Relapsing Multiple SclerosisPhase 3ALITHIOSNCT03650114
Long-term Safety, Tolerability and Effectiveness Study of Ofatumumab in Patients With Relapsing MS
A Phase 3 study testing Ofatumumab, Tetanus toxoid (TT) containing vaccine (Td, Tdap) and 13-valent pneumococcal conjugate vaccine (13-PCV) in people with Relapsing Multiple Sclerosis, run by Novartis Pharmaceuticals at 295 sites in 37 countries.
Trial summary
The purpose of this study is to collect long-term safety, tolerability, effectiveness and health outcomes data in eligible subjects who have participated in a Novartis ofatumumab clinical MS study. Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- Relapsing Multiple Sclerosis
- What is being tested?
- Ofatumumab, Tetanus toxoid (TT) containing vaccine (Td, Tdap) and 13-valent pneumococcal conjugate vaccine (13-PCV)
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,882 participants
- Where
- 295 sitesin 37 countries
- Study dates
- 28 Dec 2018to 30 Sep 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must have completed a selected Novartis MS study which dosed ofatumumab 20 mg sc every 4 weeks
- Written informed consent
- Informed consent
- Actively enrolled in the COMB157G2399 Study
- 12 weeks of continuous treatment within the COMB157G2399 Study
- prior vaccination history as per protocol-defined
Who cannot join
- Emergence of any clinically significant condition/disease during the previous ofatumumab study in which study participation might result in safety risk for the subject
- Subjects with active systemic bacterial, viral or fingal infections, or chronic infection (e.g. AIDS)
- Subjects taking medications prohibited by the protocol
- Pregnant or nursing (lactating) women Other protocol-defined inclusion/exclusion criteria may apply
- Vaccination sub-study:
- known hypersensitivity or history of systemic allergic, neurologic or other reactions to vaccines
Show all 10Show fewer
- allergies to egg or shellfish
- any safety findings including low IgG/IgM requiring ofatumumab interruption within 12 weeks prior to vaccination sub-study start
- any major episode of infection requiring hospitalization or treatment with intravenous antibiotics within 2 weeks of the first vaccination sub-study visit
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
295 sites in 37 countries.
295 sites in 37 countries
United States86 sites
Neurology and Neuroscience Assos
Akron, Ohio, 44320
University of New Mexico
Albuquerque, New Mexico, 87131-0001
Neuro Medical Clinic of Cenla LLC
Alexandria, Louisiana, 71301
Asheville Neurology Specialists PA
Asheville, North Carolina, 28806
Jem Research Institute
Atlantis, Florida, 33462-6608
CU Anschutz Med Campus
Aurora, Colorado, 80045
Mountain Neuro Research Center PC
Basalt, Colorado, 81621
The Neuromedical Center
Baton Rouge, Louisiana, 70810
Billings Clinic
Billings, Montana, 59101
University of Alabama at Birmingham
Birmingham, Alabama, 35233-0271
Alpine Clinical Research Center
Boulder, Colorado, 80301
The Neurological Institute PA
Charlotte, North Carolina, 28204
Rush University Medical Center
Chicago, Illinois, 60612
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Colorado Springs Neurological Associates
Colorado Springs, Colorado, 80907
Ohio Health Research Institute
Columbus, Ohio, 43214
Wesley Neurology Clinic
Cordova, Tennessee, 38018
North Central Neurology Associates PC
Cullman, Alabama, 35058
Neurology Offices of South Florida PLLC
Delray Beach, Florida, 33445
Colorado Neurological Research PC
Denver, Colorado, 80210
Wayne State University Multiple Sclerosis Clinic
Detroit, Michigan, 48201
Henry Ford Hospital
Detroit, Michigan, 48202-2689
Med Research Inc
El Paso, Texas, 79935
University of Colorado Health Neurology
Fort Collins, Colorado, 80528
Fullerton Neuro and Headache Ctr
Fullerton, California, 92835
Advanced Neurology Specialists
Great Falls, Montana, 59405
Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311
Guilford Neurologic Associate Research
Greensboro, North Carolina, 27405
Premier Neurology
Greenville, South Carolina, 29605
Infinity Clinical Research LLC
Hollywood, Florida, 33024
Homestead Assoc In Research Inc
Homestead, Florida, 33033
Hawaii Pacific Neuroscience LLC
Honolulu, Hawaii, 96817
Josephson Wallack Munshower Neurology PC
Indianapolis, Indiana, 46256
Tri State Mountain Neurology
Johnson, Tennessee, 37604
University of Kansas Hospital
Kansas City, Kansas, 66160
Evergreen Health Multiple Sclerosis Center
Kirkland, Washington, 98034
University of Tennessee Medical Ctr
Knoxville, Tennessee, 37920
Sibyl Wray MD Neurology PC
Knoxville, Tennessee, 37922
Cleveland Clinic Foundation
Las Vegas, Nevada, 89106
Ms Ctr Of Northeastern Ny
Latham, New York, 12110
Neurology and Sleep Center
Lubbock, Texas, 79410
University of Wisconsin Madison
Madison, Wisconsin, 53792
Neurology Associates PA
Maitland, Florida, 32751
UM Department Of Neurology
Miami, Florida, 33136
Ascension St Francis Center
Milwaukee, Wisconsin, 53215
St Luke s Medical Center Aurora
Milwaukee, Wisconsin, 53215
Aqualane Clinical Research
Naples, Florida, 34105
Christiana Care Health Services
Newark, Delaware, 19713
Consultants in Neurology
Northbrook, Illinois, 60062
Multiple Sclerosis Center of Excellence of OMRF
Oklahoma City, Oklahoma, 73104
MS and Neuromuscular Center of Excellence
Oldsmar, Florida, 34677
Neurology Associates of Ormond Beach
Ormond Beach, Florida, 32174
College Park Family Care Center
Overland Park, Kansas, 66210
Sharlin Health and Neurology
Ozark, Missouri, 65721
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
Vivo Infusion
Plymouth, Minnesota, 55446
Neurostudies Inc
Port Charlotte, Florida, 33952
Providence Neurological Services West
Portland, Oregon, 97225
Velocity Clinical Research
Raleigh, North Carolina, 27607
Central TX Neuro Consultants P A
Round Rock, Texas, 78681
University of California Davis
Sacramento, California, 95817
Rocky Mountain MS Clinic
Salt Lake City, Utah, 84103
The University of Utah
Salt Lake City, Utah, 84132-0001
Lonestar Neurology of San Antonio
San Antonio, Texas, 78258
Negroski Neurology
Sarasota, Florida, 34233
Roskamp Institute Inc
Sarasota, Florida, 34243
Velocity Clinical Research
Savannah, Georgia, 31406
Texas Institute for Neurological Disorders
Sherman, Texas, 75092
BG Neurology
Spartanburg, South Carolina, 29303
Upstate Clinical Trials LLC
Spartanburg, South Carolina, 29303
WA Uni School Of Med
St Louis, Missouri, 63110
Mercy Research
St Louis, Missouri, 63141
Georgia Neurology and Sleep Medicine Assoc
Suwanee, Georgia, 30024
MultiCare Research Institute for Research and Innovation
Tacoma, Washington, 98405
AMO Corporation
Tallahassee, Florida, 32312
Clinical Research of West Florida Inc
Tampa, Florida, 33606
Axiom Clinical Research of Florida
Tampa, Florida, 33609
University Of South Florida
Tampa, Florida, 33612
Sentara Neuroscience Institute
Virginia Beach, Virginia, 23456
Dragonfly Research LLC
Wellesley Hills, Massachusetts, 02481
Premiere Research Institute
West Palm Beach, Florida, 33407
Columbus Neuroscience
Westerville, Ohio, 43082
Abington Neurological Associates Ltd
Willow Grove, Pennsylvania, 19090
PMG Research of Winston Salem
Winston-Salem, North Carolina, 27103
Germany20 sites
Novartis Investigative Site
Barsinghausen, 30890
Novartis Investigative Site
Bayreuth, 95445
Novartis Investigative Site
Bielefeld, 33647
Novartis Investigative Site
Bochum, 44791
Novartis Investigative Site
Cologne, North Rhine-Westphalia, 50935
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Dresden, Saxony, 01307
Novartis Investigative Site
Essen, 45147
Novartis Investigative Site
Hamburg, 22179
Novartis Investigative Site
Hanover, 30625
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Heidelberg, 69120
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Leipzig, Saxony, 04103
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Marburg, Hesse, 35043
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Minden, 32429
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München, 80377
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Munich, Bavaria, 81377
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Neuburg A.d. Donau, Bavaria, 86633
Novartis Investigative Site
Potsdam, 14471
