Kesimpta (Ofatumumab) Pregnancy Registry
Multiple Sclerosis · Pregnancy
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Observational
- Phase
- Not applicable / not listed
- Age range
- 18 years - 100 years
- Sex eligible
- All sexes
- Healthy volunteers
- Accepted
- Participants
- 725 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
The Kesimpta Pregnancy Registry is an observational, exposure cohort designed study to examine pregnancy and infant outcomes in women and infants who are exposed to Kesimpta (ofatumumab) during pregnancy to treat MS.
Read the full description
The study is expected to enroll for approximately 7 years and follow the pregnant women and their infant(s) over a maximum of 21 months.
The study will be conducted as two sub-studies leveraging independent ongoing pregnancy registries:
- The Organization of Teratology Information Specialists (OTIS) Research Group, University of California, San Diego, USA (referred to as "OTIS") will serve as data source for the Kesimpta-OTIS sub-study;
- The German MS and pregnancy registry - Deutschsprachigen Multiple Sklerose und Kinderwunsch Register (DMSKW) at Katholisches Klinikum Bochum gGmbH, St Josef Hospital, Bochum, Germany (referred to as "DMSKW") will serve as data source for the Kesimpta- DMSKW sub-study.
Both registries will independently collect and assess data related to the pregnancy and infant outcomes of interest and provide aggregate data which will be further combined (metaanalyses) by Novartis (referred to as the Sponsor) or a designated contract research organization (CRO).
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
Participants must meet all the criteria listed under the respective cohorts to enroll in that particular cohort of the registry:
Cohort 1: Kesimpta-Exposed Cohort
1. Pregnant women
2. Diagnosed with MS, with the indication validated by medical records when possible
3. Administered Kesimpta for the treatment of MS at any time from 166 days prior to the first day of the LMP, or up to and including the end of pregnancy
4. Agree to the conditions and requirements of the study including the interview schedule, release of medical records, the dysmorphology examination of live born infants (OTIS specific), and validated developmental performance questionnaire in live born children
Cohort 2: Disease-Matched Comparison Cohort (Comparison Group 1)
1. Pregnant women
2. Diagnosed with MS, with the indication validated by medical records when possible
3. May or may not have taken another medication for MS in the current pregnancy
4. Agree to the conditions and requirements of the study including the interview schedule, release of medical records, the dysmorphology examination of live born infants (OTIS specific), and validated developmental performance questionnaire in live born children
Cohort 3: Healthy Comparison Cohort (Comparison Group 2):Kesimpta-OTIS sub-study specific
1. Pregnant women
2. Agree to the conditions and requirements of the study including the interview schedule, release of medical records, the dysmorphology examination of live born infants, and validated developmental performance questionnaire in live born children
Exclusion Criteria:
Women meeting any of the following criteria will be excluded from the cohort study:
Cohort 1: Kesimpta-Exposed Cohort
1. Women who have enrolled in the Kesimpta cohort study with a previous pregnancy
2. Women who have used Kesimpta for an indication other than a currently approved indication
3. Women with exposure to any of the following medications within 5 half-lives (or pharmacodynamic effect when relevant) prior to conception:
* Other anti-CD20 monoclonal antibody: same class as Kesimpta
* S1P modulators: same class as Mayzent
* Cladribine (Mavenclad): Based on the US label, animal studies indicate that there is positive evidence of teratogenicity for Cladribine
* Teriflunomide (Aubagio): The teratogenecity of teriflunomide is unknown and currently under investigation.
* New medications (marketed after 2021) indicated for the treatment of MS will be evaluated for inclusion/exclusion criteria as the study progresses.
4. Retrospective enrollment after the outcome of pregnancy is known (i.e. the pregnancy has ended prior to enrollment)
5. Results of diagnostic test(s) that are positive for a major structural defect prior to enrollment. However, women who have had any normal or abnormal prenatal screening or diagnostic test prior to enrollment are eligible as long as the test result does not indicate a major structural defect.
Cohort 2: Disease-Matched Comparison Cohort (Comparison Group 1)
1. Administered Kesimpta 166 days before the first day of LMP or anytime during pregnancy
2. Women with exposure to any of the following medications within 5 half-lives (or pharmacodynamic effect when relevant) of conception:
* Anti CD-20 monoclonal antibody
* Cladribine (Mavenclad)
* S1P modulators
* Teriflunomide (Aubagio) New medications (marketed after 2021) indicated for the treatment of MS will be evaluated for inclusion/exclusion criteria as the study progresses.
3. Women who have enrolled in the Kesimpta cohort or BAF312A2403 Mayzent cohort with a previous pregnancy
4. Retrospective enrollment after the outcome of pregnancy is known (i.e. the pregnancy has ended prior to enrollment)
5. Results of diagnostic test(s) that are positive for a major structural defect prior to enrollment. However, women who have had any normal or abnormal prenatal screening or diagnostic test prior to enrollment are eligible as long as the test result does not indicate a major structural defect.
