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A study to see how fenebrutinib is processed in the body, how well it works to prevent signs of relapsing multiple sclerosis and how safe it is in children and teenagers with relapsing multiple sclerosis

Phase 2
Not yet recruiting
Conditions
Relapsing Multiple Sclerosis
Registration Number
2024-519800-28-00
Lead Sponsor
F. Hoffmann-La Roche AG
Brief Summary

To characterize the fenebrutinib Pharmacokinetic (PK) profile in children and adolescents To evaluate Pharmacodynamic (PD) effects of fenebrutinib in children and adolescents

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised, recruitment pending
Sex
Not specified
Target Recruitment
4
Inclusion Criteria

Age ≥ 10 to < 18 years at the time of signing of the Informed Consent Form and at the time of fenebrutinib Initiation

A diagnosis of RMS in accordance with the IPMSSG criteria for pediatric MS, Version 2012, and the revised 2017 McDonald Criteria (Thompson et al. 2018)

Expanded Disability Status Scale (EDSS) at screening from 0 to 5.5 points, inclusive

Up to date on all vaccinations as per local/national recommendations

– For participants who are, or become of childbearing potential: Agreement to remain abstinent OR consistently use a barrier method (preferably external condom) and at least one highly effective contraception method – For all others: Agreement to remain abstinent OR consistently use a barrier method (preferably external condom)

Exclusion Criteria

Inability to complete an MRI scan, interference to MRI scan from teeth braces or other causes, or contraindication to gadolinium contrast

Presence of known or suspected neurological (other than MS), somatic, or metabolic disorders that could interfere with normal cognitive or neurological development, the diagnosis of MS, or the assessments of efficacy or safety during the study

Treatment with adrenocorticotropic hormone or systemic corticosteroid within 7 days prior to baseline MRI

Treatment with intravenous immunoglobulin (IVIg) or plasmapheresis within 4 weeks prior to fenebrutinib initiation

Previous use of fenebrutinib or another BTK inhibitor for any indication

Previous use of anti-CD20 therapies, unless CD19 B-cell count is normal at screening

Study & Design

Study Type
Not specified
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Plasma concentration of fenebrutinib at specified time points

Plasma concentration of fenebrutinib at specified time points

Total number of new T1 gadolinium−enhancing lesions observed on brain MRI scans at Week 12

Total number of new T1 gadolinium−enhancing lesions observed on brain MRI scans at Week 12

Secondary Outcome Measures
NameTimeMethod
Occurrence and severity of adverse events, with severity determined according to NCI CTCAE v5.0

Occurrence and severity of adverse events, with severity determined according to NCI CTCAE v5.0

Change from baseline in vital signs

Change from baseline in vital signs

Change from baseline in ECG parameters

Change from baseline in ECG parameters

Change from baseline in clinical laboratory test results

Change from baseline in clinical laboratory test results

Proportion of participants with suicidal ideation or behavior, as assessed by Columbia-Suicide Severity Rating Scale

Proportion of participants with suicidal ideation or behavior, as assessed by Columbia-Suicide Severity Rating Scale

Trial Locations

Locations (6)

Les Hopitaux Universitaires De Strasbourg

🇫🇷

Strasbourg Cedex 2, France

Hospices Civils De Lyon

🇫🇷

Bron, France

Bicetre Hospital

🇫🇷

Le Kremlin Bicetre Cedex, France

Hospital Universitario Ramon Y Cajal

🇪🇸

Madrid, Spain

Hospital Universitario Virgen De La Macarena

🇪🇸

Sevilla, Spain

Hospital Universitario De La Princesa

🇪🇸

Madrid, Spain

Les Hopitaux Universitaires De Strasbourg
🇫🇷Strasbourg Cedex 2, France
Jérôme De Seze
Site contact
0388128544
jerome.deseze@chru-strasbourg.fr

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