Novartis Investigative Site
Siegen, 57076
Novartis Investigative Site
Ulm, 89073
Novartis Investigative Site
Unterhaching, Bavaria, 82008
Spain19 sites
Novartis Investigative Site
Barakaldo, Vizcaya, 48903
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, 08035
Novartis Investigative Site
Barcelona, 08036
Novartis Investigative Site
Barcelona, 08041
Novartis Investigative Site
Cadiz, Andalusia, 11009
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Castilleja de la Cuesta, Sevilla, 41950
Novartis Investigative Site
Donostia / San Sebastian, Gipuzkoa, 20014
Novartis Investigative Site
El Palmar, Murcia, 30120
Novartis Investigative Site
L'Hospitalet de Llobregat, Barcelona, 08907
Novartis Investigative Site
Madrid, 28006
Novartis Investigative Site
Madrid, 28034
Novartis Investigative Site
Madrid, 28040
Novartis Investigative Site
Majadahonda, Madrid, 28222
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Málaga, 29010
Novartis Investigative Site
Pozuelo de Alarcón, Madrid, 28223
Novartis Investigative Site
Salt, Girona, 17190
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Seville, 41009
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Valencia, 46026
Russia17 sites
Novartis Investigative Site
Kazan', 420043
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Kemerovo, 650066
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Krasnoyarsk, 660049
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Moscow, 119415
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Moscow, 125367
Novartis Investigative Site
Moscow, 127015
Novartis Investigative Site
Nizhny Novgorod, 603137
Novartis Investigative Site
Nizhny Novgorod, 603155
Novartis Investigative Site
Novosibirsk, 630007
Novartis Investigative Site
Novosibirsk, 630087
Novartis Investigative Site
Saint Petersburg, 194044
Novartis Investigative Site
Saint Petersburg, 197022
Novartis Investigative Site
Saint Petersburg, 197376
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Saransk, 430032
Novartis Investigative Site
Sestroretsk, 197706
Novartis Investigative Site
Tyumen, 625000
Novartis Investigative Site
Yekaterinburg, 620109
Poland12 sites
Novartis Investigative Site
Bydgoszcz, Woj Kujawsko Pomorskie, 85-796
Novartis Investigative Site
Gdansk, 80 803
Novartis Investigative Site
Gdansk, 80-214
Novartis Investigative Site
Glogow Wielkopolski, 36-060
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Katowice, 40-571
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Kielce, 25 726
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Lodz, 90 324
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Poznan, 60446
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Rzeszów, 35-055
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Warsaw, 02-957
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Wroclaw, 51-685
Novartis Investigative Site
Zabrze, 41-800
Czechia11 sites
Novartis Investigative Site
Brno, 602 00
Novartis Investigative Site
Havířov, 736 01
Novartis Investigative Site
Hradec Králové, 500 05
Novartis Investigative Site
Jihlava, 586 01
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Olomouc, 779 00
Novartis Investigative Site
Pardubice, 532 03
Novartis Investigative Site
Prague, 100 34
Novartis Investigative Site
Prague, 128 08
Novartis Investigative Site
Prague, 140 59
Novartis Investigative Site
Prague, 150 06
Novartis Investigative Site
Teplice, 415 29
Japan11 sites
Novartis Investigative Site
Chiba, 2608677
Novartis Investigative Site
Kawagoe, Saitama, 3508550
Novartis Investigative Site
Kodaira, Tokyo, 187-8551
Novartis Investigative Site
Niigata, 9518520
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Osaka, 5560016
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Sapporo, Hokkaido, 0630005
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Sendai, Miyagi, 9808574
Novartis Investigative Site
Sendai, Miyagi, 9838512
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Shinjuku-ku, Tokyo, 1608582
Novartis Investigative Site
Shiwa-Gun, Iwate, 0283695
Novartis Investigative Site
Tōon, Ehime, 7910295
Turkey (Türkiye)11 sites
