NCT06372145

Brief Summary

This is a Phase 3 extension, global, multicenter study to assess the long-term safety and tolerability of tolebrutinib in adult participants (aged ≥18 years) with RMS, PPMS, or NRSPMS who were previously enrolled in the Phase 2b LTS (LTS16004) or 1 of the 4 Phase 3 tolebrutinib pivotal trials (GEMINI 1 \[EFC16033\], GEMINI 2 \[EFC16034\], HERCULES \[EFC16645\], or PERSEUS \[EFC16035\]). SUBSTUDY: ToleDYNAMIC substudy

Trial Health

87
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
2,500

participants targeted

Target at P75+ for phase_3

Timeline
36mo left

Started Apr 2024

Longer than P75 for phase_3

Geographic Reach
44 countries

323 active sites

Status
active not recruiting

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

Study Progress41%
Apr 2024Apr 2029

First Submitted

Initial submission to the registry

April 15, 2024

Completed
1 day until next milestone

Study Start

First participant enrolled

April 16, 2024

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 17, 2024

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2029

Last Updated

February 13, 2026

Status Verified

February 1, 2026

Enrollment Period

5 years

First QC Date

April 15, 2024

Last Update Submit

February 12, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs) and AEs leading to permanent study intervention discontinuation

    From baseline until the End of study approximately 3 years per participant

  • Number of Participants with Potentially clinically significant abnormalities (PCSAs)

    Potentially clinically significant abnormalities (PCSAs) determined by laboratory tests, electrocardiogram (ECG), or vital signs and safety findings on MRI during the study period.

    From baseline until the End of study approximately 3 years per participant

Secondary Outcomes (5)

  • Time to onset of 6-month confirmed disability worsening (CDW for RMS) or confirmed disability progression (CDP for PPMS and NRSPMS) for participants from pivotal studies

    From baseline until the End of study approximately 3 years per participant

  • Annualized Relapse Rate (ARR) for RMS only

    From baseline until the End of study approximately 3 years per participant

  • Number of new and/or enlarging T2-hyperintense lesions per year

    From baseline until the End of study approximately 3 years per participant

  • Change from baseline in total volume of T2-hyperintense lesions

    From baseline until the End of study approximately 3 years per participant

  • ToleDYNAMIC substudy Change from baseline in biomarkers

    From baseline until 12 months per participant

Study Arms (2)

Tolebrutinib

EXPERIMENTAL

* Participants will receive OL tolebrunitib 60 mg once daily. * RMS participants who are not eligible for OL tolebrutinib per Health Authority and/or ethics committee decisions on the study conduct (ie, partial hold on initiation of tolebrutinib) will continue their parent study treatment assignment as per their randomization from the parent study.

Drug: TolebrutinibDrug: Placebo

Teriflunomide

ACTIVE COMPARATOR

* participants will receive teriflunomide 14 mg daily * RMS participants who are not eligible for OL tolebrutinib per Health Authority and/or ethics committee decisions on the study conduct (ie, partial hold on initiation of tolebrutinib) will continue their parent study treatment assignment (either tolebrutinib or teriflunomide) as per their randomization from the parent study. If unblinded to teriflunomide parent study treatment assignment, these RMS participants will continue teriflunomide in the LTS17043 study.

Drug: PlaceboDrug: Teriflunomide

Interventions

Pharmaceutical form:Tablet-Route of administration:oral

TeriflunomideTolebrutinib

Pharmaceutical form:Tablet-Route of administration:oral

Also known as: Aubagio
Teriflunomide

Pharmaceutical form:Tablet-Route of administration:oral

Also known as: SAR442168
Tolebrutinib

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • \- Participants with RMS, PPMS, or NRSPMS who completed the Phase 2b LTS (LTS16004) or 1 of the 4 Phase 3 pivotal tolebrutinib trials (EFC16033, EFC16034, EFC16645, EFC16035) on IMP.
  • \- The Phase 2b LTS (LTS16004) or Phase 3 tolebrutinib pivotal trial participants who temporarily discontinued IMP due to a national emergency and completed the trial visits.

You may not qualify if:

  • Participants are excluded from the study if any of the following criteria apply:
  • The participant is at risk for or has a persistent chronic, active (including fever higher than 38°C and clinically unstable), or recurring systemic infection, as judged by the Investigator
  • For participants initiating OL tolebrutinib in the LTS17043 study: Participants at risk of developing or having reactivation of hepatitis, ie, results at the unblinding visit (RMS) or opt-in visit (PMS) for serological markers for hepatitis B and C viruses indicating acute or chronic infection
  • Active alcohol use disorder or a history of alcohol or drug abuse within 1 year prior to the opt-in visit
  • Current alcohol intake equal to or exceeding the following at the opt-in visit: more than 2 drinks per day for men and more than 1 drink per day for women
  • Abnormal ECG during the opt-in visit considered in the Investigator's judgment to be clinically significant, such as QTcF \>500 msec, in the context of this study.
  • A bleeding disorder, known platelet dysfunction, abnormal platelet count (\<100,000/microliter), history of significant bleeding event or other conditions and planned procedures that may predispose the participant to excessive bleeding during the study, as judged by the Investigator.
  • For participants initiating OL tolebrutinib in the LTS17043 study: Confirmed unblinding visit (RMS) or opt-in visit (PMS) alanine aminotransferase (ALT) more than 1.5 × upper limit of normal (ULN) OR aspartate aminotransferase (AST) more than 1.5 × ULN OR alkaline phosphatase more than 2 × ULN (unless caused by non-liver-related disorder or explained by a stable chronic liver disorder) OR total bilirubin more than 1.5 × ULN (unless due to Gilbert syndrome or non-liver-related disorder).
  • Acute liver disease, cirrhosis, chronic liver disease (unless considered stable for more than 6 months).
  • Participants who developed clinically relevant cardiovascular, hepatic, endocrine, neuropsychiatric or other major systemic disease making implementation of the protocol or interpretation of the trial results difficult or that would put the patient at risk by participating in the trial, as judged by the Investigator.
  • The participant is receiving treatment during the study period with drugs not permitted by the study protocol, including potent and moderate inducers of cytochrome P450 (CYP) 3A or potent inhibitors of CYP2C8 hepatic enzymes.
  • NOTE: The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (352)

