NCT07067463RecruitingPhase 3
A Study of Orelabrutinib in Patients With Primary Progressive Multiple Sclerosis
A Phase 3, Randomized, Double-blind, Efficacy and Safety Study Comparing Orelabrutinib to Placebo in Patients With Primary Progressive Multiple Sclerosis
Source: ClinicalTrials.gov · Last updated 3 Nov 2026
Brief summary (registry, in English)
Orelabrutinib is a CNS-penetrable BTK inhibitor. This is a phase 3, randomized, double-blind, parallel-group, multicenter study to evaluate the efficacy and safety of orelabrutinib compared with placebo in patients with PPMS. Patients will be treated for approximately 30 to 60 months, with a minimum treatment duration of 12 months. The study will enroll approximately 705 subjects in a 2:1 randomization (orelabrutinib: placebo), globally.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 705 (estimated)
- First submitted
- 3 Jul 2025
- Start date
- 23 Mar 2026
- Primary completion date
- 30 Jun 2030
- Lead sponsor
- Zenas BioPharma (USA), LLC
- Diseases
- Multiple sclerosis
- NCT number
- NCT07067463
- EU CT number
- 2025-524316-11-00
What you commit to
- Study type: Interventional · Phase 3
- Planned participants: 705
- From 23 Mar 2026 to the primary completion date, 30 Jun 2030
- 155 sites in 26 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- History of suicidal behavior within 6 months prior to Screening
- Patients on anticoagulation, or antiplatelet therapy will be excluded
- Patients took strong/moderate CYP3A inhibitors or strong/moderate CYP3A inducerswithin 14 days
- Vaccination with live or live-attenuated virus vaccine within 1 month prior to Screening
- History of alcohol abuse or alcohol use disorder or other drug abuse within 12 months prior to screening.
Other illness
- Immunologic disorder other than MS or any other conditions requiring oral, intravenous (IV), intramuscular, or intra-articular corticosteroid therapy.
- History or current diagnosis of other neurological disorders that may mimic MS
- History of any other significant active medical condition
- Any prior history of malignancy if no recurrence within 5 years
- Any allergy, contraindication, or inability to tolerate orelabrutinib or any of the excipients in the study intervention
Lab values
- Clinically significant laboratory abnormalities at Screening.
Other
- Diagnosed with relapsing-remitting MS (RRMS) or secondary progressive MS (SPMS)
Who the study is looking for
- 18 to 60 years of age, inclusive
- Diagnosed with Primary Progressive MS (PPMS) according to 2017 McDonald criteria
- Participant must have documented evidence of disability progression observed during the 24 months before screening.
- Expanded disability status scale (EDSS) score between 3.0 to 6.5 points, inclusive, at Screening.
Age in the registry: 18 years to 60 years · Sex: All · Does not accept healthy volunteers
Sites (155)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbH Coordinator of this site? Confirm its status | Salzburg | Austria | Recruiting |
| Medical University of Vienna Coordinator of this site? Confirm its status | Vienna | Austria | Recruiting |
| Neurology Network Coordinator of this site? Confirm its status | Melbourne | Australia | Recruiting |
| Hopital Erasme Coordinator of this site? Confirm its status | Anderlecht | Belgium | Recruiting |
| Universitair Ziekenhuis Gent Coordinator of this site? Confirm its status | Gent | Belgium | Recruiting |
| Noorderhart Coordinator of this site? Confirm its status | Pelt | Belgium | Recruiting |
| Nationaal Multiple Sclerose Centrum V.Z.W. Coordinator of this site? Confirm its status | Steenokkerzeel | Belgium | Recruiting |
