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RO7268489

Phase 2

Progressive Multiple Sclerosis | Small molecule | Neurology |Roche Holding AG|Last Updated: Aug 17, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment360

FDA Designations

No designations recorded

Clinical trial landscape

RO7268489 · 1 trial · 1 indication

Phase 2 1
NCT07282574A Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489 as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis (MS)Progressive Multiple Sclerosis
RECRUITING360 Analytics
PHASE2RECRUITING
A Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489 as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis (MS)
Progressive Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Time From Randomization to the First Occurrence of Composite Confirmed Disability Progression (cCPD) Confirmed for at Least 12 Weeks (cCDP12)
Up to approximately 110 weeks

Time from randomization to the first occurrence of cCDP12 according to at least one of the following 3 criteria: 1. 12-week confirmed disability progression (CDP12) 2. 12-week confirmed increase in Timed 25-Foot Walk Test (T25FWT) or 3. 12-week confirmed increase in 9-Hole Peg Test (9-HPT) The EDSS is a disability scale is based on a standard neurological examination that ranges in 0.5-point steps from 0 (normal) - 10 (death). T25FWT=time taken to walk 25 feet, typically measured in seconds. The longer it takes to walk, the higher score, which indicates deterioration. Lower times indicate better performance and greater mobility. In 9-HPT, participants are instructed to place pegs one by one into each of nine holes arranged in a board stabilized with a plastic nonslip sheet on a solid table, and then to remove these pegs from the holes. The shorter time it takes to complete the task indicates a better outcome.

Secondary Endpoints

Time From Randomization to the First Occurrence of 24-Week Confirmed ≥4-Point Decrease (Worsening) in Symbol Digit Modalities Test (SDMT)
Up to approximately 110 weeks
Change From Baseline in Total Brain Volume
Up to approximately 110 weeks
Time to Onset of 24-Week cCDP (cCDP24)
Up to approximately 110 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RO7268489 Dose 1 + OcrelizumabEXPERIMENTALParticipants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen.
RO7268489 Dose 2 + OcrelizumabEXPERIMENTALParticipants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen.
RO7268489 Dose 3 + OcrelizumabEXPERIMENTALParticipants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen.
Placebo + OcrelizumabPLACEBO_COMPARATORParticipants will receive RO7268489 matching placebo along with ocrelizumab as per the pre-defined regimen.

Interventions

NameTypeDescription
RO7268489DRUGRO7268489 will be administered per schedule as specified in the arms.
OcrelizumabDRUGOcrelizumab will be administered per schedule as specified in the arms.
PlaceboDRUGPlacebo will be administered per schedule as specified in the arms.
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites108

Inclusion Criteria: * PMS, in accordance with the revised 2017 McDonald criteria * Expanded disability status scale (EDSS) at screening between 3.0 and 6.0 inclusive Exclusion Criteria: * MS relapse during the 6 months preceding the randomization date * Lack of peripheral venous access * History ...

Countries:AustraliaFranceGermanyHungaryItalyNew ZealandPolandPortugalSpainTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

LOWAug 17, 2026NCT07282574lastUpdatePostDate: changed
LOWAug 17, 2026NCT07282574lastUpdatePostDate: changed

Frequently asked questions about RO7268489

What is RO7268489 used for in Progressive Multiple Sclerosis?

RO7268489 is an investigational small molecule being studied as an add-on therapy to ocrelizumab in participants with progressive forms of multiple sclerosis (MS). It is currently in Phase 2 clinical development for this indication, and it is not yet approved by regulatory authorities.

Who makes RO7268489?

RO7268489 is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting a Phase 2 clinical trial to evaluate the drug as an add-on therapy to ocrelizumab in patients with progressive multiple sclerosis.

What phase is RO7268489 in?

RO7268489 is in Phase 2 clinical development. It is an investigational drug being studied for progressive multiple sclerosis, and it has not been approved by the FDA or any other regulatory agency. The ongoing Phase 2 trial is currently recruiting participants.

What clinical trials is RO7268489 in?

RO7268489 is being evaluated in one active Phase 2 clinical trial, NCT07282574. This randomized, double-blind, placebo-controlled study is assessing the safety, pharmacokinetics, pharmacodynamics, and efficacy of RO7268489 as add-on therapy to ocrelizumab in participants with progressive multiple sclerosis. The trial plans to enroll 360 participants.

Is RO7268489 the same as ocrelizumab?

No, RO7268489 is not the same as ocrelizumab. RO7268489 is an investigational small molecule being studied as an add-on therapy to ocrelizumab in patients with progressive multiple sclerosis. Ocrelizumab is an existing treatment, and the trial is evaluating whether adding RO7268489 provides additional benefit.