NCT00835770

Brief Summary

The primary objective of this study is to evaluate the long-term safety profile of BG00012 (dimethyl fumarate). Secondary objectives of this study are to evaluate the long-term efficacy of BG00012 using clinical endpoints and disability progression, to evaluate further the long-term effects of BG00012 on multiple sclerosis (MS) brain lesions on magnetic resonance imaging (MRI) scans in participants who had MRI scans as part of Studies 109MS301 (NCT00420212) and 109MS302 (NCT00451451) and to evaluate the long-term effects of BG00012 on health economics assessments and the visual function test.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,736

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Feb 2009

Longer than P75 for phase_3

Geographic Reach
31 countries

228 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 2, 2009

Completed
1 day until next milestone

Study Start

First participant enrolled

February 3, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 4, 2009

Completed
10.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 8, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 8, 2019

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 31, 2020

Completed
Last Updated

December 31, 2020

Status Verified

December 1, 2020

Enrollment Period

10.8 years

First QC Date

February 2, 2009

Results QC Date

October 20, 2020

Last Update Submit

December 7, 2020

Conditions

Keywords

relapsingmultiple sclerosisremittingoral

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Treatment-Emergent Adverse Events (AEs)

    An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

    Day 1 up to Week 561

Secondary Outcomes (15)

  • Percentage of Participants Who Had Relapses

    Day 1 up to Week 384

  • Annualized Relapse Rate (ARR)

    Day 1 up to Week 384

  • Change From Baseline in the Expanded Disability Status Scale (EDSS) at Week 384

    Baseline, Week 384

  • Number of Gadolinium (Gd)-Enhancing Lesions as Measured by Magnetic Resonance Imaging (MRI)

    Baseline up to Week 288

  • Volume of Gd-Enhancing Lesions as Measured by Magnetic Resonance Imaging (MRI)

    Baseline up to Week 288

  • +10 more secondary outcomes

Study Arms (2)

BG00012 plus placebo

EXPERIMENTAL

In the first phase, participants will receive BG00012 240 mg (two 120 mg capsules) twice a day (BID) and 2 placebo capsules once a day. In the second phase participants will receive open-label BG00012 240 mg BID, for atleast 8 years.

Drug: dimethyl fumarateDrug: Placebo

BG00012

EXPERIMENTAL

In the first phase participants will receive BG00012 240 mg (two 120 mg capsules) three times a day (TID). In the second phase participants will receive open-label BG00012 240 mg BID for atleast 8 years.

Drug: dimethyl fumarate

Interventions

BG00012 capsules

Also known as: BG00012, Tecfidera, DMF
BG00012BG00012 plus placebo

Capsules taken to maintain the blind in the 240 mg BID treatment group.

BG00012 plus placebo

Eligibility Criteria

Age19 Years - 58 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Subjects who participated in and completed as per protocol previous BG00012 clinical studies 109MS301 (NCT00420212) or 109MS302 (NCT00451451).

You may not qualify if:

  • Any significant change in medical history from 109MS301 or 109MS302 that would have excluded subject's participation from their previous study.
  • Subjects from 109MS301 or 109MS302 who discontinued oral study treatment due to an AE or due to reasons other than protocol-defined relapse/disability progression.
  • Subjects from 109MS301 or 109MS302 who discontinued study treatment due to disability progression or relapses and did not follow the modified visit schedule up to Week 96.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (246)

Research Site

Birmingham, Alabama, 35294, United States

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Huntsville, Alabama, 35801, United States

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Mesa, Arizona, 85206, United States

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Phoenix, Arizona, 85013, United States

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Loma Linda, California, 92354, United States

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Boulder, Colorado, 80304, United States

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Fort Collins, Colorado, 80528, United States

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North Haven, Connecticut, 06473, United States

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Washington D.C., District of Columbia, 20007, United States

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Maitland, Florida, 32751, United States

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Miami, Florida, 33136, United States

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Naples, Florida, 34102, United States

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Sarasota, Florida, 34239, United States

