Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Retinal OCT biomarkers for ublituximab response in relapsing MS

Official title: Exploration of Novel Imaging Biomarkers on OCT for Ublituximab Treatment Response in Multiple Sclerosis

Run by University of Maryland, Baltimore · NCT06864936 · Data updated 2026-11-12

We will test whether special retinal OCT scans can find signs of immune activity in people with relapsing MS who are starting ublituximab or already on a stable MS medication.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment30 (estimated)
SponsorUniversity of Maryland, Baltimore
Academic / other
Drugs / interventionsUblituximab, rituximab, ocrelizumab, ofatumumab
Locations1 site (Baltimore, Maryland)
StatusRecruiting
StartedMay 1, 2026
Main results expectedDecember 30, 2027
Study endsJanuary 30, 2028
Registry record updatedJuly 29, 2026
Trial IDNCT06864936 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–65 with relapsing MS who are either newly referred to start ublituximab or currently on a stable disease-modifying therapy and able to undergo OCT imaging are ideal candidates.

Probably not a fit

People with eye conditions that interfere with OCT, recent treatment with B-cell depleting drugs, or those unable to attend in-person visits are unlikely to benefit from participation.

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

What this trial studies

This interventional study will use specialized optical coherence tomography (OCT) scans at enrollment and two follow-up timepoints to look for retinal imaging biomarkers of immune cell activity in people with relapsing MS. One group will start ublituximab (Briumvi) following their physician's referral while a comparison group will remain on a stable disease-modifying therapy. The study plans to enroll about 30 participants and compare imaging changes between the groups over time. Participants with ocular disease that prevents clear OCT imaging or recent B-cell depleting therapy are excluded.

Why it matters

Potential benefit: If successful, the imaging biomarkers could give doctors a noninvasive way to monitor immune activity and help guide B-cell therapy decisions in MS.

How similar studies have gone: Structural OCT measures have been used in MS research, but applying OCT to detect immune-cell activity during B-cell therapy is a relatively new approach with limited prior evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

For Ublituximab Group:

1. Ages 18-65
2. A diagnosis of relapsing MS (to include relapsing-remitting MS and active secondary progressive MS) according to 2017 Revised McDonald Criteria.
3. A recent referral for initiation of ublituximab for treatment of MS by the patient's treating physician.

For Comparison Group:

1. Ages 18 - 65
2. A diagnosis of relapsing-remitting MS according to 2017 Revised McDonald Criteria.
3. Currently on a stable dose of disease modifying treatment for MS with no plans for alternative therapy for the following year.

Exclusion Criteria:

For Ublituximab Group:

1. Known eye disease that may, in the opinion of the screening ophthalmologist, preclude proper analysis of data in this study. This includes, but is not limited to diabetic retinopathy, macular degeneration, and glaucoma.
2. Treatment with any B-cell depleting disease modifying therapy for MS (i.e. rituximab, ocrelizumab, ofatumumab, ublituximab, etc.) within the past 12 months.
3. History of life-threatening infusion reaction on ublituximab or prior anti-CD20 therapy
4. Any chronic or active infection that would preclude anti-CD20 therapy. This may include but is not limited to active hepatitis B virus (HBV) confirmed by positive results for Hepatitis B surface antigen (HBsAg) and anti-HBV tests, tuberculosis, and human immunodeficiency virus (HIV).
5. Receipt of any live of live-attenuated vaccines within 4 weeks prior to first ublituximab administration

For Comparison Group:

1. Known eye disease that may, in the opinion of the screening ophthalmologist, preclude proper analysis of data in this study. This includes, but is not limited to diabetic retinopathy, macular degeneration, and glaucoma.
2. Treatment with any B-cell depleting disease modifying therapy (i.e. rituximab, ocrelizumab, ofatumumab, ublituximab, etc.) within the past 12 months, or plans to initiate such a therapy in the following year.

Where it's running

  • University of Maryland, Baltimore
    Baltimore, Maryland, United States
    Recruiting

Study contacts

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.