Personalized dosing of ocrelizumab in MS

2024-513193-22-00 Phase III and Phase IV (Integrated) Ongoing, recruitment ended

Start 16 Mar 2022 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 22 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruitment ended
Participants planned 296
Countries 1
Sites 22

Multiple Sclerosis

With this study we aim to prove that personalized B cell tailored ocrelizumab treatment is non-inferior in the suppression of MS disease activity compared to the standard (fixed 24 week interval) treatment.

Key facts

Sponsor
Amsterdam UMC Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
16 Mar 2022 → ongoing
Decision date (initial)
2024-09-17
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-513193-22-00
EudraCT number
2021-004791-34

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Dose response, Pharmacodynamic

With this study we aim to prove that personalized B cell tailored ocrelizumab treatment is non-inferior in the suppression of MS disease activity compared to the standard (fixed 24 week interval) treatment.

Conditions and MedDRA coding

Multiple Sclerosis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. A current diagnosis of relapsing remitting multiple sclerosis according to the 2017 McDonald criteria
  2. Age of 18 or older
  3. EDSS score of 0 to 6.5 inclusive
  4. Treatment with ocrelizumab for a minimum of 48 weeks (two 300 mg infusions and one 600 mg infusion)
  5. Last ocrelizumab interval not extended, maximum of 7,5 months between the infusions

Exclusion criteria 5

  1. Previous treatment with alemtuzumab, cladribine or stem cell transplantation
  2. Relapse in the past 3 months prior to inclusion
  3. Subsequent treatment with another DMT next to ocrelizumab in the past 6 months prior to inclusion
  4. Inability to undergo regular MRI scanning
  5. Women who are pregnant or expect to become pregnant during the study period

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The two co-primary end points are the difference of percentage of confirmed relapse-free patients between the two treatment groups after 96 weeks follow-up and the difference of percentage of patients without new/enlarging T2 MRI lesions between the two treatment groups after 96 weeks follow-up.

Investigational products

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

Test 1

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
48000 mg milligram(s)
Max treatment duration
480 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

Amsterdam UMC Stichting

Sponsor organisation
Amsterdam UMC Stichting
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Amsterdam UMC Stichting
Contact name
J.Killestein

Public contact point

Organisation
Amsterdam UMC Stichting
Contact name
J.Killestein

Locations

1 EU/EEA country · 22 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruitment ended 296 22
Rest of world 0

Investigational sites

Netherlands

22 sites · Ongoing, recruitment ended
Alrijne Zorggroep Stichting
Neurology, Simon Smitweg 1, 2353 GA, Leiderdorp
Medisch Spectrum Twente
Neurology, Koningsplein 1, 7512 KZ, Enschede
Amphia Hospital
Neurology, Molengracht 21, 4818 CK, Breda
Streekziekenhuis Koningin Beatrix
Neurology, Beatrixpark 1, 7101 BN, Winterswijk
Slingeland Ziekenhuis
Neurology, Kruisbergseweg 25, 7009 BL, Doetinchem
Reinier de Graaf Groep
Neurology, Reinier De Graafweg 5, 2625 AD, Delft
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Neurology, Dr. Molewaterplein 60, 3015 GJ, Rotterdam
Maasstad Ziekenhuis Stichting
Neurology, Maasstadweg 21, 3079 DZ, Rotterdam
Groene Hart Ziekenhuis
Neurology, Bleulandweg 10, 2803 HH, Gouda
Ommelander Ziekenhuis Groningen B.V.
Neurology, Pastorieweg 1, 9679 BJ, Scheemda
Amsterdam UMC Stichting
Neurology, De Boelelaan 1117, 1081 HV, Amsterdam
St. Antonius Ziekenhuis
Neurology, Koekoekslaan 1, 3435 CM, Nieuwegein
Zuyderland Medisch Centrum Stichting
Neurology, Dr. H. Van Der Hoffplein 1, 6162 BG, Geleen
Rijnstate Ziekenhuis Stichting
Neurology, Wagnerlaan 55, 6815 AD, Arnhem
Wilhelmina Ziekenhuis Assen
Neurology, Europaweg-Zuid 1, 9401 RK, Assen
Flevoziekenhuis Stichting
Neurology, Hospitaalweg 1, 1315 RA, Almere
Jeroen Bosch Ziekenhuis Stichting
Neurology, Henri Dunantstraat 1, 5223 GZ, 'S-Hertogenbosch
Spaarne Gasthuis Stichting
Neurology, Spaarnepoort 1, 2134 TM, Hoofddorp
Noordwest Ziekenhuisgroep Stichting
Neurology, Wilhelminalaan 12, 1815 JD, Alkmaar
Olvg
Neurology, Oosterpark 9, Netherlands, Amsterdam
Isala Klinieken Stichting
Neurology, Dokter Van Heesweg 2, 8025 AB, Zwolle
Haga Hospital
Neurology, Els Borst-Eilersplein 275, 2545 AA, 's-Gravenhage

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2022-03-16 2022-04-20 2025-02-27

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-513193-22-00 7
Recruitment arrangements (for publication) Recruitment statement 1
Subject information and informed consent form (for publication) L1_SIS and ICF BLOOMS Dutch 2024-513193-22-00 8
Subject information and informed consent form (for publication) L1_SIS and ICF Extensie fase 2024-513193-22-00 dd 09-04-2024 1
Summary of Product Characteristics (SmPC) (for publication) G2_SPC Ocrelizumab 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-02 Netherlands Acceptable with conditions
2024-09-17
2024-09-17
2 SUBSTANTIAL MODIFICATION SM-1 2025-12-17 Netherlands Acceptable with conditions 2026-02-03