Overview
Sponsor-declared trial summary
Multiple Sclerosis
1. PK Group: To demonstrate PK comparability of CT-P53, EU-approved Ocrevus and US-licensed Ocrevus in patients with RRMS 2. Main Study Group: To demonstrate the non-inferiority of CT-P53 to reference drug (EU-approved Ocrevus and US-licensed Ocrevus) in patients with RRMS
Key facts
- Sponsor
- Celltrion Inc.
- Participant type
- Patients
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nervous System Diseases [C10]
- Trial duration
- 16 Jan 2024 → ongoing
- Decision date (initial)
- 2023-11-20
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Celltrion Inc.
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Bioequivalence, Efficacy, Pharmacokinetic, Safety
1. PK Group: To demonstrate PK comparability of CT-P53, EU-approved Ocrevus and US-licensed Ocrevus in patients with RRMS
2. Main Study Group: To demonstrate the non-inferiority of CT-P53 to reference drug (EU-approved Ocrevus and US-licensed Ocrevus) in patients with RRMS
Secondary objectives 2
- PK Group: To assess additional PK and PD parameters of CT-P53, EU-approved Ocrevus and US-licensed Ocrevus
- Main Study Group: To assess the additional efficacy, PK, PD and safety including immunogenicity of CT-P53 and reference drug (EU-approved Ocrevus and US-licensed Ocrevus)
Conditions and MedDRA coding
Multiple Sclerosis
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.1 | PT | 10028245 | Multiple sclerosis | 100000004852 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Ocrevus / CT-P53 This is a double-blind, randomized, active-controlled, parallel group study.
|
Randomised Controlled | Double | [{"id":185845,"code":5,"name":"Carer"},{"id":185847,"code":1,"name":"Subject"},{"id":185846,"code":3,"name":"Monitor"},{"id":185844,"code":2,"name":"Investigator"},{"id":185848,"code":4,"name":"Analyst"}] | CT-P53 treatment group: CT-P53 will be administered for a total of 2 cycles; including two doses of 300 mg of Cycle 1 at Week 0 and Week 2, and then a dose of 600 mg of Cycle 2 at Week 24 by IV. Ocrevus treatment group: EU-Ocrevus or US-Ocrevus will be administered for a total of 2 cycles; including two doses of 300 mg of Cycle 1 at Week 0 and Week 2, and then a dose of 600 mg of Cycle 2 at Week 24 by IV. |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Patient is male or female aged between 18 years and 55 years (both inclusive)
- Patient diagnosed as Multiple Sclerosis (MS) in accordance with the revised McDonald criteria (2017).
- Patient has evidence of recent MS activity as defined in the study protocol.
- Patient has neurological stability for ≥30 days.
- Patient with 0 to 6.0 (both inclusive) on the EDSS score.
Exclusion criteria 6
- Patient diagnosed with primary or secondary progressive MS.
- Patient diagnosed with MS for more than 15 years duration with an EDSS score ≤2.0 at Screening.
- Patient unable to complete or has a contraindication to an MRI
- Patient with contraindications and/or severe hypersensitivity to corticosteroids including methylprednisolone or any of the excipients of study drug or etcs defined in the study protocol.
- Patient who has currently or history of any of medical conditions described in the study protocol.
