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

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(R) (cladribine) tablets Presentations

                                                                                  ---

                      
            
          Title            
            
              Authors                 
            
              Presentation ID     
            
              Presentation Details

                                 ---                                                                                                                                                       ---


            Reduced Grey Matter            
            Battaglini M,                                           
            P0231                
            
              Session: ePoster
    Atrophy in Patients With                Sormani M P,
    Relapsing Multiple                      Luchetti L, Gentile                                                                            
            
              Date: September 11-
    Sclerosis Treated With                  G, Cortese R,                                                                                                                             13, 2020
    Cladribine Tablets
                                            
            Alexandri N, De                                                                       
            
              Time: Available from
                                            Stefano N                                                                                      9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Marco
                                                                                                                                         Battaglini

    ---                                                                                                                                                                                    ---


            Reduction in CUA MRI           
            De Stefano N,                                           
            P0382                
            
              Session: ePoster
    Lesions in the First 6                  Barkhof F,
    Months of Cladribine                    Montalban X,                                                                                   
            
              Date: September 11-
    Tablets Treatment for                   Achiron A, Derfuss                                                                                                                        13, 2020
    Highly Active Relapsing                 T, Chan A,
    Multiple Sclerosis:                     Hodgkinson S, Prat                                                                             
            
              Time: Available from
    MAGNIFY-MS Study                        A, Leocani L.                                                                                  9am ET on September
                                            Schmierer K,                                                                                                                              11, 2020
                                            Sellebjerg F,
                                            Vermersch P,                                                                                   
            
              Presenter: Nicola De
                                            Wiendl H, Keller B,                                                                            Stefano
                                            Roy S

    ---                                                                                                                                                                                    ---


            Durable Efficacy of            
            Giovannoni G,                                           
            P0202                
            
              Session: ePoster
    Cladribine Tablets:                     Rammohan K, Leist
    Cumulative Relapse                      T, Coyle P K, Keller                                                                           
            
              Date: September 11-
    Incidence Over 5 years                  B, Jack D, Alexandri                                                                                                                      13, 2020
    in CLARITY and                          N
    CLARITY Extension                                                                                                                    
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Gavin
                                                                                                                                         Giovannoni

    ---                                                                                                                                                                                    ---


            Disability Improvement         
            Sormani M P,                                            
            P0201                
            
              Session: ePoster
    in Relapsing-remitting                  Signori A
    Multiple Sclerosis                      Giovannoni G,                                                                                  
            
              Date: September 11-
    Patients Receiving                      Alexandri N                                                                                                                               13, 2020
    Cladribine Tablets,
    Evaluated by Expanded                                                                                                                
            
              Time: Available from
    Disability Status Scale                                                                                                              9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Maria Pia
                                                                                                                                         Sormani

    ---                                                                                                                                                                                    ---


            Updated Post-Approval          
            Giovannoni G,                                           
            P0415                
            
              Session: ePoster
    Safety of Cladribine                    Berger J, Leist T,
    Tablets in the                          Jack D, Galazka A,                                                                             
            
              Date: September 11-
    Treatment of Multiple                   Nolting A, Damian                                                                                                                         13, 2020
    Sclerosis, With                         D
    Particular Reference to                                                                                                              
            
              Time: Available from
    Respiratory Viral Infections                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Gavin
                                                                                                                                         Giovannoni

    ---                                                                                                                                                                                    ---


            Clinical Outcomes in           
            Karan R, Roy S,                                         
            LB1151               
            
              Session: Latebreaker
    Patients With COVID-19                  Alexandri N                                                                                    ePoster
    Infection During Phase
    IV Studies of Cladribine                                                                                                             
            
              Date: September 25-
    Tablets for Treatment of                                                                                                                                                        26, 2020
    Multiple Sclerosis
                                                                                                                                         
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    25, 2020

                                                                                                                                         
            
              Presenter: Radmila
                                                                                                                                         Karan

    ---                                                                                                                                                                                    ---


            Treatment Satisfaction         
            Brochet B,                                              
            P1066                
            
              Session: ePoster
    in Patients With Highly-                Hupperts R,
    active Relapsing                        Langdon D, Solari                                                                              
            
              Date: September 11-
    Multiple Sclerosis                      A, Piehl F,                                                                                                                               13, 2020
    Treated With Cladribine                 Lechner-Scott J,
    Tablets: CLARIFY-MS                     Montalban X,                                                                                   
            
