Multiple Sclerosis, Primary ProgressivePhase 3NCT01194570
A Study of Ocrelizumab in Participants With Primary Progressive Multiple Sclerosis
A Phase 3 study testing Ocrelizumab in people with Multiple Sclerosis, Primary Progressive, run by Hoffmann-La Roche at 184 sites in 29 countries.
Trial summary
This randomized, parallel group, double-blind, placebo controlled study will evaluate the efficacy and safety of ocrelizumab in participants with primary progressive multiple sclerosis. Eligible participants will be randomized 2 : 1 to receive either ocrelizumab or placebo. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Multiple Sclerosis, Primary Progressive
- What is being tested?
- Ocrelizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 735 participants
- Where
- 184 sitesin 29 countries
- Study dates
- 2 Mar 2011to 31 Dec 2022
- Phase
- Phase 3
- 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
- Diagnosis of primary progressive multiple sclerosis (according to revised McDonald criteria)
- EDSS at screening from 3 to 6.5 points
- Disease duration from onset of MS symptoms less than (<) 15 years if EDSS greater than (>) 5.0; <10 years if EDSS greater than or equal to (>/=) 5.0
- Sexually active male and female participants of reproductive potential must use two methods of contraception throughout the study treatment phase and for 48 weeks after the last dose
Who cannot join
- History of relapsing remitting MS, secondary progressive, or progressive relapsing MS at screening
- Inability to complete an MRI (contraindications for MRI)
- Known presence of other neurologic disorders
- Known active infection or history of or presence of recurrent or chronic infection
- History of cancer, including solid tumors and hematological malignancies (except for basal cell, in situ squamous cell carcinomas of the skin and in situ carcinoma of the cervix that have been excised and resolved)
- Previous treatment with B-cell targeted therapies (e.g. rituximab, ocrelizumab, atacicept, belimumab, or ofatumumab)
- Any previous treatment with lymphocyte trafficking blockers, with alemtuzumab, anti-cluster of differentiation 4 (CD4), cladribine, cyclophosphamide, mitoxantrone, azathioprine, mycophenolate mofetil, cyclosporine, methotrexate, total body irradiation, or bone marrow transplantation
- Any concomitant disease that may require chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study
Trial locations and contacts
184 sites in 29 countries.
184 sites in 29 countries
United States37 sites
University of New Mexico; MS Specialty Clinic
Albuquerque, New Mexico, 87131
University of Colorado; Anschutz Medical Campus Department of Neurology
Aurora, Colorado, 80045
Sutter East Bay Medical Foundation
Berkeley, California, 94705
Carolinas Medical Center; Ms Center
Charlotte, North Carolina, 28207
The Ohio State University Wexner Medical Center; Department of Neurology
Columbus, Ohio, 43221
Neurology Clinic PC
Cordova, Tennessee, 38018
University of Texas Southwestern
Dallas, Texas, 75390-8897
Wayne State University; Department of Neurology
Detroit, Michigan, 48201
Henry Ford Health System; Neurology & Neurosurgery
Detroit, Michigan, 48202
Michigan Institute for Neurological Disorders
Farmington Hills, Michigan, 48334
Maxine Mesinger MS Clinic/Baylor College of Medicine; Neurology
Houston, Texas, 77030
Indiana University Cancer Center
Indianapolis, Indiana, 46202
University of Kansas Medical Center
Kansas City, Kansas, 66160
University of Miami School of Medicine; Dept. of Neurology Movement Disorder Center
Miami, Florida, 33136
Winthrop University Hospital
Mineola, New York, 11501
University of Minnesota; Clin. Neuro Research Unit
Minneapolis, Minnesota, 55414
Weill Medical College of Cornell University; Judith Jaffe MS Ctr
New York, New York, 10021
Mount Sinai School of Medicine; Neurology
New York, New York, 10029
MS Center of Southern California
Newport Beach, California, 92663
Oklahoma Medical Research Foundation; MS Center of Excellence
Oklahoma City, Oklahoma, 73104
Comprehensive MS Care Center at South Shore Neurologic Assoc.
Patchogue, New York, 11772
Trustees of the University of Pennsylvania; Neurology
Philadelphia, Pennsylvania, 19104
Phoenix Neurological Associates Ltd
Phoenix, Arizona, 85006
Barrow Neurology Clinic
Phoenix, Arizona, 85013
Arizona Neuroscience Research LLC
Phoenix, Arkansas, 85032-2181
MidAmerica Neuroscience Institute
Prairie Village, Kansas, 66206
The Neurology Foundation, Inc.
Providence, Rhode Island, 02905
Raleigh Neurology Associates
Raleigh, North Carolina, 27607-6520
Neurological Associates, Inc.
Richmond, Virginia, 23229
Univ of CA Davis Med Ctr; Neurology
Sacramento, California, 95817
Univ of CA San Francisco; Department of Neurology
San Francisco, California, 94143
Mayo Clinic- Scottsdale
Scottsdale, Arizona, 85259
Swedish Neuroscience Institute; Multiple Sclerosis Center
Seattle, Washington, 98122
Washington University School of Medicine; Department of Neurology
St Louis, Missouri, 63110
Neurology Assoc of Stony Brook
Stony Brook, New York, 11794
Holy Name Hospital
Teaneck, New Jersey, 07666
Vero Beach Neurology and Research Institute
Vero Beach, Florida, 32960
Germany18 sites
Klinikum Bayreuth GmbH; Neurologische Klinik
Bayreuth, 95445
Marianne-Strauß-Klinik; Behandlung Kempfen für Multip Sklero Kranke gemeinnütz GmbH
Berg, 82335
Charite - Universitatsmedizin Berlin; Klinik fur Neurologie
Berlin, 10117
Jüdisches Krankenhaus Berlin; Abteilung fur Neurologie
Berlin, 13347
Berufsgenossenschaftliches Uni-Klinikum Bergmannsheil GmbH
Bochum, 44789
Kliniken der Stadt Koln gGmbH
Cologne, 51109
Universitätsklinikum "Carl Gustav Carus"; Klinik und Poliklinik für Neurologie
Dresden, 01307
Heinrich Heine Universität Düsseldorf; Neurologische Klinik
Düsseldorf, 40225
Klinikum Joh.Wolfg.Goethe-UNI Senckenbergisches Institut für Neuroonkologie
Frankfurt am Main, 60528
Universitätsklinikum Gießen und Marburg GmbH; Neurologie
Giessen, 35392
Universitaetsklinikum Heidelberg
Heidelberg, 69120
Universität Leipzig; Innere Medizin, Neurologie, Dermatologie
Leipzig, 04103
Klinikum rechts der Isar der Technischen Universität München
München, 81675
Universitatsklinikum Munster
Münster, 48149
Medizinische Einrichtungen des Bezirks Oberpfalz GmbH; Neurologie
Regensburg, 93053
Universitätsklinikum Tübingen, Zentrum für Neurologie
Tübingen, 72076
Universitätsklinikum Ulm; Klinik für Neurologie
Ulm, 89081
DKD Helios Klinik (Deutsche Klinik für Diagnostik GmbH)
Wiesbaden, 65191
France17 sites
Groupe Hospitalier Pellegrin; Service de neurochirurgie B
Bordeaux, 33076
Hopital Neurologique et Neurochirurgical Pierre Wertheimer; Service de Neurologie A
Bron, 69677
Hopital Cote De Nacre; Unite Neurologie Generale
Caen, 14033
Hopital Gabriel Montpied CHU de Clermont-Ferrand; Service de Neurologie B
Clermont-Ferrand, 63003
Hopital Roger Salengro Service de Neurologie
Lille
CHU de la Timone - Hopital d Adultes; Service de Neurologie
Marseille, 13005
Hopital Gui de Chauliac; Neurologie
Montpellier, 34295
CHRU Nancy; Service de neurologie
Nancy, 54035
Hôpital Guillaume et René Laënnec; Service Neurologie
Nantes, 44805
Hôpital Pasteur; Service de Neurologie
Nice, 06002
Groupe Hospitalo-Universitaire Caremeau; Service Neurologie
Nîmes, 30029
Fondation Rothschild; Service de Neurologie
Paris, 75019
Groupe Hospitalier Pitié- Salpétrière; Service Neurologie
Paris, 75651
Hôpital de Poissy; Service neurologie
Poissy, 78300
