Can treating MS the day of a relapse cut future attacks?
NCT ID NCT07878923
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
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About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide 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.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Oklahoma Medical Research Foundation
RECRUITINGOklahoma City, Oklahoma, 73142, United States
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