Multiple Sclerosis, Primary ProgressivePhase 3FENtrepidNCT04544449
A Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Ocrelizumab in Adult Participants With Primary Progressive Multiple Sclerosis
A Phase 3 study testing Fenebrutinib and Ocrelizumab in people with Multiple Sclerosis, Primary Progressive, run by Hoffmann-La Roche at 190 sites in 28 countries.
Trial summary
A study to evaluate the efficacy and safety of fenebrutinib on disability progression in adult participants with Primary Progressive Multiple Sclerosis (PPMS). All eligible participants will be randomized 1:1 to either daily oral fenebrutinib (and placebo) or intravenous (IV) ocrelizumab (and placebo) in a blinded… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Multiple Sclerosis, Primary Progressive
- What is being tested?
- Fenebrutinib and Ocrelizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 985 participants
- Where
- 190 sitesin 28 countries
- Study dates
- 26 Oct 2020to 21 Jul 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- For sites in Germany and Italy only, enrollment is restricted to participants aged 46-65 years
- A diagnosis of PPMS in accordance to the revised 2017 McDonald Criteria (Thompson et al. 2018).
- Disability progression in the 12 months prior to screening.
- Expanded Disability Status Scale (EDSS) score from 3.0 to 6.5 inclusive at screening.
- Pyramidal functional subscore >=2 at screening.
- For participants currently receiving proton pump inhibitors (PPIs), H2-receptor antagonists (H2RAs), symptomatic treatment for MS (e.g. fampridine, cannabis) and/or physiotherapy: treatment at a stable dose during the screening period prior to the initiation of study treatment and plans to remain at a stable dose for the duration of study treatment.
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- Neurologically stable for at least 30 days prior to randomization and baseline assessments.
- Ability to complete the 9-Hole Peg Test (9-HPT) for each hand in <240 seconds.
- Ability to perform Timed 25-Foot Walk Test (T25FWT) in <150 seconds.
- For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and refrain from donating eggs.
- For male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and refrain from donating sperm.
- OLE Inclusion Criteria:
- Completed the Double-Blind Treatment (DBT) phase of the study (remaining on study treatment; no other Disease-Modifying Therapy (DMT) administered) and who, in the opinion of the investigator, may benefit from treatment with fenebrutinib.
- For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and refrain from donating eggs.
- For male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and refrain from donating sperm.
Who cannot join
- For participants enrolled in Germany and in Italy only: Presence of gadolinium-enhancing lesions on T1-weighted MRI (T1Gd +) lesion on the screening MRI
- Any known or suspected active infection (excluding onychomycosis) at screening, including but not limited to a positive screening test for Hepatitis B and C, an active or latent or inadequately treated infection with tuberculosis (TB), a confirmed or suspected progressive multifocal leukoencephalopathy (PML).
- Participants with a previous history of a serious Infusion-Related Reaction (IRR) (Common Terminology Criteria for Adverse Events [CTCAE] Grade >= 4) and/or any hypersensitivity reaction to ocrelizumab.
- History of cancer including hematologic malignancy and solid tumors within 10 years of screening. Exceptions: Basal/squamous cell carcinoma of skin cured by excision. In situ carcinoma of the cervix successfully treated by curative therapy >1 year prior to screening.
- Known presence of other neurological disorders, that could interfere with the diagnosis of MS or assessments of efficacy or safety during the study, clinically significant cardiovascular, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic or gastrointestinal disease.
- Presence of cirrhosis (Child-Pugh Class A, B, or C)
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- Chronic liver disease unless considered stable for >6 months
- Acute liver disease
- Any concomitant disease that may require chronic treatment with systemic corticosteroids, immunosuppressants or specific medication that could impact the primary evaluation of the study.
- History of alcohol or other drug abuse within 12 months prior to screening.
- Female participants who are pregnant or breastfeeding or intending to become pregnant during the study or 6 or 12 months (as applicable from the local label for ocrelizumab) after final dose of study drug.
- Male participants intending to father a child during the study or for 28 days after final dose of study drug.
- Lack of peripheral venous access.
- Any previous treatment with immunomodulatory or immunosuppressive medication without an appropriate washout period.
- Receipt of a live or live-attenuated vaccine within 6 weeks prior to randomization.
- Immunocompromised state, history of primary or secondary (non-drug related) immunodeficiency, or history of transplantation or antirejection therapy
- Known bleeding diathesis, anemia, or history of hospitalization or transfusion for gastrointestinal (GI) bleed
- Any previous treatment with cladribine, mitoxantrone, daclizumab, alemtuzumab, or cyclophosphamide
- OLE Exclusion Criteria:
- Chronic liver disease unless considered stable for > 6 months
- Acute liver disease
- Cirrhosis (Child-pugh Class A, B or C)
- Gilbert's syndrome
Trial locations and contacts
190 sites in 28 countries.
190 sites in 28 countries
United States43 sites
Dent Neurological Institute
Amherst, New York, 14226
University of Colorado Denver
Aurora, Colorado, 80045
Johns Hopkins University School Of Medicine
Baltimore, Maryland, 21287
Sutter East Bay Medical Foundation
Berkeley, California, 94705
Miami Valley Hospital South
Centerville, Ohio, 45459
Atrium Health Neurosciences Institute ? Charlotte
Charlotte, North Carolina, 28204
UC Health, LLC.
Cincinnati, Ohio, 45267
OhioHealth Riverside Methodist Hospital
Columbus, Ohio, 43214
Neurology Clinic PC
Cordova, Tennessee, 38018
Wayne State University
Detroit, Michigan, 48201
Yale University School Of Medicine
Fairfield, Connecticut, 06824
Fullerton Neurology and Headache Center
Fullerton, California, 92835
Minneapolis Clinic of Neurology
Golden Valley, Minnesota, 55422
Hackensack U Med Ctr
Hackensack, New Jersey, 07601
Alabama Neurology Associates
Homewood, Alabama, 35209
Uni of Texas Health Science Center At Houston
Houston, Texas, 77030
Josephson Wallack Munshower Neurology PC
Indianapolis, Indiana, 46256
University of Kansas Medical Center
Kansas City, Kansas, 66160
Evergreen MS Center
Kirkland, Washington, 98034
Hope Neurology
Knoxville, Tennessee, 37922
Cleveland Clinic Lou Ruvo
Las Vegas, Nevada, 89106
Barnabas Health Ambulatory Care Center
Livingston, New Jersey, 07039
Neurology Associates PA
Maitland, Florida, 32751
Medical College of Wisconsin, Inc.
Milwaukee, Wisconsin, 53226-3596
West Virginia University
Morgantown, West Virginia, 26506
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Jersey Shore University Medical Centre
Neptune City, New Jersey, 07753
Columbia University Medical Center
New York, New York, 10032
Rutgers New Jersey Medical School
Newark, New Jersey, 07103
Neurological Services of Orlando
Orlando, Florida, 32806
Providence Brain and Spine Institute
Portland, Oregon, 97225
Raleigh Neurology Associates
Raleigh, North Carolina, 27607-6520
University of Rochester
Rochester, New York, 14642
Swedish Medical Center
Seattle, Washington, 98122
Texas Institute for Neurological Disorders
Sherman, Texas, 75092
Washington University
St Louis, Missouri, 63128
Stony Brook University Medical Center
Stony Brook, New York, 11794
Palo Alto Medical Foundation Research Center
Sunnyvale, California, 94086
SUNY Upstate Medical University
Syracuse, New York, 13210
University of South Florida
Tampa, Florida, 33612
Holy Name Hospital
Teaneck, New Jersey, 07666
Georgetown University Medical Center
