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CompletedNCT05285904KOSMOSUpdated Apr 14, 2026

Kesimpta® (Ofatumumab) in Swiss Multiple Sclerosis Patients - an Observational Study

An observational study in Multiple Sclerosis, sponsored by Novartis Pharmaceuticals. Completed at 13 sites in Switzerland. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-04-14.

Sponsored by Novartis Pharmaceuticals · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
107
Ages
18 Years to 99 Years
Sex
All
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Study summary

This is a multi-center, observational study carried out in Switzerland that aims to describe the effects of Ofatumumab in a setting of routine medical care.

Read the detailed description

This non-interventional study will observe the effect of Ofatumumab treatment compared to the standard of care (SoC) arm of a closely monitored phase-IIIb study (STHENOS-COMB157G3301) in MS patients in a real-world setting in Switzerland over an observational period of 12 month.

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Conditions studied

  • Multiple Sclerosis

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Keywords

  • NIS
  • Multiple sclerosis
  • MS
  • KOSMOS
  • Ofatumumab
  • Kesimpta
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In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's enrollment of 107 is close to the median of 100 across 1,016 observational studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will include male and female patients (aged ≥ 18 years) with a documented diagnosis of RMS and treated for at least 3 months with Ofatumumab

Inclusion criteria

  1. Written informed consent must be obtained before participating in the study.
  2. Diagnosis of RMS per McDonald Criteria (2017) occurred within 3 years prior to initiation of Ofatumumab.
  3. Adult patients who have been on treatment with Ofatumumab for at least 3 months, but not longer than 12 months prior to inclusion in the study.
  4. Ofatumumab treatment in line with the Swiss Kesimpta® label (i.e. adult patients with active, relapsing forms of MS)
  5. Patient is willing and able to complete patient diary during course of the study, as well as to complete PRO questionnaires.

Exclusion criteria

Exclusion Criteria:

  1. Use of investigational drugs during the study, OR between Ofatumumab initiation and inclusion into the study, OR within 3 months before Ofatumumab initiation, OR within 5 half-lives of investigational drug before Ofatumumab initiation, OR until the expected pharmacodynamic effect has returned to baseline, whichever is longer.
  2. Subjects who are not able to provide consent due to incapable judgement
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
107 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Ofatumumab

    Population under routine medical care prescribed Ofatumumab in an early Relapsing Multiple Sclerosis

    Other: Ofatumumab

Interventions

  • OtherOfatumumab

    Prospective observational cohort study. There is no treatment allocation. Patients administered Ofatumumab, that have started before inclusion of the patient into the study will be enrolled.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with no evidence of disease activity (NEDA-3)

    No evidence of disease activity (NEDA-3), as defined by no confirmed MS relapse, no new or enlarging T2 lesions, no Gadolinium-positive T1 lesions, and no six-month confirmed disability worsening, as compared to the SoC arm of STHENOS.

    Time frame: Month 12

Secondary outcomes

  1. Proportion of patients demonstrating NEDA-3

    Proportion of patients demonstrating NEDA-3 and its components in relation to the Ofatumumab arm of STHENOS.

    Time frame: Month 12

  2. Proportion of patients demonstrating no evidence of disease activity in individual components of NEDA-3

    Proportion of patients demonstrating no evidence of disease activity in individual components of NEDA-3: * No confirmed MS relapse * No new or enlarging T2 lesions * No Gadolinium-positive T1 lesions * No six-month confirmed disability worsening

    Time frame: Month 12

  3. Proportion of patients with previous DMT medication

    Proportion of patients with previous Disease-modifying Therapy (DMT) medication will be collected

    Time frame: Baseline

  4. Proportion of patients with clinical and MRI parameters

    Proportion of patients with Magnet Resonance Imaging (MRI) and clinical parameters will be collected. Clinical parameters includes number of T2-hyperintense lesions, T1-contrast-enhancing lesions; number of MS relapse; Extended disability status scale (EDSS)

    Time frame: Baseline

  5. Proportion of Ofatumumab doses not completed

    Proportion of Ofatumumab doses not completed and reason for not completion within 14 days of expected date.

    Time frame: Month 12

  6. Proportion of participants with a cumulative treatment interruption of more than six months

    Proportion of participants with a cumulative treatment interruption of more than six months, calculated as 6 doses not completed.

    Time frame: Month 12

  7. Adherence to Ofatumumab

    Proportion of participants with and without 100% adherence, defined as no dose administered outside of 14 days of expected date

    Time frame: Month 12

  8. Proportion of patients permanently discontinuing Ofatumumab

    Proportion of patients permanently discontinuing Ofatumumab during the study, and reasons for discontinuation.

    Time frame: Month 12

  9. Interdependency of adherence and clinical outcome in terms of NEDA-3

    Correlation between adherence and clinical outcome in terms of NEDA-3 activity to be measured

    Time frame: Month 12

  10. Treatment effect of Ofatumumab on the impact of multiple sclerosis as measured by MSIS-29

    The Multiple Sclerosis Impact Scale (MSIS-29) Questionnaire is a 29-item self-report measure with 20 items associated with a physical scale and 9 items with a psychological scale. Items ask about the impact of MS on day-to-day life in the past two weeks. All items have 5 response options. Higher scores reflect greater impact on day to day life

    Time frame: Month 12

  11. Treatment satisfaction with Ofatumumab as measured by TSQM-9

    The TSQM-9 is a patient questionnaire assessing treatment satisfaction with Ofatumumab. It consists of 3 subscales: effectiveness, convenience and global satisfaction. Each scale score was calculated by summing individual items and then transformed to a 0-100 scale. Higher summary scores indicate better satisfaction with treatment.

    Time frame: Month 12

07

Study locations

13 sites
  • Novartis Investigative Site
    Baden, Canton of Aargau 5405, Switzerland
  • Novartis Investigative Site
    Lucerne, Canton of Lucerne 6004, Switzerland
  • Novartis Investigative Site
    Lucerne, Canton of Lucerne 6006, Switzerland
  • Novartis Investigative Site
    Sargans, Canton of St. Gallen 7320, Switzerland
  • Novartis Investigative Site
    Gland, Canton of Vaud 1196, Switzerland
  • Novartis Investigative Site
    Zurich, Canton of Zurich 8006, Switzerland
  • Novartis Investigative Site
    Zurich, CHE 8001, Switzerland
  • Novartis Investigative Site
    Basel, 4001, Switzerland
  • Novartis Investigative Site
    Bern, 3010, Switzerland
  • Novartis Investigative Site
    Lausanne, 1011, Switzerland
  • Novartis Investigative Site
    Lucerne, 6000, Switzerland
  • Novartis Investigative Site
    Lugano, 6900, Switzerland
  • Novartis Investigative Site
    Zurich, 8091, Switzerland
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05285904
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Mar 18, 2022
Start date
May 12, 2022
Primary completion
Feb 4, 2026
Completion
Feb 4, 2026
Last update
Apr 14, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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