Clinical trial Recruiting at 114 sites Phase 2 Interventional Ages 18 to 60

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

PhasePhase 2
Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment360 (estimated)
SponsorHoffmann-La Roche
Industry-sponsored
Drugs / interventionsocrelizumab
Locations114 sites (Camperdown, New South Wales and 113 other locations)
StatusRecruiting
StartedMarch 10, 2026
Main results expectedMay 30, 2028
Study endsMay 30, 2030
Registry record updatedOctober 7, 2026
Trial IDNCT07282574 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

  • 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
  • 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.