AzTrials
AzTrials

Relapse Remitting Multiple SclerosisPhase 4AGNOSNCT05084638

Study to Assess the Effect of Ofatumumab in Treatment Naïve, Very Early RRMS Patients Benchmarked Against Healthy Controls.

A Phase 4 study testing Ofatumumab in people with Relapse Remitting Multiple Sclerosis, run by Novartis Pharmaceuticals at 36 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study evaluates the impact of ofatumumab in Relapsing Remitting Multiple Sclerosis (RRMS) participants that are very early in the course of their disease using clinical and magnetic resonance imaging (MRI) outcomes. Read more about this study

Who is it for?
Ages 18 to 35 yearsHealthy volunteers can take part
Conditions the study is for
Relapse Remitting Multiple Sclerosis
What is being tested?
Ofatumumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
36 sitesin 2 countries
Study dates
25 Jan 2022to 11 Feb 2026
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 35 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants eligible for inclusion in this study must meet all of the following criteria:
  • Signed informed consent must be obtained prior to participation in the study
  • Age 18-35 years
  • Patients in the healthy control arm eligible for inclusion must fulfill the following criteria:
  • Able to obtain MRI (HC with abnormal MRI at Screening will be excluded) and use wearable device
  • Able to provide blood sample (no CSF will be collected in HC)
Show all 14Show fewer
  • Patients in the ofatumumab-treated arm eligible for inclusion must fulfill the following criteria:
  • Diagnosis of RRMS per McDonald Criteria (2010/2017)
  • Within 6 months of diagnosis of clinically definite MS (CDMS)
  • EDSS 0-3.0 (Inclusive)
  • Treatment-naïve to MS DMT
  • Able to obtain MRI and attend study visits at sites
  • Able to use wearable device
  • Able to provide blood sample (and CSF for sub-group n=15)

Who cannot join

  • Participants in the healthy control arm meeting any of the following criteria are not eligible for inclusion in this study:
  • Confounding medical condition as determined by the investigator
  • RRMS patients fulfilling any of the following exclusion criteria are not eligible for inclusion in this study:
  • Diseases other than multiple sclerosis responsible for the clinical or MRI presentation
  • Patients with neuromyelitis optica, Radiologic/ Clinically Isolated Syndrome, Secondary Progressive or Primary Progressive MS diagnosis
  • Use of experimental or investigational drugs for MS
Show all 20Show fewer
  • Previous use of Disease Modifying Therapy (DMT) or chemotherapeutic medications for MS
  • Relapse between screening and Baseline visits
  • Known sensitivity to gadolinium; patients with chronic, severe kidney disease
  • Known history of hypersensitivity to any of the study treatments or its excipients or to drugs of similar chemical classes
  • CNS anomalies that are better accounted for by another disease process or MRI anomalies causing clinically apparent impairments
  • Known active malignancies
  • Pregnant or nursing (lactating) women
  • Females of childbearing potential (all women physiologically capable of becoming pregnant) should use effective contraception while receiving ofatumumab and for 6 months after the last treatment of ofatumumab
  • Patients with an active chronic disease (or stable but treated with immune therapy) of the immune system other than MS or with immunodeficiency syndrome
  • Patients with active infections including systemic bacterial, viral (including SARS-CoV-2/COVID-19) or fungal infections, or known to have AIDS or to test positive for HIV antibody at Screening
  • Patients with neurological findings consistent with Progressive Multifocal Leukoencephalopathy (PML), or confirmed PML
  • Patients with IgG or IgM levels below LLN at Screening
  • Patients that have received any live or live-attenuated vaccines within 4 weeks prior to first dose of study drug administration
  • Patients at risk of developing or having reactivation of hepatitis

Trial locations and contacts

36 sites in 2 countries.

