CClinicalTrials.gg
TerminatedNCT04032158Updated Aug 5, 2021Results posted

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

A Phase 3 interventional study of Evobrutinib and Avonex® in Relapsing-remitting Multiple Sclerosis, sponsored by EMD Serono Research & Development Institute, Inc.. Terminated at 2 sites in 2 countries. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2021-08-05.

Sponsored by EMD Serono Research & Development Institute, Inc. · Phase 3, Interventional, and Treatment

Why this study was terminated
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.
Phase
Phase 3
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study 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.

02

Conditions studied

  • Relapsing-remitting Multiple Sclerosis

Keywords

  • Evobrutinib
  • Avonex®
  • Interferon-beta 1a
  • Relapsing Multiple Sclerosis
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 3 is below the median of 50 across 2,342 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

EMD Serono Research & Development Institute, Inc. is the lead sponsor of 85 studies on the registry; 8 are open to participants now.

Of its 46 completed or terminated interventional studies of FDA-regulated products, 38 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

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.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Evobrutinib + Avonex® matched Placebo

    Participants 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.

    Drug: Evobrutinib · Drug: Avonex® matched Placebo

  • Active comparator
    Avonex® + Evobrutinib matched Placebo

    Participants 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.

    Drug: Avonex® · Drug: Evobrutinib matched Placebo

Interventions

  • DrugEvobrutinib

    Participants received evobrutinib twice daily (BID).

    Also known as: M2951

  • DrugAvonex®

    Participants received avonex® IM injection once a week.

  • DrugAvonex® matched Placebo

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

  • DrugEvobrutinib matched Placebo

    Participants received placebo matched to evobrutinib twice a day.

06

What researchers measure

Primary outcomes

  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.

    Time frame: At Week 96

Secondary outcomes

  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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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).

    Time frame: 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).

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: At Day 1, 83, 125 and 155

  13. Vital Signs: Weight

    Time frame: 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.

    Time frame: 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.

    Time frame: Baseline up to 235 days

  16. Absolute Concentrations of Immunoglobulin (Ig) A Level

    Absolute concentrations of Immunoglobulin (Ig) A was reported.

    Time frame: At Day 1, 83, 125 and 155

  17. Absolute Concentrations of Immunoglobulin (Ig) E Level

    Absolute concentrations of Immunoglobulin (Ig) E was reported.

    Time frame: At Day 1, 83, 125 and 155

  18. Absolute Concentrations of Immunoglobulin (Ig) G Level

    Absolute concentrations of Immunoglobulin (Ig) G was reported.

    Time frame: At Day 1, 83, 125 and 155

  19. Absolute Concentrations of Immunoglobulin (Ig) M Level

    Absolute concentrations of Immunoglobulin (Ig) M was reported.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: At Day 1, 83, 125 and 155

07

Results

Posted Aug 5, 2021
Limitations and caveats
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, therefore, it was decided as per Statistical Analysis Plan not to report the efficacy data for this study.

Participant flow

Participant flow — Overall Study
MilestoneExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Started21
Completed00
Not completed21
Withdrew: Study termination21

Outcome measures

PrimaryAnnualized 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.

Time frame:
At Week 96

No measurements were reported for this outcome.

SecondaryTime 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.

Time frame:
Baseline up to 96 weeks

No measurements were reported for this outcome.

SecondaryTime 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.

Time frame:
Baseline up to 96 weeks

No measurements were reported for this outcome.

SecondaryChange 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.

Time frame:
Baseline, Week 96

No measurements were reported for this outcome.

SecondaryChange 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.

Time frame:
Baseline, Week 96

No measurements were reported for this outcome.

SecondaryTotal 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).

Time frame:
At Week 24, 48 and 96

No measurements were reported for this outcome.

SecondaryTotal 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).

Time frame:
At Week 24, 48 and 96

No measurements were reported for this outcome.

SecondaryNumber 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.

Time frame:
Baseline up to 235 days
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and Adverse Events of Special Interest (AESIs)
ParticipantsExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participants with AESIs00
Participants with TEAEs21
Participants with Serious TEAEs00
SecondaryNumber 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.

Time frame:
Baseline up to 235 days
Reported as:
Count of participants · Participants
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)
ParticipantsExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Grade 120
Grade 201
Grade 300
Grade 400
Grade 500
SecondaryVital 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.

