A Study of ALKS 8700 in Adults With Relapsing Remitting Multiple Sclerosis (MS) EVOLVE-MS-1
What it found
Results are posted in the registry, but without a statistical test of the main measure. See the numbers below.
What was tested
Treatment tested
- Diroximel fumarate
Kelch-like ECH-associated protein 1 inhibitor
Results by group
Number of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| De Novo | 519 Participants | 593 | |
| Rollover: ALKS 8700 | 212 Participants | 239 | |
| Rollover: DMF | 207 Participants | 225 | |
| De Novo | 69 Participants | 593 | |
| Rollover: ALKS 8700 | 29 Participants | 239 | |
| Rollover: DMF | 25 Participants | 225 |
Number of Participants With Potentially Clinically Significant Vital Sign Abnormalities
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| De Novo | 15 Participants | 582 | |
| Rollover: ALKS 8700 | 4 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 3 Participants | 582 | |
| Rollover: ALKS 8700 | 2 Participants | 238 | |
| Rollover: DMF | 1 Participants | 225 | |
| De Novo | 10 Participants | 582 | |
| Rollover: ALKS 8700 | 2 Participants | 238 | |
| Rollover: DMF | 4 Participants | 225 | |
| De Novo | 6 Participants | 582 | |
| Rollover: ALKS 8700 | 2 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 5 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 1 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 |
Number of Participants With Potentially Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| De Novo | 15 Participants | 576 | |
| Rollover: ALKS 8700 | 5 Participants | 237 | |
| Rollover: DMF | 6 Participants | 223 | |
| De Novo | 0 Participants | 576 | |
| Rollover: ALKS 8700 | 0 Participants | 237 | |
| Rollover: DMF | 1 Participants | 223 |
Number of Participants With Columbia Suicide Severity Rating Scale (C-SSRS) Score at Any Post-Baseline Visit
Up to 98 weeks
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| De Novo | 0 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 0 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 0 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 1 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 0 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 12 Participants | 593 | |
| Rollover: ALKS 8700 | 2 Participants | 239 | |
| Rollover: DMF | 4 Participants | 225 | |
| De Novo | 8 Participants | 593 | |
| Rollover: ALKS 8700 | 2 Participants | 239 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 2 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 1 Participants | 225 | |
| De Novo | 1 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 1 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 0 Participants | 593 | |
| Rollover: ALKS 8700 | 0 Participants | 239 | |
| Rollover: DMF | 0 Participants | 225 |
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| De Novo | 13 Participants | 582 | |
| Rollover: ALKS 8700 | 6 Participants | 238 | |
| Rollover: DMF | 1 Participants | 225 | |
| De Novo | 8 Participants | 582 | |
| Rollover: ALKS 8700 | 3 Participants | 238 | |
| Rollover: DMF | 1 Participants | 225 | |
| De Novo | 3 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 13 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 3 Participants | 225 | |
| De Novo | 2 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 2 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 0 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 23 Participants | 582 | |
| Rollover: ALKS 8700 | 8 Participants | 238 | |
| Rollover: DMF | 8 Participants | 225 | |
| De Novo | 26 Participants | 582 | |
| Rollover: ALKS 8700 | 11 Participants | 238 | |
| Rollover: DMF | 8 Participants | 225 | |
