Can treating MS the day of a relapse cut future attacks?

NCT ID NCT07878923

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Oct 16, 2026 · Last updated Oct 16, 2026

Summary

Researchers are comparing two timings for starting Ocrevus Zunovo, an under-the-skin MS drug, in adults who just had an active relapse. One group starts treatment right away, before leaving the clinic or hospital, and the other starts later. The study tracks relapses, disability scores, immune cells, blood markers, and MRI scans over 18 months to see whether earlier treatment makes a difference.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Ocrevus Zunovo, an under-the-skin injection of ocrelizumab and hyaluronidase
What this could lead to
If starting treatment sooner helps, doctors could change how quickly they offer Ocrevus Zunovo after a relapse, possibly lowering the number of future attacks for people with relapsing MS.
What could go wrong
The trial is small, with about 45 participants, and compares two timings rather than testing a brand-new drug. Timing may turn out not to matter, and the 18-month window is short for judging long-term disability.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

About 45 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

Dec 2029

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Adults with relapsing-remitting multiple sclerosis who are seen during an inpatient or emergency department stay at Corewell Health West or in the outpatient clinic at Oklahoma Medical Research Foundation (OMRF) will be screened for the two MS cohorts. Adults without multiple sclerosis will be recruited at OMRF as healthy controls for blood-based immune cell comparisons. Approximately 35 participants with MS and 10 healthy controls will be enrolled.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Participants With Relapsing Multiple Sclerosis (Rapid-Start and Delayed-Start Cohorts) Inclusion Criteria: * Age 18 years or older. * Diagnosis of relapsing-remitting multiple sclerosis according to the 2017 McDonald criteria. * At least one gadolinium-enhancing lesion on an MRI of the brain, cervical spine, or thoracic spine within 4 weeks of relapse or hospitalization. Exclusion Criteria: * Diagnosis of primary progressive multiple sclerosis. * Active hepatitis B. * Current pregnancy. * Allergy to gadolinium contrast or known allergy to ocrelizumab. * Unable to complete an MRI. * Contraindication to or intolerance of oral or intravenous corticosteroids. * Another known neurological disorder, including a history of progressive multifocal leukoencephalopathy. * Active bacterial, viral, fungal, or mycobacterial infection, or a history of recurrent aspiration pneumonia requiring antibiotic treatment. * A condition that may require chronic systemic corticosteroids or immunosuppressants during the study. * Treatment with an anti-CD20 or other B-cell-depleting therapy within 6 months before enrollment. * Active cancer or malignancy. * Prisoner status. * Limited English-speaking capacity. * Unable to provide informed consent. Healthy Control Participants Inclusion Criteria: * Age 18 years or older. * Able and willing to provide written informed consent and undergo study blood draws. * No diagnosis or history of multiple sclerosis, clinically isolated syndrome, or another inflammatory or demyelinating disorder of the central nervous system. * In generally good health, as determined by medical history and investigator review. Exclusion Criteria: * Multiple sclerosis, clinically isolated syndrome, myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), neuromyelitis optica spectrum disorder (NMOSD), or another neurological disorder that may affect study results. * An autoimmune, inflammatory, hematologic, or immunodeficiency disorder that may affect B- or T-cell measurements. * Active bacterial, viral, fungal, or mycobacterial infection at enrollment or blood collection. * Current use of a disease-modifying therapy, B-cell-depleting therapy, systemic immunosuppressant, immunomodulatory therapy, or chronic systemic corticosteroids. * Active cancer or malignancy, except adequately treated localized skin cancer if permitted by the investigator. * Current pregnancy. * A medical condition that, in the investigator's judgment, could increase risk, interfere with participation, or affect interpretation of immune cell or biomarker results. * Unable or unwilling to undergo blood collection. * Prisoner status. * Limited English-speaking capacity. * Unable to provide informed consent.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Oklahoma Medical Research Foundation

    RECRUITING

    Oklahoma City, Oklahoma, 73142, United States

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