Efficacy and Safety of Remibrutinib After Switching From Ocrelizumab in Participants Living With Relapsing Multiple Sclerosis.

NCT ID: NCT06846281

Last Updated: 2025-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-23

Study Completion Date

2031-12-31

Brief Summary

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The purpose of this Phase 3b study is to assess the efficacy, safety and tolerability of remibrutinib after switching from ocrelizumab and compared to continuous ocrelizumab treatment, in patients living with relapsing multiple sclerosis (plwRMS).

Detailed Description

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The study is a randomized, open-label, non-inferiority multi-center, Phase 3b study to provide efficacy, safety, and tolerability data for remibrutinib after switching from ocrelizumab and in comparison to continuous ocrelizumab in plwRMS.

This study consists of an initial Core Part (CP) (maximum duration per participant of up to 24 months), followed by an Extension Part (EP) (of up to 24 months duration) for eligible participants.

All participants completing the 24-month treatment of the Core Part of the study may be eligible to continue in the Extension Part, an open-label, single-arm, fixed-dose design in which participants are treated with remibrutinib for up to 24 months.

The study will be conducted in the USA among other countries globally.

Conditions

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Relapsing Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Remibrutinib Core

Remibrutinib tablet taken orally

Group Type EXPERIMENTAL

Remibrutinib oral treatment

Intervention Type DRUG

Remibrutinib tablet taken daily

Ocrelizumab Core

Ocrelizumab at standard dose and route of administration (i.v. or s.c) per label

Group Type ACTIVE_COMPARATOR

Ocrelizumab

Intervention Type DRUG

Ocrelizumab 600mg infusion or 920mg injection

Remibrutinib Extension

Remibrutinib tablet taken orally

Group Type EXPERIMENTAL

Remibrutinib oral treatment

Intervention Type DRUG

Remibrutinib tablet taken daily

Remibrutinib Extension (Ocrelizumab in Core)

Remibrutinib tablet taken orally

Group Type EXPERIMENTAL

Remibrutinib oral treatment

Intervention Type DRUG

Remibrutinib tablet taken daily

Interventions

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Remibrutinib oral treatment

Remibrutinib tablet taken daily

Intervention Type DRUG

Ocrelizumab

Ocrelizumab 600mg infusion or 920mg injection

Intervention Type DRUG

Other Intervention Names

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LOU064

Eligibility Criteria

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Inclusion Criteria

* Male or female aged 40 to 70 years (inclusive)
* Diagnosis of RMS according to the 2017 McDonald diagnostic criteria
* Treated with ocrelizumab according to routine clinical practice and at standard dose
* Neurologically stable within 30 days
* Suitable to be switched to remibrutinib based on physician judgement or patient preference

Exclusion Criteria

* Diagnosis of primary progressive multiple sclerosis (PPMS) according to the revised 2017 McDonald criteria
* History of clinically significant Central Nervous System disease or neurological disorders
* History of confirmed Progressive Multifocal Leukoencephalopathy or neurological symptoms consistent
* Active clinically significant systemic bacterial, viral, parasitic or fungal infections
* Active, chronic disease of the immune system other than MS
* Severe cardiac disease or significant findings on the ECG
* Participant who is unable to undergo MRI scans
* History of life-threatening infusion or injection reaction related to ocrelizumab
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Neurology of Central FL Res Ctr

Altamonte Springs, Florida, United States

Site Status RECRUITING

Tallahassee Neurological Clinic

Tallahassee, Florida, United States

Site Status RECRUITING

University of Kansas Hospital

Kansas City, Kansas, United States

Site Status RECRUITING

Michigan Institute of Neurological

Farmington Hills, Michigan, United States

Site Status RECRUITING

Premier Neurology

Greenville, South Carolina, United States

Site Status RECRUITING

Sibyl Wray MD Neurology PC

Knoxville, Tennessee, United States

Site Status RECRUITING

Novartis Investigative Site

Rosario, Santa Fe Province, Argentina

Site Status RECRUITING

Novartis Investigative Site

Rosario, Santa Fe Province, Argentina

Site Status RECRUITING

Novartis Investigative Site

Buenos Aires, , Argentina

Site Status RECRUITING

Novartis Investigative Site

Buenos Aires, , Argentina

Site Status RECRUITING

Novartis Investigative Site

Melbourne, Victoria, Australia

Site Status RECRUITING

Novartis Investigative Site

Parkville, Victoria, Australia

Site Status RECRUITING

Novartis Investigative Site

Liverpool, , Australia

Site Status RECRUITING

Novartis Investigative Site

St Leonards, , Australia

Site Status RECRUITING

Novartis Investigative Site

Bruges, , Belgium

Site Status RECRUITING

Novartis Investigative Site

Lévis, Quebec, Canada

Site Status RECRUITING

Novartis Investigative Site

Montreal, Quebec, Canada

Site Status RECRUITING

Novartis Investigative Site

Aarhus N, , Denmark

Site Status RECRUITING

Novartis Investigative Site

Glostrup Municipality, , Denmark

Site Status RECRUITING

Novartis Investigative Site

Bordeaux, , France

Site Status RECRUITING

Novartis Investigative Site

Clermont-Ferrand, , France

Site Status RECRUITING

Novartis Investigative Site

Lille, , France

Site Status RECRUITING

Novartis Investigative Site

Nice, , France

Site Status RECRUITING

Novartis Investigative Site

Nîmes, , France

Site Status RECRUITING

Novartis Investigative Site

Paris, , France

Site Status RECRUITING

Novartis Investigative Site

Strasbourg, , France

Site Status RECRUITING

Novartis Investigative Site

Toulouse, , France

Site Status RECRUITING

Novartis Investigative Site

Tours, , France

Site Status RECRUITING

Novartis Investigative Site

Chaïdári, , Greece

Site Status RECRUITING

Novartis Investigative Site

Larissa, , Greece

Site Status RECRUITING

Novartis Investigative Site

Thessaloniki, , Greece

Site Status RECRUITING

Novartis Investigative Site

Bergamo, BG, Italy

Site Status RECRUITING

Novartis Investigative Site

Foggia, FG, Italy

Site Status RECRUITING

Novartis Investigative Site

Genova, GE, Italy

Site Status RECRUITING

Novartis Investigative Site

Pavia, PV, Italy

Site Status RECRUITING

Novartis Investigative Site

Roma, RM, Italy

Site Status RECRUITING

Novartis Investigative Site

Roma, RM, Italy

Site Status RECRUITING

Novartis Investigative Site

Mexico City, Mexico City, Mexico

Site Status RECRUITING

Novartis Investigative Site

Mexico City, , Mexico

Site Status RECRUITING

Novartis Investigative Site

Braga, , Portugal

Site Status RECRUITING

Novartis Investigative Site

Lisbon, , Portugal

Site Status RECRUITING

Novartis Investigative Site

Bratislava, , Slovakia

Site Status RECRUITING

Novartis Investigative Site

Trnava, , Slovakia

Site Status RECRUITING

Novartis Investigative Site

Cape Town, Western Cape, South Africa

Site Status RECRUITING

Novartis Investigative Site

Pretoria, , South Africa

Site Status RECRUITING

Novartis Investigative Site

Barcelona, Catalonia, Spain

Site Status RECRUITING

Novartis Investigative Site

Majadahonda, Madrid, Spain

Site Status RECRUITING

Novartis Investigative Site

El Palmar, Murcia, Spain

Site Status RECRUITING

Novartis Investigative Site

Valencia, Valencia, Spain

Site Status RECRUITING

Novartis Investigative Site

Córdoba, , Spain

Site Status RECRUITING

Novartis Investigative Site

Madrid, , Spain

Site Status RECRUITING

Novartis Investigative Site

Madrid, , Spain

Site Status RECRUITING

Novartis Investigative Site

Madrid, , Spain

Site Status RECRUITING

Novartis Investigative Site

Málaga, , Spain

Site Status RECRUITING

Novartis Investigative Site

Seville, , Spain

Site Status RECRUITING

Novartis Investigative Site

Valencia, , Spain

Site Status RECRUITING

Novartis Investigative Site

Bern, , Switzerland

Site Status RECRUITING

Novartis Investigative Site

Lausanne, , Switzerland

Site Status RECRUITING

Novartis Investigative Site

Zurich, , Switzerland

Site Status RECRUITING

Countries

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United States Argentina Australia Belgium Canada Denmark France Greece Italy Mexico Portugal Slovakia South Africa Spain Switzerland

Central Contacts

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Novartis Pharmaceuticals

Role: CONTACT

1-888-669-6682

Novartis Pharmaceuticals

Role: CONTACT

+41613241111

Facility Contacts

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Adiana Perez

Role: primary

407-790-4990

Sharon Devore

Role: primary

850-878-8121

Vonda Whitley

Role: primary

913-588-9600

Emily Blazejewski

Role: primary

248-553-0010

Jada Crawford

Role: primary

+1 864 655 4005

Kim Puccio

Role: primary

865-218-6222

Other Identifiers

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CLOU064C12306

Identifier Type: -

Identifier Source: org_study_id

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