A Phase 2 interventional study of Placebo and Ocrelizumab in Multiple Sclerosis, Relapsing-Remitting, sponsored by Genentech, Inc.. Completed at 84 sites in 18 countries. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2024-12-31.
Sponsored by Genentech, Inc. (part of Hoffmann-La Roche) · Phase 2, Interventional, and Treatment
This is a phase II, multicenter, randomized, parallel-group, partially blinded, placebo and 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).
615 studies on the registry are indexed under Multiple Sclerosis, Relapsing-Remitting; 80 are open to participants now.
This study's enrollment of 220 is above the median of 72 across 437 interventional studies indexed under Multiple Sclerosis, Relapsing-Remitting.
Browse Multiple Sclerosis, Relapsing-Remitting studies →Genentech, Inc. is the lead sponsor of 517 studies on the registry; 22 are open to participants now.
Of its 95 completed or terminated interventional studies of FDA-regulated products, 52 (55%) have results posted.
First submitted after Genentech, Inc. became part of Hoffmann-La Roche.
Counted across the registry records on this site, refreshed daily.
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Participants received two intravenous (IV) infusions of matching placebo separated by 14 days in Cycle 1, followed by two infusions of ocrelizumab 300 mg separated by 14 days in cycle 2. A single infusion of ocrelizumab 600 mg was administered on Day 1 of cycles 3 and 4. Each cycle was of 168 days.
Drug: Placebo
Participants two IV infusions of ocrelizumab 300 mg separated by 14 days in Cycle 1, followed by an infusion of ocrelizumab 600 mg on Day 1 and an infusion of placebo on Day 15 of Cycle 2. A single infusion of ocrelizumab 600 mg was administered on Day 1 of Cycles 3 and 4. Each cycle was of 168 days.
Drug: Ocrelizumab
Participants received two IV infusions of ocrelizumab 1000 mg separated by 14 days in Cycle 1, followed by an infusion of ocrelizumab 1000 mg on Day 1 and an infusion of placebo on Day 15 of Cycle 2. A single infusion of ocrelizumab 1000 mg was administered on Day 1 of Cycle 3 and a single infusion of ocrelizumab 600 mg was administered on Day 1 of Cycle 4. Each cycle was of 168 days.
Drug: Ocrelizumab
Participants received weekly intramuscular injections of Avonex 30 microgram (mcg) in Cycle 1, followed by two infusions of OCR 300 mg separated by 14 days in Cycle 2. A single infusion of ocrelizumab 600 mg was administered on Day 1 of Cycles 3 and 4. Each cycle was of 168 days.
Drug: Avonex
Placebo matching to ocrelizumab administered as IV infision in Cycle 1 Day 1.
Ocrelizumab 300 mg was administered in cycle 1 followed by an infusion of ocrelizumab 600 mg on Day 1. A single infusion of ocrelizumab 600 mg was administered on Day 1 of cycles 3 and 4.
Also known as: RO4964913
Avonex was administered weekly intramuscular injections of 30 mcg in cycle 1 Day 1.
Also known as: Interferon-beta-alpha1
Total Number of Gadolinium-Enhancing T1 Lesions Observed on Magnetic Resonance Imaging (MRI) Scans of the Brain
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.
Time frame: Week 12 to Week 24
Annualized Protocol Defined Relapse Rate at Week 24
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.
Time frame: Week 24
Percentage of Participants Who Remained Relapse Free at Week 24
Percentage of participants who remained relapse free at week 24 were reported. Percentages have been rounded off to the first decimal.
Time frame: Week 24
Change From Baseline in Total Volume of T2 Lesions on MRI Scans of the Brain at Week 24
Change from baseline in total volume of T2 lesions on MRI scans of the brain at Week 24 was reported.
Time frame: Baseline, Week 24
Total Number of New Gadolinium-Enhancing T1 Lesions Observed by MRI Scans of the Brain
Total number of new gadolinium-enhancing T1 lesions observed by MRI scans of the brain were reported.
Time frame: Weeks 4 to Week 24
Total Number of Gadolinium-Enhancing T1 Lesions
Total number of gadolinium-enhancing T1 lesions from Week 4 to Week 24 were reported.
