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    Clinical Trial Results:
    Phase II, Multicenter, Randomized, Parallel-Group, Partially Blinded, Placebo and Avonex Controlled Dose Finding Study to Evaluate the Efficacy As Measured by Brain MRI Lesions, and Safety of 2 Dose Regimens of Ocrelizumab in Patients With RRMS

    Summary
    EudraCT number
    2007-006338-32
    Trial protocol
    FR   GB   DE   ES   CZ   SK   DK   BE   NL   FI   BG   IT  
    Global end of trial date
    08 Nov 2023

    Results information
    Results version number
    v2(current)
    This version publication date
    10 Nov 2024
    First version publication date
    22 Mar 2015
    Other versions
    v1
    Version creation reason
    Summary report(s)
    WA21493 (CSR synopsis)

    Trial information

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    Trial identification
    Sponsor protocol code
    ACT4422g
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00676715
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    F. Hoffmann-La Roche AG
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4058
    Public contact
    F. Hoffmann-La Roche AG, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    Scientific contact
    Medical Communications, F. Hoffmann-La Roche AG, +41 616878333, genentech@druginfo.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    08 Nov 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    08 Nov 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    This was a Avonex (interferon beta-1a) controlled dose finding study to evaluate the efficacy as measured by brain MRI lesions, and safety of 2 dose regimens of ocrelizumab in participants with relapsing remitting multiple sclerosis (RRMS).
    Protection of trial subjects
    All study participants were required to read and sign an informed consent form (ICF).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    17 Jul 2008
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    84 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 1
    Country: Number of subjects enrolled
    Bulgaria: 11
    Country: Number of subjects enrolled
    Canada: 10
    Country: Number of subjects enrolled
    Switzerland: 1
    Country: Number of subjects enrolled
    Czechia: 14
    Country: Number of subjects enrolled
    Germany: 6
    Country: Number of subjects enrolled
    Denmark: 3
    Country: Number of subjects enrolled
    Spain: 8
    Country: Number of subjects enrolled
    France: 5
    Country: Number of subjects enrolled
    United Kingdom: 3
    Country: Number of subjects enrolled
    Italy: 6
    Country: Number of subjects enrolled
    Mexico: 8
    Country: Number of subjects enrolled
    Russian Federation: 17
    Country: Number of subjects enrolled
    Romania: 4
    Country: Number of subjects enrolled
    Serbia: 34
    Country: Number of subjects enrolled
    Slovakia: 14
    Country: Number of subjects enrolled
    Ukraine: 26
    Country: Number of subjects enrolled
    United States: 47
    Worldwide total number of subjects
    218
    EEA total number of subjects
    72
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    218
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    A total of 220 participants were randomized, of which 218 received study treatment. Participants took part in the study at 79 investigative sites across 18 countries from July 17, 2008, to November 08, 2023.

    Pre-assignment
    Screening details
    The study consisted of a 96-week Treatment Period (TP) followed by a Treatment-free period (TFP). Participants who completed both TP & TFP (at least Week 120) were invited to participate in the optional Open-label Extension (OLE) period.

    Period 1
    Period 1 title
    Treatment Period (TP)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator
    Blinding implementation details
    Avonex/Ocrelizumab 600 mg (Active Comparator) group was open-label.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo / Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, once every 24 weeks (Q24W).
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab was administered 300 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by, 600 mg, IV, on Day 1 of Cycle 2 and 600 mg, IV, on Day 1 of Cycles 3 and 4.

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Placebo was administered on Day 1, and Day 15 in Cycle 1 (1 Cycle = 168 days)

    Arm title
    Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab was administered 300 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by, 600 mg, IV, on Day 1 of Cycle 2 and 600 mg, IV, on Day 1 of Cycles 3 and 4.

    Arm title
    Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycle 3 and ocrelizumab, 600 mg, IV, on Day 1 of Cycle 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab was administered 300 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by, 600 mg, IV, on Day 1 of Cycle 2 and 600 mg, IV, on Day 1 of Cycles 3 and 4.

    Investigational medicinal product name
    Ocrelizumab 1000 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab was administered 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by, 1000 mg, IV, on Day 1 of Cycle 2 and placebo IV on Day 15 of Cycle 2 followed by ocrelizumab, 1000 mg, IV, on Day 1 of Cycles 3 and 4.

    Arm title
    Avonex / Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection once every week of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.
    Arm type
    Active comparator

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab administered 300 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by, 600 mg, IV, on Day 1 of Cycle 2 and 600 mg, IV, on Day 1 of Cycles 3 and 4.

    Investigational medicinal product name
    Avonex
    Investigational medicinal product code
    Other name
    Interferon beta-1a
    Pharmaceutical forms
    Powder and solvent for concentrate for solution for infusion
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Avonex was administered 30 mcg as IM injection every week of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2 and 600 mg, IV, on Day 1 of Cycles 3 and 4.

    Number of subjects in period 1
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Started
    54
    55
    55
    54
    Completed
    48
    46
    43
    46
    Not completed
    6
    9
    12
    8
         Adverse event, serious fatal
    -
    -
    1
    -
         Insufficient therapeutic response
    1
    1
    2
    1
         Failure to return
    1
    -
    -
    -
         Administrative
    -
    -
    -
    1
         Adverse event, non-fatal
    -
    3
    2
    2
         Violation of selection criteria at entry
    -
    -
    1
    -
         Refused treatment/did not cooperate
    1
    2
    3
    1
         Withdrew consent
    3
    3
    3
    3
    Period 2
    Period 2 title
    Treatment-free Period (TFP)
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo/ Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 (1Cycle=168 days), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, once every 24 weeks (Q24W).
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Ocrelizumab 600 mg/Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Ocrelizumab 1000 mg/ Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Avonex/ Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection every week of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 2
    Placebo/ Ocrelizumab 600 mg Ocrelizumab 600 mg/Ocrelizumab 600 mg Ocrelizumab 1000 mg/ Ocrelizumab 600 mg Avonex/ Ocrelizumab 600 mg
    Started
    48
    46
    43
    46
    Completed
    35
    32
    30
    35
    Not completed
    14
    16
    20
    14
         Adverse event, serious fatal
    1
    1
    1
    -
         Consent withdrawn by subject
    3
    3
    4
    5
         Adverse event, non-fatal
    -
    -
    1
    -
         Lost to follow-up
    2
    2
    6
    2
         Reason not provided
    8
    10
    8
    7
    Joined
    1
    2
    7
    3
         Participants Joined from TP.
    1
    2
    7
    3
    Period 3
    Period 3 title
    Open Label Extension (OLE)
    Is this the baseline period?
    No
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo/ Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 (1Cycle=168 days), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, once every 24 weeks (Q24W).
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab 300mg was administered IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of 600mg, Q24W.