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · Millimeters of mercury (mmHg)
Vital Signs: Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP)
Millimeters of mercury (mmHg)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participants 1 - DBP: Day 1—82
Participants 1 - DBP: Day 83—87
Participants 1 - DBP: Day 125—80
Participants 1 - DBP: Day 155—75
Participants 1 - SBP: Day 1—112
Participants 1 - SBP: Day 83—120
Participants 1 - SBP: Day 125—118
Participants 1 - SBP: Day 155—109
Participants 2 - DBP: Day 184—
Participants 2 - DBP: Day 8377—
Participants 2 - DBP: Day 12584—
Participants 2 - DBP: Day 15590—
Participants 2 - SBP: Day 1124—
Participants 2 - SBP: Day 83133—
Participants 2 - SBP: Day 125138—
Participants 2 - SBP: Day 155137—
Participant 3 - DBP: Day 165—
Participants 3 - DBP: Day 12576—
Participants 3 - SBP: Day 1101—
Participant 3 - SBP: Day 125117—
SecondaryVital Signs: Pulse Rate

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · Beats per minute
Vital Signs: Pulse Rate
Beats per minuteExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participants 1 - Pulse rate: Day 1—71
Participants 1 - Pulse rate: Day 83—69
Participants 1 - Pulse rate: Day 125—72
Participants 1 - Pulse rate: Day 155—75
Participants 2 - Pulse rate: Day 171—
Participants 2 - Pulse rate: Day 8366—
Participants 2 - Pulse rate: Day 12582—
Participants 2 - Pulse rate: Day 15582—
Participant 3 - Pulse rate: Day 176—
Participants 3 - Pulse rate: Day 12575—
SecondaryVital Signs: Respiratory Rate

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · Breaths Per Minute
Vital Signs: Respiratory Rate
Breaths Per MinuteExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participants 1 - Respiratory rate: Day 1—20
Participants 1 - Respiratory rate: Day 83—18
Participants 1 - Respiratory rate: Day 125—18
Participants 1 - Respiratory rate: Day 155—20
Participants 2 - Respiratory rate: Day 118—
Participants 2 - Respiratory rate: Day 8320—
Participants 2 - Respiratory rate: Day 12518—
Participants 2 - Respiratory rate: Day 15520—
Participant 3 - Respiratory rate: Day 118—
Participants 3 - Respiratory rate: Day 12518—
SecondaryVital Signs: Temperature

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · Degree celsius
Vital Signs: Temperature
Degree celsiusExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participants 1: Day 1—35.7
Participants 1: Day 83—36.4
Participants 1: Day 125—36.9
Participants 1: Day 155—36.4
Participants 2: Day 136.9—
Participants 2: Day 8336.7—
Participants 2: Day 12536.9—
Participants 2: Day 15536.8—
Participant 3: Day 136.5—
Participants 3: Day 12537.0—
SecondaryVital Signs: Weight
Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · kilogram (kg)
Vital Signs: Weight
kilogram (kg)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participants 1: Day 1—75.7
Participants 1: Day 83—74.9
Participants 1: Day 125—77.3
Participants 1: Day 155—77.2
Participants 2: Day 189.0—
Participants 2: Day 8389.0—
Participants 2: Day 12592.2—
Participants 2: Day 15592.1—
Participant 3: Day 140.8—
Participants 3: Day 12540.3—
SecondaryNumber 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.

Time frame:
Baseline up to 235 days
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Lab Values
ParticipantsExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Number of Participants With Abnormal Lab Values00
SecondaryNumber 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.

Time frame:
Baseline up to 235 days
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
ParticipantsExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities00
SecondaryAbsolute Concentrations of Immunoglobulin (Ig) A Level

Absolute concentrations of Immunoglobulin (Ig) A was reported.

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · grams per liter (g/L)
Absolute Concentrations of Immunoglobulin (Ig) A Level
grams per liter (g/L)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 1—2.09
Participant 1: Day 83—2.64
Participant 1: Day 125—2.64
Participant 1: Day 155—2.78
Participant 2: Day 11.64—
Participant 2: Day 831.85—
Participant 2: Day 1252.2—
Participant 2: Day 1552.15—
Participant 3: Day 12.09—
Participant 3: Day 1251.84—
SecondaryAbsolute Concentrations of Immunoglobulin (Ig) E Level

Absolute concentrations of Immunoglobulin (Ig) E was reported.

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · International unit per milliliter(IU/mL)
Absolute Concentrations of Immunoglobulin (Ig) E Level
International unit per milliliter(IU/mL)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 1—61
Participant 1: Day 83—108
Participant 1: Day 125—55.2
Participant 1: Day 155—71.9
Participant 2: Day 110.7—
Participant 2: Day 8312.3—
Participant 2: Day 12514.9—
Participant 2: Day 15511.4—
Participant 3: Day 127.6—
Participant 3: Day 12523.5—
SecondaryAbsolute Concentrations of Immunoglobulin (Ig) G Level

Absolute concentrations of Immunoglobulin (Ig) G was reported.

