NCT05798520CompletedPhase 2
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)
A 2-Part, Multicenter, Randomized, Blinded, Active-Controlled Phase 2 Study to Sequentially Evaluate the Safety and Efficacy of BIIB091 Monotherapy and BIIB091 Combination Therapy With Diroximel Fumarate in Participants With Relapsing Forms of Multiple Sclerosis
Source: ClinicalTrials.gov · Last updated 20 Feb 2026
Brief summary (registry, in English)
In this study, researchers will learn more about a study drug called BIIB091 in participants with MS who may be experiencing relapses. It is a 2-part study. In Part 1, one set of participants will take either BIIB091 or diroximel fumarate (DRF). In Part 2, a different set of participants will take either a combination of BIIB091 and DRF or DRF alone. The goal of the study is to learn more about the safety of BIIB091 and to compare the effects of the study drug when taken alone or together with DRF. The main question researchers are trying to answer are: * How many participants have new or worsening medical problems (adverse events) after taking BIIB091 or DRF? * How many new areas of inflammation occur in the brain after treatment with BIIB091 and DRF? Researchers will use magnetic resonance imaging (MRI) scans to compare images of the brain before and after treatment. They will also explore the effect of BIIB091 and DRF on the heart using electrocardiograms (ECGs). The study will be done as follows: * After screening, participants who joined Part 1 will be randomly assigned to receive either a high or low dose of BIIB091, or the standard dose of DRF. * The results of Part 1 will be used to choose the best dose of BIIB091 to use in Part 2. * Participants who join Part 2 will be randomly assigned to receive either a standard dose of DRF, a combo of BIIB091 and the standard dose of DRF, or a combo of BIIB91 with a low dose of DRF. * Neither the researchers nor the participants will know which drug or dose the participants will receive in either part of the study. * The treatment period will last 48 weeks in each part of the study. Participants will take the drugs by mouth 2 times a day. * Each part will also have a follow-up safety period that lasts up to 2 weeks. * In total, participants in each part will have 20 study visits, or more if they have a relapse. The total study duration for participants will be up to 54 weeks.
- Status (registry)
- Completed
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 127 (actual)
- First submitted
- 23 Mar 2023
- Start date
- 25 Jul 2023
- Primary completion date
- 10 Feb 2026
- Lead sponsor
- Biogen
- Diseases
- Multiple sclerosis
- NCT number
- NCT05798520
- EU CT number
- 2022-502552-31-00
- EudraCT number
- 2022-502552-31
What you commit to
- Study type: Interventional · Phase 2
- Participants enrolled: 127
- From 25 Jul 2023 to the primary completion date, 10 Feb 2026
- 74 sites in 10 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- An MS relapse that has occurred within 30 days prior to Baseline (Day 1) or the participant has not stabilized from a previous relapse at the time of screening.
- History of severe allergic, anaphylactic reactions or hypersensitivity reaction to BIIB091 or DRF, the excipients contained in the formulation, and if appropriate, any diagnostic agents to be administered during the study, including the following:
- Known hypersensitivity to any components of the study treatment
- Known hypersensitivity to previous fumarate or bruton's tyrosine kinase (BTK) inhibitor treatments
- History of hypersensitivity to parenteral administration of Gd-based contrast agents
- Evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection within the past 4 weeks prior to Baseline.
- Current enrollment or plan to enroll in any other drug, biological, device, clinical study, or treatment with an investigational drug or approved therapy for investigational use within 90 days prior to randomization or 5 half-lives of the drug or therapy, whichever is longer.
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Other illness
- History of human immunodeficiency virus (HIV) infection or a positive or indeterminate test result at screening for HIV.
- Current or history of hepatitis C infection regardless of viral load.
- Current or history of hepatitis B infection.
Other
- Diagnosis of primary progressive multiple sclerosis (PPMS) in accordance with the 2017 Revised McDonald criteria.
Who the study is looking for
- Diagnosis of RMS \[relapsing-remitting multiple sclerosis (RRMS) or active secondary progressive multiple sclerosis (SPMS)\] in accordance with the 2017 Revised McDonald criteria.
- Time since MS symptom onset is \<20 years.
- Must have expanded disability status scale (EDSS) score of 0 through 5.0 at screening and baseline.
- Must have at least 1 of the following occurring prior to Baseline (Day 1):
- ≥2 clinical relapses in the last 24 months (but not within 30 days prior to Baseline \[Day 1\]) with at least 1 relapse during the last 12 months prior to randomization.
- ≥1 clinical relapse within the past 24 months (but not within 30 days prior to Baseline \[Day 1\]) and ≥1 new brain MRI lesion (Gd-positive and/or new or enlarging T2 hyperintense lesion) within the past 12 months prior to randomization. The screening MRI could be used to satisfy this criterion (if needed for inclusion, local reading is required). For new or enlarging T2 hyperintense lesions, the reference scan cannot be \>12 months prior to randomization.