    Arm title
    Ocrelizumab 600 mg/Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab 300mg was administered IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of 600mg, Q24W.

    Arm title
    Ocrelizumab 1000 mg/ Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab 300mg was administered IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of 600mg, Q24W.

    Arm title
    Avonex/ Ocrelizumab 600 mg
    Arm description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection every week of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Arm type
    Active comparator

    Investigational medicinal product name
    Ocrelizumab 600 mg
    Investigational medicinal product code
    RO4964913
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab 300mg was administered IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of 600mg, Q24W.

    Number of subjects in period 3 [1]
    Placebo/ Ocrelizumab 600 mg Ocrelizumab 600 mg/Ocrelizumab 600 mg Ocrelizumab 1000 mg/ Ocrelizumab 600 mg Avonex/ Ocrelizumab 600 mg
    Started
    29
    32
    19
    24
    Completed
    22
    21
    11
    14
    Not completed
    7
    11
    8
    10
         Adverse event, serious fatal
    2
    -
    2
    2
         Consent withdrawn by subject
    2
    4
    3
    3
         Adverse event, non-fatal
    -
    3
    1
    -
         Lost to follow-up
    -
    -
    1
    1
         Reason not provided
    3
    4
    1
    4
    Notes
    [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: Participants who have completed both the Treatment Period and the Treatment-Free Period will be invited to participate in the OLE. Participants will be re-consented for participation and enter the OLE screening period where they will undergo an evaluation for continued eligibility. Participants who are not eligible, or choose not to enter the OLE will complete the trial after their B-cells have repleted.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, once every 24 weeks (Q24W).

    Reporting group title
    Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.

    Reporting group title
    Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycle 3 and ocrelizumab, 600 mg, IV, on Day 1 of Cycle 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.

    Reporting group title
    Avonex / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection once every week of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.

    Reporting group values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg Total
    Number of subjects
    54 55 55 54 218
    Age categorical
    Units: Subjects
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    38.0 ( 8.8 ) 35.6 ( 8.5 ) 38.5 ( 8.7 ) 38.1 ( 9.3 ) -
    Gender, Male/Female
    Units: participants
        Female
    36 35 38 32 141
        Male
    18 20 17 22 77
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 1 0 0 1
        Asian
    1 0 0 0 1
        Native Hawaiian or Other Pacific Islander
    0 0 0 0 0
        Black or African American
    0 3 2 1 6
        White
    52 51 53 53 209
        More than one race
    0 0 0 0 0
        Unknown or Not Reported
    1 0 0 0 1
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    6 6 7 7 26
        Not Hispanic or Latino
    48 49 48 47 192
        Unknown or Not Reported
    0 0 0 0 0

    End points

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    End points reporting groups
    Reporting group title
    Placebo / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, once every 24 weeks (Q24W).

    Reporting group title
    Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.

    Reporting group title
    Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycle 3 and ocrelizumab, 600 mg, IV, on Day 1 of Cycle 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.

    Reporting group title
    Avonex / Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection once every week of Cycle 1 ( 1 Cycle = 168 days ), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600 mg, Q24W.
    Reporting group title
    Placebo/ Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 (1Cycle=168 days), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, once every 24 weeks (Q24W).

    Reporting group title
    Ocrelizumab 600 mg/Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Reporting group title
    Ocrelizumab 1000 mg/ Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Reporting group title
    Avonex/ Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection every week of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.
    Reporting group title
    Placebo/ Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received placebo as intravenous (IV) infusion on Days 1 and 15 of Cycle 1 (1Cycle=168 days), followed by ocrelizumab, 300 milligrams (mg), IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, once every 24 weeks (Q24W).

    Reporting group title
    Ocrelizumab 600 mg/Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 ( 1 Cycle = 168 days), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Reporting group title
    Ocrelizumab 1000 mg/ Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Reporting group title
    Avonex/ Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received Avonex 30 micrograms (mcg) as intramuscular (IM) injection every week of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Primary: Total Number of Gadolinium-Enhancing T1 Lesions Observed on Magnetic R4esonance Imaging (MRI) Scans of the Brain

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    End point title
    Total Number of Gadolinium-Enhancing T1 Lesions Observed on Magnetic R4esonance Imaging (MRI) Scans of the Brain
    End point description
    Mean of total number of gadolinium-enhancing T1 lesions observed on MRI scans of the brain at Weeks 12, 16, 20, 24 was determined using average imputation method. The intent-to-treat population includes all randomized participants who had received any study drug. Here, number analysed signifies the participants who were evaluable for the outcome.
    End point type
    Primary
    End point timeframe
    Week 12 to Week 24
    End point values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Number of subjects analysed
    54
    51
    52
    52
    Units: lesions
        arithmetic mean (standard deviation)
    5.6 ( 12.53 )
    0.6 ( 1.52 )
    0.2 ( 0.65 )
    6.9 ( 16.01 )
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Statistical analysis description
    Van Elteren test is stratified by region and presence of baseline gadolinium-enhancing lesions (absent or present).
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    105
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Avonex
    Statistical analysis description
    Van Elteren test is stratified by region and presence of baseline gadolinium-enhancing lesions (absent or present).
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Avonex / Ocrelizumab 600 mg
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.7496
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Ocrelizumab 1000 mg
    Statistical analysis description
    Van Elteren test is stratified by region and presence of baseline gadolinium-enhancing lesions (absent or present).
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001
    Method
    Van Elteren Test (stratified)
    Confidence interval

    Secondary: Annualized Protocol Defined Relapse Rate at Week 24

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    End point title
    Annualized Protocol Defined Relapse Rate at Week 24
    End point description
    Adjusted annualized relapse rate for geographical region is reported here. The relapse rate was calculated as the total number of relapses for each participant divided by the total number of patient-years. The intent-to-treat population includes all randomized participants who had received any study drug.
    End point type
    Secondary
    End point timeframe
    Week 24
    End point values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Number of subjects analysed
    54
    55
    55
    54
    Units: relapses per year
        number (confidence interval 95%)
    0.557 (0.370 to 0.839)
    0.127 (0.054 to 0.299)
    0.213 (0.110 to 0.414)
    0.364 (0.220 to 0.602)
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Statistical analysis description
    Poisson model was fitted for adjusting for geographic region only.
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    109
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0019
    Method
    Poisson model
    Confidence interval
    Statistical analysis title
    Placebo vs Avonex
    Statistical analysis description
    Poisson model was fitted for adjusting for geographic region only.
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Avonex / Ocrelizumab 600 mg
    Number of subjects included in analysis
    108
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.1814
    Method
    Poisson model
    Confidence interval
    Statistical analysis title
    Placebo vs Ocrelizumab 1000 mg
    Statistical analysis description
    Poisson model was fitted for adjusting for geographic region only.
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    109
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0136
    Method
    Poisson model
    Confidence interval

    Secondary: Percentage of Participants Who Remained Relapse Free at Week 24

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    End point title
    Percentage of Participants Who Remained Relapse Free at Week 24
    End point description
    Percentage of participants who remained relapse free at Week 24 were reported. The intent-to-treat population includes all randomized participants who had received any study drug. Percentages have been rounded off to the first decimal.
    End point type
    Secondary
    End point timeframe
    Week 24
    End point values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Number of subjects analysed
    54
    55
    55
    54
    Units: percentage of participants
        number (confidence interval 95%)
    75.9 (64.5 to 87.3)
    85.5 (76.1 to 94.8)
    87.3 (78.5 to 96.1)
    77.8 (66.7 to 88.9)
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    109
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.1978
    Method
    Cochran-Mantel-Haenszel chi-square test
    Parameter type
    Relative risk (RR)
    Point estimate
    0.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.27
         upper limit
    1.34
    Statistical analysis title
    Placebo vs Avonex
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Avonex / Ocrelizumab 600 mg
    Number of subjects included in analysis
    108
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.8206
    Method
    CMH chi-square tes
    Parameter type
    Relative risk (RR)
    Point estimate
    0.92
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.46
         upper limit
    1.84
    Statistical analysis title
    Placebo vs Ocrelizumab 1000 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    109
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.131
    Method
    CMH chi-square test
    Parameter type
    Relative risk (RR)
    Point estimate
    0.53
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.23
         upper limit
    1.22

    Secondary: Change From Baseline in Total Volume of T2 Lesions on MRI Scans of the Brain at Week 24

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    End point title
    Change From Baseline in Total Volume of T2 Lesions on MRI Scans of the Brain at Week 24
    End point description
    Change from baseline in total volume of T2 lesions on MRI scans of the brain at Week 24 was reported. The intent-to-treat population includes all randomized participants who had received any study drug. Overall number of participants analyzed is the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 24
    End point values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Number of subjects analysed
    54
    55
    55
    54
    Units: cubic millimeter (mm^3)
    arithmetic mean (standard deviation)
        Baseline (n= 47, 51, 53, 49)
    8950.84 ( 9776.261 )
    13972.61 ( 19930.158 )
    13178.30 ( 14271.383 )
    13209.11 ( 17206.511 )
        Change at Week 24 (n= 43, 45, 46, 46)
    -112.31 ( 1464.206 )
    -878.84 ( 2756.839 )
    -600.89 ( 2105.964 )
    1040.06 ( 4510.140 )
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    109
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.1391
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Avonex
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Avonex / Ocrelizumab 600 mg
    Number of subjects included in analysis
    108
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.474
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Ocrelizumab 1000 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    109
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.1596
    Method
    Van Elteren Test (stratified)
    Confidence interval

    Secondary: Total Number of New Gadolinium-Enhancing T1 Lesions Observed by MRI Scans of the Brain

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    End point title
    Total Number of New Gadolinium-Enhancing T1 Lesions Observed by MRI Scans of the Brain
    End point description
    Total number of new gadolinium-enhancing T1 lesions observed by MRI scans of the brain were reported. The intent-to-treat population includes all randomized participants who had received any study drug. Overall number of participants analyzed is the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Weeks 4 to Week 24
    End point values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Number of subjects analysed
    54
    51
    52
    52
    Units: lesions
        arithmetic mean (standard deviation)
    5.1 ( 11.99 )
    0.8 ( 1.95 )
    0.8 ( 2.16 )
    6.2 ( 13.79 )
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    105
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Avonex
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Avonex / Ocrelizumab 600 mg
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.4985
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Ocrelizumab 1000 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001
    Method
    Van Elteren Test (stratified)
    Confidence interval

    Secondary: Total Number of Gadolinium-Enhancing T1 Lesions

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    End point title
    Total Number of Gadolinium-Enhancing T1 Lesions
    End point description
    Total number of gadolinium-enhancing T1 lesions from Week 4 to Week 24 were reported. The intent-to-treat population includes all randomized participants who had received any study drug. Overall number of participants analyzed is the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Weeks 4 to Week 24
    End point values
    Placebo / Ocrelizumab 600 mg Ocrelizumab 600 mg / Ocrelizumab 600 mg Ocrelizumab 1000 mg / Ocrelizumab 600 mg Avonex / Ocrelizumab 600 mg
    Number of subjects analysed
    54
    51
    52
    52
    Units: lesions
        arithmetic mean (standard deviation)
    8.7 ( 17.54 )
    2.5 ( 5.10 )
    1.8 ( 5.26 )
    10.3 ( 22.15 )
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 600 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    105
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.0004
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Ocrelizumab 600 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Avonex / Ocrelizumab 600 mg
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.2725
    Method
    Van Elteren Test (stratified)
    Confidence interval
    Statistical analysis title
    Placebo vs Ocrelizumab 1000 mg
    Comparison groups
    Placebo / Ocrelizumab 600 mg v Ocrelizumab 1000 mg / Ocrelizumab 600 mg
    Number of subjects included in analysis
    106
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    < 0.0001
    Method
    Van Elteren Test (stratified)
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to 787 Weeks
    Adverse event reporting additional description
    The safety population included all participants who received any study drug and underwent at least one assessment of safety. As per planned analysis adverse events from both the TP and TFP were combined and reported.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    26.1
    Reporting groups
    Reporting group title
    Placebo/Ocrelizumab 600mg
    Reporting group description
    In the Treatment Period, participants received placebo as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Reporting group title
    Ocrelizumab 600mg/Ocrelizumab 600mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 300 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 600 mg, IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W

