Recent Updates
Recently added Catalysts

RO7268489

Phase 2

Progressive Multiple Sclerosis | Small molecule | Neurology |Roche Holding AG|Trials Updated: Oct 7, 2026

RO7268489 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Dec 2025

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment360

FDA Designations

No designations recorded

RO7268489 clinical trials

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
Time to Onset of 24-Week cCDP (cCDP24)
Up to approximately 110 weeks
Time to Onset of 12-Week Confirmed Disability Progression CDP (CDP12)
Up to approximately 110 weeks
Unlock Study Endpoints

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.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites114

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 * Documented evidence of disability progression independent of relapse activity over the 2 years before the screening visit Exclusio...

Countries:AustraliaBrazilFranceGermanyHungaryItalyNew ZealandPolandPortugalSpainTurkey (Türkiye)United Kingdom
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWOct 7, 2026NCT07282574lastUpdatePostDate: changed
LOWOct 7, 2026NCT07282574lastUpdatePostDate: changed
LOWAug 17, 2026NCT07282574lastUpdatePostDate: changed
LOWAug 17, 2026NCT07282574lastUpdatePostDate: changed

Frequently asked questions about RO7268489

What is RO7268489?

RO7268489 is an investigational small molecule drug being developed by Roche Holding AG for progressive forms of multiple sclerosis. It is currently in Phase 2 clinical development and is designed to be given as add-on therapy to ocrelizumab in participants with progressive MS.

What is RO7268489 used for in progressive multiple sclerosis?

RO7268489 is being studied as an add-on therapy to ocrelizumab in participants with progressive forms of multiple sclerosis. The Phase 2 trial evaluates its safety, pharmacokinetics, pharmacodynamics, and efficacy in adults aged 18 years and older with progressive MS.

Who is developing RO7268489?

RO7268489 is being developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is running the clinical program for the drug in progressive forms of multiple sclerosis as an add-on to ocrelizumab.

What phase is RO7268489 in?

RO7268489 is in Phase 2 clinical development. It is investigational and has not been approved by the FDA. The ongoing Phase 2 study is currently recruiting participants and is designed to assess safety, pharmacokinetics, pharmacodynamics, and efficacy in progressive forms of multiple sclerosis.

What clinical trials is RO7268489 in?

RO7268489 is being studied in one active clinical trial, NCT07282574, titled 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. The trial is recruiting, randomized, double-blind, placebo-controlled, and plans to enroll 360 participants across multiple countries.