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

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age40-70
SponsorNovartis Pharmaceuticals

About this trial

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 criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Remibrutinib oral treatment

    Drug

    Remibrutinib tablet taken daily

  • Ocrelizumab

    Drug

    Ocrelizumab 600mg infusion or 920mg injection

Treatment groups

400 Participants
are divided into 4 treatment groups
Group A: Remibrutinib CoreExperimental treatment 1 intervention
Group B: Ocrelizumab CoreActive comparator 1 intervention
Group C: Remibrutinib ExtensionExperimental treatment 1 intervention
Group D: Remibrutinib Extension (Ocrelizumab in Core)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Annualized rate of new or enlarging T2 lesions_Core Part

Number of new/enlarging T2 lesions per year on MRI at month 24 (relative to baseline)

Time frame
Baseline up to month 24

Secondary outcomes

1

Participants with no evidence of disease activity-3 (NEDA-3)_Core Part

Participants with no evidence of disease activity-3 (NEDA-3), as assessed by absence of confirmed MS relapses, 6-month confirmed disability progression (6mCDP) and new/enlarging T2 lesions on MRI

Time frame
Baseline up to month 24
2

Number of adverse events (AEs) and serious adverse events (SAEs)_Core Part

Adverse events will be collected throughout the trial. Any safety assessment findings such as laboratory, vital signs, electrocardiogram data that are considered clinically significant or meet the protocol definition of an adverse event will be reported as adverse event or serious adverse event, as appropriate

Time frame
Baseline up to month 24
3

Annualized rate of new or enlarging T2 lesions_Extension Part

Number of new/enlarging T2 lesions per year on MRI

Time frame
Month 24 up to month 48
4

Participants with no evidence of disease activity-3 (NEDA-3)_Extension Part

Participants with no evidence of disease activity-3 (NEDA-3), as assessed by absence of confirmed MS relapses, 6-month confirmed disability progression (6mCDP) and new/enlarging T2 lesions on MRI

Time frame
Month 24 up to month 48

Other outcomes

Sponsors and contacts

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