Actively Recruiting

Phase 3
Age: 12Years +
All Genders
NCT05503264

A Study to Evaluate the Efficacy, Safety, Pharmacokinetics (PK), and Pharmacodynamics (PD) of Satralizumab in Participants With Anti-N-methyl-D-aspartic Acid Receptor (NMDAR) or Anti-leucine-rich Glioma-inactivated 1 (LGI1) Encephalitis

Led by Hoffmann-La Roche · Updated on 2026-05-01

152

Participants Needed

93

Research Sites

376 weeks

Total Duration

On this page

Sponsors

H

Hoffmann-La Roche

Lead Sponsor

C

Chugai Pharmaceutical

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to assess the efficacy, safety, PK, and PD of satralizumab in participants with NMDAR and LGI1 encephalitis.

CONDITIONS

Official Title

A Study to Evaluate the Efficacy, Safety, Pharmacokinetics (PK), and Pharmacodynamics (PD) of Satralizumab in Participants With Anti-N-methyl-D-aspartic Acid Receptor (NMDAR) or Anti-leucine-rich Glioma-inactivated 1 (LGI1) Encephalitis

Who Can Participate

Age: 12Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Reasonable exclusion of tumor or malignancy before baseline visit (randomization)
  • Onset of autoimmune encephalitis symptoms 9 months or less before randomization
  • Meet the definition of "New Onset" or "Incomplete Responder" autoimmune encephalitis
  • Women of childbearing potential must agree to abstain from heterosexual intercourse or use adequate contraception during treatment and for 3 months after last dose
  • Participants in China enrollment phase must be residents of mainland China, Hong Kong, or Taiwan and of Chinese ancestry
  • For NMDAR cohort: age 12 years or older and diagnosis of probable or definite NMDAR encephalitis
  • For LGI1 cohort: age 18 years or older and diagnosis of LGI1 encephalitis
Not Eligible

You will not qualify if you...

  • Any untreated teratoma or thymoma at baseline visit (randomization)
  • History of carcinoma or malignancy unless cured with no recurrence for 5 or more years
  • For NMDAR cohort, history of negative anti-NMDAR antibody in cerebrospinal fluid within 9 months of symptom onset
  • Known positivity to intracellular antigens with high cancer association or GAD-65
  • Known positivity to cell surface neuronal antibodies other than NMDAR and LGI1 without NMDAR or LGI1 antibody positivity
  • Confirmed paraneoplastic encephalitis
  • Confirmed central or peripheral nervous system demyelinating disease
  • Alternative causes of symptoms
  • History of herpes simplex virus encephalitis in past 24 weeks
  • Previous or concurrent treatment with IL-6 inhibitory therapy, alemtuzumab, total body irradiation, or bone marrow transplant
  • Previous treatment with anti-CD19 antibody, complement inhibitors, neonatal Fc receptor antagonists, or anti-B-lymphocyte stimulator antibody
  • Previous treatment with T-cell depleting therapies, cladribine, or mitoxantrone
  • Oral cyclophosphamide treatment within 1 year prior to baseline
  • Use of investigational drugs within 24 weeks prior to screening
  • Concurrent use of more than one immunosuppressive therapy as background therapy
  • Contraindication to all rescue treatments including rituximab, IVIG, high-dose corticosteroids, or IV cyclophosphamide
  • Recent surgery except laparoscopic or minor surgeries within 4 weeks prior to baseline
  • Planned surgery during the study
  • Evidence of progressive multifocal leukoencephalopathy
  • Serious uncontrolled diseases
  • Congenital or acquired immunodeficiency including HIV
  • Active or recurrent infections needing hospitalization or IV treatment within 4 weeks prior to baseline
  • Positive hepatitis B or C test at screening
  • Evidence of latent or active tuberculosis
  • History of drug or alcohol abuse within 1 year prior to baseline
  • History of diverticulitis or severe gastrointestinal disorders increasing risk of complications
  • Receipt of live or live-attenuated vaccine within 6 weeks prior to baseline
  • Blood, plasma, or platelet donation within 90 days prior to screening
  • History of severe allergic reaction to biologic agents
  • History of suicide attempt within 3 years prior to screening unless related to acute phase of encephalitis
  • Any serious medical condition or lab abnormalities precluding safe participation
  • Pregnant, breastfeeding, or intending pregnancy during study or within 3 months after last dose of study drug