| University Multiprofile Hospital for Active Treatment Dr Georgi Stranski EAD Coordinator of this site? Confirm its status | Pleven | Bulgaria | Recruiting |
| Multiprofile Hospital For Active Treatment Avis Medika OOD Coordinator of this site? Confirm its status | Pleven | Bulgaria | Recruiting |
| Medical Center Nevrocentrum EOOD Coordinator of this site? Confirm its status | Plovdiv | Bulgaria | Recruiting |
| Diagnostics And Consultation Center Convex Ltd. Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Recruiting |
| Diagnostic And Consultative Center Neoclinic EAD Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Recruiting |
| Medical Center Hera EOOD Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Recruiting |
| University First multiprofile hospital for active treatment Sofia St. Joan Krastitel EAD Coordinator of this site? Confirm its status | Sofiya | Bulgaria | Recruiting |
| Medical Center Medica Plus Ltd. Coordinator of this site? Confirm its status | Veliko Tirnovo | Bulgaria | Recruiting |
| Fakultni nemocnice Brno Coordinator of this site? Confirm its status | Brno | Czechia | Recruiting |
| Fakultni Nemocnice U Sv Anny V Brne Coordinator of this site? Confirm its status | Brno-Stred | Czechia | Recruiting |
| NEUROHK s r o Coordinator of this site? Confirm its status | Choceň | Czechia | Recruiting |
| Fakultni nemocnice Hradec Kralove Coordinator of this site? Confirm its status | Hradec Králové | Czechia | Recruiting |
| University Hospital Olomouc Coordinator of this site? Confirm its status | Olomouc | Czechia | Recruiting |
| Krajska zdravotni a.s. Coordinator of this site? Confirm its status | Teplice | Czechia | Recruiting |
| Zentrum fuer klinische Forschung Dr. I. Schoell GmbH Coordinator of this site? Confirm its status | Bad Homburg | Germany | Recruiting |
| Klinikum Bayreuth GmbH Coordinator of this site? Confirm its status | Bayreuth | Germany | Recruiting |
| Neuro Centrum Science GmbH Coordinator of this site? Confirm its status | Erbach | Germany | Recruiting |
| Universitaetsklinikum Essen (AoR) Coordinator of this site? Confirm its status | Essen | Germany | Recruiting |
| Universitaetsmedizin Greifswald KöR Coordinator of this site? Confirm its status | Greifswald | Germany | Recruiting |
| Universitaetsklinikum Jena KöR Coordinator of this site? Confirm its status | Jena | Germany | Recruiting |
| Universitaet Leipzig Coordinator of this site? Confirm its status | Leipzig | Germany | Recruiting |
| Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR Coordinator of this site? Confirm its status | Mainz | Germany | Recruiting |
| Universitaet Muenster Coordinator of this site? Confirm its status | Muenster | Germany | Recruiting |
| St. Josef-Hospital Coordinator of this site? Confirm its status | Potsdam | Germany | Recruiting |
| Universitaetsklinikum Regensburg AöR Coordinator of this site? Confirm its status | Regensburg | Germany | Recruiting |
| Gemeinschaftspraxis fuer Neurologie Dr. med. W. Blersch und Dr. med. J. Redelstein Coordinator of this site? Confirm its status | Regensburg | Germany | Recruiting |
| Barmherzige Brueder Trier gGmbH Coordinator of this site? Confirm its status | Trier | Germany | Recruiting |
| Universitaetsklinikum Ulm AoR Coordinator of this site? Confirm its status | Ulm | Germany | Recruiting |
| DKD HELIOS Klinik Wiesbaden GmbH Coordinator of this site? Confirm its status | Wiesbaden | Germany | Recruiting |
| Aalborg University Hospital Coordinator of this site? Confirm its status | Gistrup | Denmark | Recruiting |
| Region Midtjylland Coordinator of this site? Confirm its status | Viborg | Denmark | Recruiting |
