EMD Serono to Showcase New Data at ACTRIMS-ECTRIMS MSVirtual2020 Meeting, Furthering Innovation in Multiple Sclerosis

September 3, 2020 8:00 AM

ROCKLAND, Mass, Sept. 3, 2020 /PRNewswire/ -- EMD Serono, the biopharmaceutical business of Merck KGaA, Darmstadt, Germany, in the U.S. and Canada, announced today it will present data on its approved and investigational multiple sclerosis (MS) treatments at MSVirtual2020: 8th Joint ACTRIMS-ECTRIMS Meeting. The Company will present 54 abstracts at the meeting, taking place virtually from September 11-13, 2020, including new efficacy and real-world safety data on MAVENCLAD® (cladribine) tablets and new safety data for Rebif® (interferon beta-1a).

In addition, data will be presented on the efficacy profile of evobrutinib, an investigational, oral, highly selective Bruton's Tyrosine Kinase inhibitor (BTKi), through 108 weeks of treatment in the Phase II open-label extension (OLE) in adult patients with relapsing multiple sclerosis (RMS). Preclinical data will also be presented providing insights into evobrutinib's potential impact on progression in MS.

"The broad range of research revealed through these data demonstrate our strategic approach to advancing the MS treatment landscape through new medicines and patient-focused research initiatives," said Luciano Rossetti, Global Head of Research & Development for EMD Serono. "Much of our data provide insights on how MAVENCLAD® and Rebif® affect the risk of respiratory viral infections and COVID-19 outcomes in MS patients. These insights will help support clinicians as they make treatment decisions for their patients living with MS."

Key MAVENCLAD® (cladribine) tablets data include:

  • Efficacy results from the Phase IV MAGNIFY-MS study and its impact on a reduction in mean combined unique active (CUA) lesion count in the first six months of MAVENCLAD® treatment for highly active RMS
  • New data evaluating cumulative relapse incidence over five years in patients enrolled in the MAVENCLAD® CLARITY and CLARITY Extension trials
  • Late-breaking interim data from the CLASSIC-MS study on the long-term efficacy and real-world treatment patterns for patients receiving MAVENCLAD®, with eight to 14 years of follow up, will be available as part of the late-breaker sessions from September 25, 2020
  • Results from a post hoc analysis from the CLARITY Extension and the impact of MAVENCLAD® on the prevalence of disability improvement over five years, as measured by the Expanded Disability Status Scale (EDSS)
  • Results from the MAGNIFY and CLARIFY studies regarding clinical outcomes in patients with COVID-19 infection during these Phase IV studies of MAVENCLAD® for the treatment of MS will be available as part of the late-breaker sessions from September 25, 2020
  • Updated post-approval safety data of MAVENCLAD® in the treatment of MS, including respiratory viral infections and findings that the safety profile was consistent with that from the clinical development program

Key Rebif® (interferon beta-1a) data include:

  • Post-approval results on the safety of Rebif® in the treatment of MS, showing no new safety signals

Key evobrutinib data include:

  • Efficacy results of the Phase II OLE in patients treated with evobrutinib 75 mg BID (twice a day) as measured by annualized relapse rate from Week 48 to Week 108
  • Safety results from the ≥60 week Phase II OLE
  • Preclinical data demonstrating evobrutinib's potential to reduce CNS compartmentalized inflammation thought to drive the progression of disability seen in MS

Additional EMD Serono activities at MSVirtual2020:

  • Live presentation "Exploring the role of real-world data in multiple sclerosis" chaired by Prof. Gavin Giovannoni, Chair of Neurology, Barts and The London School of Medicine and Dentistry (September 12, 2020, 14:30–15:30 EDT; recording available after the event)
  • Two product theatres on demand throughout the congress starting from September 11, 2020, 11:45 EDT
    • "Multiple sclerosis patient management: update from the UK" by Dr. Wallace Brownlee, MS Specialist Neurologist, National Hospital for Neurology and Neurosurgery, and MS researcher at Queen Square MS Centre, University College London Institute of Neurology
    • "Real-world multiple sclerosis management: what can we learn from MSBase?" by Dr. Suzanne Hodgkinson, Associate Professor, University of New South Wales, and a senior consultant neurologist at Liverpool Hospital, New South Wales, Australia

Following the conclusion of MSVirtual2020, EMD Serono will be hosting "Mastering the Neuroscience of Unconscious Bias," the inaugural virtual event for the company`s I'M IN initiative, a diversity, equity and inclusion effort started in February 2019. I'M IN is a US-based initiative started by the Neurology & Immunology franchise, which aims to explore solutions together with healthcare providers to improve equity within the healthcare ecosystem.

