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Ublituximab

Published: July 26, 2026Updated: July 26, 2026

Ublituximab is a monoclonal antibody that targets CD20, a protein found on the surface of B lymphocytes. It is used to treat relapsing forms of multiple sclerosis (MS) by binding to B cells and reducing their numbers, which helps decrease the immune system's attack on the central nervous system.

Quick summary

Ublituximab is an anti-CD20 monoclonal antibody infusion used to treat relapsing forms of multiple sclerosis by depleting B cells.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
L04AG14
RxNorm
2626349
Generic
Ublituximab
Class
atc-l04
Brands
Briumvi
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Dose exceeding 5 times the recommended 450 mg single dose may cause serious toxicity
Chronic overdose: Cumulative dosing above recommended 450 mg every 24 weeks may lead to increased immunosuppression and infection risk
Immediate actions
Stop infusion immediately, monitor vital signs, provide supportive care, administer corticosteroids as needed
Antidote
No specific antidote available(Supportive care is primary treatment; no specific antidote for monoclonal antibody overdose)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; females of reproductive potential should use effective contraception during treatment and for at least 6 months after last dose

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

continue avoidance; if exposed during pregnancy, register patient in pregnancy registry

Monitor

comprehensive fetal ultrasound monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

discontinue breastfeeding

Key Recommendations

do not breastfeed during treatment and for at least 6 months after last dose

Monitor

none

Use of this medication in this population requires careful consideration of risks and benefits.

?

pediatric_age

children adolescents
unknown
FDA Category
N
Dose Adjustment

not established

Key Recommendations

safety and efficacy not established in patients under 18 years of age

Monitor

not applicable

⚠

geriatric

elderly 65
caution
FDA Category
N
Dose Adjustment

no specific adjustment required

Key Recommendations

use with caution; no dose adjustment needed based on age alone

Monitor

standard clinical monitoring

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild moderate
safe
FDA Category
N
Dose Adjustment

no adjustment required

Key Recommendations

no dose adjustment needed; monoclonal antibodies are not renally excreted

Monitor

routine renal function monitoring

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

limited data

Key Recommendations

use with caution; limited clinical data in severe renal impairment

Monitor

close monitoring of renal function

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild moderate
caution
FDA Category
N
Dose Adjustment

limited data

Key Recommendations

use with caution; limited clinical data in hepatic impairment

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe
caution
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

use not recommended; no clinical data available

Monitor

liver function monitoring

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classFDA
2023

Drug class

Value:CD20 inhibitor monoclonal antibody

Classification based on mechanism of action

regulatoryFDA
2023

FDA approval year

Value:2022

FDA approval for Briumvi

usageFDA
2023

Primary indication

Value:Relapsing forms of multiple sclerosis (RMS)

Therapeutic indication

mechanismFDA
2023

Mechanism of action

Value:CD20-directed cytolytic antibody

Primary pharmacologic action

Ublituximab is indicated for the treatment of relapsing forms of multiple sclerosis (RMS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease in adults.

Ublituximab is a monoclonal antibody that binds to the CD20 antigen present on pre-B and mature B lymphocytes. While the exact therapeutic mechanism in MS is unknown, it is presumed to work by depleting B cells, which play a role in the inflammatory processes that damage the central nervous system in multiple sclerosis.

Ublituximab is administered as an intravenous infusion. Common side effects may include infusion-related reactions, upper respiratory infections, and lower respiratory infections. Patients should be monitored for infections and appropriate screening may be required before starting treatment. Vaccination status should be reviewed prior to initiation as live vaccines are not recommended during treatment.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy