A Study Providing Continued Access to Treatment in Patients with a Neurological Disease Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Study and without Access to A Post Trial Access Program

2023-507633-21-00 Protocol MN45053 Therapeutic confirmatory (Phase III) Not authorised

Status Not authorised · 3 EU/EEA countries · 24 sites · Protocol MN45053

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Not authorised
Participants planned 338
Countries 3
Sites 24

Neurological Disease

To provide continued treatment with Roche IMP(s)-based therapy for eligible patients with a neurological disease still on study treatment at the time of roll-over from the parent study who do not have reasonable access to the study treatment locally.

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Decision date (initial)
2024-04-24
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann-La Roche AG

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Others, Therapy

To provide continued treatment with Roche IMP(s)-based therapy for eligible patients with a neurological disease still on study treatment at the time of roll-over from the parent study who do not have reasonable access to the study treatment locally.

Secondary objectives 1

  1. Not applicable (N/A)

Conditions and MedDRA coding

Neurological Disease

VersionLevelCodeTermSystem organ class
21.1 LLT 10029298 Neurological disorder NOS 10029205

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 AN OPEN-LABEL, MULTICENTER EXTENSION STUDY IN PATIENTS WITH NEUROLOGICAL DISEASE PREVIOUSLY ENROLLED
This is an open-label, multicenter, extension study. Patients with a neurological disease who are receiving clinical benefit from Roche IMP(s) monotherapy or in combination with other agent(s) during participation in a Genentech- or Roche-sponsored study including rollover of those patients to an Investigator-Initiated Study (IIS), who are eligible to continue treatment and who do not have reasonable access to the study treatment locally, may continue to receive study treatment in this extension study following roll-over from the parent study. Prior to enrollment in this extension study, the investigator will assess whether continuing treatment in the study is in the best interest for each patient by assessing their individual benefit risk.
Not Applicable None Arm A: Multiple Sclerosis patients continued access to Ocrevus