              Time: Available from
    Study Interim Analysis                  Selmaj K, Valis M,                                                                             9am ET on September
                                            Rejdak K, Havrdova                                                                                                                        11, 2020
                                            EK, Patti F,
                                            Alexandri N, Nolting                                                                           
            
              Presenter: Bruno
                                            A, Keller B                                                                                    Brochet

    ---                                                                                                                                                                                    ---


            Initial Findings From a        
            Sabidó, M, Batech                                       
            P0470                
            
              Session: ePoster
    Dynamic Cohort Study                    M, Foch C, Boutmy
    of Patients With Multiple               E, Verpillat P                                                                                 
            
              Date: September 11-
    Sclerosis: A Proactive                                                                                                                                                          13, 2020
    Approach for Safety and
    Comparative                                                                                                                          
            
              Time: Available from
    Effectiveness                                                                                                                        9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Meritxell
                                                                                                                                         Sabidó

    ---                                                                                                                                                                                    ---


            Characteristics of             
            Zeng F, Harty G,                                        
            P0846                
            
              Session: ePoster
    Relapsing Multiple                      Wong SL, Maslova
    Sclerosis Patients                      E, Schade R, Row B                                                                             
            
              Date: September 11-
    Treated With Cladribine                                                                                                                                                         13, 2020
    Tablets in Five European
    Countries: Multi-year                                                                                                                
            
              Time: Available from
    Chart Review                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Feng Zeng

    ---                                                                                                                                                                                    ---


            Characterization of            
            Zeng F, Harty G,                                        
            P0847                
            
              Session: ePoster
    Relapsing Multiple                      Wong SL, Uebler S,
    Sclerosis Patients                      Maslova E, Schade                                                                              
            
              Date: September 11-
    Treated With Cladribine                 R, Row B,                                                                                                                                 13, 2020
    Tablets in Germany                      Ellenberger D,
    Since Marketing                         Stahmann A                                                                                     
            
              Time: Available from
    Authorization                                                                                                                        9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Feng Zeng

    ---                                                                                                                                                                                    ---


            CLASSIC-MS: Long-              
            Giovannoni G, Leist                                     
            LB1229               
            
              Session: Latebreaker
    term Efficacy and Real-                 T, Aydemir A,                                                                                  ePoster
    World Treatment                         Verdun Di Cantogno
    Patterns for Patients                   E, on behalf of the                                                                            
            
              Date: September 25-
    Receiving Cladribine                    CLASSIC-MS                                                                                                                                26, 2020
    Tablets - Interim Data                  Steering Committee
    with 8-14 Years Follow-up                                                                                                            
            
              Time: Available from
                                                                                                                                         9am ET September 25,
                                                                                                                                                                                        2020

                                                                                                                                         
            
              Presenter: Thomas
                                                                                                                                         Leist

    ---                                                                                                                                                                                    ---


            Age-related Efficacy of        
            Freedman M, Pardo                                       
            P0284                
            
              Session: ePoster
    Cladribine Tablets in                   G, De Stefano N,
    Patients With Relapsing-                Aldridge J, Hyvert                                                                             
            
              Date: September 11-
    remitting MS in the                     Y, Galazka A,                                                                                                                             13, 2020
    CLARITY Extension                       Lemieux C
    Study                                                                                                                                
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Mark
                                                                                                                                         Freedman

    ---                                                                                                                                                                                    ---


            Cladribine Tablets in          
            Miravelle A, Katz J,                                    
            P0310                
            
              Session: ePoster
    Patients with RRMS and                  Robertson D,
    Active SPMS After                       Hayward B, Walsh                                                                               
            
              Date: September 11-
    Suboptimal Response to                  JS, Harlow DE,                                                                                                                            13, 2020
    Prior DMD (MASTER-2                     Lebson LA, Sloane
    and CLICK-MS): Initial                  JA, Bass AD, Fox EJ                                                                            
            
              Time: Available from
    Baseline Demographics                                                                                                                9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Augusto
                                                                                                                                         Miravelle

    ---                                                                                                                                                                                    ---


            Treatment-emergent             
            Oh J, Walker B,                                         
            P0411                
            
              Session: ePoster
    Adverse Events                          Giovannoni G, Jack
    Occurring Early in the                  D, Dangond F,                                                                                  
            
