Pharma Update
Fenebrutinib, pivotal trials in RMS and PPMS ongoing
The only BTKi in H2H Ph III trial in PPMS vs Ocrevus
Fenebrutinib
BTKi competitive landscape¹
Tolebrutinib
Evobrutinib
Remibrutinib
Ph III program overview
Non-covalent
Reversible
WB B cell IC 50°
8nM
WB Myeloid cell IC 50°
31nM
Ph III
H₂N
H₂N
N
Covalent
Irreversible
Covalent
Irreversible
Indication Trial design Phl
Ph II
Ph III
RMS
vs placebo
FENopta
Jaye
NH₂
RMS
vs teriflunomide FENhance 1/2
PPMS
vs Ocrevus
FENtrepid
Covalent
Irreversible
10 nM
84 nM
18 nM
166 nM
1660 nM
67 nM
Positive data readout, primary and secondary endpoints achieved
• Potential to be best-in-class given high potency, high selectivity,
reversibility, and only H2H study vs Ocrevus
Large safety database of >2,500 pts who have been dosed with
fenebrutinib*
•
Ph III
Ph III
Ph III
FDA partial clinical
hold
FDA partial clinical
hold
RMS,
RMS, SPMS,
RMS
PPMS (vs Ocrevus)
PPMS (vs Placebo)
RMS
●
Further solidifying commitment to MS franchise
Roche
1. Kramer, et al (2023) nature reviews neurology 289-304; Crawford, et al. (2018) J Med Chem 61, 2227-2245; Francesco, et al., ACTRIMS-ECTRIMS (2017) 200644. Haselmayer, et al. (2019) J Immunol 202, 2888-2906; Angst D, et
al. (2020) J Med Chem 63, 5102-5118. MS-multiple sclerosis; H2H-head-to-head; RMS-relapsing multiple sclerosis; PPMS-primary progressive MS; BTK-Bruton's tyrosine kinase; nM=nanomolar; WD=whole blood; *As of Sept
2023: including non-MS Ph I/II studies
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