Progressive Multiple SclerosisPhase 2MintakaNCT07282574
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)
A Phase 2 study testing RO7268489 and Ocrelizumab in people with Progressive Multiple Sclerosis, run by Hoffmann-La Roche at 114 sites in 12 countries.
Trial summary
The main purpose of this study is to assess the efficacy of RO7268489 in adults with progressive multiple sclerosis (PMS) receiving ocrelizumab. After the end of the double-blind period, an open-label (OL) extension may allow eligible participants to receive open-label RO7268489. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Progressive Multiple Sclerosis
- What is being tested?
- RO7268489 and Ocrelizumab
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 360 participants
- Where
- 114 sitesin 12 countries
- Study dates
- 10 Mar 2026to 30 May 2030
- Phase
- Phase 2
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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
Who cannot join
- MS relapse during the 6 months preceding the randomization date
- Lack of peripheral venous access
- History of alcohol or other drug abuse (substance use disorder) based on Diagnostic and Statistical Manual for Mental Disorders, fifth edition (DSM-5) criteria, within 5 years prior to screening
- Inability to complete a magnetic resonance imaging (MRI)
- Contraindications to ocrelizumab mandatory pre-medications
- Treatment with intravenous immunoglobulin (IV Ig) or plasmapheresis within 12 weeks prior to screening
Trial locations and contacts
114 sites in 12 countries. Contact the study team or a site near you to ask about taking part.
Reference Study ID Number: BP46016 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
114 sites in 12 countries
Spain20 sites, 20 recruiting
- Recruiting
Complejo Hospitalario Universitario de Albacete
Albacete, 02008
- Recruiting
Hospital de Cruces
Barakaldo, Vizcaya, 48903
- Recruiting
Hospital del Mar
Barcelona, 08003
- Recruiting
Hospital Universitari Vall d Hebron
Barcelona, 08035
- Recruiting
Hospital Clinic de Barcelona
Barcelona, 08036
- Recruiting
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
- Recruiting
Hospital Universitario Virgen de La Arrixaca
El Palmar, Murcia, 30120
- Recruiting
Hospital Universitari de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907
- Recruiting
Hospital Universitari Arnau de Vilanova
Lleida, Lerida, 25198
- Recruiting
Hospital Universitario de la Princesa
Madrid, 28006
- Recruiting
Hospital General Universitario Gregorio Maranon
Madrid, 28007
- Recruiting
Hospital Universitario Ramon y Cajal
Madrid, 28034
- Recruiting
Hospital Clinico San Carlos
Madrid, 28040
- Recruiting
Hospital Regional Universitario de Malaga
Málaga, 29010
- Recruiting
Hospital Universitario Quironsalud Madrid
Pozuelo de Alarcón, Madrid, 28223
- Recruiting
Hospital Santa Caterina
Salt, Girona, 17190
- Recruiting
Complejo Hospitalario Universitario de Santiago.
Santiago de Compostela, LA Coruna, 15706
- Recruiting
Hospital Universitario Virgen Macarena
Seville, 41009
- Recruiting
Hospital Universitari i Politecnic La Fe
Valencia, 46026
- Recruiting
Hospital Alvaro Cunqueiro
Vigo, Pontevedra, 36312
Poland18 sites, 18 recruiting
- Recruiting
SOMED - Lodzkie Centrum Osteoporozy
?ód?, 90-368
- Recruiting
ProNeuro Centrum Medyczne
?ory, 44-240
- Recruiting
Neurocentrum Bydgoszcz sp z o.o
Bydgoszcz, 85-796
- Recruiting
COPERNICUS Podmiot Leczniczy Sp z o o
Gda?sk, 80-803
- Recruiting
Centrum Medyczne Pratia Katowice I
Katowice, Silesian Voivodeship, 40-081
- Recruiting
NEURO-CARE Sp. z o.o. Sp. Komandytowa
Katowice, Silesian Voivodeship, 40-749
- Recruiting
M.A. LEK A.M.Maciejowscy SC.