Hôpital Maison Blanche; Service de Neurologie
Reims, 51092
Chu De Strasbourg; Hopital Civil
Strasbourg, 67091
Hopital Purpan; Fédération de neurologie
Toulouse, 31059
Spain14 sites
Hospital General Univ. de Alicante
Alicante, 03010
Hospital del Mar; Servicio de Neurologia
Barcelona, 08003
Hospital Universitari Vall d'Hebron; Servicio de Neumo-Inmunologia
Barcelona, 08035
Hospital Clinic i Provincial; Servicio de Neurologia
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau; Servicio de Neurologia
Barcelona, 08041
Hospital de Basurto Servicio de Neurologia
Bilbao, Vizcaya, 48013
Hospital Donostia
Donostia / San Sebastian, Guipuzcoa, 20014
Universitario de La Princesa; Servicio de Neurología
Madrid, 28006
Hospital Ramon y Cajal; Servicio de Neurologia
Madrid, 28034
Hospital Universitario Clínico San Carlos; Servicio de Neurología
Madrid, 28040
Hospital Regional Universitario Carlos Haya; Servicio de Neurologia
Málaga, 29010
Hospital Universitari de Girona Dr. Josep Trueta; Servicio de Neurologia
Salt, Girona, 17190
Complejo Hospitalario Universitario de Santiago (CHUS) ; Intermedios y Urgencias Pediatricas
Santiago de Compostela, LA Coruña, 15706
Hospital Universitario Virgen Macarena; Servicio de Neurologia
Seville, 41009
Ukraine11 sites
CNPE City Clinical Hospital #3 of Chernivtsi City Council
Chernivtsi, Chernihiv Governorate, 58022
Ukrainian State Inst. of Med. and Social Problems of Disability; Neuro
Dnipropetrovsk, 49027
Dnipropetrovsk State Medical Academy; Dept of Neurology
Dnipropetrovsk, 49044
Ams of Ukraine; Inst. of Neurology, Psychiatry & Narcology
Kharkiv, 61068
Kh. Med. Ac. of P.-Gr. Ed.; Cl. Cen. Hosp. of UkrZal.; 3rd Dept. Neurology
Kharkiv, 61176
Municipal Non-profit Enterprise of Kyiv Regional Council Kyiv Regional Clinical Hospital
Kyiv, KIEV Governorate, 04107
Kyiv City Clinical Hospital #4 MAHC of Kyiv; Chair of Neurology
Kyiv, 03110
Volyn Regional Clinical Hospital
Lutsk, 43024
Lviv Regional Clinical Hospital; Department of Neurology
Lviv, 79010
Municipal Non-profit Enterprise Odessa Regional Clinical Hospital of Odessa Regional Council
Odesa, Kherson Governorate, 65025
Vinnytsya National Med. Uni. n.a. M.I. Pyrohov; Dept. of Neurology #3
Vinnytsia, 21018
Canada7 sites
Foothills Medical Centre
Calgary, Alberta, T2N 2T9
Recherche Sepmus Inc.
Greenfield Park, Quebec, J4V 2J2
Montreal Neurological Institute and Hospital
Montreal, Quebec, H3A 2B4
The Ottawa Hospital - General Campus
Ottawa, Ontario, K1H 8L6
St. Michael'S Hospital
Toronto, Ontario, M5B 1W8
University of British Columbia UBC Hospital; Multiple Sclerosis (MS) Clinic - Vancouver
Vancouver, British Columbia, V6T 1Z3
Health Sciences Centre
Winnipeg, Manitoba, R8A 1R9
Poland7 sites
Niepubliczny Zaklad Opieki Zdrowotnej KENDRON ; Poradnia Neurologiczna
Bialystok, 15-402
Zespol Opieki Zdrowotnej w Konskich; Oddzial Neurologiczny
Gmina Końskie, 26-200
Akson - Clinical Research Maciejowski - Bielecki Sp. Jawna
Jarosław, 37-500
Diagnomed Clinical Research Sp. z o.o.
