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NCT02637856

A Study of Ocrelizumab in Participants With Relapsing Remitting Multiple Sclerosis (RRMS) Who Have Had a Suboptimal Response to an Adequate Course of Disease-Modifying Treatment (DMT)

Completed Phase 3 Results posted Last updated 26 May 2020
What this trial tests

Phase 3 trial testing Ocrelizumab in Multiple Sclerosis, Relapsing-Remitting in 608 participants. Completed in 3 May 2019.

Timeline
11 February 2016
Primary endpoint
3 May 2019
3 May 2019

Quick facts

Lead sponsorGenentech, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment608
Start date11 February 2016
Primary completion3 May 2019
Estimated completion3 May 2019
Sites82 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Genentech, Inc. — full company profile →

Who can join

Adults 18 to 55, any sex, with Multiple Sclerosis, Relapsing-Remitting. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Without Any Protocol-Defined Events During 96-Week Period Primary · Baseline up to Week 96

Protocol-defined event is the occurrence of either protocol-defined relapse (occurrence of new or worsening neurological symptoms attributable to multiple sclerosis) or T1 gadolinium (Gd)-enhanced lesion on brain magnetic resonance imaging (MRI) or new and/or enlarging T2 lesion on brain MRI or confirmed disability progression at 24 weeks.

GroupValue95% CI
Ocrelizumab48.143.9 – 52.3
Percentage of Participants Without Any Protocol-Defined Events During 24-Week and 48-Week Period Secondary · Baseline up to Weeks 24 and 48

Protocol-defined event is the occurrence of either protocol-defined relapse (occurrence of new or worsening neurological symptoms attributable to multiple sclerosis) or T1 Gd-enhanced lesion on brain MRI or new and/or enlarging T2 lesion on brain MRI or confirmed disability progression at 24 weeks.

Week 24
GroupValue95% CI
Ocrelizumab59.054.9 – 63.1
Week 48
GroupValue95% CI
Ocrelizumab51.247.0 – 55.4
Time to Protocol-Defined Event Secondary · Baseline up to Week 96

Protocol-defined event is the occurrence of either protocol-defined relapse (occurrence of new or worsening neurological symptoms attributable to multiple sclerosis) or T1 Gd-enhanced lesion on brain MRI or new and/or enlarging T2 lesion on brain MRI or confirmed disability progression at 24 weeks.

GroupValue95% CI
OcrelizumabNA53.86 – NA
Total Number of Protocol-Defined Relapses Per Participant Year During 96-week Period Secondary · Baseline up to Week 96

Protocol-defined relapse is an occurrence of new or worsening neurological symptoms attributable to multiple sclerosis which must persist for greater than (\>) 24 hours and should not be attributable to confounding clinical factors (e.g., fever, infection, injury, adverse reactions to medications) and immediately preceded by a stable or improving neurological state for least 30 days. The Adjusted Annualized Relapse Rate was adjusted by baseline Expanded Disability Status Scale (EDSS \<2.5 vs. \>=2.5) and number of previous disease-modifying treatments (DMTs =1 vs. \>1)

GroupValue95% CI
Ocrelizumab0.0460.036 – 0.060
Time to Onset of First Protocol-Defined Relapse Secondary · Baseline up to Week 96

Protocol-defined relapse is an occurrence of new or worsening neurological symptoms attributable to multiple sclerosis which must persist for \>24 hours and should not be attributable to confounding clinical factors (e.g., fever, infection, injury, adverse reactions to medications) and immediately preceded by a stable or improving neurological state for least 30 days.

GroupValue95% CI
OcrelizumabNANA – NA
Time to Onset of First T1 Gd-Enhanced Lesion as Detected by Brain MRI Secondary · Baseline up to Week 96
GroupValue95% CI
OcrelizumabNANA – NA
Time to Onset of First New and/or Enlarging T2 Lesion as Detected by Brain MRI Secondary · Baseline up to Week 96
GroupValue95% CI
OcrelizumabNANA – NA
Time to Onset of Confirmed Disability Progression (CDP) for at Least 24 Weeks According to Expanded Disability Status Scale (EDSS) Score Secondary · Baseline up to Week 96
GroupValue95% CI
OcrelizumabNANA – NA
Total Number of T1 Gd-Enhancing Lesions as Detected by Brain MRI Secondary · Weeks 24, 48, and 96

The analyses included participants who had an interpretable MRI at the time point of interest. Participants having 0, 1, 2, 3, and greater than 3 lesions at weeks 24, 48, and 96 were included in the analysis.

Week 24
GroupValue95% CI
Ocrelizumab330.010 – 0.050
Week 48
GroupValue95% CI
Ocrelizumab160.002 – 0.031
Week 96
GroupValue95% CI
Ocrelizumab70.002 – 0.026
Change From Baseline in Total T2 Lesion Volume as Detected by Brain MRI Secondary · Baseline, Weeks 24, 48, and 96

Baseline data is represented as mean; post-Baseline date are represented as mean changes.

