Evaluating satralizumab for children with neuromyelitis optica spectrum disorder
Official title: A Phase III, Multicenter, Open-Label, Uncontrolled Study to Evaluate Pharmacokinetics, Efficacy, Safety, Tolerability, and Pharmacodynamics of Satralizumab in Pediatric Patients With AQP4 Antibody Positive Neuromyelitis Optica Spectrum Disorder (NMOSD)
Run by Hoffmann-La Roche · NCT05199688 · Data updated 2026-11-12
This study is testing a new treatment called satralizumab to see if it helps children aged 2 to 11 with neuromyelitis optica spectrum disorder feel better and stay safe.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 2 Years to 11 Years |
| Sex | All |
| Enrollment | 8 (estimated) |
| Sponsor | Hoffmann-La Roche Industry-sponsored |
| Drugs / interventions | satralizumab |
| Locations | 14 sites (Denver, Colorado and 13 other locations) |
| Status | Recruiting |
| Started | May 6, 2026 |
| Main results expected | March 31, 2027 |
| Study ends | September 12, 2029 |
| Registry record updated | October 1, 2026 |
| Trial ID | NCT05199688 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children aged 2-11 years who are diagnosed with AQP4 antibody positive NMOSD and have experienced at least one attack in the past year.
✕Probably not a fit
Patients with other demyelinating diseases or those currently pregnant or lactating 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 study evaluates the pharmacokinetics, efficacy, safety, tolerability, and pharmacodynamics of satralizumab in pediatric patients aged 2 to 11 years who are positive for anti-aquaporin-4 antibodies and diagnosed with neuromyelitis optica spectrum disorder (NMOSD). The study aims to gather descriptive data on these parameters, given the limited number of eligible patients. Participants must have experienced at least one documented attack of NMOSD in the past year and demonstrate neurological stability prior to the study. The treatment will be administered while monitoring the patients closely for safety and efficacy outcomes.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for pediatric patients suffering from NMOSD, potentially improving their quality of life.
How similar studies have gone: While this approach is focused on a specific pediatric population, similar studies in adult populations have shown promise, indicating potential for success in this novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age at screening 2-11 years, inclusive * Body weight at screening \>=10 kg * For female patients of childbearing potential (postmenarchal): agreement to either remain completely abstinent (refrain from heterosexual intercourse) or to use a reliable means of contraception * Diagnosed as having NMOSD with AQP4 antibody seropositive status as defined by the Wingerchuk 2015 criteria Clinical evidence of at least one documented attack (including first attack) in the last year prior to screening: * Documented history of a positive anti-AQP4 antibody test or a positive anti-AQP4 antibody test at screening; * Neurological stability for \>=30 days prior to baseline * Expanded Disability Status Scale (EDSS) 0 to 6.5 * For participants receiving a baseline immunosuppressant treatment and planning to continue on these therapies, treatment must be at stable dose for 4 weeks prior to baseline Exclusion Criteria: * Pregnancy or lactation * Evidence of other demyelinating disease mimicking NMOSD * Active or presence of recurrent bacterial, viral, fungal, mycobacterial infection, or other infection at baseline * Evidence of chronic active hepatitis B or C * Evidence of untreated latent or active tuberculosis (TB) * Receipt of a live or live-attenuated vaccine within 6 weeks prior to baseline * History of severe allergic reaction to a biologic agent * IVIg or subcutaneous Ig (SCIg) within 4 weeks prior to enrollment/Day 1
Where it's running
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Children's Hospital Colorado.
Denver, Colorado, United States Recruiting -
Hospital de Pediatría S.A.M.I.C.- Prof. Dr. Juan P. Garrahan
Ciudad Autonoma Buenos Aires, Argentina Recruiting -
Clinica Universitaria Reina Fabiola
Córdoba, Argentina Recruiting -
Guangzhou Women and Children's Medical Center
Guangzhou, Guangdong, China Recruiting -
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, China Recruiting -
Centre Hospitalier Universitaire de Bicêtre
Le Kremlin-Bicêtre, Val-de-Marne, France Recruiting
Show 8 more locations
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IRCCS Ospedale Pediatrico Bambino Gesù - INCIPIT - PIN
Rome, Lazio, Italy Recruiting -
Fondazione Istituto Neurologico Mondino IRCCS
Pavia, Lombardy, Italy Recruiting -
Grupo Medico Camino
Df, Mexico CITY (federal District), Mexico Recruiting -
Hospital Infantil de Mexico Federico Gomez
Mexico City, Mexico CITY (federal District), Mexico Recruiting -
Instytut "Pomnik - Centrum Zdrowia Dziecka"
Warsaw, Poland Recruiting -
Kocaeli University Research and Application Hospit
Kocaeli, Turkey (Türkiye) Recruiting -
Great Ormond Street Hospital for Children
London, United Kingdom Recruiting -
Uniwersyteckie Centrum Kliniczne
Gdansk, Poland Active not recruiting
Study contacts
- Study coordinator: Reference Study ID Number: WN41733 https://forpatients.roche.com/ No attachments to email below.
- Email: global-roche-genentech-trials@gene.com
- Phone: 888-662-6728 (U.S.)
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Ravulizumab in Chinese adults with NMOSD
This study tests ravulizumab in Chinese adults with NMOSD who are AQP4 antibody positive to see if it helps reduce relapses and is safe.
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Rituximab vs multiple approved NMOSD therapies to prevent relapses
This study tests whether rituximab or one of four other approved medicines is better at preventing NMOSD relapses in adults who have AQP4-IgG.
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Registry of patients with AQP4+ NMOSD treated with C5 inhibitors
This study is collecting information from people with AQP4+ NMOSD who are being treated with C5 inhibitors to see how well these treatments work and how they affect daily life over five years.
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Satralizumab in the early treatment of NMOSD attacks: a multicenter real-world study
This study tests whether starting Satralizumab during an NMOSD attack is safe and helpful for adults with AQP4-IgG–positive NMOSD.
-
Transcranial alternating current stimulation for cognitive problems in inflammatory demyelinating CNS disorders
This trial will try transcranial alternating current stimulation to see if it improves thinking and memory in adults with multiple sclerosis and related inflammatory demyelinating central nervous system disorders.
-
Pregnancy registry for women with chronic neurological conditions
This study is collecting information and samples from pregnant women with chronic neurological conditions to see how pregnancy affects their health and their baby's development.
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.