RecruitingPhase 3NCT07225504

A Study to Evaluate the Efficacy and Safety of Remibrutinib in Secondary Progressive Multiple Sclerosis

A Randomized, Double-blind, Placebo-controlled Phase III Study to Evaluate the Efficacy and Safety of Remibrutinib in Patients With Secondary Progressive Multiple Sclerosis


Sponsor

Novartis Pharmaceuticals

Enrollment

1,275 participants

Start Date

Nov 11, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to provide efficacy and safety data for remibrutinib in patients with secondary progressive multiple sclerosis (SPMS)


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new oral drug called remibrutinib for adults with secondary progressive multiple sclerosis (SPMS) — a form of MS where disability steadily worsens over time without clear relapses. Remibrutinib works by blocking a protein (BTK) involved in immune cell activity that is thought to drive disease progression in the brain and spinal cord. **You may be eligible if...** - You are between 18 and 65 years old - You have been diagnosed with secondary progressive MS (confirmed by 2017 McDonald criteria) - You have had no documented clinical relapses in the past 24 months - Your disability score (EDSS) is between 3.0 and 6.0 - You have documented evidence of disability getting worse in the past 12 months **You may NOT be eligible if...** - You have a serious fear of enclosed spaces (claustrophobia) or a medical implant that prevents MRI scans - You have a significant brain or spinal cord condition unrelated to MS (such as stroke or severe head injury) - You have an ongoing substance abuse problem or serious psychiatric condition - You are unable or unwilling to undergo regular MRI monitoring Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGRemibrutinib (blinded)

Remibrutinib (Blinded) active treatment, oral tablet

DRUGPlacebo

Matching placebo (binded), oral tablet

DRUGRemibrutinib (Open label)

Remibrutinib (Open Label), oral tablet


Locations(164)

Alabama Neurology Associates PC

Birmingham, Alabama, United States

AZ Integrated Neuro and Spine

Phoenix, Arizona, United States

Center for Neurosciences

Tucson, Arizona, United States

Fullerton Neuro and Headache Ctr

Fullerton, California, United States

Regina Berkovich MD PhD Inc

West Hollywood, California, United States

Georgetown University Hospital

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

Medstar Washington Hosp Ctr

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

Neurology of Central FL Res Ctr

Altamonte Springs, Florida, United States

UF Health Cancer Center

Gainesville, Florida, United States

Neurology Associates PA

Maitland, Florida, United States

Miami NS Ins Baptist Health S FL

Miami, Florida, United States

Aqualane Clinical Research

Naples, Florida, United States

Orlando Health Clinical Trials

Orlando, Florida, United States

Comprehensive Neurology Clinic

Orlando, Florida, United States

Neurology Associates of Ormond Beach

Ormond Beach, Florida, United States

Axiom Brain Health

Tampa, Florida, United States

Joi Life Wellness Group LLC

Smyrna, Georgia, United States

Hawaii Pacific Neuroscience LLC

Honolulu, Hawaii, United States

University of Kansas Hospital

Kansas City, Kansas, United States

Mid Atlantic Epilepsy and Sleep Ctr

Bethesda, Maryland, United States

Michigan Institute of Neurological

Farmington Hills, Michigan, United States

University of New Mexico Hospital

Albuquerque, New Mexico, United States

Neurology Clinic PC

Cordova, Tennessee, United States

Saturn Research Solution

Plano, Texas, United States

Citta Clinical Research

Spokane, Washington, United States

Novartis Investigative Site

Capital Federal, Buenos Aires, Argentina

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Bombal, Mendoza Province, Argentina

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Buenos Aires, Argentina

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Caba, Argentina

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CABA, Argentina

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Caba, Argentina

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Santiago del Estero, Argentina

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Kogarah, New South Wales, Australia

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New Lambton Heights, New South Wales, Australia

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Westmead, New South Wales, Australia

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Clayton, Victoria, Australia

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Heidelberg, Victoria, Australia

