A Study to Assess Bioequivalence of Two Subcutaneous Formulations of Ocrelizumab in Participants with Multiple Sclerosis

2024-517980-22-00 Protocol CN45320 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 10 Dec 2025 · Status Ongoing, recruiting · 5 EU/EEA countries · 31 sites · Protocol CN45320

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 182
Countries 5
Sites 31

Multiple Sclerosis (MS)

To assess bioequivalence of the ocrelizumab subcutaneous (SC) test formulation to the ocrelizumab SC reference formulation

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10], Diseases [C] - Immune System Diseases [C20]
Trial duration
10 Dec 2025 → ongoing
Decision date (initial)
2025-12-05
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann-La Roche Ltd

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Pharmacokinetic, Bioequivalence

To assess bioequivalence of the ocrelizumab subcutaneous (SC) test formulation to the ocrelizumab SC reference formulation

Secondary objectives 1

  1. To evaluate the safety and tolerability of the ocrelizumab SC test formulation compared to the ocrelizumab SC reference formulation

Conditions and MedDRA coding

Multiple Sclerosis (MS)

VersionLevelCodeTermSystem organ class
20.1 PT 10028245 Multiple sclerosis 100000004852

Regulatory references

Plan to share IPD
No
IPD plan description
N/A
EU CT numberTitleSponsor
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
2023-505975-54-00 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 F. Hoffmann-La Roche AG

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Age 18−65 years, inclusive, at the time of signing Informed Consent Form
  2. Diagnosis of relapsing multiple sclerosis (RMS) or primary progressive multiple sclerosis (PPMS) according to the revised McDonald 2017 criteria (Thompson et al. 2018) or the most current McDonald criteria at the time of study start
  3. Expanded Disability Status Scale (EDSS) score, 0-6.5, inclusive, at screening
  4. For female participants of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use adequate contraception during the treatment period and for 6 months after the final dose of ocrelizumab.
  5. For female participants without childbearing potential: – Female participants may be enrolled if postmenopausal

Exclusion criteria 6

  1. Participants who have previously received anti-CD20s (including ocrelizumab) less than 2 years before screening
  2. Participants who have previously received anti-CD20s (including ocrelizumab) more than 2 years before screening if one of the following conditions is met: – B-cell count is below lower limit of normal (LLN), or – The discontinuation of the treatment was due to safety reasons
  3. Any known or suspected active infection at screening or baseline (except nailbed infections), or any major episode of infection requiring hospitalization or treatment with IV antimicrobials within 8 weeks prior to and during screening or treatment with oral antimicrobials within 2 weeks prior to and during screening
  4. History of or currently active primary or secondary (non−drug-related) immunodeficiency
  5. History of confirmed or suspected progressive multifocal leukoencephalopathy (PML)
  6. Previous treatment with cladribine, atacicept, and alemtuzumab

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary PK parameters of ocrelizumab: area under the serum concentration−time curve over the first 12 weeks post-dose (AUC0-12W) and maximum serum concentration observed (Cmax)

Secondary endpoints 3

  1. Incidence and severity of adverse events, with severity determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5 grading scale
  2. Change from baseline in selected vital signs
  3. Change from baseline in selected clinical laboratory test results

Investigational products

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

Test 1

Ocrevus, Ocrelizumab

PRD13258373 · Product

Active substance
Ocrelizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Comparator 2

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
3680 mg milligram(s)
Max treatment duration
144 Week(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

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
3680 mg milligram(s)
Max treatment duration
144 Week(s)
Authorisation status
Authorised
ATC code
L04AG08 — -
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

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 9

OrganisationCity, countryDuties
4G Clinical B.V.
ORG-100044721
Amsterdam, Netherlands Other
Unilabs A/S
ORG-100032351
Copenhagen Oe, Denmark Other
Fortrea Inc.
ORG-100012602
Durham, United States Other
Q2q Communications Limited
ORG-100041455
Richmond, United Kingdom Other
Neurostatus-UHB AG
ORG-100046513
Basel, Switzerland Other
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Other
Adelphi Values Limited
ORG-100043274
Macclesfield, United Kingdom Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Cenetron Diagnostics Ltd.
ORG-100037417
Austin, United States Other

Locations

5 EU/EEA countries · 31 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 7 3
Germany Ongoing, recruiting 14 5
Italy Ongoing, recruiting 25 7
Poland Ongoing, recruiting 19 7
Spain Ongoing, recruiting 21 9
Rest of world
Brazil, United States, Mexico, Argentina
96

