Study on the Safety and Efficacy of BIIB091 and Diroximel Fumarate for Patients with Relapsing Multiple Sclerosis

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What is this study about?

This clinical trial is focused on studying the safety and effectiveness of a new treatment for people with relapsing forms of Multiple Sclerosis (MS). Multiple Sclerosis is a condition that affects the brain and spinal cord, leading to a range of symptoms such as problems with vision, arm or leg movement, sensation, or balance. The study will test a medication called BIIB091, both on its own and in combination with another medication called Diroximel Fumarate (also known as Vumerity). These medications are being tested to see how well they work in reducing inflammation in the central nervous system, which is a key feature of MS.

The trial is divided into two parts. In the first part, participants will receive BIIB091 by itself to assess its safety and how well it is tolerated. In the second part, participants will receive a combination of BIIB091 and Diroximel Fumarate, or Diroximel Fumarate alone, to compare the effects on brain inflammation as seen on MRI scans. MRI, or Magnetic Resonance Imaging, is a technique used to create detailed images of the organs and tissues in the body, which helps in monitoring the disease’s activity.

Participants in the study will be randomly assigned to different treatment groups, and the study will be conducted in a way that neither the participants nor the researchers know which treatment is being given, to ensure unbiased results. The study will last for a period of up to 48 weeks for each participant, during which they will receive regular check-ups and monitoring to ensure their safety and to gather data on the effectiveness of the treatments. The goal is to find a treatment that can help manage the symptoms of relapsing forms of Multiple Sclerosis more effectively.

1 initial visit and screening

Upon joining the study, you will attend an initial visit where medical history and current health status are reviewed. This includes a physical examination and various tests to ensure eligibility for the trial.

You will undergo a brain MRI scan to check for specific types of lesions. This helps confirm the diagnosis of relapsing forms of multiple sclerosis.

2 randomization and treatment assignment

After eligibility is confirmed, you will be randomly assigned to one of the treatment groups. This means you will receive either BIIB091 alone or in combination with Diroximel Fumarate.

The study does not include a placebo group, so all participants will receive active treatment.

3 treatment phase part 1

In the first part of the treatment phase, you will take BIIB091 in tablet form. The dosage and frequency will be explained by the study team.

Regular check-ups will be scheduled to monitor your health and any side effects. You will also have periodic MRI scans to assess brain inflammation.

4 treatment phase part 2

In the second part of the treatment phase, you may continue with BIIB091 or receive a combination of BIIB091 and Diroximel Fumarate.

You will take Diroximel Fumarate as gastro-resistant capsules. The study team will provide instructions on dosage and frequency.

5 ongoing monitoring

Throughout the trial, you will have regular visits to monitor your health, including blood tests and heart monitoring.

You will be asked to report any side effects or changes in your condition. This information is crucial for assessing the safety and effectiveness of the treatments.

6 end of study procedures

At the end of the study, you will have a final visit to assess your overall health and any changes since the start of the trial.

The study team will discuss the results with you and provide guidance on next steps for your treatment and care.

Who Can Join the Study?

  • Must have a diagnosis of Relapsing Forms of Multiple Sclerosis (RMS). This includes relapsing-remitting multiple sclerosis (RRMS) or active secondary progressive multiple sclerosis (SPMS) according to the 2017 Revised McDonald criteria.
  • Time since the onset of multiple sclerosis symptoms must be less than 20 years.
  • Must have an Expanded Disability Status Scale (EDSS) score between 0 and 5.0 at the start of the study. The EDSS is a method of measuring disability in people with multiple sclerosis.
  • Must have experienced at least one of the following before the start of the study:
    • At least 2 clinical relapses in the last 24 months, but not within 30 days before the study starts. A relapse is a period when symptoms get worse.
    • At least 1 clinical relapse in the past 24 months, but not within 30 days before the study starts, and at least 1 new brain MRI lesion in the past 12 months. An MRI lesion is an area of damage in the brain seen on an MRI scan.
    • At least 1 Gadolinium-enhancing (GdE) lesion on a brain MRI within 6 months before the study starts. A GdE lesion is a specific type of brain lesion that shows active inflammation.
  • Both males and females can participate.

Who Cannot Join the Study?

