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Roche (ROG) investor relations material
Roche Study update summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Key study results and clinical insights
Phase 3 FENtrepid trial showed fenebrutinib achieved non-inferiority to ocrelizumab/OCREVUS in reducing disability progression in PPMS, with a 12% risk reduction (HR 0.88, 95% CI 0.75–1.03) and numerically favorable outcomes from week 24 onward.
The strongest treatment effect was observed on the 9-Hole Peg Test, with a 26% risk reduction (HR 0.74, 95% CI 0.56–0.98), especially in patients without gadolinium-enhancing lesions.
Post-hoc analysis revealed a 22% risk reduction on a composite endpoint (EDSS and 9HPT) compared to OCREVUS.
Treatment effects were consistent across predefined subgroups, including age, sex, prior DMT use, and baseline disease characteristics.
Fenebrutinib is the only non-covalent, highly selective BTK inhibitor in MS, with high CNS penetration and potential to address both relapsing and progressive disease biology.
Safety and tolerability
Safety profile was generally comparable to ocrelizumab/OCREVUS, but fenebrutinib had higher rates of liver enzyme elevations and more fatal adverse events, all deemed unrelated to the drug.
All liver enzyme elevations were transient, reversible, and resolved after discontinuation or within the first 20 weeks; enhanced monitoring (every two weeks) was effective in preventing severe cases.
Rates of adverse events and serious adverse events were similar between arms: 96.3% (fenebrutinib) vs 93.7% (ocrelizumab) for any AE, and 19.1% vs 18.9% for serious AEs.
Withdrawal rates were 4.3% for fenebrutinib and 3.0% for OCREVUS; fatal cases were 1.4% vs 0.2%, all unrelated to treatment.
Rates of known BTKi-related AEs, including infections and hemorrhage, were mostly comparable between groups.
Study design and population
FENtrepid was a multicenter, randomized, double-blind, double-dummy, parallel-group Phase III study with 985 adult PPMS patients aged 18–65, EDSS 3.0–6.5, and well-matched baseline characteristics.
Participants received either fenebrutinib 200 mg BID or ocrelizumab 600 mg IV every 24 weeks, with a minimum 120-week treatment duration.
The primary endpoint was time to onset of 12-week composite confirmed disability progression (CCDP12), incorporating EDSS, T25FW, and 9HPT.
Patients can enter an open-label extension phase to receive fenebrutinib.
Results were presented at the ACTRIMS Forum 2026.
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Frequently asked questions
The Vanguard of Biomedical Innovation
Roche Holding AG, commonly referred to as Roche is a Swiss multinational healthcare company with a rich history dating back to 1896. From its headquarters in Basel, Roche is active with operations in pharmaceuticals and diagnostics, with aportfolio spanning oncology, immunology, infectious diseases, ophthalmology, and diseases of the central nervous system. As one of the largest healthcare companies globally, Roche's products and services reach millions of people all over the globe.
From Humble Origins to Global Impact
Founded by Fritz Hoffmann-La Roche, Roche started as a small drug factory but quickly grew to become a leading player in the pharmaceutical industry. In its early years, Roche distinguished itself through its focus on innovation and international outlook, becoming the first company to mass-produce synthetic vitamin C in the 1930s. The company's focus on innovation and the development of new medicines has not wavered since its inception. Roche's pharmaceutical pipeline remains a critical factor in its ongoing growth, continually reinforcing its position as an important player in global healthcare.
What They Do
The company develops and provides innovative healthcare solutions, with a significant emphasis on oncology, immunology, infectious diseases, ophthalmology, and diseases of the central nervous system. Its pharmaceutical division works to research, develop, and market medications. Simultaneously, its diagnostics division delivers insights into diseases, providing doctors with tools for early detection, targeted treatment, and patient monitoring. Roche is a pioneer in integrated healthcare solutions, deeply investing in genomics and data analytics, underpinning its commitment to personalized medicine. As a global pharmaceutical and healthcare company they compete with names like Novartis, Pfizer, Novo Nordisk, and many others.
Strategic Acquisitions
The company is deeply invested in advancing the understanding and treatment of diseases through genetic insights. This commitment can be exemplified in its acquisition of Foundation Medicine and Flatiron Health, companies specializing in cancer genomics and real-world evidence solutions, respectively. These acquisitions supplement Roche's in-house efforts to develop therapies targeting the genetic drivers of disease.
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