    Reporting group title
    Ocrelizumab 600 mg Open Label Extension (OLE)
    Reporting group description
    Participants who opted to enroll in the OLE received two IV infusions of ocrelizumab, 300mg on Days 1 and 15 of Cycle 5, followed by a single infusion of ocrelizumab, 600mg, once Q24W

    Reporting group title
    Avonex/Ocrelizumab 600 mg
    Reporting group description
    In the Treatment Period, participants received Avonex 30 mcg as IM injection once every week of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 300 mg, IV, on Days 1 and 15 of Cycle 2. Participants then received ocrelizumab, 600 mg, IV, on Day 1 of Cycles 3 and 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Reporting group title
    Ocrelizumab 1000mg/Ocrelizumab 600mg
    Reporting group description
    In the Treatment Period, participants received ocrelizumab 1000 mg as IV infusion on Days 1 and 15 of Cycle 1 (1 Cycle = 168 days), followed by ocrelizumab, 1000 mg IV, on Day 1 and placebo IV on Day 15 of Cycle 2. Participants then received ocrelizumab, 1000 mg, IV, on Day 1 of Cycle 3 and ocrelizumab, 600 mg, IV, on Day 1 of Cycle 4. Participants who completed the TP then entered the TFP which was of variable duration. Participants who completed the TP and the TFP (at least through Week 120) and opted to enroll in the OLE period received ocrelizumab, 300mg, IV, on Days 1 and 15 of Cycle 5 followed by a single infusion of ocrelizumab, 600mg, Q24W.

