Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43865   clinical trials with a EudraCT protocol, of which   7286   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    An Open-Label Study To Evaluate the Efficacy and Safety of Ocrelizumab in Subjects With Relapsing Multiple Sclerosis Who Have A Suboptimal Response to an Adequate Course of Disease-Modifying Treatment

    Summary
    EudraCT number
    2015-005597-38
    Trial protocol
    GB   IE   SE   ES   EE   DK   DE   NL   BE   CZ   FI   FR   IT  
    Global end of trial date

    Results information
    Results version number
    v1
    This version publication date
    29 Oct 2020
    First version publication date
    29 Oct 2020
    Other versions
    v2

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    MA30005
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02861014
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Hoffmann-La Roche
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4070
    Public contact
    F. Hoffmann-La Roche AG, F. Hoffmann-La Roche AG, +41 616878333, global.trial_information@roche.com
    Scientific contact
    Medical Communications, Hoffmann-La Roche, +41 616878333, global.trial_information@roche.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
    Interim
    Date of interim/final analysis
    20 Dec 2019
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    25 Oct 2019
    Global end of trial reached?
    No
    General information about the trial
    Main objective of the trial
    The purpose of this prospective, multicenter, open-label, efficacy, and safety study is to assess the efficacy and safety of ocrelizumab in subjects with Relapsing Remitting Multiple Sclerosis (RRMS) who have had a suboptimal response to an adequate course of a Disease-Modifying Treatment (DMT).
    Protection of trial subjects
    This study was conducted in accordance with the protocol and with the following: - Consensus ethical principles derived from international guidelines including the Declaration of Helsinki and Council for International Organizations of Medical Sciences (CIOMS) International Ethical Guidelines - Applicable ICH Good Clinical Practice (GCP) Guidelines - Applicable laws and regulations
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Sep 2016
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    2 Years
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 28
    Country: Number of subjects enrolled
    Czech Republic: 44
    Country: Number of subjects enrolled
    Denmark: 17
    Country: Number of subjects enrolled
    Estonia: 15
    Country: Number of subjects enrolled
    Finland: 2
    Country: Number of subjects enrolled
    France: 30
    Country: Number of subjects enrolled
    Germany: 139
    Country: Number of subjects enrolled
    Ireland: 5
    Country: Number of subjects enrolled
    Italy: 200
    Country: Number of subjects enrolled
    Netherlands: 9
    Country: Number of subjects enrolled
    Norway: 6
    Country: Number of subjects enrolled
    Spain: 98
    Country: Number of subjects enrolled
    Sweden: 10
    Country: Number of subjects enrolled
    Switzerland: 3
    Country: Number of subjects enrolled
    Turkey: 26
    Country: Number of subjects enrolled
    United Kingdom: 48
    Worldwide total number of subjects
    680
    EEA total number of subjects
    651
    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)
    680
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    One additional subject was initially enrolled in error and the information provided is based on the ITT population.

    Pre-assignment
    Screening details
    The study consists of a Screening period (up to 4 weeks), an Open-label treatment period (96 weeks; with last dose administered at Week 72), and a Safety Follow-up period of at least 2 years.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Ocrelizumab
    Arm description
    Participants received Ocrelizumab as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.
    Arm type
    Experimental

    Investigational medicinal product name
    Ocrelizumab
    Investigational medicinal product code
    Other name
    RO4964913
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ocrelizumab is administered as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.

    Number of subjects in period 1
    Ocrelizumab
    Started
    680
    Completed
    641
    Not completed
    39
         Physician decision
    2
         Consent withdrawn by subject
    14
         Adverse event, non-fatal
    7
         Study Terminated By Sponsor
    3
         Death
    1
         Pregnancy
    4
         Commercial Ocrelizumab
    3
         Lack of efficacy
    3
         Protocol deviation
    2

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Ocrelizumab
    Reporting group description
    Participants received Ocrelizumab as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.

