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Relapsing-remitting Multiple SclerosisPhase 3NCT04032158

Study of Evobrutinib in Participants With Relapsing Multiple Sclerosis (RMS)

A Phase 3 study testing Evobrutinib and Avonex® in people with Relapsing-remitting Multiple Sclerosis, run by EMD Serono Research & Development Institute, Inc. at 2 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The study was to evaluate the efficacy and safety of evobrutinib administered orally twice daily versus Interferon-beta-1a (Avonex®), once a week intramuscularly in participants with RMS. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Relapsing-remitting Multiple Sclerosis
What is being tested?
Evobrutinib and Avonex®
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
3 participants
Where
2 sitesin 2 countries
Study dates
26 Aug 2019to 16 Apr 2020
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Inclusion Criteria: - Participants are diagnosed with RMS (relapsing-remitting multiple sclerosis [RRMS] or secondary progressive multiple sclerosis [SPMS] with relapses) in accordance with 2017 Revised McDonald criteria (Thompson 2018) - Participants with one or more documented relapses within the 2 years before Screening with either: a. one relapse which occurred within the last year prior to randomization, OR b. the presence of at least 1 gadolinium-enhancing (Gd+) T1 lesion within 6 months prior to randomization - Participants have Expanded Disability Status Scale (EDSS) score of 0 to 5.5 at Baseline. Participants with an EDSS score <= 2 at Screening are only eligible for participation if their disease duration (time since onset of symptoms) is no more than 10 years - Participants are neurologically stable for >= 30 days prior to both screening and baseline - Female participants must be neither pregnant nor breast-feeding and must lack child-bearing potential, as defined by either: post-menopausal or surgically sterile or use an effective method of contraception for the duration of the study - Participants have given written informed consent prior to any study-related procedure - Other protocol defined inclusion criteria could apply Exclusion Criteria: - Participants diagnosed with Progressive MS, in accordance with the 2017 Revised McDonald criteria as follows: a). Participants with Primary Progressive MS. b). Participants with secondary progressive MS without evidence of relapse.

  • Disease duration more than (>) 10 years in participants with an EDSS =< 2.0 at screening.
  • Immunologic disorder other than MS, or any other condition requiring oral, intravenous (IV) , intramuscular, or intra-articular corticosteroid therapy, with the exception of well-controlled Type 2 diabetes mellitus or well controlled thyroid disease.
  • Other protocol defined exclusion criteria could apply.

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

United States1 site
  • Please Contact U.S. Medical Information

    Rockland, Massachusetts, 02370

Other trials in United States

Germany1 site
  • Please Contact the Communication Center

    Darmstadt, 64293

Other trials in Germany

About this study

Official title: A Phase III, Multicenter, Randomized, Parallel Group, Double Blind, Double Dummy, Active Controlled Study of Evobrutinib Compared With an Interferon Beta 1a (Avonex®), in Participants With Relapsing Multiple Sclerosis to Evaluate Efficacy and Safety

The study was to evaluate the efficacy and safety of evobrutinib administered orally twice daily versus Interferon-beta-1a (Avonex®), once a week intramuscularly in participants with RMS.

Being tested
Evobrutinib, Avonex®, Avonex® matched Placebo, Evobrutinib matched Placebo
Keywords
Evobrutinib, Avonex®, Interferon-beta 1a, Relapsing Multiple Sclerosis
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EvobrutinibDrug

    Also called M2951

    Participants received evobrutinib twice daily (BID).

  • Avonex®Drug

    Participants received avonex® IM injection once a week.

  • Avonex® matched PlaceboDrug

    Participants received IM injection of placebo matched to Avonex® once a week.

  • Evobrutinib matched PlaceboDrug

    Participants received placebo matched to evobrutinib twice a day.