| De Novo | 1 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 1 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 4 Participants | 582 | |
| Rollover: ALKS 8700 | 6 Participants | 238 | |
| Rollover: DMF | 4 Participants | 225 | |
| De Novo | 6 Participants | 582 | |
| Rollover: ALKS 8700 | 5 Participants | 238 | |
| Rollover: DMF | 4 Participants | 225 | |
| De Novo | 13 Participants | 582 | |
| Rollover: ALKS 8700 | 6 Participants | 238 | |
| Rollover: DMF | 3 Participants | 225 | |
| De Novo | 1 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 39 Participants | 582 | |
| Rollover: ALKS 8700 | 8 Participants | 238 | |
| Rollover: DMF | 16 Participants | 225 | |
| De Novo | 1 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 69 Participants | 582 | |
| Rollover: ALKS 8700 | 27 Participants | 238 | |
| Rollover: DMF | 29 Participants | 225 | |
| De Novo | 1 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 3 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 123 Participants | 582 | |
| Rollover: ALKS 8700 | 45 Participants | 238 | |
| Rollover: DMF | 61 Participants | 225 | |
| De Novo | 54 Participants | 582 | |
| Rollover: ALKS 8700 | 32 Participants | 238 | |
| Rollover: DMF | 24 Participants | 225 | |
| De Novo | 10 Participants | 582 | |
| Rollover: ALKS 8700 | 5 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 8 Participants | 582 | |
| Rollover: ALKS 8700 | 3 Participants | 238 | |
| Rollover: DMF | 4 Participants | 225 | |
| De Novo | 5 Participants | 582 | |
| Rollover: ALKS 8700 | 3 Participants | 238 | |
| Rollover: DMF | 2 Participants | 225 | |
| De Novo | 8 Participants | 582 | |
| Rollover: ALKS 8700 | 3 Participants | 238 | |
| Rollover: DMF | 1 Participants | 225 | |
| De Novo | 18 Participants | 582 | |
| Rollover: ALKS 8700 | 5 Participants | 238 | |
| Rollover: DMF | 8 Participants | 225 | |
| De Novo | 6 Participants | 582 | |
| Rollover: ALKS 8700 | 4 Participants | 238 | |
| Rollover: DMF | 3 Participants | 225 | |
| De Novo | 5 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 3 Participants | 225 | |
| De Novo | 2 Participants | 582 | |
| Rollover: ALKS 8700 | 1 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 47 Participants | 582 | |
| Rollover: ALKS 8700 | 25 Participants | 238 | |
| Rollover: DMF | 24 Participants | 225 | |
| De Novo | 39 Participants | 582 | |
| Rollover: ALKS 8700 | 10 Participants | 238 | |
| Rollover: DMF | 13 Participants | 225 | |
| De Novo | 2 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 1 Participants | 225 | |
| De Novo | 0 Participants | 582 | |
| Rollover: ALKS 8700 | 0 Participants | 238 | |
| Rollover: DMF | 0 Participants | 225 | |
| De Novo | 45 Participants | 582 | |
| Rollover: ALKS 8700 | 17 Participants | 238 | |
| Rollover: DMF | 15 Participants | 225 | |
| De Novo | 4 Participants | 582 | |
| Rollover: ALKS 8700 | 5 Participants | 238 | |
| Rollover: DMF | 5 Participants | 225 | |
| De Novo | 15 Participants | 582 | |
| Rollover: ALKS 8700 | 8 Participants | 238 | |
| Rollover: DMF | 5 Participants | 225 | |
| De Novo | 95 Participants | 582 | |
| Rollover: ALKS 8700 | 32 Participants | 238 | |
| Rollover: DMF | 31 Participants | 225 | |
| De Novo | 10 Participants | 582 | |
| Rollover: ALKS 8700 | 4 Participants | 238 | |
| Rollover: DMF | 3 Participants | 225 | |
| De Novo | 15 Participants | 582 | |
| Rollover: ALKS 8700 | 4 Participants | 238 | |
| Rollover: DMF | 9 Participants | 225 |
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| De Novo | 593 | 69 (11.6%) | 3 |
| Rollover: ALKS 8700 | 239 | 29 (12.1%) | 1 |
| Rollover: DMF | 225 | 25 (11.1%) | 0 |
As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.
