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Phase 3 N=156 Randomized Treatment

Phase 3 Efficacy and Safety Study of BG00012 in Pediatric Participants With Relapsing-Remitting Multiple Sclerosis (RRMS)

Relapsing-Remitting Multiple Sclerosis

Enrolled (actual)
156
Serious AEs
20.3%
Results posted
May 2026
Primary outcome: Primary: Part 1: Proportion of Participants Free of New or Newly Enlarging T2 Hyperintense Lesions on Brain Magnetic Resonance Imaging (MRI) Scans — 0.161; 0.049 proportion of participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
dimethyl fumarate (Drug); Interferon β-1a (Drug)
Age
Pediatric · 10+ yrs
Sex
All
Sponsor
Biogen
Primary completion
Jul 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Part 1: Proportion of Participants Free of New or Newly Enlarging T2 Hyperintense Lesions on Brain Magnetic Resonance Imaging (MRI) Scans
0.161; 0.049
PRIMARY
Part 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
49; 31; 8; 2
PRIMARY
Part 2: Number of Participants Who Discontinued Study Treatment Due to an AE
2; 1
SECONDARY
Part 1: Number of New or Newly Enlarged T2 Hyperintense Lesions on Brain MRI Scans
10.0; 11.9; 19.4; 32.1 =0.1766
SECONDARY
Part 1: Proportion of Participants Free of New or Newly Enlarging T2 Hyperintense Lesions on Brain MRI Scans
0.200; 0.141; 0.192; 0.088
SECONDARY
Part 1: Proportion of Participants Free of New MRI Activity as Measured by Brain MRI Scans
0.200; 0.141; 0.178; 0.088; 0.145; 0.048
SECONDARY
Part 1: Time to First Relapse
NA; NA =0.0505
SECONDARY
Part 1: Proportion of Relapse-Free Participants
0.868; 0.767; 0.761; 0.704; 0.691; 0.652
SECONDARY
Part 1: Annualized Relapse Rate (ARR)
0.324; 0.564; 0.240; 0.528 =0.0941
SECONDARY
Part 1: Number of Participants With TEAEs and TESAEs
74; 69; 18; 21
SECONDARY
Part 1: Change From Baseline in Vital Signs (Temperature)
36.6; 36.5; 0.0; 0.0; -0.1; 0.0
SECONDARY
Part 1: Change From Baseline in Vital Signs (Pulse Rate)
76.2; 76.7; 2.7; -1.3; 1.7; 1.1
SECONDARY
Part 1: Change From Baseline in Vital Signs (Blood Pressure)
114.2; 115.6; 1.4; -0.7; 2.2; -1.3
SECONDARY
Part 1: Change From Baseline in Vital Signs (Respiratory Rate)
17.3; 18.4; 0.2; -0.3; 0.3; 0.4
SECONDARY
Part 1: Number of Participants With Shifts From Baseline in Electrocardiograms (ECG) Abnormalities
7; 4; 0; 0
SECONDARY
Part 1: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Hematology Parameters)
30; 20; 6; 5; 17; 10
SECONDARY
Part 1: Change From Baseline in Coagulation Parameters [Activated Partial Thromboplastin Time (aPTT)]
26.12; 26.48; 0.07; -0.36; 0.16; -0.53
SECONDARY
Part 1: Change From Baseline in Coagulation Parameters [Prothrombin Time (PT)]
11.54; 11.52; -0.04; -0.33; 0.07; -0.45
SECONDARY
Part 1: Change From Baseline in Coagulation Parameters [International Normalized Ratio (INR)]
1.08; 1.08; 0.0; -0.03; 0.0; -0.05
SECONDARY
Part 1: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Blood Chemistry Parameters)
0; 0; 1; 2; 1; 0
SECONDARY
Part 1: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Urinalysis Parameters)
0; 0; 2; 1; 0; 0
SECONDARY
Part 1: Fatigue Score Measured by the Pediatric Quality of Life Inventory (PedsQL) Multidimensional Fatigue Scale
69.2; 74.4; 67.0; 69.2; 68.1; 72.5 =0.3491
SECONDARY
Part 1: Quality of Life (QOL) as Measured by the PedsQL
79.2; 83.1; 67.5; 74.4; 86.8; 93.6 =0.0521
SECONDARY
Part 1: Change From Baseline in the Expanded Disability Status Scale (EDSS) Score
1.16; 1.12; -0.03; 0.13
SECONDARY
Part 2: Annualized Relapse Rate (ARR)
0.141; 0.182
SECONDARY
Part 2: Change From Baseline in the Expanded Disability Status Scale (EDSS) Score
0.95; 1.16; -0.11; 0.14
SECONDARY
Part 2: Change From Baseline in Brief Visuospatial Memory Test - Revised (BVMT-R) Score
7.33; 6.50; -0.33; 0.55; 0.86; 0.92
SECONDARY
Part 2: Change From Baseline in Symbol Digit Modalities Test (SDMT) Score
61.34; 60.42; 0.37; 4.03; 2.43; 5.60
SECONDARY
Part 2: Number of Participants With or Without School Progression
41; 19; 1; 5; 27; 20
SECONDARY
Part 2: Change From Baseline in Vital Signs (Temperature)
36.54; 36.44; -0.03; 0.07; -0.04; 0.06
SECONDARY
Part 2: Change From Baseline in Vital Signs (Pulse Rate)
75.1; 75.5; 1.3; 3.4; 0.7; 3.1
SECONDARY
Part 2: Change From Baseline in Vital Signs (Blood Pressure)
114.5; 114.3; 0.5; 3.2; 2.1; 2.7
SECONDARY
Part 2: Change From Baseline in Vital Signs (Respiratory Rate)
16.8; 16.9; 0.4; 0.5; 0.3; 0.0
SECONDARY
Part 2: Number of Participants With Shifts From Baseline in ECG Abnormalities
5; 1; 0; 0
SECONDARY
Part 2: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Hematology Parameters)
12; 11; 4; 8; 9; 9
SECONDARY
Part 2: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Blood Chemistry Parameters)
0; 0; 3; 3; 4; 3
SECONDARY
Part 2: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Urinalysis Parameters)
0; 0; 14; 11; 0; 0
SECONDARY
Part 2: Change From Baseline in Height
167.5; 169.0; 0.36; 0.76; 0.72; 1.67
SECONDARY
Part 2: Change From Baseline in Weight
67.5; 65.1; 0.45; 0.93; 0.97; 2.32
SECONDARY
Part 2: Change From Baseline in Bone Age
14.46; 14.17; 0.50; 0.50; 2.00; 1.50
SECONDARY
Part 2: Number of Male Participants by Tanner Stage Assessment
0; 0; 1; 1; 0; 1
SECONDARY
Part 2: Number of Female Participants by Tanner Stage Assessment
0; 0; 0; 0; 0; 0