Study groups in NCT04032158
Study groupRoleWhat they receive
Evobrutinib + Avonex® matched PlaceboExperimentalParticipants received active evobrutinib twice daily (BID) along with concomitant intramuscular (IM) injection of placebo matched to Avonex® once a week. Treatment period was planned to be of 96 weeks.
Receives: Drug: Evobrutinib; Drug: Avonex® matched Placebo
Avonex® + Evobrutinib matched PlaceboActive comparatorParticipants received IM injection of active Avonex® once a week along with concomitant placebo matched to evobrutinib BID. Treatment period was planned to be of 96 weeks.
Receives: Drug: Avonex®; Drug: Evobrutinib matched Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized Relapse Rate (ARR)

    The annualized relapse rate at 96 weeks was to be calculated based on qualified relapses. A qualifying relapse is the occurrence of new or worsening neurological symptoms attributable to MS. The relapse should be accompanied by an increase of 0.5 points or more on Expanded Disability Status Scale (EDSS), or 2 points increase on one of the Functional System Scores (FSS), or 1 point increase on at least two of the FSS. The increase in FSS scores must be related to the neurological symptoms which were reported as new or worsening.

    Measured: At Week 96

Secondary outcomes (23)
  1. Time to First Occurrence of 12-Week Confirmed Expanded Disability Status Scale (EDSS) Progression

    EDSS is an ordinal scale in half-point increments that measures disability in participants with MS. EDSS progression is defined as an increase of 1 point or more from Baseline EDSS score when the Baseline score is 5.0 or less, and an increase of 0.5 points or more when the Baseline score is 5.5 or greater. Time to first occurrence of 12-week confirmed EDSS progression is defined as the time from randomization to the first EDSS progression event that was confirmed at a regularly scheduled visit at least 12 weeks later.

    Measured: Baseline up to 96 weeks

  2. Time to First Occurrence of 24-Week Confirmed Expanded Disability Status Scale (EDSS) Progression

    EDSS is an ordinal scale in half-point increments that measures disability in participants with MS. EDSS progression is defined as an increase of 1 point or more from Baseline EDSS score when the Baseline score is 5.0 or less, and an increase of 0.5 points or more when the Baseline score is 5.5 or greater. Time to first occurrence of 24-week confirmed EDSS progression is defined as the time from randomization to the first EDSS progression event that was confirmed at a regularly scheduled visit at least 24 weeks later.

    Measured: Baseline up to 96 weeks

  3. Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) Short Form Score at Week 96

    The PROMIS PF Short Form is specific to measuring the physical function domain of MS patients, with each item on the form scored on a T-score metric. Higher scores indicate higher PF. Change from baseline at Week 96 is the difference between the PROMIS PF scores at 96 weeks and at baseline.

    Measured: Baseline, Week 96

  4. Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) MS Fatigue Score at Week 96

    The PROMIS Fatigue Short Form is specific to measuring the fatigue domain of MS patients, with each item on the form scored on a T-score metric. Higher scores indicate higher fatigue. Change from baseline at Week 96 is the difference between the PROMIS Fatigue scores at 96 weeks and at baseline.

    Measured: Baseline, Week 96

  5. Total Number of Gadolinium-Enhancing (Gd+) Time Constant 1 (T1) Lesions Assessed by Magnetic Resonance Imaging (MRI) Scans at Week 24, 48, and 96

    Total number of Gd+ T1 lesions was to be assessed using magnetic resonance imaging (MRI).

    Measured: At Week 24, 48 and 96

  6. Total Number of New or Enlarging Time Constant 2 (T2) Lesions Assessed by Magnetic Resonance Imaging (MRI) Scans at Week 24, 48, and 96

    Total number of new or enlarging T2 lesions was to be assessed using magnetic resonance imaging (MRI).

    Measured: At Week 24, 48 and 96

  7. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and Adverse Events of Special Interest (AESIs)

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment. Therefore, an AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, regardless if it is considered related to the medicinal product. TEAE is an AE that started after study drug treatment; or if the event was continuous from baseline and was serious, related to study drug, or resulted in death, discontinuation, interruption or reduction of study therapy. TEAEs includes both serious TEAEs and non-serious TEAEs. AESIs included liver AEs (possible drug induced, non-infectious, non-alcoholic and immune-mediated) infections (serious and opportunistic infections), lipase and amylase elevation, and seizure.

    Measured: Baseline up to 235 days

  8. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Based on Severity According to National Cancer Institute-Common Terminology Criteria for Adverse Events Version 4.03 (NCI-CTCAE v4.03)

    TEAE is an AE that started after study drug treatment; or if the event was continuous from baseline and was serious, related to investigational medicinal product (IMP), or resulted in death, discontinuation, interruption or reduction of study therapy. Severity of TEAEs were graded using NCI-CTCAE v4.03 toxicity grades, as follows: Grade 1= Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Life-threatening and Grade 5 = Death. Number of participants with TEAEs based on severity were reported.

