Cheaper MS drug could match costly standard in new trial
NCT ID NCT05758831
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether rituximab, a less expensive drug, works as well as ocrelizumab for people with relapsing-remitting multiple sclerosis. About 386 participants will receive either drug and be followed for 2 years. The main goal is to see if rituximab can keep the disease inactive (no relapses or new brain lesions) just as effectively as ocrelizumab.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rituximab and ocrelizumab (infused drugs)
- What this could lead to
- If rituximab works as well as ocrelizumab, it could offer a more affordable treatment option for relapsing-remitting MS.
- What could go wrong
- This is a non-inferiority trial, so rituximab might not be as effective. Both drugs have known risks like 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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About 386 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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May 2030
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.
- 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: * Patients presenting a relapsing remitting MS according to Mac Donald 2017 criteria, with clinical or radiological criteria of activity (ie at least one relapse AND/OR one new T2 lesion in the last 12 months before inclusion); * Age between 18 and 55 years * EDSS ≤ 5 * Brain MRI within 6 months before inclusion * For women of childbearing potential\*: effective contraception (effective contraception include oral contraception, intrauterine devices and other forms of contraception with failure rate \<1%, for the duration of the study and until 12 months after last dose administered) \* A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a post-menopausal state in women not using hormonal contraception or hormonal replacement therapy. However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient. * Having signed an informed consent form * Patients covered with social insurance Non-Inclusion Criteria: * Secondary or primary progressive MS; * Previous treatment by mitoxantrone, cladribine, alemtuzumab and anti CD20 therapies in the last two years; * Previous treatment by fingolimod or natalizumab in the last 4 weeks; * Treatment with high dose corticosteroids during the 30 days preceding the inclusion; * Occurrence of a relapse less than 30 days before inclusion; * Pregnancy or breastfeeding; * Other neurologic or systemic disease; * Concomitant participation or Participation in another therapeutic trial in the last 6 months; * Incapacity to understand or sign the consent form; * Contraindication to MRI; * Contraindication to anti-CD20 therapies: * Receipt of a live or live-attenuated vaccine within 6 weeks prior to randomization * Active malignancy. * Any ongoing infection * Severe heart failure (New York Heart Association Class IV) or severe uncontrolled cardiac disease * Positive test for HIV, hepatitis B or C, or tuberculosis * Severe immune deficiency: * Lymphopenia grade 3 (0.2 to 0.5 × 10\^9/L) or higher grades * Neutropenia grade 3 (0.5 to 1.0 × 10\^9/L) or higher grades * Known hypersensitivity or other known side effects for any of the study medications, including co-medications such as high glucocorticosteroids * AST or ALT \>=3ULN * Platelet (thrombocyte) count \< 100 x 10\^9/L * Adults legally protected (under judicial protection, guardianship, or supervision), persons deprived of their liberty.
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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
23 sites. 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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AP-HM - Hôpital la Timone
RECRUITINGMarseille, 13385, France
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AP-HP Höpital la Pitié-Salpétrière
NOT_YET_RECRUITINGParis, 75010, France
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CHRU de Brest - Hôpital la Cavale Blanche
NOT_YET_RECRUITINGBrest, 29609, France
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CHRU de Montpellier - Hôpital Gui de Chauliac
RECRUITINGMontpellier, 34295, France
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CHRU de Strasbourg - Hôpital Hautpierre
RECRUITINGStrasbourg, 67200, France
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CHU de Nantes -Hôpital Nord Laennec
RECRUITINGNantes, 44800, France
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CHU de Nice - Hôpital Pasteur 2
RECRUITINGNice, 06002, France
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CHU de Nîmes - Hôpital Caremeau
NOT_YET_RECRUITINGNîmes, 30029, France
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CHU de Rouen - Hôpital Charles Nicolle
NOT_YET_RECRUITINGRouen, 76038, France
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CHU de Toulouse - Bâtiment Pierre Paul Riquet
NOT_YET_RECRUITINGToulouse, 31059, France
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Centre Hospitalier Régional de Nancy
RECRUITINGNancy, 54035, France
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Centre Hospitalier Universitaire de Caen
RECRUITINGCaen, 14033, France
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Centre Hospitalier Universitaire de Limoges
NOT_YET_RECRUITINGLimoges, 87042, France
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Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou
RECRUITINGRennes, 35000, France
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Centre Hospitalier de Cornouaille
RECRUITINGQuimper, 29107, France
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Centre Hospitalier de Pontoise - GHT NOVO
NOT_YET_RECRUITINGCergy-Pontoise, 95300, France
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Centre hospitalier de Gonnesse
NOT_YET_RECRUITINGGonesse, 95503, France
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Groupe Hospitalier Universitaire Henri Mondor
NOT_YET_RECRUITINGParis, 94000, France
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Groupe Hospitalier de l'Institut Catholique de Lille
NOT_YET_RECRUITINGLille, 59160, France
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Hospices Civils de Lyon Hôpital Neurologique Pierre Wertheimer
NOT_YET_RECRUITINGLyon, Bron, 69677, France
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Hôpital Foch
NOT_YET_RECRUITINGSuresnes, 92150, France
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Hôpital Gabriel Montpieds
NOT_YET_RECRUITINGClermont-Ferrand, 63003, France
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Hôpital Saint-Germain
NOT_YET_RECRUITINGPoissy, 78303, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Under-the-Skin MS drug: can a shot replace an IV drip?
- Can a common antihistamine boost multiple sclerosis treatment?
- Can exercise rebuild muscle and balance in MS?
- Can diet ease the crushing fatigue of multiple sclerosis?
- One-Time CAR-T infusion tested against progressive MS
- Can PET scans reveal hidden brain inflammation in MS?