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 93 locations

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35233

Actively Recruiting

2

UC San Diego

La Jolla, California, United States, 92037

Actively Recruiting

3

Hoag Memorial Hospital

Newport Beach, California, United States, 92658

Actively Recruiting

4

UCSF- Multiple Sclerosis Centre

San Francisco, California, United States, 94158

Actively Recruiting

5

University of Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

6

Childrens National Health Center

Washington D.C., District of Columbia, United States, 20010

Actively Recruiting

7

Children's Healthcare of Atlanta Center for Advanced Pediatrics

Atlanta, Georgia, United States, 30329

Actively Recruiting

8

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States, 52242

Withdrawn

9

University of Maryland Medical Center

Baltimore, Maryland, United States, 21201

Actively Recruiting

10

Johns Hopkins Hospital

Baltimore, Maryland, United States, 21205

Actively Recruiting

11

Brigham and Women's Hospital Department of Neurology

Boston, Massachusetts, United States, 02115

Actively Recruiting

12

Mayo Clinic - Rochester

Rochester, Minnesota, United States, 55905

Actively Recruiting

13

NYU-Langone Medical Center

New York, New York, United States, 10016

Actively Recruiting

14

Duke University Medical Center

Durham, North Carolina, United States, 27710

Actively Recruiting

15

University Hospitals of Cleveland

Cleveland, Ohio, United States, 44106

Actively Recruiting

16

Cleveland Clinic Foundation

Cleveland, Ohio, United States, 44915

Actively Recruiting

17

Univ of Pennsylvania Med Ctr

Philadelphia, Pennsylvania, United States, 19104

Withdrawn

18

University of Texas at Houston

Houston, Texas, United States, 77030

Actively Recruiting

19

Swedish Neuroscience Institute

Seattle, Washington, United States, 98122

Withdrawn

20

Medical College of Wisconsin

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

21

Hospital Ramos Mejía

CABA, Argentina, C1221ADC

Active, Not Recruiting

22

Hospital Britanico

Ciudad Autonoma Bs As, Argentina, C1280AEB

Actively Recruiting

23

Sanatorio del Sur S.A.

