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Brain Imaging and Immune Changes With Remibrutinib in Relapsing Multiple Sclerosis

Studies how remibrutinib affects brain inflammation in people with relapsing multiple sclerosis.

Plain-language title generated from the registry record
Registry title: Brain Imaging and Immune Changes During Remibrutinib Treatment in Multiple Sclerosis.

Key facts

Where
St Louis, United StatesSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 40 and 70 years old?

Source: NCT07758270, who can take part

Where in United States

  • Washington University School of Medicine in St. LouisSt Louis, United StatesTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Washington University School of Medicine
Trial code
NCT07758270
Record updated
11 August 2026
Original description
REDEFINE-MS is a research study for people with relapsing multiple sclerosis (MS) who are participating in the RESHAPE-MS trial. The study aims to better understand how remibrutinib affects inflammation in the brain and spinal cord by using PET imaging, MRI scans, blood samples, and cerebrospinal fluid (CSF) samples collected before treatment and again six months later. [REDEFINE_p...2026_clean | Word] The main question the study is trying to answer is whether remibrutinib changes immune activity and inflammation in people with MS, and whether these changes can be measured using imaging and biological markers that may help predict future disease progression and treatment response.Read full original descriptionShow less

REMIBRUTINIB: EVALUATION OF FLUID AND INFLAMMATORY NEUROIMAGING ENDPOINTS IN MULTIPLE SCLEROSIS (REDEFINE-MS)

REDEFINE-MS is a research study for people with relapsing multiple sclerosis (MS) who are participating in the RESHAPE-MS trial. The study aims to better understand how remibrutinib affects inflammation in the brain and spinal cord by using PET imaging, MRI scans, blood samples, and cerebrospinal fluid (CSF) samples collected before treatment and again six months later. [REDEFINE_p...2026_clean | Word] The main question the study is trying to answer is whether remibrutinib changes immune activity and inflammation in people with MS, and whether these changes can be measured using imaging and biological markers that may help predict future disease progression and treatment response.

Inclusion: Capable of providing written informed consent for volunteering to undergo research procedures; Male or female, any race; Age between 40 and 70 years of age, inclusive; Diagnosis of RMS according to revised 2017 McDonald criteria at screening 15; EDSS score of 0 to 6.5 (inclusive) at screening; Treated with ocrelizumab according to routine clinical practice and at standard dose for at least 18 months. The last administration of ocrelizumab must have occurred within 5 to 9 months prior to randomization; Neurologically stable within 30 days prior to screening, including no MS relapse during this period; Suitable to be switched to remibrutinib based on physician judgement or patient preference.

Exclusion: Current or recent (within 12 months prior to screening) participation in research studies involving radioactive agents such that the total research-related radiation dose to the participant in any given year would exceed the limits set forth in the U.S. Code of Federal Regulations (CFR) Title 21 Section 361.1. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?FR=361.1; Hypersensitivity to [11C]-DPA-713 or any of its excipients; Any condition that, in the opinion of the Principal Investigator or his designee, could increase the risk to the participant or limits their ability to participate (e.g., liver or kidney disease, advanced cancer); The exclusion criteria of the parent study are adapted and inherited under this section (See parent study protocol section 5.2). In addition, the following exclusion criteria apply:; Contraindications to PET or MRI (e.g. certain incompatible electronic medical devices, inability to lie still for extended periods) that make it potentially unsafe for the individual to participate; Presence of a low affinity binding TSPO polymorphism.

ClinicalTrials.gov NCT07758270