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Linz, Austria

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Vienna, Austria

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Pleven, Bulgaria

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Sofia, Bulgaria

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Sofia, Bulgaria

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Sofia, Bulgaria

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Sofia, Bulgaria

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Sofia, Bulgaria

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Vancouver, British Columbia, Canada

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Ottawa, Ontario, Canada

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Lévis, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Guangzhou, Guangdong, China

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Zhengzhou, Henan, China

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Wuhan, Hubei, China

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Hohhot, Inner Mongolia, China

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Suzhou, Jiangsu, China

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Changchun, Jilin, China

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Xianyang, Shaanxi, China

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Taiyuan, Shanxi, China

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Hangzhou, Zhejiang, China

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Wenzhou, Zhejiang, China

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Beijing, China

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Beijing, China

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Chongqing, China

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Shanghai, China

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Tianjin, China

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Barranquilla, Atlántico, Colombia

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Bogotá, Colombia

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Medellín, Colombia

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Medellín, Colombia

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Jihlava, Czechia

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Prague, Czechia

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Prague, Czechia

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Teplice, Czechia

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Esbjerg, Denmark

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Limoges, Haute Vienne, France

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Ajaccio, France

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Amiens, France

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Clermont-Ferrand, France

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Gonesse, France

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Grenoble, France

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Lille, France

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Lille, France

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Montpellier, France

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Nancy, France

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Nice, France

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Nîmes, France

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Orsay, France

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Paris, France

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Paris, France

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Poitiers, France

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Rennes, France

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Rouen, France

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Toulouse, France

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Tours, France

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Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Mannheim, Baden-Wurttemberg, Germany

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Munich, Bavaria, Germany

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Unterhaching, Bavaria, Germany

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Halle, Saxony-Anhalt, Germany

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Erfurt, Germany

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Giessen, Germany

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Greifswald, Germany

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Heidelberg, Germany

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Itzehoe, Germany

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Chaïdári, Greece

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Budapest, Hungary

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Kistarcsa, Hungary

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Gurugram, Haryana, India

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Mangalore, Karnataka, India

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Kochi, Kerala, India

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New Delhi, National Capital Territory of Delhi, India

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New Delhi, National Capital Territory of Delhi, India

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Chandigarh, Punjab, India

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Vellore, Tamil Nadu, India

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Hyderabad, Telangana, India

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Jerusalem, Israel

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Ramat Gan, Israel

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Rehovot, Israel

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Tel Aviv, Israel

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Ẕerifin, Israel

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Bergamo, BG, Italy

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Foggia, FG, Italy

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Pozzilli, IS, Italy

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Pavia, PV, Italy

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Roma, RM, Italy

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Arnhem, Gelderland, Netherlands

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Leiden, Netherlands

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Bydgoszcz, Woj Kujawsko Pomorskie, Poland

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Chojnice, Poland

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Katowice, Poland

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Katowice, Poland

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Rzeszów, Poland

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Zabrze, Poland

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Braga, Portugal

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Lisbon, Portugal

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Porto, Portugal

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Constanța, ROM, Romania

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Bucharest, Romania

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Campulung Muscel, Romania

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Bratislava, Slovakia

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Komárno, Slovakia

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Trnava, Slovakia

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Cape Town, Western Cape, South Africa

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L'Hospitalet de Llobregat, Barcelona, Spain

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Torrejón de Ardoz, Madrid, Spain

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El Palmar, Murcia, Spain

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Castilleja de la Cuesta, Sevilla, Spain

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Valencia, Valencia, Spain

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Barcelona, Spain

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Las Palmas GC, Spain

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Lleida, Spain

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Madrid, Spain

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Madrid, Spain

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Madrid, Spain

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Málaga, Spain

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Salamanca, Spain

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Valencia, Spain

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Bern, Switzerland

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Lausanne, Switzerland

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Brighton, East Sussex, United Kingdom

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Coventry, United Kingdom

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Glasgow, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT07225504


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