Novartis Investigative Site
Istanbul, Bakirkoy, 34147
Novartis Investigative Site
Istanbul, Fatih, 34098
Novartis Investigative Site
Istanbul, Sancaktepe, 34785
Novartis Investigative Site
Istanbul, Sultangazi, 34295
Novartis Investigative Site
Izmir, Balcova, 35340
Novartis Investigative Site
Izmir, Karsiyaka, 35575
Novartis Investigative Site
Izmir, 35100
Novartis Investigative Site
Kocaeli, 41380
Novartis Investigative Site
Mersin, Yenisehir, 33110
Novartis Investigative Site
Samsun, Atakum, 55200
Novartis Investigative Site
Trabzon, Ortahisar, 61080
India9 sites
Novartis Investigative Site
Chandigarh, Punjab, 160012
Novartis Investigative Site
Howrah, West Bengal, 711103
Novartis Investigative Site
Hyderabad, Telangana, 500082
Novartis Investigative Site
Kochi, Kerala, 682 026
Novartis Investigative Site
Mangalore, Karnataka, 575018
Novartis Investigative Site
Mumbai, Maharashtra, 400008
Novartis Investigative Site
New Delhi, National Capital Territory of Delhi, 110017
Novartis Investigative Site
New Delhi, National Capital Territory of Delhi, 110060
Novartis Investigative Site
Pune, Maharashtra, 411004
Portugal8 sites
Novartis Investigative Site
Braga, 4710243
Novartis Investigative Site
Coimbra, 3004-561
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Lisbon, 1169-050
Novartis Investigative Site
Lisbon, 1500 650
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Loures, 2674-514
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Matosinhos Municipality, 4454-513
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Porto, 4099-001
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Santa Maria da Feira, 4520-211
Canada7 sites
Novartis Investigative Site
Gatineau, Quebec, J9J 0A5
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Greenfield Park, Quebec, J4V 2J2
Novartis Investigative Site
London, Ontario, N6A 5W9
Novartis Investigative Site
Montreal, Quebec, H3A 2B4
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Ottawa, Ontario, K1H 8L6
Novartis Investigative Site
Québec, Quebec, G1J 1Z4
Novartis Investigative Site
Toronto, Ontario, M4N 3M5
France7 sites
Novartis Investigative Site
Lille, 59037
Novartis Investigative Site
Montpellier, 34090
Novartis Investigative Site
Nantes, 44093
Novartis Investigative Site
Nice, 06001
Novartis Investigative Site
Nîmes, 30029
Novartis Investigative Site
Paris, 75013
Novartis Investigative Site
Strasbourg, 67000
Hungary7 sites
Novartis Investigative Site
Budapest, HUN, 1135
Novartis Investigative Site
Budapest, 1044
Novartis Investigative Site
Budapest, 1106
Novartis Investigative Site
Budapest, 1204
Novartis Investigative Site
Kistarcsa, 2143
Novartis Investigative Site
Pécs, Baranya, 7623
Novartis Investigative Site
Szeged, 6725
Slovakia7 sites
Novartis Investigative Site
Banská Bystrica, 975 17
Novartis Investigative Site
Bratislava, 813 69
Novartis Investigative Site
Bratislava, 826 06
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Bratislava, 833 05
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Martin, 036 59
Novartis Investigative Site
Nitra, 950 01
Novartis Investigative Site
Trnava, 917 02
United Kingdom6 sites
Novartis Investigative Site
Glasgow, Scotland, G51 4TF
Novartis Investigative Site
London, E1 1BB
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London, SW17 0QT
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Luton, Beds, LU4 0DZ
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Oxford, OX3 9DU
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Sheffield, South Yorkshire, S10 2JF
Argentina5 sites
Novartis Investigative Site
Buenos Aires, C1424BYD
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Córdoba, X5004CDT
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Rosario, Santa Fe Province, S2000BZL
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Rosario, Santa Fe Province, S2000DSW
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San Miguel de Tucumán, 4000
Belgium5 sites
Novartis Investigative Site
Brasschaat, 2930
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Bruges, 8000
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Brussels, 1200
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Edegem, 2650
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Ghent, 9000
Bulgaria4 sites
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Pleven, 5800
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Sofia, 1113
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Sofia, 1309
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Sofia, 1431
Israel4 sites
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Ashkelon, 7830604
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Haifa, 3109601
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Sefad, 1311300
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Tel Aviv, 6423906
Australia3 sites
Novartis Investigative Site
Liverpool, 2170
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New Lambton Heights, New South Wales, 2305
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St Leonards, 2065
Croatia3 sites
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Osijek, 31000
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Rijeka, 51000
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Zagreb, 10000
Latvia3 sites
Novartis Investigative Site
Riga, LV, LV-1005
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Riga, LV 1002
Novartis Investigative Site
Riga, LV-1038
Mexico3 sites
Novartis Investigative Site
Chihuahua City, 31238
Novartis Investigative Site
Mexico City, Mexico City, 03100
Novartis Investigative Site
Mexico City, Mexico City, 06700
Netherlands3 sites
Novartis Investigative Site
Amsterdam, North Holland, 1081 HV
Novartis Investigative Site
Rotterdam, South Holland, 3015 GD
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Sittard-Geleen, Limburg, 6162 BG
Peru3 sites
Novartis Investigative Site
Lima, 13
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Lima Cercado, Lima region, 01
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San Isidro, Lima region, 27
Austria2 sites
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Vienna, 1010
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Vienna, 1090
Denmark2 sites
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Glostrup Municipality, 2600
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Odense C, 5000
Estonia2 sites
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Tallinn, 10617
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Tartu, 50406
Finland2 sites
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Tampere, 33100
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Turku, 20520
Greece2 sites
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Athens, 115 25
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Thessaloniki, 54636
Lithuania2 sites
Novartis Investigative Site
Kaunas, LTU, LT 50161
Novartis Investigative Site
Vilnius, LT-08406
South Africa2 sites
Novartis Investigative Site
Pretoria, 0041
Novartis Investigative Site
Rosebank, 2196
Sweden2 sites
Novartis Investigative Site
Gothenburg, 413 45
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Stockholm, 102 35
Switzerland2 sites
Novartis Investigative Site
Basel, 4031
Novartis Investigative Site
Lugano, 6900
About this study
Official title: An Open-label, Single Arm, Multi-center Extension Study Evaluating Long-term Safety, Tolerability and Effectiveness of Ofatumumab in Subjects With Relapsing Multiple Sclerosis
The purpose of this study is to collect long-term safety, tolerability, effectiveness and health outcomes data in eligible subjects who have participated in a Novartis ofatumumab clinical MS study.
Vaccination sub-study The purpose of this research sub-study is to find out the effects of ofatumumab on the development of antibody responses to selected vaccines and keyhole limpet hemocyanin (KLH) neo-antigen in subjects with relapsing multiple sclerosis (RMS).
Read more
COVID-19 sub-study:
The purpose of this research sub-study is to explore the immune response following Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) vaccination in a subset of subjects on long-term ofatumumab 20 mg sc. Note: Novartis is not supplying the SARS-CoV-2 vaccine.