36 sites in 2 countries

United States35 sites
  • University of New Mexico

    Albuquerque, New Mexico, 87131-0001

  • Neurology of Central FL Res Ctr

    Altamonte Springs, Florida, 32714

  • Shepherd Center

    Atlanta, Georgia, 30309

  • UC Health Neuroscience Ctr

    Aurora, Colorado, 80045

  • First Choice Neurology

    Boca Raton, Florida, 33486

  • MD First Research

    Chandler, Arizona, 85226

  • Univ of Texas Southwest Med Center

    Dallas, Texas, 75390-9034

  • Neurology Diagnostics Inc

    Dayton, Ohio, 45408

  • Henry Ford Hospital

    Detroit, Michigan, 48202-2689

  • University of Florida

    Gainesville, Florida, 32610

  • Neuroscience Institute at Hackensack

    Hackensack, New Jersey, 07601

  • UT Health Science Center

    Houston, Texas, 77030

  • Evergreen Health Multiple Sclerosis Center

    Kirkland, Washington, 98034

  • Sibyl Wray MD Neurology PC

    Knoxville, Tennessee, 37922

  • Keck School of Medicine

    Los Angeles, California, 90033

  • Neurology Associates PA

    Maitland, Florida, 32751

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • West Virginia University Hospital

    Morgantown, West Virginia, 26506

  • Ochsner Cancer Institute

    New Orleans, Louisiana, 70121

  • Multiple Sclerosis Center of Excellence of OMRF

    Oklahoma City, Oklahoma, 73104

  • Orlando Health Clinical Trials

    Orlando, Florida, 32806

  • Emerald Coast Neurology

    Pensacola, Florida, 32514

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania, 19107-5098

  • Barrow Neurological Clinics at St Josephs Hospital and MC

    Phoenix, Arizona, 85013

  • Arizona Neuroscience Research LLC

    Phoenix, Arizona, 85032

  • Velocity Clinical Research

    Raleigh, North Carolina, 27607

  • Renown Institute for Neurosciences

    Reno, Nevada, 89521

  • Lonestar Neurology of San Antonio

    San Antonio, Texas, 78258

  • MultiCare Neuroscience Center of Washington

    Tacoma, Washington, 98405

  • Tallahassee Neurological Clinic

    Tallahassee, Florida, 32308

  • University Of South Florida

    Tampa, Florida, 33612

  • Lundquist Inst BioMed at Harbor

    Torrance, California, 90509-2910

  • MedStar Health

    Washington D.C., District of Columbia, 20007

  • Regina Berkovich MD PhD Inc

    West Hollywood, California, 90048

  • University of Massachusetts Medical School

    Worcester, Massachusetts, 01655

Other trials in United States

Puerto Rico1 site
  • Caribbean Center for Clinical Research, Inc

    Guaynabo, 00968

Other trials in Puerto Rico

About this study

Official title: AGNOS: An 18-month, Open-label, Multi-Center Phase IV Study to Assess the Effect of Ofatumumab 20mg SC Monthly in Treatment Naïve, Very Early Relapsing Remitting Multiple Sclerosis Patients Benchmarked Against Healthy Controls on Select Outcomes.

This study evaluates the impact of ofatumumab in Relapsing Remitting Multiple Sclerosis (RRMS) participants that are very early in the course of their disease using clinical and magnetic resonance imaging (MRI) outcomes. The study also assesses changes in disease using monitoring techniques including digital biometric device use, biomarker analysis and non-conventional MRI. Select outcomes in the ofatumumab treated group will be compared to a group of Healthy participants to determine if there are similarities between the groups after the patients with MS undergo treatment with ofatumumab.

Read the detailed description

The study is an open-label, multi-center, prospective 18-month study in 119 MS participants with early RRMS (defined as within 6 months of diagnosis of clinically definite RRMS) and who are treatment naïve. It is designed to determine if RRMS participants treated with 20 mg subcutaneous monthly ofatumumab during the earliest part of their disease will benefit from the use of ofatumumab as their first disease modifying therapy. Additionally, RRMS patients will be compared to age- and sex-matched healthy participants (n=61) for select outcomes to observe similarities and differences between the groups.

After giving consent, participants have a 28-day screening/qualification period. If they qualify to continue, they start study measures including assessments of clinical and magnetic resonance imaging (MRI) metrics and use of a digital monitoring watch. Additionally, samples are collected for laboratory and biomarker analysis. RRMS participants begin treatment with ofatumumab for the next 18 months. Healthy participants undergo similar assessments; however they do not receive any treatment during the course of the study. Over the 18 months, participants have regular clinical visits with assessments and sample collection. After 18 months in the trial, participants in both groups have the option to enter into a 12-month extension (up to 30 months total in study) to collect further information on long-term clinical and MRI outcomes.