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · grams per liter (g/L)
Absolute Concentrations of Immunoglobulin (Ig) G Level
grams per liter (g/L)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 1—16.49
Participant 1: Day 83—21.77
Participant 1: Day 125—19.34
Participant 1: Day 155—19.62
Participant 2: Day 19.46—
Participant 2: Day 8310.26—
Participant 2: Day 12511.23—
Participant 2: Day 15511.18—
Participant 3: Day 112.52—
Participant 3: Day 12511.41—
SecondaryAbsolute Concentrations of Immunoglobulin (Ig) M Level

Absolute concentrations of Immunoglobulin (Ig) M was reported.

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · grams per liter (g/L)
Absolute Concentrations of Immunoglobulin (Ig) M Level
grams per liter (g/L)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 1—0.97
Participant 1: Day 83—1.47
Participant 1: Day 125—1.35
Participant 1: Day 155—1.43
Participant 2: Day 11.08—
Participant 2: Day 830.84—
Participant 2: Day 1250.78—
Participant 2: Day 1551—
Participant 3: Day 12.22—
Participant 3: 1251.91—
SecondaryChange From Baseline in Immunoglobulin (Ig) A Level

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · grams per liter (g/L)
Change From Baseline in Immunoglobulin (Ig) A Level
grams per liter (g/L)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 83—0.55
Participant 1: Day 125—0.55
Participant 1: Day 155—0.69
Participant 2: Day 830.21—
Participant 2: Day 1250.56—
Participant 2: Day 1550.51—
Participant 3: Day 125-0.25—
SecondaryChange From Baseline in Immunoglobulin (Ig) E Level

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · International unit per milliliter(IU/mL)
Change From Baseline in Immunoglobulin (Ig) E Level
International unit per milliliter(IU/mL)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 83—47
Participant 1: Day 125—-5.8
Participant 1: Day 155—10.9
Participant 2: Day 831.6—
Participant 2: Day 1254.2—
Participant 2: Day 1550.7—
Participant 3: Day 125-4.1—
SecondaryChange From Baseline in Immunoglobulin (Ig) G Level

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · grams per liter (g/L)
Change From Baseline in Immunoglobulin (Ig) G Level
grams per liter (g/L)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 83—5.28
Participant 1: Day 125—2.85
Participant 1: Day 155—3.13
Participant 2: Day 830.8—
Participant 2: Day 1251.77—
Participant 2: Day 1551.72—
Participant 3: Day 125-1.11—
SecondaryChange From Baseline in Immunoglobulin (Ig) M Level

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

Time frame:
At Day 1, 83, 125 and 155
Reported as:
Number · grams per liter (g/L)
Change From Baseline in Immunoglobulin (Ig) M Level
grams per liter (g/L)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Participant 1: Day 83—0.5
Participant 1: Day 125—0.38
Participant 1: Day 155—0.46
Participant 2: Day 83-0.24—
Participant 2: Day 125-0.3—
Participant 2: Day 155-0.08—
Participant 3: Day 125-0.31—

Adverse events

Collected over Baseline up to 235 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Experimental: Evobrutinib + Avonex® Matched Placebo0/2 (0%)0/2 (0%)2/2 (100%)
Active Comparator: Avonex® + Evobrutinib Matched Placebo0/1 (0%)0/1 (0%)1/1 (100%)
Most frequent other events
Most frequent other events
EventExperimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched Placebo
Neutrophil count decreasedInvestigations0/21/1
Tension headacheNervous system disorders0/21/1
Abdominal painGastrointestinal disorders0/21/1
VomitingGastrointestinal disorders0/21/1
Drug eruptionGeneral disorders1/20/1
Influenza like illnessGeneral disorders1/20/1
Pain in jawMusculoskeletal and connective tissue disorders1/20/1
ParaesthesiaNervous system disorders1/20/1
Tinea crurisSkin and subcutaneous tissue disorders1/20/1
PetechiaeSkin and subcutaneous tissue disorders1/20/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched PlaceboTotal
<=18 years000
Between 18 and 65 years213
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched PlaceboTotal
Female112
Male101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Experimental: Evobrutinib + Avonex® Matched PlaceboActive Comparator: Avonex® + Evobrutinib Matched PlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White202
More than one race000
Unknown or Not Reported000
08

Study locations

2 sites
  • Please Contact U.S. Medical Information
    Rockland, Massachusetts 02370, United States
  • Please Contact the Communication Center
    Darmstadt, 64293, Germany
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References and documents

Study documents

  • Study protocol · Sep 5, 2019
  • Statistical analysis plan · May 28, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: 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

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04032158
Lead sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
Responsible party
Sponsor
First posted
Jul 25, 2019
Start date
Aug 26, 2019
Primary completion
Apr 16, 2020
Completion
Apr 16, 2020
Results posted
Aug 5, 2021
Last update
Aug 5, 2021

Study contacts

Medical Responsible
study director · Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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