New dosing strategy for MS drug ublituximab under study in 800-Patient trial
NCT ID NCT05877963
First seen Jun 25, 2026 · Last updated Aug 28, 2026 · Updated 5 times
Summary
This Phase 3 trial is testing a modified dosing schedule of ublituximab (BRIUMVI) in 800 people with relapsing multiple sclerosis. The study has three parts: one open-label part to see if the new regimen reduces brain lesions, a placebo-controlled part to measure drug levels, and another open-label part for those who had a poor response to prior anti-CD20 therapy. The goal is to find a safer or more effective way to control MS relapses.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ublituximab (BRIUMVI)
- What this could lead to
- If successful, this could offer a more effective or convenient dosing schedule for ublituximab to control relapsing multiple sclerosis.
- What could go wrong
- This is a Phase 3 study, but results may not confirm benefit over existing treatments. Infusion-related reactions and other side effects are possible.
Why investors are watching
TG Therapeutics is running a phase 3 trial of ublituximab, its drug for relapsing multiple sclerosis, in 800 participants. The trial tests a modified dosing schedule and also looks at patients who did not respond well to a prior anti-CD20 therapy. For a small company, this readout matters because ublituximab is a core product, and the results will show whether the drug works in a broader patient group.
If it works: A positive result could support a wider use of ublituximab in multiple sclerosis, potentially expanding its market. It may also strengthen the company's position with regulators and doctors.
If it fails: A failure or delay could hurt the drug's prospects and the company's value, since trials often do not meet their goals. The company's size means it has fewer other products to fall back on.
AI-written from the trial record. Speculative, and not investment advice.
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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About 800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2023
- Expected to finish
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Jan 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 65 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 (2017 Revised McDonald criteria). * Participants must meet one of the following prior treatment definitions: 1. Participants naïve to treatment. 2. Participants previously treated with a disease modifying therapy (DMT) who have discontinued treatment prior to consent and meet the washout requirements. * Expanded Disability Status Scale (EDSS) score ≤ 5.5 at screening. * Neurologically stable for \> 30 days prior to first dose of ublituximab. * Female participants of childbearing potential must consent to use a medically acceptable method of contraception from consent, throughout the study period, and for 6 months after the last dose of ublituximab. * Part C: participants currently treated with an anti-CD20 agent for at least 6 months and meet the washout requirements prior to W1D1. * Part C: Discontinuation of current anti-CD20 must be due to suboptimal experience Exclusion Criteria: * History of any serious 3 Infusion Related Reaction (IRR) on prior anti-CD20 therapy. * Primary-progressive multiple sclerosis (PPMS) or inactive Secondary Progressive MS (SPMS). * Active chronic (or stable but treated with immune therapy) disease of the immune system other than MS (e.g., rheumatoid arthritis, scleroderma, Sjögren's syndrome, Crohn's disease, ulcerative colitis, etc.) or immunodeficiency syndrome (hereditary immune deficiency, drug-induced immune deficiency, etc.). * Current evidence or known history of clinically significant infection, including: chronic, recurrent, or ongoing active viral, bacterial, or fungal infectious disease requiring long term systemic treatment such as, but not limited to chronic urinary tract infection, chronic pulmonary infection with bronchiectasis, tuberculosis, or active hepatitis C virus (HCV). * Previous serious opportunistic or atypical infection. * Evidence of chronic active or history of hepatitis B virus (HBV) infection as evidenced by a detectable hepatitis B surface antigen (HBsAg), or positive hepatitis B core antibody (HBcAb), or chronic hepatitis C infection. Participants with positive hepatitis C virus antibody (HCV Ab) are eligible only if polymerase chain reaction (PCR) is negative for HCV ribonucleic acid (RNA). * History or evidence (clinical, radiological, or biomarker) of suspected or confirmed progressive multifocal leukoencephalopathy (PML). * Receipt of any live or live-attenuated vaccines (including vaccines for varicella-zoster virus or measles) within 4 weeks prior to first study drug administration. * Participants requiring treatment with intravenous immune globulin (IVIG) for decreased immunoglobulins within the 12 months prior to W1D1. * Any active malignancies other than adequately treated basal, squamous cell or in situ carcinoma. * Participants who have ever received ublituximab, alemtuzumab, cyclophosphamide, mitoxantrone, cladribine, or daclizumab (including for non-MS indications). Note: Other Inclusion/Exclusion criteria may apply.
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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
49 sites in 2 countries. 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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TG Investigational Site
RECRUITINGFort Collins, Colorado, 80528, United States
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TG Investigational Site
RECRUITINGFarmington, Michigan, 48334, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGBirmingham, Alabama, 35209, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGCullman, Alabama, 35058, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGOrange, California, 92697, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGWashington D.C., District of Columbia, 20007, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGTampa, Florida, 33612, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGAtlanta, Georgia, 30309, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGAtlanta, Georgia, 30322, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGSavannah, Georgia, 31406, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGChicago, Illinois, 60612, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGIndianapolis, Indiana, 46256, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGIowa City, Iowa, 52242, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGOverland Park, Kansas, 66205, United States
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TG Therapeutics Investigational Trial Site
COMPLETEDOverland Park, Kansas, 66212, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGLutherville, Maryland, 21093, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGBoston, Massachusetts, 00002, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGBoston, Massachusetts, 70809, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGFoxborough, Massachusetts, 02035, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGNorth Worcester, Massachusetts, 01655, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGWellesley, Massachusetts, 02481, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGGolden Valley, Minnesota, 55422, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGPlymouth, Minnesota, 55446, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGSt Louis, Missouri, 63131, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGNew York, New York, 10025, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGNew York, New York, 11021, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGRaleigh, North Carolina, 27607, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGCincinnati, Ohio, 45212, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGCleveland, Ohio, 44195, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGDayton, Ohio, 45417, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGOklahoma City, Oklahoma, 73104, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGGreenville, South Carolina, 29605, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGKnoxville, Tennessee, 37922, United States
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TG Therapeutics Investigational Trial Site
COMPLETEDHouston, Texas, 77030, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGSalt Lake City, Utah, 84103, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGVienna, Virginia, 22182, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGKirkland, Washington, 98034, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGSeattle, Washington, 98109, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGSpokane, Washington, 99208, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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TG Therapeutics Investigational Trial Site
RECRUITINGBydgoszcz, 85-796, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGKatowice, 40-555, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGKielce, 25-726, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGKrakow, 31-826, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGLodz, 90-324, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGOlsztyn, 10-561, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGPoznan, 61-583, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGWarsaw, 04-141, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGZabrze, Poland
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TG Therapeutics Investigational Trial Site
RECRUITINGŻory, 44-240, Poland
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TG Therapeutics Investigational Trial SiteCharlotte
RECRUITINGCharlotte, North Carolina, 28204, United States
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