Katowice, 40-571
- Recruiting
Resmedica NZOZ Kielce
Kielce, 25-726
- Recruiting
Samodzielny Publiczny Zakad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie
Krakow, 31-503
- Recruiting
Szpital Specjalistyczny im. L. Rydygiera w Krakowie
Krakow, 31-826
- Recruiting
Indywidualna Praktyka Lekarska Prof. Dr Hab. N. Med. Konrad Rejdak.
Lublin, 20-410
- Recruiting
Zanamed Medical Clinic sp z o o
Lublin, 20-601
- Recruiting
NZOZ NEURO-KARD Ilkowski i Partnerzy Sp. Partn. Lek
Poznan, Greater Poland Voivodeship, 61-853
- Recruiting
Centrum Medyczne Medyk
Rzeszów, 35-055
- Recruiting
Nmedis sp. z o.o.
Rzeszw, Podkarpackie Voivodeship, 35-323
- Recruiting
Centrum Medyczne NeuroProtect
Warsaw, 01-684
- Recruiting
Penta Hospitals Przychodnie, Wroclaw Wejherowska
Wroc?aw, 54-239
- Recruiting
Samodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Stanislawa SzyszkoSUM w Katowicach
Zabrze, 41-800
Germany17 sites, 17 recruiting
- Recruiting
Charité Universitaetsmedizin Berlin - Campus Ch
Berlin, 10117
- Recruiting
St. Josef-Hospital Universitaetsklinikum
Bochum, North Rhine-Westphalia, 44791
- Recruiting
Universitaetsklinikum Bonn AoeR
Bonn, North Rhine-Westphalia, 53127
- Recruiting
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Saxony, 01307
- Recruiting
Universitaetsklinikum Duesseldorf
Düsseldorf, North Rhine-Westphalia, 40225
- Recruiting
Universitaetsklinikum Erlangen
Erlangen, Bavaria, 91054
- Recruiting
Universitaetsklinkm Essen
Essen, North Rhine-Westphalia, 45122
- Recruiting
Universitaetsklinikum Frankfurt Goethe-Universitaet
Frankfurt am Main, Hesse, 60528
- Recruiting
Universitaetsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106
- Recruiting
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
- Recruiting
Universitaetsklinikum Leipzig
Leipzig, Saxony, 04103
- Recruiting
Universitaetsmedizin Mannheim
Mannheim, Baden-Wurttemberg, 68167
- Recruiting
LMU-Campus Grosshadern
Munich, Bavaria, 81377
- Recruiting
Klinikum rechts der Isar der TU Muenchen
Munich, Bavaria, 81675
- Recruiting
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, 72076
- Recruiting
Studienzentrum Neuropoint GmbH,
Ulm, Baden-Wurttemberg, 89073
- Recruiting
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081
France11 sites, 11 recruiting
- Recruiting
Groupe Hospitalier Pellegrin
Bordeaux, Gironde, 33800
- Recruiting
Hopital Neurologique Pierre Wertheimer
Bron, 69500
- Recruiting
CHU Hopital Gabriel Montpied
Clermont-Ferrand, Puy De Dome, 63003
- Recruiting
Hopital Gui de Chauliac
Montpellier, Herault, 34295
- Recruiting
CHU Nancy Hôpital Central
Nancy, Meurthe Et Moselle, 54035
- Recruiting
Hopital Caremeau
Nîmes, Gard, 30029
- Recruiting
Groupe Hospitalier Pitie-Salpetriere
Paris, 75013
- Recruiting
CHU Rennes - Hopital Pontchaillou
Rennes, 35033
- Recruiting
CHU Nantes - Hopital Nord Laënnec
Saint-Herblain, Loire Atlantique, 44800
- Recruiting
CHU Strasbourg Hpital Hautepierre
Strasbourg, Bas Rhin, 67098
- Recruiting
Hopital Purpan
Toulouse, Haute Garonne, 31059
Italy10 sites, 10 recruiting
- Recruiting
Fondazione Università G. D'Annunzio
Chieti, Abruzzo, 66013
- Recruiting
IRCCS AOM Azienda Ospedaliera Metropolitana
Genoa, Liguria, 16132
- Recruiting
Ospedale San Raffaele
Milan, Lombardy, 20132
- Recruiting
Fondazione IRCCS Istituto Neurologico Carlo Besta
Milan, Lombardy, 20133
- Recruiting
Azienda Socio Sanitaria Territoriale Niguarda (Grande Ospedale Metropolitano Niguarda)
Milan, Lombardy, 20162
- Recruiting
Azienda Ospedaliera Universitaria Federico II
Naples, Campania, 80131
- Recruiting
Azienda Ospedaliera Universitaria- Universit degli Studi della Campania Luigi Vanvitelli
Naples, Campania, 80138
- Recruiting
