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NCT02410200: FOCUS

Study of the Effect of BG00012 on MRI Lesions and Pharmacokinetics in Pediatric Subjects With RRMS

Completed Phase 2 Results posted Last updated 23 October 2017
What this trial tests

Phase 2 trial testing dimethyl fumarate in Multiple Sclerosis, Relapsing-Remitting in 22 participants. Completed in 23 September 2016.

Timeline
30 September 2015
Primary endpoint
23 September 2016
23 September 2016

Quick facts

Lead sponsorBiogen
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment22
Start date30 September 2015
Primary completion23 September 2016
Estimated completion23 September 2016
Sites12 locations across Belgium, Germany, Poland, Bulgaria, Kuwait, Lebanon, Latvia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Biogen — full company profile →

Who can join

Adults 10 to 17, any sex, with Multiple Sclerosis, Relapsing-Remitting. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in the Number of New or Newly Enlarging T2 Hyperintense Lesions on Brain Magnetic Resonance Imaging (MRI) Scans From the Baseline Period to On-Treatment Assessment Period Primary · Baseline Period (Week -8 to Day 0), On-Treatment Assessment Period (Week 16 to Week 24)
GroupValue95% CI
BG00012-7.9± 16.23
Maximum Observed Plasma Concentration (Cmax) Secondary · Day 8
GroupValue95% CI
BG000121998.62± 1286.467
Time to Reach Maximum Observed Plasma Concentration (Tmax) Secondary · Day 8
GroupValue95% CI
BG000124.20± 1.543
Apparent Clearance (CL/F) Secondary · Day 8
GroupValue95% CI
BG0001274.45± 30.185
Apparent Volume of Distribution (V/F) Secondary · Day 8
GroupValue95% CI
BG0001298.19± 91.679
Half-Life Lambda z Secondary · Day 8
GroupValue95% CI
BG000120.84± 0.408
Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC0-inf) Secondary · Day 8
GroupValue95% CI
BG000123630.52± 1153.768
Number of Participants Who Experienced Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Secondary · Up to Week 28

AE: any untoward medical occurrence that does not necessarily have a causal relationship with treatment. SAE: any untoward medical occurrence that at any dose: results in death; in the view of the Investigator, places the participant at immediate risk of death (a life-threatening event); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect; any other medically important event that, in the opinion of the Investigator, may jeopardize the participant or may require i

Any event
GroupValue95% CI
BG0001220
Moderate or severe event
GroupValue95% CI
BG000127
Severe event
GroupValue95% CI
BG000121
Event related to BG00012
GroupValue95% CI
BG0001216
Serious event
GroupValue95% CI
BG000125
Serious event related to BG00012
GroupValue95% CI
BG000120
Discontinued treatment due to an event
GroupValue95% CI
BG000122
Withdrew from study due to an event
GroupValue95% CI
BG000122

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug through end of treatment period (Week 24 ±7 days) plus 4 weeks follow-up.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BG00012
Serious: 5/22 (23%)
Deaths:

Serious adverse events (2 terms)

ReactionSystemBG00012
Multiple sclerosis relapseNervous system disorders
VertigoEar and labyrinth disorders
Other adverse events (17 terms — click to expand)

ReactionSystemBG00012
FlushingVascular disorders
Multiple sclerosis relapseNervous system disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
NauseaGastrointestinal disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
VertigoEar and labyrinth disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Lymphocyte count decreasedInvestigations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
DysmenorrhoeaReproductive system and breast disorders

Most-reported serious reactions: Multiple sclerosis relapse, Vertigo.

Data from ClinicalTrials.gov NCT02410200 adverse events section.

Sponsor's own description

The primary objective of this study is to evaluate the effect of BG00012 (dimethyl fumarate) on brain magnetic resonance imaging (MRI) lesions in pediatric participants with relapsing-remitting multiple sclerosis (RRMS). The secondary objectives of this study are to characterize the pharmacokinetics of BG00012 in pediatric participants with RRMS and to evaluate the safety and tolerability of BG00012 in pediatric participants with RRMS.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Multiple Sclerosis in Children: Differential Diagnosis, Prognosis, and Disease-Modifying Treatment.
    Jakimovski D, Awan S, Eckert SP, Farooq O, et al · · 2022 · cited 42× · PMID 34940954 · DOI 10.1007/s40263-021-00887-w
  2. Delayed-Release Dimethyl Fumarate Safety and Efficacy in Pediatric Patients With Relapsing-Remitting Multiple Sclerosis.
    Alroughani R, Huppke P, Mazurkiewicz-Beldzinska M, Blaschek A, et al · · 2020 · cited 23× · PMID 33473248 · DOI 10.3389/fneur.2020.606418
  3. Children with multiple sclerosis should not become therapeutic hostages.
    Rose K, Müller T. · · 2016 · cited 17× · PMID 27582894 · DOI 10.1177/1756285616656592
  4. The State of the Art of Pediatric Multiple Sclerosis.
    Teleanu RI, Niculescu AG, Vladacenco OA, Roza E, et al · · 2023 · cited 15× · PMID 37175954 · DOI 10.3390/ijms24098251
  5. First-line disease modifying treatments in pediatric-onset multiple sclerosis in Greece: therapy initiation at more advanced age is the main cause of treatment failure, in a retrospective observational study, with a cohort from a single Multiple Sclerosis Center.
    Skarlis C, Markoglou N, Gontika M, Bougea A, et al · · 2023 · cited 10× · PMID 36197577 · DOI 10.1007/s10072-022-06431-y
  6. Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation.
    Mathis BJ, Kato H, Hiramatsu Y. · · 2022 · cited 5× · PMID 36497112 · DOI 10.3390/cells11233855
  7. Neuroinflammatory and Demyelinating Disorders of Childhood
    Nouri M, Yeh E. · · 2020

Verify or expand the search:

Other trials of dimethyl fumarate

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Other Biogen trials

Trials by the same sponsor.

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