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Multiple Sclerosis, Relapsing-RemittingPhase 2NCT00676715

A Study of the Efficacy and Safety of Ocrelizumab in Patients With Relapsing-Remitting Multiple Sclerosis

A Phase 2 study testing Ocrelizumab and Avonex in people with Multiple Sclerosis, Relapsing-Remitting, run by Genentech, Inc. at 84 sites in 18 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a phase II, multicenter, randomized, parallel-group, partially blinded, placebo and Avonex (interferon beta-1a) controlled dose finding study to evaluate the efficacy as measured by brain MRI lesions, and safety of 2 dose regimens of ocrelizumab in participants with Relapsing Remitting Multiple Sclerosis… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Multiple Sclerosis, Relapsing-Remitting
What is being tested?
Ocrelizumab and Avonex
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
220 participants
Where
84 sitesin 18 countries
Study dates
17 Jul 2008to 8 Nov 2023
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Ability to provide written informed consent and to be compliant with the schedule of protocol assessments
  • Relapsing-remitting multiple sclerosis (MS)
  • Ages 18-55 years inclusive
  • For sexually active female and male participants of reproductive potential, use of reliable means of contraception

Who cannot join

  • Secondary or primary progressive multiple sclerosis at screening
  • Incompatibility with MRI
  • Contra-indications to or intolerance of oral or IV corticosteroids
  • Known presence of other neurologic disorders
  • Pregnancy or lactation
  • Lack of peripheral venous access
Show all 23Show fewer
  • History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies
  • Significant, uncontrolled disease, such as cardiovascular, pulmonary, renal, hepatic, endocrine or gastrointestinal
  • Congestive heart failure
  • Known active bacterial, viral, fungal, mycobacterial infection or other infection or any major episode of infection requiring hospitalization or treatment with IV antibiotics within 4 weeks prior to screening or oral antibiotics within 2 weeks prior to screening
  • History or known presence of recurrent or chronic infection
  • History of cancer, including solid tumors and hematological malignancies (except basal cell, in situ squamous cell carcinomas of the skin, and in situ carcinoma of the cervix of the uterus that have been excised and resolved)
  • History of alcohol or drug abuse within 24 weeks prior to randomization
  • History of or currently active primary or secondary immunodeficiency
  • History of coagulation disorders
  • Treatment with any investigational agent within 4 weeks of screening
  • Receipt of a live vaccine within 6 weeks prior to randomization
  • Incompatibility with Avonex use
  • Previous treatment with rituximab
  • Previous treatment with lymphocyte-depleting therapies except mitoxantrone
  • Treatment with lymphocyte trafficking blockers within 24 weeks prior to randomization
  • Treatment with beta interferons, glatiramer acetate, IV immunoglobulin, plasmapheresis, or immunosuppressive therapies within 12 weeks prior to randomization
  • Systemic corticosteroid therapy within 4 weeks prior to randomization

Trial locations and contacts

84 sites in 18 countries.

84 sites in 18 countries

United States26 sites
  • Shepherd Center; Multiple Sclerosis Center

    Atlanta, Georgia, 30309

  • John Hopkins University

    Baltimore, Maryland, 21205

  • East Bay Physicians Med Group;Sutter East Bay Med Foundation

    Berkeley, California, 94705

  • Bradenton Research Center

    Bradenton, Florida, 34205

  • Fletcher Allen Health Care/University of Vermont

    Burlington, Vermont, 5405

  • The Neurological Institute PA

    Charlotte, North Carolina, 28204

  • University of Virginia - Fontain Research Park

    Charlottesville, Virginia, 22903

  • University of Chicago; Neurology

    Chicago, Illinois, 60637

  • Cleveland Clinic

    Cleveland, Ohio, 44106

  • Ohio State University Med Ctr; MS Center

    Columbus, Ohio, 43221

  • Michigan Institute for Neurological Disorders

    Farmington Hills, Michigan, 48334

  • Advanced Neurology of Colorado, LLC

    Fort Collins, Colorado, 80528

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Kansas University Medical Center

    Kansas City, Kansas, 66103

  • Dartmouth-Hitchcock Medical Center; Dept of Neurology

    Lebanon, New Hampshire, 03756

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Columbia University Medical Center; The Neurological Institute of New York

    New York, New York, 10032

  • Phoenix Neurological Associates Ltd

    Phoenix, Arizona, 85006

  • Barrow Neurological Institute

    Phoenix, Arizona, 85013

  • Island Neurological Associates, P.C.

    Plainview, New York, 11803

  • Integra Clinical Research, Llc

    San Antonio, Texas, 78229

  • University of California San Francisco

    San Francisco, California, 94117

  • Suny At Stony Brook; Department Of Neurology

    Stony Brook, New York, 11794

  • Legacy Health System; Clinical Research & Tech Ctr

    Tualatin, Oregon, 97062

  • MS Center of Vero Beach

    Vero Beach, Florida, 32960

  • Clinical Research of Winston Salem

    Winston-Salem, North Carolina, 27103

Other trials in United States

Bulgaria6 sites
  • First MHAT; Clinic of Neurology

    Sofia, 1000

  • Shat of Cardiovascular Diseases; Clinic of Neurology

    Sofia, 1309

  • ACIBADEM CITY CLINIC TOKUDA HOSPITAL EAD; Clinic of Neurology and Sleep Medicine

    Sofia, 1407

  • UMHAT Tzaritza Yoanna Sofia; CLINIC OF NEUROLOGY

    Sofia, 1527

  • CCB Medical institute, Ministry of Interior Sofia; CLINIC OF NEUROLOGY

    Sofia, 1606

  • Military Medical Academy; Neurology

    Sofia, 1606

Other trials in Bulgaria

Russia6 sites
  • LLC Research Medical Complex Vashe Zdorovie

    Kazan', Tatarstan Republic, 4420029

  • Central Clinical Hospital #2 N.A. Semashko OAO RJHD

    Moskva, Moscow Oblast, 107150

  • Municipal City Hospital #33; Neurology

    Nizhny Novgorod, Niznij Novgorod, 603076

  • MRC for Oncology and Neurology; Neurology

    Novosibirsk, 630090

  • Regional Multiple Sclerosis Centre b/o CC ECM Neftyanik; Neurology

    Tyumen, Tyumen Oblast, 625048

  • SHI Sverdlovsk Regional Clinical Hospital #1;Neurology

    Yekaterinburg, Sverdlovsk Oblast, 620102

Other trials in Russia

Spain6 sites
  • Hospital Universitari Vall d'Hebron; Servicio de Neumo-Inmunologia

    Barcelona, 08035

  • Hospital Clinic i Provincial; Servicio de Neurologia

    Barcelona, 08036

  • Hospital Ramon y Cajal; Servicio de Neurologia

    Madrid, 28034

  • Hospital Regional Universitario Carlos Haya; Servicio de Neurologia

    Málaga, 29010

  • Hospital Universitario Virgen Macarena; Servicio de Neurologia

    Seville, 41009

  • Hospital Universitario La Fe; Unidad de Esclerosis Multiple

    Valencia, 46026

Other trials in Spain

Slovakia5 sites
  • Fakultna Nemocnica F. D. Roosevelta; Ii. Neurologicka Klinika Szu

    Banská Bystrica, 975 17

  • Fakultna Nemocnica, Pracovisko Stare Mesto; Neurology

    Bratislava, 813 69

  • Fakultna Nemocnica Paterua, Pracovisko Trieda Snp1 Kosice; Neurologicka Klinika

    Košice, 041 66

  • Fakultna Nemocnica Nitra; Neurologicka Klinika

    Nitra, 949 01

  • Nemocnica s Poliklinikou Spisska Nova Ves, a.s.

    Spišská Nová Ves, 05201

Other trials in Slovakia

Czechia4 sites
  • Fakultni Nemocnice Ostrava; Klinika hematoonkologie FNO a LF OU

    Ostrava, 708 52

  • Krajska Nemocnice Pardubice Neurologicka Klinika

    Pardubice, 532 03

  • Fakultni nemocnice Motol; Neurologicka klinika

    Prague, 150 06

  • Nemocnice Teplice; Neurologicke Oddeleni - Ms Centrum

    Teplice, 415 29

Other trials in Czechia

France4 sites
  • Hopital Pellegrin-CHU de Bordeaux; Service de Neurologie

    Bordeaux, 33076

  • CHU De Caen; Service De Neurologie Dejerine

    Caen, 14033

  • Hopital Gabriel Montpied CHU de Clermont-Ferrand; Service de Neurologie B

    Clermont-Ferrand, 63003

  • CHU De Nimes, Hopital Caremeau; Service De Neurologie Du Prof. Pierre Labauge

    Nîmes, 30029

Other trials in France

Germany4 sites
  • St. Joseph-Krankenhaus

    Berlin, 13088

  • Jüdisches Krankenhaus Berlin; Abteilung fur Neurologie

    Berlin, 13347

  • Asklepios Klinik Nord-Heidberg; Neurologie

    Hamburg, 22417

  • Universitatsklinikum Marburg; Zentrum für Nervenheilkunde, Klinik für Psychiatrie+Psychotherapie

    Marburg, 35039

Other trials in Germany

Mexico4 sites
  • Instituto Biomedico De Investigacion A.C.

    Aguascalientes, 20127

  • Unidad de Investigacion CIMA SC

    Chihuahua City, 31200

  • Hospital Cima Chihauhau

    Chihuahua City, 31328

  • Hospital CIMA, Sta. Engracia

    Monterrey, Nuevo León, 64060

Other trials in Mexico

Ukraine4 sites
  • Ams of Ukraine; Inst. of Neurology, Psychiatry & Narcology

    Kharkiv, 61068

  • City Clin.Hosp #4; Dept. of Neurology

    Kyiv, 03110

  • Ukr.State Inst. of Med and Social Probl. Disab; Dept of Neur and Border states

    Propetrovsk, 49027

  • Vin.Reg.Psych.Hosp.N.A Yuschenko O.I., Vnmu N.A. Pyrogov; Department of Nervous Diseases

    Vinnytsia, 21005

Other trials in Ukraine

Canada3 sites
  • McGill University; Montreal Neurological Institute; Neurological and Psychiatric

    Montreal, Quebec, H3A 2B4

  • St. Michael'S Hospital

    Toronto, Ontario, M5B 1W8

  • Uni of British Columbia Hospital; Ms Clinical Research Group

    Vancouver, British Columbia, V6T 2B5

Other trials in Canada

Serbia3 sites
  • Clinical Center of Serbia; Institute of Neurology

    Belgrade, 11000

  • Clinical Center Nis; Clinic for Mental Health

    Niš, 18000

  • Clinic of Neurology

    Nova Sad, 21000

Other trials in Serbia

United Kingdom3 sites
  • Walton Centre NHS Foundation Trust, Neuroscience Research Centre; CLINICAL TRIALS UNIT

    Liverpool, L9 7LJ

  • Uni Hospital Queens Medical Centre; Neurology

    Nottingham, NG7 2UH

  • Royal Hallamshire Hospital; Neurology

    Sheffield, S10 2JF

Other trials in United Kingdom

Romania2 sites
  • Spitalul Clinic Colentina; Clinica de Neurologie

    Bucharest, 020125

  • Spitalul Clinic Judetean de Urgenta Targu Mures; Clinica Neurologie

    Târgu Mureş, 540136

Other trials in Romania

Belgium1 site
  • UZ Antwerpen

    Edegem, 2650

Other trials in Belgium

Denmark1 site
  • Aarhus Universitetshospital; Neurologisk Afd. F, Skleroseklinikken

    Aarhus N, 8200

Other trials in Denmark

Italy1 site
  • Ospedale S.Andrea-Universita di Roma; Centro Sclerosi Multipla

    Rome, Lazio, 00189

Other trials in Italy

Switzerland1 site
  • Universitätsspital Basel; Neurologie

    Basel, 4031

Other trials in Switzerland

About this study

Official title: Phase II, Multicenter, Randomized, Parallel-Group, Partially Blinded, Placebo and Avonex Controlled Dose Finding Study to Evaluate the Efficacy As Measured by Brain MRI Lesions, and Safety of 2 Dose Regimens of Ocrelizumab in Patients With RRMS

This is a phase II, multicenter, randomized, parallel-group, partially blinded, placebo and Avonex (interferon beta-1a) controlled dose finding study to evaluate the efficacy as measured by brain MRI lesions, and safety of 2 dose regimens of ocrelizumab in participants with Relapsing Remitting Multiple Sclerosis (RRMS).

Being tested
Placebo, Ocrelizumab, Avonex
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo matching to ocrelizumab administered as IV infision in Cycle 1 Day 1.

  • OcrelizumabDrug

    Also called RO4964913

    Ocrelizumab 300 mg was administered in cycle 1 followed by an infusion of ocrelizumab 600 mg on Day 1. A single infusion of ocrelizumab 600 mg was administered on Day 1 of cycles 3 and 4.

  • AvonexDrug

    Also called Interferon-beta-alpha1

    Avonex was administered weekly intramuscular injections of 30 mcg in cycle 1 Day 1.

Study groups in NCT00676715
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received two intravenous (IV) infusions of matching placebo separated by 14 days in Cycle 1, followed by two infusions of ocrelizumab 300 mg separated by 14 days in cycle 2. A single infusion of ocrelizumab 600 mg was administered on Day 1 of cycles 3 and 4. Each cycle was of 168 days.
Receives: Drug: Placebo
Ocrelizumab 600 mgExperimentalParticipants two IV infusions of ocrelizumab 300 mg separated by 14 days in Cycle 1, followed by an infusion of ocrelizumab 600 mg on Day 1 and an infusion of placebo on Day 15 of Cycle 2. A single infusion of ocrelizumab 600 mg was administered on Day 1 of Cycles 3 and 4. Each cycle was of 168 days.
Receives: Drug: Ocrelizumab
Ocrelizumab 1000 mgExperimentalParticipants received two IV infusions of ocrelizumab 1000 mg separated by 14 days in Cycle 1, followed by an infusion of ocrelizumab 1000 mg on Day 1 and an infusion of placebo on Day 15 of Cycle 2. A single infusion of ocrelizumab 1000 mg was administered on Day 1 of Cycle 3 and a single infusion of ocrelizumab 600 mg was administered on Day 1 of Cycle 4. Each cycle was of 168 days.
Receives: Drug: Ocrelizumab
AvonexActive comparatorParticipants received weekly intramuscular injections of Avonex 30 microgram (mcg) in Cycle 1, followed by two infusions of OCR 300 mg separated by 14 days in Cycle 2. A single infusion of ocrelizumab 600 mg was administered on Day 1 of Cycles 3 and 4. Each cycle was of 168 days.
Receives: Drug: Avonex

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Total Number of Gadolinium-Enhancing T1 Lesions Observed on Magnetic Resonance Imaging (MRI) Scans of the Brain

    Mean of total number of gadolinium-enhancing T1 lesions observed on MRI scans of the brain at Weeks 12, 16, 20, 24 was determined using average imputation method.

    Measured: Week 12 to Week 24

Secondary outcomes (5)
  1. Annualized Protocol Defined Relapse Rate at Week 24

    Adjusted annualized relapse rate for geographical region is reported here. The relapse rate was calculated as the total number of relapses for each participant divided by the total number of patient-years.

    Measured: Week 24

  2. Percentage of Participants Who Remained Relapse Free at Week 24

    Percentage of participants who remained relapse free at week 24 were reported. Percentages have been rounded off to the first decimal.

    Measured: Week 24

  3. Change From Baseline in Total Volume of T2 Lesions on MRI Scans of the Brain at Week 24

    Change from baseline in total volume of T2 lesions on MRI scans of the brain at Week 24 was reported.

    Measured: Baseline, Week 24

  4. Total Number of New Gadolinium-Enhancing T1 Lesions Observed by MRI Scans of the Brain

    Total number of new gadolinium-enhancing T1 lesions observed by MRI scans of the brain were reported.

    Measured: Weeks 4 to Week 24

  5. Total Number of Gadolinium-Enhancing T1 Lesions

    Total number of gadolinium-enhancing T1 lesions from Week 4 to Week 24 were reported.

    Measured: Weeks 4 to Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 May 2008 (estimated)
  2. Study start17 Jul 2008
  3. Primary completion9 Mar 2012
  4. Study completion8 Nov 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
220 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00676715
Sponsor's protocol ID
ACT4422g
Other IDs
2007-006338-32, WA21493
Status last verified
Dec 2024
First submitted
9 May 2008
Last updated
31 Dec 2024

Publications

  • Kappos L, Li D, Calabresi PA, O'Connor P, Bar-Or A, Barkhof F, Yin M, Leppert D, Glanzman R, Tinbergen J, Hauser SL. Ocrelizumab in relapsing-remitting multiple sclerosis: a phase 2, randomised, placebo-controlled, multicentre trial. Lancet. 2011 Nov 19;378(9805):1779-87. doi: 10.1016/S0140-6736(11)61649-8. Epub 2011 Oct 31.

    PubMed 22047971

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ocrelizumab and Avonex in people with Multiple Sclerosis, Relapsing-Remitting, run by Genentech, Inc. at 84 sites in 18 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 84 sites in United States, Bulgaria, Russia, Spain, Slovakia and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 May 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total Number of Gadolinium-Enhancing T1 Lesions Observed on Magnetic Resonance Imaging (MRI) Scans of the Brain (time frame: Week 12 to Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00676715, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Dec 2024.

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