- Conditions
- Relapsing Multiple Sclerosis
- Being tested
- Ofatumumab, Tetanus toxoid (TT) containing vaccine (Td, Tdap), 13-valent pneumococcal conjugate vaccine (13-PCV), 23-valent pneumococcal polysaccharide vaccine (23-PPV), Seasonal Quadrivalent influenza vaccine
- Keywords
- ofatumumab, relapsing multiple sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OfatumumabBiological
subcutaneous injection of 20 mg ofatumumab every 4 weeks
Tetanus toxoid (TT) containing vaccine (Td, Tdap)Biological
0.5mL Vial/Syringe Containing 5 limit of flocculation (LF) tetanus toxoid
13-valent pneumococcal conjugate vaccine (13-PCV)Biological
0.5mL Vial/Syringe
23-valent pneumococcal polysaccharide vaccine (23-PPV)Biological
0.5mL Vial/Syringe
Seasonal Quadrivalent influenza vaccineBiological
Seasonal 2020-2021 0.5mL Vial/Syringe (trivalent may be used where quadrivalent is not available)
Keyhole limpet hemocyanin (KLH) neo-antigenBiological
1mg Vial
| Study group | Role | What they receive |
|---|---|---|
| Ofatumumab | Experimental | Subcutaneous injection Receives: Biological: Ofatumumab; Biological: Tetanus toxoid (TT) containing vaccine (Td, Tdap); Biological: 13-valent pneumococcal conjugate vaccine (13-PCV); Biological: 23-valent pneumococcal polysaccharide vaccine (23-PPV); Biological: Seasonal Quadrivalent influenza vaccine; Biological: Keyhole limpet hemocyanin (KLH) neo-antigen |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of patients that experience an adverse event or abnormal laboratory, vital and/or ECG results and positive suicidiality outcomes
Measured: Up to 8 years
Secondary outcomes (9)
Number of relapse rates per year
Annual Relapse Rate (ARR) time calculated as number of confirmed relapses divided by time in study per year and will also be presented for the entire duration
Measured: Data from the core studies through the first 5 years in this study.
Patients with confirmed 3 and 6 month disability worsening
A confirmed disability worsening is an increase from baseline in Expanded Disability Status Scale (EDSS) score sustained for at last 3, or 6 months EDSS consists of seven functional systems and an ambulation score that are then combined to determine the EDSS steps (ranging from 0 (normal) to 10 (death due to MS)). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, and Cerebral functions (Fatigue contributes).
Measured: During the first 5 years of treatment in the study.
Patients with confirmed 6, 12, and 24 month disability improvement and improvement during the first 5 years of the study.
Confirmed disability improvement is a decrease from baseline in Expanded Disability Status Scale (EDSS) score sustained for at least 6, 12 or 24 months EDSS consists of seven functional systems and an ambulation score that are then combined to determine the EDSS steps (ranging from 0 (normal) to 10 (death due to MS)). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, and Cerebral functions (Fatigue contributes).
Measured: During the first 5 years of treatment in the study.
Patients with changes in Expanded Disability Status Scale (EDSS) scores
Score changes in Expanded Disability Status Scale (EDSS) over time EDSS consists of seven functional systems and an ambulation score that are then combined to determine the EDSS steps (ranging from 0 (normal) to 10 (death due to MS)). The functional systems are Visual, Brain Stem, Pyramidal, Cerebellar, Sensory, Bowel and Bladder, and Cerebral functions (Fatigue contributes).
Measured: Data from the core studies through the first 5 years in this study, (depending on if first dose was in the core or in this extension study or comparator randomization)
Changes in and time to 6 month confirmed worsening of Symbol Digit Modalities Test Scores
Score changes and confirmed 4-point worsening sustained for 6 months in Symbol Digit Modalities Test (SDMT) scores The Symbol Digit Modalities Test is a neuropsychological, timed test for sustained attention and concentration. 3 versions will be used, alternating at each visit where done. The number of correct responses will be counted for the score.
Measured: During the first 5 years of the study.
Changes in the Magnetic Resonance Image (MRI) related to brain volume loss
Percent change from baseline in brain volume loss (BVL)
Measured: Data from the core studies through the first 5 years in this study.
Changes in the Magnetic Resonance Image (MRI) related to T2 lesions
Number of new or enlarging T2 lesions
Measured: Data from the core studies through the first 5 years in this study.
Changes in the Magnetic Resonance Image (MRI) related to Gd-enhancing lesions
Total number of Gd-enhancing lesions on all MRI scans adjusted for different time of scan versus follow up time in study
Measured: Data from the core studies through the first 5 years in this study.