Below is the full list of EMD Serono abstracts accepted for presentation at ACTRIMS-ECTRIMS 2020:

MAVENCLAD® (cladribine) tablets Presentations

Title

Authors

Presentation ID

Presentation Details

Reduced Grey Matter Atrophy in Patients WithRelapsing MultipleSclerosis Treated WithCladribine Tablets

Battaglini M,Sormani M P,Luchetti L, GentileG, Cortese R,

Alexandri N, DeStefano N

P0231

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Marco Battaglini

Reduction in CUA MRILesions in the First 6Months of CladribineTablets Treatment forHighly Active Relapsing Multiple Sclerosis: MAGNIFY-MS Study

De Stefano N,Barkhof F,Montalban X, Achiron A, DerfussT, Chan A,Hodgkinson S, PratA, Leocani L.Schmierer K, Sellebjerg F, Vermersch P, Wiendl H, Keller B,Roy S

P0382

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Nicola DeStefano

Durable Efficacy ofCladribine Tablets:Cumulative RelapseIncidence Over 5 yearsin CLARITY andCLARITY Extension

Giovannoni G,Rammohan K, Leist T, Coyle P K, Keller B, Jack D, Alexandri N

P0202

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September11, 2020

Presenter: Gavin Giovannoni

Disability Improvement in Relapsing-remitting Multiple SclerosisPatients ReceivingCladribine Tablets,Evaluated by ExpandedDisability Status Scale

Sormani M P,Signori AGiovannoni G, Alexandri N

P0201

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Maria Pia Sormani

Updated Post-ApprovalSafety of Cladribine Tablets in the Treatment of MultipleSclerosis, With Particular Reference toRespiratory Viral Infections

Giovannoni G, Berger J, Leist T,Jack D, Galazka A,Nolting A, Damian D

P0415

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: Gavin Giovannoni

Clinical Outcomes in Patients With COVID-19 Infection During PhaseIV Studies of CladribineTablets for Treatment of Multiple Sclerosis

Karan R, Roy S,Alexandri N

LB1151

Session: LatebreakerePoster

Date: September 25-26, 2020

Time: Available from 9am ET on September 25, 2020

Presenter: RadmilaKaran

Treatment Satisfactionin Patients With Highly-active Relapsing Multiple SclerosisTreated With CladribineTablets: CLARIFY-MS Study Interim Analysis

Brochet B,Hupperts R,Langdon D, Solari A, Piehl F, Lechner-Scott J, Montalban X, Selmaj K, Valis M, Rejdak K, HavrdovaEK, Patti F, Alexandri N, NoltingA, Keller B

P1066

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Bruno Brochet

Initial Findings From a Dynamic Cohort Study of Patients With MultipleSclerosis: A Proactive Approach for Safety and Comparative Effectiveness

Sabidó, M, BatechM, Foch C, BoutmyE, Verpillat P

P0470

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Meritxell Sabidó

Characteristics of Relapsing MultipleSclerosis PatientsTreated With CladribineTablets in Five European Countries: Multi-yearChart Review

Zeng F, Harty G,Wong SL, MaslovaE, Schade R, Row B

P0846

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: Feng Zeng

Characterization ofRelapsing MultipleSclerosis PatientsTreated With CladribineTablets in Germany Since MarketingAuthorization

Zeng F, Harty G, Wong SL, Uebler S,Maslova E, Schade R, Row B, Ellenberger D, Stahmann A

P0847

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Feng Zeng

CLASSIC-MS: Long-term Efficacy and Real-World Treatment Patterns for PatientsReceiving CladribineTablets - Interim Datawith 8–14 Years Follow-up

Giovannoni G, LeistT, Aydemir A, Verdun Di CantognoE, on behalf of the CLASSIC-MS Steering Committee