What it measured
Main measures
Number of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
SafetyNumber of Participants With Potentially Clinically Significant Vital Sign Abnormalities
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
SafetyNumber of Participants With Potentially Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
Number of Participants With Columbia Suicide Severity Rating Scale (C-SSRS) Score at Any Post-Baseline Visit
Up to 98 weeks
Number of Participants With Potentially Clinically Significant Laboratory Abnormalities
From first dose to two weeks after last dose of study drug (Up to 98 weeks)
Immune responseSafety- Safety will be demonstrated by incidence of Adverse Events
Safety
Other measures (1)
Other endpoints
Who could take part
Relapsing MS · 18 to 65
Key Inclusion Criteria: * Has a confirmed diagnosis of RRMS * Neurologically stable with no evidence of relapse within 30 days prior to Visit 2 Exclusion Criteria: * Subject is pregnant or breastfeeding or plans to become pregnant or begin breastfeeding at any point during the study and for 30 days after any study drug administration * Diagnosis of primary progressive, secondary progressive, or progressive relapsing MS * History of clinically significant cardiovascular, pulmonary, gastrointestinal, dermatologic, psychiatric, neurologic (other than MS), and/or other major disease that would preclude participation in a clinical trial * History of a myocardial infarction, including a silent myocardial infarction identified on ECG, or unstable angina NOTE: Other protocol defined Includison/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
The primary objective of this study is to evaluate the long-term safety and tolerability of ALKS 8700 for the treatment of Relapsing Remitting Multiple Sclerosis (RRMS). The secondary objective of this study is to evaluate treatment effect over time in adult participants with RRMS treated with ALKS 8700.
Papers
Results
Safety, tolerability, and efficacy of diroximel fumarate in a cohort of Black patients with multiple sclerosis from the phase 3 EVOLVE-MS-1 study.Mult Scler Relat Disord · 2024
Results
Diroximel Fumarate in Patients with Relapsing-Remitting Multiple Sclerosis: NEDA-3 After Re-Baselining in the Phase 3 EVOLVE-MS-1 Study.Adv Ther · 2024
Results
Comparative efficacy of diroximel fumarate, ozanimod and interferon beta-1a for relapsing multiple sclerosis using matching-adjusted indirect comparisons.J Comp Eff Res · 2024
Results
Matching-Adjusted Indirect Comparisons of Diroximel Fumarate, Ponesimod, and Teriflunomide for Relapsing Multiple Sclerosis.CNS Drugs · 2023
Results
Efficacy and Safety Outcomes with Diroximel Fumarate After Switching from Prior Therapies or Continuing on DRF: Results from the Phase 3 EVOLVE-MS-1 Study.Adv Ther · 2022
Results
Diroximel Fumarate Demonstrates an Improved Gastrointestinal Tolerability Profile Compared with Dimethyl Fumarate in Patients with Relapsing-Remitting Multiple Sclerosis: Results from the Randomized, Double-Blind, Phase III EVOLVE-MS-2 Study.CNS Drugs · 2020
Results
Improving the Gastrointestinal Tolerability of Fumaric Acid Esters: Early Findings on Gastrointestinal Events with Diroximel Fumarate in Patients with Relapsing-Remitting Multiple Sclerosis from the Phase 3, Open-Label EVOLVE-MS-1 Study.Adv Ther · 2019
Results
Singer BA, Wray S, Gudesblatt M, Bumstead B, Ziemssen T, Bonnell A, Scaramozza M, Levin S, Shanmugasundaram M, Chen H, Mendoza JP, Lewin JB, Shankar SL. Lymphopenia is Not the Primary Therapeutic Mechanism of Diroximel Fumarate in Relapsing-Remitting Multiple Sclerosis: Subgroup Analyses of the EVOLVE-MS-1 Study. Neurol Ther. 2024 Aug;13(4):1273-1285. doi: 10.1007/s40120-024-00637-2. Epub 2024 JunResults
Naismith RT, Wolinsky JS, Wundes A, LaGanke C, Arnold DL, Obradovic D, Freedman MS, Gudesblatt M, Ziemssen T, Kandinov B, Bidollari I, Lopez-Bresnahan M, Nangia N, Rezendes D, Yang L, Chen H, Liu S, Hanna J, Miller C, Leigh-Pemberton R. Diroximel fumarate (DRF) in patients with relapsing-remitting multiple sclerosis: Interim safety and efficacy results from the phase 3 EVOLVE-MS-1 study. Mult Scle
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History
Started
Dec 2015
Main results due
Jun 2021
Finished
Nov 2021
Results posted
Jun 2022
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