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RecruitingNCT07161258FENerations1Updated Nov 9, 2026

A Pharmacokinetics (PK), Pharmacodynamics (PD), Safety and Tolerability Study of Fenebrutinib in Children and Adolescents With Relapsing Multiple Sclerosis (RMS)

A Phase 2 interventional study of Fenebrutinib in Relapsing Multiple Sclerosis, sponsored by Hoffmann-La Roche. Recruiting at 17 sites in 7 countries. Open to participants aged 10 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year 1 month later.
Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
10 Years to 17 Years
Sex
All
01

Study summary

This open label, single arm study will evaluate the PK and PD effects of fenebrutinib in children and adolescents with RMS aged between 10 and \< 18 years.

This study consists of a Dose Exploration Period and an Optional Extension Period. Eligible participants may choose to continue treatment with fenebrutinib in the optional extension period after completing the dose exploration period.

02

Conditions studied

  • Relapsing Multiple Sclerosis

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Keywords

  • Pediatric multiple sclerosis
  • Pediatric MS
  • Children MS
  • Children multiple sclerosis
  • Adolescent multiple sclerosis
  • Pediatric fenebrutinib
03

In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's planned enrollment of 12 is below the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

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

04

Who can participate

Ages eligible
10 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • A diagnosis of RMS in accordance with the International Pediatric Multiple Sclerosis Study Group (IPMSSG) criteria for pediatric MS, Version 2012, and the revised 2017 McDonald Criteria and one or more of the following: at least one MS relapse during the previous year or two MS relapses in the previous 2 years or evidence of at least one Gd enhancing lesion on MRI within 6 month
  • Expanded Disability Status Scale (EDSS) at screening from 0 to 5.5 points, inclusive
  • Children and adolescents must have received all childhood vaccinations as per local/national recommendations for childhood vaccination against infectious diseases

Exclusion criteria

Exclusion Criteria:

  • A diagnosis of primary progressive multiple sclerosis (PPMS) or non-active secondary progressive multiple sclerosis (SPMS)
  • Co-morbid Conditions:
  • Potentially confounding neurological, somatic, or metabolic disorders
  • Current psychiatric or medical illness
  • History of cancer, transplants, or bleeding disorders
  • Inability to complete an MRI scan or get gadolinium
  • Abnormal liver function tests or blood counts
  • Sensitivity or intolerance to any ingredient (including ) of fenebrutinib tablets
  • Active, recurrent, or chronic infections
  • Recent or anticipated use of prohibited medications/treatments:
  • Certain disease-modifying therapy (DMT) and other
  • Drugs interacting with fenebrutinib (Cytochrome P450 3A4 [] inhibitors)
  • Any other therapy, anticoagulants, certain vaccines
  • A score of 4 or 5 on the "last 6 months" section of the screening SI section or "yes" on any item of the "last 6 months" Suicidal Behavior (SB) section of the C-SSRS or a positive answer on Question 9 of the Patient Health Questionnaire-9 Modified for Adolecents (PHQ-A) or significant risk of suicide, in the investigator's judgment
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Fenebrutinib

    Participants will receive fenebrutinib orally.

    Drug: Fenebrutinib

Interventions

06

What researchers measure

Primary outcomes

  1. Plasma Concentration of Fenebrutinib

    Time frame: Up to Week 96

  2. Total Number of New T1 Gadolinium (Gd)-enhancing Lesions on Brain Observed Through Magnetic Resonance Imaging (MRI) Scans

    Time frame: At Week 12

Secondary outcomes

  1. Number of Participants With Adverse Events (AEs)

    Time frame: Up to approximately 100 weeks

  2. Percentage of Participants With Suicidal Ideation (SI) or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is an interview-based instrument used to assess baseline incidence of SI and behavior. The assessment includes yes/no (0/1) responses for 5 questions, each related to SI.

    Time frame: Up to approximately 100 weeks

  3. Change From Baseline in Vital Signs - Pulse Rate

    Time frame: Baseline up to approximately 100 Weeks

  4. Change From Baseline in Vital Signs - Blood Pressure

    Time frame: Baseline up to approximately 100 Weeks

  5. Change From Baseline in Single 12-lead Electrocardiogram (ECG) Parameter - QTc Interval

    Time frame: Baseline up to approximately 100 Weeks

  6. Change From Baseline in Single 12-lead ECG Parameter - PR Interval

    Time frame: Baseline up to approximately 100 Weeks

  7. Change from Baseline in Clinical Laboratory Test Results - Alanine Aminotransferase (ALT)

    Time frame: Baseline up to approximately 100 Weeks

  8. Change from Baseline in Clinical Laboratory Test Results - Aspartate Aminotransferase (AST)

    Time frame: Baseline up to approximately 100 Weeks

07

Study locations

17 of 17 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2025 (actual). Primary completion is estimated for Jun 2027, 20 months after the start.

Of 43 industry-sponsored phase 2 interventional studies under Multiple Sclerosis, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 47. This study's planned 20 months is below that.

Counting every sponsor, half of 92 studies reached it within 36 months; a quarter within 19 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 20, 2025
First posted
Sep 8, 2025
StartActual
Oct 6, 2025
Primary completionEst.
Jun 8, 2027
CompletionEst.
Feb 13, 2029
Last update
Nov 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
2 updates, last Nov 9, 2026
Show all 2 updates
  1. Nov 9, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 13, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07161258
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Sep 8, 2025
Start date
Oct 6, 2025
Primary completion
Jun 8, 2027 (estimated)
Completion
Feb 13, 2029 (estimated)
Last update
Nov 9, 2026

Study contacts

Reference Study ID Number: CN45847 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S.)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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Studies of the drug tested here: Fenebrutinib

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