The University of Alabama at Birmingham- Site Number : 8400013

Birmingham, Alabama, 35233, United States

Location

~North Central Neurology Associates, PC- Site Number : 8400009

Cullman, Alabama, 35058, United States

Location

Center for Neurology and Spine- Site Number : 8400089

Phoenix, Arizona, 85018, United States

Location

Collaborative Neuroscience Research- Site Number : 8400045

Los Alamitos, California, 90720, United States

Location

USC- Site Number : 8400143

Los Angeles, California, 90033, United States

Location

University of California San Diego Medical Center- Site Number : 8400101

San Diego, California, 92037-0943, United States

Location

Regina Berkovich, MD, PhD- Site Number : 8400059

West Hollywood, California, 90048, United States

Location

University of Colorado- Site Number : 8400012

Denver, Colorado, 80262, United States

Location

Advanced Neurosciences Research- Site Number : 8400025

Fort Collins, Colorado, 80528, United States

Location

Georgetown University Medical Center- Site Number : 8400119

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

Location

SFM Clinical Research, LLC- Site Number : 8400029

Boca Raton, Florida, 33487, United States

Location

University of Florida Health- Site Number : 8400159

Gainesville, Florida, 32608, United States

Location

Neurology Associates- Site Number : 8409902

Maitland, Florida, 32751, United States

Location

University of Miami- Site Number : 8400063

Miami, Florida, 33136, United States

Location

Aqualane Clinical Research- Site Number : 8400027

Naples, Florida, 34105, United States

Location

Axiom Clinical Research of Florida- Site Number : 8400001

Tampa, Florida, 33609-4052, United States

Location

University of South Florida- Site Number : 8409905

Tampa, Florida, 33612, United States

Location

Velocity Clinical Research- Site Number : 8409903

Savannah, Georgia, 31406, United States

Location

Consultants In Neurology- Site Number : 8409906

Northbrook, Illinois, 60062, United States

Location

Springfield Clinic, LLP- Site Number : 8400071

Springfield, Illinois, 62702, United States

Location

Indiana University Health, Inc- Site Number : 8400039

Fort Wayne, Indiana, 46815, United States

Location

University of Kansas Medical Center- Site Number : 8400023

Kansas City, Kansas, 66160-7321, United States

Location

University of Kentucky- Site Number : 8400106

Lexington, Kentucky, 40536, United States

Location

Norton Neurology MS Services- Site Number : 8400127

Louisville, Kentucky, 40207, United States

Location

The NeuroMedical Center- Site Number : 8400057

Baton Rouge, Louisiana, 70810, United States

Location

Ochsner Clinic Foundation- Site Number : 8400107

New Orleans, Louisiana, 70121, United States

Location

Tufts Medical Center- Site Number : 8400072

Boston, Massachusetts, 02111, United States

Location

University of Massachusetts- Site Number : 8400014

Worcester, Massachusetts, 01655, United States

Location

Wayne State University- Site Number : 8400046

Detroit, Michigan, 48201, United States

Location

Michigan Institute Neuro Disorders- Site Number : 8400058

Farmington Hills, Michigan, 48334, United States

Location

Memorial Healthcare Institute for Neuroscience- Site Number : 8400033

Owosso, Michigan, 48867, United States

Location

Minneapolis Clinic of Neurology- Site Number : 8400051

Golden Valley, Minnesota, 55422, United States

Location

Mayo Clinic- Site Number : 8400111

Rochester, Minnesota, 55905, United States

Location

Sharlin Health & Neurology- Site Number : 8400093

Ozark, Missouri, 65721, United States

Location

Missouri Baptist Medical Center- Site Number : 8400019

St Louis, Missouri, 63131, United States

Location

Lou Ruvo Center for Brain Health- Site Number : 8400117

Las Vegas, Nevada, 89106, United States

Location

University of New Mexico- Site Number : 8400032

Albuquerque, New Mexico, 87131, United States

Location

Mount Sinai Medical Center- Site Number : 8400038

New York, New York, 10021, United States

Location

NYU Langone South Shore Neurologic Associates- Site Number : 8400100

Patchogue, New York, 11772, United States

Location

Neurology Associates of Stony Brook- Site Number : 8400042

Stony Brook, New York, 11794, United States

Location

Wake Forest University Baptist Medical Center- Site Number : 8400116

Winston-Salem, North Carolina, 27157, United States

Location

Dayton Center for Neurological Disorders- Site Number : 8400081

Centerville, Ohio, 45459, United States

Location

Cleveland Clinic Foundation-Mellen Center for MS- Site Number : 8400125

Cleveland, Ohio, 44195, United States

Location

The Ohio State University Wexner Medical Center- Site Number : 8400150

Columbus, Ohio, 43221, United States

Location

The Boster Center for Multiple Sclerosis- Site Number : 8400147

Columbus, Ohio, 43235, United States

Location

UC Health, LLC- Site Number : 8409901

Dayton, Ohio, 45417, United States

Location

Providence Multiple Sclerosis Center- Site Number : 8400020

Portland, Oregon, 97225, United States

Location

Premier Neurology- Site Number : 8400069

Greenville, South Carolina, 29605, United States

Location

HOPE Neurology- Site Number : 8409904

Knoxville, Tennessee, 37922, United States

Location

Lone Star Neurology of San Antonio- Site Number : 8400036

San Antonio, Texas, 78258, United States

Location

University of Vermont - Larner College of Medicine- Site Number : 8400130

Burlington, Vermont, 05405, United States

Location

Neurological Associates- Site Number : 8400097

Richmond, Virginia, 23229, United States

Location

Investigational Site Number : 0320002

CABA, Buenos Aires, C1012AAR, Argentina

Location

Investigational Site Number : 0320004

CABA, Buenos Aires, C1023AAB, Argentina

Location

Investigational Site Number : 0320007

CABA, Buenos Aires F.D., C1021, Argentina

Location

Investigational Site Number : 0320001

CABA, Buenos Aires F.D., C1424, Argentina

Location

Investigational Site Number : 0329901

CABA, Buenos Aires F.D., C1425 BKU, Argentina

Location

Investigational Site Number : 0320003

Rosario, Santa Fe Province, 2000, Argentina

Location

Investigational Site Number : 0320006

Córdoba, 5000, Argentina

Location

Investigational Site Number : 0320005

San Miguel de Tucumán, 4000, Argentina

Location

Investigational Site Number : 0360001

St Leonards, New South Wales, 2065, Australia

Location

Investigational Site Number : 0360006

Kent Town, South Australia, 5067, Australia

Location

Investigational Site Number : 0360007

Melbourne, Victoria, 3065, Australia

Location

Investigational Site Number : 0400003

Innsbruck, 6020, Austria

Location

Investigational Site Number : 0400004

Linz, 4020, Austria

Location

Investigational Site Number : 0400002

Vienna, 1090, Austria

Location

Investigational Site Number : 0560005

Bruges, 8000, Belgium

Location

Investigational Site Number : 0560009

Brussels, 1070, Belgium

Location

Investigational Site Number : 0560004

Ghent, 9000, Belgium

Location

Investigational Site Number : 0560006

Leuven, 3000, Belgium

Location

Investigational Site Number : 0560008

Liège, 4000, Belgium

Location

Investigational Site Number : 0560001

Overpelt, 3900, Belgium

Location

Investigational Site Number : 0560007

Woluwe-Saint-Lambert, 1200, Belgium

Location

HC UFG - Hospital Das Clinicas de Goias- Site Number : 0760003

Goiânia, Goiás, 74605-020, Brazil

Location

Instituto de Neurologia de Curitiba- Site Number : 0760002

Curitiba, Paraná, 81210-310, Brazil

Location

Hospital Sao Lucas da PUCRS- Site Number : 0760001

Porto Alegre, Rio Grande do Sul, 90610-000, Brazil

Location

CPQuali Pesquisa Clinica- Site Number : 0760007

São Paulo, São Paulo, 01228-000, Brazil

Location

Investigational Site Number : 1000002

Pleven, 5809, Bulgaria

Location

Investigational Site Number : 1000005

Plovdiv, 4002, Bulgaria

Location

Investigational Site Number : 1000004

Sofia, 1113, Bulgaria

Location

Investigational Site Number : 1000008

Sofia, 1407, Bulgaria

Location

Investigational Site Number : 1000001

Sofia, 1431, Bulgaria

Location

Investigational Site Number : 1000006

Sofia, 1431, Bulgaria

Location

Investigational Site Number : 1000011

Sofia, 1606, Bulgaria

Location

Investigational Site Number : 1000009

Sofia, 1680, Bulgaria

Location

Investigational Site Number : 1240002

Edmonton, Alberta, T6G 2C8, Canada

Location

Investigational Site Number : 1240017

Burnaby, British Columbia, V5G 2X6, Canada

Location

Investigational Site Number : 1249901

Vancouver, British Columbia, V6T 2B5, Canada

Location

Investigational Site Number : 1240011

Halifax, Nova Scotia, B3H4K4, Canada

Location

Investigational Site Number : 1240012

Hamilton, Ontario, L8L 2X2, Canada

Location

Investigational Site Number : 1240003

Ottawa, Ontario, K1H 8L6, Canada

Location

Investigational Site Number : 1240008

Toronto, Ontario, M4N 3M5, Canada

Location

Investigational Site Number : 1240013

Toronto, Ontario, M5B 1W8, Canada

Location

Investigational Site Number : 1240006

Gatineau, Quebec, J8Y 1W2, Canada

Location

Investigational Site Number : 1240021

Lévis, Quebec, G6W0M5, Canada

Location

Investigational Site Number : 1240004

Montreal, Quebec, H2X 0A9, Canada

Location

Investigational Site Number : 1240015

Montreal, Quebec, H3A 2B4, Canada

Location

Investigational Site Number : 1240007

Sherbrooke, Quebec, J1H 5N4, Canada

Location

Investigational Site Number : 1240001

Québec, G1J 1Z4, Canada

Location

Investigational Site Number : 1520002

Santiago, Reg Metropolitana de Santiago, 7650568, Chile

Location

Investigational Site Number : 1520005

Santiago, Reg Metropolitana de Santiago, 833-0024, Chile

Location

Investigational Site Number : 1520001

Santiago, Reg Metropolitana de Santiago, 8380456, Chile

Location

Investigational Site Number : 1520003

Santiago, 8431657, Chile

Location

Investigational Site Number : 1560006

Beijing, 100034, China

Location

Investigational Site Number : 1560023

Beijing, 100191, China

Location

Investigational Site Number : 1560009

Beijing, 100730, China

Location

Investigational Site Number : 1560025

Beijing, 100730, China

Location

Investigational Site Number : 1560004

Changchun, 130021, China

Location

Investigational Site Number : 1560015

Changsha, 410008, China

Location

Investigational Site Number : 1560005

Chengdu, 610041, China

Location

Investigational Site Number : 1560019

Chongqing, 400016, China

Location

Investigational Site Number : 1560035

Fuzhou, 350005, China

Location

Investigational Site Number : 1569903

Guangzhou, 510630, China

Location

Investigational Site Number : 1560027

Hohhot, 010020, China

Location

Investigational Site Number : 1560044

Nanjing, 210008, China

Location

Investigational Site Number : 1560042

Nanjing, 210029, China

Location

Investigational Site Number : 1569901

Shanghai, 200040, China

Location

Investigational Site Number : 1560018

Shenyang, 110004, China

Location

Investigational Site Number : 1560014

Shijiazhuang, 050000, China

Location

Investigational Site Number : 1560008

Taiyuan, 030001, China

Location

Investigational Site Number : 1560020

Tianjin, 300052, China

Location

Investigational Site Number : 1560026

Wenzhou, 325000, China

Location

Investigational Site Number : 1560011

Wuhan, 430030, China

Location

Investigational Site Number : 1560017

Xi'an, 710038, China

Location

Investigational Site Number : 1700001

Bogotá, K1K 4L2, Colombia

Location

Investigational Site Number : 1910001

Zagreb, 10000, Croatia

Location

Investigational Site Number : 1910002

Zagreb, 10000, Croatia

Location

Investigational Site Number : 2039907

Brno, 62500, Czechia

Location

Investigational Site Number : 2030002

Brno, 65691, Czechia

Location

Investigational Site Number : 2039903

Hradec Králové, 50005, Czechia

Location

Investigational Site Number : 2039901

Jihlava, 58633, Czechia

Location

Investigational Site Number : 2039902

Ostrava - Poruba, 70852, Czechia

Location

Investigational Site Number : 2039904

Pardubice, 53203, Czechia

Location

Investigational Site Number : 2030008

Prague, 10034, Czechia

Location

Investigational Site Number : 2039906

Prague, 12808, Czechia

Location

Investigational Site Number : 2039905

Praha 5 - Motol, 15000, Czechia

Location

Investigational Site Number : 2030003

Teplice, 41501, Czechia

Location

Investigational Site Number : 2030007

Zlín, 76275, Czechia

Location

Investigational Site Number : 2080001

Esbjerg, 6700, Denmark

Location

Investigational Site Number : 2080005

Holstebro, 7500, Denmark

Location

Investigational Site Number : 2080004

Odense, 5000, Denmark

Location

Investigational Site Number : 2330001

Tallinn, 11315, Estonia

Location

Investigational Site Number : 2460001

Tampere, 33520, Finland

Location

Investigational Site Number : 2460002

Turku, 20520, Finland

Location

Investigational Site Number : 2500019

Besançon, 25030, France

Location

Investigational Site Number : 2500011

Bron, 69500, France

Location

Investigational Site Number : 2500005

Clermont-Ferrand, 63000, France

Location

Investigational Site Number : 2500015

Gonesse, 95500, France

Location

Investigational Site Number : 2500009

Lille, 59037, France

Location

Investigational Site Number : 2500006

Montpellier, 34295, France

Location

Investigational Site Number : 2500008

Nancy, 54035, France

Location

Investigational Site Number : 2500010

Nantes, 44093, France

Location

Investigational Site Number : 2500002

Nice, 06001, France

Location

Investigational Site Number : 2500017

Nîmes, 30029, France

Location

Investigational Site Number : 2500014

Paris, 75013, France

Location

Investigational Site Number : 2500007

Paris, 75019, France

Location

Investigational Site Number : 2500004

Poissy, 78300, France

Location

Investigational Site Number : 2500003

Rennes, 35033, France

Location

Investigational Site Number : 2500001

Strasbourg, 67091, France

Location

Investigational Site Number : 2500012

Toulouse, 31059, France

Location

Investigational Site Number : 2680004

Tbilisi, 0101, Georgia

Location

Investigational Site Number : 2680009

Tbilisi, 0159, Georgia

Location

Investigational Site Number : 2680003

Tbilisi, 0160, Georgia

Location

Investigational Site Number : 2760005

Bayreuth, 95445, Germany

Location

Investigational Site Number : 2760009

Berlin, 10117, Germany

Location

Investigational Site Number : 2760015

Berlin, 10713, Germany

Location

Investigational Site Number : 2760014

Berlin, 12099, Germany

Location

Investigational Site Number : 2760020

Bochum, 44791, Germany

Location

Investigational Site Number : 2760001

Dresden, 01307, Germany

Location

Investigational Site Number : 2769901

Düsseldorf, 40225, Germany

Location

Investigational Site Number : 2760012

Essen, 45147, Germany

Location

Investigational Site Number : 2760002

Giessen, 35392, Germany

Location

Investigational Site Number : 2760016

Hamburg, 22179, Germany

Location

Investigational Site Number : 2760018

München, 81377, Germany

Location

Investigational Site Number : 2760008

Münster, 48149, Germany

Location

Investigational Site Number : 2760011

Ulm, 89081, Germany

Location

Investigational Site Number : 2760003

Würzburg, 97074, Germany

Location

Investigational Site Number : 3000001

Athens, 115 28, Greece

Location

Investigational Site Number : 3000006

Athens, 11525, Greece

Location

Investigational Site Number : 3000002

Athens, 12462, Greece

Location

Investigational Site Number : 3000004

Larissa, 41110, Greece

Location

Investigational Site Number : 3000007

Marousi, 15125, Greece

Location

Investigational Site Number : 3000003

Thessaloniki, 54636, Greece

Location

Investigational Site Number : 3000009

Thessaloniki, 55236, Greece

Location

Investigational Site Number : 3440001

Shatin, NT, 000, Hong Kong

Location

Investigational Site Number : 3489901

Budapest, 1033, Hungary

Location

Investigational Site Number : 3489903

Budapest, 1138, Hungary

Location

Investigational Site Number : 3480007

Budapest, 1152, Hungary

Location

Investigational Site Number : 3480002

Pécs, 7623, Hungary

Location

Investigational Site Number : 3560014

Bengaluru, 560001, India

Location

Investigational Site Number : 3569904

Chandigarh, 160015, India

Location

Investigational Site Number : 3560002

Delhi, 110060, India

Location

Investigational Site Number : 3560007

Gūrgaon, 122001, India

Location

Investigational Site Number : 3569903

Gūrgaon, 122002, India

Location

Investigational Site Number : 3569901

Mangaluru, 575018, India

Location

Investigational Site Number : 3560009

Nagpur, 440012, India

Location

Investigational Site Number : 3569902

New Delhi, 110029, India

Location

Investigational Site Number : 3560004

Thiruvananthapuram, 695011, India

Location

Investigational Site Number : 3760003

Haifa, 31096, Israel

Location

Investigational Site Number : 3760006

Rehovot, 76100, Israel

Location

Investigational Site Number : 3760004

Safed, 13100, Israel

Location

Investigational Site Number : 3760001

Tel Litwinsky, 52621, Israel

Location

Investigational Site Number : 3800002

Pozzilli, Isernia, 86077, Italy

Location

Investigational Site Number : 3800010

Milan, Lombardy, 20133, Italy

Location

Investigational Site Number : 3800001

Milan, Milano, 20132, Italy

Location

Investigational Site Number : 3800009

Rome, Roma, 00168, Italy

Location

Investigational Site Number : 3800012

Florence, Tuscany, 50134, Italy

Location

Investigational Site Number : 3800011

Bergamo, 24127, Italy

Location

Investigational Site Number : 3800007

Cagliari, 09126, Italy

Location

Investigational Site Number : 3800015

Catania, 95123, Italy

Location

Investigational Site Number : 3800018

Chieti, 66100, Italy

Location

Investigational Site Number : 3800016

Florence, 50134, Italy

Location

Investigational Site Number : 3800014

Genova, 16132, Italy

Location

Investigational Site Number : 3800006

Naples, 80138, Italy

Location

Investigational Site Number : 3800008

Pavia, 27100, Italy

Location

Investigational Site Number : 3800005

Roma, 00152, Italy

Location

Investigational Site Number : 3800009

Roma, 00168, Italy

Location

Investigational Site Number : 3800013

Roma, 00189, Italy

Location

Investigational Site Number : 3920016

Chiba, Chiba, 260-8677, Japan

Location

Investigational Site Number : 3920022

Morioka, Iwate, 020-8505, Japan

Location

Investigational Site Number : 3920023

Sagamihara-shi, Kanagawa, 252-0392, Japan

Location

Investigational Site Number : 3920011

Kyoto, Kyoto, 616-8255, Japan

Location

Investigational Site Number : 3920020

Sendai, Miyagi, 980-8574, Japan

Location

Investigational Site Number : 3920004

Moriguchi-shi, Osaka, 570-8507, Japan

Location

Investigational Site Number : 3920001

Osaka, Osaka, 556-0016, Japan

Location

Investigational Site Number : 3920018

Kawagoe-shi, Saitama, 350-8550, Japan

Location

Investigational Site Number : 3920014

Bunkyo-ku, Tokyo, 113-8431, Japan

Location

Investigational Site Number : 3920010

Ōta-ku, Tokyo, 146-0065, Japan

Location

Investigational Site Number : 3920015

Toyama, Toyama, 930-0194, Japan

Location

Investigational Site Number : 4280002

Riga, LV-1002, Latvia

Location

Investigational Site Number : 4280003

Riga, LV-1005, Latvia

Location

Investigational Site Number : 4400003

Kaunas, 50161, Lithuania

Location

Investigational Site Number : 4400004

Šiauliai, LT-76231, Lithuania

Location

Investigational Site Number : 4400001

Vilnius, 08661, Lithuania

Location

Investigational Site Number : 4840004

Guadalajara, Jalisco, 44670, Mexico

Location

Investigational Site Number : 4840002

Benito Juárez, Mexico City, 03100, Mexico

Location

Investigational Site Number : 4840001

Mexico City, Mexico City, 06700, Mexico

Location

Investigational Site Number : 4840003

Veracruz. Mexico City, Veracruz, 91900, Mexico

Location

Investigational Site Number : 5280001

Amsterdam, 1081 HV, Netherlands

Location

Investigational Site Number : 5280003

Breda, 4818 CK, Netherlands

Location

Investigational Site Number : 5280006

Groningen, 9728NT, Netherlands

Location

Investigational Site Number : 5280002

Heerlen, 6419 PC, Netherlands

Location

Investigational Site Number : 5780003

Bergen, 5021, Norway

Location

Investigational Site Number : 5780001

Oslo, 0450, Norway

Location

Investigational Site Number : 6160008

Plewiska, Greater Poland Voivodeship, 62-064, Poland

Location

Investigational Site Number : 6160003

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796, Poland

Location

Investigational Site Number : 6160012

Lublin, Lublin Voivodeship, 20-410, Poland

Location

Investigational Site Number : 6160001

Lodz, Lódzkie, 90-549, Poland

Location

Investigational Site Number : 6160005

Warsaw, Masovian Voivodeship, 01-211, Poland

Location

Investigational Site Number : 6160006

Warsaw, Masovian Voivodeship, 01-684, Poland

Location

Investigational Site Number : 6160009

Glogow Mlp., Podkarpackie Voivodeship, 36-060, Poland

Location

Investigational Site Number : 6160004

Katowice, Silesian Voivodeship, 40-686, Poland

Location

Investigational Site Number : 6160002

Katowice, Silesian Voivodeship, 40571, Poland

Location

Investigational Site Number : 6160011

Zabrze, Silesian Voivodeship, 41-800, Poland

Location

Investigational Site Number : 6200001

Braga, 4710-243, Portugal

Location

Investigational Site Number : 6200005

Coimbra, 3000-075, Portugal

Location

Investigational Site Number : 6200011

Lisbon, 1169-050, Portugal

Location

Investigational Site Number : 6200007

Lisbon, 1349-019, Portugal

Location

Investigational Site Number : 6200012

Lisbon, 1500-650, Portugal

Location

Investigational Site Number : 6200006

Lisbon, 1649-035, Portugal

Location

Investigational Site Number : 6200002

Matosinhos Municipality, 4464-513, Portugal

Location

Investigational Site Number : 6200004

Santa Maria da Feira, 4520-211, Portugal

Location

San Juan MS Center- Site Number : 8400015

Guaynabo, 00969, Puerto Rico

Location

Investigational Site Number : 6420015

Brasov, 500283, Romania

Location

Investigational Site Number : 6420008

Bucharest, 022328, Romania

Location

Investigational Site Number : 6420004

Campulung Muscel, 115100, Romania

Location

Investigational Site Number : 6420006

Cluj-Napoca, 400012, Romania

Location

Investigational Site Number : 6420003

Constanța, 900123, Romania

Location

Investigational Site Number : 6420013

Oradea, 410154, Romania

Location

Investigational Site Number : 6420005

Sibiu, 550052, Romania

Location

Investigational Site Number : 6420002

Timișoara, 300723, Romania

Location

Investigational Site Number : 6880001

Belgrade, 11000, Serbia

Location

Investigational Site Number : 6880003

Belgrade, 11000, Serbia

Location

Investigational Site Number : 6880006

Belgrade, 11000, Serbia

Location

Investigational Site Number : 6880002

Kragujevac, 34000, Serbia

Location

Investigational Site Number : 6880005

Novi Sad, 21000, Serbia

Location

Investigational Site Number : 7030001

Bratislava, 821 01, Slovakia

Location

Investigational Site Number : 7030002

Martin, 03659, Slovakia

Location

Investigational Site Number : 7030004

Nitra, 949 01, Slovakia

Location

Investigational Site Number : 7100001

Pretoria, 0041, South Africa

Location

Investigational Site Number : 4100001

Goyang-si, Gyeonggi-do, 10408, South Korea

Location

Investigational Site Number : 4100003

Seoul, Seoul-teukbyeolsi, 03080, South Korea

Location

Investigational Site Number : 4100006

Seoul, Seoul-teukbyeolsi, 03722, South Korea

Location

Investigational Site Number : 4100002

Seoul, Seoul-teukbyeolsi, 135-710, South Korea

Location

Investigational Site Number : 7249908

A Coruña, A Coruña [La Coruña], 15006, Spain

Location

Investigational Site Number : 7249907

Seville, Andalusia, 41009, Spain

Location

Investigational Site Number : 7249906

Barcelona, Barcelona [Barcelona], 08035, Spain

Location

Investigational Site Number : 7249912

Barcelona, Barcelona [Barcelona], 08036, Spain

Location

Investigational Site Number : 7249919

L'Hospitalet de Llobregat, Barcelona [Barcelona], 08907, Spain

Location

Investigational Site Number : 7249913

Barakaldo, Bizkaia, 48903, Spain

Location

Investigational Site Number : 7249921

Santiago de Compostela, Galicia [Galicia], 15706, Spain

Location

Investigational Site Number : 7249918

Donostia / San Sebastian, Gipuzkoa, 20014, Spain

Location

Investigational Site Number : 7249911

Salt, Girona [Gerona], 17190, Spain

Location

Investigational Site Number : 7249904

Las Palmas de Gran Canaria, Las Palmas, 35010, Spain

Location

Investigational Site Number : 7249902

Lleida / Lleida, Lleida [Lérida], 25198, Spain

Location

Investigational Site Number : 7249901

Majadahonda, Madrid, 28222, Spain

Location

Investigational Site Number : 7249905

Pozuelo de Alarcón, Madrid, 28223, Spain

Location

Investigational Site Number : 7249909

Madrid / Madrid, Madrid, Comunidad de, 28007, Spain

Location

Investigational Site Number : 7249914

Córdoba, 14004, Spain

Location

Investigational Site Number : 7249903

Madrid, 28034, Spain

Location

Investigational Site Number : 7249910

Madrid, 28040, Spain

Location

Investigational Site Number : 7249915

Málaga, 29010, Spain

Location

Investigational Site Number : 7249916

Murcia, 30120, Spain

Location

Investigational Site Number : 7249920

Palma de Mallorca, 07120, Spain

Location

Investigational Site Number : 7249917

Valencia, 46026, Spain

Location

Investigational Site Number : 7520001

Gothenburg, 41346, Sweden

Location

Investigational Site Number : 7520002

Stockholm, 113 65, Sweden

Location

Investigational Site Number : 7560002

Bern, 3010, Switzerland

Location

Investigational Site Number : 1580007

Hsinchu, 30059, Taiwan

Location

Investigational Site Number : 1580002

Taipei, 112, Taiwan

Location

Investigational Site Number : 7640001

Bangkok Noi, 10700, Thailand

Location

Investigational Site Number : 7920006

Ankara, 06100, Turkey (Türkiye)

Location

Investigational Site Number : 7920005

Eskişehir, 26040, Turkey (Türkiye)

Location

Investigational Site Number : 7920003

Istanbul, 34096, Turkey (Türkiye)

Location

Investigational Site Number : 7920002

Istanbul, 34303, Turkey (Türkiye)

Location

Investigational Site Number : 7920009

Istanbul, 34668, Turkey (Türkiye)

Location

Investigational Site Number : 7920007

Istanbul, 34785, Turkey (Türkiye)

Location

Investigational Site Number : 7920014

Izmir, 35340, Turkey (Türkiye)

Location

Investigational Site Number : 7920010

Izmir, 35360, Turkey (Türkiye)

Location

Investigational Site Number : 7920001

Kocaeli, 41380, Turkey (Türkiye)

Location

Investigational Site Number : 7920017

Konya, 42080, Turkey (Türkiye)

Location

Investigational Site Number : 7929901

Kütahya, 43100, Turkey (Türkiye)

Location

Investigational Site Number : 7929902

Mersin, 33070, Turkey (Türkiye)

Location

Investigational Site Number : 7929903

Samsun, 55200, Turkey (Türkiye)

Location

Investigational Site Number : 8040020

Chernivtsi, 14029, Ukraine

Location

Investigational Site Number : 8049912

Chernivtsi, 58000, Ukraine

Location

Investigational Site Number : 8049904

Chernivtsi, 58023, Ukraine

Location

Investigational Site Number : 8049905

Dnipro, 49089, Ukraine

Location

Investigational Site Number : 8049908

Ivano-Frankivsk, 76493, Ukraine

Location

Investigational Site Number : 8040025

Kharkiv, 61058, Ukraine

Location

Investigational Site Number : 8049903

Kharkiv, 61068, Ukraine

Location

Investigational Site Number : 8040018

Kharkiv, 61166, Ukraine

Location

Investigational Site Number : 8049902

Kyiv, 01135, Ukraine

Location

Investigational Site Number : 8049911

Kyiv, 02091, Ukraine

Location

Investigational Site Number : 8049901

Kyiv, 03115, Ukraine

Location

Investigational Site Number : 8049914

Lutsk, 43005, Ukraine

Location

Investigational Site Number : 8049909

Lviv, 79010, Ukraine

Location

Investigational Site Number : 8049906

Lviv, 79029, Ukraine

Location

Investigational Site Number : 8049913

Odesa, 65025, Ukraine

Location

Investigational Site Number : 8049910

Vinnytsia, 21001, Ukraine

Location

Investigational Site Number : 8040024

Vinnytsia, 21009, Ukraine

Location

Investigational Site Number : 8260003

Exeter, Devon, EX2 5DW, United Kingdom

Location

Investigational Site Number : 8260016

Kent, Kent, CT1 3NG, United Kingdom

Location

Investigational Site Number : 8260006

London, London, City of, EC1M 6BQ, United Kingdom

Location

Investigational Site Number : 8260005

London, London, City of, SW17 0RE, United Kingdom

Location

Investigational Site Number : 8260010

Swansea, Neath Port Talbot, SA6 6NL, United Kingdom

Location

Investigational Site Number : 8260012

Nottingham, Nottinghamshire, NG7 2UH, United Kingdom

Location

Investigational Site Number : 8260013

Oxford, Oxfordshire, OX3 9DU, United Kingdom

Location

Investigational Site Number : 8260001

Cardiff, Vale of Glamorgan, the, CF4 4XN, United Kingdom

Location

Investigational Site Number : 8260009

Bristol, BS161LE, United Kingdom

Location

Investigational Site Number : 8260014

Newcastle upon Tyne, NE1 4LP, United Kingdom

Location

Investigational Site Number : 8260019

Salford, M6 8HD, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Multiple Sclerosis, Chronic Progressive

Interventions

teriflunomide

Condition Hierarchy (Ancestors)

Multiple SclerosisDemyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 15, 2024

First Posted

April 17, 2024

Study Start

April 16, 2024

Primary Completion (Estimated)

April 30, 2029

Study Completion (Estimated)

April 30, 2029

Last Updated

February 13, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Locations