Washington D.C., District of Columbia, 20007
Dragonfly Research, LLC
Wellesley, Massachusetts, 02481
Ukraine13 sites
CNPE City Clinical Hospital #3 of Chernivtsi City Council
Chernivtsi, Chernihiv Governorate, 58022
Separated structural unit ?University hospital? of Dnipro State Medical University
Dnipro, Tavria Okruha
Regional Clinical Hospital
Ivano-Frankivsk, 76008
Ams of Ukraine
Kharkiv, Kharkiv Governorate, 61068
MEDBUD
Kyiv, KIEV Governorate, 03037
Volyn Regional Clinical Hospital
Lutsk, 43024
Lviv Regional Clinical Hospital
Lviv, KIEV Governorate, 79010
"Neurofocus" LLC
Lviv, 79029
Odesa Regional Clinical Hospital
Odesa, 65117
Salutem Medical Center
Vinnytsia, KIEV Governorate, 21009
Medical Clinical Research Center of Medical Center LLC Health Clinic
Vinnytsia, 21009
Municipal Institution Zaporizhzhia Regional Clinical Hospital of Zaporizhzhia Regional Council
Zaporizhzhya, Kharkiv Governorate, 69600
Medical Centre of PE First Private Clinic
Zhytomyr, Crimean Regional Governmenta, 10008
Russia11 sites
Vertebronevrologiya LLC
Kazan', Tatarstan Republic, 420047
Center of Cardiology and Neurology
Kirov, 610007
Krasnoyarsk State Medical Academy
Krasnoyarsk, Krasnoyarsk Krai, 660022
FSBHI Siberian Clinical Center of the Federal Medical and Biological Agency
Krasnoyarsk, Krasnoyarsk Krai, 660037
Federal center of brain research and neurotechnologies
Moskva, Moscow Oblast, 117997
City Clinical Hospital #24
Moskva, Moscow Oblast, 127015
State Novosibirsk Regional Clinical Hospital
Novosibirsk, 630087
National Center of Social Significant Disease
Saint Petersburg, Sankt-Peterburg, 197110
City Hospital #40 of Resort Administrative District
Saint Petersburg, Sankt-Peterburg, 197706
Regional Multiple Sclerosis Centre b/o CC ECM Neftyanik
Tyumen, Tyumen Oblast, 625048
Sverdlovsk Regional Clinical Hospital 1
Yekaterinburg, Sverdlovsk Oblast, 620102
Canada10 sites
Fraser Health Authority - Fraser Health Multiple Sclerosis
Burnaby, British Columbia, V5G 2X6
University of Alberta Hospital
Edmonton, Alberta, T6G 1Z1
Clinique NeuroOutaouais
Gatineau, Quebec, J8Y 1W2
Recherche Sepmus Inc.
Greenfield Park, Quebec, J4V 2J2
London Health Sciences Centre Uni Campus
London, Ontario, N6A 5A5
Montreal Neurological Institute and Hospital
Montreal, Quebec, H3A 2B4
The Ottawa Hospital - General Campus
Ottawa, Ontario, K1H 8L6
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
St. Michael's Hospital
Toronto, Ontario, M5B-1W8
University of British Columbia
Vancouver, British Columbia, V6T 1Z3
Poland10 sites
Neurocentrum Bydgoszcz sp. z o.o
Bydgoszcz, 85-796
Care Clinic
Katowice, 40-568
NEURO-CARE Sp. z o.o. Sp. Komandytowa
Katowice, 40-749
Centrum Neurologii Krzysztof Selmaj
Lodz, 90-324
Med Polonia
Późna, 60-693
Centrum Medyczne "MEDYK"
Rzeszów, 35-055
Nmedis sp. z o.o.
Rzeszów, 35-323
Centrum Medyczne NeuroProtect
Warsaw, 01-684
Wro Medica
Wroc?aw, 51-685
SPSK nr 1
Zabrze, 41-800
Turkey (Türkiye)10 sites
Hacettepe University Medical Faculty
Ankara, 06100
Baskent Universitesi Ankara Hastanesi
Çankaya, 06490
Istanbul Universitesi - Cerrahpasa Cerrahpasa Tip Fakultesi
Istanbul, 34098
Sancaktepe Training and Research Hospital
Istanbul, 34785
Selcuk University Medical Faculty
Istanbul, 42131
Kocaeli University Hospital
Kocaeli, 41380
Mersin University Medical Faculty
Mersin, 33079
Ondokuz Mayis Univ. Med. Fac.