Cohort 3: Healthy Comparison Cohort (Comparison Group 2): Only applicable to Kesimpta-OTIS sub-study
1. Administered Kesimpta 166 days before or Mayzent 4 days after the first day of LMP or anytime during pregnancy
2. Women who have a diagnosis of a MS
3. Women who have a current diagnosis of any autoimmune disease
4. Women who have first contact with the project after prenatal diagnosis of any major structural defect
5. Women treated with Mayzent or Kesimpta for non-MS indication
6. Retrospective enrollment after the outcome of pregnancy is known (i.e. the pregnancy has ended prior to enrollment)
7. Results of diagnostic test(s) that are positive for a major structural defect prior to enrollment. However, women who have had any normal or abnormal prenatal screening or diagnostic test prior to enrollment are eligible as long as the test result does not indicate a major structural defect.
8. Women exposed to a known human teratogenic drugs during pregnancy
Study population
Participants from sub-studies, namely the Kesimpta-OTIS sub-study and Kesimpta-DMSKW sub-study, of identical design, conducted in parallel, enrolling pregnant women (MS and non-MS) residing in US or Canada and pregnant women (MS only) from Germany respectively.
Understand screeningTreatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Not reported
- Masking
- Not reported
Disease-matched cohort (Comparison Group 1)
comparison group consisting of women diagnosed with MS who have not used Kesimpta during pregnancy (unexposed disease-matched comparison group).
Healthy cohort (only applicable in the Kesimpta-OTIS sub-study) (Comparison Group 2)
healthy women who are not diagnosed with MS or any other autoimmune disease, have not had exposure to a known human teratogen, and have not taken Kesimpta in pregnancy (healthy comparison group). Since the DMSKW register is an MS population specific register that does not collect data on non-MS population, this cohort is only applicable in the Kesimpta-OTIS sub-study.
Kesimpta-exposed cohort
women and infants who are exposed to Kesimpta during pregnancy to treat MS.
Other: Kesimpta
Kesimpta OTHER
Prospective non-interventional study. There is no treatment allocation. Patients participating in from the two independent sub-studies, namely the Kesimpta-OTIS sub-study and Kesimpta-DMSKW sub-study, of identical design, conducted in parallel, enrolling pregnant women (MS and non-MS) residing in US or Canada and pregnant women (MS only) from Germany respectively are eligible for enrolling to this study.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Number of participants with major structural defects
Time frame: Up to 21 months
Number of participants with major structural defects will be collected
Secondary measures
Number of participants with spontaneous abortion/miscarriage
Time frame: Up to 21 months
Number of participants with spontaneous abortion/miscarriage will be collected
Number of stillbirth cases
Time frame: Up to 21 months
Number of stillbirth cases will be collected
Number of elective termination cases
Time frame: Up to 21 months
Number of elective termination cases will be collected
Number of preterm delivery cases
Time frame: Up to 21 months
Number of preterm delivery cases will be collected
Number of preeclampsia / eclampsia cases
Time frame: Up to 21 months
Number of preeclampsia / eclampsia cases will be collected
Number of cases with pattern of 3 or more minor structural defects
Time frame: Up to 21 months
Number of cases with pattern of 3 or more minor structural defects will be collected
Number of participants small for gestational age
Time frame: Up to 21 months
Number of participants small for gestational age will be collected
Number of participants with postnatal growth small for age at one year of age
Time frame: Up to 21 months
Number of participants with postnatal growth small for age at one year of age will be collected
Developmental performance at approximately one year of age: Michaelis developmental milestones questionnaires
Time frame: Up to 21 months
The Michaelis developmental milestones questionnaires will be used to assess the developmental performance in live born infants.
Developmental performance at approximately one year of age: Denver developmental screening test
Time frame: Up to 21 months
Denver developmental screening test will be used to assess the developmental performance in live born infants;
Number of serious or opportunistic infections in the first year of life.
Time frame: Up to 21 months
Number of serious or opportunistic infections in the first year of life will be collected
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
University of California San Diego OTISLa Jolla, California, United StatesRecruiting
Study team and timeline
- Lead sponsor
- Novartis Pharmaceuticals
- Study start
- Jan 5, 2023 Actual
- Primary completion
- Feb 28, 2033 Estimated
- Study completion
- Feb 28, 2033 Estimated
- First posted
- Dec 2, 2022 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
Post-Authorization Safety Study for Assessment of Pregnancy and Infant Outcomes in Patients Treated With Kesimpta (Ofatumumab) Using OTIS Observational Pregnancy Surveillance Program and DMSKW Registry
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
