Overview
Sponsor-declared trial summary
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
- To evaluate the safety and tolerability of ocrelizumab
Conditions and MedDRA coding
Multiple Sclerosis
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10029298 | Neurological disorder NOS | 10029205 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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 number | Title | Sponsor |
|---|---|---|
| 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. Signed extension study Informed Consent Form
- 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. 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. Ability to comply with the extension study protocol, per investigator’s judgement
- 5. Negative urine pregnancy test within 24 hours to first dose administered on MN45053 study treatment in women of childbearing potential
- 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. Study treatment is commercially marketed in the patient’s country for the patient-specific disease and is reasonably accessible to the patient
- 2. Study treatment is available via Post Trial Access Program (PTAP) in the patient’s country and is accessible to the patient
- 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. 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. Concurrent participation in any therapeutic clinical trial (other than the parent study)
- 6. Hypersensitivity to the active substance
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- 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. Number of eligible participants who have received access to ocrelizumab in the study (time frame: up to 5 years)
Secondary endpoints 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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Authorised, recruitment pending | 30 | 5 |
| France | Ongoing, recruiting | 69 | 17 |
| Germany | Ongoing, recruiting | 37 | 3 |
| Rest of world
United States
|
— | 142 | — |
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 |
|---|---|---|---|---|---|
| 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |