New pill shows promise in quieting MS brain lesions
NCT ID NCT05119569
First seen Jun 27, 2026 · Last updated Aug 20, 2026 · Updated 2 times
Summary
This Phase 2 trial tests fenebrutinib, an oral drug, in 109 people with relapsing multiple sclerosis. Participants receive either the drug or a placebo for 12 weeks, and researchers measure new brain lesions on MRI scans. The goal is to see if fenebrutinib can reduce disease activity and control relapses.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fenebrutinib (an oral drug that targets immune cells)
- What this could lead to
- If successful, this could point toward a new oral treatment option to reduce brain lesions and control relapses in multiple sclerosis.
- What could go wrong
- This is an early Phase 2 trial with only 109 participants, so results may not hold in larger studies. The drug may not outperform existing treatments or could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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109 people
The number who actually took part.
- Started
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Mar 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * A diagnosis of RMS in accordance with the revised 2017 McDonald Criteria. * Expanded Disability Status Scale (EDSS) score of 0 - 5.5 at screening. * For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and refrain from donating eggs. * For male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and refrain from donating sperm. Exclusion Criteria: * Disease duration of \> 10 years from the onset of symptoms and an EDSS score at screening \< 2.0. * Female participants who are pregnant or breastfeeding, or intending to become pregnant. * Male participants who intend to father a child during the study. * A diagnosis of Primary Progressive Multiple Sclerosis (PPMS) or non-active Secondary Progressive Multiple Sclerosis (SPMS). * Any known or suspected active infection at screening, including but not limited to a positive screening tests for Hepatitis B and C, an active or latent or inadequately treated infection with tuberculosis (TB), a confirmed or suspected progressive multifocal leukoencephalopathy (PML). * History of cancer including hematologic malignancy and solid tumors within 10 years of screening. * Presence of other neurological disorders that could interfere with the diagnosis of MS or with the assessments of safety or efficacy during the study. * Clinically significant cardiovascular, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic or gastrointestinal disease. * Any concomitant disease that may require chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study. * History of alcohol or other drug abuse within 12 months prior to screening. * History of or currently active primary or secondary (non-drug-related) immunodeficiency, including known history of human immunodeficiency virus (HIV) infection. * Inability to complete an MRI scan. * Adrenocorticotropic hormone or systemic corticosteroid therapy within 4 weeks prior to screening. * Receipt of a live-attenuated vaccine within 6 weeks prior to randomization. * Any previous treatment with immunomodulatory or immunosuppressive medication without an appropriate washout period.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cleveland Clinic Lou Ruvo
Las Vegas, Nevada, 89106, United States
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Clinical Center Nis
Niš, 18000, Serbia
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Clinical Center of Serbia
Belgrade, 11000, Serbia
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Clinical Hospital Center Rijeka - PPDS
Rijeka, 51000, Croatia
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Clinical Hospital Centre Zemun
Zemun, 11080, Serbia
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Clinical center Kragujevac
Kragujevac, 34000, Serbia
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Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05, Czechia
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Fakultni nemocnice u sv. Anny v Brne
Brno, 656 91, Czechia
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Fullerton Neurology and Headache Center
Fullerton, California, 92835, United States
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General Hospital Varazdin
Varaždin, 42000, Croatia
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Klinicki bolnicki centar Zagreb
Zagreb, 10000, Croatia
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Military Medical Academy
Belgrade, 11040, Serbia
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Nemocnice Jihlava, prispevkova organizace
Jihlava, Vyso?ina, 586 33, Czechia
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Poliklinika Solmed
Zagreb, 10000, Croatia
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University Clinical Centre of the Republic of Srpska
Banja Luka, 78000, Bosnia and Herzegovina
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Univerzitna nemocnica Bratislava
Bratislava, 821 01, Slovakia
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Vseobecna Fakultni Nemocnice V Praze - CRC - PPDS
Prague, 128 08, Czechia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a pill rebuild the Brain's insulation? MS trial puts remyelination to the test
- Could a simple injection replace an IV for MS treatment?
- Can a new injection tame relapsing MS?
- Timing of MS drug may change disease course
- MS patients switch drugs to save immune defenses
- Real-World study tracks why MS patients switch to kesimpta