    Reporting group values
    Ocrelizumab Total
    Number of subjects
    680 680
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    680 680
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    34.2 ( 8.6 ) -
    Sex: Female, Male
    Units: Participants
        Female
    436 436
        Male
    244 244
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0
        Asian
    3 3
        Native Hawaiian or Other Pacific Islander
    0 0
        Black or African American
    1 1
        White
    625 625
        More than one race
    2 2
        Unknown or Not Reported
    49 49
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    27 27
        Not Hispanic or Latino
    579 579
        Unknown or Not Reported
    74 74

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Ocrelizumab
    Reporting group description
    Participants received Ocrelizumab as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.

    Primary: Percentage of Participants With No Evidence of Disease Activity (NEDA) as per Protocol Defined Events During a 96-Week Period

    Close Top of page
    End point title
    Percentage of Participants With No Evidence of Disease Activity (NEDA) as per Protocol Defined Events During a 96-Week Period [1]
    End point description
    A protocol-defined event of disease activity was defined by the occurrence of at least one of the following while on treatment with ocrelizumab: - A protocol-defined relapse (PDR) - 24-week CDP based on increase in EDSS while on treatment with ocrelizumab - A T1 Gd-enhanced lesion after Week 8 - A new and/or enlarging T2 hyperintense lesion on MRI after Week 8 compared to the Week 8 MRI scan
    End point type
    Primary
    End point timeframe
    Week 96
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No analysis provided
    End point values
    Ocrelizumab
    Number of subjects analysed
    658
    Units: Percentage
        number (confidence interval 95%)
    74.8 (71.3 to 78.0)
    No statistical analyses for this end point

    Secondary: Percentage of Participants Free From a Protocol-Defined Event of Disease Activity During 24 Weeks Period

    Close Top of page
    End point title
    Percentage of Participants Free From a Protocol-Defined Event of Disease Activity During 24 Weeks Period
    End point description
    A protocol-defined event of disease activity was defined by the occurrence of at least one of the following while on treatment with ocrelizumab: - A protocol-defined relapse (PDR) - 24-week CDP based on increase in EDSS while on treatment with ocrelizumab - A T1 Gd-enhanced lesion after Week 8 - A new and/or enlarging T2 hyperintense lesion on MRI after Week 8 compared to the Week 8 MRI scan
    End point type
    Secondary
    End point timeframe
    Baseline up to 24 weeks
    End point values
    Ocrelizumab
    Number of subjects analysed
    673
    Units: Percentage
        number (confidence interval 95%)
    87.1 (84.3 to 89.5)
    No statistical analyses for this end point

    Secondary: Percentage of Participants Free From a Protocol-Defined Event of Disease Activity During 48 Weeks Period

    Close Top of page
    End point title
    Percentage of Participants Free From a Protocol-Defined Event of Disease Activity During 48 Weeks Period
    End point description
    A protocol-defined event of disease activity was defined by the occurrence of at least one of the following while on treatment with ocrelizumab: - A protocol-defined relapse (PDR) - 24-week CDP based on increase in EDSS while on treatment with ocrelizumab - A T1 Gd-enhanced lesion after Week 8 - A new and/or enlarging T2 hyperintense lesion on MRI after Week 8 compared to the Week 8 MRI scan
    End point type
    Secondary
    End point timeframe
    Baseline up to 48 weeks
    End point values
    Ocrelizumab
    Number of subjects analysed
    665
    Units: Percentage
        number (confidence interval 95%)
    82.6 (79.5 to 85.4)
    No statistical analyses for this end point

    Secondary: Time to First Protocol-Defined Event of Disease Activity

    Close Top of page
    End point title
    Time to First Protocol-Defined Event of Disease Activity
    End point description
    9999 = The median time to onset could not be estimated because more than 50% of the mITT population were event-free at the end of the study.
    End point type
    Secondary
    End point timeframe
    Baseline up to 96 Weeks
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Weeks
        median (confidence interval 95%)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Adjusted mean change from baseline to Week 96 in Expanded Disability Status Scale (EDSS)

    Close Top of page
    End point title
    Adjusted mean change from baseline to Week 96 in Expanded Disability Status Scale (EDSS)
    End point description
    The EDSS is an ordinal clinical rating scale ranging from 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments.
    End point type
    Secondary
    End point timeframe
    Weeks: 24, 48, 72, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Points on scale
    arithmetic mean (standard deviation)
        Week 24
    -0.02 ( 0.64 )
        Week 48
    0.01 ( 0.82 )
        Week 72
    -0.03 ( 0.85 )
        Week 96
    -0.01 ( 0.85 )
    No statistical analyses for this end point