    Serious adverse events
    Placebo/Ocrelizumab 600mg Ocrelizumab 600mg/Ocrelizumab 600mg Ocrelizumab 600 mg Open Label Extension (OLE) Avonex/Ocrelizumab 600 mg Ocrelizumab 1000mg/Ocrelizumab 600mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    11 / 54 (20.37%)
    17 / 55 (30.91%)
    28 / 103 (27.18%)
    16 / 54 (29.63%)
    16 / 55 (29.09%)
         number of deaths (all causes)
    3
    1
    6
    2
    3
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BREAST CANCER
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LUNG NEOPLASM MALIGNANT
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SQUAMOUS CELL CARCINOMA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    HYPERTENSION
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
    0 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    PREGNANCY
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    DRUG WITHDRAWAL SYNDROME
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SYSTEMIC INFLAMMATORY RESPONSE SYNDROME
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    DEATH
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    PYREXIA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    HYPERSENSITIVITY
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    OVARIAN MASS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    UTERINE PROLAPSE
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    ACUTE RESPIRATORY FAILURE
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    2 / 103 (1.94%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 2
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    Psychiatric disorders
    DEPRESSION
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ACUTE PSYCHOSIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUSPECTED SUICIDE ATTEMPT
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANXIETY
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUICIDAL IDEATION
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Investigations
    AMYLASE INCREASED
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BLOOD POTASSIUM INCREASED
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SMEAR CERVIX ABNORMAL
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    INFUSION RELATED REACTION
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INJURY
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUBDURAL HAEMATOMA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    FALL
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    CARDIAC ARREST
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    MULTIPLE SCLEROSIS RELAPSE
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    2 / 54 (3.70%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SEIZURE
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    EPILEPSY
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    NERVOUS SYSTEM DISORDER
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MULTIPLE SCLEROSIS PSEUDO RELAPSE
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    2 / 103 (1.94%)
    1 / 54 (1.85%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 3
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    MUSCLE SPASTICITY
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    NEUTROPENIA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANAEMIA
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    IMMUNE THROMBOCYTOPENIA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Ear and labyrinth disorders
    VERTIGO
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    RETINAL ARTERY OCCLUSION
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INGUINAL HERNIA STRANGULATED
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SUBILEUS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SALIVARY DUCT INFLAMMATION
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COLITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    LARGE INTESTINE POLYP
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    OESOPHAGITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    CHOLECYSTITIS CHRONIC
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    ERYTHEMA NODOSUM
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    URETEROLITHIASIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    ADRENAL CYST
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    RHEUMATOID ARTHRITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ROTATOR CUFF SYNDROME
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    BACK PAIN
         subjects affected / exposed
    1 / 54 (1.85%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    BRONCHITIS
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ANAL ABSCESS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INFLUENZA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    UROSEPSIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    TRACHEOBRONCHITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    SEPSIS
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    1 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
    PNEUMONIA
         subjects affected / exposed
    2 / 54 (3.70%)
    1 / 55 (1.82%)
    4 / 103 (3.88%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    1 / 2
    1 / 1
    2 / 4
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    GASTROENTERITIS
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    1 / 54 (1.85%)
    1 / 55 (1.82%)
    4 / 103 (3.88%)
    2 / 54 (3.70%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 4
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    GINGIVITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COVID-19 PNEUMONIA
         subjects affected / exposed
    3 / 54 (5.56%)
    3 / 55 (5.45%)
    6 / 103 (5.83%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    1 / 3
    1 / 6
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    CELLULITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ORAL HERPES
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    CYSTITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    PYELONEPHRITIS ACUTE
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    HEPATITIS A
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    URINARY TRACT INFECTION
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    3 / 103 (2.91%)
    0 / 54 (0.00%)
    3 / 55 (5.45%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 5
    0 / 0
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    DIVERTICULITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INFECTION
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COMPLICATED APPENDICITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    INFECTIVE EXACERBATION OF CHRONIC OBSTRUCTIVE AIRWAYS DISEASE
         subjects affected / exposed
    1 / 54 (1.85%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    1 / 2
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    ENCEPHALITIS
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo/Ocrelizumab 600mg Ocrelizumab 600mg/Ocrelizumab 600mg Ocrelizumab 600 mg Open Label Extension (OLE) Avonex/Ocrelizumab 600 mg Ocrelizumab 1000mg/Ocrelizumab 600mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    52 / 54 (96.30%)
    47 / 55 (85.45%)
    85 / 103 (82.52%)
    45 / 54 (83.33%)
    45 / 55 (81.82%)
    Vascular disorders
    HYPERTENSION
         subjects affected / exposed
    4 / 54 (7.41%)
    6 / 55 (10.91%)
