ClinicalTrials.gg
Active, not recruitingNCT07597668Updated Jul 14, 2026

A Comparative Study of Pharmacokinetics, Pharmacodynamics, Safety, and Immunogenicity of RPH-035 and Ocrevus® in Patients With Relapsing-remitting or Secondary Progressive Multiple Sclerosis With Exacerbations

A Phase 1 interventional study of RPH-035 and Ocrevus® in Multiple Sclerosis, sponsored by R-Pharm. Active, not recruiting at 23 sites in Russia. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by R-Pharm · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Apr 2025, registered Apr 2026).
Phase
Phase 1
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 27 studies testing ocrelizumab in Multiple Sclerosis — 3 open to participants now, 14 under way, 8 of them phase 3. ocrelizumab · Multiple Sclerosis.

Planned enrollment
12th of 27
180 · median 170
Started
2025
with 1 other
Phase 1
2 of 27
none open now
Primary completion
2026-06
later than 6 of 13 live
Registered
26th of 27
by date
Lead sponsor
1 of 27
R-Pharm

Among the 27 studies testing ocrelizumab in Multiple Sclerosis, this one is the 12th largest by planned enrollment, is one of 2 that started in 2025, is one of 2 in phase 1, reaches primary completion later than 6 of the 13 other live ones, and was the 26th registered.

By phase

27 studies; the count open now beside each. This study's row is marked.

Phase 313 · 2 open
Phase 411 · 1 open
Phase 1this study2 · 0 open
Phase 21 · 0 open

By the year they started

First in 2011; this study’s year is marked. 2 started in 2025.

Size and results

Median enrollment 170 across the 27 interventional studies. Of the 12 that completed or were terminated, 8 (67%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 27 studies testing ocrelizumab in Multiple Sclerosis, or all of them as a file.
02

Study summary

The study goal is to establish the equivalence of pharmacokinetic (PK) properties, as well as the comparability of safety, immunogenicity (IG) and pharmacodynamics (PD) of the drug product RPH-035 (R-Pharm JSC, Russia) in comparison with the drug product Ocrevus® (F. Hoffmann-La Roche Ltd., Switzerland) when used in patients with multiple sclerosis (MS)

Read the detailed description

This study is a multicentre, double-blind, randomised, comparative Phase I study

The clinical study includes the following periods:

  1. Screening period: days [-27…-0] (up to 1st administration of study therapy)
  2. Main period: weeks [1-49]

    Patients who meet the eligibility criteria shall be randomised in a 1: 1 ratio to one of two study arms: RPH-035 and Ocrevus®

    During the Main Period, the patients will receive their first infusion of ocrelizumab (RPH-035 or Ocrevus®) at a dose of 300 mg, followed by another 300 mg of the drug product after 2 weeks. The duration of ocrelizumab administration will be 2.5 hours ± 15 minutes. The third infusion at a dose of 600 mg should be administered 6 months after the first infusion of the initial dose. The administration is scheduled for the "Week 25" visit.

    The Main Period includes regular collection of data on complaints and symptoms, physical examination, assessment of vital signs (measurement of body temperature, blood pressure (BP), pulse), body weight measurement, monitoring of laboratory parameters (clinical and biochemical blood tests, measurement of the concentration of immunoglobulin type G (IgG), general urine analysis), IG analysis, electrocardiogram (ECG), magnetic resonance imaging (MRI) at weeks 9, 17, 25, 49, neurological examination, assessment according to the Expanded Disability Status Scale (EDSS), registration of adverse events/serious adverse events (AEs/SAEs). MRI and assessment of response to therapy within the Main Period will be performed approximately once every 8 weeks during the first six months of the study (week 1 - week 25), then at week 49

    The week 49 visit consists of two stages: prior to drug administration, procedures are performed to assess the safety and effectiveness of the blinded therapy. After receiving and analysing the results, the research physician decides whether to terminate or extend therapy. If therapy needs to be continued, the patient is transferred to the follow-up period

  3. After-Therapy period: weeks [49-97]

    During the After-Therapy Period, beginning at week 49, all patients will receive RPH-035 therapy, including those who received Ocrevus® therapy during the Main Period. Visits are also included in this period, which are conducted in the form of telephone contacts to assess the patient's well-being, collect data on concomitant therapy and possible AEs

    During the After-Therapy Period, patients will receive an IV infusion of ocrelizumab (RPH-035) at a dose of 600 mg at "Week 49", "Week 73", and "Week 97" visits

  4. Follow-up period (FU)

The first follow-up visit (FU) is performed 28 ± 3 days after the last visit (scheduled or unscheduled)

  • For patients who have completed their participation in the Main Period as planned and are not included in the After-Therapy Period, the FU visit will be conducted once 28 ± 3 days after day 337
  • For patients who completed therapy early before day 337 in the study due to treatment failure, the first FU visit will be conducted 28 ± 3 days after the last visit conducted within the therapy (scheduled or unscheduled), but within 337 days. Further FU visits will be conducted in the form of telephone contacts with the patient/patient's relatives with a frequency of 1 time per 8 weeks (±7 days) until day 337 during the study or informed consent (IC) recall (whichever occurs first)
  • If a patient completes therapy in the study early before day 337 of the study for a reason not related to treatment failure and is not prescribed another treatment regimen, FU visits will be conducted in the form of an assessment of the response to therapy with MRI once every 8 weeks ± 3 days (from the date of the first FU visit) until day 337 of the study or until another therapy is prescribed/IC is recalled (whichever occurs first). If another treatment regimen is prescribed, FU visits for these patients will continue at a frequency of once every 8 weeks (±7 days) until day 337 within the study or IC recall (whichever occurs first) in the form of telephone contacts with the patient/patient's relatives
  • For patients who completed therapy during the after-therapy period either planned or early for any reason, 1 FU visit is scheduled 28 ± 3 days after the last visit during the after-therapy period. After this visit, the patient is considered to have completed the study
03

Conditions studied

  • Multiple Sclerosis

Browse trials for

Keywords

  • RPH-035
  • Ocrelizumab
  • Multiple Sclerosis
04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Patients shall meet all of the following inclusion criteria:

  1. Availability of the voluntarily signed and dated patient (IC) form for participation in this study
  2. Multiple sclerosis with exacerbations (relapsing-remitting multiple sclerosis (RRMS) or secondary progressive multiple sclerosis (SPMS) with exacerbations) according to the McDonald diagnostic criteria as revised in 2017, with symptoms lasting at least 1 year before signing the IC form
  3. The patient's medical history includes the use of ≤ 3 prior multiple sclerosis disease modifying drugs (DMT)
  4. The patient has one of the following signs of disease activity:

    1. ≥ 2 documented disease exacerbations in the previous 24 months before the IC signing date
    2. ≥ 1 documented disease exacerbation in the previous 12 months before the IC signing date
    3. 1 documented exacerbation in the previous 24 months before the IC signing date and ≥ 1 documented brain lesion on the contrast-enhanced Magnetic Resonance Imaging (MRI) scan in the previous 6 months before the IC signing date
  5. Expanded Disability Status Scale (EDSS) index is 0-5.5 points inclusively on screening
  6. No Multiple sclerosis (MS) exacerbations within 30 days before the IC signing date and throughout the entire screening examination
  7. Ability, in the Investigator's opinion, to comply with the Protocol procedures and requirements
  8. Negative pregnancy test for female participants with preserved
  9. Consent of the patient with preserved reproductive potential to abstain from heterosexual contacts or to use reliable methods, starting from the moment of the IC form signing, throughout the entire treatment period within the study, as well as for 12 months after the last ocrelizumab administration. Female participants are considered infertile if definitive amenorrhea was determined (from patient's words) retrospectively after 12 months of natural amenorrhea, i.e amenorrhea with an appropriate clinical status, such as a suitable age (between 45 and 55 years )

Patients cannot be included in the study if they meet at least one of the following exclusion criteria:

  1. Medical history of to monoclonal antibody drugs or to any component of the medicinal products
  2. Prior therapy with ocrelizumab
  3. Primary progressive multiple sclerosis or SPMS without exacerbations
  4. for MRI, including intolerance to Gd-containing contrast agents and claustrophobia
  5. Medical history of other neurological diseases (excluding migraines) or first diagnosed on screening, including but not limited to the following:

    1. ischemic cerebrovascular disorders (e.g., stroke, ) or spinal cord ischemia
    2. malignant and benign central nervous system (CNS) tumours (meningiomas, gliomas, etc.) requiring surgical intervention
    3. potential metabolic causes of myelopathy, identified from the medical history or in patient words (untreated vitamin B12 deficiency, etc.)
    4. infectious myelopathy (syphilis, Lyme disease, human T-lymphotropic virus 1 [HTLV-1], herpes zoster)
    5. hereditary progressive CNS degenerative disorder, MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis, stroke)
    6. neuromyelitis optical spectrum disorders
    7. progressive multifocal leukoencephalopathy
  6. Systemic disease (lupus, rheumatoid arthritis, antiphospholipid antibody syndrome, Sjorgen's syndrome, Behcet's syndrome)
  7. Sarcoidosis
  8. Medical history of severe, brain or spinal cord injury (brain contusion, spinal cord compression)
  9. Medical history of the patient includes the following therapy:

    1. targeted biological B-cell therapy (ocrelizumab, rituximab or ofatumumab, etc.)
    2. bone marrow transplantation, lymphocyte irradiation
    3. any unregistered biological drug product for MS treatment
  10. The patient received any of the following therapies (subject to the time/dose restrictions specified):

