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ofatumumab with PRF

Phase 3

Multiple Sclerosis | Small molecule | Immunology |Novartis AG|Last Updated: Mar 3, 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
RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment469
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04788615Open Label Randomized Multicenter to Assess Efficacy & Tolerability of Ofatumumab 20mg vs. First Line DMT in RMSPHASE3 COMPLETED 185Jul 23, 2021Nov 4, 2025Mar 3, 202641 France, Germany +2
NCT03560739A 12 Week Randomized Open Label Parallel Group Multicenter Study to Evaluate Bioequivalence of 20 mg Subcutaneous Ofatumumab Injected by Pre-filled Syringe or Autoinjector in Adult RMS PatientsPHASE2 COMPLETED 284Sep 11, 2018May 5, 2020Oct 8, 202141 United States, Austria +7
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Study Endpoints
Primary Endpoints
Number of participants with no evidence of disease activity (NEDA-3)
Baseline to 15 month

NEDA-3 (yes/no) is defined as: 1. Absence of confirmed clinical relapse 2. Absence of new MRI activity (Gd+ T1 lesion or new/enlarged T2 lesion) with MRI re-baselined at Month 3 3. Absence of 3-month confirmed disability worsening

Bioequivalence of 20 mg Ofatumumab Injected by Pre-filled Syringe (PFS) vs Autoinjector (AI) to Abdomen as Measured by AUCtau
Week 8 to Week 12 dosing interval

Bioequivalence of AUCtau ) will be measured over the time period of Week 8 to Week 12 dosing interval comparing the pre-filled syringe (PFS) and autoinjector (AI) devices both administered to the abdomen. Bioequivalence established if both measures meet the corresponding criterion specified by the reference-scaled average bioequivalence (RSABE) approach

Bioequivalence of 20 mg Ofatumumab Injected by Pre-filled Syringe (PFS) vs Autoinjector (AI) to Abdomen as Measured by Cmax
Week 8 to Week 12 dosing interval

Bioequivalence of Cmax will be measured over the time period of Week 8 to Week 12 dosing interval comparing the pre-filled syringe (PFS) and autoinjector (AI) devices both administered to the abdomen. Bioequivalence established if both measures meet the corresponding criterion specified by the reference-scaled average bioequivalence (RSABE) approach

Secondary Endpoints
Number of relapses
Baseline to Month 15
Annual relapse rate
Baseline to Month 15
Percentage of relapse-free patients and proportion of relapse free patients with MRI activity free
Month 3, Month 9 and Month 15
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ofatumumabEXPERIMENTALOftatumumab 20mg auto injector syringes for subcutaneous injection on Day 1, Week 1 and 2, followed by subsequent monthly dosing, starting at Month 1.
First line DMTACTIVE_COMPARATOR1. Glatiramer acetate minimum dose 20mg or maximum dose 40mg twice a day or three times a week or 2. Interferon minimum dose 22µg or maximum dose of 0.25mg 3 times a week or once a week or Every second week depending on preparation or 3. Peg-Interferon beta-1a minimum dose of 63µg or maximum dose of 125µg every 2 weeks (14 days) or 4. Teriflunomide 14 mg once a day or 5. Dimethyl fumarate minimum dose of 120mg or maximum dose of 240mg twice a day 6. Diroximel fumarate minimum dose of 231mg or maximum dose of 462mg twice a day
OMB 20mg PFS abdomenOTHERofatumumab 20 mg subcutaneous (sc.) injection with pre-filled syringes (PFS) administrated on abdomen
OMB 20mg AI abdomenOTHERofatumumab 20 mg subcutaneous (sc.) injection with autoinjector (AI) administrated on abdomen
OMB 20mg PFS thighOTHERofatumumab 20 mg subcutaneous (sc.) injection with pre-filled syringes (PFS) administrated on thigh
OMB 20mg AI thighOTHERofatumumab 20 mg subcutaneous (sc.) injection with autoinjector (AI) administrated on thigh
Interventions
NameTypeDescription
OfatumumabDRUG20mg Subcutaneous injection
First line DMTDRUGany one of these based on availability at country given as First line DMT Glatiramer acetate 20mg or 40mg or Interferon 22µg or 0.25mg or Peg-Interferon beta-1a 63µg or 125µg or Teriflunomide 14mg or Dimethyl fumarate 120mg or 240mg or Diroximel fumarate 231mg or 462mg
ofatumumab with PRFCOMBINATION_PRODUCTofatumumab 20 mg subcutanious injection administered with pre-filled syringe (PRF)
ofatumumab with AICOMBINATION_PRODUCTofatumumab 20 mg subcutaneous injection administered with autoinjector (AI)
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria 1. Written informed consent obtained before any assessment 2. Male/female patients, 18 through 55 (inclusive) years of age. 3. Diagnosis of MS according to the 2017 revised McDonald criteria (Thompson et al 2018). 4. Relapsing MS: relapsing-course (RMS), as defined by Lublin et a...

Countries:FranceGermanyItalySpainUnited StatesAustriaBulgariaCzechiaEstoniaLatviaLithuaniaRussia
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Recent Changes (Last 90 Days)
MEDIUMApr 8, 2026NCT04788615TRIAL_REMOVED: changed
MEDIUMApr 8, 2026NCT04788615TRIAL_REMOVED: changed