What this study is
Orelabrutinib is a CNS-penetrable BTK inhibitor. This is a phase 3, randomized, double-blind, parallel-group, multicenter study to evaluate the efficacy and safety of orelabrutinib compared with placebo in patients with non-active Secondary Progress MS. Patients will be treated for approximately 24 to 60 months, with a minimum treatment duration of 12 months. The study will enroll approximately 990 subjects in a 2:1 randomization (orelabrutinib: placebo), globally.
What's being tested
- Orelabrutinib
Intervention · DRUG
Orelabrutinib orally
- Placebo
Intervention · DRUG
Placebo orally
Study details
- Official title
- A Phase 3, Randomized, Double-blind, Efficacy and Safety Study Comparing Orelabrutinib to Placebo in Patients With Non-active Secondary Progressive Multiple Sclerosis
- Sponsor
- Zenas BioPharma (USA), LLC
- Conditions
- Secondary Progressive Multiple Sclerosis
- Enrolling
- 990 people
- Starts
- 2026-03-23
- Est. completion
- 2030-07
- Design
- Quadruple-blind, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years – 60 YearsSex ALLHealthy volunteers Not acceptedYou may qualify if
- 18 to 60 years of age, inclusive, at the time of signing the informed consent.
- Participant must have a previous diagnosis of RRMS in accordance with 2024 McDonald criteria
- Participant must have a current diagnosis of SPMS in accordance with the clinical course criteria revised in 2013
- Participant must have documented evidence of disability progression independent of clinical relapse observed during the 24 months before screening. A written summary of the clinical evidence of disability progression must be discussed and aligned between the Investigator and the Sponsor's dedicated qualified person(s).
- Absence of clinical relapses for at least 24 months.
You can't join if
- The patient has been diagnosed with primary progressive MS (PPMS) according to 2024 McDonald diagnostic criteria
- Immunologic disorder other than MS or any other conditions requiring corticosteroid therapy.
- History or current diagnosis of other neurological disorders that may mimic MS
- History or current diagnosis of progressive multifocal leukoencephalopathy
- Active, clinically significant viral, bacterial, or fungal infection
- History of any other significant active medical condition
- History of suicidal behavior within 6 months prior to Screening
- Any prior history of malignancy
- Patients on anticoagulation, or antiplatelet therapy
- Patients took strong/moderate CYP3A inhibitors or strong/moderate CYP3A inducers within 14 days
- Clinically significant laboratory abnormalities at Screening.
- Vaccination with live or live-attenuated virus vaccine within 1 month prior to Screening
- History of alcohol abuse or alcohol use disorder or other drug abuse within 12 months prior to screening.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (90)
89 openArizona Neuroscience Research, LLC
Phoenix, Arizona, United States
RecruitingPerseverance Research Center, LLC (PRC)
Scottsdale, Arizona, United States
RecruitingFullerton Neurology and Headache Center
Fullerton, California, United States
RecruitingHarbor-UCLA Medical Center - The Lundquist Institute (Los Angeles Biomedical Research Institute (LA BioMed))
Torrance, California, United States
RecruitingRegina Berkovich MD, PhD Inc
West Hollywood, California, United States
RecruitingSFM Clinical Research, LLC
Boca Raton, Florida, United States
RecruitingNova Clinical Research, LLC
Bradenton, Florida, United States
RecruitingMS and Neuromuscular Center of Excellence
Clearwater, Florida, United States
RecruitingNeurology Associates
Maitland, Florida, United States
RecruitingAqualane Clinical Research
Naples, Florida, United States
RecruitingUniversity of South Florida Department of Neurology - MS Division
Tampa, Florida, United States
RecruitingJosephson Wallack Munshower Neurology, Pc Suite 225
Indianapolis, Indiana, United States
RecruitingUniversity of Kansas Medical Center
Kansas City, Kansas, United States
RecruitingKC Research Center, PA Neurology Research Dept
Roeland Park, Kansas, United States
RecruitingUniversity of Massachusetts Memorial Medical Center
Worcester, Massachusetts, United States
RecruitingProfound Research LLC at Oakland Neurology Center
Rochester Hills, Michigan, United States
RecruitingWashington University School of Medicine
St Louis, Missouri, United States
RecruitingUniversity Of New Mexico School Of Medicine
Albuquerque, New Mexico, United States
RecruitingMount Sinai Medical Center
New York, New York, United States
RecruitingThe Ohio State University Wexner Medical Center (OSUWMC)
Columbus, Ohio, United States
RecruitingThe Boster Center for Multiple Sclerosis
Columbus, Ohio, United States
RecruitingOMRF Multiple Sclerosis Center of Excellence
Oklahoma City, Oklahoma, United States
RecruitingPremier Neurology
Greenville, South Carolina, United States
RecruitingNeurology Clinic, P.C.