Time frame: Weeks 4 to Week 24
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.
| Milestone | 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 |
| Withdrew: Adverse event | 0 | 3 | 2 | 2 |
| Withdrew: Death | 0 | 0 | 1 | 0 |
| Withdrew: Failure to return | 1 | 0 | 0 | 0 |
| Withdrew: Violation of selection criteria at entry | 0 | 0 | 1 | 0 |
| Withdrew: Refused treatment/did not cooperate | 1 | 2 | 3 | 1 |
| Withdrew: Withdrew consent | 3 | 3 | 3 | 3 |
| Withdrew: Insufficient therapeutic response | 1 | 1 | 2 | 1 |
| Withdrew: Administrative | 0 | 0 | 0 | 1 |
| Milestone | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Started | 49 | 48 | 50 | 49 |
| Completed | 35 | 32 | 30 | 35 |
| Not completed | 14 | 16 | 20 | 14 |
| Withdrew: Withdrawal by subject | 3 | 3 | 4 | 5 |
| Withdrew: Reason not provided | 8 | 10 | 8 | 7 |
| Withdrew: Lost to follow-up | 2 | 2 | 6 | 2 |
| Withdrew: Adverse event | 0 | 0 | 1 | 0 |
| Withdrew: Death | 1 | 1 | 1 | 0 |
| Milestone | 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 |
| Withdrew: Reason not provided | 3 | 4 | 1 | 4 |
| Withdrew: Lost to follow-up | 0 | 0 | 1 | 1 |
| Withdrew: Withdrawal by subject | 2 | 4 | 3 | 3 |
| Withdrew: Adverse event | 0 | 3 | 1 | 0 |
| Withdrew: Death | 2 | 0 | 2 | 2 |
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.
| lesions | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Total Number of Gadolinium-Enhancing T1 Lesions Observed on Magnetic Resonance Imaging (MRI) Scans of the Brain | 5.6 ± 12.53 | 0.6 ± 1.52 | 0.2 ± 0.65 | 6.9 ± 16.01 |
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.
| relapses per year | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Annualized Protocol Defined Relapse Rate at Week 24 | 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) |
Percentage of participants who remained relapse free at week 24 were reported. Percentages have been rounded off to the first decimal.
| percentage of participants | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Percentage of Participants Who Remained Relapse Free at Week 24 | 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) |
Change from baseline in total volume of T2 lesions on MRI scans of the brain at Week 24 was reported.
| cubic millimeter (mm^3) | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Baseline | 8950.84 ± 9776.261 | 13972.61 ± 19930.158 | 13178.30 ± 14271.383 | 13209.11 ± 17206.511 |
| Change at Week 24 | -112.31 ± 1464.206 | -878.84 ± 2756.839 | -600.89 ± 2105.964 | 1040.06 ± 4510.140 |
Total number of new gadolinium-enhancing T1 lesions observed by MRI scans of the brain were reported.
| lesions | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Total Number of New Gadolinium-Enhancing T1 Lesions Observed by MRI Scans of the Brain | 5.1 ± 11.99 | 0.8 ± 1.95 | 0.8 ± 2.16 | 6.2 ± 13.79 |
Total number of gadolinium-enhancing T1 lesions from Week 4 to Week 24 were reported.
| lesions | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg |
|---|---|---|---|---|
| Total Number of Gadolinium-Enhancing T1 Lesions | 8.7 ± 17.54 | 2.5 ± 5.10 | 1.8 ± 5.26 | 10.3 ± 22.15 |
Collected over Up to 787 Weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo/Ocrelizumab 600mg | 3/54 (5.6%) | 11/54 (20.4%) | 52/54 (96.3%) |
| Ocrelizumab 600mg/Ocrelizumab 600mg | 1/55 (1.8%) | 17/55 (30.9%) | 47/55 (85.5%) |
| Ocrelizumab 1000mg/Ocrelizumab 600mg | 3/55 (5.5%) | 16/55 (29.1%) | 45/55 (81.8%) |
| Avonex/Ocrelizumab 600 mg | 2/54 (3.7%) | 16/54 (29.6%) | 45/54 (83.3%) |
| Ocrelizumab 600 mg Open Label Extension (OLE) | 6/103 (5.8%) | 28/103 (27.2%) | 85/103 (82.5%) |