Katowice, 40-594
Niepubliczny Zaklad Opieki Zdrowotnej; Neuro-Medic
Katowice, 40-686
SPZOZ Uni. Szpital Kliniczny nr 1 im. Norberta Barlickiego Uni. Medycznego w Lodzi ; Neurologii
Lodz, 90-153
Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie; Klinika Neurochirurgii i Neurochirurgii Dzi
Lublin, 20-954
Hungary6 sites
Fövárosi Önkormányzat uzsoki utcai Kórház
Budapest, 1145
Jahn Ferenc Del-Pesti Korhaz es Rendelointezet
Budapest, 1204
Vaszary Kolos Korhaz; Neurology
Esztergom, 2500
Pécsi Tudományegyetem
Pécs, 7623
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ; Neurológiai Klinika
Szeged, 6725
Veszprém Megyei Csolnoky Ferenc Kórház; Reumatológia
Veszprém, 8200
Israel6 sites
Barzilai Medical Center; Neurology Department
Ashkelon, 7830604
Hadassah University Hospital Ein Kerem; Neurology Department
Jerusalem, 9112001
Rabin Medical Center; Multiple Sclerosis Clinic
Petah Tikva, 49100
The Chaim Sheba Medical Center; Multiple Sclerosis Center
Ramat Gan, 5262100
Medical Center Ziv Safed; Neurology Department
Safed, 13100
Tel Aviv Sourasky Medical Center; Department of Neurology
Tel Aviv, 6423906
Portugal6 sites
Hospital Garcia de Orta; Servico de Neurologia
Almada, 2801-951
Hospital Prof. Dr. Fernando Fonseca; Servico de Neurologia
Amadora, 2720-276
HUC; Servico de Neurologia
Coimbra, 3000-075
Hospital Geral; Servico de Neurologia
Coimbra, 3041-801
Hospital de Santa Maria; Servico de Neurologia
Lisbon, 1649-035
Hospital Geral de Santo Antonio; Servico de Neurologia
Porto, 4099-001
Austria5 sites
Uniklinik fuer Neurologie, Medizinische Universitaet Innsbruck; Department fuer Neurologie
Innsbruck, 6020
Kepler Universitätsklinikum GmbH - Neuromed Campus; Neurologie
Linz, 4020
Kepler Universitätskliniken GmbH - Med Campus III; Neurologie & Psychiatrie
Linz, 4021
Christian-Doppler-Klinik - Universitätsklinikum; Universitätskliniik für Neurologie
Salzburg, 5020
Medizinische Universitat Wien Medical University of Vienna
Vienna, 1090
United Kingdom5 sites
Walton Centre NHS Foundation Trust, Neuroscience Research Centre; CLINICAL TRIALS UNIT
Liverpool, L9 7LJ
Barts and the London NHS Trust
London, E1 2ES
Kings College Hospital; Neurology
London, SE5 9RS
Royal Victoria Infirmary; Neurology Dept.
Newcastle upon Tyne, NE1 4LP
Uni Hospital Queens Medical Centre; Neurology
Nottingham, NG7 2UH
Brazil4 sites
Santa Casa de Misericordia; de Belo Horizonte
Belo Horizonte, Minas Gerais, 30150-221
Hospital das Clinicas - UFG;Reumatologia
Goiânia, Goiás, 74653-050
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital Universitario Clementino Fraga Filho - UFRJ
Rio de Janeiro, Rio de Janeiro, 21941-913
Italy4 sites
Ospedale Binaghi; Centro Sclerosi Multipla
Cagliari, Sardinia, 09126
A.O. Universitaria S. Martino Di Genova
Genoa, Liguria, 16132
Hospital San Raffaele
Milan, Lombardy, 20132
Azienda Sanitaria Ospedaliera S. Luigi Gonzaga; Centro Regionale Sclerosi Multipla - Neurologia II
Orbassano, Piedmont, 10043
Mexico4 sites
Instituto Biomedico De Investigacion A.C.
Aguascalientes, 20127
Eleccion Salud SC
México, Mexico CITY (federal District), 3600
Instituto Nacional de Neurologia y Neurocirugia
Mexico City, Mexico CITY (federal District), 14390
Centro de Estudios Clinicos y Espec. Med. SC
Monterrey, Nuevo León, 64620
Romania4 sites
Elias Emergency University Hospital Neurology Dept; Neurology Department
Bucharest, 011461
SC Clubul Sanatatii SRL
Campulung Muscel, 115100
Spitalul Clinic Judetean de Urgenta Targu Mures; Clinica Neurologie
Târgu Mureş, 540136
Timisoara Emergency County Clinical Hospital
Timi?oara, 300595
Czechia3 sites
Fakultni nemocnice Brno; Interni kardiologicka klinika
Brno, 625 00
Vseobecna fakultni nemocnice v Praze; MS Centrum, Neurologicka klinika
Prague, 128 08
Krajska zdravotni, a. s. ? Nemocnice Teplice, o. z.; Neurologicke oddeleni
Teplice, 415 29
Finland3 sites
Helsingin yliopistollinen keskussairaala
Helsinki, 00290
Tampereen yliopisto; Kliinisen lääketieteen laitos, Neurologian yksikkö
Tampere, 33520
Turku University Central Hospital; Pharmacy
Turku, 20520
Greece3 sites
401 Military Hospital of Athens; Neurology Department
Athens, 115 25
AHEPA Univ. General Hospital of Thessaloniki; B' Neurology Dept.
Thessaloniki, 546 36
Georgios Papanikolaou General Hosp. of Thessaloniki
Thessaloniki, 57010
Lithuania3 sites
Hospital of Lithuanian University of Health. Sciences Kaunas Clinics
Kaunas, 50009
Klaipeda University Hospital Public Institution
Klaipėda, 92288
Siauliai Hospital
Šiauliai, 76231
Peru3 sites
Hospital IV Alberto Sabogal Sologuren; Unidad de Investigacion
Bellavista, Callao 2
Clinica Anglo Americana
Lima, 18
Hospital Nacional Dos de Mayo - Centro de Investigacion en Oncología
Lima, Lima 1
Australia2 sites
St Vincent's Hospital Melbourne; Clinical Neuroscience and Neurological Research
Fitzroy, Victoria, 3065
Royal Hobart Hospital
Hobart, Tasmania, 7000
Belgium2 sites
CHU Tivoli
La Louvière, 7100
AZ Alma vzw (Sijsele)
Sijsele, 8340
Bulgaria2 sites
Shat Np Sveti Naum; 3Rd Clinic of Neurology
Sofia, 1113
Multiprofile Hosp. for Active Treatment;National Cardiology Hosp.
Sofia, 1309
Netherlands2 sites
Erasmus MC; Afdeling Neurologie
Rotterdam, 3015 GD
Zuyderland Medisch Centrum - Sittard Geleen
Sittard-Geleen, 6162 BG
New Zealand2 sites
Waikato Hospital; Neurology
Hamilton, 3240
Wellington Hospital; Department of Neurology
Wellington, 6021
Switzerland2 sites
Universitätsspital Basel; Neurologie
Basel, 4031
Ospedale Regionale di Lugano - Civico; Neurologia
Lugano, 6903
Norway1 site
Oslo universitetssykehus HF, Ullevål; Nevrologisk avdeling
Oslo, 0407
Russia1 site
Research Medical Complex "Vashe Zdorovie"; Neurology Department
Kazan', Tatarstan Republic, 420103
About this study
Official title: A Phase III, Multicentre, Randomized, Parallel-group, Double-blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of Ocrelizumab in Adults With Primary Progressive Multiple Sclerosis
This randomized, parallel group, double-blind, placebo controlled study will evaluate the efficacy and safety of ocrelizumab in participants with primary progressive multiple sclerosis. Eligible participants will be randomized 2 : 1 to receive either ocrelizumab or placebo.
- Conditions
- Multiple Sclerosis, Primary Progressive
- Being tested
- Ocrelizumab, Placebo
- Medical subject headings
- Multiple Sclerosis, Chronic Progressive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OcrelizumabDrug
Two IV infusions of 300 mg in each treatment cycle of double blind treatment period; two IV infusions of ocrelizumab 300 mg for Cycle 1 and single IV infusion of ocrelizumab 600 mg for subsequent cycles in OLE phase.
PlaceboOther
Two IV infusions of placebo matched to ocrelizumab in each treatment cycle of double blind treatment period.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Experimental | Participants with primary progressive multiple sclerosis (PPMS) received placebo matched to ocrelizumab at a schedule interval of 24 weeks up to at least 120 weeks. Receives: Drug: Ocrelizumab; Other: Placebo |
| Ocrelizumab 600 mg | Placebo comparator | Participants with PPMS received ocrelizumab as two IV infusions of 300 mg separated by 14 days at a scheduled interval of every 24 weeks up to at least 120 weeks. Receives: Drug: Ocrelizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Onset of Clinical Disability Progression (CDP) Sustained for at Least 12 Weeks During the Double-Blind Treatment Period
The time to onset of CDP was defined as time from baseline to first disability progression, which is confirmed at next regularly scheduled visit >=12 weeks (>=84 days) after initial disability progression. Baseline for time to onset of CDP is the date of randomization, independent of the first day of dosing. Disability progression is defined as an increase of >= 1.0 point from baseline expanded disability status scale (EDSS) score, if baseline EDSS value is <=5.5 points (inclusive), or an increase of >=0.5 points, if baseline EDSS is >5.5 points. The total EDSS score ranges from 0 (normal) to 10 (death due to multiple sclerosis). The randomized participants who did not receive any treatment were censored at days 0 in each Arm.