    4 / 103 (3.88%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences all number
    4
    7
    4
    2
    0
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    3 / 54 (5.56%)
    2 / 55 (3.64%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    2 / 55 (3.64%)
         occurrences all number
    5
    2
    3
    1
    3
    CHILLS
         subjects affected / exposed
    0 / 54 (0.00%)
    2 / 55 (3.64%)
    1 / 103 (0.97%)
    3 / 54 (5.56%)
    1 / 55 (1.82%)
         occurrences all number
    0
    2
    1
    3
    1
    PYREXIA
         subjects affected / exposed
    3 / 54 (5.56%)
    8 / 55 (14.55%)
    11 / 103 (10.68%)
    2 / 54 (3.70%)
    3 / 55 (5.45%)
         occurrences all number
    3
    8
    12
    2
    4
    FATIGUE
         subjects affected / exposed
    5 / 54 (9.26%)
    7 / 55 (12.73%)
    8 / 103 (7.77%)
    4 / 54 (7.41%)
    11 / 55 (20.00%)
         occurrences all number
    8
    7
    12
    4
    14
    INFLUENZA LIKE ILLNESS
         subjects affected / exposed
    1 / 54 (1.85%)
    2 / 55 (3.64%)
    3 / 103 (2.91%)
    11 / 54 (20.37%)
    2 / 55 (3.64%)
         occurrences all number
    1
    2
    3
    15
    2
    OEDEMA PERIPHERAL
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences all number
    3
    1
    2
    0
    0
    Immune system disorders
    HYPOGAMMAGLOBULINAEMIA
         subjects affected / exposed
    1 / 54 (1.85%)
    3 / 55 (5.45%)
    4 / 103 (3.88%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences all number
    1
    3
    4
    0
    0
    SEASONAL ALLERGY
         subjects affected / exposed
    1 / 54 (1.85%)
    1 / 55 (1.82%)
    3 / 103 (2.91%)
    0 / 54 (0.00%)
    3 / 55 (5.45%)
         occurrences all number
    1
    1
    3
    0
    3
    Reproductive system and breast disorders
    BENIGN PROSTATIC HYPERPLASIA
         subjects affected / exposed
    0 / 54 (0.00%)
    0 / 55 (0.00%)
    2 / 103 (1.94%)
    3 / 54 (5.56%)
    1 / 55 (1.82%)
         occurrences all number
    0
    0
    2
    3
    1
    Respiratory, thoracic and mediastinal disorders
    RHINORRHOEA
         subjects affected / exposed
    0 / 54 (0.00%)
    3 / 55 (5.45%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences all number
    0
    3
    3
    2
    0
    COUGH
         subjects affected / exposed
    1 / 54 (1.85%)
    3 / 55 (5.45%)
    5 / 103 (4.85%)
    4 / 54 (7.41%)
    3 / 55 (5.45%)
         occurrences all number
    1
    5
    7
    4
    3
    DYSPNOEA
         subjects affected / exposed
    2 / 54 (3.70%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    1 / 54 (1.85%)
    3 / 55 (5.45%)
         occurrences all number
    3
    1
    3
    1
    3
    Psychiatric disorders
    DEPRESSION
         subjects affected / exposed
    2 / 54 (3.70%)
    7 / 55 (12.73%)
    5 / 103 (4.85%)
    4 / 54 (7.41%)
    5 / 55 (9.09%)
         occurrences all number
    2
    8
    5
    5
    5
    INSOMNIA
         subjects affected / exposed
    2 / 54 (3.70%)
    3 / 55 (5.45%)
    4 / 103 (3.88%)
    1 / 54 (1.85%)
    9 / 55 (16.36%)
         occurrences all number
    3
    4
    4
    1
    12
    ANXIETY
         subjects affected / exposed
    3 / 54 (5.56%)
    5 / 55 (9.09%)
    4 / 103 (3.88%)
    6 / 54 (11.11%)
    3 / 55 (5.45%)
         occurrences all number
    3
    7
    4
    6
    3
    Injury, poisoning and procedural complications
    SKIN LACERATION
         subjects affected / exposed
    0 / 54 (0.00%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    4 / 55 (7.27%)
         occurrences all number
    0
    1
    1
    0
    4
    INFUSION RELATED REACTION
         subjects affected / exposed
    29 / 54 (53.70%)
    25 / 55 (45.45%)
    23 / 103 (22.33%)
    20 / 54 (37.04%)
    29 / 55 (52.73%)
         occurrences all number
    63
    60
    39
    33
    60
    FALL
         subjects affected / exposed
    1 / 54 (1.85%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    3 / 55 (5.45%)
         occurrences all number
    1
    1
    2
    0
    3
    THERMAL BURN
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    3 / 55 (5.45%)
         occurrences all number
    4
    1
    0
    0
    3
    CONTUSION
         subjects affected / exposed
    2 / 54 (3.70%)
    3 / 55 (5.45%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    3 / 55 (5.45%)
         occurrences all number
    3
    3
    3
    1
    3
    LIGAMENT SPRAIN
         subjects affected / exposed
    2 / 54 (3.70%)
    1 / 55 (1.82%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    5 / 55 (9.09%)
         occurrences all number
    2
    1
    1
    1
    6
    Cardiac disorders
    PALPITATIONS
         subjects affected / exposed
    1 / 54 (1.85%)
    1 / 55 (1.82%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    3 / 55 (5.45%)
         occurrences all number
    1
    1
    3
    1
    3
    Nervous system disorders
    MULTIPLE SCLEROSIS RELAPSE
         subjects affected / exposed
    26 / 54 (48.15%)
    19 / 55 (34.55%)
    28 / 103 (27.18%)
    29 / 54 (53.70%)
    21 / 55 (38.18%)
         occurrences all number
    70
    39
    68
    58
    72
    HEADACHE
         subjects affected / exposed
    15 / 54 (27.78%)
    9 / 55 (16.36%)
    7 / 103 (6.80%)
    12 / 54 (22.22%)
    10 / 55 (18.18%)
         occurrences all number
    33
    16
    11
    19
    14
    DIZZINESS
         subjects affected / exposed
    5 / 54 (9.26%)
    4 / 55 (7.27%)
    2 / 103 (1.94%)
    1 / 54 (1.85%)
    4 / 55 (7.27%)
         occurrences all number
    6
    4
    2
    1
    6
    PARAESTHESIA
         subjects affected / exposed
    1 / 54 (1.85%)
    4 / 55 (7.27%)
    0 / 103 (0.00%)
    1 / 54 (1.85%)
    5 / 55 (9.09%)
         occurrences all number
    1
    4
    0
    1
    5
    SYNCOPE
         subjects affected / exposed
    3 / 54 (5.56%)
    0 / 55 (0.00%)
    0 / 103 (0.00%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences all number
    4
    0
    0
    0
    0
    HYPOAESTHESIA
         subjects affected / exposed
    1 / 54 (1.85%)
    2 / 55 (3.64%)
    3 / 103 (2.91%)
    3 / 54 (5.56%)
    5 / 55 (9.09%)
         occurrences all number
    1
    3
    3
    4
    5
    MIGRAINE
         subjects affected / exposed
    5 / 54 (9.26%)
    4 / 55 (7.27%)
    4 / 103 (3.88%)
    1 / 54 (1.85%)
    2 / 55 (3.64%)
         occurrences all number
    6
    6
    5
    1
    2
    SCIATICA
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    1 / 55 (1.82%)
         occurrences all number
    3
    1
    3
    1
    1
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    2 / 54 (3.70%)
    3 / 55 (5.45%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences all number
    2
    3
    2
    0
    0
    Eye disorders
    VISION BLURRED
         subjects affected / exposed
    0 / 54 (0.00%)
    2 / 55 (3.64%)
    3 / 103 (2.91%)
    0 / 54 (0.00%)
    3 / 55 (5.45%)
         occurrences all number
    0
    3
    3
    0
    3
    Gastrointestinal disorders
    HAEMORRHOIDS
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences all number
    3
    1
    2
    0
    2
    NAUSEA
         subjects affected / exposed
    1 / 54 (1.85%)
    2 / 55 (3.64%)
    5 / 103 (4.85%)
    4 / 54 (7.41%)
    7 / 55 (12.73%)
         occurrences all number
    1
    3
    5
    5
    10
    DIARRHOEA
         subjects affected / exposed
    3 / 54 (5.56%)
    4 / 55 (7.27%)