Changes in neurofilament light change serum concentration
Extent of neurofilament light change concentration in blood NfL is a component of the neuronal cytoskeleton and is released into the cerebrospinal fluid and into subsequently blood following neuro-axonal damage
Measured: Data from the core studies through the first 5 years in this study.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Aug 2018
- Study start28 Dec 2018
- Primary completion30 Sep 2028 (estimated)
- Study completion30 Sep 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Relapsing Multiple SclerosisStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,882 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03650114
- Sponsor's protocol ID
- COMB157G2399
- Other IDs
- 2023-507906-15, 2023
- Acronym
- ALITHIOS
- Status last verified
- May 2026
- First submitted
- 17 Aug 2018
- Last updated
- 27 May 2026
- Results posted
- No
- 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
Publications
Hauser SL, Cohen JA, de Seze J, Meuth SG, Giacomini PS, Nakahara J, Oreja-Guevara C, Robertson D, Wray S, Bhatt A, Hu X, Xi J, Piccolo R, Jehl V, Sullivan R, Boer I, Wiendl H, Kappos L. Five-Year Safety and Efficacy Outcomes with Ofatumumab in Patients with Relapsing Multiple Sclerosis. Neurol Ther. 2025 Oct;14(5):1975-1992. doi: 10.1007/s40120-025-00784-0. Epub 2025 Jul 13.
PubMed 40652442Hauser SL, Zielman R, Das Gupta A, Xi J, Stoneman D, Karlsson G, Robertson D, Cohen JA, Kappos L. Efficacy and safety of four-year ofatumumab treatment in relapsing multiple sclerosis: The ALITHIOS open-label extension. Mult Scler. 2023 Oct;29(11-12):1452-1464. doi: 10.1177/13524585231195346. Epub 2023 Sep 11.
PubMed 37691530
Study at a glance
From the registry record, last updated by the sponsor on 27 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Single Arm, Multi-center Extension Study Evaluating Long-term Safety, Tolerability and Effectiveness of Ofatumumab in Subjects With Relapsing Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT03650114
- Acronym / sponsor ID
- ALITHIOS / COMB157G2399
- Conditions
- Relapsing Multiple Sclerosis
- Keywords
- ofatumumab, relapsing multiple sclerosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,882 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 28 Dec 2018 (actual)
- Primary completion
- 30 Sep 2028 (estimated)
- Study completion
- 30 Sep 2028 (estimated)
- First posted
- 28 Aug 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to collect long-term safety, tolerability, effectiveness and health outcomes data in eligible subjects who have participated in a Novartis ofatumumab clinical MS study.
Vaccination sub-study The purpose of this research sub-study is to find out the effects of ofatumumab on the development of antibody responses to selected vaccines and keyhole limpet hemocyanin (KLH) neo-antigen in subjects with relapsing multiple sclerosis (RMS).
COVID-19 sub-study:
The purpose of this research sub-study is to explore the immune response following Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) vaccination in a subset of subjects on long-term ofatumumab 20 mg sc. Note: Novartis is not supplying the SARS-CoV-2 vaccine.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Ofatumumab | Experimental | Biological: Ofatumumab, Biological: Tetanus toxoid (TT) containing vaccine (Td, Tdap), Biological: 13-valent pneumococcal conjugate vaccine (13-PCV), Biological: 23-valent pneumococcal polysaccharide vaccine (23-PPV), Biological: Seasonal Quadrivalent influenza vaccine, Biological: Keyhole limpet hemocyanin (KLH) neo-antigenSubcutaneous injection |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Must have completed a selected Novartis MS study which dosed ofatumumab 20 mg sc every 4 weeks
- Written informed consent
- Informed consent
- Actively enrolled in the COMB157G2399 Study
- 12 weeks of continuous treatment within the COMB157G2399 Study
Key exclusion criteria (10 listed)
- Emergence of any clinically significant condition/disease during the previous ofatumumab study in which study participation might result in safety risk for the subject
- Subjects with active systemic bacterial, viral or fingal infections, or chronic infection (e.g. AIDS)
- Subjects taking medications prohibited by the protocol
