Adding RO7268489 to ocrelizumab for progressive multiple sclerosis
Official title: A Multi-center, Double-blind, Placebo-controlled, Phase II Study Evaluating the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489, a Monoacylglycerol Lipase Inhibitor, as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis
Run by Hoffmann-La Roche · NCT07282574 · Data updated 2026-11-12
This trial will test whether adding RO7268489 to ocrelizumab helps adults with progressive multiple sclerosis.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 360 (estimated) |
| Sponsor | Hoffmann-La Roche Industry-sponsored |
| Drugs / interventions | ocrelizumab |
| Locations | 114 sites (Camperdown, New South Wales and 113 other locations) |
| Status | Recruiting |
| Started | March 10, 2026 |
| Main results expected | May 30, 2028 |
| Study ends | May 30, 2030 |
| Registry record updated | October 7, 2026 |
| Trial ID | NCT07282574 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with progressive multiple sclerosis by the 2017 McDonald criteria, an EDSS of 3.0 to 6.0, and who are currently receiving ocrelizumab are the intended participants.
✕Probably not a fit
People who had an MS relapse within six months, cannot undergo MRI, have contraindications to ocrelizumab pre-medications, or recently received IVIg or plasmapheresis are unlikely to qualify or benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2, randomized, double-blind, placebo-controlled study tests RO7268489 as an add-on to standard ocrelizumab treatment in adults with progressive multiple sclerosis. Eligible participants with EDSS scores of 3.0–6.0 who are receiving ocrelizumab are randomized to receive RO7268489 or placebo while continuing ocrelizumab, and investigators will monitor safety, pharmacokinetics, pharmacodynamics, and measures of efficacy. MRI and clinical disability scales will be used to track disease activity and progression, and an open-label extension may allow continued RO7268489 exposure after the double-blind period. The sponsor is Hoffmann‑La Roche with trial sites in Australia and France.
Why it matters
Potential benefit: If successful, adding RO7268489 could slow disability progression or reduce disease activity in people with progressive MS who are already treated with ocrelizumab.
How similar studies have gone: RO7268489 is a novel compound and add-on therapies to anti-CD20 treatment like ocrelizumab remain experimental with limited prior success in progressive MS.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * PMS, in accordance with the revised 2017 McDonald criteria * Expanded disability status scale (EDSS) at screening between 3.0 and 6.0 inclusive * Documented evidence of disability progression independent of relapse activity over the 2 years before the screening visit Exclusion Criteria: * MS relapse during the 6 months preceding the randomization date * Lack of peripheral venous access * History of alcohol or other drug abuse (substance use disorder) based on Diagnostic and Statistical Manual for Mental Disorders, fifth edition (DSM-5) criteria, within 5 years prior to screening * Inability to complete a magnetic resonance imaging (MRI) * Contraindications to ocrelizumab mandatory pre-medications * Treatment with intravenous immunoglobulin (IV Ig) or plasmapheresis within 12 weeks prior to screening
Where it's running
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Brain and Mind Centre
Camperdown, New South Wales, Australia Recruiting -
Southern Neurology
Kogarah, New South Wales, Australia Recruiting -
John Hunter Hospital
New Lambton Heights, New South Wales, Australia Recruiting -
Box Hill Hospital
Box Hill, Victoria, Australia Recruiting -
Austin Health
Heidelberg, Victoria, Australia Recruiting -
