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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 130 Years |
| Sex | All |
| Enrollment | 19 (estimated) |
| Sponsor | Alexion Pharmaceuticals, Inc. Industry-sponsored |
| Drugs / interventions | ravulizumab, rituximab, inebilizumab, satralizumab |
| Locations | 10 sites (Beijing and 9 other locations) |
| Status | Recruiting |
| Started | July 20, 2026 |
| Main results expected | September 19, 2028 |
| Study ends | September 19, 2028 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT07557420 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
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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
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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
- Study coordinator: Alexion Pharmaceuticals, Inc. (Sponsor)
- Email: clinicaltrials@alexion.com
- Phone: 1-855-752-2356
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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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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.
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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.