    1. natalizumab (inclusion of such patients in the study is allowed, provided that the therapy was completed > 12 months before the IC signing date)
    2. fampridine (administration is allowed, provided only that the patient has been receiving continuous therapy with the drug product for at least 3 months before the IC signing date)
    3. alemtuzumab (\< 4 years before the IC signing date)
    4. fingolimod (\< 6 weeks before the IC signing date)
    5. dimethyl fumarate, siponimod (\< 4 before the IC signing date)
    6. teriflunomide (\< 3.5 months before the IC signing date), in case of accelerated elimination procedure \< 2 weeks before the IC signing date)
    7. drug products: azathioprine, mycophenolate mofetil, methotrexate, TNF-α inhibitors (\< 6 months before the IC signing date) cyclophosphamide, mitoxantrone, cladribine (\< 24 months before the IC signing date)
    8. interferon beta/glatiramer acetate (\< 2 weeks before the IC signing date)
    9. immunoglobulin intravenous administration within \< 12 weeks before the IC signing date
    10. plasmapheresis or plasma adsorption (\< 21 days before the randomisation date)
    11. therapy with systemic glucocorticosteroids (GCS), adrenocorticotropic hormones (ACTH) \< 1 month before MRI screening
    12. live or within \< 3 months before the IC signing date or vaccination plans for the study period
  11. Concomitant diseases that increase the patient's risk of AE development during the use of the investigational therapy or may affect the assessment of MS symptoms severity; mask, intensify, modify MS symptoms or cause clinical and laboratory-instrumental symptoms similar to those in MS as confirmed by primary documentation data:

    1. uncontrolled arterial hypertension characterised by systolic blood pressure (BP) above 150 mmHg or diastolic BP above 90 mmHg during the antihypertensive therapy
    2. medical history of moderate or severe heart failure (functional class III/IV according to the (NYHA) classification), stable effort angina of functional class III-IV, unstable effort angina, or medical history of myocardial infarction less than 6 months before randomisation
    3. diagnosis of any clinically significant (in the opinion of the investigator) respiratory disease including, but not limited to, of grade 3 or 4 severity
    4. diagnosis of active liver disease or liver failure based on medical history
  12. Haematological disorders:

    1. \< 80 g/L
    2. white blood cells (WBC) \< 3.0 × 10\^9/L
    3. \< 1.5 × 10\^9/L
    4. absolute lymphocyte count \< 0.5 × 10\^9/L
    5. \< 100 × 10\^9/L
  13. Renal impairment:

    a. creatinine > 1.5 × (ULN) or \< 45 mL/min, calculated using CKD-EPI formula

  14. Hepatic impairment:

    a. , (AST) and/or alanine aminotransferase (ALT) ≥ 2 × ULN

  15. Presence of oncological pathology that is progressing or requires anti-tumour therapy (including hormonal therapy) within 5 years before the IC signing date, except for radically resected cervical carcinoma in situ or radically resected basal cell/squamous-cell carcinoma of skin
  16. Medical history of diverticulitis or other gastrointestinal tract (GI) disorders (e.g., inflammatory bowel disease, mechanical ileus, hernia) that can cause gastrointestinal (GI) perforations in patients
  17. Diseases (e.g., asthma, psoriasis) that require treatment with immunosuppressive biological drugs or systemic during the study

    1. medical history of primary and/or secondary immunodeficiencies (most commonly manifested by recurrent severe infections that are to the standard treatment, in typical cases, these include upper and lower respiratory tract infections (e.g., sinusitis, bronchitis, pneumonia) and gastroenteritis, as well as severe bacterial infections (e.g., meningitis, sepsis))
    2. any other acute or chronic diseases in the medical history that may affect the interpretation of the study results or pose an unacceptable risk to the patient when using the investigational therapy (in the Investigator's opinion)
  18. One or more signs of depressed immune system function in the patient:

    1. serum IgG concentration \< 4.0 g/L
    2. absolute CD4 + lymphocyte count \< 0.25 × 10\^9/L
  19. Absence of IgG antibodies to Varicella zoster or a positive PCR reaction to herpes viruses of types 4, 5, 6
  20. Positive result for any of the following tests: surface antigen (HBs Ag), virus antibodies (anti-HCV), antibodies 1 and 2 (anti-HIV1 and anti-HIV2 Ab), or a blood test for syphilis on screening
  21. Presence of the following infections in a patient:

    1. infections that caused an increased body temperature above normal range or required the use of oral antibacterial and/or antiviral drugs within 4 weeks before randomisation, hospitalisation, or the use of parenteral anti-infective drugs within 2 months before randomisation (the exception is detection of asymptomatic herpes virus types 4, 5 and/or 6 on screening and their treatment within screening according to the study site's standards)
    2. confirmed SARS-CoV-2 coronavirus infection within 1 month before randomisation
    3. medical history of severe, recurrent, or chronic infections (including severe herpes infection, herpes zoster, sepsis, abscess, invasive fungal infections) in which, in the Investigator's opinion, the investigational medicinal product may cause harm to the patient
    4. medical history of active or latent tuberculosis, signs of tuberculosis infection based on the TB-feron test or Quantiferon test results and the chest X-ray performed during screening (it is possible to use the chest X-ray results performed no more than 2 months before the IC signing date)
  22. Inability to administer the investigational medicinal product intravenously and to collect venous blood
  23. Intolerance to oral or intravenous corticosteroids
  24. Pregnancy, breastfeeding, and planning pregnancy during the period of participation in the study
  25. Major surgeries (i.e., those involving opening of the abdominal cavity, chest cavity, skull) less than 60 days before the IC signing date (it is acceptable to include patients who have been fully recovered according to the Investigator's assessment), or the patient is scheduled to undergo major surgery during the period of participation in the study
  26. Conditions that limit the patient's ability to comply with the protocol requirements, in the Investigator's opinion (e.g., medical history of dementia or mental disorders (including depression, schizophrenia), as well as information about drug or alcohol addiction within 12 months before the IC signing date, etc.)
  27. Concurrent participation in other interventional clinical trials, participation in other clinical trials less than 30 days or less than 5 T1/2 of the investigational drugs before the IC signing date (provided the patient has received at least one administration of the investigational therapy), and previous participation in this clinical trial (provided the patient has received at least one administration of the investigational therapy)
Terms in these criteria, in plain language(25)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
180 participants (estimated)

Study arms

  • Experimental
    RPH-035

    During the Main Period, the patients receive their first infusion of ocrelizumab (RPH-035) at a dose of 300 mg, followed by another 300 mg of the drug product after 2 weeks. The duration of ocrelizumab administration is 2.5 hours ± 15 minutes. The third infusion at a dose of 600 mg is administered 6 months after the first infusion of the initial dose During the After-Therapy Period, patients will receive an IV infusion of 600 mg of ocrelizumab (RPH-035) at weeks 49, 73, and 97 Premedication is mandatory and is carried out according to the following scheme: * methylprednisolone at a dose of 100 mg (or dexamethasone at a dose of 18.8 mg, or an equivalent drug product) intravenously 30 ± 10 minutes before the start of each infusion * antihistamine drug (e.g., diphenhydramine, suprastin, or an equivalent drug product) 30-60 minutes before the start of each infusion * antipyretic drug (e.g., paracetamol) 30-60 minutes before the start of each infusion

    Drug: RPH-035

  • Active comparator
    Ocrevus®

    During the Main Period, the patients receive their first infusion of ocrelizumab (Ocrevus®) at a dose of 300 mg, followed by another 300 mg of the drug product after 2 weeks. The duration of ocrelizumab administration is 2.5 hours ± 15 minutes. The third infusion at a dose of 600 mg is administered 6 months after the first infusion of the initial dose Premedication is mandatory and is carried out according to the following scheme: * methylprednisolone at a dose of 100 mg (or dexamethasone at a dose of 18.8 mg, or an equivalent drug product) intravenously 30 ± 10 minutes before the start of each infusion * antihistamine drug (e.g., diphenhydramine, suprastin, or an equivalent drug product) 30-60 minutes before the start of each infusion * antipyretic drug (e.g., paracetamol) 30-60 minutes before the start of each infusion

    Drug: Ocrevus®

Interventions

  • 300 mg/10 mL (30 mg/mL) concentrate for solution for infusions in a single-dose vial For the 1st and 2nd infusions, 300 mg (10 mL) of ocrelizumab is diluted in 0.9% sodium chloride to a final concentration of approximately 1.2 mg/mL. For the 3rd infusion, 600 mg (20 mL) of ocrelizumab is diluted in 0.9% sodium chloride to a final concentration of approximately 1.2 mg/mL

    Also known as: ocrelizumab, L04785

  • 300 mg/10 mL (30 mg/mL) concentrate for solution for infusions in a single-dose vial For the 1st and 2nd infusions, 300 mg (10 mL) of ocrelizumab is diluted in 0.9% sodium chloride to a final concentration of approximately 1.2 mg/mL. For the 3rd infusion, 600 mg (20 mL) of ocrelizumab is diluted in 0.9% sodium chloride to a final concentration of approximately 1.2 mg/mL

    Also known as: ocrelizumab

06

What researchers measure

Primary outcomes

  1. The area under the concentration-time pharmacokinetic curve (AUC (14-169 days)) of ocrelizumab

    The area under the concentration-time pharmacokinetic curve of ocrelizumab after the second (single) administration, truncated at Day 169 (AUC (14-169 days))

    Time frame: Day 14 to Day 169

Secondary outcomes

  1. The area under the concentration-time pharmacokinetic curve (AUC (0-14 days)) of ocrelizumab

    The area under the concentration-time pharmacokinetic curve of ocrelizumab after the first (single) IV administration, truncated at Day 14 (AUC (0-14 days))

    Time frame: Up to Day 14

  2. Maximum serum concentration of ocrelizumab after the first administration (Cmax (0-14 days))

    Maximum serum concentration of ocrelizumab after the first administration (Cmax (0-14 days))