| Clinic4U OÜ Coordinator of this site? Confirm its status | Tallinn | Estonia | Recruiting |
| Complexo Hospitalario Universitario A Coruña Coordinator of this site? Confirm its status | A Coruña | Spain | Recruiting |
| Hospital Germans Trias i Pujol Coordinator of this site? Confirm its status | Badalona | Spain | Recruiting |
| Hospital Universitario de Cruces Coordinator of this site? Confirm its status | Barakaldo | Spain | Recruiting |
| Hospital Nisa Sevilla Aljarafe Coordinator of this site? Confirm its status | Castilleja De La Cuesta | Spain | Recruiting |
| Hospital General Universitario Gregorio Marañón Coordinator of this site? Confirm its status | Madrid | Spain | Recruiting |
| Hospital Universitario 12 de Octubre Coordinator of this site? Confirm its status | Madrid | Spain | Recruiting |
| Hospital Universitario Puerta de Hierro de Majadahonda Coordinator of this site? Confirm its status | Majadahonda | Spain | Recruiting |
| University Clinical Hospital Virgen De La Arrixaca Coordinator of this site? Confirm its status | Murcia | Spain | Recruiting |
| Hospital Santa Caterina Ias Coordinator of this site? Confirm its status | Salt | Spain | Recruiting |
| Hospital Alvaro Cunqueiro Coordinator of this site? Confirm its status | Vigo | Spain | Recruiting |
| Pirkanmaan hyvinvointialue Coordinator of this site? Confirm its status | Tampere | Finland | Recruiting |
| Centre Hospitalier Universitaire Amiens Picardie Coordinator of this site? Confirm its status | Amiens Cedex 1 | France | Recruiting |
| Centre hospitalier Universitaire de Bordeaux Coordinator of this site? Confirm its status | Bordeaux | France | Recruiting |
| Hospices Civils de Lyon Coordinator of this site? Confirm its status | Bron | France | Recruiting |
| Centre Hospitalier General Coordinator of this site? Confirm its status | Gonesse | France | Recruiting |
| Centre Hospitalier Universitaire Grenoble Alpes Coordinator of this site? Confirm its status | Grenoble Cedex 9 | France | Recruiting |
| Centre Hospitalier Universitaire De Montpellier Coordinator of this site? Confirm its status | Montpellier Cedex 5 | France | Recruiting |
| CHRU de Nancy Coordinator of this site? Confirm its status | Nancy | France | Recruiting |
| Centre Hospitalier Universitaire de Nice Coordinator of this site? Confirm its status | Nice | France | Recruiting |
| Groupe Hospitalier Nord Essonne Coordinator of this site? Confirm its status | Orsay | France | Recruiting |
| Fondation A. de Rothschild Coordinator of this site? Confirm its status | Paris | France | Recruiting |
| Assistance Publique Hopitaux de Paris Coordinator of this site? Confirm its status | Paris | France | Recruiting |
| Centre Hospitalier Universitaire de Rennes Coordinator of this site? Confirm its status | Rennes | France | Recruiting |
| Centre Hospitalier Universitaire Rouen Coordinator of this site? Confirm its status | Rouen | France | Recruiting |
| Les Hopitaux Universitaires De Strasbourg Coordinator of this site? Confirm its status | Strasbourg Cedex 2 | France | Recruiting |
| Centre Hospitalier Universitaire de Toulouse Coordinator of this site? Confirm its status | Toulouse | France | Recruiting |
| NNLE Jo Ann University Hospital Coordinator of this site? Confirm its status | Tbilisi | Georgia | Recruiting |
| MD Georgia Staff Physician MediClub Georgia Coordinator of this site? Confirm its status | Tbilisi | Georgia | Recruiting |
| Raymann, LLC Coordinator of this site? Confirm its status | Tbilisi | Georgia | Recruiting |
| Caucasus Medical Center Ltd Coordinator of this site? Confirm its status | Tbilisi | Georgia | Recruiting |
