Phase 3
N=156
Phase 3 Efficacy and Safety Study of BG00012 in Pediatric Participants With Relapsing-Remitting Multiple Sclerosis (RRMS)
Relapsing-Remitting Multiple Sclerosis
Bottom Line
View on ClinicalTrials.gov: NCT02283853 ↗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
| Outcome | Result | p-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
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.