Could a cheaper copy of ocrevus work just as well for MS?
NCT ID NCT06847724
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether CYB704, a proposed biosimilar to the MS drug Ocrevus, works the same way in the body. About 183 people with relapsing multiple sclerosis will receive either CYB704 or Ocrevus. Researchers will compare drug levels, MRI scans, and side effects to see if the biosimilar is a viable alternative.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ocrelizumab (proposed biosimilar CYB704)
- What this could lead to
- If successful, CYB704 could offer a more affordable treatment option for relapsing multiple sclerosis, potentially increasing access to care.
- What could go wrong
- This is a biosimilar study, not a new drug. Even if CYB704 matches Ocrevus in the body, long-term safety and effectiveness still need confirmation. As with Ocrevus, risks include infusion reactions and increased infection risk.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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183 people
The number who actually took part.
- Started
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Jun 2025
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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.
Inclusion Criteria: * Diagnosis of RMS (relapsing remitting multiple sclerosis (MS) or active secondary progressive MS) * Evidence of recent disease activity as defined in study protocol * Expanded Disability Status scale score of 0 to 5.5 (inclusive) at screening * Neurological stability (no new signs or symptoms referable to Central Nervous System (CNS) within 30 days before both screening and first study treatment Exclusion Criteria: * Diagnosis of primary progressive MS * Disease duration of more than 10 years in participants with an Expanded Disability Status Scale (EDSS) ≤2.0 at screening * Inability to complete an MRI or contraindication to gadolinium administration * History of allergic or anaphylactic reactions to ocrelizumab or one of the premedications (methylprednisolone or equivalent corticosteroid, antihistamine, antipyretic) * Pregnant participants * Current or history of medical conditions as outlined in the study protocol * Prohibited medications (current and history) as outlined in the study protocol * Abnormal laboratory blood values as outlined in the study protocol
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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.
Contacts and locations
Locations
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Sandoz Investigational Site
Maitland, Florida, 32751, United States
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Sandoz Investigational Site
Ormond Beach, Florida, 32174, United States
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Sandoz Investigational Site
Banja Luka, Bosnia and Herzegovina
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Sandoz Investigational Site
Bihać, Bosnia and Herzegovina
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Sandoz Investigational Site
Sarajevo, Bosnia and Herzegovina
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Sandoz Investigational Site
Pleven, Bulgaria
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Sandoz Investigational Site
Plovdiv, Bulgaria
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Sandoz Investigational Site
Sofia, Bulgaria
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Sandoz Investigational Site
Varaždin, Croatia
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Sandoz Investigational Site
Zagreb, Croatia
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Sandoz Investigational Site
Rustavi, Georgia
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Sandoz Investigational Site
Tbilisi, Georgia
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Sandoz Investigational Site
Shtip, North Macedonia
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Sandoz Investigational Site
Skopje, North Macedonia
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Sandoz Investigational Site
Bydgoszcz, Poland
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Sandoz Investigational Site
Katowice, Poland
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Sandoz Investigational Site
Lodz, Poland
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Sandoz Investigational Site
Lublin, Poland
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Sandoz Investigational Site
Nowa Sól, Poland
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Sandoz Investigational Site
Poznan, Poland
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Sandoz Investigational Site
Szczecin, Poland
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Sandoz Investigational Site
Warsaw, Poland
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Sandoz Investigational Site
Zabrze, Poland
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Sandoz Investigational Site
Belgrade, Serbia
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Sandoz Investigational Site
Niš, Serbia
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Sandoz Investigational Site 2
Sarajevo, Bosnia and Herzegovina
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Sandoz Investigational Site 2
Plovdiv, Bulgaria
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Sandoz Investigational Site 2
Sofia, Bulgaria
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Sandoz Investigational Site 2
Tbilisi, Georgia
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Sandoz Investigational Site 2
Katowice, Poland
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Sandoz Investigational Site 2
Lublin, Poland
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Sandoz Investigational Site 2
Poznan, Poland
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Sandoz Investigational Site 3
Sofia, Bulgaria
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Sandoz Investigational Site 3
Tbilisi, Georgia
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Sandoz Investigational Site 4
Sofia, Bulgaria
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Sandoz Investigational Site 4
Tbilisi, Georgia
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Sandoz Investigational Site 5
Sofia, Bulgaria
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Sandoz Investigational Site 5
Tbilisi, Georgia
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Sandoz Investigational Site 6
Tbilisi, Georgia
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Sandoz Investigational Site 7
Tbilisi, Georgia
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Sandoz Investigational Site 8
Tbilisi, Georgia
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