| LTD "Pineo Medical Ecosystem" Coordinator of this site? Confirm its status | Tbilisi | Georgia | Recruiting |
| 401 General Military Hospital of Athens Coordinator of this site? Confirm its status | Athens | Greece | Recruiting |
| Henry Dunant Hospital Center Coordinator of this site? Confirm its status | Athens | Greece | Recruiting |
| Eginitio Hospital Coordinator of this site? Confirm its status | Athens | Greece | Recruiting |
| University General Hospital "ATTIKON" - General Hospital of West Attica "H AGIA VARVARA" Coordinator of this site? Confirm its status | Chaïdári | Greece | Recruiting |
| Metropolitan General Hospital Healthcare Facilities Operation And Management Single Member S.A. Coordinator of this site? Confirm its status | Cholargos | Greece | Recruiting |
| General University Hospital of Larissa Coordinator of this site? Confirm its status | Larissa | Greece | Recruiting |
| St. Luke's Hospital S.A. Coordinator of this site? Confirm its status | Thessaloniki | Greece | Recruiting |
| University Hospital Centre Zagreb Coordinator of this site? Confirm its status | Zagreb | Croatia | Recruiting |
| Clinexpert Kft. Coordinator of this site? Confirm its status | Budapest III | Hungary | Withdrawn |
| Komarom-Esztergom Varmegyei Szent Borbala Korhaz Coordinator of this site? Confirm its status | Tatabánya | Hungary | Withdrawn |
| Azienda Ospedaliero-Universitaria Policlinico G. Rodolico-San Marco Di Catania Coordinator of this site? Confirm its status | Catania | Italy | Recruiting |
| Fondazione Istituto G. Giglio Di Cafalu Coordinator of this site? Confirm its status | Cefalu' | Italy | Recruiting |
| Universita' Degli Studi G. D'Annunzio Di Chieti Coordinator of this site? Confirm its status | Chieti Scalo | Italy | Recruiting |
| IRCCS Ospedale Policlinico San Martino Coordinator of this site? Confirm its status | Genoa | Italy | Recruiting |
| Ospedale San Raffaele S.r.l. Coordinator of this site? Confirm its status | Milan | Italy | Recruiting |
| Azienda Ospedaliera Universitaria Federico II Di Napoli Coordinator of this site? Confirm its status | Naples | Italy | Recruiting |
| Azienda Ospedaliera Universitaria - Universita degli Studi della Campania Luigi Vanvitelli Coordinator of this site? Confirm its status | Naples | Italy | Recruiting |
| Azienda Ospedaliero-Universitaria San Luigi Gonzaga Coordinator of this site? Confirm its status | Orbassano | Italy | Recruiting |
| Istituto Neurologico Mediterraneo Neuromed S.p.A. Coordinator of this site? Confirm its status | Pozzilli | Italy | Recruiting |
| Azienda Ospedaliero-Universitaria Sant Andre Coordinator of this site? Confirm its status | Rome | Italy | Recruiting |
| Zuyderland Medisch Centrum Stichting Coordinator of this site? Confirm its status | Geleen | Netherlands | Recruiting |
| Centrum Medyczne INTERCOR Sp. z o.o. Coordinator of this site? Confirm its status | Bydgoszcz | Poland | Recruiting |
| Linden Sp. z o.o. sp.k. Coordinator of this site? Confirm its status | Cracow | Poland | Recruiting |
| Copernicus Podmiot Leczniczy Sp. z o.o Coordinator of this site? Confirm its status | Gdansk | Poland | Recruiting |
| Pratia S.A. Coordinator of this site? Confirm its status | Katowice | Poland | Recruiting |
| NEURO-MEDIC Sp. z o. o. Coordinator of this site? Confirm its status | Katowice | Poland | Recruiting |
| Gornoslaskie Centrum Medyczne Im Prof. Leszka Gieca Sląskiego Uniwersytetu Medycznego W Katowicach Coordinator of this site? Confirm its status | Katowice | Poland | Recruiting |
| Novo-Med Zielinski I Wspolnicy Sp. j. Coordinator of this site? Confirm its status | Katowice | Poland | Recruiting |
