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RecruitingNCT05877963ENHANCEUpdated Oct 23, 2026

Study to Evaluate Safety, Efficacy and Pharmacokinetics (PK) of a Modified Regimen of Ublituximab

A Phase 3 interventional study of Ublituximab and Placebo in Relapsing Multiple Sclerosis, sponsored by TG Therapeutics, Inc.. Recruiting at 51 sites in 2 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-23.

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

From the registry’s dates

  • Started Jun 2023; still recruiting 3 years 4 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
800
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary purpose of this phase 3b study is to assess the efficacy of a modified regimen of ublituximab in participants with relapsing multiple sclerosis (RMS) as measured by T1 Gadolinium (Gd)-enhancing lesions in Part A; PK in Part B along with efficacy of ublituximab as measured by T1 Gd-enhancing lesions in participants who had a suboptimal experience on prior anti-CD20 therapy in Part C. The study consists of 3 parts: Part A is single-armed and open-label, Part B is randomized, double-blind, placebo-controlled, and Part C is single-armed and open-label.

02

Conditions studied

  • Relapsing Multiple Sclerosis

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03

In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's planned enrollment of 800 is above the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

TG Therapeutics, Inc. is the lead sponsor of 40 studies on the registry; 9 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 9 (56%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of RMS (2017 Revised McDonald criteria).
  • Participants must meet one of the following prior treatment definitions:

    1. Participants naïve to treatment.
    2. Participants previously treated with a disease modifying therapy (DMT) who have discontinued treatment prior to consent and meet the requirements.
  • Expanded Disability Status Scale (EDSS) score ≤ 5.5 at screening.
  • Neurologically stable for > 30 days prior to first dose of ublituximab.
  • Female participants of must consent to use a medically acceptable method of from consent, throughout the study period, and for 6 months after the last dose of ublituximab.
  • Part C: participants currently treated with an anti-CD20 agent for at least 6 months and meet the washout requirements prior to W1D1.
  • Part C: Discontinuation of current anti-CD20 must be due to suboptimal experience

Exclusion criteria

Exclusion Criteria:

  • History of any serious 3 Infusion Related Reaction (IRR) on prior anti-CD20 therapy.
  • Primary-progressive multiple sclerosis (PPMS) or inactive Secondary Progressive MS (SPMS).
  • Active chronic (or stable but treated with immune therapy) disease of the immune system other than MS (e.g., rheumatoid arthritis, scleroderma, Sjögren's syndrome, Crohn's disease, ulcerative colitis, etc.) or immunodeficiency syndrome (hereditary immune deficiency, drug-induced immune deficiency, etc.).
  • Current evidence or known history of infection, including: chronic, recurrent, or ongoing active viral, bacterial, or fungal infectious disease requiring long term systemic treatment such as, but not limited to chronic urinary tract infection, chronic pulmonary infection with bronchiectasis, tuberculosis, or active virus (HCV).
  • Previous serious opportunistic or atypical infection.
  • Evidence of chronic active or history of virus (HBV) infection as evidenced by a detectable hepatitis B surface antigen (HBsAg), or positive hepatitis B core antibody (HBcAb), or chronic hepatitis C infection. Participants with positive hepatitis C virus antibody (HCV Ab) are eligible only if polymerase chain reaction (PCR) is negative for HCV ribonucleic acid (RNA).
  • History or evidence (clinical, radiological, or biomarker) of suspected or confirmed progressive multifocal leukoencephalopathy (PML).
  • Receipt of any live or (including vaccines for varicella-zoster virus or measles) within 4 weeks prior to first study drug administration.
  • Participants requiring treatment with intravenous immune globulin (IVIG) for decreased immunoglobulins within the 12 months prior to W1D1.
  • Any active other than adequately treated basal, squamous cell or in situ carcinoma.
  • Participants who have ever received ublituximab, alemtuzumab, cyclophosphamide, mitoxantrone, cladribine, or daclizumab (including for non-MS indications).

Note: Other Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
800 participants (estimated)

Study arms

  • Experimental
    Part A: Ublituximab

    Participants will receive a modified regimen of ublituximab including infusions on Day 1 of Week 1 (W1D1), Day 15, if applicable, and ublituximab 450 milligrams (mg) infusion at Week 24. With Protocol Version 6.0, enrollment in Part A was closed.

    Biological: Ublituximab

  • Experimental
    Part B: Ublituximab /Placebo (Treatment Arm A)

    Participants will receive 600 mg of ublituximab on W1D1 followed by a placebo infusion on Day 15 and 450 mg ublituximab infusion at Week 24. With Protocol Version 7.0, enrollment in Part B will be closed.

    Biological: Ublituximab · Drug: Placebo

  • Experimental
    Part B: Ublituximab (Treatment Arm B)

    Participants will receive 150 mg of ublituximab on W1D1 followed by 450 mg on Day 15 and at Week 24. With Protocol Version 7.0, enrollment in Part B will be closed.

    Biological: Ublituximab

  • Experimental
    Part C: Ublituximab (Treatment Arm C)

    Participants will receive 150 mg of ublituximab on W1D1, followed by 450 mg on Day 15 and at Week 24.

    Biological: Ublituximab

Interventions

  • BiologicalUblituximab

    Administered as an intravenous (IV) infusion.

    Also known as: TG-1101, BRIUMVI

  • DrugPlacebo

    IV infusion

06

What researchers measure

Primary outcomes

  1. Part A and Part C: Percentage of Participants With no Change or Reduction in Number of T1 Gd-Enhancing Lesions From Baseline to Week 48

    The Gd-enhancing T1 lesions will be evaluated using magnetic resonance imaging (MRI) technique.

    Time frame: Baseline up to Week 48

  2. Part B: Area Under the Curve Over the First 16 Weeks (AUC0-W16) of Ublituximab

    Time frame: Predose and at multiple timepoints up to Week 16

Secondary outcomes

  1. Parts A: Percentage of Participants Free of T1 Gd-Enhancing Lesions

    The Gd-enhancing T1 lesions will be evaluated using MRI technique.

    Time frame: Week 48

  2. Parts A and B: Percentage of Participants Experiencing Infusion Related Reactions (IRRs)

    IRRs are defined as infusion related adverse events (AEs) that occur within one day of an infusion and resolve within 7 days. IRRs will be reported by investigator.

    Time frame: Up to Week 48

  3. Parts A: Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM-9) Scores

    The TSQM-9 is a 9-item questionnaire with 3 domains: Satisfaction, convenience, and effectiveness.

    Time frame: Part A: Baseline, Week 24 and Week 48

07

Study locations

49 of 51 sites recruiting
  • TG Therapeutics Investigational Trial Site
    Birmingham, Alabama 35209, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Cullman, Alabama 35058, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Orange, California 92697, United States
    Recruiting
  • TG Investigational Site
    Fort Collins, Colorado 80528, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Washington D.C., District of Columbia 20007, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Tampa, Florida 33612, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Atlanta, Georgia 30309, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Atlanta, Georgia 30322, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Savannah, Georgia 31406, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Chicago, Illinois 60612, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Indianapolis, Indiana 46256, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Iowa City, Iowa 52242, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Overland Park, Kansas 66205, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Overland Park, Kansas 66212, United States
    Completed

    Not enrolling at this site — choose another above.

  • TG Therapeutics Investigational Trial Site
    Lutherville, Maryland 21093, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Boston, Massachusetts 00002, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Boston, Massachusetts 70809, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Foxborough, Massachusetts 02035, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    North Worcester, Massachusetts 01655, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Wellesley, Massachusetts 02481, United States
    Recruiting
  • TG Investigational Site
    Farmington, Michigan 48334, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Golden Valley, Minnesota 55422, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Plymouth, Minnesota 55446, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    St Louis, Missouri 63131, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    New York, New York 10025, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    New York, New York 11021, United States
    Recruiting
  • TG Therapeutics Investigational Trial SiteCharlotte
    Charlotte, North Carolina 28204, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Raleigh, North Carolina 27607, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Cincinnati, Ohio 45212, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Cleveland, Ohio 44195, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Dayton, Ohio 45417, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Greenville, South Carolina 29605, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Knoxville, Tennessee 37922, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Houston, Texas 77030, United States
    Completed

    Not enrolling at this site — choose another above.

  • TG Therapeutics Investigational Trial Site
    Salt Lake City, Utah 84103, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Vienna, Virginia 22182, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Kirkland, Washington 98034, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Seattle, Washington 98109, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Spokane, Washington 99208, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Bydgoszcz, 85-796, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Katowice, 40-555, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Kielce, 25-726, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Krakow, 31-826, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Lodz, 90-324, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Olsztyn, 10-561, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Poznan, 61-583, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Warsaw, 04-141, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Zabrze, Poland
    Recruiting
  • TG Therapeutics Investigational Trial Site
    Żory, 44-240, Poland
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05877963
Responsible party
Sponsor
First posted
May 26, 2023
Start date
Jun 13, 2023
Primary completion
Jan 21, 2027 (estimated)
Completion
Jan 21, 2027 (estimated)
Last update
Oct 23, 2026

Study contacts

TG Therapeutics Clinical Support Team
Contact
clinicalsupport@tgtxinc.com
1-877-575-8489

Oversight

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

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Studies of the drug tested here: Ublituximab

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