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Active, not recruitingNCT04130997Updated Sep 23, 2026

An Extension Study of Ublituximab in Participants With Relapsing Multiple Sclerosis

A Phase 3 interventional study of Ublituximab in Relapsing Multiple Sclerosis (RMS), sponsored by TG Therapeutics, Inc.. Active, not recruiting at 86 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by TG Therapeutics, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate long-term safety and efficacy of ublituximab therapy in participants with relapsing multiple sclerosis (RMS).

Read the detailed description

TG1101-RMS303 is an open-label, single-arm extension study designed to evaluate long-term safety and efficacy of ublituximab in participants with RMS. Participants who complete the 96-week, double-blind treatment period of TG1101-RMS301 (RMS301 [NCT03277261]) or TG1101-RMS302 (RMS302 [NCT03277248]) are eligible for participation in this Open Label Extension (OLE) study. Participants may also be eligible for TG1101-RMS303 if they have completed Week 208 of TG1101-RMS201E (RMS201E [NCT03381170]) (United States of America [USA] participants only).

02

Conditions studied

  • Relapsing Multiple Sclerosis (RMS)
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Participants must meet the following criteria:

  1. Complete the 96-week double-blind TG1101-RMS301 (NCT03277261) or TG1101-RMS302 (NCT03277248) study or complete the final Week 208 visit of the TG1101-RMS201E (NCT03381170) study
  2. Investigator believes may benefit from treatment with ublituximab
  3. Are able and willing to provide written informed consent (e.g., before the first infusion) and to comply with the study protocol
  4. Female participants of child-bearing potential, and male partners must consent to use a medically acceptable method of contraception from consent, throughout the study period, and for 20 weeks after the last dose of ublituximab

Exclusion criteria

Exclusion Criteria:

Participants who meet any of the following exclusion criteria are not to be enrolled to this study:

  1. Any significant or uncontrolled medical condition or treatment-emergent, clinically significant laboratory abnormality such as:

    1. Absolute neutrophil count \< 1.5 x 10e3/µL
    2. Hematocrit \< 24%
    3. Platelet count \< 150,000 cell/mm\^3
    4. Hypogammaglobulinemia immunoglobulin G (IgG) \< 4.0g/L
  2. Active infection
  3. Ongoing pregnancy (female participants)
  4. Participants who discontinued ublituximab treatment or withdrew consent from the TG1101-RMS301 or TG1101-RMS302 study during the 96-week evaluation period or prior to completing the final Week 208 visit of the TG1101-RMS201E study
  5. Participants who have started any disease modifying therapy (DMT), stem cell transplantation, or participation in any other interventional clinical trial after completion of the 96-week visit in the TG1101-RMS301, TG1101-RMS302, or after completing the final Week 208 visit of the TG1101-RMS201E study
  6. Participants who have had a confirmed multiple sclerosis (MS) relapse within the past 30 days prior to Week 1 Day 1 (W1D1). Following a relapse, participants must be neurologically stable for at least 30 days prior to screening or W1D1 of the OLE
  7. Participants with unstable disease activity
  8. Presence of malignancy, except for surgically excised basal or squamous cell skin lesions
  9. Vaccination with live virus within 2 months of randomization
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,100 participants (estimated)

Study arms

  • Experimental
    Ublituximab Infusions

    RMS301/RMS302: All participants transferring from RMS301/RMS302 who sign consent for this study will receive an initial 4-hour infusion of 150 mg ublituximab on Week 1 (Day 1) followed by a 1-hour infusion of 450 mg ublituximab 14 days later Week 3 (Day 15). Subsequent infusions of ublituximab will be administered at 450 mg for 1-hour every 24 weeks from Weeks 24 to 312. RMS201E: All participants transferring from RMS201E who sign consent for this study will receive a 1-hour infusion of 450 mg ublituximab on Week 1 (Day 1) and subsequent infusions of ublituximab will be administered at 450 mg for 1-hour every 24 weeks from Weeks 24 to 312. For all participants (RMS301/RMS302/RMS201E), infusion treatment will continue for 312 weeks, or until physician or participant decision to withdraw from the study.

    Biological: Ublituximab

Interventions

  • BiologicalUblituximab

    Ublituximab (TG-1101) is a recombinant chimeric monoclonal antibody targeting CD20, available as a 25 mg/mL concentrate for intravenous use, supplied by TG Therapeutics, Inc.

