Multiple Sclerosis, Relapsing-RemittingPhase 2NCT04625153
RC18 in Patients With Relapsing Remitting Multiple Sclerosis:a Phase II Trial
A Phase 2 study testing RC18 160mg and RC18 240mg in people with Multiple Sclerosis, Relapsing-Remitting, run by RemeGen Co., Ltd. at 1 site in China.
Trial summary
To observe the safety and effectivity of a Recombinant Human B Lymphocyte Stimulator Receptor : Immunoglobulin G( IgG ) Fc Fusion Protein for injection (RC18) in patients with relapsing remitting multiple sclerosis, analyze the dose-response relationship and provide a dose basis for follow-up clinical trials. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Multiple Sclerosis, Relapsing-Remitting
- What is being tested?
- RC18 160mg and RC18 240mg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 8 participants
- Where
- 1 siteChina
- Study dates
- 13 May 2021to 3 Apr 2026
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with relapsing remitting multiple sclerosis meet the diagnostic criteria of McDonald 2017.
- 18-55 years old, male or female
- At least 1 recurrence was recorded within 1 year prior to randomization, or at least 2 recurrences within 2 years (the first clinical episode of MS was recorded as a recurrence), or active gadolinium enhanced lesions in the brain within 1 year prior to screening.
- Neurological symptoms were stable for ≥30 days before screening and before baseline
- EDSS score ≤ 5.5
- Informed consent signed voluntarily
Who cannot join
- Patients who were unable to undergo magnetic resonance imaging or who were allergic to gadolinium contrast agents during the trial
- In addition to multiple sclerosis, patients with chronic active immune system diseases or who are stable but require immunotherapy (glucocorticoids and/or immunosuppressants) (e.g., rheumatoid arthritis, scleroderma, Sjogren's syndrome, Crohn's disease, ulcerative colitis), Or patients with known immunodeficiency syndromes (AIDS, genetic immunodeficiency, and drug-induced immunodeficiency); Patients who received glucocorticoid maintenance therapy before randomization could participate in the trial after discontinuing the drug.
- Patients who were AQP4 antibody positive and/or MOG antibody positive within 1 year prior to randomization
- Patients who have received the following treatment:
- Interferon, pegylated interferon, glatirex acetate, and dimethyl fumarate were used within 4 weeks prior to randomization.
- Use of Fingomod, intravenous immunoglobulin, or plasmapheresis within 12 weeks prior to randomization.
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- Alemtuzumab, Daclizumab, Ocrelizumab were administered within 24 weeks prior to randomization.
- Azathioprine (AZA, half-life t1/2=6hrs), Mycophenolate Mofetil (t1/2=16hrs), Leflunomide (LEF, LEflunomide) were used before randomization. t1/2=15 days), Tacrolimus (t1/2=43 hrs), Teriflunomide (t1/2=18 days), Cyclosporin (CsA) Patients with immunosuppressants such as t1/2=27 hrs), Methotrexate (MTX, t1/2=14hrs), Cyclophosphamide (CTX, t1/2=6hrs), in addition to leflunomide and teriflunomide, The discontinuation interval was more than 5 times the half-life. Leflunomide and Teriflunomide need to be eluted with coletenide, which can be discontinued and the following measures taken: Coletenide 8 g 3 times daily for 11 days, if the 8 g dose is not tolerated, can be changed to 4 g orally for the same time and frequency as before.
- Use of clatribine or mitoxantrone within 1 year prior to randomization.
- Received lymphoid irradiation and bone marrow transplantation before randomization.
- Patients were participated in any clinical trial 28 days before randomization or within 5 times half-life of study drug participating in clinical trial (whichever is longer).
- Patients with any persistent or chronic active infection or serious infection history in the screening period, such as shingles; active tuberculosis (patients with latent tuberculosis can participate in the test if they are given isoniazid and / or rifampin at the same time); HIV infection; syphilis antibody positive; HCV antibody positive; HBsAg positive; HBsAg negative but HBcAb positive, the HBV-DNA quantitative test is needed. If the HBV-DNA is positive, the patient should be excluded. If the HBV-DNA is negative, the patient can not be excluded.