              Date: September 11-
    Treatment Course of                     Nolting A, Aldridge                                                                                                                       13, 2020
    Cladribine Tablets in                   J, Lebson L, Leist
    two Phase 3 Trials in                   TP                                                                                             
            
              Time: Available from
    Multiple Sclerosis                                                                                                                   9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Jiwon Oh

    ---                                                                                                                                                                                    ---


            Identification and             
            Cisternas MG,                                           
            P0967                
            
              Session: ePoster
    Characterization of                     Rajagopalan D,
    Adherence Trajectory                    Leszko M, Andrade                                                                              
            
              Date: September 11-
    Subgroups in Patients                   K, Phillips AL                                                                                                                            13, 2020
    With MS Initiating
    Once- or Twice-daily                                                                                                                 
            
              Time: Available from
    Oral Disease-modifying                                                                                                               9am ET on September
    Drugs                                                                                                                                                                           11, 2020

                                                                                                                                         
            
              Presenter: Amy
                                                                                                                                         Phillips

    ---                                                                                                                                                                                    ---


            Real-world Patient-level       
            Kozma CM, Roberts                                       
            P1052                
            
              Session: ePoster
    Costs of Administering                  NL, Phillips AL
    Infusion Disease-                                                                                                                    
            
              Date: September 11-
    modifying Drugs: A US                                                                                                                                                           13, 2020
    Retrospective Claims
    Database Analysis                                                                                                                    
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Chris
                                                                                                                                         Kozma

    ---                                                                                                                                                                                    ---


            Value-added Benefits of        
            Morgan K, Vernon                                        
            P1069                
            
              Session: ePoster
    a Nurse/Pharmacy-led                    K, Ayer M
    Service for Patients                                                                                                                 
            
              Date: September 11-
    With Multiple Sclerosis                                                                                                                                                         13, 2020
    Treated Over 2 Years
    With Cladribine Tablets                                                                                                              
            
              Time: Available from
    in the UK                                                                                                                            9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Kate Morgan

    ---                                                                                                                                                                                    ---


            Demonstrating the              
            Morgan K, Joseph                                        
            P1015                
            
              Session: ePoster
    Value of a Patient                      B, Williams V, Kelly
    Support Program for                     M                                                                                              
            
              Date: September 11-
    Multiple Sclerosis                                                                                                                                                              13, 2020
    Patients Prescribed
    Cladribine Tablets in                                                                                                                
            
              Time: Available from
    Ireland at the end of                                                                                                                9am ET on September
    Year 1                                                                                                                                                                          11, 2020

                                                                                                                                         
            
              Presenter: Kate
                                                                                                                                         Morgan

    ---                                                                                                                                                                                    ---


            Low Discontinuation            
            Oh J, Giacomini P,                                      
            P0880                
            
              Session: ePoster
    Rate and Side-effect                    Devonshire V, Clift
    Burden After Switching                  F, Lemieux C,                                                                                  
            
              Date: September 11-
    to Cladribine Tablets:                  Sabido M, Allignol                                                                                                                        13, 2020
    Canadian Experience                     A, Freedman M
    from the adveva(R)                                                                                                                   
            
              Time: Available from
    Patient Support                                                                                                                      9am ET on September
    Program                                                                                                                                                                         11, 2020

                                                                                                                                         
            
              Presenter: Jiwon Oh

    ---                                                                                                                                                                                    ---


            Cladribine Tablets             
            Piasecka-                                               
            P0040                
            
              Session: ePoster
    Versus Other Disease-                   Stryczy?ska K,
    modifying Therapies in                  Rolka M, Kaczy?ski                                                                             
            
              Date: September 11-
    Achieving Disability                    ?, Górecka M,                                                                                                                             13, 2020
    Improvement in                          Wójcik R, Adamek
    Relapsing-remitting                     I, Kaczor MP,                                                                                  
            
              Time: Available from
    Multiple Sclerosis                      Rejdak K                                                                                       9am ET on September
    Patients - Network                                                                                                                                                              11, 2020
    Meta-analysis
                                                                                                                                         
            
              Presenter: K.
                                                                                                                                         Piasecka-Stryczynska

    ---                                                                                                                                                                                    ---


            MS Disease-modifying           
            Ziemssen T,                                                                     566    
            
