Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 to 130

Ravulizumab in Chinese adults with NMOSD

Official title: A Phase 3b, Open-label, Single-arm, Multicenter Study to Evaluate the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Ravulizumab in Chinese Adult Participants With Neuromyelitis Optica Spectrum Disorder (NMOSD)

Run by Alexion Pharmaceuticals, Inc. · NCT07557420 · Data updated 2026-11-12

This study tests ravulizumab in Chinese adults with NMOSD who are AQP4 antibody positive to see if it helps reduce relapses and is safe.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 130 Years
SexAll
Enrollment19 (estimated)
SponsorAlexion Pharmaceuticals, Inc.
Industry-sponsored
Drugs / interventionsravulizumab, rituximab, inebilizumab, satralizumab
Locations10 sites (Beijing and 9 other locations)
StatusRecruiting
StartedJuly 20, 2026
Main results expectedSeptember 19, 2028
Study endsSeptember 19, 2028
Registry record updatedSeptember 11, 2026
Trial IDNCT07557420 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with NMOSD who are anti-AQP4 antibody positive, have had at least one relapse in the past year, have EDSS ≤7, weigh ≥40 kg, on a stable background therapy, and are vaccinated against meningococcal infections.

Probably not a fit

Patients without frequent relapses in the prior year or those not meeting vaccination or weight criteria may not benefit and may be excluded from the study.

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

What this trial studies

This Phase 3 interventional trial evaluates the efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity of ravulizumab in Chinese adults with anti-AQP4 antibody–positive NMOSD. Eligible participants have had attacks in the prior year and a stable background therapy, with body weight at least 40 kg and meningococcal vaccination. The study will monitor relapses, disability progression, and immune responses while assessing drug levels and effects on the immune system. Sites are located in Beijing and Chengdu. Lead sponsor is Alexion Pharmaceuticals, with no listed collaborators.

Why it matters

Potential benefit: If successful, ravulizumab could reduce relapse risk and potentially slow disability progression for NMOSD patients.

How similar studies have gone: Earlier studies of complement inhibitors in NMOSD suggest potential benefit, but results are disease- and population-specific and require confirmation in Chinese adults.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion (essential)

* Diagnosis: NMOSD per 2015 international consensus criteria, and anti AQP4 antibody positive at Screening.
* Disease activity: ≥1 attack/relapse in the past 12 months.
* Disability: EDSS ≤7.
* Background therapy: If on IST and/or oral corticosteroids, participant should be on a stable maintenance regimen prior to Screening and plan to remain stable during the study unless relapse occurs. (Detailed agent specific duration/dose rules to be confirmed at screening.)
* Body weight: ≥40 kg.
* Vaccinated against meningococcal infections from serogroups A, C, W, Y (and B where available) within the 3 years prior to study intervention administration on Day 1.

Key Exclusion (essential)

* Pregnancy/lactation: Pregnant, breastfeeding, or intending to conceive during the study.
* Infection risk: History of meningococcal disease or unresolved meningococcal disease, active systemic infection within 14 days, or fever ≥38°C within 7 days before Day 1.
* Hypersensitivity: To murine proteins or ravulizumab excipients.
* Serious comorbidities: Any condition that in the Investigator's judgment adds risk or interferes with participation/assessment.
* Viral infections: Known HIV, active HBV, or active HCV.
* Prior/concomitant immunomodulatory treatments:

  * B cell-depleting therapy (e.g., rituximab, inebilizumab) within 3 months before Screening.
  * Mitoxantrone or satralizumab within 3 months before Screening.
  * IVIg within 3 weeks before Screening.
  * Any prior or current complement inhibitor.

Note: Other protocol-defined criteria may apply and should be verified during full eligibility review.

Where it's running

  • Research Site
    Shanghai, China
    Recruiting
  • Research Site
    Beijing, China
    Not yet recruiting
  • Research Site
    Beijing, China
    Not yet recruiting
  • Research Site
    Chengdu, China
    Not yet recruiting
  • Research Site
    Dongguan, China
    Not yet recruiting
  • Research Site
    Jinan, China
    Not yet recruiting
Show 4 more locations
  • Research Site
    Shijiazhuang, China
    Not yet recruiting
  • Research Site
    Taiyuan, China
    Not yet recruiting
  • Research Site
    Wenzhou, China
    Not yet recruiting
  • Research Site
    Wuhan, China
    Not yet recruiting

Study contacts

Similar studies

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

  • 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.

    Recruiting at 2 sites Phase 4 Massachusetts General Hospital · Boston, Massachusetts and 2 other locations · NCT07010302

  • 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.

    Recruiting at 23 sites Alexion Pharmaceuticals, Inc. · Washington D.C., District of Columbia and 32 other locations · NCT05966467

  • Evaluating satralizumab for children with neuromyelitis optica spectrum disorder

    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.

    Recruiting at 13 sites Phase 3 Hoffmann-La Roche · Denver, Colorado and 13 other locations · NCT05199688

  • Ravulizumab for Generalized Myasthenia Gravis in Chinese Adults

    This trial tests ravulizumab in Chinese adults with generalized myasthenia gravis to see if it helps symptoms while checking safety and how the drug behaves in the body.

    Recruiting at 8 sites Phase 3 Alexion Pharmaceuticals, Inc. · Beijing and 9 other locations · NCT07596784

  • Early ravulizumab for adults with myasthenic crisis in the ICU

    This project will test whether giving ravulizumab early to adults with AChR-positive generalized myasthenia gravis who are in the ICU for a myasthenic crisis helps speed recovery.

    Recruiting at 5 sites Centre Hospitalier Universitaire de Nice · Nice, Alpes-maritimes and 7 other locations · NCT07411963

  • Ravulizumab Outcomes in Polish Patients with aHUS

    This observational study in Poland follows patients with atypical hemolytic uremic syndrome who are treated with ravulizumab to see how they do over time in real-world clinical care.

    Recruiting at 5 sites AstraZeneca · Gdansk and 9 other locations · NCT07399730

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.