DelveInsight’s “Relapsing-Remitting Multiple Sclerosis – Pipeline Insight, 2025” reveals a vibrant pipeline with more than 22 active candidates at various stages of development, reflecting a paradigm shift from broad immunosuppression toward precision-targeted and regenerative approaches. Notable candidates include BTK inhibitors like evobrutinib and tolebrutinib, which target B-cell signaling with greater selectivity, offering potential for improved safety and sustained efficacy. In addition, a new wave of S1P receptor modulators, such as etrasimod and siponimod derivatives, is being designed to enhance blood-brain barrier penetration and minimize cardiovascular risks.
Equally significant are the advances in remyelination-focused therapies and neuroprotective agents. Investigational molecules such as opicinumab (anti-LINGO-1) and clemastine fumarate aim to repair myelin damage, while stem-cell-based interventions and neurotrophic factors are under exploration to preserve axonal integrity and prevent long-term disability. Several of these therapies are progressing into mid- and late-stage trials, showing encouraging early signs of lesion reduction and slowed neurodegeneration.
As of 2025, the RRMS pipeline reflects a strong momentum toward comprehensive disease control—combining immune modulation, remyelination, and neuroprotection. With multiple late-stage programs approaching pivotal readouts and new mechanisms of action entering the clinical space, the treatment landscape is poised to transition from relapse prevention to true disease modification, offering renewed hope for long-term remission and improved quality of life for RRMS patients.
Interested in learning more about the current treatment landscape and the key drivers shaping the Relapsing-Remitting Multiple Sclerosis pipeline? Click here
Key Takeaways from the Relapsing-Remitting Multiple Sclerosis Pipeline Report
• DelveInsight’s Relapsing-Remitting Multiple Sclerosis pipeline analysis depicts a strong space with 20+ active players working to develop 22+ pipeline drugs for Relapsing-Remitting Multiple Sclerosis treatment.
• The leading Relapsing-Remitting Multiple Sclerosis companies include Immunic AG, Sanofi, Anokion, RemeGen, HuniLife Biotechnology, Biogen, Clene Nanomedicine, Novartis, Celltrion, Imcyse SA, Takeda, and others are evaluating their lead assets to improve the Relapsing-Remitting Multiple Sclerosis treatment landscape.
• Key Relapsing-Remitting Multiple Sclerosis pipeline therapies in various stages of development include IMU-838, Tolebrutinib, ANK700, CNM Au 8, Telitacicept, HuL001, BIIB-061, Remibrutinib, CT-P53, IMCY-0141, Ixazomib, and others.
• In May 2024, Zydus Lifesciences and Chemi S.p.A. received FDA approval for a generically equivalent form of glatiramer acetate (Copaxone). The lower-cost option is now available in prefilled syringes for relapsing forms of MS.
• In May 2024, data from the Phase III OPTIMUM‑LT extension trial reveal that over eight years, more than half of RRMS patients on ponesimod remained relapse‑free, demonstrating sustained efficacy in reducing relapses and MRI activity.
• In March 2024, the FDA began priority review of tolebrutinib, a BTK inhibitor for non‑relapsing secondary‑progressive MS (nrSPMS). The decision marks a pivotal moment, with approval potentially arriving in late September 2025.
• In February 2025, a Phase IV observational study launched at UCSF to assess how early ocrelizumab treatment affects vestibular and immune markers (B and T cells) in newly diagnosed RRMS patients.
Relapsing-Remitting Multiple Sclerosis Overview
Relapsing-Remitting Multiple Sclerosis (RRMS) is the most common form of multiple sclerosis (MS), a chronic autoimmune disease that affects the central nervous system. RRMS is characterized by clearly defined episodes of new or worsening neurological symptoms (relapses) followed by periods of partial or complete recovery (remissions). During remissions, symptoms may improve or disappear entirely, but the disease can cause cumulative nerve damage over time.
The exact cause of RRMS is unknown, but it involves the immune system mistakenly attacking the protective myelin sheath around nerve fibers, disrupting communication between the brain and the rest of the body. Symptoms vary widely but often include fatigue, numbness, vision problems, muscle weakness, and coordination difficulties. Treatment focuses on managing relapses, slowing disease progression, and improving quality of life through disease-modifying therapies and symptom management.
