Efficacy and Safety of Ofatumumab and Siponimod Compared to Fingolimod in Pediatric Patients With Multiple Sclerosis

Last updated: March 27, 2026
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

3

Condition

Memory Loss

Multiple Sclerosis

Neurologic Disorders

Treatment

Ofatumumab

Fingolimod placebo

Siponimod placebo

Clinical Study ID

NCT04926818
CBAF312D2301
  • Ages 10-17
  • All Genders

Study Summary

Efficacy and safety of ofatumumab and siponimod compared to fingolimod in pediatric patients with multiple sclerosis

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Between 10 to <18 years of age (i.e., have not yet had their 18th birthday) atrandomization

  2. Diagnosis of multiple sclerosis

  3. EDSS score of 0 to 5.5, inclusive

  4. At least one MS relapse/attack during the previous year or two MS relapses in theprevious two years prior or evidence of one or more new T2 lesions within 12 months

Exclusion

Exclusion Criteria:

  1. Participants with progressive MS

  2. Participants with an active, chronic disease of the immune system other than MS

  3. Participants meeting the definition of ADEM

  4. Participants with severe cardiac disease or significant findings on the screeningECG.

  5. Participants with severe renal insufficiency

Study Design

Total Participants: 129
Treatment Group(s): 6
Primary Treatment: Ofatumumab
Phase: 3
Study Start date:
October 05, 2021
Estimated Completion Date:
March 06, 2031

Study Description

The study is divided into a Core Part and Extension Part. The Core Part is a 24-month, double-blind, triple dummy, randomized, 3-arm active-controlled in children/adolescent patients aged 10-17 years old with Multiple Sclerosis (MS). The Extension Part is 60-month (5 year) open label (except for first 12 weeks transition which will remain double-blind) treatment for patients who complete the Core Part of the study and meet all inclusion/exclusion criteria. The targeted enrollment is 120 participants with multiple sclerosis which will include at least 5 participants with body weight (BW) ≤40 kg and at least 5 participants with age 10 to 12 years in each of the ofatumumab and siponimod arms. There is a minimum 6 month follow up period for all participants (core and extension). Total duration of the study could be up to 7 years.

Connect with a study center

  • Novartis Investigative Site

    Caba, Buenos Aires C1181ACH
    Argentina

    Site Not Available

  • Novartis Investigative Site

    CABA, C1181ACH
    Argentina

    Site Not Available

  • Novartis Investigative Site

    Parkville, Victoria 3052
    Australia

    Site Not Available

  • Novartis Investigative Site

    Parkville 2153770, Victoria 2145234 3052
    Australia

    Site Not Available

  • Novartis Investigative Site

    Vienna, 1090
    Austria

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  • Novartis Investigative Site

    Vienna 2761369, 1090
    Austria

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  • Novartis Investigative Site

    Wien, 1090
    Austria

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  • Novartis Investigative Site

    Esneux, 4130
    Belgium

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  • Novartis Investigative Site

    Esneux 2798636, 4130
    Belgium

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  • Novartis Investigative Site

    Gent, 9000
    Belgium

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  • Novartis Investigative Site

    Ghent, 9000
    Belgium

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  • Novartis Investigative Site

    Ghent 2797656, 9000
    Belgium

    Site Not Available

  • Novartis Investigative Site

    Curitiba, Paraná 81210-310
    Brazil

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  • Novartis Investigative Site

    Curitiba 3464975, Paraná 3455077 81210-310
    Brazil

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  • Novartis Investigative Site

    Porto Alegre, Rio Grande do Sul 90430-001
    Brazil

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  • Novartis Investigative Site

    Porto Alegre 3452925, Rio Grande do Sul 3451133 90430-001
    Brazil

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  • Novartis Investigative Site

    Sao Paulo, SP 05403-000
    Brazil

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  • Novartis Investigative Site

    São Paulo, São Paulo 05403-000
    Brazil

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  • Novartis Investigative Site

    São Paulo 3448439, São Paulo 3448433 05403-000
    Brazil

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    Toronto, Ontario M5G 1X8
    Canada

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  • Novartis Investigative Site

    Montreal, Quebec H3T 1C5
    Canada

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    Montreal 6077243, Quebec 6115047 H3T 1C5
    Canada

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    Lo Barnechea, Santiago Metropolitan 7691236
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    Lo Barnechea 3882797, Santiago Metropolitan 3873544 7691236
    Chile

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    Santiago,
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    Zagreb, 10000
    Croatia

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    Zagreb 3186886, 10000
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    Tallinn, 11315
    Estonia

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    Tallinn 588409, 11315
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    Le Kremlin Bicetre, 94275
    France

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    Le Kremlin-Bicêtre, 94275
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    Le Kremlin-Bicêtre 3003737, 94275
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    Montpellier, 34090
    France

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    Montpellier 2992166, 34090
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    Strasbourg, 67000
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    Strasbourg 2973783, 67000
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    Freiburg im Breisgau, Baden-Wurttemberg 79106
    Germany

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    Freiburg im Breisgau 2925177, Baden-Wurttemberg 2953481 79106
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    Göttingen, Lower Saxony 37075
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    Göttingen 2918632, Lower Saxony 2862926 37075
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    Goettingen, Niedersachsen 37075
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    Berlin, 13353
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    Bochum, 44791
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    Bochum 2947416, 44791
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    Erlangen, 91054
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    Gottingen, 37075
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    New Delhi 1261481, National Capital Territory of Delhi 1273293 110017
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    Lucknow 1264733, Uttar Pradesh 1253626 226014
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    Napoli 9031661, 80131
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    Riga 456172, LV-1004
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    Mexico, Distrito Federal 06720
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    Warsaw, 04-730
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    Warsaw 756135, 04-730
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    Coimbra, 3000-602
    Portugal