Fondazione Istituto Neurologico Nazionale Casimiro Mondino
Pavia, Lombardy, 27100
- Recruiting
Azienda Ospedaliera Universitaria Policlinico Tor Vergata
Roma, Emilia-Romagna, 00133
- Recruiting
Az. Osp. OO.RR. S. Giovanni di Dio e Ruggi D' Aragona
Salerno, Campania, 84131
Turkey (Türkiye)10 sites, 10 recruiting
- Recruiting
Hacettepe University of Medicine
Ankara, 06100
- Recruiting
Gazi University Medical Faculty
Ankara, 06500
- Recruiting
Ankara City Hospital
Ankara, 06800
- Recruiting
Istanbul University Istanbul Medical Faculty
Istanbul, 34093
- Recruiting
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34098
- Recruiting
Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Hospital
Istanbul, 34785
- Recruiting
Ege University Medical Faculty
Izmir, 35100
- Recruiting
Izmir Katip Celebi Universitesi Ataturk Research and Training Hospital
Izmir, 35360
- Recruiting
Kocaeli University Medical Faculty
Kocaeli, Izmit, 41380
- Recruiting
Selcuk Universitesi Selcuklu Tip Fakultesi Hastanesi
Konya, 42075
Hungary8 sites, 8 recruiting
- Recruiting
Clinexpert Kft.
Budapest, 1033
- Recruiting
S-Medicon Egeszsegugyi Szolgaltato Kft.
Budapest, 1045
- Recruiting
Semmelweis Egyetem
Budapest, 1083
- Recruiting
Bajcsy-Zsilinszky Korhaz es Rendelointezet
Budapest, 1106
- Recruiting
Budapesti Uzsoki Utcai Kórház
Budapest, 1145
- Recruiting
Debreceni Egyetem Klinikai Kozpont Kenezy Gyula Campus
Debrecen, 4031
- Recruiting
Somogy Varmegyei Kaposi Mor Oktato Korhaz
Kaposvár, 7400
- Recruiting
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, Baranya, 7623
United Kingdom7 sites, 7 recruiting
- Recruiting
University Hospital of Wales
Cardiff, CF14 4XW
- Recruiting
Queen Elizabeth University Hospital
Glasgow, Strathclyde, G51 4TF
- Recruiting
Charing Cross Hospital
London, Greater London, W6 8RF
- Recruiting
Royal London Hospital
London, E1 2AT
- Recruiting
Salford Care Organisation
Salford, M6 8HD
- Recruiting
Morriston Hospital
Swansea, SA6 6NL
- Recruiting
Royal Cornwall Hospital
Truro, Cornwall, TR1 3HD
Australia5 sites, 5 recruiting
- Recruiting
Box Hill Hospital
Box Hill, Victoria, 3128
- Recruiting
Brain and Mind Centre
Camperdown, New South Wales, 2050
- Recruiting
Austin Health
Heidelberg, Victoria, 3084
- Recruiting
Southern Neurology
Kogarah, New South Wales, 2217
- Recruiting
John Hunter Hospital
New Lambton Heights, New South Wales, 2305
Portugal5 sites, 5 recruiting
- Recruiting
Hospital de Braga
Braga, 4710-243
- Recruiting
ULS de Coimbra, EPE - Hospitais da Universidade de Coimbra
Coimbra, 3004-561
- Recruiting
ULS São José - Hospital de Sto António dos Capuchos;CRI Esclerose Múltipla
Lisbon, 1169-050
- Recruiting
Hospital de Egas Moniz
Lisbon, 1349-019
- Recruiting
Centro Hospitalar Entre o Douro e Vouga E.P.E. - Hospital de São Sebastião
Santa Maria da Feira, 4520-211
New Zealand2 sites, 2 recruiting
- Recruiting
Optimal Clinical Trials - Central
Auckland, 1010
- Recruiting
Optimal Clinical Trials - Christchurch
Christchurch Central City, South Island, 8011
Brazil1 site, 1 recruiting
- Recruiting
Centro de Pesquisas Clinicas - CPCLIN
São Paulo, São Paulo, 01244-030
About this study
Official title: A Multi-center, Double-blind, Placebo-controlled, Phase II Study Evaluating the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489, a Monoacylglycerol Lipase Inhibitor, as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis
The main purpose of this study is to assess the efficacy of RO7268489 in adults with progressive multiple sclerosis (PMS) receiving ocrelizumab. After the end of the double-blind period, an open-label (OL) extension may allow eligible participants to receive open-label RO7268489.