              Session: ePoster
    Therapy Sequencing -                    Penner IK, Wagner
    Natalizumab to                          T, Huebschen M,                                                                                
            
              Date: September 11-
    Cladribine Tablets -                    Mueller B, Buescher                                                                                                                       13, 2020
    Experience in 46                        T, Richter J,

            Patients                       Posevitz-Fejfar A                                                                              
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Tjalf
                                                                                                                                         Ziemssen

    ---                                                                                                                                                                                    ---


            Switching disease              
            Saiz A, Aguera E,                                       
            P0401                
            
              Session: ePoster
    modifying treatment in                  Moral E, Brieva L,
    relapsing multiple                      Rodriguez-                                                                                     
            
              Date: September 11-
    sclerosis: Delphi                       Antiguedad A,                                                                                                                             13, 2020
    consensus of the                        Casanova-Estruch
    Demyelinating Group of                  B, Jordi R, Meca-                                                                              
            
              Time: Available from
    the Spanish Society of                  Lallana V, Garcia-                                                                             9am ET on September
    Neurology                               Merino JA, Costa-                                                                                                                         11, 2020
                                            Frossard L, Arnal-
                                            Garice C, Landete                                                                              
            
              Presenter: Luis Brieva
                                            L, 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

    ---                                                                                                                                                                                    ---


            CLADQoL (CLADribine            
            Penner IK, Pul R,                                       
            P0849                
            
              Session: ePoster
    Tablets - evaluation of                 Kallmann BA, Raji
    Quality of Life) Study:                 A, Richter J,                                                                                  
            
              Date: September 11-
    Evaluating QoL 12                       Wagner T, Mueller                                                                                                                         13, 2020
    Months After Treatment                  B, Buescher T,
    Initiation with Cladribine              Posevitz-Fejfar A                                                                              
            
              Time: Available from
    Tablets                                                                                                                              9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Iris-
                                                                                                                                         Katharina Penner

    ---                                                                                                                                                                                    ---


            Effects of Cladribine on       
            Eixarch H, Calvo-                                       
            P0330                
            
              Session: ePoster
    Proliferation, Survival                 Barreiro L, Fissolo
    and Cytokine Release of                 N, Boschert U,                                                                                 
            
              Date: September 11-
    Human Astrocytes                        Comabella M,                                                                                                                              13, 2020
                                            Montalban X,
                                            Espejo C                                                                                       
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Herena
                                                                                                                                         Eixarch

    ---                                                                                                                                                                                    ---


            Real-world Experience          
            Butzkueven H,                                           
            P0907                
            
              Session: ePoster
    With Cladribine in the                  Spelman T, Verdun
    MSBase Registry                         di Cantogno E,                                                                                 
            
              Date: September 11-
                                            Fabris J, Zeng F, G                                                                                                                       13, 2020
                                            Harty
                                                                                                                                         
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Helmut
                                                                                                                                         Butzkueven

    ---                                                                                                                                                                                    ---


            2-                             
            Aybar F, Marcora S,                                     
            P0270                
            
              Session: ePoster
    Chlorodeoxyadenosine                    Eugenia Samman
    (Cladribine)                            M, Perez MJ,                                                                                   
            
              Date: September 11-
    Preferentially Inhibits                 Pasquini JM,                                                                                                                              13, 2020
    the Biological Activity of              Correale J
    Microglia Cells                                                                                                                      
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Jorge
                                                                                                                                         Correale

    ---                                                                                                                                                                                    ---


            Cladribine to Halt             
            Lieberman D,                                            
            P0196                
            
              Session: ePoster
    Deterioration in People                 Mangat H, Allen-
    With Advanced Multiple                  Philby K, Baker D,                                                                             
            
              Date: September 11-
    Sclerosis (ChariotMS)                   Barkhof F,                                                                                                                                13, 2020
                                            Chandran S,
                                            Chapman C,                                                                                     
            
              Time: Available from
                                            Chataway J, Ford H,                                                                            9am ET on September
                                            Giovannoni G,                                                                                                                             11, 2020
                                            Hobart J, Hooper R,
                                            Hussain T, Walker                                                                              
            
              Presenter: David
                                            N, Macmanus D,                                                                                 Lieberman
                                            Mihaylova B, Pavitt
                                            S

    ---                                                                                                                                                                                    ---


            Predicting Long-term           
            Sharmin S, Bovis F,                                     
            P0131                
            
              Session: ePoster
    Sustained Disability                    Sormani MP,
    Progression in Multiple                 Butzkueven H,                                                                                  
            
              Date: September 11-
    Sclerosis: Application in               Kalincik T and the                                                                                                                        13, 2020
    the CLARITY Trial                       MSBase study
                                            group                                                                                          
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: S Sharmin

    ---                                                                                                                                                                                    ---


            A Clinical Data                
            Forsberg L,                                             
            P0276                
            
              Session: ePoster
    Summary for Cladribine                  Kagström S, Hillert
    Patients Treated at least               J, Nilsson P, Dahle                                                                            
            
              Date: September 11-
    12 Months - A Swedish                   C, Svenningsson A,                                                                                                                        13, 2020
    Nationwide Study of the                 Lycke J, Landtblom
    Long-Term                               AM, Burman J,                                                                                  
            
              Time: Available from
    Effectiveness and Safety                Martin C,                                                                                      9am ET on September
    of Cladribine (IMSE 10)                 Sundström P,                                                                                                                              11, 2020
                                            Gunnarsson M,
                                            Piehl F, Olsson T                                                                              
            
              Presenter: L Forsberg

    ---                                                                                                                                                                                    ---


            Impact of Cladribine           
            Raji A, Winkler G                                       
            P0586                
            
              Session: ePoster
    Tablets on Brain Volume
    Protection in Highly                                                                                                                 
            
              Date: September 11-
    Active MS                                                                                                                                                                       13, 2020

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

                                                                                                                                         
            
              Presenter: A Raji

    ---                                                                                                                                                                                    ---


            Early Real-World Safety,       
            Bain J, Jones A,                                        
            P0319                
            
              Session: ePoster
    Tolerability, and Efficacy              Overholt S,
    of Cladribine Tablets: A                Guenette M,                                                                                    
            
              Date: September 11-
    Single Center                           Selchen D, Jiwon                                                                                                                          13, 2020
    Experience                              Oh
                                                                                                                                         
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: J Bain

    ---                                                                                                                                                                                    ---


            Switching From                 
            O'Neill DTD,                                            
            P0399                
            
              Session: ePoster
    Ocrelizumab to                          Sharma M,
    Cladribine: Real-world                  Gonzales B,                                                                                    
            
              Date: September 11-
    Data                                    Vandenheuvel M,                                                                                                                           13, 2020
                                            Tse B, Hodgkinson
                                            SJ                                                                                             
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: D O'Neill

    ---                                                                                                                                                                                    ---


            The Effect of Cladribine       
            Verma ND, Al-                                           
            P0406                
            
              Session: ePoster
    Upon Naïve and                          Atiyah R, O'Neill D,
    Activated CD4+ T                        Sharma M, Tran CT,                                                                             
            
              Date: September 11-
    Regulatory Cells in MS                  Hall BM,                                                                                                                                  13, 2020
    Patients                                Hodgkinson SJ
                                                                                                                                         
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Suzanne
                                                                                                                                         Hodgkinson

    ---                                                                                                                                                                                    ---

                                                  
            
              Rebif(R) (interferon beta-1a) Presentations

                                                                                ---


            A Systematic Review            
            Lopez-Leon S,                                           
            P0278                
            
              Session: ePoster
    and Meta-analyses of                    Geissbuehler Y,
    Pregnancy and Fetal                                                                                                                  
            
              Date: September 11-
    Outcomes in Women                       
            Sabidó M, Turkson,                                                                                                               13, 2020
    with Multiple Sclerosis.                M, Wahlich C,
    IMI2 ConcePTION                         Morris J                                                                                       
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Meritxell
                                                                                                                                         Sabidó

    ---                                                                                                                                                                                    ---


            Post-approval Safety of        
            Freedman M S,                                           
             P0370               
            
              Session: ePoster
    Subcutaneous                            Guehring H,
    Interferon  -1a in the                  Murgasova Z,                                                                                   
            
              Date: September 11-
    Treatment of Multiple                   Jack D                                                                                                                                    13, 2020
    Sclerosis, With
    Particular Reference to                                                                                                              
            
              Time: Available from
    Respiratory Viral                                                                                                                    9am ET on September
    Infections                                                                                                                                                                      11, 2020

                                                                                                                                         
            
              Presenter: Mark
                                                                                                                                         Freedman

    ---                                                                                                                                                                                    ---


            Effect of Neutralizing         
            Freedman MS,                                            
            P0323                
            
              Session: ePoster
    Antibodies on                           Holmberg KH, Fluck
    Pharmacodynamic                         M, Hyvert H, Stinchi                                                                           
            
              Date: September 11-
    Biomarkers of                           S, D'Urso V,                                                                                                                              13, 2020
    Subcutaneous                            Dangond F
    Interferon  -1a in                                                                                                                   
            
              Time: Available from
    REFLEX and REFLEXION                                                                                                                 9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Mark
                                                                                                                                         Freedman

    ---                                                                                                                                                                                    ---


            Baseline Serum                 
            Kuhle J, Leppert D,                                     
            P0032                
            
              Session: ePoster
    Neurofilament Light                     Comi G, De Stefano
    Chain Levels Predict                    N, Kappos L,                                                                                   
            
              Date: September 11-
    Conversion to McDonald                  Freedman MS,                                                                                                                              13, 2020
    2005 MS Within 2 yrs of                 Issard D, Roy S
    a First Clinical                                                                                                                     
            
              Time: Available from
    Demyelinating Event in                                                                                                               9am ET on September
    REFLEX                                                                                                                                                                          11, 2020

                                                                                                                                         
            
              Presenter: Sanjeev
                                                                                                                                         Roy

    ---                                                                                                                                                                                    ---


            Effect of age on               
            Sabidó M, Allignol A                                    
            P0320                
            
              Session: ePoster
    Effectiveness and                       Marhardt K,
    Discontinuation of                      Vermersch P,                                                                                   
            
              Date: September 11-
    Subcutaneous                            Boutmy EF                                                                                                                                 13, 2020
    Interferon beta-1a, and
    Healthcare Utilization, in                                                                                                           
            
              Time: Available from
    Patients With Multiple                                                                                                               9am ET on September
    Sclerosis                                                                                                                                                                       11, 2020

                                                                                                                                         
            
              Presenter: Patrick
                                                                                                                                         Vermersch

    ---                                                                                                                                                                                    ---


            Comparing Infection-           
            Bove R, Kozma C,                                        
            P0451                
            
              Session: ePoster
    related Outcomes in                     Phillips AL, Harlow
    Patients with Multiple                  DE, Lobo C                                                                                     
            
              Date: September 11-
    Sclerosis and Matched                                                                                                                                                           13, 2020
    Controls Using
    Administrative Claims                                                                                                                
            
              Time: Available from
    Data                                                                                                                                 9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Riley Bove

    ---                                                                                                                                                                                    ---


            Assessment of the              
            Hemelin F, Marie                                        
            P1095                
            
              Session: ePoster
    Effectiveness of a                      Claire G, Olivier H,
    Cognitive Behavioral                    Marie B, Frederic B                                                                            
            
              Date: September 11-
    Program for Fatigue                                                                                                                                                             13, 2020
    (FACETS +) in 110
    French Patients with                                                                                                                 
            
              Time: Available from
    Relapsing Remitting                                                                                                                  9am ET on September
    Multiple Sclerosis (RR                                                                                                                                                          11, 2020
    MS): A randomized,
    controlled trial (RCT)                                                                                                               
            
              Presenter: Fanny
                                                                                                                                         Hamelin

    ---                                                                                                                                                                                    ---


            Impact of Interferon-          
            Tokic M, Thiel S,                                       
            P1126                
            
              Session: ePoster
    beta Exposure During                    Litvin N, Ciplea A,
    Early Pregnancy on                      Gold R, Hellwig K                                                                              
            
              Date: September 11-
    Relapse Rate                                                                                                                                                                    13, 2020

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

                                                                                                                                         
            
              Presenter: M Tokic

    ---                                                                                                                                                                                    ---

                                                           
            
              Evobrutinib Presentations

                                                                                ---


            Clinical Relapse Rates         
            Montalban X,                                            
            P0197                
            
              Session: ePoster
    in Relapsing MS Patients                Arnold D L, Weber
    Treated with the BTK                    MS, Staikov I,                                                                                 
            
              Date: September 11-
    Inhibitor Evobrutinib:                  Piasecka-                                                                                                                                 13, 2020
    Results of an Open-                     Stryczynska K,
    Label Extension                         Martin E C, Mandel                                                                             
            
              Time: Available from
    to  Phase II Study                      M, Ona V, Dangond                                                                              9am ET on September
                                            F, Wolinsky JS                                                                                                                            11, 2020

                                                                                                                                         
            
              Presenter: Fernando
                                                                                                                                         Dengond

    ---                                                                                                                                                                                    ---


            Safety of the Bruton's         
            Montalban, X                                            
            P0235                
            
              Session: ePoster
    Tyrosine Kinase                         Arnold D L, Weber
    Inhibitor Evobrutinib in                M S, Staikov I,                                                                                
            
              Date: September 11-
    Relapsing Multiple                      Piasecka-                                                                                                                                 13, 2020
    Sclerosis During an                     Stryczynska K,
    Open-label Extension to                 Martin E C, Mandel                                                                             
            
              Time: Available from
    a Phase II Study                        M, Ona V, Zima Y,                                                                              9am ET on September
                                            Dengond F, Tomic                                                                                                                          11, 2020
                                            D, Wolinsky JS
                                                                                                                                         
            
              Presenter: Fernando
                                                                                                                                         Dengond

    ---                                                                                                                                                                                    ---


            Effect Of Evobrutinib,         
            Montalban X, Shaw                                       
            P0070                
            
              Session: ePoster
    a BTK Inhibitor, on                     J, Dangond F,
    Immune Cell and                         Martin EC,                                                                                     
            
              Date: September 11-
    Immunoglobulin Levels                   Grenningloh R, Ying                                                                                                                       13, 2020
    in Relapsing MS: An                     Li, Weber MS
    Open-Label Extension to                                                                                                              
            
              Time: Available from
    a Phase II Study                                                                                                                     9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Jamie
                                                                                                                                         Shaw

    ---                                                                                                                                                                                    ---


            Evobrutinib, a Highly          
            Torke S, Pretzsch                                       
            P0334                
            
              Session: ePoster
    Selective BTK Inhibitor,                R, Häusler D,
    Prevents Antigen-                       Grenningloh R,                                                                                 
            
              Date: September 11-
    activation of B Cells and               Boschert U, Brück                                                                                                                         13, 2020
    Ameliorates B Cell-                     W, Weber MS
    mediated Experimenta                                                                                                                 
            
              Time: Available from
    l Autoimmune                                                                                                                         9am ET on September
    Encephalomyelitis                                                                                                                                                               11, 2020

                                                                                                                                         
            
              Presenter: Sebastian
                                                                                                                                         Torke

    ---                                                                                                                                                                                    ---


            Expression of Bruton's         
            Kebir H, Ceja G,                                        
            P0962                
            
              Session: ePoster
    Tyrosine Kinase in B                    Miller MC, Li C, May
    Cell-rich Meningeal                     MJ, Vite CH, Church                                                                            
            
              Date: September 11-
    Infiltrates in two Models               ME, Grenningloh R,                                                                                                                        13, 2020
    of Progressive MS                       Boschert U, Alvarez
                                            JI                                                                                             
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Kebir
                                                                                                                                         Hania

    ---                                                                                                                                                                                    ---


            T-bet+ B-cell                  
            Rijvers L, Melief MJ,                                   
            P0403                
            
              Session: ePoster
    Development in MS:                      van Langelaar J,
    Association with                        Wierenga-Wolf AF,                                                                              
            
              Date: September 11-
    Bruton's Tyrosine                       Marieke van Ham                                                                                                                           13, 2020
    Kinase Activity and                     S, Boschert U,
    Targeting by                            Grenningloh R,                                                                                 
            
              Time: Available from
    Evobrutinib                             Smolders J, van                                                                                9am ET on September
                                            Luijn MM                                                                                                                                  11, 2020

                                                                                                                                         
            
              Presenter: Liza
                                                                                                                                         Rijvers

    ---                                                                                                                                                                                    ---


            The Bruton's Tyrosine          
            Kim S, Boschert U                                       
            P0404                
            
              Session: ePoster
    Kinase Inhibitor                        Grenningloh R,
    Evobrutinib Ameliorates                 Bhargava P                                                                                     
            
              Date: September 11-
    Meningeal Inflammation                                                                                                                                                          13, 2020
    in Experimental
    Autoimmune                                                                                                                           
            
              Time: Available from
    Encephalomyelitis                                                                                                                    9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Pavan
                                                                                                                                         Bhargava

    ---                                                                                                                                                                                    ---


            The Validity and               
            Kamudoni P,                                             
            P1062                
            
              Session: ePoster
    Applicability of the                    Amtmann D, Johns
    PROMIS SF v2.1 -                        J, Cook K, Salem R,                                                                            
            
              Date: September 11-
    Physical Function (MS)                  Salek S, Raab J,                                                                                                                          13, 2020
    15a: A new PROMIS(R)                    Middleton R,
    Short Form for                          Repovic P, Alschuler                                                                           
            
              Time: Available from
    Assessing Physical                      KN, von Geldern G,                                                                             9am ET on September
    Function in Relapsing                   Wundes A, Henke C                                                                                                                         11, 2020
    and Progressive Multiple
    Sclerosis Types                                                                                                                      
            
              Presenter: Paul
                                                                                                                                         Kamudoni

    ---                                                                                                                                                                                    ---


            The Interpretation and         
            Kamudoni P, Johns                                       
            P1061                
            
              Session: ePoster
    Clinical Application of                 J, Cook K, Salem R,
    the PROMIS(R) SF v1.0 -                 Henke C, Salek S,                                                                              
            
              Date: September 11-
    Fatigue (MS) 8b: A                      Raab J, Middleton                                                                                                                         13, 2020
    PROMIS Short Form for                   R, Repovic P,
    Assessing Fatigue in                    Alschuler KN, von                                                                              
            
              Time: Available from
    Relapsing and                           Geldern G,Wundes                                                                               9am ET on September
    Progressive Multiple                    A, Amtmann D                                                                                                                              11, 2020
    Sclerosis
                                                                                                                                         
            
              Presenter: Paul
                                                                                                                                         Kamudoni

    ---                                                                                                                                                                                    ---

                                                              
            
              General MS Franchise

                                                                                ---


            Identifying Gaps in            
            Schmierer K,                                            
            P1100                
            
              Session: ePoster
    Knowledge, Skills and                   Peniuta M, Oh J,
    Confidence Among MS                     Leist T, Lazure P,                                                                             
            
              Date: September 11-
    Specialists to Facilitate               Péloquin S                                                                                                                                13, 2020
    Improved MS Care
                                                                                                                                         
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: Klaus
                                                                                                                                         Schmierer

    ---                                                                                                                                                                                    ---


            An Investigation Into          
            Langdon D,                                              
            P1006                
            
              Session: ePoster
    the Role and Impact                     Sumelahti M L,
    That Carers Play in                     Potra S, Alroughani                                                                            
            
              Date: September 11-
    Consultations Between                   R, on behalf of the                                                                                                                       13, 2020
    Healthcare Professionals                MS in the 21st
    and People With MS                      Century initiative,                                                                            
            
              Time: Available from
                                            Verdun Di Cantogno                                                                             9am ET on September
                                            E                                                                                                                                         11, 2020

                                                                                                                                         
            
              Presenter: Dawn
                                                                                                                                         Langdon

    ---                                                                                                                                                                                    ---


            Characterization of Age-       
            Zuroff LR, Li R,                                        
            P0952                
            
              Session: ePoster
    related Changes in                      Shinoda K, Rezk A,
    Circulating T cells in                  Bar-Or A                                                                                       
            
              Date: September 11-
    Multiple Sclerosis and                                                                                                                                                          13, 2020
    Normal Controls: A Pilot
    Study                                                                                                                                
            
              Time: Available from
                                                                                                                                         9am ET on September
                                                                                                                                                                                    11, 2020

                                                                                                                                         
            
              Presenter: LR Zuroff

    ---                                                                                                                                                                                    ---


            Treatment and Care             
            Freeman L, Lucas                                        
            P0176                
            
              Session: ePoster
    Management, Clinical                    A, Zhou J, Hayward
    Outcomes and Mobility                   B, Livingston T                                                                                
            
              Date: September 11-
    Impairment in People                                                                                                                                                            13, 2020
    With or Without MS
    Aged >=50 Years:                                                                                                                     
            
              Time: Available from
    Observational 6-year                                                                                                                 9am ET on
    Analysis                                                                                                                             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 Evobrutinib
Evobrutinib (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 Sclerosis
Multiple 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 Sclerosis
For 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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