Summary

The main objectives of Part 1 are as follows: To evaluate the safety, tolerability, and efficacy of BG00012 in pediatric participants with RRMS, as compared with a disease-modifying treatment and to assess health outcomes and evolution of disability. The primary objective of Part 2 is to evaluate the long-term safety of BG00012 in participants who completed Week 96 in Part 1 of Study 109MS306. The secondary objective of Part 2 is to describe the long-term MS outcomes of BG00012 in participants who completed Week 96 in Part 1 of Study 109MS306.

Eligibility Criteria

Key Inclusion Criteria

  • Males and females aged from 10 to less than 18 years old at the time of informed consent or assent.
  • Must have a body weight of ≥30 kg.
  • Must have a diagnosis of RRMS (consensus definition for pediatric RRMS [Krupp 2013]).
  • Must be ambulatory with a baseline EDSS score between 0 and 5.5, inclusive.
  • Must have experienced at least 1 of the following 3 conditions: a) at least 1 relapse within the last 12 months prior to Day 1 with a prior brain MRI demonstrating lesions consistent with MS; b) at least 2 relapses within the last 24 months prior to Day 1, with a prior brain MRI demonstrating lesions consistent with MS; c) evidence of Gd-enhancing lesions of the brain on an MRI performed within the 6 weeks prior to Day 1.
  • Must be neurologically stable, with no evidence of relapse within 50 days prior to Day 1 and no evidence of corticosteroid treatment within 30 days prior to Day 1.
  • Participants of childbearing potential who are sexually active must be willing to practice effective contraception during the study and be willing and able to continue contraception for at least 30 days after their final dose of study treatment.

Key Exclusion Criteria

  • Primary progressive, secondary progressive, or progressive relapsing MS (as defined by [Lublin and Reingold 1996]). These conditions require the presence of continuous clinical disease worsening over a period of at least 3 months. Participants with these conditions may also have superimposed relapses but are distinguished from relapsing-remitting participants by the lack of clinically stable periods or clinical improvement.
  • Disorders mimicking MS, such as other demyelinating disorders (e.g., acute disseminated encephalomyelitis), systemic autoimmune disorders (e.g., Sjögren disease, lupus erythematosus), metabolic disorders (e.g., dystrophies), and infectious disorders.
  • History of premalignant or malignant disease. Participants with basal cell carcinoma that has been completely excised prior to screening will remain eligible.
  • History of severe allergic or anaphylactic reactions, or known drug hypersensitivity to DMF, fumaric acid esters, or interferon beta-1a (IFN Beta-1a).
  • History of abnormal laboratory results indicative of any significant endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, renal, and/or any other major disease that would preclude participation in a clinical study.
  • History of clinically significant cardiovascular, pulmonary, GI, dermatologic, growth, developmental, psychiatric (including depression), neurologic (other than MS), and/or other major disease that would preclude participation in a clinical study.
  • History of human immunodeficiency virus.
  • An MS relapse that has occurred within 50 days prior to Day 1 AND/OR the participant has not stabilized from a previous relapse prior to Day 1.
  • Other unspecified reasons that, in the opinion of the Investigator or Biogen Idec, make the participant unsuitable for enrollment.

NOTE: Other protocol-defined inclusion/exclusion criteria may apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02283853). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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