Investigational sites

France

3 sites · Ongoing, recruiting
Centre Hospitalier Universitaire De Nantes
Neurologie, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Les Hopitaux Universitaires De Strasbourg
Neurologie, 1 Avenue Moliere, Bp 49, Strasbourg Cedex 2
Centre Hospitalier Universitaire De Nimes
Neurologie, 4 Place Du Professeur Robert Debre, Bp 40026, Nimes Cedex 9

Germany

5 sites · Ongoing, recruiting
Universitaetsklinikum Tuebingen AöR
Zentrum für Neurologie, Hoppe-Seyler-Strasse 3, Nordstadt, Tuebingen
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Zentrum für klinische Neurowissenschaften, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Charite Universitaetsmedizin Berlin KöR
Klinik für Neurologie, Chariteplatz 1, Mitte, Berlin
Ruhr University
Klinik für Neurologie, Gudrunstrasse 56, Grumme, Bochum
Universitaetsklinikum Ulm AöR
Neurologische Klinik, Oberer Eselsberg 45, Eselsberg, Ulm

Italy

7 sites · Ongoing, recruiting
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
II Clinica Neurologica, Via Sergio Pansini 5, 80131, Naples
Azienda Ospedaliera Policlinico Universitario Tor Vergata
Dip. Neuroscienze-Clinica Neurologica UOSD Sclerosi Multipla, Viale Oxford 81, 00133, Rome
Istituto Neurologico Mediterraneo Neuromed S.p.A.
Neurology, Via Atinense N. 18, 86077, Pozzilli
Azienda Ospedaliero Universitaria Ospedali Riuniti
SC Neurologia, Viale Luigi Pinto 1, 71122, Foggia
IRCCS Foundation Istituto Neurologico Carlo Besta
UO Neurologia IV - Neuroimmunologia Malattie Neuromuscolari, Via Giovanni Celoria 11, 20133, Milan
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
I Division of Neurology and Neurophysiopathology, Piazza Luigi Miraglia 2, 80138, Naples
Neurological Centre Of Latium Istituto Di Neuroscienze O In Breve N.C.L. Istituto Di Neuroscienze S.r.l.
Neurologia, Via Patrica 15, 00178, Rome

Poland

7 sites · Ongoing, recruiting
Nmedis Sp. z o.o.
NA, Ul. Kujawska 5, 35-323, Rzeszow
Neurocentrum Bydgoszcz Sp. z o.o.
NA, Ul. Aleje Prof. Sylwestra Kaliskiego 28/U1, 85-796, Bydgoszcz
Instytut Zdrowia Dr Boczarska-Jedynak Sp. z o.o. S.K.
NA, Ul. Gen. Jaroslawa Dabrowskiego 4, 32-600, Oswiecim
Szpital Uniwersytecki w Krakowie
Poradnia Neurologiczna, ul. Botaniczna 3, 31 - 503, Krakowie
ProNeuro Centrum Medyczne
NA, ul. Aleja Zjednoczonej Europy 37, 44-240, Zory
Centrum Neurologii Krzysztof Selmaj
NA, ul. Tylna 12, 90-324, Łódź
IBISMED Wielospecjalistyczne Centrum Medyczne
NA, Banachiewicza 11, 41-800, Zabrze

Spain

9 sites · Ongoing, recruiting
Hospital Universitari Vall D Hebron
Neurología, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario De La Princesa
Neurología, Calle De Diego De Leon 62, 28006, Madrid
Hospital General Universitario De Albacete
Neurología, Calle Hermanos Falco 37, 02006, Albacete
Hospital Universitario Ramon Y Cajal
Neurología, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Universitario Virgen De La Macarena
Neurología, Avenida Del Doctor Fedriani 3, 41009, Sevilla
El Hospital Universitario De Gran Canaria Dr. Negrin
Neurología, Barranco De La Ballena S N, 35010, Las Palmas De Gran Canaria
Hospital General Universitario Dr. Balmis
Neurología, Avinguda Del Pintor Baeza 12, 03010, Alicante
Hospital Universitario Quironsalud Madrid
Neurología, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
University Clinical Hospital Virgen De La Arrixaca
Neurología, Carretera Madrid-Cartagena S/N, El Palmar, Murcia

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 2026-02-02 2026-03-02
Germany 2026-01-30 2026-03-04
Italy 2025-12-17 2026-03-02
Poland 2025-12-10 2025-12-15
Spain 2025-12-12 2026-03-02

Results and documents

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

Documents 56 files

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

TypeTitleVersion
Protocol (for publication) d1_protocol redacted-2024-517980-22-00 2
Protocol (for publication) d4_patient-facing-material MEMO 3
Recruitment arrangements (for publication) K1_Document_additionnel - Redacted 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_CN45320 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Recruitment arrangements (for publication) K2_D and I Leaflet 2
Recruitment arrangements (for publication) K2_Recruitment Arrangements 1
Recruitment arrangements (for publication) K2_Recruitment Matarial_StudyBrochure 1
Recruitment arrangements (for publication) K2_Recruitment material Study brochure 1
Recruitment arrangements (for publication) K2_Recruitment material Educational video script 1
Recruitment arrangements (for publication) K2_Recruitment material Educational video script 1
Recruitment arrangements (for publication) K2_Recruitment material Poster 1
Recruitment arrangements (for publication) K2_Recruitment material Poster 1
Recruitment arrangements (for publication) K2_Recruitment material Recruitment email 1
Recruitment arrangements (for publication) K2_Recruitment Material StudyPoster 1
Recruitment arrangements (for publication) K2_Recruitment Material_Email 1
Recruitment arrangements (for publication) K2_Recruitment material_HCP referral letter 1
Recruitment arrangements (for publication) K2_recruitment material_recruitment email 1
Recruitment arrangements (for publication) K2_Recruitment material_recruitment Email 1.0
Recruitment arrangements (for publication) K2_Recruitment material_script educational video 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Study brochure 1
Recruitment arrangements (for publication) K2_Recruitment material_Study brochure 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Study summary slide deck 1
Recruitment arrangements (for publication) K2_Recruitment material_Study_Brochure 1
Recruitment arrangements (for publication) K2_Recruitment Material_StudyGuide 1
Recruitment arrangements (for publication) K2_Recruitment Material_ThankYouLetter_CN45320 1
Recruitment arrangements (for publication) K2_Recruitment material_video script 1
Recruitment arrangements (for publication) K2_Recruitment Material_VideoScript 1
Subject information and informed consent form (for publication) L1_Privacy consent form other subjects 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main 3
Subject information and informed consent form (for publication) L1_SIS and ICF IAF 2
Subject information and informed consent form (for publication) L1_SIS and ICF IAF 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF IAF 1
Subject information and informed consent form (for publication) L1_SIS and ICF Infant 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main 3
Subject information and informed consent form (for publication) L1_SIS and ICF main 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Main 2
Subject information and informed consent form (for publication) L1_SIS and ICF MAIN_CN45230 5
Subject information and informed consent form (for publication) L1_SIS and ICF mobile nursing 2
Subject information and informed consent form (for publication) L1_SIS and ICF Mobile Nursing 1
Subject information and informed consent form (for publication) L1_SIS and ICF Mobile Nursing_CN45320 1
Subject information and informed consent form (for publication) L1_SIS and ICF optInterview_CN45320 1
Subject information and informed consent form (for publication) L1_SIS and ICF optional interview 1
Subject information and informed consent form (for publication) L1_SIS and ICF PregPatient_CN45320 2
Subject information and informed consent form (for publication) L1_SIS and ICF RBR 2
Subject information and informed consent form (for publication) L1_SIS and ICF RBR 2
Subject information and informed consent form (for publication) L1_SIS and ICF RBR 1
Subject information and informed consent form (for publication) L1_SIS and ICF RBR_CN45320 1
Subject information and informed consent form (for publication) L2_Recruitment Arrangements 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_eng-2024-517980-22-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_ES-2024-517980-22-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_FR-FR-2024-517980-22-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_IT-2024-517980-22-00 1.0
Synopsis of the protocol (for publication) d1_protocol-synopsis_PL-2024-517980-22-00 1.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-20 Poland Acceptable
2025-12-05
2025-12-05
2 SUBSTANTIAL MODIFICATION SM-1 2025-12-18 Poland Acceptable
2026-02-22
2026-02-23
3 SUBSTANTIAL MODIFICATION SM-2 2026-03-03 Poland Acceptable
2026-04-20
2026-04-20