    5 / 103 (4.85%)
    2 / 54 (3.70%)
    5 / 55 (9.09%)
         occurrences all number
    3
    6
    7
    2
    6
    CONSTIPATION
         subjects affected / exposed
    3 / 54 (5.56%)
    3 / 55 (5.45%)
    4 / 103 (3.88%)
    2 / 54 (3.70%)
    4 / 55 (7.27%)
         occurrences all number
    3
    3
    4
    2
    4
    Skin and subcutaneous tissue disorders
    RASH
         subjects affected / exposed
    3 / 54 (5.56%)
    2 / 55 (3.64%)
    3 / 103 (2.91%)
    4 / 54 (7.41%)
    4 / 55 (7.27%)
         occurrences all number
    3
    3
    3
    4
    4
    SKIN LESION
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences all number
    3
    1
    2
    0
    0
    ALOPECIA
         subjects affected / exposed
    1 / 54 (1.85%)
    4 / 55 (7.27%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    2 / 55 (3.64%)
         occurrences all number
    1
    4
    1
    2
    2
    Renal and urinary disorders
    RENAL CYST
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences all number
    3
    1
    2
    0
    1
    NEPHROLITHIASIS
         subjects affected / exposed
    0 / 54 (0.00%)
    3 / 55 (5.45%)
    4 / 103 (3.88%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences all number
    0
    5
    5
    0
    1
    Musculoskeletal and connective tissue disorders
    PAIN IN EXTREMITY
         subjects affected / exposed
    7 / 54 (12.96%)
    2 / 55 (3.64%)
    8 / 103 (7.77%)
    2 / 54 (3.70%)
    8 / 55 (14.55%)
         occurrences all number
    11
    2
    10
    2
    10
    MYALGIA
         subjects affected / exposed
    0 / 54 (0.00%)
    3 / 55 (5.45%)
    3 / 103 (2.91%)
    3 / 54 (5.56%)
    2 / 55 (3.64%)
         occurrences all number
    0
    3
    3
    3
    2
    ARTHRALGIA
         subjects affected / exposed
    8 / 54 (14.81%)
    9 / 55 (16.36%)
    13 / 103 (12.62%)
    5 / 54 (9.26%)
    5 / 55 (9.09%)
         occurrences all number
    15
    10
    18
    8
    8
    BACK PAIN
         subjects affected / exposed
    9 / 54 (16.67%)
    5 / 55 (9.09%)
    6 / 103 (5.83%)
    7 / 54 (12.96%)
    4 / 55 (7.27%)
         occurrences all number
    11
    7
    7
    9
    5
    MUSCULAR WEAKNESS
         subjects affected / exposed
    2 / 54 (3.70%)
    4 / 55 (7.27%)
    4 / 103 (3.88%)
    1 / 54 (1.85%)
    3 / 55 (5.45%)
         occurrences all number
    2
    5
    4
    1
    4
    Infections and infestations
    SINUSITIS
         subjects affected / exposed
    5 / 54 (9.26%)
    4 / 55 (7.27%)
    5 / 103 (4.85%)
    2 / 54 (3.70%)
    3 / 55 (5.45%)
         occurrences all number
    7
    4
    6
    2
    4
    GASTROENTERITIS VIRAL
         subjects affected / exposed
    0 / 54 (0.00%)
    5 / 55 (9.09%)
    1 / 103 (0.97%)
    0 / 54 (0.00%)
    1 / 55 (1.82%)
         occurrences all number
    0
    7
    1
    0
    1
    BRONCHITIS
         subjects affected / exposed
    7 / 54 (12.96%)
    4 / 55 (7.27%)
    10 / 103 (9.71%)
    2 / 54 (3.70%)
    6 / 55 (10.91%)
         occurrences all number
    12
    4
    17
    2
    11
    VULVOVAGINAL MYCOTIC INFECTION
         subjects affected / exposed
    1 / 54 (1.85%)
    3 / 55 (5.45%)
    2 / 103 (1.94%)
    0 / 54 (0.00%)
    2 / 55 (3.64%)
         occurrences all number
    1
    3
    2
    0
    2
    HERPES ZOSTER
         subjects affected / exposed
    1 / 54 (1.85%)
    3 / 55 (5.45%)
    2 / 103 (1.94%)
    1 / 54 (1.85%)
    1 / 55 (1.82%)
         occurrences all number
    1
    3
    2
    1
    1
    INFLUENZA
         subjects affected / exposed
    7 / 54 (12.96%)
    4 / 55 (7.27%)
    10 / 103 (9.71%)
    4 / 54 (7.41%)
    7 / 55 (12.73%)
         occurrences all number
    8
    4
    14
    5
    11
    NASOPHARYNGITIS
         subjects affected / exposed
    10 / 54 (18.52%)
    15 / 55 (27.27%)
    20 / 103 (19.42%)
    9 / 54 (16.67%)
    12 / 55 (21.82%)
         occurrences all number
    15
    32
    41
    25
    25
    VAGINAL INFECTION
         subjects affected / exposed
    1 / 54 (1.85%)
    3 / 55 (5.45%)
    3 / 103 (2.91%)
    0 / 54 (0.00%)
    0 / 55 (0.00%)
         occurrences all number
    1
    3
    3
    0
    0
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    10 / 54 (18.52%)
    14 / 55 (25.45%)
    15 / 103 (14.56%)
    7 / 54 (12.96%)
    11 / 55 (20.00%)
         occurrences all number
    17
    25
    32
    10
    26
    PNEUMONIA
         subjects affected / exposed
    3 / 54 (5.56%)
    1 / 55 (1.82%)
    7 / 103 (6.80%)
    1 / 54 (1.85%)
    3 / 55 (5.45%)
         occurrences all number
    5
    1
    10
    1
    4
    GASTROENTERITIS
         subjects affected / exposed
    1 / 54 (1.85%)
    3 / 55 (5.45%)
    5 / 103 (4.85%)
    1 / 54 (1.85%)
    2 / 55 (3.64%)
         occurrences all number
    1
    3
    5
    1
    2
    ORAL HERPES
         subjects affected / exposed
    4 / 54 (7.41%)
    3 / 55 (5.45%)
    6 / 103 (5.83%)
    4 / 54 (7.41%)
    2 / 55 (3.64%)
         occurrences all number
    17
    7
    18
    5
    3
    CYSTITIS
         subjects affected / exposed
    4 / 54 (7.41%)
    2 / 55 (3.64%)
    4 / 103 (3.88%)
    0 / 54 (0.00%)
    5 / 55 (9.09%)
         occurrences all number
    5
    4
    4
    0
    6
    COVID-19
         subjects affected / exposed
    12 / 54 (22.22%)
    7 / 55 (12.73%)
    26 / 103 (25.24%)
    2 / 54 (3.70%)
    5 / 55 (9.09%)
         occurrences all number
    13
    8
    30
    4
    5
    PHARYNGITIS
         subjects affected / exposed
    6 / 54 (11.11%)
    3 / 55 (5.45%)
    5 / 103 (4.85%)
    3 / 54 (5.56%)
    1 / 55 (1.82%)
         occurrences all number
    7
    6
    6
    4
    1
    RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    8 / 54 (14.81%)
    5 / 55 (9.09%)
    8 / 103 (7.77%)
    3 / 54 (5.56%)
    2 / 55 (3.64%)
         occurrences all number
    18
    8
    9
    5
    5
    RESPIRATORY TRACT INFECTION VIRAL
         subjects affected / exposed
    2 / 54 (3.70%)
    3 / 55 (5.45%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    1 / 55 (1.82%)
         occurrences all number
    2
    6
    4
    1
    1
    URINARY TRACT INFECTION
         subjects affected / exposed
    14 / 54 (25.93%)
    10 / 55 (18.18%)
    23 / 103 (22.33%)
    10 / 54 (18.52%)
    15 / 55 (27.27%)
         occurrences all number
    29
    24
    58
    17
    39
    VIRAL INFECTION
         subjects affected / exposed
    3 / 54 (5.56%)
    0 / 55 (0.00%)
    1 / 103 (0.97%)
    1 / 54 (1.85%)
    0 / 55 (0.00%)
         occurrences all number
    3
    0
    1
    1
    0
    PYELONEPHRITIS
         subjects affected / exposed
    3 / 54 (5.56%)
    0 / 55 (0.00%)
    3 / 103 (2.91%)
    1 / 54 (1.85%)
    1 / 55 (1.82%)
         occurrences all number
    4
    0
    3
    1
    1
    Metabolism and nutrition disorders
    VITAMIN D DEFICIENCY
         subjects affected / exposed
    2 / 54 (3.70%)
    3 / 55 (5.45%)
    5 / 103 (4.85%)
    0 / 54 (0.00%)
    2 / 55 (3.64%)
         occurrences all number
    2
    3
    5
    0
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    11 Jun 2008
