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A Study of Orelabrutinib in Patients With Primary Progressive Multiple Sclerosis

RECRUITINGPhase 3Sponsored by Zenas BioPharma (USA), LLC
Actively Recruiting
PhasePhase 3
SponsorZenas BioPharma (USA), LLC
Started2026-03-23
Est. completion2030-06
Eligibility
Age18 Years – 60 Years
Healthy vol.Accepted
Locations11 sites

Summary

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 PPMS. Patients will be treated for approximately 30 to 60 months, with a minimum treatment duration of 12 months. The study will enroll approximately 705 subjects in a 2:1 randomization (orelabrutinib: placebo), globally.

Eligibility

Age: 18 Years – 60 YearsHealthy volunteers accepted
Inclusion Criteria:

* 18 to 60 years of age, inclusive
* Diagnosed with Primary Progressive MS (PPMS) according to 2017 McDonald criteria
* Participant must have documented evidence of disability progression observed during the 24 months before screening.
* Expanded disability status scale (EDSS) score between 3.0 to 6.5 points, inclusive, at Screening.

Exclusion Criteria:

* Diagnosed with relapsing-remitting MS (RRMS) or secondary progressive MS (SPMS)
* Immunologic disorder other than MS or any other conditions requiring oral, intravenous (IV), intramuscular, or intra-articular corticosteroid therapy.
* History or current diagnosis of other neurological disorders that may mimic MS
* History of any other significant active medical condition
* History of suicidal behavior within 6 months prior to Screening
* Any prior history of malignancy if no recurrence within 5 years
* Patients on anticoagulation, or antiplatelet therapy will be excluded
* Patients took strong/moderate CYP3A inhibitors or strong/moderate CYP3A inducerswithin 14 days
* Clinically significant laboratory abnormalities at Screening.
* Any allergy, contraindication, or inability to tolerate orelabrutinib or any of the excipients in the study intervention
* 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.

Conditions2

Multiple SclerosisMultiple Sclerosis (MS) Primary Progressive

Interventions1

Locations11 sites

Arizona Neuroscience Research, LLC
Pheonix, Arizona, 85032
Perseverance Research Center
Scottsdale, Arizona, 85253
Regina Berkovich MD, PhD Inc.
West Hollywood, California, 90048
Nova Clinical Research, LLC
Bradenton, Florida, 34209
Neurology Associates, PA
Maitland, Florida, 32751

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Trial data from ClinicalTrials.gov. Trial status and eligibility can change — verify directly with the study contact or on ClinicalTrials.gov.

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