- ≥1 GdE lesion on brain MRI within 6 months prior to randomization.
Age in the registry: 18 years to 55 years · Sex: All · Does not accept healthy volunteers
Sites (74)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Multiprofile Hospital For Active Treatment Avis Medika OOD Coordinator of this site? Confirm its status | Pleven | Bulgaria | Completed |
| University Multiprofile Hospital for Active Treatment Dr Georgi Stranski EAD Coordinator of this site? Confirm its status | Pleven | Bulgaria | Completed |
| University Multiprofile Hospital For Active Treatment Saint Georgi EAD Coordinator of this site? Confirm its status | Plovdiv | Bulgaria | Completed |
| University Multiprofile Hospital For Active Treatment St. Ivan Rilski EAD Coordinator of this site? Confirm its status | Sofia | Bulgaria | Completed |
| Acibadem City Clinic Tokuda University Hospital EAD Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Completed |
| Diagnostics And Consultation Center Convex Ltd. Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Completed |
| Diagnostic And Consultative Center Neoclinic EAD Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Completed |
| Inselspital - Universitaetsspital Bern Coordinator of this site? Confirm its status | Bern | Switzerland | Unknown status |
| Ospedale Regionale di Lugano Coordinator of this site? Confirm its status | Lugano | Switzerland | Unknown status |
| Universitaetsspital Zuerich Coordinator of this site? Confirm its status | Zurich | Switzerland | Unknown status |
| Fakultni Nemocnice U Sv Anny V Brne Coordinator of this site? Confirm its status | Brno-Stred | Czechia | Completed |
| Nemocnice Jihlava prispevkova organizace Coordinator of this site? Confirm its status | Jihlava 1 | Czechia | Completed |
| Fakultni Nemocnice Hradec Kralove Coordinator of this site? Confirm its status | Novy Hradec Kralove | Czechia | Completed |
| Fakultni Thomayerova nemocnice Coordinator of this site? Confirm its status | Prague 4 | Czechia | Completed |
| Krajska zdravotni a.s. Coordinator of this site? Confirm its status | Teplice | Czechia | Completed |
| Klinikum Bayreuth GmbH Coordinator of this site? Confirm its status | Bayreuth | Germany | Completed |
| Studienzentrum f. Neurologie und Psychiatrie Coordinator of this site? Confirm its status | Böblingen | Germany | Completed |
| Technische Universität Dresden Coordinator of this site? Confirm its status | Dresden | Germany | Completed |
| Universitaetsklinikum Duesseldorf AöR Coordinator of this site? Confirm its status | Duesseldorf | Germany | Completed |
| ZNS GmbH Zentrum fuer Neurologisch-Psychiatrische Studien Gutachten und medizinische Fortbildung Siegen Coordinator of this site? Confirm its status | Siegen | Germany | Completed |
| Neuropraxis Muenchen Sued Coordinator of this site? Confirm its status | Unterhaching | Germany | Completed |
| Hospital del Mar Coordinator of this site? Confirm its status | Barcelona | Spain | Completed |
| Hospital Universitario Reina Sofia Coordinator of this site? Confirm its status | Córdoba | Spain | Completed |
| Hospital Universitario Ramón y Cajal Coordinator of this site? Confirm its status | Madrid | Spain | Completed |
| Hospital Ruber Juan Bravo Coordinator of this site? Confirm its status | Madrid | Spain | Completed |
| Hospital Universitario Regional de Málaga Coordinator of this site? Confirm its status | Málaga | Spain | Completed |
| University Clinical Hospital Virgen De La Arrixaca Coordinator of this site? Confirm its status | Murcia | Spain | Completed |
| Fondazione Istituto G. Giglio Di Cafalu Coordinator of this site? Confirm its status | Cefalu' | Italy | Completed |
| IRCCS Ospedale Policlinico San Martino Coordinator of this site? Confirm its status | Genoa | Italy | Completed |
| Azienda Ospedaliera Universitaria - Universita degli Studi della Campania Luigi Vanvitelli Coordinator of this site? Confirm its status | Naples | Italy | Completed |
| Neurological Institute Foundation Casimiro Mondino Coordinator of this site? Confirm its status | Pavia | Italy | Completed |
| Istituto Neurologico Mediterraneo Neuromed S.p.A. Coordinator of this site? Confirm its status | Pozzilli | Italy | Completed |
| Azienda Ospedaliera Policlinico Universitario Tor Vergata Coordinator of this site? Confirm its status | Rome | Italy | Completed |
| Sapienza University Of Rome Coordinator of this site? Confirm its status | Rome | Italy | Completed |
| Copernicus Podmiot Leczniczy Sp. z o.o Coordinator of this site? Confirm its status | Gdansk | Poland | Completed |
| Samodzielny Publiczny Specjalistyczny Szpital Zachodni Im.Sw.Jana Pawla II Coordinator of this site? Confirm its status | Grodzisk Mazowiecki | Poland | Completed |