- Conditions
- Progressive Multiple Sclerosis
- Being tested
- RO7268489, Ocrelizumab, Placebo
- Medical subject headings
- Multiple Sclerosis, Chronic Progressive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RO7268489Drug
RO7268489 will be administered per schedule as specified in the arms.
OcrelizumabDrug
Also called RO4964913, Ocrevus
Ocrelizumab will be administered per schedule as specified in the arms.
PlaceboDrug
Placebo will be administered per schedule as specified in the arms.
| Study group | Role | What they receive |
|---|---|---|
| RO7268489 Dose 1 + Ocrelizumab | Experimental | Participants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen. Receives: Drug: RO7268489; Drug: Ocrelizumab |
| RO7268489 Dose 2 + Ocrelizumab | Experimental | Participants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen. Receives: Drug: RO7268489; Drug: Ocrelizumab |
| RO7268489 Dose 3 + Ocrelizumab | Experimental | Participants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen. Receives: Drug: RO7268489; Drug: Ocrelizumab |
| Placebo + Ocrelizumab | Placebo comparator | Participants will receive RO7268489 matching placebo along with ocrelizumab as per the pre-defined regimen. Receives: Drug: Ocrelizumab; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time From Randomization to the First Occurrence of Composite Confirmed Disability Progression (cCPD) Confirmed for at Least 12 Weeks (cCDP12)
Time from randomization to the first occurrence of cCDP12 according to at least one of the following 3 criteria:
- 12-week confirmed disability progression (CDP12)
- 12-week confirmed increase in Timed 25-Foot Walk Test (T25FWT) or
- 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.
Measured: Up to approximately 110 weeks
Secondary outcomes (15)
Time From Randomization to the First Occurrence of 24-Week Confirmed ≥4-Point Decrease (Worsening) in Symbol Digit Modalities Test (SDMT)
The SDMT is a performance measure of processing speed that is widely used to assess cognitive function in response to treatment. It's brief, easy to administer, and involves a simple substitution task that healthy children and adults can easily perform. Using a reference key, the participant has 90 seconds to pair specific numbers with given geometric figures. The total SDMT score is the total number of correct responses and ranges from 0 to 110, with a higher score indicating a higher level of processing speed. A four-point change from baseline is typically considered clinically meaningful.
Measured: Up to approximately 110 weeks
Time to Onset of 24-Week cCDP (cCDP24)
Measured: Up to approximately 110 weeks
Time to Onset of 12-Week Confirmed Disability Progression CDP (CDP12)
Measured: Up to approximately 110 weeks
Time to Onset of 24-Week CDP (CDP24)
Measured: Up to approximately 110 weeks
Time to ≥ 20% Increase in 12-week Confirmed Timed 25-Foot Walk Test (T25FWT)
The time taken to walk 25 feet, typically measured in seconds. The longer it takes to walk, higher the score, which indicates deterioration and greater impairment. Lower times indicate better performance and greater mobility. Lower the mean change in the score over time, the better performance.
Measured: Up to approximately 110 weeks
Time to ≥ 20% Increase in 24-week Confirmed T25FWT
The time taken to walk 25 feet, typically measured in seconds. The longer it takes to walk, higher the score, which indicates deterioration and greater impairment. Lower times indicate better performance and greater mobility. Lower the mean change in the score over time, the better performance.
