Pharma Update
Fenebrutinib, potential for a best-in-class BTKi in MS
Additional Ph II (FENopta) data to be presented at ECTRIMS
Fenebrutinib (BTK inhibitor)
Macrophage
Periphery
B cell
Ph II (FENopta) results in RMS
Total new T1 Gd+ lesions by week and combined*
Week 8
Week 12
BTKi dual
MOA: inhibits
B-cell and
myeloid cell
B cells/plasmablast
Activation via B-cell receptor
CNS
activation
B cell
Microglia
Myeloid cell
Activation via Fc receptor
Adjusted mean number of
new T1 Gd+ lesions
Week 4
0.4
92%
(65% to 98%)
22%
0.3
33
(-92% to 68%)
0.2
0.1
0
90%
(52% to 98%)
Adjusted rate of new T1
Gd+ lesions
0.4
0.3
0.2
0.1
Roche
@ean
european academy of neurology
IR call on October 30
Combined
(Weeks 4, 8 and 12)
P=0.0022
0
No. of patients
36
70
• Dual MoA targeting both B cells and myeloid cells
•
Oral, highly selective and only reversible non-
covalent BTK inhibitor in Ph III in MS
Excellent selectivity limits off-target effects,
potential for better safety outcomes
.
FENopta biomarker study evaluated early impact of fenebrutinib on MRI outcomes and showed significant
reductions in brain lesions in RMS patients, meeting primary and secondary endpoints
Patients on fenebrutinib 4x likelier to have no new T1 Gd+ & N/E T2 lesions at weeks 4, 8 and 12 vs placebo
Safety profile consistent with previous and ongoing trials
CSF concentration data from Ph II (FENopta) trial to be presented at ECTRIMS on Oct 10-13th
Hua LH et al., EAN 2023; *Results were estimated from a negative binomial model controlling for baseline T1 Gd+ lesion status (presence or absence) and included log number of scans as an offset. Arrows indicate relative
reduction (95% CI) of lesions; MS=multiple sclerosis; BTKi-Bruton's tyrosine kinase inhibitor; MoA-mechanism of action; CSF-cerebrospinal fluid; RMS=relapsing multiple sclerosis; Gd+=gadolinium-enhancing; MRI-Magnetic
Resonance Imaging; RMS-Relapsing multiple sclerosis; CNS-Central nervous system
103View entire presentation