LB1229

Session: LatebreakerePoster

Date: September 25-26, 2020

Time: Available from9am ET September 25, 2020

Presenter: Thomas Leist

Age-related Efficacy of Cladribine Tablets in Patients With Relapsing-remitting MS in the CLARITY Extension Study

Freedman M, PardoG, De Stefano N,Aldridge J, Hyvert Y, Galazka A, Lemieux C

P0284

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Mark Freedman

Cladribine Tablets inPatients with RRMS and Active SPMS AfterSuboptimal Response to Prior DMD (MASTER-2 and CLICK-MS): Initial Baseline Demographics

Miravelle A, Katz J, Robertson D, Hayward B, WalshJS, Harlow DE, Lebson LA, Sloane JA, Bass AD, Fox EJ

P0310

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Augusto Miravelle

Treatment-emergent Adverse EventsOccurring Early in the Treatment Course ofCladribine Tablets intwo Phase 3 Trials inMultiple Sclerosis

Oh J, Walker B,Giovannoni G, Jack D, Dangond F, Nolting A, AldridgeJ, Lebson L, Leist TP

P0411

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Jiwon Oh

Identification andCharacterization ofAdherence TrajectorySubgroups in PatientsWith MS Initiating Once- or Twice-dailyOral Disease-modifyingDrugs

Cisternas MG, Rajagopalan D,Leszko M, AndradeK, Phillips AL

P0967

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: Amy Phillips

Real-world Patient-level Costs of AdministeringInfusion Disease-modifying Drugs: A US Retrospective Claims Database Analysis

Kozma CM, RobertsNL, Phillips AL

P1052

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Chris Kozma

Value-added Benefits ofa Nurse/Pharmacy-led Service for PatientsWith Multiple SclerosisTreated Over 2 YearsWith Cladribine Tablets in the UK

Morgan K, VernonK, Ayer M

P1069

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Kate Morgan

Demonstrating the Value of a PatientSupport Program forMultiple SclerosisPatients PrescribedCladribine Tablets inIreland at the end of Year 1

Morgan K, Joseph B, Williams V, KellyM

P1015

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: KateMorgan

Low DiscontinuationRate and Side-effectBurden After Switchingto Cladribine Tablets:Canadian Experiencefrom the adveva®Patient SupportProgram

Oh J, Giacomini P,Devonshire V, Clift F, Lemieux C, Sabido M, Allignol A, Freedman M

P0880

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Jiwon Oh

Cladribine TabletsVersus Other Disease-modifying Therapies inAchieving DisabilityImprovement in Relapsing-remittingMultiple SclerosisPatients – Network Meta-analysis

Piasecka-Stryczyńska K, Rolka M, KaczyńskiŁ, Górecka M, Wójcik R, AdamekI, Kaczor MP, Rejdak K

P0040

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: K. Piasecka-Stryczynska

MS Disease-modifying Therapy Sequencing –Natalizumab to Cladribine Tablets – Experience in 46 Patients

Ziemssen T,Penner IK, Wagner T, Huebschen M, Mueller B, Buescher T, Richter J,Posevitz-Fejfar A

566

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Tjalf Ziemssen

Switching disease modifying treatment inrelapsing multiple sclerosis: Delphiconsensus of theDemyelinating Group ofthe Spanish Society ofNeurology

Saiz A, Aguera E, Moral E, Brieva L, Rodriguez-Antiguedad A,Casanova-EstruchB, Jordi R, Meca-Lallana V, Garcia-Merino JA, Costa-Frossard L, Arnal-Garice C, LandeteL, Meca-Lallana J,Blanco Y, Matías-Guiu J, Ares A, Martínez-Ginés ML,Ara JR, Llaneza M,Castillo-Trivino T,Romero L, Perez-Sempere A,González-Platas M, Mendibe-Bilbao M

P0401

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Luis Brieva

CLADQoL (CLADribineTablets – evaluation of Quality of Life) Study:Evaluating QoL 12 Months After TreatmentInitiation with CladribineTablets

Penner IK, Pul R,Kallmann BA, Raji A, Richter J, Wagner T, MuellerB, Buescher T, Posevitz-Fejfar A