| Novo-Med Zielinski I Wspolnicy Sp. j. Coordinator of this site? Confirm its status | Katowice | Poland | Completed |
| Pratia S.A. Coordinator of this site? Confirm its status | Katowice | Poland | Completed |
| MA-LEK Clinical Sp. z o.o. Coordinator of this site? Confirm its status | Katowice | Poland | Completed |
| Resmedica Sp. z o.o. Coordinator of this site? Confirm its status | Kielce | Poland | Completed |
| Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie Coordinator of this site? Confirm its status | Krakow | Poland | Completed |
| Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K. Coordinator of this site? Confirm its status | Oswiecim | Poland | Completed |
| Ilkowski I Partnerzy sp.p. Lekarzy Coordinator of this site? Confirm its status | Poznan | Poland | Completed |
| Med Polonia Sp z o.o. Coordinator of this site? Confirm its status | Poznan | Poland | Completed |
| Nmedis sp. z o.o. Coordinator of this site? Confirm its status | Rzeszów | Poland | Completed |
| Centrum Medyczne NeuroProtect Coordinator of this site? Confirm its status | Warsaw | Poland | Completed |
| IBISMED Wielospecjalistyczne Centrum Medyczne Coordinator of this site? Confirm its status | Zabrze | Poland | Completed |
| Caribbean Center for Clinical Research Coordinator of this site? Confirm its status | Guaynabo | Puerto Rico | Unknown status |
| Elias University Emergency Hospital Coordinator of this site? Confirm its status | Bucharest | Romania | Completed |
| Neurocity Cercetare S.R.L. Coordinator of this site? Confirm its status | Bucharest | Romania | Completed |
| Clubul Sanatatii S.R.L. Coordinator of this site? Confirm its status | Campulung | Romania | Completed |
| University of New Mexico Coordinator of this site? Confirm its status | Albuquerque | United States | Unknown status |
| University of Colorado School of Medic Coordinator of this site? Confirm its status | Aurora | United States | Unknown status |
| Alta Bates Summit Medical Center Coordinator of this site? Confirm its status | Berkeley | United States | Unknown status |
| University of Cincinnati Physicians Company Coordinator of this site? Confirm its status | Cincinnati | United States | Unknown status |
| The Cleveland Clinic Foundation Coordinator of this site? Confirm its status | Cleveland | United States | Unknown status |
| The Boster Center for Multiple Sclerosis Coordinator of this site? Confirm its status | Columbus | United States | Unknown status |
| Neurology Clinic, PC Coordinator of this site? Confirm its status | Cordova | United States | Unknown status |
| Fort Wayne Neurological Center Coordinator of this site? Confirm its status | Fort Wayne | United States | Unknown status |
| University of Kansas Medical Center Research Institute, Inc Coordinator of this site? Confirm its status | Kansas City | United States | Unknown status |
| International Neurorehabilitation Institute Coordinator of this site? Confirm its status | Lutherville | United States | Unknown status |
| University of Wisconsin Hospital and Clinics Coordinator of this site? Confirm its status | Madison | United States | Unknown status |
| University of Miami Miller School of Medicine Coordinator of this site? Confirm its status | Miami | United States | Unknown status |
| The Medical College of Wisconsin Coordinator of this site? Confirm its status | Milwaukee | United States | Unknown status |
| Vanderbilt MS Center Coordinator of this site? Confirm its status | Nashville | United States | Unknown status |
| University of California at Irvine Medical Center Coordinator of this site? Confirm its status | Orange | United States | Unknown status |
| South Shore Neurologic Associates, P.C. Coordinator of this site? Confirm its status | Patchogue | United States | Unknown status |
| The University of Texas Health Science Center San Antonio Coordinator of this site? Confirm its status | San Antonio | United States | Unknown status |
| HonorHealth Neurology Coordinator of this site? Confirm its status | Scottsdale | United States | Unknown status |
| Washington University Coordinator of this site? Confirm its status | St Louis | United States | Unknown status |
| University of South Florida Coordinator of this site? Confirm its status | Tampa | United States | Unknown status |
| Holy Name Coordinator of this site? Confirm its status | Teaneck | United States | Unknown status |
| Vero Beach Neurology and Research Institute Coordinator of this site? Confirm its status | Vero Beach | United States | Unknown status |
| Wake Forest University - School of Medicine - Central Coordinator of this site? Confirm its status | Winston-Salem | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.