MS drug levels in breast milk under study for nursing moms
NCT ID NCT06444113
First seen Jun 27, 2026 · Last updated Aug 13, 2026 · Updated 2 times
Summary
This study looks at how much of the multiple sclerosis drug ofatumumab gets into breast milk. About 24 women with relapsing MS who are breastfeeding and starting or restarting ofatumumab will provide milk samples. The goal is to measure drug concentrations, which may help guide future breastfeeding recommendations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ofatumumab
- What this could lead to
- If successful, this study could help doctors give better advice to women with MS who want to breastfeed while on ofatumumab.
- What could go wrong
- This is a small, observational study (24 participants) that only measures drug levels in milk, not safety or long-term effects on babies. Results may not apply to all women.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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24 people
The number who actually took part.
- Started
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Nov 2024
- Expected to finish
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Oct 2026
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 100 years
- Sex
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Female participants only
- 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: 1. Written informed consent must be obtained before any study assessment is performed. 2. Participant is female with a relapsing form of MS and at least 18 years of age at the time of providing consent. 3. Participant must be postpartum at the time of enrollment, plan to be exclusively breastfeeding and willing to provide breast milk samples. 4. Participant has delivered term infant (at least 37 weeks gestation). 5. Participant must plan to initiate or re-initiate or have initiated or re-initiated treatment with ofatumumab between 2 to 24 weeks postpartum. The decision to be treated with ofatumumab and to breastfeed is made in accordance with the treating physician and must be completely independent of the decision to participate in this study. Exclusion Criteria: 1. Use of any investigational drugs within 5 half-lives of enrollment, or within 30 days or until the expected pharmacodynamic effect has returned to baseline, whichever is longer. 2. Participant taking medications prohibited by the study protocol at screening. 3. Pregnant woman, confirmed by positive serum pregnancy test during screening. 4. Female of childbearing potential should use effective contraception as per local label. 5. Participant has history of chronic alcohol abuse or drug abuse in the last year. 6. Participant has any medical, obstetrical, psychiatric or other medical condition that, in the opinion of the Investigator, can jeopardize or would compromise the subject's ability to participate in this study or confound the study assessment. 7. Participant has history of breast implants, breast augmentation, or breast reduction surgery. 8. Participant has received anti-CD20 agents during the second and third trimesters of pregnancy. 9. Active infections, including mastitis (participant may be included once the infection is resolved). 10. Prior or current history of primary or secondary immunodeficiency, or participant in an otherwise severely immunocompromised state. 11. Participant with active hepatitis B disease prior to the initiation or re-initiation of ofatumumab. (Participant with positive hepatitis B serology should consult a liver disease medical standards to prevent hepatitis B reactivation.) 12. History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. 13. Any contraindication as per local label. 14. Participant who has an infant with any abnormality that may interfere with breastfeeding or confound the study assessment in the opinion of the Investigator.
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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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Brigham and Womens Hospital
Brookline, Massachusetts, 02445, United States
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Northwestern Medicine Northwestern University
Winfield, Illinois, 60190, United States
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Novartis Investigative Site
Munich, Bavaria, 81377, Germany
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Novartis Investigative Site
Bochum, 44791, Germany
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Novartis Investigative Site
Hamburg, 22179, Germany
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Novartis Investigative Site
Tübingen, 72076, Germany
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Novartis Investigative Site
Foggia, FG, 71122, Italy
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Novartis Investigative Site
Bialystok, 15 276, Poland
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Novartis Investigative Site
Kielce, 25-726, Poland
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Novartis Investigative Site
Cambridge, CB2 0QQ, United Kingdom
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Novartis Investigative Site
London, NW1 2BU, United Kingdom
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Novartis Investigative Site
Oxford, OX3 9DU, United Kingdom
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Novartis Investigative Site
Salford, M6 8HD, United Kingdom
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UC Health Neuroscience Ctr
Aurora, Colorado, 80045, United States
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UCSF
San Francisco, California, 94115, United States
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