New hope for MOGAD patients: drug aims to stop relapses
NCT ID NCT06452537
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether the drug tocilizumab can safely prevent or delay relapses in people with MOGAD, a rare autoimmune disease that attacks the nervous system. About 102 participants aged 12 and older who have had at least one relapse in the past year will receive either tocilizumab or a placebo. The main goal is to see if the drug reduces the number of relapses over time.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 102 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Jul 2026
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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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: 1. Participants who are aged ≥12 years at the time of signing Informed Consent Form 2. 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 3. Anti-MOG antibody seropositive 4. 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 tocilizumab 5. Patients must give written informed consent Exclusion Criteria: 1. Any concomitant disease other than MOGAD that may require treatment with oral immunosuppressants or prednisone at doses \>20 mg/day (or equivalent) 2. Receipt of the following at any time prior to randomization Alemtuzumab Total lymphoid irradiation Bone marrow transplant T-cell vaccination therapy Receipt of rituximab or any experimental B-cell depleting agent within 6 months prior screening and B-cells below the lower limit of normal. Receipt of intravenous immunoglobulin (IVIG) or plasma exchange (PE) within 1 month prior to randomization. Receipt of any of the following within 3 months prior to randomization: Natalizumab (Tysabri®). Methotrexate Mitoxantrone Cyclophosphamide Eculizumab Receipt of any of the following within 6 weeks prior to randomization: Tacrolimus Cyclosporin Mycophenolate mofetil 3. Participants who are pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the final dose of tocilizumab 4. Participants with active or presence of recurrent bacterial, viral, fungal, mycobacterial infection, or other infection at baseline 5. Participants with evidence of latent or active tuberculosis (excluding patients receiving chemoprophylaxis for latent tuberculosis infection) 6. Participants with positive screening tests for hepatitis B and C 7. Receipt of live or live attenuated vaccine within 6 weeks prior to baseline 8. Known history of a severe allergy or reaction to any biologic therapy. 9. History of alcohol, drug, or chemical abuse, or a recent history of such abuse \< 1 year prior to randomization 10. WBC \< 3.0 × 10\^3/mL, ANC \< 2.0 × 10\^3/mL, PLT \< 10 × 10\^4/mL, AST or ALT\>1.5 ×ULN, Lymphocyte count \< 0.5 × 10\^3/mL
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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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Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221006, China
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Anhui Provincial Hospital
Hefei, Anhui, 230001, China
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Beijing Tiantan Hospital, Capital Medical University
Beijing, 100000, China
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Children's Hospital of Soochow University
Suzhou, Jiangsu, 215025, China
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China-Japan Friendship Hospital
Beijing, 100000, China
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Chinese PLA General Hospital
Beijing, 100000, China
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First Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030000, China
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General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 751705, China
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Hebei Children's Hospital
Shijiazhuang, Hebei, 050000, China
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Huashan Hospital, Fudan University
Shanghai, 200000, China
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Ordos Central Hospital
Ordos, Inner Mongolia, 017000, China
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People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, Xinjiang Uygur Autonomous Region, 830001, China
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The First Affiliated Hospital of Tsinghua University
Beijing, 100000, China
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The First Affiliated Hospital of Zhengzhou University
Zhenzhou, Henan, China
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The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150086, China
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The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050000, China
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The Second Hospital of Lanzhou University
Lanzhou, Gansu, 73000, China
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The Third Affiliated Hospital of Soochow University
Changzhou, Jiangsu, 213000, China
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Tianjin Children's Hospital
Tianjin, 30052, China
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Tianjin Huanhu Hospital
Tianjin, 300052, China
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Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052, China
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XuanWu Hospital Capital Medical University
Beijing, 100000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can CRISPR-Edited cells stop autoimmune attacks on the brain?
- Can starting treatment right after a first attack prevent relapses in children?
- Can a simple blood test unlock the secrets of brain autoimmune diseases?
- Massive italian MS registry aims to unlock secrets of the disease
- MOGAD mystery: do headaches signal more?
- Massive Real-World study to track brain and nerve autoimmune disorders