Samsun, 55139
Karadeniz Tecnical Uni. Med. Fac.
Trabzon, 61080
Van Yuzuncu Yil University Hospital
Van, 65080
Spain9 sites
Complejo Hospitalario Universitario A Coruña (CHUAC)
A Coruña, LA Coruna, 15006
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Puerta del Mar
Cadiz, 11009
Hospital Universitari Arnau de Vilanova de Lleida
Lleida, Lerida, 25198
Hospital Ramon y Cajal
Madrid, 28034
Hospital Regional Universitario de Malaga ? Hospital General
Málaga, 29010
Hospital Quiron de Madrid
Pozuelo de Alarcón, Madrid, 28223
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Alvaro Cunqueiro
Vigo, Pontevedra, 36213
Italy8 sites
Irccs A.O.U.San Martino Ist
Genoa, Liguria, 16132
IRCCS Ospedale San Raffaele
Milan, Lombardy, 20132
Ospedale Civile di Montichiari
Montichiari, Lombardy, 25018
AOU Seconda Università degli Studi
Naples, Campania, 80138
A.R.N.A.S. Civico Di Cristina Benfratelli
Palermo, Sicily, 90127
A.O.U. di Parma
Parma, Emilia-Romagna, 43126
IRCCS Istituto Neurologico Neuromed
Pozzilli, Molise, 86077
Policlinico Tor Vergata Dip. Neuroscienze-Clinica Neurologica-UOSD Sclerosi Multipla
Rome, Lazio, 00133
Australia7 sites
Box Hill Hospital
Box Hill, Victoria, 3128
Brain and Mind Research Institute
Camperdown, New South Wales, 2050
Austin Hospital
Heidelberg, Victoria, 3084
Liverpool Hospital
Liverpool, New South Wales, 2170
John Hunter Hospital
New Lambton, New South Wales, 2305
Royal Melbourne Hospital
Parkville, Victoria, 3050
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Brazil7 sites
Freire Pesquisa Clinica
Belo Horizonte, Minas Gerais, 30150-320
Instituto de Neurologia de Curitiba
Curitiba, Paraná, 81210-310
Clinica Neurologica
Joinville, Santa Catarina, 89202-190
Núcleo de Pesquisa do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90430-001
IMV Pesquisa Neurológica
Porto Alegre, Rio Grande do Sul, 90620-130
Hospital Universitario Gaffree e Guinle
Rio de Janeiro, 20270-004
Centro de Pesquisas Clinicas
São Paulo, São Paulo, 01228-200
Germany7 sites
Charite - Universitatsmedizin Berlin
Berlin, 10117
Studienzentrum Dr. Bischof GmbH
Böblingen, 71034
Universitätsklinikum "Carl Gustav Carus", Zentrum für Klinische Neurowissenschaften
Dresden, 01307
Universitätsklinikum Freiburg, Klinik für Neurologie und Neurophysiologie
Freiburg im Breisgau, 79106
Klinikum rechts der Isar der TU Muenchen
München, 81675
Universitaetsklinikum Tuebingen
Tübingen, 72076
Deutsche Klinik für Diagnostik
Wiesbaden, 65191
Argentina6 sites
Centro de Especialidades Neurológicas y Rehabilitación - CENyR
Buenos Aires, C1424
Focus CECIC
Buenos Aires
Instituto De Neurología Cognitiva - INECO
Capital Federal, 000C1021
Instituto Reumatológico Strusberg
Córdoba, X5000EDC
Fundacion Rosarina de Neurorehabilitacion
Rosario, 2000
Centro de Investigaciones Médicas Tucuman
San Miguel, T4000AXL
France6 sites
Groupe Hospitalier Pellegrin
Bordeaux, 33076
Hopital Pierre Wertheimer
Bron, 69677
CHRU de Montpellier, Hopital Gui de Chauliac
Montpellier, 34295
Hopital Guillaume Et Rene Laennec
Nantes, 44805
Hôpital Pasteur
Nice, 06002
Hopitaux Universitaires de Strasbourg
Strasbourg, 67091
Hungary5 sites
Clinexpert Kft.