Find out more about Relapsing-Remitting Multiple Sclerosis medication at https://www.delveinsight.com/report-store/relapsing-remitting-multiple-sclerosis-pipeline-insight
Relapsing-Remitting Multiple Sclerosis Treatment Analysis: Drug Profile
IMU-838: Immunic AG
Vidofludimus calcium, an oral investigational small molecule, is being developed for chronic inflammatory and autoimmune diseases and is currently in late-stage clinical trials for multiple sclerosis (MS). This first-in-class drug features a dual mode of action, combining neuroprotective, anti-inflammatory, and antiviral effects to address the complex nature of MS. As a selective immune modulator, it activates the neuroprotective transcription factor Nurr1, providing both direct and indirect neuroprotection. Additionally, it selectively inhibits the enzyme dihydroorotate dehydrogenase (DHODH) to achieve its anti-inflammatory and antiviral effects. Vidofludimus calcium is now in Phase III development for treating Relapsing-Remitting Multiple Sclerosis (RRMS).
IMCY-0141: Imcyse SA
IMCY-0141, based on Myelin Oligodendrocyte Glycoprotein (MOG), is designed to halt multiple sclerosis (MS) progression by preventing the immune system from attacking the central nervous system and reducing harmful autoimmune responses that damage the myelin sheath. It has shown promising results in preclinical MS models, demonstrating immune responses consistent with its mode of action and inducing a durable memory response, potentially enabling less frequent dosing. When administered early, IMCY-0141 may allow patients to live with minimal disease impact. The drug is currently in Phase I/II clinical trials for Relapsing-Remitting Multiple Sclerosis.
Learn more about the novel and emerging Relapsing-Remitting Multiple Sclerosis pipeline therapies.
Relapsing-Remitting Multiple Sclerosis Therapeutics Assessment
By Product Type
• Mono
• Combination
• Mono/Combination.
By Stage
• Late-stage products (Phase III)
• Mid-stage products (Phase II)
• Early-stage product (Phase I) along with the details of
• Pre-clinical and Discovery stage candidates
• Discontinued & Inactive candidates
By Route of Administration
• Oral
• Intravenous
• Subcutaneous
• Parenteral
• Topical
By Molecule Type
• Recombinant fusion proteins
• Small molecule
• Monoclonal antibody
• Peptide
• Polymer
• Gene therapy
Scope of the Relapsing-Remitting Multiple Sclerosis Pipeline Report
• Coverage: Global
• Key Relapsing-Remitting Multiple Sclerosis Companies: Immunic AG, Sanofi, Anokion, RemeGen, HuniLife Biotechnology, Biogen, Clene Nanomedicine, Novartis, Celltrion, Imcyse SA, Takeda, and others.
• Key Relapsing-Remitting Multiple Sclerosis Pipeline Therapies: IMU-838, Tolebrutinib, ANK700, CNM Au 8, Telitacicept, HuL001, BIIB-061, Remibrutinib, CT-P53, IMCY-0141, Ixazomib, and others.
Explore detailed insights on drugs used in the treatment of Relapsing-Remitting Multiple Sclerosis here.
Table of Contents
1. Introduction
2. Executive Summary
3. Relapsing-Remitting Multiple Sclerosis Pipeline: Overview
4. Analytical Perspective In-depth Commercial Assessment
5. Relapsing-Remitting Multiple Sclerosis Pipeline Therapeutics
6. Relapsing-Remitting Multiple Sclerosis Pipeline: Late-Stage Products (Phase III)
7. Relapsing-Remitting Multiple Sclerosis Pipeline: Mid-Stage Products (Phase II)
8. Relapsing-Remitting Multiple Sclerosis Pipeline: Early Stage Products (Phase I)
9. Therapeutic Assessment
10. Inactive Products
11. Company-University Collaborations (Licensing/Partnering) Analysis
12. Key Companies
13. Key Products
14. Unmet Needs
15. Market Drivers and Barriers
16. Future Perspectives and Conclusion
17. Analyst Views
18. Appendix
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