Regulatory references

EU CT numberTitleSponsor
2021-006107-15 LONG-TERM EFFECTIVENESS AND SAFETY EVALUATION OF OCRELIZUMAB IN FRENCH PATIENTS WITH PROGRESSIVE MS: CONSONANCE EXTENSION STUDY
2017-001313-93 AN OPEN-LABEL, SINGLE-ARM 4-YEAR STUDY TO EVALUATE EFFECTIVENESS AND SAFETY OF OCRELIZUMAB TREATMENT IN PATIENTS WITH PROGRESSIVE MULTIPLE SCLEROSIS, ESTUDIO ABIERTO DE UN SOLO GRUPO Y CUATRO AÑOS DE DURACIÓN PARA EVALUAR LA EFECTIVIDAD Y LA SEGURIDAD DEL TRATAMIENTO CON OCRELIZUMAB EN PACIENTES CON ESCLEROSIS MÚLTIPLE PROGRESIVA, OTEVŘENÉ, JEDNORAMENNÉ, ČTYŘLETÉ KLINICKÉ HODNOCENÍ ZA ÚČELEM POSOUZENÍ ÚČINNOSTI A BEZPEČNOSTI LÉČBY OCRELIZUMABEM U PACIENTŮ S PROGRESIVNÍ ROZTROUŠENOU SKLERÓZOU, OTEVŘENÉ, JEDNORAMENNÉ, ČTYŘLETÉ KLINICKÉ HODNOCENÍ ZA ÚČELEM POSOUZENÍ ÚČINNOSTI A BEZPEČNOSTI LÉČBY OCRELIZUMABEM U PACIENTŮ S PROGRESIVNÍ ROZTROUŠENOU SKLERÓZOU, OTEVŘENÉ, JEDNORAMENNÉ, ČTYŘLETÉ KLINICKÉ HODNOCENÍ ZA ÚČELEM POSOUZENÍ ÚČINNOSTI A BEZPEČNOSTI LÉČBY OCRELIZUMABEM U PACIENTŮ S PROGRESIVNÍ ROZTROUŠENOU SKLERÓZOU, OTEVŘENÉ, JEDNORAMENNÉ, ČTYŘLETÉ KLINICKÉ HODNOCENÍ ZA ÚČELEM POSOUZENÍ ÚČINNOSTI A BEZPEČNOSTI LÉČBY OCRELIZUMABEM U PACIENTŮ S PROGRESIVNÍ ROZTROUŠENOU SKLERÓZOU, OTEVŘENÉ, JEDNORAMENNÉ, ČTYŘLETÉ KLINICKÉ HODNOCENÍ ZA ÚČELEM POSOUZENÍ ÚČINNOSTI A BEZPEČNOSTI LÉČBY OCRELIZUMABEM U PACIENTŮ S PROGRESIVNÍ ROZTROUŠENOU SKLERÓZOU, AZ OCRELIZUMAB KEZELÉS HATÉKONYSÁGÁNAK ÉS BIZTONSÁGOSSÁGÁNAK NYÍLT ELRENDEZÉSŰ, 4 ÉVIG TARTÓ, EGYKAROS VIZSGÁLATA PROGRESSZÍV SZKLERÓZIS MULTIPLEXBEN SZENVEDŐ BETEGEK ESETÉBEN, STUDIO IN APERTO, A SINGOLO BRACCIO, DELLA DURATA DI 4 ANNI, PER VALUTARE L’EFFICACIA E LA SICUREZZA DEL TRATTAMENTO CON OCRELIZUMAB IN PAZIENTI CON SCLEROSI MULTIPLA PROGRESSIVA
2020-005448-48 A PHASE III, NON-INFERIORITY, RANDOMIZED, OPEN-LABEL, PARALLEL GROUP, MULTICENTER STUDY TO INVESTIGATE THE PHARMACOKINETICS, PHARMACODYNAMICS, SAFETY AND RADIOLOGICAL AND CLINICAL EFFECTS OF SUBCUTANEOUS OCRELIZUMAB VERSUS INTRAVENOUS OCRELIZUMAB IN PATIENTS WITH MULTIPLE SCLEROSIS, RANDOMIZOVANÉ, OTEVŘENÉ, MULTICENTRICKÉ KLINICKÉ HODNOCENÍ NON-INFERIORITY, S PARALELNÍMI SKUPINAMI, FÁZE III, ZKOUMAJÍCÍ FARMAKOKINETIKU, FARMAKODYNAMIKU, BEZPEČNOST, RADIOLOGICKÉ A KLINICKÉ ÚČINKY OCRELIZUMABU PODÁVANÉHO SUBKUTÁNNĚ OPROTI OCRELIZUMABU PODÁVANÉMU INTRAVENÓZNĚ U PACIENTŮ S ROZTROUŠENOU SKLERÓZOU, RANDOMIZOVANÉ, OTEVŘENÉ, MULTICENTRICKÉ KLINICKÉ HODNOCENÍ NON-INFERIORITY, S PARALELNÍMI SKUPINAMI, FÁZE III, ZKOUMAJÍCÍ FARMAKOKINETIKU, FARMAKODYNAMIKU, BEZPEČNOST, RADIOLOGICKÉ A KLINICKÉ ÚČINKY OCRELIZUMABU PODÁVANÉHO SUBKUTÁNNĚ OPROTI OCRELIZUMABU PODÁVANÉMU INTRAVENÓZNĚ U PACIENTŮ S ROZTROUŠENOU SKLERÓZOU, RANDOMIZOVANÉ, OTEVŘENÉ, MULTICENTRICKÉ KLINICKÉ HODNOCENÍ NON-INFERIORITY, S PARALELNÍMI SKUPINAMI, FÁZE III, ZKOUMAJÍCÍ FARMAKOKINETIKU, FARMAKODYNAMIKU, BEZPEČNOST, RADIOLOGICKÉ A KLINICKÉ ÚČINKY OCRELIZUMABU PODÁVANÉHO SUBKUTÁNNĚ OPROTI OCRELIZUMABU PODÁVANÉMU INTRAVENÓZNĚ U PACIENTŮ S ROZTROUŠENOU SKLERÓZOU, RANDOMIZOVANÉ, OTEVŘENÉ, MULTICENTRICKÉ KLINICKÉ HODNOCENÍ NON-INFERIORITY, S PARALELNÍMI SKUPINAMI, FÁZE III, ZKOUMAJÍCÍ FARMAKOKINETIKU, FARMAKODYNAMIKU, BEZPEČNOST, RADIOLOGICKÉ A KLINICKÉ ÚČINKY OCRELIZUMABU PODÁVANÉHO SUBKUTÁNNĚ OPROTI OCRELIZUMABU PODÁVANÉMU INTRAVENÓZNĚ U PACIENTŮ S ROZTROUŠENOU SKLERÓZOU, ESTUDIO DE FASE III DE NO INFERIORIDAD, ALEATORIZADO, ABIERTO, DE GRUPOS PARALELOS Y MULTICÉNTRICO PARA INVESTIGAR LA FARMACOCINÉTICA, LA FARMACODINÁMICA, LA SEGURIDAD Y LOS EFECTOS RADIOLÓGICOS Y CLÍNICOS DE OCRELIZUMAB SUBCUTÁNEO EN COMPARACIÓN CON OCRELIZUMAB INTRAVENOSO EN PACIENTES CON ESCLEROSIS MÚLTIPLE, STUDIO DI FASE III DI NON-INFERIORITÀ, RANDOMIZZATO, IN APERTO, A GRUPPI PARALLELI E MULTICENTRICO PER VALUTARE LA FARMACOCINETICA, LA FARMACODINAMICA, LA SICUREZZA E GLI EFFETTI RADIOLOGICI E CLINICI DI OCRELIZUMAB PER VIA SOTTOCUTANEA VERSUS OCRELIZUMAB PER VIA ENDOVENOSA IN PAZIENTI CON SCLEROSI MULTIPLA

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. 1. Signed extension study Informed Consent Form
  2. 2. Eligible for continuing on Roche IMP-based therapy at the time of roll-over from the parent study, as per the parent study protocol
  3. 3. First dose of study treatment in this extension study will be received within the treatment window allowed by the parent study.
  4. 4. Continue to benefit from the Roche active substance at the time of roll-over from the parent study as assessed by the investigator
  5. 5. Ability to comply with the extension study protocol, per investigator’s judgement
  6. 6. Negative urine pregnancy test within 24 hours to first dose administered on MN45053 study treatment in women of childbearing potential

Exclusion criteria 6

  1. 1. Meet any of the study treatment discontinuation criteria specified in the parent study at the time of enrollment in this extension study
  2. 2. Study treatment is commercially marketed in the patient’s country for the patient-specific disease and is reasonably accessible to the patient
  3. 3. Study treatment is available via Post Trial Access Program (PTAP) in the patient’s country and is accessible to the patient
  4. 4. Treatment with any other neurological treatment (other than treatment permitted in the parent study) during the time between last treatment in the parent study and the first dose of study treatment in this extension study
  5. 5. Permanent discontinuation of study treatment for any reason during the parent study or during the time between last treatment in the parent study and the first dose of study treatment in this extension study (if applicable)
  6. 6. Any condition that, in the opinion of the investigator, would interfere with the interpretation of patient safety or place the patient at high risk for treatment-related complications

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Not available

Secondary endpoints 1

  1. N/A

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Ocrelizumab

PRD113235 · Product

Active substance
Ocrelizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
600 mg milligram(s)
Max total dose
6000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Ocrevus

PRD10886506 · Product

Active substance
Ocrelizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
920 mg milligram(s)
Max total dose
9200 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Auxiliary 4

Dexamethasone Acetate

SCP10332310 · ATC

Active substance
Dexamethasone Acetate
Route of administration
ORAL AND IV
Max daily dose
20 mg milligram(s)
Max total dose
220 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
H02AB02 — DEXAMETHASONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

R06A · Product

Pharmaceutical form
-
Route of administration
ORAL AND IV
Max daily dose
50 mg milligram(s)
Max total dose
550 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
R06A — ANTIHISTAMINES FOR SYSTEMIC USE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

-

N02B · Product

Pharmaceutical form
-
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
11000 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
N02B — OTHER ANALGESICS AND ANTIPYRETICS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Lidocaine Hydrochloride Monohydrate

SCP1095637 · ATC

Active substance
Lidocaine Hydrochloride Monohydrate
Route of administration
INTRAVENOUS
Max daily dose
100 mg milligram(s)
Max total dose
1100 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
H02AB04 — METHYLPREDNISOLONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

F. Hoffmann-La Roche AG

Sponsor organisation
F. Hoffmann-La Roche AG
Address
Grenzacherstrasse 124
City
Basel
Postcode
4058
Country
Switzerland

Scientific contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Public contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Third parties 2

OrganisationCity, countryDuties
Parexel International Limited
ORG-100008700
Uxbridge, United Kingdom Data management
Almac Clinical Technologies LLC
ORG-100043036
Souderton, United States Interactive response technologies (IRT)

Locations

3 EU/EEA countries · 24 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Not authorised 90 8
France Not authorised 69 12
Germany Not authorised 37 4
Rest of world
United States
142

Investigational sites

Czechia

8 sites · Not authorised
Fakultni Nemocnice Ostrava
Neurology, 17. Listopadu 1790/5, 708 00, Poruba
Fakultni Nemocnice U Sv Anny V Brne
Neurology, Pekarska 53, Stare Brno, Brno-Stred
Fakultni Nemocnice Hradec Kralove
Neurology, Sokolska 581, 500 03, Novy Hradec Kralove
Krajska zdravotni a.s.
Neurology, Duchcovska 53, 415 01, Teplice
Nemocnice Jihlava prispevkova organizace
Neurology, Vrchlickeho 4630/59, 586 01, Jihlava 1
Nemocnice Pardubickeho kraje a.s.
Neurology, Kyjevska 44 Pardubicky, 530 03, Pardubice
Vseobecna Fakultni Nemocnice V Praze
Neurology, Karlovo Namesti 554/32, Nove Mesto, Prague 2
Fakultni Nemocnice V Motole
Neurology, V Uvalu 84/1, Motol, Prague 5

France

12 sites · Not authorised
Hospices Civils De Lyon
Service neurologie, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire Amiens Picardie
Service neurologie, 1 Place Victor Pauchet, 80080, Amiens
Centre Hospitalier Universitaire De Nimes
Service neurologie, 4 Place Du Professeur Robert Debre, Bp 40026, Nimes Cedex 9
University Hospital Of Clermont-Ferrand
Service neurologie, 58 Rue Montalembert, 63003, Clermont Ferrand Cedex 1
Centre Hospitalier Universitaire De Rennes
Service neurologie, 2 Rue Henri Le Guilloux, 35000, Rennes
Centre Hospitalier Universitaire De Nice
Service neurologie, 30 Voie Romaine, 06000, Nice
Centre Hospitalier Universitaire De Caen Normandie
Service neurologie, Avenue De La Cote De Nacre, Cs 30001, Caen Cedex 9
Centre Hospitalier Universitaire De Bordeaux
Service neurologie, Place Amelie Raba Leon, 33000, Bordeaux
Centre Hospitalier De La Cote Basque
Service neurologie, 13 Avenue Interne Jacques Loeb, 64100, Bayonne
Les Hopitaux Universitaires De Strasbourg
Service neurologie, 1 Avenue Moliere, Bp 49, Strasbourg Cedex 2
Centre Hospitalier Universitaire De Lille
Service neurologie, Avenue Du Professeur Emile Laine, 59037, Lille Cedex
Centre Hospitalier Universitaire De Montpellier
Service neurologie, 191 Avenue Du Doyen Gaston Giraud, 34295, Montpellier Cedex 5

Germany

4 sites · Not authorised
DKD HELIOS Klinik Wiesbaden GmbH
Neurologie, Aukammallee 33, Bierstadt, Wiesbaden
NeuroPoint Gesellschaft fur vorbeugende Gesundheitspflege GmbH
-, Muensterplatz 32, Mitte, Ulm
Dr. med. Joachim Springub Facharzt fuer Neurologie u. Psychiatrie Zusatzbezeichnung Psychotherapie Wolfgang Schwarz Facharzt fuer Neurologie Zusatzbezeichnung Psychotherapie Partnerschaft
Studienzentrum Nordwest, Lange Strasse 25, 26655, Westerstede
Technische Universitat Dresden
Neurologische Uniklinik, Fetscherstrasse 74, Johannstadt-Nord, Dresden

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-12-18 France Not acceptable
2024-04-22
2024-04-23