    Measured: Baseline up to 235 days

  9. Vital Signs: Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP)

    DBP and SBP were measured in semi-supine position after 5 minutes rest for the participants at indicated time points.

    Measured: At Day 1, 83, 125 and 155

  10. Vital Signs: Pulse Rate

    Pulse rate was measured in semi-supine position after 5 minutes rest for the participants at indicated time points.

    Measured: At Day 1, 83, 125 and 155

  11. Vital Signs: Respiratory Rate

    Respiration rate was measured in semi-supine position after 5 minutes rest for the participants at indicated time points.

    Measured: At Day 1, 83, 125 and 155

  12. Vital Signs: Temperature

    Temperature was measured in semi-supine position after 5 minutes rest for the participants at indicated time points.

    Measured: At Day 1, 83, 125 and 155

  13. Vital Signs: Weight

    Measured: At Day 1, 83, 125 and 155

  14. Number of Participants With Abnormal Lab Values

    The total number of participants with laboratory test abnormalities was assessed. Clinical laboratory tests included hematology, coagulation, biochemistry and urinalysis.

    Measured: Baseline up to 235 days

  15. Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities

    ECG parameters included heart rhythm, heart rate, QRS intervals, QT intervals, RR intervals and corrected QT (QTc) intervals.

    Measured: Baseline up to 235 days

  16. Absolute Concentrations of Immunoglobulin (Ig) A Level

    Absolute concentrations of Immunoglobulin (Ig) A was reported.

    Measured: At Day 1, 83, 125 and 155

  17. Absolute Concentrations of Immunoglobulin (Ig) E Level

    Absolute concentrations of Immunoglobulin (Ig) E was reported.

    Measured: At Day 1, 83, 125 and 155

  18. Absolute Concentrations of Immunoglobulin (Ig) G Level

    Absolute concentrations of Immunoglobulin (Ig) G was reported.

    Measured: At Day 1, 83, 125 and 155

  19. Absolute Concentrations of Immunoglobulin (Ig) M Level

    Absolute concentrations of Immunoglobulin (Ig) M was reported.

    Measured: At Day 1, 83, 125 and 155

  20. Change From Baseline in Immunoglobulin (Ig) A Level

    Change from baseline in immunoglobulin (Ig) A level was reported.

    Measured: At Day 1, 83, 125 and 155

  21. Change From Baseline in Immunoglobulin (Ig) E Level

    Change from baseline in immunoglobulin (Ig) E level was reported.

    Measured: At Day 1, 83, 125 and 155

  22. Change From Baseline in Immunoglobulin (Ig) G Level

    Change from baseline in immunoglobulin (Ig) G level was reported.

    Measured: At Day 1, 83, 125 and 155

  23. Change From Baseline in Immunoglobulin (Ig) M Level

    Change from baseline in immunoglobulin (Ig) M level was reported.

    Measured: At Day 1, 83, 125 and 155

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jul 2019
  2. Study start26 Aug 2019
  3. Primary completion16 Apr 2020
  4. Study completion16 Apr 2020

Why it stopped: Following analysis of open label extension (OLE) data from RMS phase 2 study (MS200527- 0086), it was determined that a change in active comparator warranted in phase 3 RMS comprised of trial MS200527-0073. Consequently, this trial terminated early.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04032158
Sponsor's protocol ID
MS200527_0073
Other IDs
2018-004701-11, 2018
Status last verified
Jul 2021
First submitted
23 Jul 2019
Last updated
5 Aug 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Per company policy, following approval of a new product or a new indication for an approved product in both the EU and the US, EMD Serono will share study protocols, anonymized patient level and study level data and redacted clinical study reports from clinical trials in patients with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website https://www.emdgroup.com/en/research/our-approach-to-research-and-development/healthcare/clinical-trials/commitment-responsible-data-sharing.html

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Evobrutinib and Avonex® in people with Relapsing-remitting Multiple Sclerosis, run by EMD Serono Research & Development Institute, Inc. at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 5 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Aug 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annualized Relapse Rate (ARR) (time frame: At Week 96). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2021.

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