  • Participants cannot join if they have any other serious health conditions that might interfere with the study.
  • Individuals who are pregnant or breastfeeding are not eligible to participate.
  • Participants must not have had any recent infections that required treatment with antibiotics or antiviral medications.
  • People who have had a history of severe allergic reactions to any medications are excluded.
  • Participants should not have received any other investigational drugs within a certain period before the study.
  • Individuals with a history of drug or alcohol abuse may not participate.
  • Participants must not have any significant liver or kidney problems.
  • People with a history of cancer, except for certain types of skin cancer, are excluded.
  • Participants should not have any uncontrolled high blood pressure or heart disease.
  • Individuals who have had a recent vaccination may not be eligible.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
University Multiprofile Hospital For Active Treatment Saint Georgi EAD Plovdiv Bulgaria
Novo-Med Zielinski I Wspolnicy Sp. j. Katowice Poland
Sapienza University Of Rome Rome Italy
Fakultni Nemocnice Hradec Kralove Novy Hradec Kralove Czechia
University Clinical Hospital Virgen De La Arrixaca Murcia Spain
Istituto Neurologico Mediterraneo Neuromed S.p.A. Pozzilli Italy
Fakultni Nemocnice U Sv Anny V Brne Brno-Stred Czechia
Diagnostics And Consultation Center Convex Ltd. Sofia Bulgaria
Med Polonia Sp. z o.o. Poznan Poland
University Multiprofile Hospital For Active Treatment St. Ivan Rilski EAD Sofia Bulgaria
Nemocnice Jihlava prispevkova organizace Jihlava Czechia
Wielospecjalistyczne Centrum Medyczne IBISMED S.C Zabrze Poland
Diagnostic Consultative Center 14 Sofia EOOD Sofia Bulgaria
IRCCS Ospedale Policlinico San Martino Genoa Italy
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie Cracow Poland
Pratia S.A. Skorzewo Poland
Hospital Ruber Juan Bravo Madrid Spain
Fondazione Istituto Neurologico Nazionale Casimiro Mondino Pavia Italy
Hospital Del Mar Barcelona Spain
Elias University Emergency Hospital Bucharest Romania
Krajska zdravotni a.s. Teplice Czechia
Samodzielny Publiczny Specjalistyczny Szpital Zachodni Im.Sw.Jana Pawla II Grodzisk Mazowiecki Poland
Fondazione Istituto G. Giglio Di Cafalu Cefalu' Italy
Multiprofile Hospital For Active Treatment Avis Medika OOD Pleven Bulgaria
Resmedica Sp. z o.o. Kielce Poland
Ma-Lek Clinical Sp. z o.o. Katowice Poland
Neuroprotect Sp. z o.o. Warsaw Poland
Clubul Sanatatii S.R.L. Campulung Romania
Fakultni Thomayerova nemocnice Prague Czechia
Ngttpk Sjy z omup Rzeszow Poland
Cqyckspifo Puspfxw Lbdwhfvbm Sir z ofne Gdansk Poland
Kydhajto Bmxsmgds Gfub Bayreuth Germany
Nqvghhoku Caapbdtzz Swoxkf Bucharest Romania
Uogfqchard Mgtpoebnbala Hptzxwra fgx Ajjwup Tkgdsszon Sfipn Mwqnnd &rvsxzl Pojvxb Pleven Bulgaria
Uxywgvfxshjlsnryxekht Dnficlimqta Anj Duesseldorf Germany
Ioyxsjpu Zskdupp Dk Buayimlxuuebnfqpt Oświęcim Poland
Shvwtzwafnovpx Dtb Bzndbdh Gjml Böblingen Germany

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Bulgaria Bulgaria
Not recruiting
01.09.2023
Czechia Czechia
Not recruiting
01.09.2023
Germany Germany
Not recruiting
01.09.2023
Italy Italy
Not recruiting
01.09.2023
Poland Poland
Not recruiting
01.09.2023
Romania Romania
Not recruiting
01.09.2023
Spain Spain
Not recruiting
01.09.2023

Trial locations

BIIB091 is a medication being studied for its potential to help people with relapsing forms of multiple sclerosis, a condition where the immune system mistakenly attacks the protective covering of nerves. In this trial, researchers are looking at how safe and tolerable BIIB091 is when used by itself. They are also interested in seeing how it works when combined with another medication, compared to using the other medication alone. The goal is to see if BIIB091 can help reduce inflammation in the central nervous system, which is a key problem in multiple sclerosis.

Diroximel Fumarate is a medication already used to treat relapsing forms of multiple sclerosis. It works by helping to reduce inflammation and protect the nerves from damage. In this trial, Diroximel Fumarate is being used as a comparison to see if adding BIIB091 can improve its effects. Researchers want to find out if the combination of these two medications can better manage the symptoms of multiple sclerosis and reduce the activity of the disease as seen on MRI scans.

Investigated diseases:

Relapsing Forms of Multiple Sclerosis – This is a neurological condition characterized by episodes of new or worsening symptoms, known as relapses, followed by periods of partial or complete recovery. It affects the central nervous system, leading to symptoms such as fatigue, vision problems, and muscle weakness. The disease progresses with the immune system mistakenly attacking the protective covering of nerve fibers, causing communication issues between the brain and the rest of the body. Over time, the disease can lead to permanent damage or deterioration of the nerves. The frequency and severity of relapses can vary greatly among individuals. As the disease progresses, it may lead to more persistent symptoms and disability.

Trial ID:
2022-502552-31-00
Protocol code:
257MS201
NCT ID:
NCT05798520
Trial Phase:
Therapeutic exploratory (Phase II)

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