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临床试验/NCT07067463
NCT07067463招募中3 期

A Phase 3, Randomized, Double-blind, Efficacy and Safety Study Comparing Orelabrutinib to Placebo in Patients With Primary Progressive Multiple Sclerosis

Zenas BioPharma (USA), LLC66 个研究点 分布在 13 个国家目标入组 705 人开始时间: 2026年3月23日最近更新:
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
705
试验地点
66
主要终点
Time to onset of composite confirmed disability progression (cCDP) , confirmed over at least 12 weeks (12-week cCDP)

研究概览

简要总结

Orelabrutinib is a CNS-penetrable BTK inhibitor. This is a phase 3, randomized, double-blind, parallel-group, multicenter study to evaluate the efficacy and safety of orelabrutinib compared with placebo in patients with PPMS. Patients will be treated for approximately 30 to 60 months, with a minimum treatment duration of 12 months. The study will enroll approximately 705 subjects in a 2:1 randomization (orelabrutinib: placebo), globally.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • 18 to 60 years of age, inclusive
  • Diagnosed with Primary Progressive MS (PPMS) according to 2017 McDonald criteria
  • Participant must have documented evidence of disability progression observed during the 24 months before screening.
  • Expanded disability status scale (EDSS) score between 3.0 to 6.5 points, inclusive, at Screening.

排除标准

  • Diagnosed with relapsing-remitting MS (RRMS) or secondary progressive MS (SPMS)
  • Immunologic disorder other than MS or any other conditions requiring oral, intravenous (IV), intramuscular, or intra-articular corticosteroid therapy.
  • History or current diagnosis of other neurological disorders that may mimic MS
  • History of any other significant active medical condition
  • History of suicidal behavior within 6 months prior to Screening
  • Any prior history of malignancy if no recurrence within 5 years
  • Patients on anticoagulation, or antiplatelet therapy will be excluded
  • Patients took strong/moderate CYP3A inhibitors or strong/moderate CYP3A inducerswithin 14 days
  • Clinically significant laboratory abnormalities at Screening.
  • Any allergy, contraindication, or inability to tolerate orelabrutinib or any of the excipients in the study intervention
  • Vaccination with live or live-attenuated virus vaccine within 1 month prior to Screening
  • History of alcohol abuse or alcohol use disorder or other drug abuse within 12 months prior to screening.

研究组 & 干预措施

Placebo Group

Placebo Comparator

干预措施: Placebo (Drug)

Orelabrutinib Group

Experimental

干预措施: Orelabrutinib (Drug)

结局指标

主要结局

Time to onset of composite confirmed disability progression (cCDP) , confirmed over at least 12 weeks (12-week cCDP)

时间窗: Up to approximately 120 weeks

* Expanded disability status scale (EDSS) score increase ≥ 1.0 point from baseline when the baseline score is ≤ 5.0, or ≥ 0.5 points from baseline when the baseline score is \> 5.0, OR * ≥ 20% increase in the Timed 25-Foot Walk Test (T25FWT), OR * ≥ 20% increase in the 9-hole Peg Test (9HPT)

次要结局

  • Time to onset of composite confirmed disability progression (cCDP) , confirmed over at least 24 weeks (24-week cCDP)(Up to approximately 120 weeks)
  • MRI T2 lesion(Up to approximately 120 weeks)
  • Time to onset of confirmed disability progression (CDP) , confirmed over at least 24 weeks (24-week CDP)(Up to approximately 120 weeks)
  • 12-week CDP(Up to approximately 120 weeks)
  • Time to onset of CDP defined as ≥ 20% increase on 9-hole Peg Test (9HPT) from baseline, confirmed over at least 12 weeks (12-week CDP-9HPT)(Up to approximately 120 weeks)
  • Time to onset of CDP defined as ≥ 20% increase on Timed 25-Foot Walk Test (T25FWT) from baseline, confirmed over at least 12 weeks (12-week CDP-T25FWT)(Up to approximately 120 weeks)
  • 24-week CDI(Up to approximately 120 weeks)
  • 24-week cCDI(Up to approximately 120 weeks)
  • 24-week CDI-9HPT(Up to approximately 120 weeks)
  • 24-week CDI-T25FWT(Up to approximately 120 weeks)
  • SDMT(Up to approximately 120 weeks)
  • AEs(Up to approximately 120 weeks)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (66)

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