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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
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

Full criteria on ClinicalTrials.gov

Sites (74)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Multiprofile Hospital For Active Treatment Avis Medika OOD
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PlevenBulgariaCompleted
University Multiprofile Hospital for Active Treatment Dr Georgi Stranski EAD
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PlevenBulgariaCompleted
University Multiprofile Hospital For Active Treatment Saint Georgi EAD
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PlovdivBulgariaCompleted
University Multiprofile Hospital For Active Treatment St. Ivan Rilski EAD
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SofiaBulgariaCompleted
Acibadem City Clinic Tokuda University Hospital EAD
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SofiyaBulgariaCompleted
Diagnostics And Consultation Center Convex Ltd.
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SofiyaBulgariaCompleted
Diagnostic And Consultative Center Neoclinic EAD
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SofiyaBulgariaCompleted
Inselspital - Universitaetsspital Bern
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BernSwitzerlandUnknown status
Ospedale Regionale di Lugano
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LuganoSwitzerlandUnknown status
Universitaetsspital Zuerich
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ZurichSwitzerlandUnknown status
Fakultni Nemocnice U Sv Anny V Brne
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Brno-StredCzechiaCompleted
Nemocnice Jihlava prispevkova organizace
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Jihlava 1CzechiaCompleted
Fakultni Nemocnice Hradec Kralove
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Novy Hradec KraloveCzechiaCompleted
Fakultni Thomayerova nemocnice
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Prague 4CzechiaCompleted
Krajska zdravotni a.s.
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TepliceCzechiaCompleted
Klinikum Bayreuth GmbH
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BayreuthGermanyCompleted
Studienzentrum f. Neurologie und Psychiatrie
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BöblingenGermanyCompleted
Technische Universität Dresden
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DresdenGermanyCompleted
Universitaetsklinikum Duesseldorf AöR
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DuesseldorfGermanyCompleted
ZNS GmbH Zentrum fuer Neurologisch-Psychiatrische Studien Gutachten und medizinische Fortbildung Siegen
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SiegenGermanyCompleted
Neuropraxis Muenchen Sued
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UnterhachingGermanyCompleted
Hospital del Mar
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BarcelonaSpainCompleted
Hospital Universitario Reina Sofia
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CórdobaSpainCompleted
Hospital Universitario Ramón y Cajal
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MadridSpainCompleted
Hospital Ruber Juan Bravo
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MadridSpainCompleted
Hospital Universitario Regional de Málaga
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MálagaSpainCompleted
University Clinical Hospital Virgen De La Arrixaca
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MurciaSpainCompleted
Fondazione Istituto G. Giglio Di Cafalu
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Cefalu'ItalyCompleted
IRCCS Ospedale Policlinico San Martino
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GenoaItalyCompleted
Azienda Ospedaliera Universitaria - Universita degli Studi della Campania Luigi Vanvitelli
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NaplesItalyCompleted
Neurological Institute Foundation Casimiro Mondino
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PaviaItalyCompleted
Istituto Neurologico Mediterraneo Neuromed S.p.A.
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PozzilliItalyCompleted
Azienda Ospedaliera Policlinico Universitario Tor Vergata
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RomeItalyCompleted
Sapienza University Of Rome
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RomeItalyCompleted
Copernicus Podmiot Leczniczy Sp. z o.o
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GdanskPolandCompleted
Samodzielny Publiczny Specjalistyczny Szpital Zachodni Im.Sw.Jana Pawla II
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Grodzisk MazowieckiPolandCompleted
Novo-Med Zielinski I Wspolnicy Sp. j.
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KatowicePolandCompleted
Pratia S.A.
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KatowicePolandCompleted
MA-LEK Clinical Sp. z o.o.
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KatowicePolandCompleted
Resmedica Sp. z o.o.
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KielcePolandCompleted
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie
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KrakowPolandCompleted
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.
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OswiecimPolandCompleted
Ilkowski I Partnerzy sp.p. Lekarzy
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PoznanPolandCompleted
Med Polonia Sp z o.o.
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PoznanPolandCompleted
Nmedis sp. z o.o.
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RzeszówPolandCompleted
Centrum Medyczne NeuroProtect
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WarsawPolandCompleted
IBISMED Wielospecjalistyczne Centrum Medyczne
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ZabrzePolandCompleted
Caribbean Center for Clinical Research
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GuaynaboPuerto RicoUnknown status
Elias University Emergency Hospital
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BucharestRomaniaCompleted
Neurocity Cercetare S.R.L.
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BucharestRomaniaCompleted
Clubul Sanatatii S.R.L.
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CampulungRomaniaCompleted
University of New Mexico
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AlbuquerqueUnited StatesUnknown status
University of Colorado School of Medic
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AuroraUnited StatesUnknown status
Alta Bates Summit Medical Center
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BerkeleyUnited StatesUnknown status
University of Cincinnati Physicians Company
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CincinnatiUnited StatesUnknown status
The Cleveland Clinic Foundation
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ClevelandUnited StatesUnknown status
The Boster Center for Multiple Sclerosis
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ColumbusUnited StatesUnknown status
Neurology Clinic, PC
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CordovaUnited StatesUnknown status
Fort Wayne Neurological Center
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Fort WayneUnited StatesUnknown status
University of Kansas Medical Center Research Institute, Inc
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Kansas CityUnited StatesUnknown status
International Neurorehabilitation Institute
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LuthervilleUnited StatesUnknown status
University of Wisconsin Hospital and Clinics
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MadisonUnited StatesUnknown status
University of Miami Miller School of Medicine
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MiamiUnited StatesUnknown status
The Medical College of Wisconsin
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MilwaukeeUnited StatesUnknown status
Vanderbilt MS Center
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NashvilleUnited StatesUnknown status
University of California at Irvine Medical Center
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OrangeUnited StatesUnknown status
South Shore Neurologic Associates, P.C.
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PatchogueUnited StatesUnknown status
The University of Texas Health Science Center San Antonio
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San AntonioUnited StatesUnknown status
HonorHealth Neurology
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ScottsdaleUnited StatesUnknown status
Washington University
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St LouisUnited StatesUnknown status
University of South Florida
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TampaUnited StatesUnknown status
Holy Name
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TeaneckUnited StatesUnknown status
Vero Beach Neurology and Research Institute
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Vero BeachUnited StatesUnknown status
Wake Forest University - School of Medicine - Central
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Winston-SalemUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.