Efficacy and Safety of BG00012 in MS
What it found
The main measure showed a statistically significant benefit.
“Treatment with BG00012 240 mg three times daily reduced by 69% the mean total number of new GdE lesions from week 12 to 24 compared with placebo (1.4 vs 4.5, p<0.0001).”Read by software from the paper's abstract
total number of new gadolinium enhancing (GdE) lesions on brain MRI scans at weeks 12, 16, 20, and 24
| Group | n | Value |
|---|---|---|
| BG00012 240 mg three times daily | 64 | 1.4 |
| Placebo | 65 | 4.5 |
reduction in mean total number of new GdE lesions vs placebo 69%
p = <0.0001
Total participants: 257
Read by software from the paper's abstract
What was tested
Treatment tested
- Dimethyl fumarate
Kelch-like ECH-associated protein 1 inhibitor
What it measured
Main measures
The primary endpoint for the primary objective is the total number of MRI lesions at Weeks 12, 16, 20, and 24.
Weeks 12, 16, 20, and 24
MRI lesionsThe primary endpoint is the total number of Gd-enhancing lesions over four scans at Weeks 12,16,20 and 24 (calculated as the sum of these four MRI scans).
MRI lesions
Other measures (1)
The secondary endpoints will include measuring the changes in MRIs from baseline until Week 24, changes in other MS measurements q12 weeks, and the annualized relapse rate and proportion of changes at Weeks 24 and 48.
Weeks 24 and 48
Relapses
Who could take part
Relapsing MS · 18 to 55
Inclusion Criteria: 1. Must be 18 to 55 years old, inclusive, at the time of informed consent. 2. Must have a confirmed diagnosis of relapsing-remitting MS according to McDonald criteria #1-4 (McDonald et al, 2001; Appendix 2). 3. Must have a baseline EDSS between 0.0 and 5.0, inclusive. 4. Must have experienced at least one relapse within the 12 months prior to randomization, with a prior cranial MRI demonstrating lesion(s) consistent with MS OR show evidence of Gd-enhancing lesions of the brain on an MRI performed within the 6 weeks. 5. Male and female subjects must be willing to take appropriate measures to prevent pregnancy. Exclusion Criteria: 1. Primary progressive, secondary progressive, or progressive relapsing MS (as defined by Lublin and Reingold, 1996 [Appendix 3]). 2. History of malignancy. 3. History of severe allergic or anaphylactic reactions or known drug hypersensitivity. 4. History of abnormal laboratory results indicative of any significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal, neurologic (other than MS), and/or other major disease. 5. History of human immunodeficiency virus (HIV). 6. History of drug or alcohol abuse (as defined by the Investigator) within the 2 years prior to randomization. 7. An MS relapse that has occurred within the 50 days prior to randomization AND/OR the subject has not stabilized from a previous relapse prior to randomization. 8. Body weight >100 kg. 9. Positive for hepatitis C antibody and/or positive for hepatitis B surface antigen (HBsAg) at screening. 10. Any of the following abnormal blood tests at screening. 11. Any previous treatment with FUMADERM®, FAG-201, or BG00012. 12. A medication history that precludes entry into the study. 13. Female subjects who are currently pregnant or breast-feeding.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Determine the efficacy, safety, and tolerability of BG00012 in MS patients.
Papers
Results
Efficacy and safety of oral fumarate in patients with relapsing-remitting multiple sclerosis: a multicentre, randomised, double-blind, placebo-controlled phase IIb study.Lancet · 2008
Treatment with BG00012 240 mg three times daily reduced by 69% the mean total number of new GdE lesions from week 12 to 24 compared with placebo (1.4 vs 4.5, p<0.0001).
Read by software from the paper's abstract
Results
Mehta D, Miller C, Arnold DL, Bame E, Bar-Or A, Gold R, Hanna J, Kappos L, Liu S, Matta A, Phillips JT, Robertson D, von Hehn CA, Campbell J, Spach K, Yang L, Fox RJ. Effect of dimethyl fumarate on lymphocytes in RRMS: Implications for clinical practice. Neurology. 2019 Apr 9;92(15):e1724-e1738. doi: 10.1212/WNL.0000000000007262. Epub 2019 Mar 27.Results
Fox RJ, Kita M, Cohan SL, Henson LJ, Zambrano J, Scannevin RH, O'Gorman J, Novas M, Dawson KT, Phillips JT. BG-12 (dimethyl fumarate): a review of mechanism of action, efficacy, and safety. Curr Med Res Opin. 2014 Feb;30(2):251-62. doi: 10.1185/03007995.2013.849236. Epub 2013 Oct 22.
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History
Started
Oct 2004
Main results due
Mar 2006
Finished
Mar 2006
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