P0849

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Iris-Katharina Penner

Effects of Cladribine on Proliferation, Survivaland Cytokine Release ofHuman Astrocytes

Eixarch H, Calvo-Barreiro L, FissoloN, Boschert U, Comabella M, Montalban X, Espejo C

P0330

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: HerenaEixarch

Real-world Experience With Cladribine in theMSBase Registry

Butzkueven H, Spelman T, Verdundi Cantogno E, Fabris J, Zeng F, GHarty

P0907

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Helmut Butzkueven

2-Chlorodeoxyadenosine (Cladribine) Preferentially Inhibitsthe Biological Activity of Microglia Cells

Aybar F, Marcora S, Eugenia Samman M, Perez MJ, Pasquini JM, Correale J

P0270

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Jorge Correale

Cladribine to HaltDeterioration in PeopleWith Advanced Multiple Sclerosis (ChariotMS)

Lieberman D, Mangat H, Allen-Philby K, Baker D,Barkhof F, Chandran S, Chapman C, Chataway J, Ford H, Giovannoni G, Hobart J, Hooper R,Hussain T, WalkerN, Macmanus D,Mihaylova B, Pavitt S

P0196

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September11, 2020

Presenter: David Lieberman

Predicting Long-termSustained DisabilityProgression in MultipleSclerosis: Application inthe CLARITY Trial

Sharmin S, Bovis F,Sormani MP, Butzkueven H, Kalincik T and theMSBase studygroup

P0131

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: S Sharmin

A Clinical Data Summary for CladribinePatients Treated at least12 Months - A SwedishNationwide Study of theLong-Term Effectiveness and Safety of Cladribine (IMSE 10)

Forsberg L,Kågström S, Hillert J, Nilsson P, DahleC, Svenningsson A, Lycke J, LandtblomAM, Burman J, Martin C, Sundström P, Gunnarsson M, Piehl F, Olsson T

P0276

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September11, 2020

Presenter: L Forsberg

Impact of CladribineTablets on Brain VolumeProtection in Highly Active MS

Raji A, Winkler G

P0586

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: A Raji

Early Real-World Safety,Tolerability, and Efficacy of Cladribine Tablets: A Single Center Experience

Bain J, Jones A,Overholt S, Guenette M, Selchen D, JiwonOh

P0319

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: J Bain

Switching From Ocrelizumab to Cladribine: Real-world Data

O'Neill DTD, Sharma M, Gonzales B, Vandenheuvel M, Tse B, Hodgkinson SJ

P0399

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: D O'Neill

The Effect of CladribineUpon Naïve and Activated CD4+ T Regulatory Cells in MSPatients

Verma ND, Al-Atiyah R, O'Neill D,Sharma M, Tran CT,Hall BM, Hodgkinson SJ

P0406

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Suzanne Hodgkinson

Rebif® (interferon beta-1a) Presentations

A Systematic Reviewand Meta-analyses of Pregnancy and Fetal Outcomes in Women with Multiple Sclerosis.IMI2 ConcePTION

Lopez-Leon S, Geissbuehler Y,

Sabidó M, Turkson,M, Wahlich C, Morris J

P0278

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September11, 2020

Presenter: Meritxell Sabidó

Post-approval Safety of Subcutaneous Interferon β-1a in theTreatment of MultipleSclerosis, WithParticular Reference toRespiratory Viral Infections

Freedman M S, Guehring H, Murgasova Z, Jack D

P0370

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Mark Freedman

Effect of NeutralizingAntibodies on Pharmacodynamic Biomarkers ofSubcutaneousInterferon β-1a inREFLEX and REFLEXION

Freedman MS,Holmberg KH, Fluck M, Hyvert H, StinchiS, D'Urso V, Dangond F

P0323

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: MarkFreedman

Baseline Serum Neurofilament LightChain Levels PredictConversion to McDonald2005 MS Within 2 yrs of a First ClinicalDemyelinating Event in REFLEX

Kuhle J, Leppert D, Comi G, De StefanoN, Kappos L,Freedman MS, Issard D, Roy S

P0032

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: Sanjeev Roy

Effect of age on Effectiveness and Discontinuation ofSubcutaneous Interferon beta-1a, andHealthcare Utilization, inPatients With MultipleSclerosis