Centro de Pesquisas Clinicas - CPCLIN
São Paulo, São Paulo, Brazil Recruiting
Show 44 more locations
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CHU Strasbourg Hpital Hautepierre
Strasbourg, Bas Rhin, France Recruiting -
Hopital Caremeau
Nîmes, Gard, France Recruiting -
Groupe Hospitalier Pellegrin
Bordeaux, Gironde, France Recruiting -
Hopital Purpan
Toulouse, Haute Garonne, France Recruiting -
Hopital Gui de Chauliac
Montpellier, Herault, France Recruiting -
CHU Nantes - Hopital Nord Laënnec
Saint-Herblain, Loire Atlantique, France Recruiting -
CHU Nancy Hôpital Central
Nancy, Meurthe Et Moselle, France Recruiting -
CHU Hopital Gabriel Montpied
Clermont-Ferrand, Puy De Dome, France Recruiting -
Hopital Neurologique Pierre Wertheimer
Bron, France Recruiting -
Groupe Hospitalier Pitie-Salpetriere
Paris, France Recruiting -
CHU Rennes - Hopital Pontchaillou
Rennes, France Recruiting -
Universitaetsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, Germany Recruiting -
Universitaetsmedizin Mannheim
Mannheim, Baden-Wurttemberg, Germany Recruiting -
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, Germany Recruiting -
Studienzentrum Neuropoint GmbH,
Ulm, Baden-Wurttemberg, Germany Recruiting -
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, Germany Recruiting -
Universitaetsklinikum Erlangen
Erlangen, Bavaria, Germany Recruiting -
LMU-Campus Grosshadern
Munich, Bavaria, Germany Recruiting -
Klinikum rechts der Isar der TU Muenchen
Munich, Bavaria, Germany Recruiting -
Universitaetsklinikum Frankfurt Goethe-Universitaet
Frankfurt am Main, Hesse, Germany Recruiting -
St. Josef-Hospital Universitaetsklinikum
Bochum, North Rhine-Westphalia, Germany Recruiting -
Universitaetsklinikum Bonn AoeR
Bonn, North Rhine-Westphalia, Germany Recruiting -
Universitaetsklinikum Duesseldorf
Düsseldorf, North Rhine-Westphalia, Germany Recruiting -
Universitaetsklinkm Essen
Essen, North Rhine-Westphalia, Germany Recruiting -
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Saxony, Germany Recruiting -
Universitaetsklinikum Leipzig
Leipzig, Saxony, Germany Recruiting -
Charité Universitaetsmedizin Berlin - Campus Ch
Berlin, Germany Recruiting -
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, Germany Recruiting -
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, Baranya, Hungary Recruiting -
Clinexpert Kft.
Budapest, Hungary Recruiting -
S-Medicon Egeszsegugyi Szolgaltato Kft.
Budapest, Hungary Recruiting -
Semmelweis Egyetem
Budapest, Hungary Recruiting -
Bajcsy-Zsilinszky Korhaz es Rendelointezet
Budapest, Hungary Recruiting -
Budapesti Uzsoki Utcai Kórház
Budapest, Hungary Recruiting -
Debreceni Egyetem Klinikai Kozpont Kenezy Gyula Campus
Debrecen, Hungary Recruiting -
Somogy Varmegyei Kaposi Mor Oktato Korhaz
Kaposvár, Hungary Recruiting -
Fondazione Università G. D'Annunzio
Chieti, Abruzzo, Italy Recruiting -
Azienda Ospedaliera Universitaria Federico II
Naples, Campania, Italy Recruiting -
Azienda Ospedaliera Universitaria- Universit degli Studi della Campania Luigi Vanvitelli
Naples, Campania, Italy Recruiting -
Az. Osp. OO.RR. S. Giovanni di Dio e Ruggi D' Aragona
Salerno, Campania, Italy Recruiting -
Azienda Ospedaliera Universitaria Policlinico Tor Vergata
Roma, Emilia-Romagna, Italy Recruiting -
IRCCS AOM Azienda Ospedaliera Metropolitana
Genoa, Liguria, Italy Recruiting -
Ospedale San Raffaele
Milan, Lombardy, Italy Recruiting -
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Lombardy, Italy Recruiting
+64 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Reference Study ID Number: BP46016 https://forpatients.roche.com/ No attachments to email below.
- Email: global-roche-genentech-trials@gene.com
- Phone: 888-662-6728 (U.S. Only)
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.