- Patients who have received or going to receive any of prohibited medications or treatments defined in the study protocol.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 3
- For PK Group: Area under the concentration-time curve from time zero to Week 2 (AUC0-wk2)
- For PK Group: Area under the concentration-time curve from Week 2 to Week 24 (AUCwk2-wk24)
- For Main Study Group: Total number of new GdE lesions on T1-weighted brain MRI up to Week 48
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10355752 · Product
- Active substance
- Ocrelizumab
- Pharmaceutical form
- INJECTION
- Route of administration
- INTRAVENIOUS INFUSION
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 2400 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- CELLTRION
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 2
Ocrevus 300 mg concentrate for solution for infusion
PRD5771848 · Product
- Active substance
- Ocrelizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 2400 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- L04AA36 — -
- Marketing authorisation
- EU/1/17/1231/001
- MA holder
- ROCHE REGISTRATION GMBH
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB121707 · Substance
- Active substance
- Ocrelizumab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS INFUSION
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 2400 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 3
PRD439896 · Product
- Active substance
- Cetirizine Dihydrochloride
- Pharmaceutical form
- ORAL SOLUTION
- Route of administration
- ORAL
- Max daily dose
- 10 mg milligram(s)
- Max total dose
- 50 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- R06AE07 — CETIRIZINE
- Marketing authorisation
- PA0891/008/003
- MA holder
- UCB PHARMA IRELAND LTD (DUBLIN IE)
- MA country
- Ireland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Paracetamol 500 mg HEXAL bei Fieber und Schmerzen, 500 mg Tabletten
PRD829398 · Product
- Active substance
- Paracetamol
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL
- Max daily dose
- 60 mg/kg milligram(s)/kilogram
- Max total dose
- 300 mg/kg milligram(s)/kilogram
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- N02BE01 — PARACETAMOL
- Marketing authorisation
- 3599.99.98-5011790
- MA holder
- HEXAL AG
- MA country
- Germany
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
PRD1577821 · Product
- Active substance
- Methylprednisolone
- Substance synonyms
- 6-METHYLPREDNISOLONE
- Pharmaceutical form
- SOLUTION FOR INJECTION/INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 100 mg milligram(s)
- Max total dose
- 500 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- H02AB04 — METHYLPREDNISOLONE
- Marketing authorisation
- PA 0822/136/002
- MA holder
- PFIZER HEALTHCARE IRELAND
- MA country
- Ireland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Celltrion Inc.
- Sponsor organisation
- Celltrion Inc.
- Address
- 23 Academy Ro, Yeonsu Gu Yeonsu Gu
- City
- Incheon
- Postcode
- 22014
- Country
- Korea, Republic of
Scientific contact point
- Organisation
- Celltrion Inc.
- Contact name
- Clinical Planning
Public contact point
- Organisation
- Celltrion Inc.
- Contact name
- Clinical Operation
Locations
6 EU/EEA countries · 49 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Ongoing, recruitment ended | 72 | 12 |
| Croatia | Ongoing, recruitment ended | 12 | 7 |
| Czechia | Ongoing, recruitment ended | 12 | 5 |
| Poland | Ongoing, recruitment ended | 179 | 16 |
| Romania | Ongoing, recruitment ended | 51 | 5 |
| Spain | Ongoing, recruitment ended | 7 | 4 |
| Rest of world
Serbia, North Macedonia, Moldova, Republic of, Ukraine
|
— | 183 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Bulgaria | 2024-03-06 | 2024-03-07 | 2025-03-27 | ||
| Croatia | 2024-03-25 | 2024-04-24 | 2025-02-18 | ||
| Czechia | 2025-03-26 | 2025-04-15 | 2025-07-01 | ||
| Poland | 2024-01-16 | 2024-01-25 | 2025-07-01 | ||
| Romania | 2024-01-25 | 2024-02-06 | 2025-05-31 | ||
| Spain | 2024-07-29 | 2024-07-31 | 2025-04-10 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 86 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | Clarification letter_Dietary and fluid restrictions for PK group | 1 |
| Protocol (for publication) | Clarification letter_Ig assessment visit window | 1 |
| Protocol (for publication) | Clarification letter_Viral serology follow-up | 1 |
| Protocol (for publication) | CT-P53 3_1_SF_36v2_CZ_08Mar2012_Public | 2.0 |
| Protocol (for publication) | CT-P53 3_1_SF_36v2_ES_08Mar2012_Public | 2.0 |
| Protocol (for publication) | Protocol 2022-501622-37-00_redacted_Public | 3.0 |