Sabidó M, Allignol AMarhardt K, Vermersch P, Boutmy EF

P0320

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September11, 2020

Presenter: Patrick Vermersch

Comparing Infection-related Outcomes inPatients with MultipleSclerosis and MatchedControls UsingAdministrative Claims Data

Bove R, Kozma C, Phillips AL, HarlowDE, Lobo C

P0451

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Riley Bove

Assessment of the Effectiveness of a Cognitive BehavioralProgram for Fatigue (FACETS +) in 110 French Patients with Relapsing RemittingMultiple Sclerosis (RRMS): A randomized, controlled trial (RCT)

Hemelin F, MarieClaire G, Olivier H, Marie B, Frederic B

P1095

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Fanny Hamelin

Impact of Interferon-beta Exposure DuringEarly Pregnancy on Relapse Rate

Tokic M, Thiel S, Litvin N, Ciplea A, Gold R, Hellwig K

P1126

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: M Tokic

Evobrutinib Presentations

Clinical Relapse Rates in Relapsing MS Patients Treated with the BTK Inhibitor Evobrutinib: Results of an Open-Label Extension to Phase II Study

Montalban X,Arnold D L, WeberMS, Staikov I, Piasecka-Stryczynska K, Martin E C, MandelM, Ona V, Dangond F, Wolinsky JS

P0197

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Fernando Dengond

Safety of the Bruton's Tyrosine KinaseInhibitor Evobrutinib inRelapsing MultipleSclerosis During an Open-label Extension toa Phase II Study

Montalban, X Arnold D L, Weber M S, Staikov I, Piasecka-Stryczynska K, Martin E C, Mandel M, Ona V, Zima Y, Dengond F, Tomic D, Wolinsky JS

P0235

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Fernando Dengond

Effect Of Evobrutinib,a BTK Inhibitor, onImmune Cell and Immunoglobulin Levels in Relapsing MS: AnOpen-Label Extension toa Phase II Study

Montalban X, Shaw J, Dangond F, Martin EC, Grenningloh R, YingLi, Weber MS

P0070

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: JamieShaw

Evobrutinib, a HighlySelective BTK Inhibitor, Prevents Antigen-activation of B Cells and Ameliorates B Cell–mediated Experimental Autoimmune Encephalomyelitis

Torke S, Pretzsch R, Häusler D,Grenningloh R,Boschert U, Brück W, Weber MS

P0334

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Sebastian Torke

Expression of Bruton's Tyrosine Kinase in B Cell-rich MeningealInfiltrates in two Models of Progressive MS

Kebir H, Ceja G, Miller MC, Li C, May MJ, Vite CH, Church ME, Grenningloh R, Boschert U, AlvarezJI

P0962

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: KebirHania

T-bet+ B-cell Development in MS:Association withBruton's TyrosineKinase Activity and Targeting by Evobrutinib

Rijvers L, Melief MJ, van Langelaar J, Wierenga-Wolf AF, Marieke van Ham S, Boschert U, Grenningloh R, Smolders J, van Luijn MM

P0403

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: LizaRijvers

The Bruton's TyrosineKinase InhibitorEvobrutinib AmelioratesMeningeal Inflammation in ExperimentalAutoimmuneEncephalomyelitis

Kim S, Boschert UGrenningloh R, Bhargava P

P0404

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September11, 2020

Presenter: Pavan Bhargava

The Validity andApplicability of thePROMIS SF v2.1 - Physical Function (MS)15a: A new PROMIS®Short Form for Assessing PhysicalFunction in Relapsingand Progressive Multiple Sclerosis Types

Kamudoni P, Amtmann D, Johns J, Cook K, Salem R, Salek S, Raab J,Middleton R,Repovic P, AlschulerKN, von Geldern G, Wundes A, Henke C

P1062

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: Paul Kamudoni

The Interpretation and Clinical Application ofthe PROMIS® SF v1.0 - Fatigue (MS) 8b: A PROMIS Short Form forAssessing Fatigue inRelapsing and Progressive Multiple Sclerosis