- Pregnant or nursing (lactating) women Other protocol-defined inclusion/exclusion criteria may apply
- known hypersensitivity or history of systemic allergic, neurologic or other reactions to vaccines
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Ofatumumabsubcutaneous injection of 20 mg ofatumumab every 4 weeks | Biological | Ofatumumab |
| Tetanus toxoid (TT) containing vaccine (Td, Tdap)0.5mL Vial/Syringe Containing 5 limit of flocculation (LF) tetanus toxoid | Biological | Ofatumumab |
| 13-valent pneumococcal conjugate vaccine (13-PCV)0.5mL Vial/Syringe | Biological | Ofatumumab |
| 23-valent pneumococcal polysaccharide vaccine (23-PPV)0.5mL Vial/Syringe | Biological | Ofatumumab |
| Seasonal Quadrivalent influenza vaccineSeasonal 2020-2021 0.5mL Vial/Syringe (trivalent may be used where quadrivalent is not available) | Biological | Ofatumumab |
| Keyhole limpet hemocyanin (KLH) neo-antigen1mg Vial | Biological | Ofatumumab |
Primary outcome
Number of patients that experience an adverse event or abnormal laboratory, vital and/or ECG results and positive suicidiality outcomes
Time frame: Up to 8 years
9 secondary outcomes
Number of relapse rates per year
Time frame: Data from the core studies through the first 5 years in this study.
Patients with confirmed 3 and 6 month disability worsening
Time frame: During the first 5 years of treatment in the study.
Patients with confirmed 6, 12, and 24 month disability improvement and improvement during the first 5 years of the study.
Time frame: During the first 5 years of treatment in the study.
Patients with changes in Expanded Disability Status Scale (EDSS) scores
Time frame: Data from the core studies through the first 5 years in this study, (depending on if first dose was in the core or in this extension study or comparator randomization)
Changes in and time to 6 month confirmed worsening of Symbol Digit Modalities Test Scores
Time frame: During the first 5 years of the study.
Changes in the Magnetic Resonance Image (MRI) related to brain volume loss
Time frame: Data from the core studies through the first 5 years in this study.
Changes in the Magnetic Resonance Image (MRI) related to T2 lesions
Time frame: Data from the core studies through the first 5 years in this study.
Changes in the Magnetic Resonance Image (MRI) related to Gd-enhancing lesions
Time frame: Data from the core studies through the first 5 years in this study.
Changes in neurofilament light change serum concentration
Time frame: Data from the core studies through the first 5 years in this study.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 May 2026.
- Derived from this study: PubMed 40652442Hauser SL, Cohen JA, de Seze J, Meuth SG, Giacomini PS, Nakahara J, Oreja-Guevara C, Robertson D, Wray S, Bhatt A, Hu X, Xi J, Piccolo R, Jehl V, Sullivan R, Boer I, Wiendl H, Kappos L. Five-Year Safety and Efficacy Outcomes with Ofatumumab in Patients with Relapsing Multiple Sclerosis. Neurol Ther. 2025 Oct;14(5):1975-1992. doi: 10.1007/s40120-025-00784-0. Epub 2025 Jul 13.
- Derived from this study: PubMed 37691530Hauser SL, Zielman R, Das Gupta A, Xi J, Stoneman D, Karlsson G, Robertson D, Cohen JA, Kappos L. Efficacy and safety of four-year ofatumumab treatment in relapsing multiple sclerosis: The ALITHIOS open-label extension. Mult Scler. 2023 Oct;29(11-12):1452-1464. doi: 10.1177/13524585231195346. Epub 2023 Sep 11.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
295 sites in 37 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ofatumumab, Tetanus toxoid (TT) containing vaccine (Td, Tdap) and 13-valent pneumococcal conjugate vaccine (13-PCV) in people with Relapsing Multiple Sclerosis, run by Novartis Pharmaceuticals at 295 sites in 37 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 6 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 27 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 295 sites in United States, Germany, Spain, Russia, Poland and 32 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Number of patients that experience an adverse event or abnormal laboratory, vital and/or ECG results and positive suicidiality outcomes (time frame: Up to 8 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03650114, which also lists 2 linked publications.
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 May 2026; AzTrials last refreshed its copy on 7 Nov 2026.