| Pro Salus Sp. z o.o.,sp. k. Coordinator of this site? Confirm its status | Lodz | Poland | Recruiting |
| Clinirem Sp. z o.o. Coordinator of this site? Confirm its status | Lublin | Poland | Recruiting |
| Niepubliczny Zaklad Opieki Zdrowotnej Neuromed M. I M. Nastaj. sp.p. Coordinator of this site? Confirm its status | Lublin | Poland | Recruiting |
| Malva Trials Sp. z o.o. Coordinator of this site? Confirm its status | Lublin | Poland | Recruiting |
| Twoja Przychodnia Nowosolskie Centrum Medyczne Sp. z o.o. Coordinator of this site? Confirm its status | Nowa Sol | Poland | Recruiting |
| Uniwersytecki Szpital Kliniczny W Olsztynie Coordinator of this site? Confirm its status | Olsztyn | Poland | Recruiting |
| Neurologiczny NZOZ Centrum Leczenia SM Osrodek Badan Klinicznych im. dr n. med. Hanki Hertmanowskiej Coordinator of this site? Confirm its status | Plewiska | Poland | Recruiting |
| Twoja Przychodnia Poznanskie Centrum Medyczne Sp. z o.o. Coordinator of this site? Confirm its status | Poznan | Poland | Recruiting |
| Ilkowski I Partnerzy sp.p. Lekarzy Coordinator of this site? Confirm its status | Poznan | Poland | Recruiting |
| Centrum Medyczne HCP Sp. z o.o. Coordinator of this site? Confirm its status | Poznan | Poland | Recruiting |
| Nmedis sp. z o.o. Coordinator of this site? Confirm its status | Rzeszów | Poland | Recruiting |
| EUROMEDIS Sp z o o Coordinator of this site? Confirm its status | Szczecin | Poland | Recruiting |
| MTZ Clinical Research powered by Pratia Coordinator of this site? Confirm its status | Warsaw | Poland | Recruiting |
| Centrum Medyczne NeuroProtect Coordinator of this site? Confirm its status | Warsaw | Poland | Recruiting |
| Clinhouse Sp. z o.o. Coordinator of this site? Confirm its status | Zabrze | Poland | Recruiting |
| Neurokard Sp. z o.o. Coordinator of this site? Confirm its status | Zory | Poland | Recruiting |
| Caribbean Center for Clinical Research Coordinator of this site? Confirm its status | Guaynabo | Puerto Rico | Recruiting |
| Unidade Local De Saude De Santa Maria E.P.E. Coordinator of this site? Confirm its status | Lisbon | Portugal | Recruiting |
| Unidade Local De Saude De Santo Antonio E.P.E. Coordinator of this site? Confirm its status | Porto | Portugal | Recruiting |
| Unidade Local De Saude De Entre O Douro E Vouga E.P.E. Coordinator of this site? Confirm its status | Santa Maria Da Feira | Portugal | Recruiting |
| Unidade Local De Saude De Matosinhos E.P.E. Coordinator of this site? Confirm its status | Senhora Da Hora | Portugal | Recruiting |
| Spitalul Clinic De Psihiatrie Si Neurologie Brasov Coordinator of this site? Confirm its status | Brasov | Romania | Recruiting |
| Spitalul Clinic Cai Ferate Constanta Coordinator of this site? Confirm its status | Constanța | Romania | Recruiting |
| Spitalul Clinic Judetean de Urgenta Targu Mures Coordinator of this site? Confirm its status | Târgu Mureş | Romania | Recruiting |
| University Clinical Centre of Serbia Coordinator of this site? Confirm its status | Belgrade | Serbia | Recruiting |
| Clinical Centre Kragujevac, Neurology clinic Coordinator of this site? Confirm its status | Kragujevac | Serbia | Recruiting |
| University Clinical Centre of Kragujevac Coordinator of this site? Confirm its status | Kragujevac | Serbia | Recruiting |
| Clinic of Neurology - Clinical Center Nis Coordinator of this site? Confirm its status | Niš | Serbia | Recruiting |
| Sahlgrenska University Hospital-Vaestra Goetalandsregionen Coordinator of this site? Confirm its status | Goteborg | Sweden | Recruiting |