Kamudoni P, Johns J, Cook K, Salem R, Henke C, Salek S, Raab J, Middleton R, Repovic P, Alschuler KN, von Geldern G,WundesA, Amtmann D

P1061

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Paul Kamudoni

General MS Franchise

Identifying Gaps in Knowledge, Skills andConfidence Among MS Specialists to FacilitateImproved MS Care

Schmierer K,Peniuta M, Oh J,Leist T, Lazure P, Péloquin S

P1100

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September 11, 2020

Presenter: Klaus Schmierer

An Investigation Into the Role and Impact That Carers Play inConsultations BetweenHealthcare Professionalsand People With MS

Langdon D, Sumelahti M L,Potra S, AlroughaniR, on behalf of the MS in the 21st Century initiative, Verdun Di Cantogno E

P1006

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: Dawn Langdon

Characterization of Age-related Changes inCirculating T cells inMultiple Sclerosis and Normal Controls: A PilotStudy

Zuroff LR, Li R, Shinoda K, Rezk A,Bar-Or A

P0952

Session: ePoster

Date: September 11-13, 2020

Time: Available from 9am ET on September11, 2020

Presenter: LR Zuroff

Treatment and Care Management, ClinicalOutcomes and MobilityImpairment in PeopleWith or Without MSAged ≥50 Years: Observational 6-yearAnalysis

Freeman L, LucasA, Zhou J, HaywardB, Livingston T

P0176

Session: ePoster

Date: September 11-13, 2020

Time: Available from9am ET on September 11, 2020

Presenter: Terrie Livingston

About MAVENCLAD® MAVENCLAD, approved by the U.S. Food and Drug Administration (FDA) on March 29, 2019, is the first and only short-course oral therapy for the treatment of adults with relapsing-remitting disease (RRMS) and active secondary progressive disease (SPMS). Because of its safety profile, use of MAVENCLAD is generally recommended for patients who have had an inadequate response to, or are unable to tolerate, an alternate drug indicated for the treatment of multiple sclerosis (MS), and MAVENCLAD is not recommended for use in patients with clinically isolated syndrome (CIS). Patients should follow healthcare provider instructions including cancer screening, contraception and blood tests. The approved dose of MAVENCLAD is 3.5 mg per kg body weight over two years, administered as one treatment course of 1.75 mg per kg per year, each consisting of two treatment weeks. The mechanism by which cladribine exerts its therapeutic effects in patients with multiple sclerosis has not been fully elucidated but is thought to involve cytotoxic effects on B and T lymphocytes through impairment of DNA synthesis, resulting in depletion of lymphocytes. MAVENCLAD causes a dose-dependent reduction in lymphocyte counts followed by recovery.

Because cladribine is cytotoxic, special handling and disposal instructions should be followed.

MAVENCLAD has been approved in 79 countries, including the European Union (EU), Canada, Australia and Switzerland, for various relapsing MS indications. Visit www.MAVENCLAD.com for more information.

IMPORTANT SAFETY INFORMATION

BOXED WARNING: MALIGNANCIES and RISK OF TERATOGENICITY

  • Treatment with MAVENCLAD may increase the risk of malignancy. MAVENCLAD is contraindicated in patients with current malignancy; evaluate the benefits and risks of the use of MAVENCLAD on an individual patient basis for patients with prior or increased risk of malignancy.
  • MAVENCLAD is contraindicated for use in pregnant women and in women and men of reproductive potential who do not plan to use effective contraception because of the potential for fetal harm.

CONTRAINDICATIONS

  • Current malignancy.
  • Pregnancy, and women and men of reproductive potential who do not plan to use effective contraception during MAVENCLAD dosing and for 6 m after the last dose in each treatment course.
  • Human immunodeficiency virus (HIV).
  • Active chronic infections (e.g., hepatitis or tuberculosis).
  • History of hypersensitivity to cladribine.
  • Breastfeeding while taking MAVENCLAD and for 10 days after the last dose.

DOSING CONSIDERATIONS: After the completion of 2 treatment courses, do not administer additional MAVENCLAD during the next 2 years. The risk of malignancy with reinitiating MAVENCLAD more than 2 years after completion of 2 treatment courses has not been studied.

ADDITIONAL WARNINGS AND PRECAUTIONS

  • Lymphopenia: In clinical studies, 87% of MAVENCLAD-treated patients experienced lymphopenia. Concomitant use of MAVENCLAD with hematotoxic drugs may increase the risk of adverse reactions because of the additive hematological effects. Monitor lymphocyte counts before and during treatment, periodically thereafter, and when clinically indicated.
  • Infections: Infections occurred in 49% of MAVENCLAD-treated patients compared to 44% of patients treated with placebo in clinical studies. The most frequent serious infections included herpes zoster and pyelonephritis. Single fatal cases of tuberculosis and fulminant hepatitis B were reported in the clinical program. Administer live-attenuated or live vaccines at least 4 to 6 weeks prior to starting MAVENCLAD. Screen patients for latent infections; consider delaying treatment until infection is fully controlled. Vaccinate patients antibody-negative to varicella zoster virus prior to treatment. Monitor for infections. Administer anti-herpes prophylaxis in patients with lymphocyte counts less than 200 cells per microliter. In patients treated with parenteral cladribine for oncologic indications, cases of progressive multifocal leukoencephalopathy (PML) have been reported. No case of PML has been reported in clinical studies of cladribine in patients with MS.
  • Hematologic Toxicity: Mild to moderate decreases in neutrophil counts, hemoglobin levels, and platelet counts were observed. Severe decreases in neutrophil counts were observed in 3.6% of MAVENCLAD-treated patients, compared to 2.8% of placebo patients. Obtain complete blood count (CBC) with differential including lymphocyte count before and during treatment, periodically thereafter, and when clinically indicated.
  • Risk of Graft-versus-Host Disease With Blood Transfusions: Irradiation of cellular blood components is recommended.
  • Liver Injury: Obtain liver function tests prior to treatment. Discontinue MAVENCLAD if significant injury is suspected.
  • Hypersensitivity: In clinical studies, 11% of MAVENCLAD-treated patients had hypersensitivity reactions, compared to 7% of placebo patients. Serious hypersensitivity reactions occurred in 0.5% of MAVENCLAD-treated patients, compared to 0.1% of placebo patients. If a hypersensitivity reaction is suspected, discontinue treatment. Do not use MAVENCLAD in patients with a history of hypersensitivity to cladribine.
  • Cardiac Failure: In clinical studies, one MAVENCLAD-treated patient experienced life-threatening acute cardiac failure with myocarditis, which improved after approximately one week. Cases of cardiac failure have also been reported with parenteral cladribine used for treatment indications other than multiple sclerosis.

Adverse Reactions: The most common adverse reactions with an incidence of >20% for MAVENCLAD are upper respiratory tract infection, headache, and lymphopenia.

Drug Interactions/Concomitant Medication: Concomitant use of MAVENCLAD with immunosuppressive or myelosuppressive drugs and some immunomodulatory drugs (e.g., interferon beta) is not recommended and may increase the risk of adverse reactions. Avoid concomitant use of certain antiviral and antiretroviral drugs. Avoid concomitant use of BCRP or ENT/CNT inhibitors as they may alter bioavailability of MAVENCLAD.

Please see the full Prescribing Information, including boxed WARNING for additional information.

About Rebif® (interferon beta-1a) Rebif (interferon beta-1a) is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. It is used to decrease the frequency of relapses and delay the occurrence of some of the physical disability that is common in people with MS.

IMPORTANT SAFETY INFORMATION:Rebif is contraindicated in patients with a history of hypersensitivity to natural or recombinant interferon beta, human albumin, or any other component of the formulation.

Rebif should be used with caution in patients with depression, a condition that is common in people with multiple sclerosis. Depression, suicidal ideation, and suicide attempts have been reported to occur with increased frequency in patients receiving interferon compounds, including Rebif.

Severe liver injury, including some cases of hepatic failure requiring liver transplantation, has been reported rarely in patients taking Rebif. The potential for liver injury should be considered when used in combination with other products associated with liver injury. Monitor liver function tests and patients for signs and symptoms of hepatic injury. Consider discontinuing Rebif if hepatic injury occurs.

Anaphylaxis and other allergic reactions (some severe) have been reported as a rare complication of Rebif. Discontinue Rebif if anaphylaxis occurs.