- The results of abnormal laboratory tests to be excluded include but are not limited to: Leukocyte count < 3 × 10~9 / L; neutrophil < 1.5 × 10~9 / L; hemoglobin < 85g / L; platelet count < 80 × 10~9 / L; serum creatinine > 1.5 × ULN, accompanied by creatinine clearance < 50ml / min (measured value, or calculated by Cockcroft Gault formula); total bilirubin > 1.5 × ULN; ALT > 3 × ULN; AST > 3 × ULN; alkaline phosphatase > 2 × ULN; IgG < lower limit of normal value; IgM < lower limit of normal value;
- Cancer patients
- Pregnant women, lactating women and patients with family planning during the trial
- Patients with other mental disorders
- Patients who experienced any of the following events within 12 weeks before randomization: myocardial infarction, unstable ischemic heart disease, stroke, or NYHA class IV heart failure
- The researchers believe that the patients are compliant insufficiently or not suitable to participate in this study.
Trial locations and contacts
1 site in 1 country.
China1 site
the Third Affiliated Hospital,Sun Yat-Sen University
Guangzhou, Guangdong
About this study
Official title: RC18, a Recombinant Human B Lymphocyte Stimulator Receptor:Immunoglobulin G( IgG ) Fc Fusion Protein for Injection in Patients With Relapsing Remitting Multiple Sclerosis:a Phase II Trial
To observe the safety and effectivity of a Recombinant Human B Lymphocyte Stimulator Receptor : Immunoglobulin G( IgG ) Fc Fusion Protein for injection (RC18) in patients with relapsing remitting multiple sclerosis, analyze the dose-response relationship and provide a dose basis for follow-up clinical trials.
- Conditions
- Multiple Sclerosis, Relapsing-Remitting
- Being tested
- RC18 160mg, RC18 240mg
- Medical subject headings
- Multiple Sclerosis, Relapsing-Remitting
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RC18 160mgBiological
Also called telitacicept
RC18 160mg is injected subcutaneously once a week for 48 times.
RC18 240mgBiological
Also called telitacicept
RC18 240mg is injected subcutaneously once a week for 48 times.
| Study group | Role | What they receive |
|---|---|---|
| RC18 160mg | Experimental | RC18 160mg is injected subcutaneously once a week for 48 times. Receives: Biological: RC18 160mg |
| RC18 240mg | Experimental | RC18 240mg is injected subcutaneously once a week for 48 times. Receives: Biological: RC18 240mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
48-week annual recurrence rate (ARR)
48-week annual recurrence rate (ARR). ARR is calculated as the total number of relapses for all subjects divided by the total number of years of subjects receiving this treatment
Measured: 0- 48 weeks
Secondary outcomes (7)
24 weeks confirmed disability progression
Time to 24 weeks confirmed disability progression (24wCDP) (based on EDSS assessment)
Measured: 0-24weeks
12 weeks confirmed disability progression
Time to 12 weeks confirmed disability progression (12wCDP) (based on EDSS assessment)
Measured: 0-12weeks
12 weeks confirmed disability improvement
Time to 12 weeks confirmed disability improvement (12wCDI) (based on EDSS assessment)
Measured: 0-12weeks
Changes in EDSS scores from baseline at weeks 12, 24, 36 and 48
Changes in EDSS scores from baseline at weeks 12, 24, 36 and 48; Gadolinium enhanced T1 lesion number in the brain compared with baseline at weeks 12, 24, 36, and 48
Measured: At 12, 24, 36 and 48 weeks
Number of new low-signaling T1 lesions in the brain
Number of new low-signaling T1 lesions in the brain at weeks 12, 24, 36, and 48 compared with baseline
Measured: At 12, 24, 36 and 48 weeks
Number of new/new large T2 lesions in the brain
Number of new/new large T2 lesions in the brain at weeks 12, 24, 36, and 48 compared with baseline
Measured: At 12, 24, 36 and 48 weeks
Proportion of patients without recurrence at weeks 0 to 48
Proportion of patients without recurrence at weeks 0 to 48
Measured: 0- 48 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Nov 2020
- Study start13 May 2021
- Primary completion3 Apr 2026
- Study completion3 Apr 2026
Why it stopped: Sponsor Strategic Priority Adjustment
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple Sclerosis, Relapsing-RemittingStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 8 participants (actual)
Sponsor and investigators
- Lead sponsor
- RemeGen Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04625153
- Sponsor's protocol ID
- 18C013
- Status last verified
- Apr 2026
- First submitted
- 6 Nov 2020
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- RC18, a Recombinant Human B Lymphocyte Stimulator Receptor:Immunoglobulin G( IgG ) Fc Fusion Protein for Injection in Patients With Relapsing Remitting Multiple Sclerosis:a Phase II Trial
- ClinicalTrials.gov ID
- NCT04625153
- Acronym / sponsor ID
- 18C013
- Conditions
- Multiple Sclerosis, Relapsing-Remitting
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor Strategic Priority Adjustment
- Enrolment
- 8 participants (actual)
- Lead sponsor
- RemeGen Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 13 May 2021 (actual)
- Primary completion
- 3 Apr 2026 (actual)
- Study completion
- 3 Apr 2026 (actual)
- First posted
- 12 Nov 2020 (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.