| Protocol (for publication) | Protocol 2022-501622-37-00_redacted_Public_track | 3.0 |
| Protocol (for publication) | Statement on Go-Live of CRF before receiving approval for the Protocol amendment to V2_2_BG | 1 |
| Protocol (for publication) | Statement on Go-Live of CRF before receiving approval for the Protocol amendment to V2_2_BG_2 | 1 |
| Protocol (for publication) | Statement on Go-Live of CRF before receiving approval for the Protocol amendment to V2_2_HR | 1 |
| Protocol (for publication) | Statement on Go-Live of CRF before receiving approval for the Protocol amendment to V2_2_PL | 1 |
| Protocol (for publication) | Statement on Go-Live of CRF before receiving approval for the Protocol amendment to V2_2_PL_2 | 1 |
| Protocol (for publication) | Statement on Go-Live of CRF before receiving approval for the Protocol amendment to V2_2_RO | 1 |
| Recruitment arrangements (for publication) | K1_ Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_CT-P53 3_1_Recruitment-Arrangements_ES_v2_0_12Mar2024_Public | 2.0 |
| Recruitment arrangements (for publication) | K1_CT-P53_3-1_Recruitment-Informed-Consent-Procedure_CZ_11Mar2024_Public | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_BG | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_ENG | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment_Informed_Consent_Procedure_PL_Polish_Public | 2.0 |
| Recruitment arrangements (for publication) | K2_Letter-to-Lost-To-Follow-Up-Patient_Site-Specific_PL_Polish_Public | 1 |
| Recruitment arrangements (for publication) | K2_Medical-certificate-of-participation_Site-Specific_PL_Polish_Public | 1 |
| Recruitment arrangements (for publication) | K2_PCP-HCP-Notification_Site-Specific_PL_Polish_Public | 1 |
| Recruitment arrangements (for publication) | K2_Treatment-Assignment-Letter_Site-Specific_PL_Polish_Public | 1 |
| Recruitment arrangements (for publication) | Statement on clarification of recruiting only Non-PK group_Bulgaria_public | 1 |
| Recruitment arrangements (for publication) | Statement on clarification of recruiting only Non-PK group_Croatia | 1 |
| Recruitment arrangements (for publication) | Statement on clarification of recruiting only Non-PK group_Spain_public | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Biomarker_English_Redacted | 1.3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Biomarker_Romanian_Redacted | 1.3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main Extension Period_English_Redacted | 2.4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main Extension Period_Romanian_Redacted | 2.4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_English_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_PK mandatory_English_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_PK mandatory_Romanian_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_Romanian_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Newborn_Spanish_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF PK substudy_English_Redacted | 2.3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF PK substudy_Romanian_Redacted | 2.3 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Pregnancy Partner and Newborn_English | 1.4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Pregnancy Partner and Newborn_Romanian | 1.4 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Pregnant Partner_Spanish_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_Biomarker-ICF_CZ_Czech_Public | 1.3 |
| Subject information and informed consent form (for publication) | L1_Biomarker-ICF_PL_Polish_Public | 1.4 |
| Subject information and informed consent form (for publication) | L1_GDPR-ICF_CZ_Czech_Public | 3.1 |
| Subject information and informed consent form (for publication) | L1_Main-Extension-Period-ICF_CZ_Czech_Public | 2.1 |
| Subject information and informed consent form (for publication) | L1_Main-Extension-Period-ICF_PL_Polish_Public | 2.3 |
| Subject information and informed consent form (for publication) | L1_Main-ICF_CZ_Czech_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_Main-ICF_PL_Polish_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_PK-Substudy-ICF_CZ_Czech_Public | 2.2 |
| Subject information and informed consent form (for publication) | L1_PK-Substudy-ICF_PL_Polish_Public | 2.3 |
