New drug aims to stop relapses in rare brain disease
NCT ID NCT05271409
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This phase 3 trial tests whether satralizumab can prevent relapses in people with MOGAD, a rare disease where the immune system attacks the brain and spinal cord. About 152 participants aged 12 and older will receive either the drug or a placebo. The main goal is to see if satralizumab delays the first relapse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- satralizumab
- What this could lead to
- If it works, this could provide a new treatment to prevent relapses in people with MOGAD, reducing hospitalizations and disability.
- What could go wrong
- This is a single phase 3 trial with 152 participants. The drug may not significantly reduce relapses compared to placebo, and side effects are possible.
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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132 people
The number who actually took part.
- Started
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Aug 2022
- Expected to finish
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May 2028
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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12 years and older
- 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 * Participants who are aged \>=12 years at the time of signing Informed Consent Form * Confirmed diagnosis of MOGAD with a history of \>=1 MOGAD relapse in the 12 months prior to screening or \>=2 attacks in the 24 months prior to screening * Expanded Disability Status Scale (EDSS) score of 0-6.5 at screening * High-contrast visual acuity (HCVA) better than 20/800 in each eye at screening * Participants receiving either no or ongoing chronic immunosuppressant treatment (IST) for MOGAD at the time of screening * For women of childbearing potential: participants who agree to remain abstinent or use adequate contraception during the treatment period and for at least 3 months after the final dose of satralizumab Exclusion criteria * Presence of aquaporin-4-antibodies immunoglobin G (AQP4-IgG) in the serum * History of anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis * Any concomitant disease other than MOGAD that may require treatment with ISTs or oral corticosteroids (OCS) or intravenous (IV) corticosteroids at doses \> 20 milligrams (mg) prednisone equivalent per day for \>21 days during the study * Participants who are pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the final dose of satralizumab * Participants with active or presence of recurrent bacterial, viral, fungal, mycobacterial infection, or other infection at baseline * Participants with evidence of latent or active tuberculosis (excluding patients receiving chemoprophylaxis for latent tuberculosis infection) * Participants with positive screening tests for hepatitis B and C * Receipt of live or live attenuated vaccine within 6 weeks prior to baseline * History of severe allergic reaction to a biologic agent
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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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Azienda Ospedaliera Universitaria Integrata Verona
Verona, Veneto, 37134, Italy
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Azienda Sanitaria Ospedaliera S. Luigi Gonzaga
Orbassano, Piedmont, 10043, Italy
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Brain and Mind Research Institute
Camperdown, New South Wales, 2050, Australia
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CH de Bicêtre
Le Kremlin-Bicêtre, 94275, France
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Centro de Pesquisas Clinicas
São Paulo, São Paulo, 01228-200, Brazil
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Chiba University Hospital
Chiba, 260-8677, Japan
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Children's Hospital of Eastern Ontario
Ottawa, Ontario, K1H 8L1, Canada
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Cleveland Clinic Foundation
Cleveland, Ohio, 44915, United States
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ECRC Experimental and Clinical Research Center, Charité Campus Berlin Buch, Memory Clinic
Berlin, 13125, Germany
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Fondazione Istituto Neurologico Mondino IRCCS
Pavia, Lombardy, 27100, Italy
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Hadassah University Hospital Ein Kerem
Jerusalem, 9112001, Israel
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Hopital Pierre Wertheimer
Bron, 69677, France
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Hospital Universitario Gaffree e Guinle
Rio de Janeiro, 20270-004, Brazil
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Instituto de Neurologia de Curitiba
Curitiba, Paraná, 81210-310, Brazil
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Instituto do Cerebro do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
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Johns Hopkins
Baltimore, Maryland, 21287, United States
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Juntendo University Hospital
Tokyo, 113-8431, Japan
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Keio University Hospital
Tokyo, 160-8582, Japan
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Kitasato University Hospital
Kanagawa, 252-0375, Japan
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Klinika Neurologii I Wydzialu Lekarskiego WUM w Warszawie
Warsaw, 02-097, Poland
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Klinikum Großhadern, LMU
Munich, 81377, Germany
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Kobe University Hospital
Hyōgo, 650-0017, Japan
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Kyushu University Hospital
Fukuoka, 812-8582, Japan
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MUCH - Montreal Neurological Institute & Hospital
Montreal, Quebec, H3A 2B4, Canada
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic - Rochester
Rochester, Minnesota, 55902, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Medstar Georgetown University Hospital
Washington D.C., District of Columbia, 20007, United States
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Memorial Healthcare Institute for Neurosciences and Multiple Sclerosis
Owosso, Michigan, 48867, United States
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Monash Medical Centre
Clayton, Victoria, 3168, Australia
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NYU Langone
New York, New York, 10003, United States
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National Cancer Center
Goyang-si, 10408, South Korea
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Perron Institute for Neurological and Translational Science
Nedlands, Western Australia, 6009, Australia
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Premier Neurology
Greenville, South Carolina, 29605, United States
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SPSK nr 1
Zabrze, 41-800, Poland
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Southern Tohoku Medical Clinic
Fukushima, 963-8052, Japan
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St. Josef-Hospital, Klinik für Neurologie
Bochum, 44791, Germany
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The Jikei University Hospital
Tokyo, 105-8471, Japan
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The University of Osaka Hospital
Osaka, 565-0871, Japan
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Tohoku University Hospital
Miyagi, 980-8574, Japan
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Tokyo Medical University Hospital
Tokyo, 160-0023, Japan
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University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
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University of California Irvine - Manchester Pavilion
Irvine, California, 92697, United States
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University of Cincinnati
Cincinnati, Ohio, 45267, United States
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University of Colorado - Anschutz Medical Campus (University of Colorado Health Sciences Center)
Aurora, Colorado, 80045, United States
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University of Florida College of Medicine Gainesville
Gainesville, Florida, 32608, United States
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Universitätsklinikum Düsseldorf
Düsseldorf, 40225, Germany
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Universitätsklinikum Mannheim
Mannheim, 68167, Germany
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Vestische Kinder- und Jugendklinik Datteln
Datteln, 45711, Germany
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Washington University School of Medicine in St. Louis
St Louis, Missouri, 63110, United States
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Wielospecjalistyczna Poradnia Lekarska Synapsis
Katowice, 40-123, Poland
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