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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 10 Years to 17 Years |
| Sex | All |
| Enrollment | 12 (estimated) |
| Sponsor | Hoffmann-La Roche Industry-sponsored |
| Drugs / interventions | fenebrutinib |
| Locations | 17 sites (Rosario, Santa Fe Province and 16 other locations) |
| Status | Recruiting |
| Started | October 6, 2025 |
| Main results expected | June 8, 2027 |
| Study ends | February 13, 2029 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07161258 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
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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
- Study coordinator: Reference Study ID Number: CN45847 https://forpatients.roche.com/ No attachments to email below.
- Email: global-roche-genentech-trials@gene.com
- Phone: 888-662-6728 (U.S.)
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Ublituximab in Pediatric Relapsing MS: See if a B-cell therapy works in kids
This study tests whether ublituximab can work in children and teens with relapsing MS and compares it to fingolimod in eligible participants.
-
Remibrutinib after switching from ocrelizumab for relapsing multiple sclerosis
This study will see if remibrutinib, a daily oral BTK inhibitor, keeps relapsing MS under control in people switching from ocrelizumab compared with continuing ocrelizumab.
-
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Evaluating real-world experiences of patients treated with BRIUMVI® for relapsing multiple sclerosis
This study is looking to see how well BRIUMVI® works and what side effects it has for people with relapsing multiple sclerosis in everyday settings.
-
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This study is testing a new way to use ublituximab to see if it can help people with relapsing multiple sclerosis feel better and stay safe.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.