Clinical trial No longer in our active list Phase 3 Interventional Ages 18 to 55

Evaluating IMU-838 for treating relapsing multiple sclerosis

Official title: A Multi-Center, Randomized, Double-Blinded Phase 3 Study to Evaluate the Efficacy, Safety, and Tolerability of IMU-838 Versus Placebo in Adults With Relapsing Multiple Sclerosis (ENSURE-1)

Run by Immunic AG · NCT05134441 · Data updated 2026-05-14

This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.

This study is testing a new medication called IMU-838 to see if it can help adults with relapsing multiple sclerosis feel better and manage their symptoms.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment1050 (estimated)
SponsorImmunic AG
Industry-sponsored
Locations86 sites (Phoenix, Arizona and 85 other locations)
Trial IDNCT05134441 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18 to 55 with an established diagnosis of relapsing multiple sclerosis and evidence of active disease.

Probably not a fit

Patients with non-active secondary progressive multiple sclerosis or primary progressive multiple sclerosis may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multicenter, randomized, double-blind, placebo-controlled Phase 3 study designed to assess the efficacy, safety, and tolerability of IMU-838 in adults diagnosed with relapsing multiple sclerosis (RMS). The study includes a screening period of approximately 28 days, followed by a main treatment period lasting up to 72 weeks, and an open-label extension period that may last up to 8 years. Participants will receive either IMU-838 or a placebo, and their responses will be monitored throughout the study duration.

Why it matters

Potential benefit: If successful, this study could provide a new treatment option for patients with relapsing multiple sclerosis, potentially improving their quality of life.

How similar studies have gone: Other studies have shown promise in evaluating treatments for relapsing multiple sclerosis, suggesting that this approach may be effective.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female patient (age ≥18 to ≤55 years).
* Patients with an established diagnosis of MS according to 2017 McDonald Criteria.
* Patients with RMS comprising of relapsing remitting MS (RRMS) and active secondary progressive MS, both defined according to Lublin criteria 1996 and 2014.
* Active disease as defined by Lublin 2014 evidenced prior to Screening by:

  1. At least 2 relapses in the last 24 months before randomization, or
  2. At least 1 relapse in the last 12 months before randomization, or
  3. A positive Gd+ MRI scan (brain and/or spine) in the last 12 months prior to randomization.
* Willingness and ability to comply with the protocol.
* Written informed consent given prior to any study-related procedure.

Exclusion Criteria:

* Patients with non-active secondary progressive MS and primary progressive MS.
* Any disease other than MS that may better explain the signs and symptoms, including history of complete transverse myelitis.
* Clinical signs or presence of laboratory findings suggestive for neuromyelitis optica (NMO) spectrum disorders or myelin oligodendrocyte glycoprotein (MOG)-IgG-associated encephalomyelitis
* Any active and uncontrolled coexisting autoimmune disease, other than MS (except for type 1 diabetes mellitus and inflammatory bowel disease)
* Use of experimental/investigational drug (with the exception ofCOVID-19 vaccines approved by emergency use authorization) and/or participation in drug clinical studies within 6 months prior to Screening
* Previous or current use of MS treatments lifelong, or within a pre-specified time period.
* Use of the pre-specified concomitant medications.
* Clinically significantly abnormal and pre-specified lab values.
* History of chronic systemic infections within 6 months before the date of informed consent.
* Diagnosis or suspected liver function impairment, which may cause fluctuating liver function tests during this study.
* Known history of nephrolithiasis or underlying condition with a strong association of nephrolithiasis.
* History or clinical diagnosis of gout.
* History or presence of any major medical or psychiatric illness
* Substantial medical condition that could create undue risk to the patient, could affect adherence with the study protocol or could undesirably affect study outcomes