To observe the safety and effectivity of a Recombinant Human B Lymphocyte Stimulator Receptor : Immunoglobulin G( IgG ) Fc Fusion Protein for injection (RC18) in patients with relapsing remitting multiple sclerosis, analyze the dose-response relationship and provide a dose basis for follow-up clinical trials.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| RC18 160mg | Experimental | Biological: RC18 160mgRC18 160mg is injected subcutaneously once a week for 48 times. |
| RC18 240mg | Experimental | Biological: RC18 240mgRC18 240mg is injected subcutaneously once a week for 48 times. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Patients with relapsing remitting multiple sclerosis meet the diagnostic criteria of McDonald 2017.
- 18-55 years old, male or female
- At least 1 recurrence was recorded within 1 year prior to randomization, or at least 2 recurrences within 2 years (the first clinical episode of MS was recorded as a recurrence), or active gadolinium enhanced lesions in the brain within 1 year prior to screening.
- Neurological symptoms were stable for ≥30 days before screening and before baseline
- EDSS score ≤ 5.5
Key exclusion criteria (18 listed)
- Patients who were unable to undergo magnetic resonance imaging or who were allergic to gadolinium contrast agents during the trial
- In addition to multiple sclerosis, patients with chronic active immune system diseases or who are stable but require immunotherapy (glucocorticoids and/or immunosuppressants) (e.g., rheumatoid arthritis, scleroderma, Sjogren's syndrome, Crohn's disease, ulcerative colitis), Or patients with known immunodeficiency syndromes (AIDS, genetic immunodeficiency, and drug-induced immunodeficiency); Patients who received glucocorticoid maintenance therapy before randomization could participate in the trial after discontinuing the drug.
- Patients who were AQP4 antibody positive and/or MOG antibody positive within 1 year prior to randomization
- Patients who have received the following treatment:
- Patients were participated in any clinical trial 28 days before randomization or within 5 times half-life of study drug participating in clinical trial (whichever is longer).
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 |
|---|---|---|
| RC18 160mgAlso: telitaciceptRC18 160mg is injected subcutaneously once a week for 48 times. | Biological | RC18 160mg |
| RC18 240mgAlso: telitaciceptRC18 240mg is injected subcutaneously once a week for 48 times. | Biological | RC18 240mg |
Primary outcome
48-week annual recurrence rate (ARR)
Time frame: 0- 48 weeks
48-week annual recurrence rate (ARR). ARR is calculated as the total number of relapses for all subjects divided by the total number of years of subjects receiving this treatment
7 secondary outcomes
24 weeks confirmed disability progression
Time frame: 0-24weeks
12 weeks confirmed disability progression
Time frame: 0-12weeks
12 weeks confirmed disability improvement
Time frame: 0-12weeks
Changes in EDSS scores from baseline at weeks 12, 24, 36 and 48
Time frame: At 12, 24, 36 and 48 weeks
Number of new low-signaling T1 lesions in the brain
Time frame: At 12, 24, 36 and 48 weeks
Number of new/new large T2 lesions in the brain
Time frame: At 12, 24, 36 and 48 weeks
Proportion of patients without recurrence at weeks 0 to 48
Time frame: 0- 48 weeks
Results and safety
The study was stopped early (reason given: Sponsor Strategic Priority Adjustment). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Individual participant dataSharing planned: Undecided
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing RC18 160mg and RC18 240mg in people with Multiple Sclerosis, Relapsing-Remitting, run by RemeGen Co., Ltd. at 1 site in China.
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 18 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: stopped early, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Sponsor Strategic Priority Adjustment). Results are not available in the source record.
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?
48-week annual recurrence rate (ARR) (time frame: 0- 48 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Apr 2026.