    Also known as: TG-1101

05

What researchers measure

Primary outcomes

  1. Annualized Relapse Rate (ARR)

    ARR is defined as the number of relapses per-participant year. The estimate of ARR will be the total number of relapses divided by the sum of duration on study treatment (years).

    Time frame: Up to Week 336

06

Study locations

86 sites
  • TG Therapeutics Investigational Trial Site
    Pasadena, California 91105, United States
  • TG Therapeutics Investigational Trial Site
    Denver, Colorado 80045, United States
  • TG Therapeutics Investigational Trial Site
    Miami, Florida 33136, United States
  • TG Therapeutics Investigational Trial Site
    Tampa, Florida 33612, United States
  • TG Therapeutics Investigational Trial Site
    Northbrook, Illinois 60062, United States
  • TG Therapeutics Investigational Trial Site
    Kansas City, Kansas 66160, United States
  • TG Therapeutics Investigational Trial Site
    Detroit, Michigan 48201, United States
  • TG Therapeutics Investigational Trial Site
    Las Vegas, Nevada 89106, United States
  • TG Therapeutics Investigational Trial Site
    Teaneck, New Jersey 07666, United States
  • TG Therapeutics Investigational Trial Site
    Albuquerque, New Mexico 87131, United States
  • TG Therapeutics Investigational Trial Site
    Amherst, New York 14266, United States
  • TG Therapeutics Investigational Trial Site
    Columbus, Ohio 43214, United States
  • TG Therapeutics Investigational Trial Site
    Westerville, Ohio 43081, United States
  • TG Therapeutics Investigational Trial Site
    Knoxville, Tennessee 37922, United States
  • TG Therapeutics Investigational Trial Site
    Dallas, Texas 75246, United States
  • TG Therapeutics Investigational Trial Site
    Frisco, Texas 75034, United States
  • TG Therapeutics Investigational Trial Site
    Round Rock, Texas 78681, United States
  • TG Therapeutics Investigational Trial Site
    San Antonio, Texas 78258, United States
  • TG Therapeutics Investigational Trial Site
    Seattle, Washington 98109, United States
  • TG Therapeutics Investigational Trial Site
    Grodno, 230017, Belarus
  • TG Therapeutics Investigational Trial Site
    Grodno, 320017, Belarus
  • TG Therapeutics Investigational Trial Site
    Minsk, 220114, Belarus
  • TG Therapeutics Investigational Trial Site
    Minsk, 220116, Belarus
  • TG Therapeutics Investigational Trial Site
    Minsk, 220226, Belarus
  • TG Therapeutics Investigational Trial Site
    Osijek, 31000, Croatia
  • TG Therapeutics Investigational Trial Site
    Varaždin, 42000, Croatia
  • TG Investigational Trial Site
    Zagreb, 10000, Croatia
  • TG Therapeutics Investigational Trial Site
    Tbilisi, 00112, Georgia
  • TG Therapeutics Investigational Trial Site
    Tbilisi, 00114, Georgia
  • TG Therapeutics Investigational Trial Site
    Tbilisi, 00159, Georgia
  • TG Therapeutics Investigational Trial Site
    Tbilisi, 00160, Georgia
  • TG Therapeutics Investigational Trial Site
    Tbilisi, 00172, Georgia
  • TG Therapeutics Investigational Trial Site
    Tbilisi, 00179, Georgia
  • TG Therapeutics Investigational Trial Site
    Katowice, 40-555, Poland
  • TG Therapeutics Investigational Trial Site
    Katowice, 40-568, Poland
  • TG Therapeutics Investigational Trial Site
    Katowice, 40-684, Poland
  • TG Therapeutics Investigational Trial Site
    Krakow, 31-505, Poland
  • TG Therapeutics Investigational Trial Site
    Lodz, 41-800, Poland
  • TG Therapeutics Investigational Trial Site
    Olsztyn, 10-561, Poland
  • TG Therapeutics Investigational Trial Site
    Poznan, 61-583, Poland
  • TG Therapeutics Investigational Trial Site
    Warsaw, 04-141, Poland
  • TG Therapeutics Investigational Trial Site
    Zabrze, 04-749, Poland
  • TG Therapeutics Investigational Trial Site
    Arkhangelsk, 163045, Russia
  • TG Therapeutics Investigational Trial Site
    Barnaul, 656045, Russia
  • TG Therapeutics Investigational Trial Site
    Bryansk, 241033, Russia
  • TG Therapeutics Investigational Trial Site
    Chelyabinsk, 454021, Russia
  • TG Therapeutics Investigational Trial Site
    Kemerovo, 650066, Russia
  • TG Therapeutics Investigational Trial Site
    Krasnoyarsk, 660037, Russia
  • TG Therapeutics Investigational Trial Site
    Kursk, 305007, Russia
  • TG Therapeutics Investigational Trial Site
    Moscow, 125367, Russia
  • TG Therapeutics Investigational Trial Site
    Moscow, 127015, Russia
  • TG Therapeutics Investigational Trial Site
    Nizhny Novgorod, 603155, Russia
  • TG Therapeutics Investigational Trial Site
    Novosibirsk, 630007, Russia
  • TG Therapeutics Investigational Trial Site
    Novosibirsk, 630087, Russia
  • TG Therapeutics Investigational Trial Site
    Pyatigorsk, 357538, Russia
  • TG Therapeutics Investigational Trial Site
    Saint Petersburg, 197002, Russia
  • TG Therapeutics Investigational Trial Site
    Saint Petersburg, 197110, Russia
  • TG Therapeutics Investigational Trial Site
    Saint Petersburg, 197376, Russia
  • TG Therapeutics Investigational Trial Site
    Saransk, 430032, Russia
  • TG Therapeutics Investigational Trial Site
    Smolensk, 214018, Russia
  • TG Therapeutics Investigational Trial Site
    Tomsk, 634050, Russia
  • TG Therapeutics Investigational Trial Site
    Tyumen, 625000, Russia
  • TG Therapeutics Investigational Trial Site
    Ufa, 450005, Russia
  • TG Therapeutics Investigational Trial Site
    Yekaterinburg, 620102, Russia
  • TG Therapeutics Investigational Trial Site
    Belgrade, 11000, Serbia
  • TG Therapeutics Investigational Trial Site
    Kragujevac, 34000, Serbia
  • TG Therapeutics Investigational Trial Site
    Cherkasy, 18009, Ukraine
  • TG Therapeutics Investigational Trial Site
    Chernihiv, 14001, Ukraine
  • TG Therapeutics Investigational Trial Site
    Chernihiv, 14029, Ukraine
  • TG Therapeutics Investigational Trial Site
    Chernivtsi, 58002, Ukraine
  • TG Therapeutics Investigational Trial Site
    Ivano-Frankivsk, 76008, Ukraine
  • TG Therapeutics Investigational Trial Site
    Kharkiv, 61058, Ukraine
  • TG Therapeutics Investigational Trial Site
    Kharkiv, 61103, Ukraine
  • TG Therapeutics Investigational Trial Site
    Kharkiv, 61176, Ukraine
  • TG Therapeutics Investigational Trial Site
    Kyiv, 03037, Ukraine
  • TG Therapeutics Investigational Trial Site
    Kyiv, 03115, Ukraine
  • TG Therapeutics Investigational Trial Site
    Lviv, 79000, Ukraine
  • TG Therapeutics Investigational Trial Site
    Lviv, 79010, Ukraine
  • TG Therapeutics Investigational Trial Site
    Odesa, 65009, Ukraine
  • TG Therapeutics Investigational Trial Site
    Poltava, 36011, Ukraine
  • TG Therapeutics Investigational Trial Site
    Ternopil, 46027, Ukraine
  • TG Therapeutics Investigational Trial Site
    Uzhhorod, 88018, Ukraine
  • TG Therapeutics Investigational Trial Site
    Vinnytsia, 21005, Ukraine
  • TG Therapeutics Investigational Trial Site
    Zaporizhia, 69065, Ukraine
  • TG Therapeutics Investigational Trial Site
    Zaporizhia, 96900, Ukraine
  • TG Therapeutics Investigational Trial Site
    Zhytomyr, 10002, Ukraine
07

References and documents

Publications

  • Cree BAC, Fox E, Hartung HP, Alvarez E, Qian P, Wray S, Robertson D, Selmaj K, Wynn D, Mok K, Rowland C, Bodhinathan K, Sportelli P, Miskin HP, Steinman L. Five Years of Ublituximab in Multiple Sclerosis: ULTIMATE I and II Open-Label Extension Study. JAMA Neurol. 2026 Apr 1;83(4):348-358. doi: 10.1001/jamaneurol.2026.0007. PubMed 41697690 ↗
08

Registry details

Key details

Study ID
NCT04130997
Lead sponsor
TG Therapeutics, Inc.
Responsible party
Sponsor
First posted
Oct 18, 2019
Start date
Nov 18, 2019
Primary completion
May 31, 2032 (estimated)
Completion
May 31, 2032 (estimated)
Last update
Sep 23, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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