San Miguel de Tucumán, Argentina, T4000IDK

Actively Recruiting

24

Kepler Universitätsklinikum GmbH - Neuromed Campus

Linz, Austria, 4020

Withdrawn

25

Medizinische Universität Wien

Vienna, Austria, 1090

Withdrawn

26

Hospital Geral de Fortaleza

Fortaleza, Ceará, Brazil, 60175-295

Actively Recruiting

27

CEDOES - Diagnóstico e Pesquisa

Vitória, Espírito Santo, Brazil, 29055-450

Actively Recruiting

28

Instituto de Neurologia de Curitiba

Curitiba, Paraná, Brazil, 81210-310

Actively Recruiting

29

Centro de Pesquisas Clinicas

São Paulo, São Paulo, Brazil, 01228-200

Actively Recruiting

30

Hospital Israelita Albert Einstein

São Paulo, São Paulo, Brazil, 05652-000

Actively Recruiting

31

Beijing Children's Hospital, Capital Medical University

Beijing, China, 100045

Actively Recruiting

32

Beijing Tongren Hospital

Beijing, China, 100730

Actively Recruiting

33

Beijing Tiantan Hospital,Capital Medical University

Beijing, China

Actively Recruiting

34

The First Hospital of Jilin University

Changchun, China, 130021

Actively Recruiting

35

The Second Xiangya Hospital of Central South University

Changsha, China, 410011

Actively Recruiting

36

West China Hospital - Sichuan University

Chengdu, China, 610047

Actively Recruiting

37

Fujian Medical University Union Hospital

Fuzhou, China, 350001

Actively Recruiting

38

Guangzhou First Municipal People's Hospital

Guangzhou, China, 510180

Actively Recruiting

39

Affiliated Hospital of Jining Medical University

Jining, China, 272029

Actively Recruiting

40

Huashan Hospital, Fudan University

Shanghai, China, 200040

Actively Recruiting

41

The First Hospital of Shanxi Medical University

Taiyuan, China, 030001

Actively Recruiting

42

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, China, 325035

Completed

43

Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, China, 430030

Actively Recruiting

44

Fakultni nemocnice Hradec Kralove

Hradec Králové, Czechia, 500 05

Withdrawn

45

Fakultni nemocnice v Motole

Prague, Czechia, 150 06

Actively Recruiting

46

Odense Universitetshospital, Neurologisk Afdeling N

Odense C, Denmark, 5000

Actively Recruiting

47

Hopital neurologique Pierre Wertheimer - CHU Lyon

Bron, France, 69677

Completed

48

Hopital Pitié Salpétrière - CHU

Paris, France, 75651

Actively Recruiting

49

CHU Saint Etienne - Hôpital Nord

Saint-Etienne, France, 42055

Withdrawn

50

CHRU - Hôpital Bretonneau

Tours, France, 37000

Actively Recruiting

51

Komfo Anokye Teaching Hospital

Kumasi, Ghana

Actively Recruiting

52

Hadassah University Hospital Ein Kerem

Jerusalem, Israel, 9112001

Actively Recruiting

53

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel, 6423906

Actively Recruiting

54

A. O. U. Federico II

Naples, Campania, Italy, 80131

Actively Recruiting

55

AOU Seconda Università degli Studi

Naples, Campania, Italy, 80138

Actively Recruiting

56

Ospedale Pediatrico Bambino Gesù

Rome, Lazio, Italy, 00165

Withdrawn

57

Irccs A.O.U.San Martino Ist

Genoa, Liguria, Italy, 16132

Actively Recruiting

58

IRCCS Ospedale San Raffaele

Milan, Lombardy, Italy, 20132

Actively Recruiting

59

Fondazione IRCCS Istituto Neurologico Carlo Besta

Milan, Lombardy, Italy, 20133

Actively Recruiting

60

Fondazione Istituto Neurologico Mondino IRCCS

Pavia, Lombardy, Italy, 27100

Actively Recruiting

61

AOU Policlinico Giaccone

Palermo, Sicily, Italy, 90129

Actively Recruiting

62

Fujita Health University Hospital

Aichi, Japan, 470-1192

Actively Recruiting

63

Chiba University Hospital

Chiba, Japan, 260-8677

Active, Not Recruiting

64

Kyushu University Hospital

Fukuoka, Japan, 812-8582

Completed

65

Fukuoka University Hospital

Fukuoka, Japan, 814-0180

Actively Recruiting

66

Gifu University Hospital

Gifu, Japan, 501-1194

Actively Recruiting

67

Hokkaido University Hospital

Hokkaido, Japan, 060-8648

Active, Not Recruiting

68

Hyogo prefectural Kobe Children's Hospital

Hyogoken, Japan, 6500047

Actively Recruiting

69

Kobe University Hospital

Hyōgo, Japan, 650-0017

Actively Recruiting

70

Kagoshima City Hospital

Kagoshima, Japan, 890-8760

Actively Recruiting

71

St.Marianna University School of Medicine hospital

Kanagawa, Japan, 216-8511

Completed

72

Kitasato University Hospital

Kanagawa, Japan, 252-0375

Active, Not Recruiting

73

Tokai University Hospital

Kanagawa, Japan, 259-1193

Actively Recruiting

74

Tohoku University Hospital

Miyagi, Japan, 980-8574

Actively Recruiting

75

The University of Osaka Hospital

Osaka, Japan, 565-0871

Actively Recruiting

76

Kindai University Hospital

Osaka, Japan, 590-0197

Actively Recruiting

77

Ageo Central General Hospital

Saitama, Japan, 362-8588

Actively Recruiting

78

Juntendo University Hospital

Tokyo, Japan, 113-8431

Actively Recruiting

79

Nihon University Itabashi Hospital

Tokyo, Japan, 173-8610

Actively Recruiting

80

Erasmus MC

Rotterdam, Netherlands, 3015 GD

Actively Recruiting

81

Regionalny Szpital Specjalistyczny im. W. Bieganskiego

Grudzi?dz, Poland, 86-300

Withdrawn

82

Szpital Uniwersytecki w Krakowie

Krakow, Poland, 30-688

Completed

83

Instytut Psychiatrii i Neurologii II Klinika Neurologiczna

Warsaw, Poland, 02-957

Actively Recruiting

84

SPSK nr 1

Zabrze, Poland, 41-800

Actively Recruiting

85

National University Hospital (NUH)

Singapore, Singapore, 117599

Actively Recruiting

86

National Neuroscience Institute

Singapore, Singapore, 308433

Actively Recruiting

87

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

88

Hospital Alvaro Cunqueiro

Vigo, Pontevedra, Spain, DUMMY_VALUE

Actively Recruiting

89

Hospital General Universitario Gregorio Marañon

Madrid, Spain, 28007

Actively Recruiting

90

Hospital Regional Universitario de Malaga ? Hospital General

Málaga, Spain, 29010

Actively Recruiting

91

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, Taiwan, 00833

Actively Recruiting

92

China Medical University Hospital

North Dist., Taiwan, 40402

Withdrawn

93

Chang Gung Memorial Hospital - Linkou

Taoyuan City, Taiwan, 333

Actively Recruiting

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Research Team

R

Reference Study ID Number: WN43174, https://forpatients.roche.com/

CONTACT

G

Global Medical Information:

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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