Measured: Up to approximately 110 weeks
Time to ≥ 20% Increase in 12-week Confirmed 9-Hole Peg Test (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. Both the dominant and non-dominant hands are tested twice (two consecutive trials for each hand). The participants are required to complete two successful trials for each hand. The amount of time (in seconds) required to place and remove all nine pegs is recorded for each trial. More time = higher raw scores, which indicates deterioration. The lower mean change in the score over time, the better the performance.
Measured: Up to approximately 110 weeks
Time to ≥ 20% Increase in 24-week Confirmed 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, \& then to remove these pegs from the holes. Both the dominant and non-dominant hands are tested twice (two consecutive trials for each hand). The participants are required to complete two successful trials for each hand. The amount of time (in seconds) required to place and remove all nine pegs is recorded for each trial. More time = higher raw scores, which indicates deterioration. The lower mean change in the score over time, the better the performance.
Measured: Up to approximately 110 weeks
Change From Baseline in Total Brain Volume
Measured: Up to approximately 110 weeks
Plasma 2-arachidonoylglycerol (2-AG) Levels
Measured: Up to approximately 110 weeks
Change From Baseline in Plasma 2-AG Levels
Measured: Up to approximately 110 weeks
Number of Participants With Adverse events (AEs)
Measured: Up to 5 years
Number of Participants With Treatment Discontinuations due to AEs
Measured: Up to 5 years
Proportion of Participants With Suicidal Ideation or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)
C-SSRS is an assessment tool used to assess lifetime suicidality of participant (at baseline) as well as any new instances of suicidality (C-SSRS since last visit). Structured interview prompts recollection of suicidal ideation, including intensity of ideation, behavior, and attempts with actual/potential lethality. Categories have binary responses (yes/no) and include Wish to be Dead; Non-specific Active Suicidal Thoughts; Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; Active Suicidal Ideation with Specific Plan and Intent, Preparatory Acts and Behavior; Aborted Attempt; Interrupted Attempt; Actual Attempt (non-fatal); Completed Suicide. Suicidal ideation/behavior is indicated by a "yes" answer to any of the listed categories. Score of 0 is assigned if no suicide risk is present. Score of 1 or higher indicate suicidal ideation or behavior.
Measured: Up to 5 years
Plasma Concentrations of RO7268489 and Its Metabolite(s)
Measured: Up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Dec 2025
- Study start10 Mar 2026
- Primary completion30 May 2028 (estimated)
- Study completion30 May 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Progressive Multiple SclerosisStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 360 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07282574
- Sponsor's protocol ID
- BP46016
- Other IDs
- 2025-521636-10-00, 2025
- Acronym
- Mintaka
- Status last verified
- Oct 2026
- First submitted
- 5 Dec 2025
- Last updated
- 7 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Study at a glance
From the registry record, last updated by the sponsor on 7 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-center, Double-blind, Placebo-controlled, Phase II Study Evaluating the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of RO7268489, a Monoacylglycerol Lipase Inhibitor, as Add-on Therapy to Ocrelizumab, in Participants With Progressive Forms of Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT07282574
- Acronym / sponsor ID
- Mintaka / BP46016
- Conditions
- Progressive Multiple Sclerosis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 360 participants (estimated)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 10 Mar 2026 (actual)
- Primary completion
- 30 May 2028 (estimated)
- Study completion
- 30 May 2030 (estimated)
- First posted
- 15 Dec 2025 (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 main purpose of this study is to assess the efficacy of RO7268489 in adults with progressive multiple sclerosis (PMS) receiving ocrelizumab. After the end of the double-blind period, an open-label (OL) extension may allow eligible participants to receive open-label RO7268489.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| RO7268489 Dose 1 + Ocrelizumab | Experimental | Drug: RO7268489, Drug: OcrelizumabParticipants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen. |
| RO7268489 Dose 2 + Ocrelizumab | Experimental | Drug: RO7268489, Drug: OcrelizumabParticipants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen. |