    Secondary: Percentage of Participants With Confirmed Disability Improvement (CDI), Confirmed Disability Progression (CDP), or Stable Disability, as Assessed Using EDSS Scale

    Close Top of page
    End point title
    Percentage of Participants With Confirmed Disability Improvement (CDI), Confirmed Disability Progression (CDP), or Stable Disability, as Assessed Using EDSS Scale
    End point description
    The EDSS is an ordinal clinical rating scale ranging from 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments.
    End point type
    Secondary
    End point timeframe
    Up to Week 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    640
    Units: Percentage
    number (not applicable)
        Confirmed Disability Progression
    13.4
        Stable Disability
    72.2
        Confirmed Disability Improvement
    14.4
    No statistical analyses for this end point

    Secondary: Number of participants with a baseline EDSS score ≥2 with CDI at Week 96

    Close Top of page
    End point title
    Number of participants with a baseline EDSS score ≥2 with CDI at Week 96
    End point description
    The EDSS is an ordinal clinical rating scale ranging from 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments.
    End point type
    Secondary
    End point timeframe
    Week 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    339
    Units: Percentage
        number (not applicable)
    17.3
    No statistical analyses for this end point

    Secondary: Annualized protocol-defined relapse rate at Week 96

    Close Top of page
    End point title
    Annualized protocol-defined relapse rate at Week 96
    End point description
    End point type
    Secondary
    End point timeframe
    Week 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Rate
        number (confidence interval 95%)
    0.030 (0.023 to 0.038)
    No statistical analyses for this end point

    Secondary: Time to onset of 24-week Confirmed Disability Progression

    Close Top of page
    End point title
    Time to onset of 24-week Confirmed Disability Progression
    End point description
    9999 = The median time to onset could not be estimated because more than 50% of the mITT population were event-free at the end of the study.
    End point type
    Secondary
    End point timeframe
    Baseline up to 96 Weeks
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Weeks
        median (confidence interval 95%)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Time to Onset of First Protocol-Defined Relapse

    Close Top of page
    End point title
    Time to Onset of First Protocol-Defined Relapse
    End point description
    9999 = The median time to onset could not be estimated because more than 50% of the mITT population were event-free at the end of the study.
    End point type
    Secondary
    End point timeframe
    Baseline up to 96 Weeks
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Weeks
        median (confidence interval 95%)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Time to onset of first new and/or enlarging T2 lesion

    Close Top of page
    End point title
    Time to onset of first new and/or enlarging T2 lesion
    End point description
    9999 = The median time to event could not be estimated because more than 50% of the ITT population were event-free at the end of the study.
    End point type
    Secondary
    End point timeframe
    Baseline up to 96 Weeks
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Weeks
        median (confidence interval 95%)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Mean number of T1 Gd-enhancing lesions per MRI scan

    Close Top of page
    End point title
    Mean number of T1 Gd-enhancing lesions per MRI scan
    End point description
    9999 = No result could be obtained for Week 96, as the model did not converge.
    End point type
    Secondary
    End point timeframe
    Weeks: 24, 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Rate
    number (confidence interval 95%)
        Week 24
    0.004 (0.001 to 0.014)
        Week 48
    0.004 (0.001 to 0.011)
        Week 96
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Change from baseline to Week 96 in total T2 lesion volume detected by brain MRI from

    Close Top of page
    End point title
    Change from baseline to Week 96 in total T2 lesion volume detected by brain MRI from
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline, Week 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    632
    Units: mL
        arithmetic mean (standard deviation)
    -558.6 ( 1194.6 )
    No statistical analyses for this end point

    Secondary: Percentage change from baseline to Week 96 in total T2 lesion volume detected by brain MRI

    Close Top of page
    End point title
    Percentage change from baseline to Week 96 in total T2 lesion volume detected by brain MRI
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline, Week 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    632
    Units: mL
        arithmetic mean (standard deviation)
    -8.5 ( 18.2 )
    No statistical analyses for this end point

    Secondary: Volume of new and/or enlarging T2 hyperintense lesions volume of lesions per MRI scan