    Time frame: Up to Day 14

  3. Maximum serum concentration of ocrelizumab after the second administration (Cmax (14-169 days))

    Maximum serum concentration of ocrelizumab after the second administration (Cmax (14-169 days))

    Time frame: Day 14 to Day 169

  4. Percentage of patients with adverse reactions (ARs) of any severity

    Adverse reactions (ARs) are all unfavourable and unintended reactions to the drug products associated with their administration in any dose, the causal relationship between their administration and adverse events (AEs) is at least possible, meaning that such a relationship cannot be excluded

    Time frame: Up to Day 337

  5. Percentage of patients with adverse events (AEs) of any severity

    An adverse event (AE) is any event observed in a clinical trial subject after the drug product administration, which is unfavourable from a medical point of view and may not have a causal relationship with its administration

    Time frame: Up to Day 337

  6. Percentage of patients with AEs of severity grade ≥ 3

    Percentage of patients with AEs of severity grade ≥ 3 per CTCAE 5.0

    Time frame: Up to Day 337

  7. Percentage of patients with ARs of severity grade ≥ 3

    Percentage of patients with ARs of severity grade ≥ 3 per CTCAE 5.0

    Time frame: Up to Day 337

  8. Percentage of patients with serious adverse events (SAEs)

    A serious adverse event (SAE) is any unfavourable medical event that, regardless of the drug product dose: * leads to death * poses a threat to life * requires hospitalisation or its prolongation * leads to persistent or severe disability/incapacitation * is a congenital abnormality or developmental defect * requires medical intervention to prevent the development of the conditions listed above

    Time frame: Up to Day 337

  9. Percentage of patients with serious adverse reactions (SARs)

    A serious adverse reaction (SAR) is an adverse reaction that is characterised by the criteria of seriousness: * leads to death * poses a threat to life * requires hospitalisation or its prolongation * leads to persistent or severe disability/incapacitation * is a congenital abnormality or developmental defect * requires medical intervention to prevent the development of the conditions listed above

    Time frame: Up to day 337

  10. Percentage of patients who required discontinuation of therapy due to adverse events/adverse reactions (AEs/ARs)

    Percentage of patients who required discontinuation of therapy due to AEs/ARs

    Time frame: Up to Day 337

  11. Binding anti-drug antibodies (ADA) to ocrelizumab over a period of up to 24 weeks from the start of the therapy

    Binding anti-drug antibodies (ADA) to ocrelizumab are assessed on Day 1 (pre-dose), 57, 113, 169 (pre-dose)

    Time frame: Up to Day 169

  12. Binding anti-drug antibodies (ADA) to ocrelizumab over a period of up to 48 weeks from the start of the therapy

    Binding anti-drug antibodies (ADA) to ocrelizumab are assessed on Day 1 (pre-dose), 57, 113, 169 (pre-dose), 225, 281, 337 (pre-dose)

    Time frame: Up to Day 337

  13. Neutralizing antibodies (nAB) to ocrelizumab over a period of up to 24 weeks from the start of therapy

    Neutralizing antibodies (nAB) to ocrelizumab are assessed on Day 1 (pre-dose), 57, 113, 169 (pre-dose)

    Time frame: Up to Day 169

  14. Neutralizing antibodies (nAB) to ocrelizumab over a period of up to 48 weeks from the start of therapy

    Neutralizing antibodies (nAB) to ocrelizumab are assessed on Day 1 (pre-dose), 57, 113, 169 (pre-dose), 225, 281, 337 (pre-dose)

    Time frame: Up to Day 337

Other outcomes

  1. Time to reach the maximum ocrelizumab concentration in serum after the first administration (Tmax (0-14 days))

    Time to reach the maximum ocrelizumab concentration in serum after the first administration (Tmax (0-14 days))

    Time frame: Up to Day 14

  2. Elimination half-life of ocrelizumab after the first administration (T1/2 (0-14 days))

    Elimination half-life of ocrelizumab after the first administration (T1/2 (0-14 days))

    Time frame: Up to Day 14

  3. Volume of distribution of ocrelizumab after the first administration (Vd (0-14 days))

    Volume of distribution of ocrelizumab after the first administration (Vd (0-14 days))

    Time frame: Up to Day 14

  4. Elimination rate constant of ocrelizumab after the first administration (Kel (0-14 days))

    Elimination rate constant of ocrelizumab after the first administration (Kel (0-14 days))

    Time frame: Up to Day 14

  5. Time to reach the maximum serum concentration of ocrelizumab after the second administration (Tmax (14-169d))

    Time to reach the maximum serum concentration of ocrelizumab after the second administration (Tmax (14-169d))

    Time frame: Day 14 to Day 169

  6. Elimination half-life of ocrelizumab after the second administration (T1/2 (14-169d))

    Elimination half-life of ocrelizumab after the second administration (T1/2 (14-169d))

    Time frame: Day 14 to Day 169

  7. Volume of distribution of ocrelizumab after the second administration (Vd (14-169d))

    Volume of distribution of ocrelizumab after the second administration (Vd (14-169d))

    Time frame: Day 14 to Day 169

  8. Elimination rate constant of ocrelizumab after the second administration (Kel (14-169d))

    Elimination rate constant of ocrelizumab after the second administration (Kel (14-169d))

    Time frame: Day 14 to Day 169

  9. Area under the pharmacokinetic curve "concentration-time" (AUC(0-∞)) of ocrelizumab

    Area under the pharmacokinetic "concentration-time" curve of ocrelizumab after the second administration, truncated at the point from zero to infinity (AUC(0-∞))

    Time frame: Up to Day 169

  10. The average value of the absolute and relative number of CD19+ B-lymphocytes for a period of up to 2 weeks from the start of the therapy inclusively

    The average value of the absolute and relative number of CD19+ B-lymphocytes for a period of up to 2 weeks from the start of the therapy inclusively

    Time frame: Up to Day 14

  11. The average value of the absolute and relative number of CD19+ B-lymphocytes for a period of up to 24 weeks from the start of the therapy inclusively

    The average value of the absolute and relative number of CD19+ B-lymphocytes for a period of up to 24 weeks from the start of the therapy inclusively

    Time frame: Up to Day 169

  12. The average value of the absolute and relative number of CD19+ B-lymphocytes for a period of up to 48 weeks from the start of the therapy inclusively

    The average value of the absolute and relative number of CD19+ B-lymphocytes for a period of up to 48 weeks from the start of the therapy inclusively

    Time frame: Up to Day 337

  13. Average incidence of MS exacerbations for a period of up to 24 weeks from the start of the therapy inclusively

    Disease exacerbation is considered to be subjective symptoms (reported by the patient) and/or (detected during a neurological examination) objective symptoms characteristic of an acute inflammatory demyelinating (focal or multifocal) process in the central nervous system, either in the form of an aggravation of existing neurological symptoms or in the form of the appearance of new not observed previously neurological symptoms, with an acute or, more often, subacute onset, with complete or incomplete regression of symptoms. The deviation must be present for ≥ 24 hours and must be not associated with concomitant clinical factors (e.g., fever, infection, trauma, drug-related adverse reactions)

    Time frame: Up to Day 169

  14. The number of combined lesions for a period of up to 24 weeks from the start of the therapy inclusively

    The number of combined lesions assessed at baseline and on Days 57, 113, 169 of the Main Period The number of combined lesions defined as the total number of new contrast-enhancing lesions in T1-WI and new lesions in T2-WI or enlarging lesions in T2-WI, without double addition

    Time frame: Up to Day 169

  15. The number of new Gd+ lesions on T1-WI for a period of up to 24 weeks from the start of the therapy inclusively

    The number of new Gd+ lesions on T1-WI assessed at baseline and on Days 57, 113, 169 of the Main Period

    Time frame: Up to Day 169

  16. The number of new or enlarging hyperintense lesions on T2-weighted images for a period of up to 24 weeks from the start of the therapy

    The number of new or enlarging hyperintense lesions on T2-weighted images assessed at baseline and on Days 57, 113, 169 of the Main Period

    Time frame: Up to Day 169

  17. Percentage of patients with new or enlarging hyperintense lesions on T2-WI for a period of up to 24 weeks from the start of the therapy

    New or enlarging hyperintense lesions on T2-WI are assessed at baseline and on Days 57, 113, 169 of the Main Period

    Time frame: Up to Day 169

  18. The number of new hypointense lesions on T1-WI for a period of up to 24 weeks from the start of the therapy inclusively

    The number of new hypointense lesions on T1-WI assessed at baseline and on days 57, 113, 169 of the Main Period

    Time frame: Up to Day 169

  19. Change in EDSS score after 24 weeks of the therapy inclusively compared to values obtained at screening

    The EDSS scale is a rating system with a range from 0 (normal neurological status) to 10 (death due to MS) in 0.5-point increments

    Time frame: Baseline, Day 169

  20. Annualized rate of MS exacerbations for a period of up to 48 weeks from the start of the therapy inclusively

    Disease exacerbation is considered to be subjective symptoms (reported by the patient) and/or (detected during a neurological examination) objective symptoms characteristic of an acute inflammatory demyelinating (focal or multifocal) process in the central nervous system, either in the form of an aggravation of existing neurological symptoms or in the form of the appearance of new not observed previously neurological symptoms, with an acute or, more often, subacute onset, with complete or incomplete regression of symptoms. The deviation must be present for ≥ 24 hours and must be not associated with concomitant clinical factors (e.g., fever, infection, trauma, drug-related adverse reactions).

    Time frame: Up to Day 337

  21. The number of combined lesions for a period of up to 48 weeks from the start of the therapy inclusively

    The number of combined lesions assessed at baseline and on Days 57, 113, 169, 337 of the Main Period The number of combined lesions defined as the total number of new contrast-enhancing lesions in T1-WI and new lesions in T2-WI or enlarging lesions in T2-WI, without double addition

    Time frame: Up to Day 337

  22. The number of new Gd+ lesions on T1-WI for a period of up to 48 weeks from the start of the therapy inclusively

    The number of new Gd+ lesions on T1-WI assessed at baseline and on Days 57, 113, 169, 337 of the Main Period

    Time frame: Up to Day 337

  23. The number of new or enlarging hyperintense lesions on T2-weighted images for a period of up to 48 weeks from the start of the therapy

    The number of new or enlarging hyperintense lesions on T2-weighted images assessed at baseline and on Days 57, 113, 169, 337 of the Main Period

    Time frame: Up to Day 337

  24. Percentage of patients with new or enlarging hyperintense lesions on T2-WI for a period of up to 48 weeks from the start of the therapy

    New or enlarging hyperintense lesions on T2-WI are assessed at baseline and on Days 57, 113, 169, 337 of the Main Period

    Time frame: Up to Day 337

  25. The number of new hypointense lesions on T1-WI for a period of up to 48 weeks from the start of the therapy inclusively

    The number of new hypointense lesions on T1-WI assessed at baseline and on Days 57, 113, 169, 337 of the Main Period

    Time frame: Up to Day 337

  26. Change in EDSS score after 48 weeks of the therapy inclusively compared to values obtained at screening

    The EDSS scale is a rating system with a range from 0 (normal neurological status) to 10 (death due to MS) in 0.5-point increments

    Time frame: Up to Day 337

  27. Percentage of patients with confirmed disability progression according to the EDSS scale after 48 weeks of the therapy inclusively compared with the values obtained at screening

    Confirmed disability progression is considered to be a persistent increase in neurological abnormality according to the EDSS scale compared to the baseline, beyond the period of exacerbations and not associated with a previous exacerbation. Confirmed disability progression is defined as a patient's EDSS score maintaining or increasing compared to the date of the first recorded increase in neurological impairment for at least 6 months, provided there have been no exacerbations during the measurement period. A significant neurological disorders increase is EDSS ≥ 1.5 points with an initial EDSS score of 0, EDSS ≥ 1.0 points for patients with an initial EDSS of 1.0-5.5 points, or EDSS ≥ 0.5 points for patients with EDSS ≥ 6.0 at baseline

    Time frame: Baseline, Day 337

  28. Percentage of patients with confirmed disability reduction according to the EDSS scale after 48 weeks of the therapy inclusively compared with the values obtained at screening

    A confirmed disability reduction is defined as a sustained reduction in neurological abnormality as measured by the EDSS compared to the baseline EDSS score. A confirmed reduction is scored when a patient's EDSS score reduction, compared to the first recorded reduction in neurological abnormality, is maintained for 6 months. A reduction in neurological abnormality is defined as a decrease in EDSS by 1.0 point compared to the baseline score.

    Time frame: Baseline, Day 337

  29. Change in the quality of life assessment score for the "Physical component of health" after 24 weeks of the therapy inclusively

    Change in the quality of life assessment score for the "Physical component of health" parameter according to the SF-36 questionnaire after 24 weeks of the therapy inclusively compared with the values obtained at screening. The SF-36 consists of 36 questions grouped into eight scales: physical functioning, role functioning, physical pain, general health (assesses the patient's physical well-being), and viability, social functioning, emotional state, and mental health (assesses psychological state). The scores on each scale range from 0 to 100 points, where 100 corresponds to complete health. The processing of the research results is presented in the form of point assessments with a maximum score of 100. The higher the score, the higher the quality of life

    Time frame: Day 1, Day 169

  30. Change in the quality of life assessment score for the and "Mental component of health" parameter after 24 weeks of the therapy inclusively

    Change in the quality of life assessment score for the and "Mental component of health" parameter according to the SF-36 questionnaire after 24 weeks of the therapy inclusively compared with the values obtained at screening. The SF-36 consists of 36 questions grouped into eight scales: physical functioning, role functioning, physical pain, general health (assesses the patient's physical well-being), and viability, social functioning, emotional state, and mental health (assesses psychological state). The scores on each scale range from 0 to 100 points, where 100 corresponds to complete health. The processing of the research results is presented in the form of point assessments with a maximum score of 100. The higher the score, the higher the quality of life

    Time frame: Day 1, Day 169

  31. Change in the quality of life assessment score for the "Physical component of health" parameter after 48 weeks of the therapy inclusively

    Change in the quality of life assessment score for the "Physical component of health" parameter according to the SF-36 questionnaire after 48 weeks of the therapy inclusively compared with the values obtained at screening. The SF-36 consists of 36 questions grouped into eight scales: physical functioning, role functioning, physical pain, general health (assesses the patient's physical well-being), and viability, social functioning, emotional state, and mental health (assesses psychological state). The scores on each scale range from 0 to 100 points, where 100 corresponds to complete health. The processing of the research results is presented in the form of point assessments with a maximum score of 100. The higher the score, the higher the quality of life

