OPTIMUM Study Jump to

PONVORY™ is the first and only oral DMT approved by the FDA that was studied against an established oral comparator, Aubagio® (teriflunomide), in a phase 3 study, OPTIMUM1-8

The OPTIMUM Study:

A phase 3, multicenter, randomized, double-blind, parallel-group, active-controlled superiority study of 1133 adult patients randomized to either once-daily PONVORY™ or Aubagio®.1,8

OPTIMUM study design_PONVORY™ 20 mg (567) patients compared to teriflunomide, (566) patients

In the study, patients underwent a 14-day titration or mock titration at the start of treatment, followed by a once-daily maintenance dose up to end of treatment (EOT). An accelerated elimination procedure was needed to accelerate the reduction of teriflunomide plasma concentrations. To maintain blinding, all patients, including those who had received PONVORY™, underwent this procedure.1,9


  • Annualized relapse rate (ARR) over the study period


  • Number of new gadolinium-enhancing (GdE) T1 lesions and the number of new or enlarging T2 hyperintense lesions from baseline to Week 108*
  • Time to 3-month confirmed disability progression (CDP)


  • Patients without relapse
  • Mean percentage change in brain volume from baseline to Week 108
  • A 14-day up-titration schedule was used when initiating PONVORY™ to help reduce cardiac effects1
  • Patient baseline characteristics were similar in the 2 treatment groups8

DMT = disease modifying therapy; MS = multiple sclerosis.

*Without double counting of lesions.1