| Event | Placebo/Ocrelizumab 600mg | Ocrelizumab 600mg/Ocrelizumab 600mg | Ocrelizumab 1000mg/Ocrelizumab 600mg | Avonex/Ocrelizumab 600 mg | Ocrelizumab 600 mg Open Label Extension (OLE) |
|---|---|---|---|---|---|
| COVID-19 PNEUMONIAInfections and infestations | 3/54 | 3/55 | 0/55 | 0/54 | 6/103 |
| URINARY TRACT INFECTIONInfections and infestations | 0/54 | 0/55 | 3/55 | 0/54 | 3/103 |
| COVID-19Infections and infestations | 1/54 | 1/55 | 0/55 | 2/54 | 4/103 |
| PNEUMONIAInfections and infestations | 2/54 | 1/55 | 1/55 | 0/54 | 4/103 |
| MULTIPLE SCLEROSIS RELAPSENervous system disorders | 0/54 | 0/55 | 0/55 | 2/54 | 0/103 |
| SEPSISInfections and infestations | 1/54 | 0/55 | 1/55 | 0/54 | 2/103 |
| BACK PAINMusculoskeletal and connective tissue disorders | 1/54 | 1/55 | 1/55 | 0/54 | 2/103 |
| MULTIPLE SCLEROSIS PSEUDO RELAPSENervous system disorders | 0/54 | 0/55 | 1/55 | 1/54 | 2/103 |
| ACUTE RESPIRATORY FAILURERespiratory, thoracic and mediastinal disorders | 1/54 | 0/55 | 0/55 | 1/54 | 2/103 |
| CARDIAC ARRESTCardiac disorders | 0/54 | 0/55 | 0/55 | 1/54 | 1/103 |
| Event | Placebo/Ocrelizumab 600mg | Ocrelizumab 600mg/Ocrelizumab 600mg | Ocrelizumab 1000mg/Ocrelizumab 600mg | Avonex/Ocrelizumab 600 mg | Ocrelizumab 600 mg Open Label Extension (OLE) |
|---|---|---|---|---|---|
| INFUSION RELATED REACTIONInjury, poisoning and procedural complications | 29/54 | 25/55 | 29/55 | 20/54 | 23/103 |
| MULTIPLE SCLEROSIS RELAPSENervous system disorders | 26/54 | 19/55 | 21/55 | 29/54 | 28/103 |
| HEADACHENervous system disorders | 15/54 | 9/55 | 10/55 | 12/54 | 7/103 |
| NASOPHARYNGITISInfections and infestations | 10/54 | 15/55 | 12/55 | 9/54 | 20/103 |
| URINARY TRACT INFECTIONInfections and infestations | 14/54 | 10/55 | 15/55 | 10/54 | 23/103 |
| UPPER RESPIRATORY TRACT INFECTIONInfections and infestations | 10/54 | 14/55 | 11/55 | 7/54 | 15/103 |
| COVID-19Infections and infestations | 12/54 | 7/55 | 5/55 | 2/54 | 26/103 |
| INFLUENZA LIKE ILLNESSGeneral disorders | 1/54 | 2/55 | 2/55 | 11/54 | 3/103 |
| FATIGUEGeneral disorders | 5/54 | 7/55 | 11/55 | 4/54 | 8/103 |
| BACK PAINMusculoskeletal and connective tissue disorders | 9/54 | 5/55 | 4/55 | 7/54 | 6/103 |
The safety population included all participants who received any study drug and underwent at least one assessment of safety.
| Age, Continuous(years) | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg | Total |
|---|---|---|---|---|---|
| Mean | 38.0 ± 8.8 | 35.6 ± 8.5 | 38.5 ± 8.7 | 38.1 ± 9.3 | 37.6 ± 8.8 |
| Sex: Female, Male(Participants) | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg | Total |
|---|---|---|---|---|---|
| Female | 36 | 35 | 38 | 32 | 141 |
| Male | 18 | 20 | 17 | 22 | 77 |
| Ethnicity (NIH/OMB)(Participants) | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg | Total |
|---|---|---|---|---|---|
| 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 |
| Race (NIH/OMB)(Participants) | Placebo / Ocrelizumab 600 mg | Ocrelizumab 600 mg / Ocrelizumab 600 mg | Ocrelizumab 1000 mg/ Ocrelizumab 600 mg | Avonex / Ocrelizumab 600 mg | Total |
|---|---|---|---|---|---|
| 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 |
Ran from Jul 2008 to primary completion in Mar 2012, 43 months.
Results were first posted in May 2017, 5 years 2 months after primary completion. A results delay was requested in Mar 2013.
Of 23 phase 2 interventional studies under Multiple Sclerosis, Relapsing-Remitting, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 68. This study's 43 months is close to that.
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