    The following changes were made as per amendment B: •Collection of persisting gadolinium-enhancing T1 lesions was added. •The transition to Cycle 2 for participants enrolled into Group D was clarified. •An exclusion criterion relating to potential hypersensitivity as a result of human serum albumin contained in the Avonex vials was added. •A risk-benefit reassessment/stopping rule was added. •Consistency was provided in the Expanded Disability Status Scale (EDSS) increase for assessment of disability progression within the protocol. •The difference between treatment withdrawal and study withdrawal was clarified. •The window for study Magnetic Resonance Imaging (MRI) scans was clarified; it was also clarified that the sites would not receive reports from the central MRI reading center. •The requirement of blood samples in order to have baseline values for participants in Group D prior to first Ocrelizumab (OCR) dose was added. •The assessment of protocol-defined relapses was clarified. •A standardized questionnaire for the telephone interview was provided. •The frequency of John Cunningham Virus (JCV) plasma sampling was increased. •Procedures for sample analysis for suspected progressive multifocal leukoencephalopathy (PML) were provided. •An exploratory investigation of patient-reported outcome (PRO) scales for potential implementation in Phase III was added. •Retreatment criteria were provided. •The requirement for clinical evaluations prior to re-dosing with OCR was clarified. •Reporting of clinical relapses and secondary progressive Multiple Sclerosis (MS) as Adverse Events (AEs) was included. •Consistent terminology for the grading of infusion reaction intensity was provided.
    15 Oct 2011
    The following changes were made as per amendment C: the addition of an Open Label Extension (OLE) period of the study following the Treatment free period (TFP).
    03 Apr 2012
    The following changes were made as per Amendment D: the window for the Week 144 visit to allow participants the opportunity to enter the OLE following the TFP was increased from 24 weeks to 96 weeks.
    22 Dec 2015
    The following changes as per amendment E •The duration of OLE period was extended for the participants having completed their 4 years of open-label ocrelizumab treatment. •The permittance of alternative MS treatments and prolongation of the monitoring period for participants switching to other MS therapies post-ocrelizumab was clarified. •Voluntary collection of pregnancy outcomes and infant health information on the first year of life was added. •The telephone interview script was updated to clarify the purpose of the telephone interview. •The activities of the independent Data Monitoring Committee (iDMC) for the OLE period were clarified. •Minor changes and clarifications were made to the schedule of assessments for the OLE period of the study to improve consistency
    04 Aug 2016
    The following changes were made as per amendment F: •The version of ocrelizumab that would be administered across the program was changed such that each vial contains 300 mg ocrelizumab. Updated guidance on the storage of infusion bags and a requirement on the use of an infusion set with an infusion set with an in-line filter was added. •The safety section was updated to align the safety language with the Investigator’s Brochure, reflecting the outcome from the Phase III clinical studies.
    01 Feb 2017
    The following change was made as per amendment G: OLE period of the study was extended to provide participants with the opportunity to continue receiving benefit from ocrelizumab treatment based on positive Phase III relapse multiple sclerosis (RMS) data.
    27 Sep 2017
    The following changes were made as per amendment H: •The protocol safety wording was updated for the following risks associated with ocrelizumab treatment: infusion-related reaction (IRR) risk, infection risk, delayed return of peripheral B cells, decrease in immunoglobulins, malignancy including breast cancer risk, progressive multifocal leukoencephalopathy (PML), including the guidance for PML diagnosis, neutropenia, serious infections related to decrease in immunoglobulins, hypersensitivity reactions, and impaired response to immunization. The following risks associated with ocrelizumab treatment have been removed after the latest benefit–risk assessments: cardiovascular disorders and immunogenicity. •Adverse Events of Special Interest (AESIs) were required to be reported by the Investigator to the Sponsor immediately (i.e., no more than 24 hours after learning of the event). •With antihistamines considered as part of the pretreatment regimen, the risks associated with antihistamine use were added (Warnings and Precautions). •Contraception requirements for male participants and female partner pregnancy reporting were removed. •Contraception requirements, duration of contraception, and procedures for pregnant women during OLE period were updated.
    15 Aug 2018
    The following changes were made as per amendment I: •The OLE treatment period was extended to 31 December 2020 to provide additional long-term efficacy and safety data. •Language was updated pertaining to impairment of vaccination response. •Retreatment with ocrelizumab for participants with active tuberculosis and for pregnant or breastfeeding female participants was clarified. •Information regarding exposure in utero to ocrelizumab and administration of live or live-attenuated vaccines to neonates and infants were added. •Language related specially to Case Report Forms (CRFs) was deleted to allow for conversion to electronic capture.
    09 Feb 2020
    The following changes were made as per amendment J: •For the first participant entering OLE period, the maximum duration was modified to 11 years. •The safety risks for ocrelizumab were updated. •The pharmacokinetic/anti-drug antibody (ADA) collection/analysis was removed because immunogenicity incidence with ocrelizumab is very low (<1%) with no safety risks identified, so continuous monitoring in this population is unnecessary. •The plasma and urine sample collection for John Cunningham virus (JCV) was removed because there is no evidence that JCV antibody index (or similar) informs the risk of PML for participants on ocrelizumab. •Guidance for diagnosis of PML was updated. •Guidance for reporting abortions was updated. •Reference to Medical Monitor was changed where applicable and the emergency contact information was updated.
    31 Jul 2020
    The following change was made as per amendment K: The option of a shorter study drug infusion regimen was added to reduce burden on participants and infusion centers during the OLE period.
    17 Nov 2021
    The following changes were made as per amendment L: •The benefit-risk assessment for concomitant use of SARS-CoV-2 vaccines was updated. •Language was added to clarify that participants who complete or who discontinue the OLE period treatment early, for any reason, would be followed up for a maximum of 48 weeks after the last infusion of ocrelizumab. Continued B-cell monitoring for participants whose B cells are not repleted (i.e., returned to baseline levels or the lower limit of normal, whichever is lower) was removed because no increased safety risk was identified in the ocrelizumab clinical development program following cessation of treatment. •Language was added to clarify that participants who switch to commercial ocrelizumab after entering B-cell monitoring or enter into treatment with another Disease modifying therapy (DMT) would be discontinued from B-cell monitoring and from the study.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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