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Remibrutinib

Phase 3

Relapsing Multiple Sclerosis | Small molecule | Immunology |Novartis AG|Last Updated: Jun 1, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment2,367
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06846281Efficacy and Safety of Remibrutinib After Switching From Ocrelizumab in Participants Living With Relapsing Multiple Sclerosis.PHASE3 RECRUITING 360Jul 23, 2025Jun 24, 2031Jun 1, 2026106 United States, Argentina +17
NCT05147220Efficacy and Safety of Remibrutinib Compared to Teriflunomide in Participants With Relapsing Multiple Sclerosis (RMS)PHASE3 ACTIVE NOT_RECRUITING 1,000Dec 16, 2021Oct 30, 2030May 29, 2026199 United States, Argentina +32
NCT05156281Efficacy and Safety of Remibrutinib Compared to Teriflunomide in Participants With Relapsing Multiple Sclerosis (RMS)PHASE3 ACTIVE NOT_RECRUITING 1,007Dec 13, 2021Oct 30, 2030May 29, 2026223 United States, Argentina +25
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Study Endpoints
Primary Endpoints
Annualized rate of new or enlarging T2 lesions_Core Part
Baseline up to month 24

Number of new/enlarging T2 lesions per year on MRI at month 24 (relative to baseline)

Annualized relapse rate (ARR) of confirmed relapses [Core Part]
From Baseline, up to 30 months

ARR is the average number of confirmed MS relapses in a year

Secondary Endpoints
Participants with no evidence of disease activity-3 (NEDA-3)_Core Part
Baseline up to month 24
Number of adverse events (AEs) and serious adverse events (SAEs)_Core Part
Baseline up to month 24
Annualized rate of new or enlarging T2 lesions_Extension Part
Month 24 up to month 48
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Remibrutinib CoreEXPERIMENTALRemibrutinib tablet taken orally
Ocrelizumab CoreACTIVE_COMPARATOROcrelizumab at standard dose and route of administration (i.v. or s.c) per label
Remibrutinib ExtensionEXPERIMENTALRemibrutinib tablet taken orally
Remibrutinib Extension (Ocrelizumab in Core)EXPERIMENTALRemibrutinib tablet taken orally
Remibrutinib - CoreEXPERIMENTALRemibrutinib tablet and matching placebo of teriflunomide capsule
Teriflunomide - CoreACTIVE_COMPARATORTeriflunomide capsule and matching placebo remibrutinib tablet
Remibrutinib - ExtensionEXPERIMENTALParticipants on remibrutinib in Core will continue on remibrutinib tablet
Remibrutinib - Extension (on teriflunomide in Core)EXPERIMENTALParticipants on teriflunomide in Core will switch to remibrutinib tablet
Interventions
NameTypeDescription
Remibrutinib oral treatmentDRUGRemibrutinib tablet taken daily
OcrelizumabDRUGOcrelizumab 600mg infusion or 920mg injection
RemibrutinibDRUGtablet taken orally
TeriflunomideDRUGcapsule taken orally
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Eligibility Criteria
Age Range40 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites106

Key Inclusion Criteria: * Male or female aged 40 to 70 years (inclusive) * Diagnosis of RMS according to the 2017 McDonald diagnostic criteria * Treated with ocrelizumab according to routine clinical practice and at standard dose * Neurologically stable within 30 days * Suitable to be switched to r...

Countries:United StatesArgentinaAustraliaBelgiumBrazilCanadaCzechiaDenmarkFranceGermanyGreeceItalyMexicoPortugalSlovakiaSouth AfricaSpainSwitzerlandUnited KingdomAustriaBulgariaChileChinaColombiaCroatiaGeorgiaGuatemalaHong KongIndiaIrelandIsraelJordanLatviaLebanonLithuaniaMalaysiaNetherlandsPolandSaudi ArabiaTaiwanTurkey (Türkiye)United Arab EmiratesEstoniaJapanPuerto RicoRomaniaSloveniaSweden
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT06846281lastUpdatePostDate: changed
LOWJun 2, 2026NCT06846281lastUpdatePostDate: changed
LOWJun 2, 2026NCT06846281lastUpdatePostDate: changed
LOWMay 29, 2026NCT05156281Enrollment: 1011 → 1007
LOWMay 29, 2026NCT05147220Enrollment: 1001 → 1000
LOWMay 29, 2026NCT05156281Enrollment: 1011 → 1007
LOWMay 29, 2026NCT05147220Enrollment: 1001 → 1000
LOWMay 29, 2026NCT05156281Enrollment: 1011 → 1007
LOWMay 29, 2026NCT05147220Enrollment: 1001 → 1000
LOWMay 28, 2026NCT06846281primaryCompletionDate: changed
LOWMay 28, 2026NCT06846281primaryCompletionDate: changed
LOWMay 26, 2026NCT06846281primaryCompletionDate: changed
LOWMay 26, 2026NCT05156281primaryCompletionDate: changed
LOWMay 26, 2026NCT05147220primaryCompletionDate: changed
LOWMay 24, 2026NCT06846281studyFirstPostDate: changed
LOWMay 24, 2026NCT05156281studyFirstPostDate: changed
LOWMay 24, 2026NCT05147220studyFirstPostDate: changed