Cordova, Tennessee, United States
RecruitingLone Star Neurology
San Antonio, Texas, United States
RecruitingTexas Institute for Neurological Disorders - Sherman
Sherman, Texas, United States
RecruitingBoston Clinical Trials
Boston, Massachusetts, United States
Withdrawn
63 sites outside the US
Southern Neurology Suite 2
Kogarah, New South Wales, Australia
RecruitingMS-Netwerk Limburg - Revalidatie
Overpelt, Limburg, Belgium
RecruitingMedical Center Nevrocentrum
Plovdiv, Plovdiv, Bulgaria
RecruitingMedical Center Hera EOOD
Sofia, Sofia, Bulgaria
RecruitingDiagnostic and Consultative Center Convex
Sofia, Sofia, Bulgaria
RecruitingMedical Center Medica Plus OOD
Veliko Tarnovo, Tarnovo, Bulgaria
RecruitingAvis Medica Hospital Pleven
Pleven, Bulgaria
RecruitingKlinicki Bolnicki Centar Zagreb-Rebro
Zagreb, Croatia
RecruitingNEUROHK, s.r.o.
Choceň, Czechia
RecruitingRegional Hospital Jihlava
Jihlava, Czechia
RecruitingAstra clinic (Clinic4U)
Tallinn, Harju, Estonia
RecruitingCentre Hospitalier Universitaire de Nimes (CHU) - Hopital Universitaire Caremeau
Nîmes, Gard, France
RecruitingJSC Curatio
Tbilisi, K'alak'i T'bilisi, Georgia
RecruitingMD Georgia Staff Physician MediClub Georgia
Tbilisi, Saburtalo, Georgia
RecruitingLTD Pineo Medical Ecosystem
Tbilisi, Georgia
RecruitingNNLE Jo Ann University Hospital
Tbilisi, Georgia
RecruitingCaucasus Medical Center Ltd
Tbilisi, Georgia
RecruitingRaymann, LLC
Tbilisi, Georgia
RecruitingZentrum fur klinische Forschung Dr.Scholl GmbH
Bad Homburg, Hesse, Germany
RecruitingMetropolitan General Hospital
Cholargós, Athens, Greece
RecruitingErrikos Dunant Hospital
Athens, Attica, Greece
RecruitingValeomed Kft.
Esztergom, Komarom-Esztergom Vamegye, Hungary
RecruitingNational Institute of Clinical Neurosciences
Budapest, Hungary
RecruitingKomarom-Esztergom Varmegyei Szent Borbala Korhaz
Tatabánya, Hungary
RecruitingUniversity G. D'Annunzio of Chieti-Pescara
Chieti, Chieti, Italy
RecruitingIRCCS Istituto Neurologico Mediterraneo Neuromed
Pozzilli, Isernia/Molise, Italy
RecruitingHospital of Lithuanian University of Health Sciences
Kaunas, Kauno, Lithuania
RecruitingCentrum Medyczne INTERCOR Sp. z o.o.