Being tested
Ofatumumab
Keywords
early relapsing multiple sclerosis, ofatumumab, healthy control, treatment naïve, young adult population, MS-related disability, biomarker, MRI

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OfatumumabDrug

    Also called OMB157

    20mg subcutaneous injection

Study groups in NCT05084638
Study groupRoleWhat they receive
OfatumumabExperimentalOfatumumab will be provided in an autoinjector for subcutaneous administration. Dosing regimen for this study is an initial dose of 20mg at Baseline/Week 0, followed by Week 1, 2 and every month thereafter, beginning at Week 4 (Month 1) until Month 18. There will be an optional extension of dosing through month 30.
Receives: Drug: Ofatumumab
Healthy ControlNo interventionHealthy Control arm will be age- and sex-matched subjects (to the ofatumumab treated arm) and will not receive a study treatment.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving NEDA-3 (No Evidence of Disease Activity-3)

    A participant is considered as achieved NEDA-3 if they were:

    • relapse-free, defined as no confirmed relapses in month 6 to 18.
    • 3-month clinical disability progression-free, defined as no clinical disability progression as measured by EDSS in month 6 to 18.
    • MRI activity-free, defined as no Gd+ lesions on any MRI scan after Month 6, or new/enlarging T2 lesions compared to Month 6 on any MRI scan after Month 6 Expanded Disability Status Scale (EDSS) ranges from 0 to 10 with higher values indicating increased disability. As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

Secondary outcomes (16)
  1. Number of Confirmed MS Relapses in Months 6 to 18

    Relapses are recurrences of a disease activity after a recovery. A confirmed MS relapse is one accompanied by a clinically relevant change in the EDSS , i.e. an increase of at least 0.5 points on the EDSS score, or an increase of 1 point on two functional scores (FSs) or 2 points on one FS, excluding changes involving bowel/bladder or cerebral FS compared to the previous available rating (the last EDSS rating that did not occur during a relapse). Expanded Disability Status Scale (EDSS) ranges from 0 to 10 with higher values indicating increased disability. Confirmation of MS relapse was done centrally.

    As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

  2. Participant Based Annualized Relapse Rate (ARR)

    ARR (participant-based) is calculated at the participant level as [(number of confirmed MS relapses in Months 6 to 18) / (number of days in Months 6 to 18)] x 365.25.

    As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

  3. Group Based Annualized Relapse Rate (ARR)

    ARR (group-based) is calculated at the group level as [(total number of confirmed MS relapses in Months 6 to 18 for all participants within the ofatumumab-treated cohort) / (total number of days in Months 6 to 18 for all participants within the ofatumumab-treated cohort)] x 365.25.

    As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

  4. Percentage of Participants That Were 3-month Disability Progression-free

    3-month clinical disability progression-free was defined as no clinical disability progression as measured by EDSS (global assessment scale), where 3-month confirmed clinical disability progression was defined as an increase from Month 6 in EDSS sustained for at least 3 months.

    If a participant fulfilled the clinical disability progression criteria based on the single EDSS assessment at Month 18, it was considered a confirmed clinical disability progression (sustainment for at least 3 months was not required).

    If a participant died due to MS , it was considered a confirmed clinical disability progression regardless of the Month 6 EDSS or change in EDSS.

    Expanded Disability Status Scale (EDSS) ranges from 0 to 10 with higher values indicating increased disability.

    As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

  5. Percentage of Participants With NEDA (No Evidence of Disease Activity) - Clinical

    A participant is considered as achieved NEDA-Clinical if the participant has not had a confirmed MS relapse in Months 6 to 18 and no 3-month confirmed clinical disability progression in Months 6 to 18 (based on change from Month 6 in EDSS).

    Expanded Disability Status Scale (EDSS) ranges from 0 to 10 with higher values indicating increased disability.

    As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

  6. Number of Participants With NEDA (No Evidence of Disease Activity) - Radiological

    A participant is considered as achieved NEDA-radiological if the participant has had no Gd+ lesions on any MRI scan after Month 6, or new/enlarging T2 lesions compared to Month 6 on any MRI scan after Month 6 (MRI activity-free). Scheduled and unscheduled assessments are considered.

    As per protocol and SAP only evaluated on the ofatumumab participants.

    Measured: Month 6 to month 18

  7. Change From Baseline in Gd+ Lesion Count

    Change in the number of gadolinium enhancing lesions will be measured by Magnetic Resonance Imaging (MRI). Each MRI scan will be previewed by a local neuroradiologist. The quality of each scan performed will be assessed by a central MRI reading center.

    Measured: Baseline to Month 18 and 30

  8. Change From Baseline in Gd+ Lesion Volume

    Change in size of gadolinium enhancing lesions will be measured by Magnetic Resonance Imaging (MRI). Each MRI scan will be previewed by a local neuroradiologist. The quality of each scan performed will be assessed by a central MRI reading center.

    Measured: Baseline to Month 18 and 30

  9. Change From Baseline in New/Enlarging T2 Lesion Count

    Change in the number of new/enlarging T2 lesions will be measured by Magnetic Resonance Imaging (MRI). Each MRI scan will be previewed by a local neuroradiologist. The quality of each scan performed will be assessed by a central MRI reading center.

    Measured: Baseline to Month 18 and 30

  10. Change From Baseline in T2 Lesion Volume

    Change in size of T2 lesions will be measured by Magnetic Resonance Imaging (MRI). Each MRI scan will be previewed by a local neuroradiologist. The quality of each scan performed will be assessed by a central MRI reading center.

    Measured: Baseline to Month 18 and 30

  11. Change From Baseline for NeuroQOL

    The NeuroQOL is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The following domains will be measured.

    Physical Health, Mental Health, Social Health. Scales can be scored by summing the values of the response to each item to develop a total raw score.

    Measured: Baseline to Month 18 and 30

  12. Change From Baseline for Patient Determined Disease Steps (PDDS)

    The PDDS is a standardized rating scale which is a self-assessment scale of functional disability in multiple sclerosis patients primarily based on ambulation. The questionnaire contains 1 question which is scored ranging from 0 (normal) to 8 (bedridden). A score of 0 to 2 indicates mild disability; a score of 3 to 5 indicates moderate disability; a score of 6 to 8 indicates severe disability.

    Measured: Baseline to Month 18 and 30

  13. Brain Volume Loss (BVL) Assessment (Whole Brain and Regional)

    Brain volume loss is a marker of progressive loss of brain structure and function. It is a predictor of disability progression. Evaluate the effect of ofatumumab vs healthy controls on 1) whole brain and regional atrophy measured at month 18/30 after re-baseline at 6 months; and 2) regional atrophy measured 18/30 months from Baseline

    Measured: Month 6 to Month 18 and 30

  14. Number of Participants With Treatment Emergent Adverse Events

    Adverse event monitoring should be continued following the last dose of study treatment until B cells are repleted. Repletion is defined as a concentration > the participant's baseline value or > the lower limit of normal, whichever is observed first. Other safety assessments (physical exam, vital signs, etc) that meet the definition of an adverse event or are considered clinically relevant by the investigator will be reported as an adverse event.

    Measured: Baseline up to approximately Month 30

  15. Change From Baseline in New Unenhancing T1 Lesion Number

    Change in the number of new unenhancing T1 lesions will be measured by Magnetic Resonance Imaging (MRI). Each MRI scan will be previewed by a local neuroradiologist. The quality of each scan performed will be assessed by a central MRI reading center.

    Measured: Baseline to Month 18 and 30

  16. Change From Baseline in T1 Unenhancing Lesion Volume

    Change in the size of T1 unenhancing lesions will be measured by Magnetic Resonance Imaging (MRI). Each MRI scan will be previewed by a local neuroradiologist. The quality of each scan performed will be assessed by a central MRI reading center.

    Measured: Baseline to Month 18 and 30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Oct 2021
  2. Study start25 Jan 2022
  3. Primary completion4 Feb 2025
  4. Study completion11 Feb 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05084638
Sponsor's protocol ID
COMB157GUS10
Acronym
AGNOS
Status last verified
Feb 2026
First submitted
7 Oct 2021
Last updated
27 Feb 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Ofatumumab in people with Relapse Remitting Multiple Sclerosis, run by Novartis Pharmaceuticals at 36 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Achieving NEDA-3 (No Evidence of Disease Activity-3) (time frame: Month 6 to month 18). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in