In controlled clinical trials, injection site reactions occurred more frequently in Rebif-treated patients than in placebo-treated and Avonex-treated patients. Injection site reactions including injection site pain, erythema, edema, cellulitis, abscess, and necrosis have been reported in the postmarketing setting. Do not administer Rebif into affected area until fully healed; if multiple lesions occur, discontinue Rebif until skin lesions are healed.

Decreased peripheral blood counts in all cell lines, including pancytopenia, have been reported in Rebif-treated patients. In controlled clinical trials, leukopenia occurred at a higher frequency in Rebif-treated patients than in placebo and Avonex-treated patients. Thrombocytopenia and anemia occurred more frequently in 44 mcg Rebif-treated patients than in placebo-treated patients. Patients should be monitored for symptoms or signs of decreased blood counts. Monitoring of complete blood and differential white blood cell counts is also recommended.

Cases of thrombotic microangiopathy (TMA), some fatal, have been reported with interferon beta products, including Rebif, up to several weeks or years after starting therapy. Discontinue Rebif if clinical symptoms and laboratory findings consistent with TMA occur, and manage as clinically indicated.

Caution should be exercised when administering Rebif to patients with pre-existing seizure disorders. Seizures have been temporally associated with the use of beta interferons, including Rebif, in clinical trials and in postmarketing reports.

The most common side effects with Rebif are injection-site disorders, headaches, influenza-like symptoms, abdominal pain, depression, elevated liver enzymes, and hematologic abnormalities.

Epidemiological data do not suggest a clear relationship between interferon beta use and major congenital malformations, but interferon beta may cause fetal harm based on animal studies. Data from a large human population-based cohort study, as well as other published studies over several decades, have not identified a drug-associated risk of major birth defects with interferon beta products during early pregnancy. Findings regarding a potential risk for low birth weight or miscarriage with the use of interferon beta products in pregnancy have been inconsistent.

Please see the full Prescribing Information for additional information: https://www.emdserono.com/us-en/pi/rebif-pi.pdf

About EvobrutinibEvobrutinib (M2951) is in clinical development to investigate its potential as a treatment for multiple sclerosis (MS). It is an oral, highly selective inhibitor of Bruton's tyrosine kinase (BTK) which is important in the development and functioning of various immune cells including B lymphocytes and macrophages. Evobrutinib is designed to inhibit primary B cell responses such as proliferation and antibody and cytokine release, without directly affecting T cells. BTK inhibition is thought to suppress autoantibody-producing cells, which preclinical research suggests may be therapeutically useful in certain autoimmune diseases. Evobrutinib is currently under clinical investigation and not approved for any use anywhere in the world.

About Multiple SclerosisMultiple sclerosis (MS) is a chronic, inflammatory condition of the central nervous system and is the most common non-traumatic, disabling neurological disease in young adults. It is estimated that approximately 2.3 million people have MS worldwide. While symptoms can vary, the most common symptoms of MS include blurred vision, numbness or tingling in the limbs and problems with strength and coordination. The relapsing forms of MS are the most common.

EMD Serono, Inc. and Multiple SclerosisFor more than 20 years, EMD Serono has been relentlessly focused on understanding the journey people living with MS face in order to create a meaningful, positive experience for them and the broader MS community. However, there is still much that is unknown about this complex and unpredictable disease. EMD Serono is digging deeper to advance the science.

About EMD Serono, Inc. EMD Serono - the biopharmaceutical business of Merck KGaA, Darmstadt, Germany, in the U.S. and Canada - is engaged in the discovery, research and development of medicines for patients with difficult to treat diseases. The business is committed to transforming lives by developing and delivering meaningful solutions that help address the therapeutic and support needs of individual patients. Building on a proven legacy and deep expertise in neurology, fertility and endocrinology, EMD Serono is developing potential new oncology and immuno-oncology medicines while continuing to explore potential therapeutic options for diseases such as psoriasis, lupus and MS. Today, the business has approximately 1,500 employees around the country with commercial, clinical and research operations based in the company's home state of Massachusetts. www.emdserono.com.

Your Contact emma.silva@emdserono.com 1-781-206-1951

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