| RO7268489 Dose 3 + Ocrelizumab | Experimental | Drug: RO7268489, Drug: OcrelizumabParticipants will receive RO7268489 along with ocrelizumab as per the pre-defined regimen. |
| Placebo + Ocrelizumab | Placebo comparator | Drug: Ocrelizumab, Drug: PlaceboParticipants will receive RO7268489 matching placebo along with ocrelizumab as per the pre-defined regimen. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (6 listed)
- MS relapse during the 6 months preceding the randomization date
- Lack of peripheral venous access
- History of alcohol or other drug abuse (substance use disorder) based on Diagnostic and Statistical Manual for Mental Disorders, fifth edition (DSM-5) criteria, within 5 years prior to screening
- Inability to complete a magnetic resonance imaging (MRI)
- Contraindications to ocrelizumab mandatory pre-medications
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 |
|---|---|---|
| RO7268489RO7268489 will be administered per schedule as specified in the arms. | Drug | RO7268489 Dose 1 + Ocrelizumab, RO7268489 Dose 2 + Ocrelizumab, RO7268489 Dose 3 + Ocrelizumab |
| OcrelizumabAlso: RO4964913, OcrevusOcrelizumab will be administered per schedule as specified in the arms. | Drug | Placebo + Ocrelizumab, RO7268489 Dose 1 + Ocrelizumab, RO7268489 Dose 2 + Ocrelizumab, RO7268489 Dose 3 + Ocrelizumab |
| PlaceboPlacebo will be administered per schedule as specified in the arms. | Drug | Placebo + Ocrelizumab |
Primary outcome
Time From Randomization to the First Occurrence of Composite Confirmed Disability Progression (cCPD) Confirmed for at Least 12 Weeks (cCDP12)
Time frame: 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.
15 secondary outcomes
Time From Randomization to the First Occurrence of 24-Week Confirmed ≥4-Point Decrease (Worsening) in Symbol Digit Modalities Test (SDMT)
Time frame: Up to approximately 110 weeks
Time to Onset of 24-Week cCDP (cCDP24)
Time frame: Up to approximately 110 weeks
Time to Onset of 12-Week Confirmed Disability Progression CDP (CDP12)
Time frame: Up to approximately 110 weeks
Time to Onset of 24-Week CDP (CDP24)
Time frame: Up to approximately 110 weeks
Time to ≥ 20% Increase in 12-week Confirmed Timed 25-Foot Walk Test (T25FWT)
Time frame: Up to approximately 110 weeks
Time to ≥ 20% Increase in 24-week Confirmed T25FWT
Time frame: Up to approximately 110 weeks
Time to ≥ 20% Increase in 12-week Confirmed 9-Hole Peg Test (9-HPT)
Time frame: Up to approximately 110 weeks
Time to ≥ 20% Increase in 24-week Confirmed 9-HPT
Time frame: Up to approximately 110 weeks
Change From Baseline in Total Brain Volume
Time frame: Up to approximately 110 weeks
Plasma 2-arachidonoylglycerol (2-AG) Levels
Time frame: Up to approximately 110 weeks
Change From Baseline in Plasma 2-AG Levels
Time frame: Up to approximately 110 weeks
Number of Participants With Adverse events (AEs)
Time frame: Up to 5 years
Number of Participants With Treatment Discontinuations due to AEs
Time frame: Up to 5 years
Proportion of Participants With Suicidal Ideation or Behavior, as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)
Time frame: Up to 5 years
Plasma Concentrations of RO7268489 and Its Metabolite(s)
Time frame: Up to 5 years
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 7 Oct 2026.
- Please use this form to submit your questions for a faster response: https://www.gene.com/contact-us/submit-medical-inquiry. Do not include or attach any medical records when emailing or completing the form. A nurse will respond within 24 business hours.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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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.
Reference Study ID Number: BP46016 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
Clinical Trials study director
Hoffmann-La Roche
114 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing RO7268489 and Ocrelizumab in people with Progressive Multiple Sclerosis, run by Hoffmann-La Roche at 114 sites in 12 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 3 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 sites in Spain, Poland, Germany, France, Italy and 7 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. Some participants in this study may receive a placebo. 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?
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?
Contact Reference Study ID Number: BP46016 https://forpatients.roche.com/ No attachments to email below. (888-662-6728 (U.S. Only), global-roche-genentech-trials@gene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time From Randomization to the First Occurrence of Composite Confirmed Disability Progression (cCPD) Confirmed for at Least 12 Weeks (cCDP12) (time frame: Up to approximately 110 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 7 Oct 2026.