Relapsing Multiple Sclerosis study: Ozanimod
Official title Prospective Evaluation of Sequencing From antiCD-20 Therapies to Ozanimod
ClinicalTrials.gov ID: NCT06529406
What this study is testing
What is Ozanimod?
An investigational oral medicine being studied as a potential treatment for relapsing multiple sclerosis. It is designed to modulate sphingosine‑1‑phosphate receptors, reducing the movement of immune cells into the central nervous system.
Also referred to as Zeposia.
Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- The study wants to find out if switching to ozanimod is safe and works for people with relapsing MS who are already stable after anti‑CD20 therapy.
- Who it's for
- Adults with relapsing multiple sclerosis who are clinically stable and have previously received anti‑CD20 treatment.
- What's involved
- Participants will stop their anti‑CD20 medication and begin taking ozanimod, while researchers monitor safety and disease activity through clinic visits and tests.
- Phase 4: studies an already-approved treatment
- Time commitment: about 36 months
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 and older
You may be able to join if
- Participants have been diagnosed with relapsing forms of MS and have had multiple sclerosis related symptoms at least 3 years prior to baseline visit
- Male or female participants \> or = to 18 years of age at the time of initiation of de-escalation
- Participants do not have evidence of new inflammatory disease activity (no new T2/contrast enhancing lesions, absence of relapses) for a minimum of...
- Participant is taking an anti-CD20 therapy as a DMT continuously for a minimum of two years (e.g., has received at least 3 courses of rituximab...
- Participants received their last anti-CD20 infusion, including ocrelizumab subcutaneous injection, within 6-12 months or received their last...
You likely can't join if
- Any progression of neurological disability in the year prior to the screening visit that would be consistent with progressive MS
- Participant has an EDSS \>6.5
- Participant has a history of other chronic neurological illnesses that might mimic MS with chronic or intermittent symptoms (i.e.
- Participant is considering pregnancy in the short term, is pregnant, lactating or has a positive serum beta human chorionic gonadotropin (B-hCG)...
- Participant has any other significant medical or psychiatric illness, if uncontrolled, that could jeopardize a subject's health or put them at...
- Participant has a history of cancer within the last 5 years, including solid tumors and hematological malignancies (except basal cell and in situ...
See the full eligibility criteria
- Participants have been diagnosed with relapsing forms of MS and have had multiple sclerosis related symptoms at least 3 years prior to baseline visit
- Male or female participants \> or = to 18 years of age at the time of initiation of de-escalation
- Participants do not have evidence of new inflammatory disease activity (no new T2/contrast enhancing lesions, absence of relapses) for a minimum of two years prior to de-escalation
- Participant is taking an anti-CD20 therapy as a DMT continuously for a minimum of two years (e.g., has received at least 3 courses of rituximab, ocrelizumab, ublituximab; 24 months of treatment with ofatumumab
- Participants received their last anti-CD20 infusion, including ocrelizumab subcutaneous injection, within 6-12 months or received their last ofatumumab injection within 30 -180 days from Day 1
- Participants must provide written informed consent and be able to comply with the visit schedule and study related assessments
- Participants must be able to undergo a brain MRI without anesthesia
- Woman of Childbearing Potential must agree to practice a highly effective method of contraception throughout the study until completion and willing to follow pregnancy precautions.
- Any progression of neurological disability in the year prior to the screening visit that would be consistent with progressive MS
- Participant has an EDSS \>6.5
- Participant has a history of other chronic neurological illnesses that might mimic MS with chronic or intermittent symptoms (i.e. ALS, myasthenia gravis, chronic neuropathy, etc.)
- Participant is considering pregnancy in the short term, is pregnant, lactating or has a positive serum beta human chorionic gonadotropin (B-hCG) measured during screening.
- Participant has any other significant medical or psychiatric illness, if uncontrolled, that could jeopardize a subject's health or put them at significant safety risk during the course of the study in the opinion of...
- Participant has a history of cancer within the last 5 years, including solid tumors and hematological malignancies (except basal cell and in situ squamous cell carcinomas of the skin or cervical dysplasia/cancer that...
- Participant has a history in the last 6 months of myocardial infarction, unstable angina, stroke, transient ischemic attack, decompensated heart failure requiring hospitalization, or Class III or IV heart failure
- Participant has Mobitz type II second-degree or third degree atrioventricular (AV) block, sick sinus syndrome, or sino-atrial block, unless the patient has a functioning pacemaker
- Participant has severe untreated sleep apnea
- Participant has a history of diabetes mellitus type 1, or uncontrolled diabetes mellitus type 2 with hemoglobin A1c (HbA1c) \> 9%, or is a diabetic subject with significant comorbid conditions such as retinopathy or...
- Participant has a history or known presence of recurrent or chronic infection (e.g., hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV); recurrent urinary tract infections are allowed.
- Concomitant use of a monoamine oxidase inhibitor
- Use of systemic corticosteroids in the last 2 years, except for the use as a premedication for B-cell depleting treatment (Note: Use of inhaled or topical steroids
- Prior use of alemtuzumab, mitoxantrone, cyclophosphamide, methotrexate, cyclosporine, or any experimental MS treatment within 5 half-lives
- Participant has IgG levels \<400 mg/dL
- Participant has neutrophils \< 1500/μL (1.5 GI/L)
- Participant has an absolute white blood cell (WBC) count \< 3500/μL (3.5 GI/L)
- Participant has an absolute lymphocyte count (ALC) \< 800 cells/μL (0.80 GI/L).
- Participant has liver function impairment or persisting elevations of aspartate aminotransferase (AST) or alanine aminotransferase (ALT) results \> 3 x the upper limit of normal (ULN)
The study team makes the final eligibility decision.
Where it is enrolling
- Aurora, Colorado, United States
- Las Vegas, Nevada, United States
- Cleveland, Ohio, United States
Compensation & support
A stipend or payment for your time may be offered.
No amount is published here because ClinicalTrials.gov has no reliable field for payment or travel support. Ask the study team what's actually covered (payment for your time, travel, parking, or other study costs), and never join a trial for the compensation alone.
Questions & answers
Do participants get paid in this trial?
This study's listing includes signals that participants may be compensated or receive a stipend. Amounts vary and are set by the study team, so confirm the details with them.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.
How long does this study last?
The study runs about 36 months per participant, based on its public description. The team confirms the exact schedule and number of visits before you enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.
Where is this trial taking place?
This study is enrolling now at Aurora, Colorado, United States; Las Vegas, Nevada, United States; Cleveland, Ohio, United States. Enter your location above to see the nearest enrolling site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.