Where it's running

  • Xenoscience, Inc., 21st Century Neurology
    Phoenix, Arizona, United States
    Recruiting
  • Bradenton Research Center
    Bradenton, Florida, United States
    Recruiting
  • Collier Neurologic Specialists
    Naples, Florida, United States
    Recruiting
  • Neurology Associates of Ormond Beach
    Ormond Beach, Florida, United States
    Recruiting
  • Consultants in Neurology, Ltd
    Northbrook, Illinois, United States
    Recruiting
  • Klinika Mjekesore Nuova, Neurology Clinic
    Tirana, Albania
    Recruiting
Show 44 more locations
  • Hygeia Hospital Tirana
    Tirana, Albania
    Recruiting
  • MHAT Puls AD
    Blagoevgrad, Bulgaria
    Recruiting
  • MHAT "Heart and Brain", EAD
    Burgas, Bulgaria
    Recruiting
  • MC Exacta Medica OOD
    Pleven, Bulgaria
    Recruiting
  • MHAT Avis Medica
    Pleven, Bulgaria
    Recruiting
  • UMHAT Dr.Georgi Stranski EAD
    Pleven, Bulgaria
    Recruiting
  • Heart and Brain University Hospital
    Pleven, Bulgaria
    Recruiting
  • MC Vita 1
    Pleven, Bulgaria
    Recruiting
  • UMHAT Sveti Georgi
    Plovdiv, Bulgaria
    Recruiting
  • UMHAT "Medica Ruse"
    Ruse, Bulgaria
    Recruiting
  • CCB Medical Institute Ministry of Interior
    Sofia, Bulgaria
    Recruiting
  • Diagnostic and Consultative Center Neoclinic
    Sofia, Bulgaria
    Recruiting
  • UMHAT "Sveti Ivan Rilski" EAD
    Sofia, Bulgaria
    Recruiting
  • MHATNP "Sveti Naum", EAD
    Sofia, Bulgaria
    Recruiting
  • MHATNPsy Sveti Naum EAD
    Sofia, Bulgaria
    Recruiting
  • UMHAT "Alexandrovska" EAD
    Sofia, Bulgaria
    Recruiting
  • UMHAT "Alexandrovska"
    Sofia, Bulgaria
    Recruiting
  • Military Medical Academy MHAT
    Sofia, Bulgaria
    Recruiting
  • MHAT "Sveta Sofia" EOOD
    Sofia, Bulgaria
    Recruiting
  • Military Medical Academy
    Sofia, Bulgaria
    Recruiting
  • UMHAT"Tsaritsa Yoanna -ISUL
    Sofia, Bulgaria
    Recruiting
  • UMHATEM N.Pirogov
    Sofia, Bulgaria
    Recruiting
  • UMHAT "Sveta Marina" EAD, First Clinic of Neurological Diseases
    Varna, Bulgaria
    Recruiting
  • Clínica Colsanitas S.A. Sede Clínica Universitaria Colombia
    Bogotá, Colombia
    Recruiting
  • Neurocountry Portoazul S.A.S.
    Puerto Colombia, Colombia
    Recruiting
  • 1st Uni Clinic of Tbilisi LEPL
    Tbilisi, Georgia
    Recruiting
  • Eristavi Experimental Center
    Tbilisi, Georgia
    Recruiting
  • J.S.C. Curatio Clinic
    Tbilisi, Georgia
    Recruiting
  • Katsiashvili Emergency Center
    Tbilisi, Georgia
    Recruiting
  • Khechinashvili University Hospital
    Tbilisi, Georgia
    Recruiting
  • LTD Aversi Clinic
    Tbilisi, Georgia
    Recruiting
  • LTD New Hospitals
    Tbilisi, Georgia
    Recruiting
  • MediClub Georgia LLC
    Tbilisi, Georgia
    Recruiting
  • Pineo Medical Ecosystem LTD
    Tbilisi, Georgia
    Recruiting
  • Sarajishvili Neurology Institute
    Tbilisi, Georgia
    Recruiting
  • Athens Medical Center
    Athens, Greece
    Recruiting
  • Thessaloniki Hosptl
    Thessaloníki, Greece
    Recruiting
  • Kanoria Hospital & Research Centre
    Gandhinagar, India
    Recruiting
  • Mallikatte, Kadri
    Mangalore, India
    Recruiting
  • Jasleen Hospital
    Nagpur, India
    Recruiting
  • Sir Ganga Ram Hospital
    New Delhi, India
    Recruiting
  • Ruby Hospital
    Pune, India
    Recruiting
  • Indira Gandhi Medical College & Hospital
    Shimla, India
    Recruiting
  • Institute of Medical Sciences Banaras Hindu University,IMS BHU Varanasi
    Varanasi, India
    Recruiting

+36 more sites. See ClinicalTrials.gov for the full list.

Study contacts

  • Principal investigator: Robert J. Fox, MD — Mellen Center for MS, Neurological Institute, Cleveland Clinic, Ohio
  • Study coordinator: Andreas Muehler, MD
  • Email: info@imux.com
  • Phone: +49 89 2080 477 00

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.