| MUDr. Beata Dupejova, Neurologicka Ambulancia S.r.o. Coordinator of this site? Confirm its status | Banská Bystrica | Slovakia | Recruiting |
| University Hospital Bratislava Coordinator of this site? Confirm its status | Bratislava | Slovakia | Recruiting |
| Univerzitna nemocnica Martin Coordinator of this site? Confirm its status | Martin | Slovakia | Recruiting |
| Fakultna nemocnica s poliklinikou J.A. Reimana Presov Coordinator of this site? Confirm its status | Prešov | Slovakia | Recruiting |
| Regional Municipal Non-commercial Enterprise Chernivtsi Emergency Medical Hospital Coordinator of this site? Confirm its status | Chernivtsi | Ukraine | Recruiting |
| CNE City Clinical Hospital #1 of Ivano-Frankivsk council Coordinator of this site? Confirm its status | Ivano-Frankivsk | Ukraine | Recruiting |
| Limited Liability Company "Neurofocus" Coordinator of this site? Confirm its status | Lviv | Ukraine | Recruiting |
| Limited Liability Company Medical Center Neuroclinic Coordinator of this site? Confirm its status | Lviv | Ukraine | Recruiting |
| Medical Clinical Investigational Center of Medical Center LLC Health Clinic Coordinator of this site? Confirm its status | Vinnytsia | Ukraine | Recruiting |
| Nova Clinical Research, LLC Coordinator of this site? Confirm its status | Bradenton | United States | Recruiting |
| The Ohio State University Wexner Medical Center (OSUWMC) Coordinator of this site? Confirm its status | Columbus | United States | Recruiting |
| The Boster Center for Multiple Sclerosis Coordinator of this site? Confirm its status | Columbus | United States | Recruiting |
| Neurology Clinic, P.C. Coordinator of this site? Confirm its status | Cordova | United States | Recruiting |
| Premier Neurology Coordinator of this site? Confirm its status | Greenville | United States | Recruiting |
| University of Kansas Medical Center Coordinator of this site? Confirm its status | Kansas City | United States | Recruiting |
| Cooperman Barnabas Medical Center Coordinator of this site? Confirm its status | Livingston | United States | Recruiting |
| Neurology Associates PA Coordinator of this site? Confirm its status | Maitland | United States | Recruiting |
| Medical College of Wisconsin Coordinator of this site? Confirm its status | Milwaukee | United States | Recruiting |
| Neurological Services of Orlando Coordinator of this site? Confirm its status | Orlando | United States | Recruiting |
| Arizona Neuroscience Research, LLC Coordinator of this site? Confirm its status | Pheonix | United States | Recruiting |
| Velocity Clinical Research, Raleigh Neurology Coordinator of this site? Confirm its status | Raleigh | United States | Recruiting |
| KC Research Center, PA Neurology Research Department Coordinator of this site? Confirm its status | Roeland Park | United States | Recruiting |
| Lone Star Neurology Coordinator of this site? Confirm its status | San Antonio | United States | Recruiting |
| Perseverance Research Center Coordinator of this site? Confirm its status | Scottsdale | United States | Recruiting |
| Texas Institute for Neurological Disorders - Sherman Coordinator of this site? Confirm its status | Sherman | United States | Recruiting |
| Washington University School of Medicine Coordinator of this site? Confirm its status | St Louis | United States | Recruiting |
| University of South Florida Department of Neurology - MS Division Coordinator of this site? Confirm its status | Tampa | United States | Recruiting |
| Regina Berkovich MD PhD Inc Coordinator of this site? Confirm its status | West Hollywood | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.