Budapest, 1033
S-Medicon Egeszsegugyi Szolgaltato Kft.
Budapest, 1044
Budapesti Jahn Ferenc Dél-pesti Kórház és Rendel?intézet
Budapest, 1204
Markhot Ferenc Oktatokorhaz és Rendelointezet
Eger, 3300
Pest Megyei Flor Ferenc Korhaz
Kistarcsa, 2143
Mexico5 sites
Grupo Médico Camino S.C.
México, Mexico CITY (federal District), 03600
Mexico Centre for Clinical Research
Mexico City, Mexico CITY (federal District), 03100
Clinstile S.A de C.V.
Mexico City, Mexico CITY (federal District), 06700
Hospital Juarez de Mexico
Mexico City, Mexico CITY (federal District), 07760
Clinical Research Institute
Tialnepantla, Mexico, 54055
Portugal5 sites
Unidade Local de Saúde de Braga
Braga, 4710-243
Hospital Santo Antonio dos Capuchos
Lisbon, 1169-050
Hospital de Santa Maria
Lisbon, 1649-035
Hospital Geral de Santo Antonio
Porto, 4099-001
Hospital de Sao Joao
Porto, 4200-319
United Kingdom4 sites
Queen Elizabeth University Hospital
Glasgow, G51 4TF
Charing Cross Hospital
London, W6 8RF
Nottingham University Hospitals NHS Trust
Nottingham, NG7 2UH
Morriston Hospital
Swansea, SA6 6NL
Colombia3 sites
Organizacion Sanitas Internacional
Bogotá
Fundacion Clinica Valle del Lili
Cali
Instituto Neurologico de Colombia INDEC
Medellín
Greece3 sites
Hospital Eginition
Athens, 115 28
401 Military Hospital of Athens
Athens, 11525
AHEPA Univ. General Hospital of Thessaloniki
Thessaloniki, 54636
Israel3 sites
Rambam Medical Center
Haifa, 3109601
The Chaim Sheba Medical Center
Ramat Gan, 5262100
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Peru3 sites
Hospital IV Alberto Sabogal Sologuren
Bellavista, Callao 2
Clinica Internacional
Lima, 15001
Instituto Nacional de Ciencias Neurológicas - Hospital Mogrovejo
Lima, Lima 01
Austria2 sites
Kepler Universitätsklinikum GmbH - Neuromed Campus
Linz, 4020
Medizinische Universität Wien
Vienna, 1090
Bulgaria2 sites
UMHAT Dr. Georgi Stranski
Pleven, 5800
Multiprofile Hospital for Active Treatment of Neurology and Psychiatry Sv. Naum EAD
Sofia, 1113
Denmark2 sites
Aarhus Universitetshospital
Aarhus N, 8200
Rigshospitalet
Glostrup Municipality, 2600
Switzerland2 sites
Universitätsspital Basel
Basel, 4031
Inselspital Bern Medizin Neurologie
Bern, 3010
About this study
Official title: A Phase III Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Ocrelizumab in Adult Patients With Primary Progressive Multiple Sclerosis.
A study to evaluate the efficacy and safety of fenebrutinib on disability progression in adult participants with Primary Progressive Multiple Sclerosis (PPMS). All eligible participants will be randomized 1:1 to either daily oral fenebrutinib (and placebo) or intravenous (IV) ocrelizumab (and placebo) in a blinded fashion through an interactive voice or web-based response system (IxRS). 985 participants were enrolled and recruited globally. Participants who discontinue study medication early or discontinue from the study will not be replaced. The Open-Label Extension (OLE) phase is contingent on a positive benefit-risk result in the Primary Analysis of the study.
