Clinical Trials

Numerous clinical trials across Phase 1 through Phase 3 are currently evaluating remibrutinib for autoimmune, allergic, and chronic inflammatory conditions, including chronic spontaneous urticaria, relapsing multiple sclerosis, hidradenitis suppurativa, Sjögren syndrome, and peanut allergy. Led by pharmaceutical sponsors like Novartis Pharmaceuticals alongside academic institutions such as Washington University School of Medicine, these studies display recruitment statuses ranging from actively recruiting to completed and terminated. Collectively, these initiatives highlight the broad clinical advancement of this targeted therapeutic agent.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07456891 RECRUITING
Indication of the Parent Protocol
Novartis Pharmaceuticals
2026-04-16 PHASE3
NCT07665437 RECRUITING
Hidradenitis Suppurativa
Novartis Pharmaceuticals
2026-07-10 PHASE3
NCT07225504 RECRUITING
Secondary Progressive Multiple Sclerosis (SPMS)
Novartis Pharmaceuticals
2025-11-11 PHASE3
NCT07222956 NOT_YET_RECRUITING
Multiple Sclerosis (MS) - Relapsing-remitting; Multiple Sclerosis (MS) Secondary Progressive; Multiple Sclerosis (MS) Primary Progressive
Moein Amin
2027-03-01 PHASE2
NCT07700056 NOT_YET_RECRUITING
Chronic Pruritus of Unknown Origin
Novartis Pharmaceuticals
2026-08-14 PHASE3
NCT06846281 RECRUITING
Relapsing Multiple Sclerosis
Novartis Pharmaceuticals
2025-06-23 PHASE3
NCT07768371 RECRUITING
IgE-Mediated Food Allergy; Peanut Allergy; Cow Milk Allergy; Egg Allergy
Novartis Pharmaceuticals
2026-08-27 PHASE3
NCT06744920 RECRUITING
Generalized Myasthenia Gravis
Novartis Pharmaceuticals
2025-02-07 PHASE3
NCT07681271 RECRUITING
Papulopustular Rosacea
Novartis Pharmaceuticals
2026-07-30 PHASE2
NCT06865651 RECRUITING
Chronic Urticaria (CU): Chronic Inducible Urticaria (CINDU) and Chronic Spontaneous Urticaria (CSU)
Novartis Pharmaceuticals
2025-05-22 PHASE2
NCT06840392 ACTIVE_NOT_RECRUITING
Hidradenitis Suppurativa
Novartis Pharmaceuticals
2025-03-20 PHASE3
NCT06799000 ACTIVE_NOT_RECRUITING
Hidradenitis Suppurativa
Novartis Pharmaceuticals
2025-01-31 PHASE3
NCT06868212 RECRUITING
Chronic Spontaneous Urticaria (CSU)
Novartis Pharmaceuticals
2025-07-11 PHASE3
NCT05677451 ACTIVE_NOT_RECRUITING
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2023-07-11 PHASE3
NCT05156281 ACTIVE_NOT_RECRUITING
Relapsing Multiple Sclerosis
Novartis Pharmaceuticals
2021-12-13 PHASE3
NCT05147220 ACTIVE_NOT_RECRUITING
Relapsing Multiple Sclerosis
Novartis Pharmaceuticals
2021-12-16 PHASE3
NCT05976243 ACTIVE_NOT_RECRUITING
Chronic Inducible Urticaria
Novartis Pharmaceuticals
2023-12-07 PHASE3
NCT07032272 COMPLETED
Autoimmune and Chronic Inflammatory Diseases
Novartis Pharmaceuticals
2025-07-23 PHASE1
NCT06042478 ACTIVE_NOT_RECRUITING
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2023-11-15 PHASE3
NCT05432388 COMPLETED
Allergy, Peanut
Novartis Pharmaceuticals
2022-10-12 PHASE2
NCT05513001 ACTIVE_NOT_RECRUITING
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2022-12-09 PHASE3
NCT05795153 COMPLETED
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2023-04-05 PHASE3
NCT05030311 COMPLETED
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2021-11-30 PHASE3
NCT05032157 COMPLETED
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2021-12-01 PHASE3
NCT05753592 COMPLETED
Hepatic Impairment
Novartis Pharmaceuticals
2022-10-31 PHASE1
NCT05048342 COMPLETED
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals
2022-01-15 PHASE3
NCT05677451 Recruiting
Chronic Spontaneous Urticaria
Novartis Pharmaceuticals|Novartis
2023-07-11 Phase 3
NCT05432388 Recruiting
Allergy Peanut
Novartis Pharmaceuticals|Novartis
2022-10-12 Phase 2
NCT05156281 Recruiting
Relapsing Multiple Sclerosis
Novartis Pharmaceuticals|Novartis
2021-12-13 Phase 3
NCT05147220 Recruiting
Relapsing Multiple Sclerosis
Novartis Pharmaceuticals|Novartis
2021-12-16 Phase 3
NCT04035668 TERMINATED
Sjögren Syndrome
Novartis Pharmaceuticals
2019-07-12 PHASE2
NCT04035668 Terminated
Sjögren Syndrome
Novartis Pharmaceuticals|Novartis
2019-07-12 Phase 2

(data from https://clinicaltrials.gov, updated on 2026-08-19)

Check the Remibrutinib product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Remibrutinib acts as a highly selective covalent inhibitor that binds to an inactive conformation of Bruton's tyrosine kinase (BTK), thereby potently suppressing BTK-dependent downstream signaling pathways, including FcγR-mediated IL-8 release and B-cell receptor-stimulated CD69 expression. By preventing immune cell activation and the release of pro-inflammatory mediators, this targeted inhibition provides potential therapeutic benefit in managing autoimmune and inflammatory conditions such as chronic spontaneous urticaria and multiple sclerosis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.