    Close Top of page
    End point title
    Volume of new and/or enlarging T2 hyperintense lesions volume of lesions per MRI scan
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline, Week 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: uL
    arithmetic mean (standard deviation)
        Week 24
    21.4 ( 241.7 )
        Week 48
    23.1 ( 510.2 )
        Week 96
    3.7 ( 41.6 )
    No statistical analyses for this end point

    Secondary: Mean number of new and/or enlarging T2 hyperintense lesions per MRI scan

    Close Top of page
    End point title
    Mean number of new and/or enlarging T2 hyperintense lesions per MRI scan
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 24, 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Rate
    arithmetic mean (confidence interval 95%)
        Week 24
    0.053 (0.038 to 0.075)
        Week 48
    0.009 (0.004 to 0.017)
        Week 96
    0.011 (0.006 to 0.020)
    No statistical analyses for this end point

    Secondary: Change from baseline at Week 48 and 96 in T1 hypointense lesion volume

    Close Top of page
    End point title
    Change from baseline at Week 48 and 96 in T1 hypointense lesion volume
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: mL
    arithmetic mean (standard deviation)
        Week 48
    -416.5 ( 1224.3 )
        Week 96
    -528.5 ( 1144.7 )
    No statistical analyses for this end point

    Secondary: Percentage change from baseline at Week 48 and 96 in T1 hypointense lesion volume

    Close Top of page
    End point title
    Percentage change from baseline at Week 48 and 96 in T1 hypointense lesion volume
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    arithmetic mean (standard deviation)
        Week 48
    -4.0 ( 149.7 )
        Week 96
    -12.5 ( 21.1 )
    No statistical analyses for this end point

    Secondary: Adjusted mean change from baseline at Week 48 and 96 in T1 hypointense lesion volume

    Close Top of page
    End point title
    Adjusted mean change from baseline at Week 48 and 96 in T1 hypointense lesion volume
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: mL
    arithmetic mean (confidence interval 95%)
        Week 48
    -461.8 (-613.8 to -309.7)
        Week 96
    -576.5 (-727.0 to -426.1)
    No statistical analyses for this end point

    Secondary: Adjusted mean percentage change from baseline in brain volume

    Close Top of page
    End point title
    Adjusted mean percentage change from baseline in brain volume
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 24, 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    arithmetic mean (confidence interval 95%)
        Week 24
    -0.153 (-0.259 to -0.047)
        Week 48
    -0.445 (-0.556 to -0.334)
        Week 96
    -0.805 (-0.940 to -0.669)
    No statistical analyses for this end point

    Secondary: Adjusted mean percentage change from baseline in cortical grey matter volume

    Close Top of page
    End point title
    Adjusted mean percentage change from baseline in cortical grey matter volume
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    arithmetic mean (confidence interval 95%)
        Week 48
    -0.312 (-0.606 to -0.019)
        Week 96
    -0.618 (-0.928 to -0.308)
    No statistical analyses for this end point

    Secondary: Adjusted mean percentage change from baseline in white matter volume

    Close Top of page
    End point title
    Adjusted mean percentage change from baseline in white matter volume
    End point description
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    arithmetic mean (confidence interval 95%)
        Week 48
    -0.382 (-0.609 to -0.154)
        Week 96
    -0.745 (-0.983 to -0.507)
    No statistical analyses for this end point

    Secondary: Change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - SDMT Score

    Close Top of page
    End point title
    Change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - SDMT Score
    End point description
    Brief International Cognitive Assessment for MS (BICAMS) is assessing cognitive processing speed and verbal and visual memory. Symbol Digits Modalities Test (SDMT) is assessing processing speed/working memory.
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Points on scale
    arithmetic mean (standard deviation)
        Week 48
    2.5 ( 9.8 )
        Week 96
    1.3 ( 10.2 )
    No statistical analyses for this end point

    Secondary: Change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - BVMT-R Score

    Close Top of page
    End point title
    Change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - BVMT-R Score
    End point description
    Brief International Cognitive Assessment for MS (BICAMS) is assessing cognitive processing speed and verbal and visual memory. Brief Visuospatial Memory Test-Revised (BVMT-R) is assessing learning and visuospatial memory.
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Points on scale
    arithmetic mean (standard deviation)
        Week 48
    -1.9 ( 5.3 )
        Week 96
    -1.5 ( 5.4 )
    No statistical analyses for this end point

    Secondary: Percentage change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - SDMT Score

    Close Top of page
    End point title
    Percentage change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - SDMT Score
    End point description
    Brief International Cognitive Assessment for MS (BICAMS) is assessing cognitive processing speed and verbal and visual memory. Symbol Digits Modalities Test (SDMT) is assessing processing speed/working memory.
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    arithmetic mean (standard deviation)
        Week 48
    7.2 ( 30.8 )
        Week 96
    4.8 ( 30.6 )
    No statistical analyses for this end point

    Secondary: Percentage change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - BVMT-R Score

    Close Top of page
    End point title
    Percentage change from baseline in cognitive performance at Week 48 and Week 96 as measured by the BICAMS - BVMT-R Score
    End point description
    Brief International Cognitive Assessment for MS (BICAMS) is assessing cognitive processing speed and verbal and visual memory. Brief Visuospatial Memory Test-Revised (BVMT-R) is assessing learning and visuospatial memory.
    End point type
    Secondary
    End point timeframe
    Weeks 48, 96
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    arithmetic mean (standard deviation)
        Week 48
    -4.4 ( 31.1 )
        Week 96
    -2.0 ( 33.7 )
    No statistical analyses for this end point

    Secondary: Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Close Top of page
    End point title
    Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline up to approximately 3 years 2 months
    End point values
    Ocrelizumab
    Number of subjects analysed
    680
    Units: Percentage
    number (not applicable)
        Any AE
    89.1
        SAE
    7.2
        Deaths
    0.1
        AEs leading to study drug discontinuation
    1.0
        SAEs leading to study drug discontinuation
    0.7
        AEs leading to dose modification/interruption
    15.0
        Infusion-related reactions (IRRs)
    43.2
        Serious IRRs
    0.1
        Infections
    66.9
        Serious infections
    1.6
        Malignancies
    0.4
        Pregnancies
    0.7
        AE of Grade >=3
    11.9
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    From baseline to primary cutoff date (up to 3 years 2 months)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.1
    Reporting groups
    Reporting group title
    Ocrelizumab
    Reporting group description
    Participants received Ocrelizumab as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.

    Serious adverse events
    Ocrelizumab
    Total subjects affected by serious adverse events
         subjects affected / exposed
    49 / 680 (7.21%)
         number of deaths (all causes)
    1
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BASAL CELL CARCINOMA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    BENIGN NEOPLASM OF THYMUS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    SQUAMOUS CELL CARCINOMA OF THE CERVIX
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    SHOCK HAEMORRHAGIC
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    ABORTION SPONTANEOUS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    OEDEMA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    HAEMORRHAGIC OVARIAN CYST
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    TESTICULAR INFARCTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    NASAL ULCER
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    COMPLETED SUICIDE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    DELIRIUM
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    DEPRESSION SUICIDAL
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    DEPRESSION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    HALLUCINATION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    SUICIDE ATTEMPT
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    ANKLE FRACTURE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    FACIAL BONES FRACTURE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    INFUSION RELATED REACTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    RIB FRACTURE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    TENDON INJURY
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    URETERIC INJURY
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    UTERINE RUPTURE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    ANGINA PECTORIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    MYOCARDIAL INFARCTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    CEREBRAL VENOUS SINUS THROMBOSIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    GENERALISED TONIC-CLONIC SEIZURE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    HEADACHE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    MIGRAINE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    MULTIPLE SCLEROSIS RELAPSE
         subjects affected / exposed
    3 / 680 (0.44%)
         occurrences causally related to treatment / all
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    STATUS MIGRAINOSUS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    SUBARACHNOID HAEMORRHAGE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    GRANULOCYTOPENIA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ear and labyrinth disorders
    VERTIGO
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    ABDOMINAL PAIN LOWER
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    ANAL FISTULA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    COLITIS ULCERATIVE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    CROHN'S DISEASE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    ENTEROCOLITIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    LUMBAR HERNIA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    MELAENA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    TOOTHACHE
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    HEPATITIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    DERMATITIS ALLERGIC
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    DERMATITIS ATOPIC
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    GUTTATE PSORIASIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    URTICARIA
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    INTERVERTEBRAL DISC PROTRUSION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    OSTEONECROSIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    ANAL ABSCESS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    GASTROENTERITIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    OESOPHAGITIS BACTERIAL
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    ORAL BACTERIAL INFECTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    SEPSIS
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    PNEUMONIA
         subjects affected / exposed
    2 / 680 (0.29%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    SINUSITIS
         subjects affected / exposed
    3 / 680 (0.44%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    SUPERINFECTION FUNGAL
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    URINARY TRACT INFECTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    VARICELLA ZOSTER VIRUS INFECTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    VIRAL INFECTION
         subjects affected / exposed
    1 / 680 (0.15%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Ocrelizumab
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    531 / 680 (78.09%)
    Injury, poisoning and procedural complications
    INFUSION RELATED REACTION
         subjects affected / exposed
    294 / 680 (43.24%)
         occurrences all number
    569
    Nervous system disorders
    HEADACHE
         subjects affected / exposed
    154 / 680 (22.65%)
         occurrences all number
    320
    PARAESTHESIA
         subjects affected / exposed
    34 / 680 (5.00%)
         occurrences all number
    47
    General disorders and administration site conditions
    FATIGUE
         subjects affected / exposed
    67 / 680 (9.85%)
         occurrences all number
    106
    PYREXIA
         subjects affected / exposed
    47 / 680 (6.91%)
         occurrences all number
    62
    Gastrointestinal disorders
    DIARRHOEA
         subjects affected / exposed
    42 / 680 (6.18%)
         occurrences all number
    52
    NAUSEA
         subjects affected / exposed
    38 / 680 (5.59%)
         occurrences all number
    40
    Respiratory, thoracic and mediastinal disorders
    COUGH
         subjects affected / exposed
    47 / 680 (6.91%)
         occurrences all number
    56
    OROPHARYNGEAL PAIN
         subjects affected / exposed
    42 / 680 (6.18%)
         occurrences all number
    55
    Psychiatric disorders
    INSOMNIA
         subjects affected / exposed
    34 / 680 (5.00%)
         occurrences all number
    43
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    37 / 680 (5.44%)
         occurrences all number
    40
    BACK PAIN
         subjects affected / exposed
    57 / 680 (8.38%)
         occurrences all number
    74
    PAIN IN EXTREMITY
         subjects affected / exposed
    47 / 680 (6.91%)
         occurrences all number
    58
    Infections and infestations
    INFLUENZA
         subjects affected / exposed
    92 / 680 (13.53%)
         occurrences all number
    137
    NASOPHARYNGITIS
         subjects affected / exposed
    210 / 680 (30.88%)
         occurrences all number
    449
    ORAL HERPES
         subjects affected / exposed
    55 / 680 (8.09%)
         occurrences all number
    116
    SINUSITIS
         subjects affected / exposed
    36 / 680 (5.29%)
         occurrences all number
    58
    UPPER RESPIRATORY TRACT INFECTION
         subjects affected / exposed
    51 / 680 (7.50%)
         occurrences all number
    81
    URINARY TRACT INFECTION
         subjects affected / exposed
    70 / 680 (10.29%)
         occurrences all number
    108

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    03 Jun 2016
    Updates to AE reporting period and safety information and selection criteria. Recommendation on subject observation added. Updates to screening assessments. Update to infusion preparation instructions. Extension of window for laboratory sample collection.
    28 Mar 2017
    Change in sample size from 600 to 750 (more subjects were recruited than expected, a result of screening rate being higher than anticipated)
    05 Oct 2017
    Updates to core safety text. Requirement added for antihistamine pre-treatment. Removal of California Verbal Learning Test 2 from the BICAMS test battery. Removal of the serum sampling for antibody assay. Extension of time window for laboratory assessments before ocrelizumab infusion.
    04 Nov 2018
    Updates to safety risks (substantial change). Information on use of the optional patient diary. Clarification on treatment discontinuation rules for subjects who become pregnant.

    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
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sun Apr 28 21:37:58 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA