This clinical trial is focused on studying a condition known as Primary Progressive Multiple Sclerosis (PPMS). PPMS is a type of multiple sclerosis where symptoms gradually worsen over time without relapses. The study aims to compare the effectiveness and safety of two treatments: Fenebrutinib and Ocrelizumab. Fenebrutinib is taken as a film-coated tablet, while Ocrelizumab is administered as a solution for infusion, which means it is given through a vein.
The purpose of the study is to evaluate how well Fenebrutinib works compared to Ocrelizumab in treating adults with PPMS. Participants in the study will receive either Fenebrutinib, Ocrelizumab, or a placebo, which is a substance with no active medication. The study will follow participants over a period of time to observe any changes in their condition and to monitor for any side effects. The study will also look at various health measures, such as changes in brain volume using MRI scans and levels of certain proteins in the blood.
Throughout the study, participants will have regular check-ups to assess their health and the progression of their symptoms. The study will help determine which treatment is more effective in managing PPMS and provide valuable information on the safety of these medications. This research is important for improving treatment options for people living with PPMS.



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