHBY). It has been studied in chronic lymphocytic leukemia, diffuse large B-cell lymphoma, rheumatoid arthritis, systemic lupus erythematosus, and chronic spontaneous urticaria. It is not approved and remains in clinical development.

What is GDC-0853 used for?

GDC-0853 has been studied for chronic lymphocytic leukemia, diffuse large B-cell lymphoma, rheumatoid arthritis, systemic lupus erythematosus, and chronic spontaneous urticaria. It is investigational and not approved for any indication. Clinical trials have focused on autoimmune and inflammatory conditions as well as blood cancers.

What does GDC-0853 target?

GDC-0853 targets Bruton's tyrosine kinase, a kinase enzyme involved in B-cell signaling. By inhibiting this target, the drug is designed to modulate immune and B-cell activity, which is relevant to both autoimmune conditions and B-cell malignancies.

Who makes GDC-0853?

GDC-0853 is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is the sponsor of the clinical trials evaluating the drug in autoimmune and oncologic indications.

What phase is GDC-0853 in?

GDC-0853 is in Phase 1 development according to its overall program status, though individual completed trials have been Phase 2. It is investigational and has not been approved by the FDA for any indication. The program includes completed studies in rheumatoid arthritis, systemic lupus erythematosus, and chronic spontaneous urticaria.

What clinical trials is GDC-0853 in?

GDC-0853 has been evaluated in completed trials including NCT03137069 in chronic spontaneous urticaria, NCT02983227 and NCT02833350 in rheumatoid arthritis, and NCT02908100 in systemic lupus erythematosus. These studies enrolled a total of 1,074 participants across multiple countries.