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)
Mechanism and Biochemical Profile
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>).