    Time frame: Day 1, Day 337

  32. Change in the quality of life assessment score for the "Mental component of health" parameter after 48 weeks of the therapy inclusively

    Change in the quality of life assessment score for the "Mental component of health" parameter according to the SF-36 questionnaire after 48 weeks of the therapy inclusively compared with the values obtained at screening. The SF-36 consists of 36 questions grouped into eight scales: physical functioning, role functioning, physical pain, general health (assesses the patient's physical well-being), and viability, social functioning, emotional state, and mental health (assesses psychological state). The scores on each scale range from 0 to 100 points, where 100 corresponds to complete health. The processing of the research results is presented in the form of point assessments with a maximum score of 100. The higher the score, the higher the quality of life

    Time frame: Day 1, Day 337

07

Study locations

23 sites
  • State Autonomous Healthcare Institution Regional Clinical Hospital No. 3
    Chelyabinsk, 454021, Russia
  • Kazan State Medical Academy, branch of the Federal State Budgetary Educational Institution of Additional Professional Education Russian Medical Academy of Continuing Professional Education
    Kazan', 420061, Russia
  • State Autonomous Healthcare Institution "Interregional Clinical and Diagnostic Center"
    Kazan', 420101, Russia
  • Kirov Regional State Clinical Budgetary Healthcare Institution "Center for Cardiology and Neurology"
    Kirov, 610007, Russia
  • Limited Liability Company DOCKBRAIN
    Krasnodar, 350049, Russia
  • Federal State Budgetary Institution Federal Siberian Scientific and Clinical Center of the Federal Medical and Biological Agency
    Krasnoyarsk, 660037, Russia
  • Federal State Budgetary Scientific Institution "Russian Center for Neurology and Neurosciences"
    Moscow, 125367, Russia
  • State Budgetary Healthcare Institution of the City of Moscow "City Clinical Hospital No. 24 of the Moscow Health Department"
    Moscow, 127015, Russia
  • Research Lab LLC
    Moscow, 127521, Russia
  • State Budgetary Healthcare Institution of the Nizhny Novgorod Region "Nizhny Novgorod Regional Clinical Hospital named after N. A. Semashko"
    Nizhny Novgorod, 603126, Russia
  • MEDIS Limited Liability Company
    Nizhny Novgorod, 603137, Russia
  • Federal State Budgetary Healthcare Institution "Siberian District Medical Center of the Federal Medical and Biological Agency"
    Novosibirsk, 630007, Russia
  • State Budgetary Healthcare Institution of the Novosibirsk Region "State Novosibirsk Regional Clinical Hospital"
    Novosibirsk, 630087, Russia
  • State Budgetary Healthcare Institution of the Perm Region "Perm Regional Clinical Hospital of the Order of the Badge of Honor"
    Perm, 614045, Russia
  • Rostov Regional Clinical Hospital, State Budgetary Institution of the Rostov Region
    Rostov-on-Don, 344015, Russia
  • LLC "Center for Diagnostics and Rehabilitation "PRAKSIMED"
    Saint Petersburg, 194223, Russia
  • State Budgetary Healthcare Institution Leningrad Regional Clinical Hospital
    Saint Petersburg, 194291, Russia
  • St. Petersburg State Budgetary Healthcare Institution "City Clinical Hospital No. 31"
    Saint Petersburg, 197110, Russia
  • State Budgetary Healthcare Institution of the Republic of Mordovia "Republican Clinical Hospital No. 4"
    Saransk, 430032, Russia
  • Smolensk Regional Clinical Hospital, Regional State Budgetary Healthcare Institution
    Smolensk, 214018, Russia
  • Federal State Budgetary Educational Institution of Higher Education "Siberian State Medical University" of the Ministry of Health of the Russian Federation
    Tomsk, 634050, Russia
  • Joint Stock Company "Medical and Sanitary Unit "Neftyanik"
    Tyumen, 625048, Russia
  • Ulyanovsk Regional Clinical Hospital, a public health institution
    Ulyanovsk, 432017, Russia
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2025 to primary completion in Jun 2026, 13 months.

Of 38 industry-sponsored phase 1 interventional studies under Multiple Sclerosis, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 32. This study's 13 months is close to that.

Counting every sponsor, half of 91 studies reached it within 30 months; a quarter within 9 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 13, 2026
First posted
May 19, 2026
StartActual
Apr 16, 2025
Primary completionActual
Jun 2, 2026
CompletionEst.
Nov 24, 2027
Last update
Jul 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07597668
Lead sponsor
R-Pharm
Responsible party
Sponsor
First posted
May 19, 2026
Start date
Apr 16, 2025
Primary completion
Jun 2, 2026
Completion
Nov 24, 2027 (estimated)
Last update
Jul 14, 2026

Study contacts

Mikhail Samsonov
study director · R-Pharm

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Ocrelizumab

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