Clinical trial Recruiting at 17 sites Phase 2 Interventional Ages 10 to 17

Fenebrutinib for relapsing multiple sclerosis in children and adolescents (ages 10 to <18).

Official title: An Open-label, Single-arm Study to Evaluate Pharmacokinetics, Pharmacodynamic Effects, Safety and Tolerability of Fenebrutinib in Children and Adolescents With Relapsing Multiple Sclerosis

Run by Hoffmann-La Roche · NCT07161258 · Data updated 2026-11-12

This study will test fenebrutinib in children and adolescents ages 10 to under 18 with relapsing multiple sclerosis to measure how the drug behaves in the body and whether it is safe and well tolerated.

More Multiple Sclerosis, Relapsing-Remitting trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages10 Years to 17 Years
SexAll
Enrollment12 (estimated)
SponsorHoffmann-La Roche
Industry-sponsored
Drugs / interventionsfenebrutinib
Locations17 sites (Rosario, Santa Fe Province and 16 other locations)
StatusRecruiting
StartedOctober 6, 2025
Main results expectedJune 8, 2027
Study endsFebruary 13, 2029
Registry record updatedNovember 9, 2026
Trial IDNCT07161258 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children and adolescents aged 10 to under 18 with relapsing MS (recent relapses or MRI activity), EDSS 0–5.5, and up-to-date childhood vaccinations.

Probably not a fit

Patients with primary progressive MS or non-active secondary progressive MS, significant comorbid medical or psychiatric illness, a history of cancer or organ transplant, or who do not meet the age or disability criteria are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open-label, single-arm Phase 2 trial administers fenebrutinib to children and adolescents with relapsing MS to collect pharmacokinetic and pharmacodynamic data alongside safety and tolerability outcomes. The protocol includes a dose exploration period to establish appropriate pediatric dosing and an optional extension period for continued treatment. Eligible participants are 10 to under 18 years old with relapsing MS by IPMSSG and McDonald criteria and EDSS between 0 and 5.5. Study visits and MRI assessments will be conducted at participating sites in Argentina and Brazil.

Why it matters

Potential benefit: If successful, the trial could define safe pediatric dosing and support a new oral treatment option for children and teens with relapsing MS.

How similar studies have gone: BTK inhibitors such as fenebrutinib have shown promise in adult MS trials, but pediatric use is largely untested and pediatric data are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* A diagnosis of RMS in accordance with the International Pediatric Multiple Sclerosis Study Group (IPMSSG) criteria for pediatric MS, Version 2012, and the revised 2017 McDonald Criteria and one or more of the following: at least one MS relapse during the previous year or two MS relapses in the previous 2 years or evidence of at least one Gd enhancing lesion on MRI within 6 month
* Expanded Disability Status Scale (EDSS) at screening from 0 to 5.5 points, inclusive
* Children and adolescents must have received all childhood vaccinations as per local/national recommendations for childhood vaccination against infectious diseases

Exclusion Criteria:

* A diagnosis of primary progressive multiple sclerosis (PPMS) or non-active secondary progressive multiple sclerosis (SPMS)
* Co-morbid Conditions:
* Potentially confounding neurological, somatic, or metabolic disorders
* Current clinically significant psychiatric or medical illness
* History of cancer, transplants, or bleeding disorders
* Inability to complete an MRI scan or get gadolinium
* Abnormal liver function tests or blood counts
* Sensitivity or intolerance to any ingredient (including excipients) of fenebrutinib tablets
* Active, recurrent, or chronic infections
* Recent or anticipated use of prohibited medications/treatments:
* Certain disease-modifying therapy (DMT) and other immunosuppressants
* Drugs interacting with fenebrutinib (Cytochrome P450 3A4 \[CYP3A4\] inhibitors)
* Any other investigational therapy, anticoagulants, certain vaccines
* A score of 4 or 5 on the "last 6 months" section of the screening SI section or "yes" on any item of the "last 6 months" Suicidal Behavior (SB) section of the C-SSRS or a positive answer on Question 9 of the Patient Health Questionnaire-9 Modified for Adolecents (PHQ-A) or significant risk of suicide, in the investigator's judgment

Where it's running

  • INECO Neurociencias Orono
    Rosario, Santa Fe Province, Argentina
    Recruiting
  • Sanatorio del Sur S.A.
    San Miguel de Tucumán, Argentina
    Recruiting
  • L2IP ?Instituto de Pesquisas Clínicas Ltda.
    Brasília, Federal District, Brazil
    Recruiting
  • Instituto de Neurologia de Curitiba - Hospital Ecoville
    Curitiba, Paraná, Brazil
    Recruiting
  • Nucleo de Pesquisa Clinica do Rio Grande do Sul NPCR
    Porto Alegre, Rio Grande do Sul, Brazil
    Recruiting
  • Centro de Pesquisas Clinicas - CPCLIN
    São Paulo, São Paulo, Brazil
    Recruiting
Show 11 more locations
  • Clinstile S.A de C.V.
    Mexico City, Mexico CITY (federal District), Mexico
    Recruiting
  • Neurociencias Estudios Clinicos S.C.
    Culiacán, Sinaloa, Mexico
    Recruiting
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny w Poznaniu
    Poznan, Poland
    Recruiting
  • Instytut "Pomnik - Centrum Zdrowia Dziecka"
    Warsaw, Poland
    Recruiting
  • Centro Clnico Acadmico - Braga, Associao (2CA-Braga)
    Braga, Portugal
    Recruiting
  • Unidade Local de Saude de Coimbra E P E
    Coimbra, Portugal
    Recruiting
  • Hospital Universitario de La Princesa
    Madrid, Spain
    Recruiting
  • Hospital Universitario Ramon y Cajal
    Madrid, Spain
    Recruiting
  • Hospital Universitario Virgen Macarena
    Seville, Spain
    Recruiting
  • UH of State NPC Danulo Halytsky NMU in Lviv CID, Clinic of Neurology and Neurosurgery
    Lviv, Ukraine
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.