RecruitingPhase 3NCT06846281

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

A Randomized, Open-label, Parallel-group, Non-inferiority Study Comparing Efficacy, Safety, and Tolerability of Remibrutinib After Switching From Ocrelizumab in Participants Living With Relapsing Multiple Sclerosis, Followed by Open-label Treatment With Remibrutinib


Sponsor

Novartis Pharmaceuticals

Enrollment

360 participants

Start Date

Jul 23, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

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).


Eligibility

Min Age: 40 YearsMax Age: 70 Years

Inclusion Criteria5

  • 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 Criteria8

  • 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

Interventions

DRUGRemibrutinib oral treatment

Remibrutinib tablet taken daily

DRUGOcrelizumab

Ocrelizumab 600mg infusion or 920mg injection


Locations(86)

Perseverance Research Center

Scottsdale, Arizona, United States

Medstar Washington Hospital Center

Washington D.C., District of Columbia, United States

Neurology of Central FL Res Ctr

Altamonte Springs, Florida, United States

University of Florida

Gainesville, Florida, United States

Neurology Associates PA

Maitland, Florida, United States

Aqualane Clinical Research

Naples, Florida, United States

Tallahassee Neurological Clinic

Tallahassee, Florida, United States

Rush University Medical Center

Chicago, Illinois, United States

University of Kansas Hospital

Kansas City, Kansas, United States

MedStar Montgomery Medical Center

Olney, Maryland, United States

Tufts Medical Center

Boston, Massachusetts, United States

Lahey Hospital and Medical Center

Burlington, Massachusetts, United States

Neurology Center of New England PC

Foxborough, Massachusetts, United States

Michigan Institute of Neurological

Farmington Hills, Michigan, United States

Memorial HC Ins for Neuroscience

Owosso, Michigan, United States

WA Uni School Of Med

St Louis, Missouri, United States

Holy Name Medical Center

Teaneck, New Jersey, United States

University of New Mexico

Albuquerque, New Mexico, United States

Sanford Health

Fargo, North Dakota, United States

Premier Health

Centerville, Ohio, United States

Univ of Cincinnati Medical Center

Cincinnati, Ohio, United States

Ohio Health Research Institute

Columbus, Ohio, United States

Premier Neurology

Greenville, South Carolina, United States

Sibyl Wray MD Neurology PC

Knoxville, Tennessee, United States

Austin Regional Clinic

Austin, Texas, United States

John Peter Smith Hospital

Fort Worth, Texas, United States

Novartis Investigative Site

Rosario, Santa Fe Province, Argentina

Novartis Investigative Site

Rosario, Santa Fe Province, Argentina

Novartis Investigative Site

Buenos Aires, Argentina

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Buenos Aires, Argentina

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Melbourne, Victoria, Australia

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Parkville, Victoria, Australia

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Liverpool, Australia

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St Leonards, Australia

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Bruges, Belgium

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Vancouver, British Columbia, Canada

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Lévis, Quebec, Canada

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Montreal, Quebec, Canada

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Aarhus N, Denmark

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Glostrup Municipality, Denmark

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Bordeaux, France

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Clermont-Ferrand, France

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Lille, France

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Marseille, France

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Nice, France

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Nîmes, France

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Paris, France

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Poitiers, France

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Strasbourg, France

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Toulouse, France

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Tours, France

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Chaïdári, Greece

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Larissa, Greece

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Thessaloniki, Greece

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Bergamo, BG, Italy

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Foggia, FG, Italy

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Genova, GE, Italy

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Milan, MI, Italy

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Pavia, PV, Italy

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Roma, RM, Italy

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Roma, RM, Italy

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Mexico City, Mexico City, Mexico

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Mexico City, Mexico

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Braga, Portugal

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Coimbra, Portugal

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Lisbon, Portugal

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Bratislava, Slovakia

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Trnava, Slovakia

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Cape Town, Western Cape, South Africa

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Pretoria, South Africa

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Majadahonda, Madrid, Spain

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El Palmar, Murcia, Spain

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Valencia, Valencia, Spain

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Barcelona, Spain

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Córdoba, Spain

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Madrid, Spain

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Madrid, Spain

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Madrid, Spain

Novartis Investigative Site

Málaga, Spain

Novartis Investigative Site

Seville, Spain

Novartis Investigative Site

Valencia, Spain

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Bern, Switzerland

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Lausanne, Switzerland

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Zurich, Switzerland

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Sheffield, South Yorkshire, United Kingdom

Novartis Investigative Site

Swansea, United Kingdom

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NCT06846281


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