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CompletedNCT03344094Updated Feb 21, 2025Results posted

Mechanism of Action of Ocrelizumab in Multiple Sclerosis

An observational study in Multiple Sclerosis and Immune System Diseases, sponsored by University of Chicago. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-21.

Sponsored by University of Chicago · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Ocrelizumab is FDA approved for therapy of multiple sclerosis (MS). It depletes B cells and stops MS inflammation.

Read the detailed description

The study will investigate immune cell subsets, and how the cells are modified by this therapy over a 1-year period in 25 subjects. Blood will be drawn at baseline, 2 weeks, 6 mo, and 12 mo.

Immune subsets will be analyzed by flow cytometry. Data are analyzed with ANOVA with repeated measures.

02

Conditions studied

  • Multiple Sclerosis
  • Immune System Diseases
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

MS and healthy controls from the U of Chicago Neurology Clinic population

Inclusion criteria

  • All patients who are eligible for Ocrelizumab therapy based on FDA criteria

Exclusion criteria

Exclusion Criteria:

  • All patients who are ineligible for Ocrelizumab therapy based on FDA criteria.
  • Prior treatment with Alemtuzumab or stem cell therapy, or immune abnormalities that would interfere with planned tests.
  • Hepatitis B and HIV infections.
  • Pregnant or lactating women.
  • Hypersensitivity to trial medications.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • MS-ocrelizumab treated

    ocrelizumab 600 mg IV over 5 hours, twice a year, with loading dose of 300 mg 2 weeks apart x 2 at start

    Drug: ocrelizumab

  • MS untreated

    age- and sex-matched untreated MS controls

  • Healthy control

    age- and sex-matched untreated healthy controls

  • MS interferon-treated

    MS with ongoing interferon-beta therapy

Interventions

  • Drugocrelizumab

    FDA-approved MS drugs

    Also known as: interferon-beta

05

What researchers measure

Primary outcomes

  1. Number of Participants With Complete Depletion of B Cells

    measured through lymphocyte surface marker stains, from patients, before and after ocrelizumab (Ocrevus) therapy Mononuclear cells (MNC) will be stained, for flow cytometry, with marker antibodies to B cells. The change in the percentage of each subset will be compared before and after treatment with paired t tests and ANOVA.

    Time frame: 1 year

06

Results

Posted Feb 21, 2025

Participant flow

began 2-23-2018; filled 3-9-2018

Participant flow — Overall Study
MilestoneMS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treated
Started15555
Completed15555
Not completed0000

Outcome measures

PrimaryNumber of Participants With Complete Depletion of B Cells

measured through lymphocyte surface marker stains, from patients, before and after ocrelizumab (Ocrevus) therapy Mononuclear cells (MNC) will be stained, for flow cytometry, with marker antibodies to B cells. The change in the percentage of each subset will be compared before and after treatment with paired t tests and ANOVA.

Time frame:
1 year
Reported as:
Count of participants · Participants
Number of Participants With Complete Depletion of B Cells
ParticipantsMS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treated
Number of Participants With Complete Depletion of B Cells15000
Statistical analysis
  • MS-ocrelizumab Treated · ANOVA · p = 0.05

Adverse events

Collected over 2 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MS-ocrelizumab Treated0/15 (0%)0/15 (0%)0/15 (0%)
MS Untreated0/5 (0%)0/5 (0%)0/5 (0%)
Healthy Control0/5 (0%)0/5 (0%)0/5 (0%)
MS Interferon-treated0/5 (0%)0/5 (0%)0/5 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)MS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treatedTotal
<=18 years00000
Between 18 and 65 years1255527
>=65 years30003
Age, Continuous
Age, Continuous(years)MS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treatedTotal
Mean47.7 ± 14.348.5 ± 14.855.1 ± 13.741.8 ± 2.548.4 ± 13.8
Sex: Female, Male
Sex: Female, Male(Participants)MS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treatedTotal
Female1041318
Male514212
Race (NIH/OMB)
Race (NIH/OMB)(Participants)MS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treatedTotal
American Indian or Alaska Native00000
Asian00000
Native Hawaiian or Other Pacific Islander10001
Black or African American31015
White945422
More than one race20002
Unknown or Not Reported00000
Region of Enrollment
Region of Enrollment(participants)MS-ocrelizumab TreatedMS UntreatedHealthy ControlMS Interferon-treatedTotal
United States1555530
07

Study locations

1 site
  • University of Chicago
    Chicago, Illinois 60637, United States
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Jan 12, 2010
  • Informed consent form · Jul 9, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Registry details

Key details

Study ID
NCT03344094
Lead sponsor
University of Chicago
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
Feb 23, 2018
Primary completion
Apr 10, 2019
Completion
Apr 10, 2019
Results posted
Feb 21, 2025
Last update
Feb 21, 2025

Study contacts

anthony t reder, md
principal investigator · University of Chicago

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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