A Study Evaluating the Patient Perspective of the Physical Impact of Multiple Sclerosis and Providing Continued Access to Treatment in Patients with Multiple Sclerosis Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Study and without Access to A Post Trial Access Program

2023-507633-21-01 Protocol MN45053 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 9 Dec 2024 · Status Authorised, recruiting · 3 EU/EEA countries · 25 sites · Protocol MN45053

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 278
Countries 3
Sites 25

Multiple Sclerosis

To evaluate the physical impact of multiple sclerosis from a patient’s perspective and provide continued access to ocrelizumab

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]
Trial duration
9 Dec 2024 → ongoing
Decision date (initial)
2025-11-28
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
F. Hoffmann-La Roche AG

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety, Efficacy

To evaluate the physical impact of multiple sclerosis from a patient’s perspective and provide continued access to ocrelizumab

Secondary objectives 1

  1. To evaluate the safety and tolerability of ocrelizumab

Conditions and MedDRA coding

Multiple Sclerosis

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

Plan to share IPD
No
IPD plan description
N/A
EU CT numberTitleSponsor
2021-006107-15 LONG-TERM EFFECTIVENESS AND SAFETY EVALUATION OF OCRELIZUMAB IN FRENCH PATIENTS WITH PROGRESSIVE MS: CONSONANCE EXTENSION STUDY
2023-507633-21-00 An Open-Label, Multicenter Extension 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 F. Hoffmann-La Roche AG
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. Patients who were on ongoing ocrelizumab treatment on one of the following parent studies (Studies MN39159/CONSONANCE, BN42082/MUSETTE, BN42083/GAVOTTE, BN44083/GLOBEAM, MN43978/CONSONANCE Ext., WA40404/O’HAND, MN43964/OLERO, GN41791/FENTREPID, BP46016/ MINTAKA, CN41144/OCARINA I-SC, CN42097/OCARINA II-SC) at the time of roll-over and who do not have access to the ocrelizumab treatment locally
  3. 3. The first dose of study treatment in this extension study will be received no earlier than 5 months after the last treatment in the parent study
  4. 4. Ability to comply with the extension study protocol, per investigator’s judgement
  5. 5. Negative urine pregnancy test within 24 hours to first dose administered on MN45053 study treatment in women of childbearing potential
  6. 6. Requirements for contraception and pregnancy testing For female participants of childbearing potential: : agreement to remain abstinent or use acceptable contraceptive methods during the treatment period and for 6 months after the final dose of ocrelizumab Participants are considered to be of childbearing potential if they are postmenarcheal, has not reached a postmenopausal state (12 continuous months of amenorrhea with no identified cause other than menopause), and has not undergone surgical sterilization (removal of ovaries and/or uterus). The definition of childbearing potential may be adapted for alignment with local guidelines or requirements As defined by the guidelines, the following contraceptive methods are considered acceptable: (1) Progestogen-only oral hormonal contraception, where inhibition of ovulation is not the primary mode of action; (2) Male or female condom with or without spermicide; (3) Cap, diaphragm, or sponge with spermicide; (4) Combination of male condom with cap, diaphragm, or sponge with spermicide (double-barrier method) Birth control methods that are highly effective (i.e., failure rate <1%) may also be used but are not required, and include: (1) Oral, intravaginal, or transdermal combined hormonal contraception associated with inhibition of ovulation. (2) Oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation. (3) Intrauterine device. (4) Intrauterinehormone-releasing system. (5) Bilateral tubal occlusion. (6) Vasectomized partner. (7) Sexual abstinence

Exclusion criteria 6

  1. 1. Study treatment is commercially marketed in the patient’s country for the patient-specific disease and is reasonably accessible to the patient
  2. 2. Study treatment is available via Post Trial Access Program (PTAP) in the patient’s country and is accessible to the patient
  3. 3. Permanent premature 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)
  4. 4. 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
  5. 5. Concurrent participation in any therapeutic clinical trial (other than the parent study)
  6. 6. Hypersensitivity to the active substance

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. 1. Change from baseline to end of study in Patient-Reported Outcome Measure Information System/Quality of Life in Neurological Disorders Physical Function Measure for Multiple Sclerosis 15a (PROMISnq PFMS-15a)
  2. 2. Number of eligible participants who have received access to ocrelizumab in the study (time frame: up to 5 years)

Secondary endpoints 1

  1. 1. The incidence, nature, severity and outcome of serious adverse events, adverse events leading to discontinuation, and adverse events of special interest

Investigational products

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

Test 2

Ocrevus 920 mg solution for injection

PRD11419726 · 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
Authorised
ATC code
L04AA36 — -
Marketing authorisation
EU/1/17/1231/003
MA holder
ROCHE REGISTRATION GMBH
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ocrevus 300 mg concentrate for solution for infusion

PRD5771848 · Product

Active substance
Ocrelizumab
Pharmaceutical form
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
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

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

Locations

3 EU/EEA countries · 25 investigational sites

By country

CountryMS statusPlanned subjectsSites
Bulgaria Authorised, recruitment pending 30 5
France Ongoing, recruiting 69 17
Germany Ongoing, recruiting 37 3
Rest of world
United States
142

Investigational sites

Bulgaria

5 sites · Authorised, recruitment pending
University First multiprofile hospital for active treatment Sofia St. Joan Krastitel EAD
Neurological clinic - nervous diseases, Bulevard Patriarh Evtimiy 37, 1142, Sofiya
Multiprofile Hospital For Active Treatment In Neurology And Psychiatry St. Naum EAD
Multiple sclerosis department at the clinic for nervous diseases for movement disorders, Ulitsa Dr Lyuben Rusev 1, 1113, Sofia
Multiprofile Hospital For Active Treatment Avis Medika OOD
Neurological clinic - nervous diseases, Ulitsa Kosta Hadzhipakev 7, 5801, Pleven
University Multiprofile Hospital For Active Treatment Dr. Georgi Stranski EAD
Neurological clinic - nervous diseases, Ulitsa Georgi Kochev 8a, 5803, Pleven
Military Medical Academy
Neurological clinic - nervous diseases, Ulitsa Sveti Georgi Sofiyski 3, 1606, Sofiya

France

17 sites · Ongoing, recruiting
Centre Hospitalier Regional Et Universitaire De Brest
Service neurologie, Boulevard Tanguy Prigent, 29200, Brest
Hospices Civils De Lyon
Service neurologie, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Bordeaux
Service neurologie, Place Amelie Raba Leon, 33000, Bordeaux
Centre Hospitalier Universitaire De Lille
Service neurologie, Avenue Du Professeur Emile Laine, 59037, Lille Cedex
Centre Hospitalier De La Cote Basque
Service neurologie, 13 Avenue Interne Jacques Loeb, 64100, Bayonne
Centre Hospitalier Universitaire De Nice
Service neurologie, 30 Voie Romaine, 06000, Nice
Centre Hospitalier Universitaire De Nimes
Service neurologie, 4 Place Du Professeur Robert Debre, Bp 40026, Nimes Cedex 9
CHRU De Nancy
Service neurologie, 29 Avenue Du Mal De Lattre De Tassigny, 54000, Nancy
Centre Hospitalier Universitaire Amiens Picardie
Service neurologie, 1 Place Victor Pauchet, 80080, Amiens
University Hospital Of Clermont-Ferrand
Service neurologie, 58 Rue Montalembert, 63003, Clermont Ferrand Cedex 1
Centre Hospitalier Universitaire De Nantes
Service neurologie, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Centre Hospitalier Intercommunal De Poissy Saint Germain
Service neurologie, Residence Les Maisonnees, 10 Rue Du Champ Gaillard, Poissy
CHU Besancon
Service neurologie, 3 Boulevard Alexander Fleming, Cs 81816, Besancon Cedex
Centre Hospitalier Universitaire De Caen Normandie
Service neurologie, Avenue De La Cote De Nacre, Cs 30001, Caen Cedex 9
Groupement Des Hopitaux De L'Institut Catholique De Lille
Service neurologie, Boulevard De Belfort, P. O. Box 387, Lille Cedex
Centre Hospitalier Universitaire De Montpellier
Service neurologie, 191 Avenue Du Doyen Gaston Giraud, 34295, Montpellier Cedex 5
Les Hopitaux Universitaires De Strasbourg
Service neurologie, 1 Avenue Moliere, Bp 49, Strasbourg Cedex 2

Germany

3 sites · Ongoing, recruiting
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
DKD HELIOS Klinik Wiesbaden GmbH
Neurologie, Aukammallee 33, Bierstadt, Wiesbaden
NeuroPoint Gesellschaft fur vorbeugende Gesundheitspflege GmbH
-, Muensterplatz 32, Mitte, Ulm

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-12-12 2024-12-23
Germany 2024-12-09 2024-12-13

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 23 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) d1_protocol-2023-507633-21-01-redacted 6
Protocol (for publication) d4_patient-facing-documents_promisnq-sf BG 2
Protocol (for publication) d4_patient-facing-documents_promisnq-sf DEDE 2
Protocol (for publication) d4_patient-facing-documents_promisnq-sf ENG 2.0
Protocol (for publication) d4_patient-facing-documents_promisnq-sf FRFR 2
Recruitment arrangements (for publication) Document additionnel_CTR_REDACTED 2
Recruitment arrangements (for publication) K1_MN45053_DEU_Recruitment and Informed Consent Procedure 1
Recruitment arrangements (for publication) K1_RecruitmentArrangements_BG_MN45053 1
Recruitment arrangements (for publication) K1_RecruitmentArrangements_EN_MN45053 1
Recruitment arrangements (for publication) Recruitment and Informed consent procedure 2
Subject information and informed consent form (for publication) L1_SIS and ICF MAIN_MN45053 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF Schwangere Partnerin_MN45053 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Schwangere Patientin_MN45053 4.0
Subject information and informed consent form (for publication) L1_SISandICF_MAIN_BG_MN45053_CL 2
Subject information and informed consent form (for publication) L2_IAF_BG_N45053_CL 1
Subject information and informed consent form (for publication) Recruitment and Informed consent procedure 2
Subject information and informed consent form (for publication) SIS and ICF collection of infant health 4
Subject information and informed consent form (for publication) SIS and ICF main 5
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Ocrelizumab NA
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Ocrelizumab NA
Synopsis of the protocol (for publication) d1_protocol-synopsis_bgbg-2023-507633-21-01 5
Synopsis of the protocol (for publication) d1_protocol-synopsis_eng-2023-507633-21-01 5
Synopsis of the protocol (for publication) d1_protocol-synopsis_frfr-2023-507633-21-01 5

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-07 France Acceptable
2024-11-22
2024-11-22
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-12-04 Acceptable
2024-11-22
2024-12-04
3 SUBSTANTIAL MODIFICATION SM-1 2025-02-19 France Acceptable
2025-04-07
2025-04-08
4 SUBSTANTIAL MODIFICATION SM-2 2025-06-02 France Acceptable
2025-09-05
2025-09-05
5 NON SUBSTANTIAL MODIFICATION NSM-2 2025-09-11 France Acceptable
2025-09-05
2025-09-11
6 SUBSEQUENT ADDITION OF MSC APP-6 2025-09-23 Acceptable
2025-09-05
2025-11-28
7 SUBSTANTIAL MODIFICATION SM-3 2026-01-22 France Acceptable
2026-03-23
2026-03-25