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Tampa, Florida, 33612, United States

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Atlanta, Georgia, 30309, United States

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Atlanta, Georgia, 30327, United States

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Evanston, Illinois, 60201, United States

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Fort Wayne, Indiana, 46845, United States

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Kansas City, Kansas, 66160, United States

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Wichita, Kansas, 67206, United States

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Shreveport, Louisiana, 71103, United States

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Baltimore, Maryland, 21201, United States

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Boston, Massachusetts, 02135, United States

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Boston, Massachusetts, 02215, United States

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Farmington Hills, Michigan, 48334, United States

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Minneapolis, Minnesota, 55414, United States

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Chesterfield, Missouri, 63017, United States

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St Louis, Missouri, 63104, United States

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Albany, New York, 12206, United States

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Amherst, New York, 14226, United States

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Buffalo, New York, 14203, United States

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Patchogue, New York, 11772, United States

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Charlotte, North Carolina, 28204, United States

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Raleigh, North Carolina, 27607, United States

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Bellevue, Ohio, 44811, United States

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Cleveland, Ohio, 44195, United States

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Columbus, Ohio, 43221, United States

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Dayton, Ohio, 45417, United States

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Medford, Oregon, 97504, United States

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Portland, Oregon, 97225, United States

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Philadelphia, Pennsylvania, 19104, United States

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Philadelphia, Pennsylvania, 19140, United States

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Pittsburgh, Pennsylvania, 15213, United States

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Rumford, Rhode Island, 02916, United States

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Cordova, Tennessee, 38018, United States

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Knoxville, Tennessee, 37922, United States

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Houston, Texas, 77030, United States

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Newport News, Virginia, 23601, United States

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Issaquah, Washington, 98029, United States

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Madison, Wisconsin, 53792, United States

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Kogarah, New South Wales, 2217, Australia

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New Lambton Heights, New South Wales, 2305, Australia

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Melbourne, Victoria, 3084, Australia

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Box Hill, 3128, Australia

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Chatswood, 2067, Australia

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Fitzroy, 3065, Australia

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Geelong, 3220, Australia

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Sydney, 2000, Australia

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Graz, 8036, Austria

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Linz, 4021, Austria

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Vienna, 1090, Austria

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Belarus, Homyel’ Voblasc’, 246029, Belarus

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Belarus’, Vitebsk Oblast, 210023, Belarus

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Minsk, 220114, Belarus

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Minsk, 220116, Belarus

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Antwerp, 2020, Belgium

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Bruges, 8000, Belgium

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Brussels, 1200, Belgium

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Charleroi, 6000, Belgium

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Damme, 8340, Belgium

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Diepenbeek, 3590, Belgium

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Hechtel-Eksel, 3940, Belgium

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Leuven, 3000, Belgium

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Lodelinsart, 6042, Belgium

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Sint-Truiden, 3800, Belgium

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Tuzla, 75000, Bosnia and Herzegovina

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Rousse, 7002, Bulgaria

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Sofia, 1113, Bulgaria

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Sofia, 1309, Bulgaria

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Sofia, 1431, Bulgaria

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Lévis, Quebec, G6V 3Z1, Canada

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Edmonton, T6G 2G3, Canada

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London, N6A 5A5, Canada

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Montreal, H3A 2B4, Canada

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Nova Scotia, B3H 4K4, Canada

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Ottawa, K2G 6E2, Canada

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Regina, S4T 7T1, Canada

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Zagreb, 10000, Croatia

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Brno, 656 91, Czechia

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Jihlava, 586 33, Czechia

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Moravská Ostrava, 702 00, Czechia

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Olomouc, 775 20, Czechia

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Opava, 746 01, Czechia

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Ostrava - Vítkovice, 70300, Czechia

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Prague, 128 08, Czechia

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Prague, 150 06, Czechia

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Teplice, 415 01, Czechia

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Pärnu, 80010, Estonia

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Tallinn, 10138, Estonia

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Tallinn, 10617, Estonia

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Tartu, 51014, Estonia

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Amiens, 80054, France

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Caen, 14033, France

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Clermont-Ferrand, 63003, France

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Dijon, 21033, France

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Lille, 59037, France

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Lyon, 69394, France

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Marseille, 13385, France

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Montpellier, 34090, France

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Nancy, 54035, France

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Nice, 06002, France

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Paris, 75019, France

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Rennes, 35033, France

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Strasbourg, 67000, France

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Berg, Bavaria, 82335, Germany

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Steinfurt, Ibbenbueren, 49477, Germany

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Bayreuth, 95445, Germany

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Berlin, 10437, Germany

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Berlin, 10625, Germany

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Berlin, 10961, Germany

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Berlin, 12099, Germany

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Berlin, 12163, Germany

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Berlin, 13347, Germany

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Bochum, 44791, Germany

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Cologne, 50935, Germany

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Dresden, 01307, Germany

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Düsseldorf, 40212, Germany

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Erbach im Odenwald, 64711, Germany

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Erlangen, 91054, Germany

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Essen, 45257, Germany

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Halle, 06120, Germany

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Hamburg, 20099, Germany

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Hamburg, 20246, Germany

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Hamburg, 22083, Germany

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Hanover, 30171, Germany

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Hanover, 30625, Germany

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Leipzig, 04103, Germany

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Magdeburg, 39120, Germany

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Marburg, 35043, Germany

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Minden, 32429, Germany

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Munich (München), 81675, Germany

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Münster, 48149, Germany

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Osnabrück, 49076, Germany

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Regensburg, 93053, Germany

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Westerstede, 26655, Germany

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Athens, 11527, Greece

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Thessaloniki, 54636, Greece

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Thessaloniki, 57010, Greece

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Ahmedabad, 380006, India

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Bangalore, 560054, India

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Chandigarh, 160012, India

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Hyderabad, 500082, India

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Kolkata, 700054, India

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Kolkata, 700068, India

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Ludhiana, 141001, India

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Ludhiana, 141008, India

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Mangalore, 575002, India

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Mumbai, 400054, India

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New Delhi, 110017, India

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New Delhi, 110029, India

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New Delhi, 110060, India

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Pune, 411001, India

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Pune, 411004, India

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Dublin, DUBLIN 4, Ireland

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Ashkelon, 78278, Israel

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Jerusalem, 9112001, Israel

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Safed, 13100, Israel

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Roma, 00189, Italy

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Riga, LV-1015, Latvia

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Guadalajara, 44610, Mexico

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México, 03310, Mexico

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México, 06700, Mexico

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México, 06720, Mexico

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Morelia, 58000, Mexico

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San Luis Potosí City, 78240, Mexico

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Chisinau, 2001, Moldova

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Chisinau, 2028, Moldova

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Breda, 4818 CK, Netherlands

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Geleen, 6162 BG, Netherlands

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Auckland, 1023, New Zealand

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Christchurch, 8011, New Zealand

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Hamilton, 3204, New Zealand

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Skopje, 1000, North Macedonia

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Bialystok, 15-276, Poland

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Bialystok, 15-402, Poland

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Gdansk, 80-299, Poland

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Gdansk, 80-803, Poland

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Gdansk, 80-952, Poland

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Katowice, 40-594, Poland

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Katowice, 40-752, Poland

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Krakow, 31-505, Poland

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Lódz, 90-153, Poland

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Lublin, 20-954, Poland

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Olsztyn, 10-561, Poland

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Plewiska, 62-064, Poland

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Poznan, 60-355, Poland

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Poznan, 60-539, Poland

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Szczecin, 70-215, Poland

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Szczecin, 71-252, Poland

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Warsaw, 02-097, Poland

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Warsaw, 02-507, Poland

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Warsaw, 02-957, Poland

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Wroclaw, 50-556, Poland

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Guaynabo, 00968, Puerto Rico

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Bucharest, 011464, Romania

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Bucharest, 020125, Romania

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Bucharest, 022104, Romania

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Bucharest, 050098, Romania

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Cluj-Napoca, 400012, Romania

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Târgu Mures, 540136, Romania

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Timișoara, 300736, Romania

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Belgrade, 11000, Serbia

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Kragujevac, 34000, Serbia

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Niš, 18000, Serbia

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Novi Sad, 21000, Serbia

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Bratislava, 81369, Slovakia

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Bratislava, 82606, Slovakia

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Martin, 03659, Slovakia

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Cape Town, 7925, South Africa

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Durban, 4001, South Africa

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Barcelona, 08035, Spain

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Córdoba, 14011, Spain

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Madrid, 28040, Spain

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Málaga, 29010, Spain

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Seville, 41009, Spain

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Basel, 4031, Switzerland

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Sankt Gallen, 9007, Switzerland

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Zurich, 8091, Switzerland

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Ivano-Frankivsk, 76018, Ukraine

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Kharkiv, 61068, Ukraine

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Kharkiv, 61103, Ukraine

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Kyiv, 03110, Ukraine

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Kyiv, 04112, Ukraine

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Lviv, 79010, Ukraine

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Odesa, 65117, Ukraine

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Poltava, 36011, Ukraine

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Vinnytsia, 21005, Ukraine

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Zaporizhzhia, 69600, Ukraine

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London, E1 2EF, United Kingdom

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London, E1 4AT, United Kingdom

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London, SE5 9NT, United Kingdom

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London, W6 8RF, United Kingdom

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Newcastle upon Tyne, NE1 4HH, United Kingdom

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Oxford, OX3 9DU, United Kingdom

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Sheffield, S10 2JF, United Kingdom

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Stoke-on-Trent, ST4 6QG, United Kingdom

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Related Publications (4)

  • Amezcua L, Mao-Draayer Y, Vargas WS, Farber R, Schaefer S, Branco F, England SM, Belviso N, Lewin JB, Mendoza JP, Shankar SL; ENDORSE Study Investigators. Efficacy of Dimethyl Fumarate in Young Adults with Relapsing-Remitting Multiple Sclerosis: Analysis of the DEFINE, CONFIRM, and ENDORSE Studies. Neurol Ther. 2023 Jun;12(3):883-897. doi: 10.1007/s40120-023-00475-8. Epub 2023 Apr 15.

  • Gold R, Arnold DL, Bar-Or A, Fox RJ, Kappos L, Chen C, Parks B, Miller C. Safety and efficacy of delayed-release dimethyl fumarate in patients with relapsing-remitting multiple sclerosis: 9 years' follow-up of DEFINE, CONFIRM, and ENDORSE. Ther Adv Neurol Disord. 2020 May 12;13:1756286420915005. doi: 10.1177/1756286420915005. eCollection 2020.

  • 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.

  • Gold R, Giovannoni G, Phillips JT, Fox RJ, Zhang A, Marantz JL. Sustained Effect of Delayed-Release Dimethyl Fumarate in Newly Diagnosed Patients with Relapsing-Remitting Multiple Sclerosis: 6-Year Interim Results From an Extension of the DEFINE and CONFIRM Studies. Neurol Ther. 2016 Jun;5(1):45-57. doi: 10.1007/s40120-016-0042-8. Epub 2016 Mar 1.

MeSH Terms

Conditions

Multiple Sclerosis, Relapsing-RemittingRecurrenceMultiple Sclerosis

Interventions

Dimethyl Fumarate

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

FumaratesDicarboxylic AcidsAcids, AcyclicCarboxylic AcidsOrganic Chemicals

Results Point of Contact

Title
US Biogen Clinical Trial Center
Organization
Biogen

Study Officials

  • Medical Director

    Biogen

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 2, 2009

First Posted

February 4, 2009

Study Start

February 3, 2009

Primary Completion

November 8, 2019

Study Completion

November 8, 2019

Last Updated

December 31, 2020

Results First Posted

December 31, 2020

Record last verified: 2020-12

Locations