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland
RecruitingInstytut Naukowo-Badawczy w Lublinie Sp. z o.o.
Lublin, Lublin Voivodeship, Poland
RecruitingNZOZ Neuromed M. i M. Nastaj Sp.P
Lublin, Lublin Voivodeship, Poland
RecruitingMalva Trials
Lublin, Lublin Voivodeship, Poland
RecruitingTwoja Przychodnia Centrum Medyczne Nowa Sól
Nowa Sól, Lubusz Voivodeship, Poland
RecruitingMTZ Clinical Researcz Powered by pratia
Warsaw, Mazovian, Poland
RecruitingNmedis sp. z o.o.
Rzeszów, Rzeszów, Poland
RecruitingCentrum Medyczne Pratia Katowice
Katowice, Silesian Voivodeship, Poland
RecruitingMA-LEK Clinical Sp. z o.o.
Katowice, Silesian Voivodeship, Poland
RecruitingNZOZ Novo Med
Katowice, Silesian Voivodeship, Poland
RecruitingNeuro Medic Clinic
Katowice, Upper Silesia, Poland
RecruitingTwoja Przychodnia PCM
Poznan, Wielkopolska, Poland
RecruitingNzoz Neuro-Kard Ilkowski I Partnerzy Spolka Partnerska Lekarzy
Poznan, Wielkopolska, Poland
RecruitingGalen Clinic
Lublin, Poland
RecruitingPrywatna Lecznica Certus Sp. z o.o.
Poznan, Poland
RecruitingEUROMEDIS Osrodek Badan Klinicznych
Szczecin, Poland
RecruitingCentrum Medyczne ProNeuro Żory
Żory, Poland
RecruitingCentrum Neurologii Krzysztof Selmaj
Lodz, Łódź Voivodeship, Poland
RecruitingPRO SALUS Sp. z o.o. sp.k.
Lodz, Łódź Voivodeship, Poland
RecruitingCaribbean Center for Clinical Research
Guaynabo, Puerto Rico
RecruitingSpital Clinic CF Constanta
Constanța, Constanța County, Romania
RecruitingSpitalul Municipal Sf. Doctori Cosma si Damian Radauti
Radauti, Suceava, Romania
RecruitingUniversity Clinical Centre of Serbia
Belgrade, Belgrade, Serbia
RecruitingUniversity Clinical Centre of Kragujevac
Kragujevac, Serbia
RecruitingClinic of Neurology - Clinical Center Nis
Niš, Serbia
RecruitingComplejo Hospitalario Universitario A Coruña
A Coruña, A Coruña, Spain
RecruitingHospital Alvaro Cunqueiro
Vigo, Galicia, Spain
RecruitingHospital Gregorio Marañon
Madrid, Madrid, Spain
RecruitingHospital Universitario Puerta de Hierro de Majadahonda
Majadahonda, Madrid, Spain
RecruitingVithas Hospital Parque San Antonio
Málaga, Málaga, Spain
RecruitingHospital Vithas Nisa Sevilla
Castilleja de la Cuesta, Seville, Spain
RecruitingRegional Municipal Non-commercial Enterprise Chernivtsi Emergency Medical Hospital
Chernivtsi, Chernivtsi Oblast, Ukraine
RecruitingCNE City Clinical Hospital #1 of Ivano-Frankivsk council
Ivano-Frankivsk, Ivano-Frankivs'k Oblast, Ukraine
RecruitingLimited Liability Company Medical Center Neuroclinic
Lviv, Lviv Oblast, Ukraine
RecruitingLimited Liability Company "Neurofocus"
Lviv, Lviv Oblast, Ukraine
RecruitingMedical Clinical Investigational Center of Medical Center LLC Health Clinic
Vinnytsia, Ukraine
Recruiting
Study team
Sponsor
Zenas BioPharma (USA), LLC
Study ID ZB020-03-002
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.