- Conditions
- Multiple Sclerosis, Primary Progressive
- Being tested
- Fenebrutinib, Ocrelizumab, Placebo matched to ocrelizumab, Placebo matched to fenebrutinib
- Medical subject headings
- Multiple Sclerosis, Chronic Progressive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FenebrutinibDrug
Participants will receive fenebrutinib.
OcrelizumabDrug
Participants will receive ocrelizumab.
Placebo matched to ocrelizumabDrug
Participants will receive ocrelizumab-matching placebo.
Placebo matched to fenebrutinibDrug
Participants will receive fenebrutinib-matching placebo
| Study group | Role | What they receive |
|---|---|---|
| Fenebrutinib | Experimental | Participants will receive oral fenebrutinib and IV ocrelizumab-matching placebo. Receives: Drug: Fenebrutinib; Drug: Placebo matched to ocrelizumab |
| Ocrelizumab | Active comparator | Participants will receive IV ocrelizumab and oral fenebrutinib-matching placebo. Receives: Drug: Ocrelizumab; Drug: Placebo matched to fenebrutinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Onset of Composite 12-Week Confirmed Disability Progression (cCDP12)
Measured: Minimum of 120 weeks
Secondary outcomes (9)
Time to Onset of Composite 24-week CDP (cCDP24)
Measured: Minimum of 120 weeks
Time to Onset of 12-week CDP (CDP12)
Measured: Minimum of 120 weeks
Time to Onset of 24-week CDP (CDP24)
Measured: Minimum of 120 weeks
Percentage Change in Total Brain Volume Assessed by Magnetic Resonance Imaging (MRI)
Measured: From Week 24 to Week 120
Percent Change from Screening in Blood Neurofilament Light Chain (NfL) Levels
Measured: Up to Week 120
Change from Baseline in Participant-Reported Physical Impacts of Multiple Sclerosis (MS) Measured by the Multiple Sclerosis Impact Scale, 29-Item [MSIS-29] Physical Scale
Measured: Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108 and 120
Time to Onset of 12-week Confirmed 4-point Worsening in Symbol Digit Modality Test (SDMT) Score
Measured: Minimum of 120 weeks
Percentage of Participants with Adverse Events (AEs)
Measured: Up to 4.7 years
Plasma Concentrations of Fenebrutinib at Specified Timepoints
Measured: Up to 4.7 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Sep 2020
- Study start26 Oct 2020
- Primary completion17 Sep 2025
- Study completion21 Jul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple Sclerosis, Primary ProgressiveStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 985 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04544449
- Sponsor's protocol ID
- GN41791
- Other IDs
- 2019-003919-53, 2022-502611-10-00, 2019
- Acronym
- FENtrepid
- Status last verified
- Sep 2026
- First submitted
- 4 Sep 2020
- Last updated
- 17 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- 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
Study at a glance
From the registry record, last updated by the sponsor on 17 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group Study to Evaluate the Efficacy and Safety of Fenebrutinib Compared With Ocrelizumab in Adult Patients With Primary Progressive Multiple Sclerosis.
- ClinicalTrials.gov ID
- NCT04544449
- Acronym / sponsor ID
- FENtrepid / GN41791
- Conditions
- Multiple Sclerosis, Primary Progressive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 985 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 26 Oct 2020 (actual)
- Primary completion
- 17 Sep 2025 (actual)
- Study completion
- 21 Jul 2027 (estimated)
- First posted
- 10 Sep 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A study to evaluate the efficacy and safety of fenebrutinib on disability progression in adult participants with Primary Progressive Multiple Sclerosis (PPMS). All eligible participants will be randomized 1:1 to either daily oral fenebrutinib (and placebo) or intravenous (IV) ocrelizumab (and placebo) in a blinded fashion through an interactive voice or web-based response system (IxRS). 985 participants were enrolled and recruited globally. Participants who discontinue study medication early or discontinue from the study will not be replaced. The Open-Label Extension (OLE) phase is contingent on a positive benefit-risk result in the Primary Analysis of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fenebrutinib | Experimental | Drug: Fenebrutinib, Drug: Placebo matched to ocrelizumabParticipants will receive oral fenebrutinib and IV ocrelizumab-matching placebo. |
| Ocrelizumab | Active comparator | Drug: Ocrelizumab, Drug: Placebo matched to fenebrutinibParticipants will receive IV ocrelizumab and oral fenebrutinib-matching placebo. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- For sites in Germany and Italy only, enrollment is restricted to participants aged 46-65 years
- A diagnosis of PPMS in accordance to the revised 2017 McDonald Criteria (Thompson et al. 2018).