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    Coimbra 2740637, 3000-602
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    Lisboa, 1169 050
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    Lisbon 2267057, 1169-050
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    Bucuresti, 041914
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    St Petersburg, 190000
    Russian Federation

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    Belgrade, 11000
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    Belgrade 792680, 11000
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    Bratislava, 833 40
    Slovakia

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    Bratislava 3060972, 833 40
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    Sevilla, Andalucia 41009
    Spain

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    Madrid, 28034
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    Seville, 41009
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    Istanbul 745044, Fatih 34098
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    Izmir 311046, Karsiyaka 35575
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    Kocaeli 306970, 41380
    Turkey (Türkiye)

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  • Novartis Investigative Site

    London, WC1N 3JH
    United Kingdom

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  • Arkansas Childrens Hosp Rsch Inst

    Little Rock, Arkansas 72202
    United States

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  • Arkansas Childrens Hosp Rsch Inst .

    Little Rock, Arkansas 72202
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Little Rock, Arkansas 72202
    United States

    Active - Recruiting

  • Arkansas Childrens Hosp Rsch Inst

    Little Rock 4119403, Arkansas 4099753 72202
    United States

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  • Childrens Hospital Los Angeles

    Los Angeles, California 90027
    United States

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  • Childrens Hospital Los Angeles .

    Los Angeles, California 90027
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Los Angeles, California 90027
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  • Novartis Investigative Site

    San Diego, California 92103
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  • University of California San Diego

    San Diego, California 92103
    United States

    Site Not Available

  • Childrens Hospital Los Angeles

    Los Angeles 5368361, California 5332921 90027
    United States

    Site Not Available

  • Children's National Medical Center .

    Washington, District of Columbia 20010
    United States

    Active - Recruiting

  • Childrens National Medical Center

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • Childrens National Medical Center .

    Washington, District of Columbia 20010
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Washington, District of Columbia 20010
    United States

    Active - Recruiting

  • Childrens National Medical Center

    Washington D.C., District of Columbia 20010
    United States

    Site Not Available

  • Childrens National Medical Center

    Washington D.C. 4140963, District of Columbia 4138106 20010
    United States

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  • Axiom Clinical Research of Florida

    Tampa, Florida 33609
    United States

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  • Novartis Investigative Site

    Tampa, Florida 33609
    United States

    Active - Recruiting

  • Axiom Clinical Research of Florida

    Tampa 4174757, Florida 4155751 33609
    United States

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  • Childrens Healthcare Of Atlanta

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Childrens Healthcare Of Atlanta .

    Atlanta, Georgia 30322
    United States

    Active - Recruiting

  • Childrens Healthcare of Atlanta .

    Atlanta, Georgia 30329
    United States

    Site Not Available

  • Childrens Healthcare of Atlanta Egleston .

    Atlanta, Georgia 30329
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Atlanta, Georgia 30329
    United States

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  • Uni of Louisville Clncl Trials Unit

    Louisville, Kentucky 40202
    United States

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  • Uni of Louisville Clncl Trials Unit Novak Center

    Louisville, Kentucky 40202
    United States

    Active - Recruiting

  • Mayo Clinic - Rochester

    Rochester, Minnesota 55905
    United States

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  • Novartis Investigative Site

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Saint Louis, Missouri 63110
    United States

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  • WA Uni School Of Med

    Saint Louis, Missouri 63110
    United States

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  • WA Uni School Of Med Main Center

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Washington Uni School of Med Main Center

    Saint Louis, Missouri 63110
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    Active - Recruiting

  • Novartis Investigative Site

    Portland, Oregon 97225
    United States

    Active - Recruiting

  • Providence St Vincent Med Center

    Portland, Oregon 97225
    United States

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  • Providence St Vincent Med Center .

    Portland, Oregon 97225
    United States

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  • Childrens Hospital of Philadelphia

    Philadelphia, Pennsylvania 19104 4399
    United States

    Site Not Available

  • Childrens Hospital of Philadelphia .

    Philadelphia, Pennsylvania 19104 4399
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Philadelphia, Pennsylvania 19104 4399
    United States

    Active - Recruiting

  • Childrens Hospital of Philadelphia

    Philadelphia 4560349, Pennsylvania 6254927 19104 4399
    United States

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  • Novartis Investigative Site

    Dallas, Texas 75390
    United States

    Active - Recruiting

  • University of Texas Southwestern

    Dallas, Texas 75390
    United States

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  • University of Texas Southwestern Main Center

    Dallas, Texas 75390
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Salt Lake City, Utah 84132
    United States

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  • The University of Utah Health Image and Neurosciences

    Salt Lake City, Utah 84132
    United States

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    Morgantown, West Virginia 26506
    United States

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  • West Virginia University Cardio

    Morgantown, West Virginia 26506
    United States

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    Milwaukee, Wisconsin 53226
    United States

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    Milwaukee, Wisconsin 53226
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Milwaukee, Wisconsin 53226
    United States

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  • Medical College of Wisconsin

    Milwaukee 5263045, Wisconsin 5279468 53226
    United States

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