| Subject information and informed consent form (for publication) | L1_Pregnant-Partner-ICF_CZ_Czech_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_Pregnant-Partner-ICF_PL_Polish_Public | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Biomarker_Bulgarian_Public | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Biomarker_Croatian_Public | 1.4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Biomarker_English_Public | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Biomarker_Spanish_Public | 1.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Extension Period_Croatian_Public | 2.3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Extention Period_Bulgarian_Public | 2.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Extention Period_English_Public | 2.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Extention Period_Spanish_Public | 2.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Bulgarian_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Croatian_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_English_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Spanish_Public | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy and Newborn_Croatian_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner and Newborn_Bulgarian_Public | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner and Newborn_English_Public | 1.2 |
| Subject information and informed consent form (for publication) | L2_Patient card Bulgaria_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Patient card Croatia_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Patient card Romania_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Patient Card_CZ_Czech_Public | 1.0 |
| Subject information and informed consent form (for publication) | L2_Patient-Card_PL_POL_Public | 1 |
| Subject information and informed consent form (for publication) | L2_SF_36v2_CZ_Czech_Public | 2.0 |
| Subject information and informed consent form (for publication) | L2_SF-36 Survey Bulgaria | 1 |
| Subject information and informed consent form (for publication) | L2_SF-36 Survey Croatia | 1 |
| Subject information and informed consent form (for publication) | L2_SF-36 Survey Romania | 1 |
| Subject information and informed consent form (for publication) | L2_SF-36v2-Patient-Questionnaire_PL_POL_Public | 2 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_Prescribing Information Ocrevus | 3.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Ocrevus | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_BG_2022-501622-37-00_redacted_Public | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_CZ_2022-501622-37-00_Public | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_ENG_2022-501622-37-00_redacted_Public | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_ES_2022-501622-37-00_redacted_Public | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_HR_2022-501622-37-00_redacted_Public | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_PL_2022-501622-37-00_redacted_Public | 3.0 |
| Synopsis of the protocol (for publication) | Protocol synopsis_RO_2022-501622-37-00_redacted_Public | 3.0 |
Application history
17 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-04-28 | Poland | Acceptable with conditions 2023-08-21
|
2023-10-16 |
| 2 | SUBSTANTIAL MODIFICATION | SM-2 | 2023-11-28 | Poland | Acceptable 2024-02-12
|
2024-02-16 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-03-27 | Poland | Acceptable 2024-02-12
|
2024-03-27 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-03-27 | Poland | Acceptable 2024-02-12
|
2024-03-27 |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2024-03-27 | Poland | Acceptable | 2024-04-29 |
| 6 | SUBSEQUENT ADDITION OF MSC | APP-6 | 2024-04-05 | Acceptable 2024-02-12
|
2024-07-01 | |
| 7 | SUBSEQUENT ADDITION OF MSC | APP-7 | 2024-04-05 | Acceptable 2024-02-12
|
2024-07-01 | |
| 8 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2024-07-04 | Acceptable 2024-02-12
|
2024-07-04 | |
| 9 | NON SUBSTANTIAL MODIFICATION | NSM-6 | 2024-07-08 | Acceptable 2024-02-12
|
2024-07-08 | |
| 10 | SUBSTANTIAL MODIFICATION | SM-5 | 2024-07-12 | Poland | Acceptable 2024-10-21
|
2024-10-22 |
| 11 | NON SUBSTANTIAL MODIFICATION | NSM-7 | 2024-10-30 | Poland | Acceptable 2024-10-21
|
2024-10-30 |
| 12 | SUBSTANTIAL MODIFICATION | SM-7 | 2024-11-08 | Poland | Acceptable 2025-03-03
|
2025-03-04 |
| 13 | NON SUBSTANTIAL MODIFICATION | NSM-8 | 2025-04-23 | Poland | Acceptable 2025-03-03
|
2025-04-23 |
| 14 | SUBSTANTIAL MODIFICATION | SM-8 | 2025-05-21 | Poland | Acceptable 2025-07-21
|
2025-07-24 |
| 15 | SUBSTANTIAL MODIFICATION | SM-9 | 2025-12-19 | Poland | Acceptable 2026-04-09
|
2026-04-10 |
| 16 | NON SUBSTANTIAL MODIFICATION | NSM-9 | 2026-04-22 | Poland | Acceptable 2026-04-09
|
2026-04-22 |
| 17 | SUBSTANTIAL MODIFICATION | SM-10 | 2026-05-15 | Acceptable | 2026-06-02 |