- Disability progression in the 12 months prior to screening.
- Expanded Disability Status Scale (EDSS) score from 3.0 to 6.5 inclusive at screening.
- Pyramidal functional subscore >=2 at screening.
Key exclusion criteria (23 listed)
- For participants enrolled in Germany and in Italy only: Presence of gadolinium-enhancing lesions on T1-weighted MRI (T1Gd +) lesion on the screening MRI
- Any known or suspected active infection (excluding onychomycosis) at screening, including but not limited to a positive screening test for Hepatitis B and C, an active or latent or inadequately treated infection with tuberculosis (TB), a confirmed or suspected progressive multifocal leukoencephalopathy (PML).
- Participants with a previous history of a serious Infusion-Related Reaction (IRR) (Common Terminology Criteria for Adverse Events [CTCAE] Grade >= 4) and/or any hypersensitivity reaction to ocrelizumab.
- History of cancer including hematologic malignancy and solid tumors within 10 years of screening. Exceptions: Basal/squamous cell carcinoma of skin cured by excision. In situ carcinoma of the cervix successfully treated by curative therapy >1 year prior to screening.
- Known presence of other neurological disorders, that could interfere with the diagnosis of MS or assessments of efficacy or safety during the study, clinically significant cardiovascular, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic or gastrointestinal disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FenebrutinibParticipants will receive fenebrutinib. | Drug | Fenebrutinib |
| OcrelizumabParticipants will receive ocrelizumab. | Drug | Ocrelizumab |
| Placebo matched to ocrelizumabParticipants will receive ocrelizumab-matching placebo. | Drug | Fenebrutinib |
| Placebo matched to fenebrutinibParticipants will receive fenebrutinib-matching placebo | Drug | Ocrelizumab |
Primary outcome
Time to Onset of Composite 12-Week Confirmed Disability Progression (cCDP12)
Time frame: Minimum of 120 weeks
9 secondary outcomes
Time to Onset of Composite 24-week CDP (cCDP24)
Time frame: Minimum of 120 weeks
Time to Onset of 12-week CDP (CDP12)
Time frame: Minimum of 120 weeks
Time to Onset of 24-week CDP (CDP24)
Time frame: Minimum of 120 weeks
Percentage Change in Total Brain Volume Assessed by Magnetic Resonance Imaging (MRI)
Time frame: From Week 24 to Week 120
Percent Change from Screening in Blood Neurofilament Light Chain (NfL) Levels
Time frame: Up to Week 120
Change from Baseline in Participant-Reported Physical Impacts of Multiple Sclerosis (MS) Measured by the Multiple Sclerosis Impact Scale, 29-Item [MSIS-29] Physical Scale
Time frame: Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108 and 120
Time to Onset of 12-week Confirmed 4-point Worsening in Symbol Digit Modality Test (SDMT) Score
Time frame: Minimum of 120 weeks
Percentage of Participants with Adverse Events (AEs)
Time frame: Up to 4.7 years
Plasma Concentrations of Fenebrutinib at Specified Timepoints
Time frame: Up to 4.7 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Sep 2026.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
190 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Fenebrutinib and Ocrelizumab in people with Multiple Sclerosis, Primary Progressive, run by Hoffmann-La Roche at 190 sites in 28 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 17 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 190 sites in United States, Ukraine, Russia, Canada, Poland and 23 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to Onset of Composite 12-Week Confirmed Disability Progression (cCDP12) (time frame: Minimum of 120 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Sep 2026.