Ublituximab for Multiple Sclerosis

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Overseen ByZiyun Research Program Coordinator
Age: 18+
Sex: Any
Trial Phase: Phase 4
Sponsor: Johns Hopkins University
Must be taking: Ocrelizumab
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment option for people with multiple sclerosis (MS) experiencing a "wearing off" of their current treatment, ocrelizumab. Researchers aim to determine if switching to ublituximab (a type of infusion therapy) can improve or delay the return of MS symptoms. Participants will either switch to ublituximab infusions or continue with ocrelizumab to compare outcomes. Individuals with relapsing forms of MS who have noticed worsening symptoms between ocrelizumab treatments might be suitable for this study.

As a Phase 4 trial, this research focuses on understanding how the already FDA-approved and effective treatment benefits more patients, offering a chance to contribute to broader knowledge while potentially improving personal care.

Do I need to stop my current medications to join the trial?

The trial does not specify if you need to stop taking your current medications, but you must be on ocrelizumab for at least one year to participate. It's best to discuss your current medications with the trial team.

What is the safety track record for ublituximab?

Studies have shown that ublituximab is generally well tolerated by people with relapsing multiple sclerosis (MS). The most common side effects are mild and include manageable reactions during IV treatment. While receiving the treatment, some people might experience reactions, but they are usually not severe.

Research has also supported the safety of ublituximab over several years. For instance, in a group of patients who used the treatment for six years, the rate of MS relapses was very low. This suggests the treatment is not only effective but also safe for long-term use.

Ublituximab is already approved for treating certain types of MS, further demonstrating its well-understood safety profile. Always discuss with a healthcare professional to understand what these findings mean for your situation.12345

Why are researchers enthusiastic about this study treatment?

Ublituximab is unique because it offers a novel approach to treating multiple sclerosis (MS). Unlike standard treatments like Ocrelizumab that target CD20-positive B cells, Ublituximab is a glycoengineered antibody designed to enhance antibody-dependent cellular cytotoxicity (ADCC), making it potentially more effective in depleting B cells. Researchers are excited about Ublituximab because its engineered design might improve efficacy and safety profiles compared to existing therapies, possibly leading to better outcomes for patients with MS.

What evidence suggests that ublituximab might be an effective treatment for multiple sclerosis?

Research has shown that ublituximab, which participants in this trial may receive, effectively treats multiple sclerosis (MS). Studies indicate that patients using ublituximab experienced fewer MS flare-ups over time, as evidenced by a low and decreasing annualized relapse rate (ARR). Ublituximab also led to fewer brain lesions compared to teriflunomide, another MS drug. This treatment has proven effective and safe for relapsing MS over six years, suggesting it could benefit those whose current MS treatment is losing effectiveness. Participants in this trial will either switch from Ocrelizumab to Ublituximab or continue with Ocrelizumab.23678

Who Is on the Research Team?

SS

Shiv Saidha, MD

Principal Investigator

Johns Hopkins University

Are You a Good Fit for This Trial?

This trial is for people with Multiple Sclerosis who notice their symptoms getting worse or coming back while on Ocrelizumab. It's to see if switching to Ublituximab helps.

Inclusion Criteria

I am between 18 and 65 years old.
I have been on ocrelizumab treatment for at least a year.
I am willing to continue treatment with ocrelizumab or ublituximab.
See 2 more

Exclusion Criteria

Infection history as specified
I know my hepatitis status.
Positive tuberculosis screening
See 16 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants switch from Ocrelizumab to Ublituximab or continue with Ocrelizumab, receiving infusions every 6 months for at least 2 doses

12 months
2 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Ublituximab

Trial Overview

The study tests whether Ublituximab can help MS patients whose symptoms return despite taking Ocrelizumab. It's a pilot study, meaning it's an early test of this idea.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: UblituximabExperimental Treatment1 Intervention
Group II: OcrelizumabActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Johns Hopkins University

Lead Sponsor

Trials
2,366
Recruited
15,160,000+

TG Therapeutics, Inc.

Industry Sponsor

Trials
41
Recruited
6,900+

Citations

Efficacy and safety of ublituximab for relapsing multiple ... - PMC

Although ublituximab shows great promise and five-year data are already available, further research is required to fully explore its potential ...

New Data for BRIUMVI® Demonstrate 89.9% of Patients with ...

Patients on continuous BRIUMVI treatment exhibited low and decreasing annualized relapse rate (ARR) throughout the observation period, ARR: ...

MS Clinical Trial Results | BRIUMVI® (ublituximab-xiiy) HCP

Relapse rate and time to first relapse were improved with ublituximab vs teriflunomide in the phase 3 ULTIMATE I and ULTIMATE II studies in patients with ...

Ublituximab Demonstrates Efficacy, Safety in Relapsing ...

Ublituximab demonstrates sustained efficacy and a favorable safety profile through 6 years of treatment for relapsing MS.

Ublituximab versus Teriflunomide in Relapsing Multiple ...

Ublituximab resulted in lower annualized relapse rates and fewer brain lesions on MRI than teriflunomide over a period of 96 weeks but did not result in a ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41107611/

Efficacy and safety of ublituximab for relapsing multiple ...

Safety data indicate that ublituximab is generally well tolerated, with mild, manageable infusion-related reactions as the most common adverse ...

safety & tolerability - BRIUMVI® (ublituximab-xiiy)

See the established safety profile of BRIUMVI® (ublituximab-xiiy) in patients with relapsing MS. See safety info and full Prescribing Information.

NCT03277248 | Study to Assess the Efficacy and Safety of ...

This study determines the Annualized Relapse Rate (ARR) in participants with RMS after 96 weeks (approximately 2 years) treatment with intravenous (IV) ...