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ZEPOSIA Delivered Powerful Efficacy in Reducing ARR vs Avonex in Pivotal Trials1,2

In the Open-Label Extension Study, Patients Continuously Treated With ZEPOSIA for Up to 7 Yearsa Had an ARR of 0.0902
Chart comparing ARR in pivotal trials and OLE between SUNBEAM and RADIANCE trials Chart comparing ARR in pivotal trials and OLE between SUNBEAM and RADIANCE trials
Endpoints were analyzed descriptively.
A relapse was defined as the occurrence of new or worsening neurological symptoms persisting for more than 24 hours attributable to MS and immediately preceded by a relatively stable or improving neurological state of at least 30 days.5,6
aAt the database lock (April 7, 2023), the mean (range) continuous ozanimod 0.92 mg oral daily dose exposure in DAYBREAK was 60.9 (0.03-81.5) months.2
bDAYBREAK is an OLE trial that enrolled participants from multiple randomized phase 1, 2, or 3 studies, including SUNBEAM and RADIANCE, and is presented as a final analysis with a database lock of April 7, 2023. Endpoints were analyzed descriptively.2
cStudy period includes DAYBREAK Day 1 through last treatment date or the data cutoff date of December 20, 2019.3
dAt data cutoff date of February 2, 2021.4
Post Hoc Analysis: Adjusted ARR for DMT-naive Patients7a
DMT-naïve at Baseline Graphic DMT-naïve at Baseline Graphic

In SUNBEAM and RADIANCE, prior treatment status (treatment naïve vs previously treated) was pre-specified, but not powered to detect a difference in the treatment effect in these subgroups. In DAYBREAK, endpoints were analyzed descriptively.

aThis analysis includes DMT-naïve patients who received oral daily dose of ozanimod 0.92 mg in SUNBEAM (≥12 months) and RADIANCE (24 months). Phase 3 trial completers were eligible for enrollment in the OLE trial (DAYBREAK-NCT02576717) of ozanimod (April 7, 2023 database lock) 0.92 mg oral daily dose.1,2,7
Analyses were based on the negative binomial regression model with parent treatment group, adjusted for region (Eastern Europe vs rest of world), age at parent baseline, and the parent baseline number of gadolinium-enhancing lesions. The natural log transformation of time on treatment is used as an offset term to adjust for patients having different exposure times.7
DMT-experienced patients who received ozanimod 0.92 mg oral daily dose (n=207) had ARR of 0.194 at the completion of the pivotal trials and ARR of 0.114 at the database lock of April 7, 2023 in DAYBREAK.7
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Proven Superior vs Avonex in Reducing Lesions Across All Secondary Measures of MRI Activity1
Chart comparing reduction of GdE lesions and new/enlarging T2 lesions between SUNBEAM and RADIANCE trials Chart comparing reduction of GdE lesions and new/enlarging T2 lesions between SUNBEAM and RADIANCE trials
In the 1-year SUNBEAM study, brain MRIs were performed at baseline, Month 6, and Month 12.5

In the 2-year RADIANCE study, brain MRIs were performed at baseline, Month 12, and Month 24.6
Over 90% of Patients Showed No 3-Month Confirmed Disability Progression Through Pivotal Trials1
3-month disability progression pie chart
3-month disability progression pie chart
Statistical significance was not reached for pooled CDP in pivotal trials.1
*CDP was defined as a ≥1-point increase from baseline EDSS confirmed after 3 months and after 6 months.1  This was a prospectively planned pooled analysis of SUNBEAM (1 year) and RADIANCE (2 years).2  This post hoc analysis included patients who were continuously treated with an oral daily dose of ZEPOSIA 0.92 mg or weekly IFN 30 µg in SUNBEAM (1 year) and RADIANCE (2 years).2 Phase 3 trial completers were eligible to enroll in the DAYBREAK OLE. Database lock for the OLE was April 2023, at which point 22.1% of patients treated with ZEPOSIA (168/760) experienced CDP-3, as measured by the EDSS.1,2  §At database lock, mean (range) continuous ZEPOSIA 0.92-mg oral daily dose exposure was 60.9 (0.03-81.5) months. The mean duration of any ZEPOSIA exposure during the parent trials and DAYBREAK was 74.8 months with a maximum of 117.2 months.2
CDP=confirmed disability progression; EDSS=Expanded Disability Status Score; IFN=interferon; OLE=open-label extension.
80% of Patients Showed No 6-Month Confirmed Disability Progression for up to 9 Years8,9
6-month disability progression bar chart
6-month disability progression bar chart
In pivotal trials, statistical significance was not reached for pooled CDP. Total population who received ZEPOSIA 0.92 mg: SUNBEAM (n=447), RADIANCE (n=448), DAYBREAK (n=762).1,8
aCDP was defined as a ≥1-point increase from baseline EDSS confirmed after 6 months.8  bThis post hoc analysis included patients who were continuously treated with an oral daily dose of ZEPOSIA 0.92 mg or weekly IFN 30 µg in SUNBEAM (1 year) and RADIANCE (2 years). Phase 3 trial completers were eligible to enroll in the DAYBREAK OLE. Database lock for the OLE was April 2023.2,8  cAt database lock, mean (range) continuous ZEPOSIA 0.92-mg oral daily dose exposure was 60.9 (0.03-81.5) months. The mean duration of any ZEPOSIA exposure during the parent trials and DAYBREAK was 74.8 months with a maximum of 117.2 months.2
CDP=confirmed disability progression; EDSS=Expanded Disability Status Scale; IFN=interferon; OLE=open label extension.
Compelling Efficacy
in Brain Volume Loss Data
in Pivotal Trials5,6
Compelling Efficacy in Brain Volume Loss Data in Pivotal Trials Compelling Efficacy in Brain Volume Loss Data in Pivotal Trials
Chart depicting percentage of patients with improved, stable, or worsened SDMT scores at 1 year Chart depicting percentage of patients with improved, stable, or worsened SDMT scores at 1 year
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