Baseline
GroupValue95% CI
Ocrelizumab11.551± 0.590
Week 24
GroupValue95% CI
Ocrelizumab-0.484± 0.118
Week 48
GroupValue95% CI
Ocrelizumab-0.549± 0.123
Week 96
GroupValue95% CI
Ocrelizumab-0.560± 0.129
Total Number of New and/or Enlarging T2 Lesions as Detected by Brain MRI Secondary · Weeks 24, 48, and 96
Week 24
GroupValue95% CI
Ocrelizumab640
Week 48
GroupValue95% CI
Ocrelizumab39
Week 96
GroupValue95% CI
Ocrelizumab38
Percentage of Participants With Adverse Events Secondary · Baseline up to 100 weeks

An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

GroupValue95% CI
Ocrelizumab86.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 100 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ocrelizumab
Serious: 47/608 (8%)
Deaths: 0/608
Ocrelizumab (Substudy)
Serious: 2/129 (2%)
Deaths: 0/129

Serious adverse events (45 terms)

ReactionSystemOcrelizumabOcrelizumab (Substudy)
AppendicitisInfections and infestations
Multiple sclerosis relapseNervous system disorders
Suicidal ideationPsychiatric disorders
Cholecystitis acuteHepatobiliary disorders
PyelonephritisInfections and infestations
Urinary tract infectionInfections and infestations
EncephalopathyNervous system disorders
SeizureNervous system disorders
SyncopeNervous system disorders
AnaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Wolff-Parkinson-White syndromeCardiac disorders
Mastoid effusionEar and labyrinth disorders
Abdominal painGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Crohn's diseaseGastrointestinal disorders
PancreatitisGastrointestinal disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
Systemic inflammatory response syndromeGeneral disorders
CholecystitisHepatobiliary disorders
Anaphylactic reactionImmune system disorders
Drug hypersensitivityImmune system disorders
Gastroenteritis viralInfections and infestations
Other adverse events (9 terms — click to expand)

ReactionSystemOcrelizumabOcrelizumab (Substudy)
Infusion related reactionInjury, poisoning and procedural complications
Urinary tract infectionInfections and infestations
NasopharyngitisInfections and infestations
FatigueGeneral disorders
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
SinusitisInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders

Most-reported serious reactions: Appendicitis, Multiple sclerosis relapse, Suicidal ideation, Cholecystitis acute, Pyelonephritis, Urinary tract infection, Encephalopathy, Seizure.

Data from ClinicalTrials.gov NCT02637856 adverse events section.

Sponsor's own description

This study will evaluate the efficacy and safety of ocrelizumab in participants with RRMS who have had a suboptimal response to an adequate course of DMT. Participants will receive ocrelizumab as an initial dose of two 300-milligrams (mg) intravenous (IV) infusions (600 mg total) separated by 14 days followed by one 600-mg IV infusion for a maximum of 4 doses (up to 96 weeks). Anticipated time on study treatment is 96 weeks.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Safety of Ocrelizumab in Patients With Relapsing and Primary Progressive Multiple Sclerosis.
    Hauser SL, Kappos L, Montalban X, Craveiro L, et al · · 2021 · cited 131× · PMID 34475123 · DOI 10.1212/wnl.0000000000012700
  2. Next-generation anti-CD20 monoclonal antibodies in autoimmune disease treatment.
    Du FH, Mills EA, Mao-Draayer Y. · · 2017 · cited 120× · PMID 29143151 · DOI 10.1007/s13317-017-0100-y
  3. Onset of clinical and MRI efficacy of ocrelizumab in relapsing multiple sclerosis.
    Barkhof F, Kappos L, Wolinsky JS, Li DKB, et al · · 2019 · cited 36× · PMID 31484710 · DOI 10.1212/wnl.0000000000008189
  4. Targeting B Cells to Modify MS, NMOSD, and MOGAD: Part 1.
    Graf J, Mares J, Barnett M, Aktas O, et al · · 2021 · cited 30× · PMID 33406479 · DOI 10.1212/nxi.0000000000000918
  5. Efficacy and safety of ocrelizumab in patients with relapsing-remitting multiple sclerosis with suboptimal response to prior disease-modifying therapies: A primary analysis from the phase 3b CASTING single-arm, open-label trial.
    Vermersch P, Oreja-Guevara C, Siva A, Van Wijmeersch B, et al · · 2022 · cited 20× · PMID 34748672 · DOI 10.1111/ene.15171
  6. Shorter infusion time of ocrelizumab: Results from the randomized, double-blind ENSEMBLE PLUS substudy in patients with relapsing-remitting multiple sclerosis.
    Hartung HP, Berger T, Bermel RA, Brochet B, et al · · 2020 · cited 18× · PMID 33039944 · DOI 10.1016/j.msard.2020.102492
  7. Ocrelizumab treatment for relapsing-remitting multiple sclerosis after a suboptimal response to previous disease-modifying therapy: A nonrandomized controlled trial.
    Weinstock-Guttman B, Bermel R, Cutter G, Freedman MS, et al · · 2022 · cited 15× · PMID 34382875 · DOI 10.1177/13524585211035740
  8. Long-Term Treatment With Ocrelizumab in Patients With Early-Stage Relapsing MS: Nine-Year Data From the OPERA Studies Open-Label Extension.
    Cerqueira JJ, Berthele A, Cree BAC, Filippi M, et al · · 2025 · cited 13× · PMID 39883906 · DOI 10.1212/wnl.0000000000210142

Verify or expand the search:

Other trials of Ocrelizumab

Trials testing the same drug.

Other recruiting trials for Multiple Sclerosis, Relapsing-Remitting

Currently open trials in the same condition.

Other Genentech, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02637856.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing