New hope for kids with MS: major drug showdown begins
NCT ID NCT05123703
First seen Jun 27, 2026 · Last updated Jul 16, 2026 · Updated 2 times
Summary
This study tests whether ocrelizumab is safer and more effective than fingolimod for children and adolescents (ages 10 to under 18) with relapsing-remitting multiple sclerosis. Participants receive either drug and are monitored for relapses and brain lesions over at least 24 weeks. The goal is to find a better treatment option to control this chronic disease.
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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188 people
The number who actually took part.
- Started
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May 2022
- Expected to finish
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Sep 2029
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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10 to 17 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: * Body weight ≥ 25 kg * Diagnosis of RRMS in accordance with the International Pediatric Multiple Sclerosis Study Group (IPMSSG) criteria for pediatric multiple sclerosis (MS), Version 2012, or McDonald criteria 2017 * Expanded Disability Status Scale (EDSS) at screening: 0-5.5, inclusive * For all countries except Germany, at least one MS relapse during the previous year or two MS relapses in the previous 2 years or evidence of at least one Gd-enhancing lesion on MRI within 6 months prior to randomization Inclusion Criteria for Optional OLE Period: -Participants in Group A (ocrelizumab in the DBP) and Group B (fingolimod in the DBP) who, in the opinion of the investigator, may benefit from switching to ocrelizumab and who have completed the DBP with study treatment (ocrelizumab/fingolimod), may participate in the OLE period Exclusion Criteria: * Known presence or suspicion of other neurologic disorders that may mimic MS * Significant uncontrolled somatic diseases, known active infection or any other significant condition that may preclude participant from participating in the study * Participants with severe cardiac disease or significant findings on the screening electrocardiograph (ECG) Exclusion Criteria for Optional OLE Period: -Participants who have discontinued the study during the DBP
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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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Astra Kliinik
Tallinn, 11315, Estonia
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Azienda Ospedaliera Sant'Andrea
Rome, Lazio, 00189, Italy
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Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele
Catania, Sicily, 95123, Italy
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Azienda Ospedaliero-Universitaria Consorziale Pol. di Bari
Bari, Apulia, 70124, Italy
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Baylor College of Medicine/Texas Children's Hospital
Houston, Texas, 77030-2608, United States
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Boston Children's Hospital Central Pharmacy
Boston, Massachusetts, 02115-5724, United States
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CHRU de Montpellier, Hopital Gui de Chauliac
Montpellier, 34295, France
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CHU Mohammed VI
Marrakesh, 40000, Morocco
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CPQuali Pesquisa Clínica Sao Paulo
São Paulo, São Paulo, 01228-000, Brazil
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Centre Hospitalier Universitaire de Bicêtre
Le Kremlin-Bicêtre, 94275, France
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Centro de Investigacion Clinica Chapultepec S. A. de C. V.
Morelia, Michoacán, 58260, Mexico
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Centro de Investigaciones Médicas Tucuman
San Miguel de Tucumán, T4000AXL, Argentina
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Children's Clinical University Hospital
Riga, LV-1004, Latvia
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Hospital of Eastern Ontario
Ottawa, Ontario, K1H 8L1, Canada
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Children's National Hospital
Washington D.C., District of Columbia, 20010, United States
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Childrens University Hospital
Belgrade, 11000, Serbia
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Cleveland Clinic, Mellen Center for Multiple Sclerosis
Cleveland, Ohio, 44195-0001, United States
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Clinic for Neurology and Psychiatry for Children and Youth
Belgrade, 11000, Serbia
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Clinstile S.A de C.V.
Mexico City, Mexico CITY (federal District), 06700, Mexico
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Communal noncommercial enterprise of Lviv Regional Council Lviv Regional Clinical Hospital
Lviv, Kharkiv Governorate, 79010, Ukraine
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Debreceni Egyetem Klinikai Kozpont
Debrecen, H-4032, Hungary
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Dzieci?cy Szpital Kliniczny im. Józefa Polikarpa Brudzi?skiego
Warsaw, 02-091, Poland
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Eginitio University General Hospital of Athens
Athens, Attica, 115 28, Greece
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FAICIC S de R.L. de C.V
Veracruz, 91900, Mexico
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Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Lombardy, 20133, Italy
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Grupo Médico Camino S.C.
Mexico City, Mexico CITY (federal District), 3310, Mexico
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Hopital de Hautepierre
Strasbourg, 67091, France
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Hospices Civils de Lyon - Hôpital Pierre Wertheimer
Bron, Rhône, 69003, France
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Hospital Civil Fray Antonio Alcalde
Guadalajara, Jalisco, 44280, Mexico
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Hospital Sant Joan De Deu
Esplugues de Llobregas, Barcelona, 08950, Spain
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Hospital Santo Antonio dos Capuchos
Lisbon, 1169-050, Portugal
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Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Ramon y Cajal
Madrid, 28034, Spain
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Hospital Universitario Virgen Macarena
Seville, 41009, Spain
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Hospital Universitario de la Princesa
Madrid, 28006, Spain
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Hospital de Braga
Braga, 4710-243, Portugal
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Inst. Da Criança- Faculdade de Medicina Usp
São Paulo, 05403-900, Brazil
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Instituto de Neurologia de Curitiba
Curitiba, Paraná, 81210-310, Brazil
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Instytut Pomnik Centrum Zdrowia Dziecka
Warsaw, 04-730, Poland
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Johns Hopkins Medicine
Baltimore, Maryland, 21287, United States
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L2 Ip - Instituto de Pesquisas Clinicas Ltda - ME
Brasília, Federal District, 70200-730, Brazil
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Medizinische Universität Wien
Vienna, 1090, Austria
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Mother and Child Health Care Institute of Serbia Dr Vukan Cupic
Belgrade, 11000, Serbia
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Neurociencias Estudios Clinicos S.C.
Culiacán, Sinaloa, 80020, Mexico
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Nucleo de Pesquisa Clinica do Rio Grande do Sul NPCR
Porto Alegre, Rio Grande do Sul, 90430-001, Brazil
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Ospedale Pediatrico Bambino Gesù
Rome, Lazio, 00165, Italy
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Prof Dr Alexandru Obregia Clinical Psychiatric Hospital
Bucharest, 041914, Romania
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Royal Children's Hospital Melbourne - PIN
Parkville, Victoria, 3052, Australia
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Royal Hospital for Children and Young People
Edinburgh, EH51, United Kingdom
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Semmelweis Egyetem
Budapest, 1094, Hungary
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Sparsh Super Speciality Hospital
Bangalore North, Karnataka, 560022, India
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St. Luke's Hospital
Thessaloniki, 552 36, Greece
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Tartu University Hospital
Tartu, 50406, Estonia
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The Boster Center for Multiple Sclerosis a Singlepoint Healthcare Company
Columbus, Ohio, 43235, United States
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The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104-4319, United States
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The Hospital for Sick Children
Toronto, Ontario, M5G 1X8, Canada
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UC San Diego
La Jolla, California, 92037-1337, United States
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ULS de Coimbra, EPE - Hospitais da Universidade de Coimbra
Coimbra, 3000-602, Portugal
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UZ Gent
Ghent, 9000, Belgium
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Universita? G. D'Annunzio
Chieti, Abruzzo, 66100, Italy
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Universitaetsklinikum Carl Gustav Carus an der TU Dresden
Dresden, 01307, Germany
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University Clinical Centre of Nis
Niš, 18000, Serbia
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University General Hospital ''ATTIKON'' - General Hospital of West Attica H AGIA VARVARA
Chaïdári, Attica, 124 62, Greece
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Universitäts-Kinderspital Zürich - Eleonorenstiftung
Zurich, 8008, Switzerland
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Uniwersytecki Szpital Kliniczny w Poznaniu
Późna, 60-355, Poland
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Uniwersyteckie Centrum Kliniczne
Gda?sk, 80-952, Poland
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Vestische Kinder- und Jugendklinik Datteln
Datteln, 45711, Germany
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Victor Gomoiu Clinical Hospital for Children
Bucharest, 022102, Romania
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Washington University
St Louis, Missouri, 63101, United States
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Other studies related to the condition(s) this trial covers.
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