An Efficacy and Safety Study of BG00012 (Dimethyl Fumarate) in Asian Subjects With Relapsing Remitting Multiple Sclerosis (RRMS)
What it found
The main measure showed a statistically significant benefit.
“From weeks 12 - 24, the total number of new gadolinium-enhancing (Gd + ) lesions was reduced by 84% (p < 0.0001) in DMF compared with placebo.”Read by software from the paper's abstract
| Group | n | Value |
|---|---|---|
| DMF 240 mg twice daily | reduced by 84% vs placebo |
percent reduction 84%
p = < 0.0001
Total participants: 225
Read by software from the paper's abstract
What was tested
Treatment tested
- Dimethyl fumarate
Kelch-like ECH-associated protein 1 inhibitor
Placebo or sham
- Placebo
What it measured
Main measures
Total number of new Gadolinium-enhancing lesions over 4 scans at Weeks 12, 16, 20, and 24.
Part I (Week 24)
MRI lesionsIncidence of treatment-emergent adverse events and serious adverse events
Part II (Up to 4.5 years)
SafetyThe primary endpoint in Part I is the total number of new Gd-enhancing lesions over 4 scans at Weeks 12, 16, 20, and 24, calculated as the sum of these 4 MRI scans.
MRI lesions
Other measures (3)
Cumulative number of new Gadolinium-enhancing lesions from Baseline to Week 24
Part I (Week 24)
MRI lesionsNumber of new or newly enlarging T2 hyperintense lesions at Week 24 compared with Baseline
Part I (Week 24)
MRI lesionsPart I: the following brain MRI Parameters:
MRI lesions
Who could take part
Relapsing MS · 18 to 55
Key Inclusion Criteria: * Inclusion Criteria for Part I: * Must have a diagnosis of Relapsing-Remitting Multiple Sclerosis (RRMS). * Must have a baseline Expanded Disability Status Scale (EDSS) score between 0.0 and 5.0, inclusive. Key Inclusion Criteria for Part II: • Subjects who participated in and completed Part I per protocol. Key Exclusion Criteria: * Other chronic disease of the immune system, malignancies, acute urologic, pulmonary, gastrointestinal disease. * Pregnant or nursing women. NOTE: Other protocol-defined inclusion/exclusion criteria may apply.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
This is a multicenter study conducted in 2 parts: The primary objective in Part I of this study is to determine the efficacy of BG00012 (dimethyl fumarate, DMF) on inflammatory brain magnetic resonance imaging (MRI) lesion activity (Gadolinium-enhancing lesions) when compared with placebo from 4 scans performed at Weeks 12, 16, 20, and 24 in participants with Relapsing Remitting Multiple Sclerosis (RRMS) including participants from the Asia-Pacific region. The secondary objectives in Part I of this study in this study population are to determine whether BG00012, when compared with placebo over 24 weeks, is effective in reducing the cumulative number of new Gadolinium-enhancing lesions from Baseline to Week 24; reducing the number of new or newly enlarging T2 hyperintense lesions on brain MRI scans at Week 24 compared with Baseline. The primary objective in Part II (open label) of this study is to evaluate the long-term safety profile of BG00012 in eligible participants from Part I.
Papers
Results
A randomized placebo-controlled trial of delayed-release dimethyl fumarate in patients with relapsing-remitting multiple sclerosis from East Asia and other countries.BMC Neurol · 2019
From weeks 12 - 24, the total number of new gadolinium-enhancing (Gd + ) lesions was reduced by 84% (p < 0.0001) in DMF compared with placebo.
Read by software from the paper's abstract
Results
72-Week Safety and Tolerability of Dimethyl Fumarate in Japanese Patients with Relapsing-remitting Multiple Sclerosis: Analysis of the Randomised, Double Blind, Placebo-Controlled, Phase III APEX Study and its Open-Label Extension.Adv Ther · 2018
Results
Kondo T, Kawachi I, Onizuka Y, Hiramatsu K, Hase M, Yun J, Matta A, Torii S. Efficacy of dimethyl fumarate in Japanese multiple sclerosis patients: interim analysis of randomized, double-blind APEX study and its open-label extension. Mult Scler J Exp Transl Clin. 2019 Jul 31;5(3):2055217319864974. doi: 10.1177/2055217319864974. eCollection 2019 Jul-Sep.
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History
Started
Mar 2013
Main results due
Jun 2015
Finished
Sept 2018
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