Measured: Maximal follow up: 216 weeks for Placebo arm and 217 weeks for Ocrelizumab arm
Secondary outcomes (6)
Time to Onset of Clinical Disability Progression (CDP) Sustained for at Least 24 Weeks During the Double-Blind Treatment Period
The time to onset of CDP was defined as time from baseline to first disability progression, which is confirmed at next regularly scheduled visit >=12 weeks (>=84 days) after initial disability progression. Baseline for time to onset of CDP is the date of randomization, independent of the first day of dosing. Disability progression is defined as an increase of >= 1.0 point from baseline expanded disability status scale (EDSS) score, if baseline EDSS value is <=5.5 points (inclusive), or an increase of >=0.5 points, if baseline EDSS is >5.5 points. The total EDSS score ranges from 0 (normal) to 10 (death due to multiple sclerosis). The randomized participants who did not receive any treatment were censored at days 0 in each Arm.
Measured: Maximal follow up: 216 weeks for Placebo arm and 217 weeks for Ocrelizumab arm
Percent Change From Baseline in Timed 25-Foot Walk (T25-FW) at Week 120
Measured: Baseline, Week 120
Percent Change From Baseline in Total Volume of T2 Lesions at Week 120
Measured: From Baseline to Week 120
Percent Change in Total Brain Volume From Week 24 to Week 120
Measured: From Week 24 to Week 120
Change in From Baseline Physical Component Summary Score (PCS) SF- 36 Health Survey (SF-36) at Week 120
The SF-36v2 is a 36-item, self- reported, generic measure of quality of life that has been widely used in multiple disease areas. It is composed of 8 health domains: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health. The PCS score was derived based on the SF-36 V2 User's Manual. Scoring for PCS involves (a) recoding item response values, (b) summing recoded response values for all items in a given scale to obtain the scale raw score, (c) transforming scale raw score to a 0-100 score. The PCS score was computed by (a) multiplying each health domain z score by a scale-specific physical factor score coefficient, (b) summing the resulting products, (c) converting the product total to T score. The total score ranges from 0-100, higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.
Measured: From Baseline to Week 120
Number of Participants With at Least One Adverse Event (AE)
AEs included infusion related reactions (IRRs) and serious multiple sclerosis (MS) relapses, but excluded non-serious MS relapses.
Measured: From baseline to 9 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Sep 2010 (estimated)
- Study start2 Mar 2011
- Primary completion23 Jul 2015
- Study completion31 Dec 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Multiple Sclerosis, Primary ProgressiveStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 735 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01194570
- Sponsor's protocol ID
- WA25046
- Other IDs
- 2010-020338-25
- Status last verified
- Dec 2023
- First submitted
- 28 Aug 2010
- Last updated
- 10 Jan 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/members/ourmembers/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research\_and\_development/who\_we\_are\_how\_we\_work/clinical\_trials/our\_commitment\_to\_data\_sharing.htm).
Publications
Kappos L, Yiu S, Dahlke F, Coetzee T, Cutter GR, Yuen S, Bonati U, Lublin FD. Composite Confirmed Disability Worsening/Progression Is a Useful Clinical Endpoint for Multiple Sclerosis Clinical Trials. Neurology. 2025 May 27;104(10):e213558. doi: 10.1212/WNL.0000000000213558. Epub 2025 Apr 21.
PubMed 40258203Zivadinov R, Pei J, Clayton D, Goldman DE, Winger RC, Cabatingan MS, Dwyer MG, Bergsland N. Evolution of atrophied T2 lesion volume in primary-progressive multiple sclerosis: results from the phase 3 ORATORIO study. J Neurol Neurosurg Psychiatry. 2024 May 14;95(6):536-543. doi: 10.1136/jnnp-2023-332573.
PubMed 38071574Loomis SJ, Sadhu N, Fisher E, Gafson AR, Huang Y, Yang C, Hughes EE, Marshall E, Herman A, John S, Runz H, Jia X, Bhangale T, Bronson PG. Genome-wide study of longitudinal brain imaging measures of multiple sclerosis progression across six clinical trials. Sci Rep. 2023 Aug 31;13(1):14313. doi: 10.1038/s41598-023-41099-0.
PubMed 37652990Hauser SL, Bar-Or A, Weber MS, Kletzl H, Gunther A, Manfrini M, Model F, Mercier F, Petry C, Wing Q, Koendgen H, Smith T, Kappos L. Association of Higher Ocrelizumab Exposure With Reduced Disability Progression in Multiple Sclerosis. Neurol Neuroimmunol Neuroinflamm. 2023 Feb 15;10(2):e200094. doi: 10.1212/NXI.0000000000200094. Print 2023 Mar.
PubMed 36792367Falet JR, Durso-Finley J, Nichyporuk B, Schroeter J, Bovis F, Sormani MP, Precup D, Arbel T, Arnold DL. Estimating individual treatment effect on disability progression in multiple sclerosis using deep learning. Nat Commun. 2022 Sep 26;13(1):5645. doi: 10.1038/s41467-022-33269-x.
PubMed 36163349Arnold DL, Sprenger T, Bar-Or A, Wolinsky JS, Kappos L, Kolind S, Bonati U, Magon S, van Beek J, Koendgen H, Bortolami O, Bernasconi C, Gaetano L, Traboulsee A. Ocrelizumab reduces thalamic volume loss in patients with RMS and PPMS. Mult Scler. 2022 Oct;28(12):1927-1936. doi: 10.1177/13524585221097561. Epub 2022 Jun 7.
PubMed 35672926Butzkueven H, Spelman T, Horakova D, Hughes S, Solaro C, Izquierdo G, Kubala Havrdova E, Grand'Maison F, Prat A, Girard M, Hupperts R, Onofrj M, Lugaresi A, Taylor B; MSBase Study Group; Giovannoni G, Kappos L, Hauser SL, Montalban X, Craveiro L, Freitas R, Model F, Overell J, Muros-Le Rouzic E, Sauter A, Wang Q, Wormser D, Wolinsky JS. Risk of requiring a wheelchair in primary progressive multiple sclerosis: Data from the ORATORIO trial and the MSBase registry. Eur J Neurol. 2022 Apr;29(4):1082-1090. doi: 10.1111/ene.14824. Epub 2021 May 6.
PubMed 33724638Wolinsky JS, Arnold DL, Brochet B, Hartung HP, Montalban X, Naismith RT, Manfrini M, Overell J, Koendgen H, Sauter A, Bennett I, Hubeaux S, Kappos L, Hauser SL. Long-term follow-up from the ORATORIO trial of ocrelizumab for primary progressive multiple sclerosis: a post-hoc analysis from the ongoing open-label extension of the randomised, placebo-controlled, phase 3 trial. Lancet Neurol. 2020 Dec;19(12):998-1009. doi: 10.1016/S1474-4422(20)30342-2. Epub 2020 Oct 29.
PubMed 33129442Fox EJ, Markowitz C, Applebee A, Montalban X, Wolinsky JS, Belachew S, Fiore D, Pei J, Musch B, Giovannoni G. Ocrelizumab reduces progression of upper extremity impairment in patients with primary progressive multiple sclerosis: Findings from the phase III randomized ORATORIO trial. Mult Scler. 2018 Dec;24(14):1862-1870. doi: 10.1177/1352458518808189. Epub 2018 Nov 12.
PubMed 30415593Wolinsky JS, Montalban X, Hauser SL, Giovannoni G, Vermersch P, Bernasconi C, Deol-Bhullar G, Garren H, Chin P, Belachew S, Kappos L. Evaluation of no evidence of progression or active disease (NEPAD) in patients with primary progressive multiple sclerosis in the ORATORIO trial. Ann Neurol. 2018 Oct;84(4):527-536. doi: 10.1002/ana.25313.
PubMed 30155979Montalban X, Hauser SL, Kappos L, Arnold DL, Bar-Or A, Comi G, de Seze J, Giovannoni G, Hartung HP, Hemmer B, Lublin F, Rammohan KW, Selmaj K, Traboulsee A, Sauter A, Masterman D, Fontoura P, Belachew S, Garren H, Mairon N, Chin P, Wolinsky JS; ORATORIO Clinical Investigators. Ocrelizumab versus Placebo in Primary Progressive Multiple Sclerosis. N Engl J Med. 2017 Jan 19;376(3):209-220. doi: 10.1056/NEJMoa1606468. Epub 2016 Dec 21.
PubMed 28002688
Study at a glance
From the registry record, last updated by the sponsor on 10 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicentre, Randomized, Parallel-group, Double-blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of Ocrelizumab in Adults With Primary Progressive Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT01194570
- Acronym / sponsor ID
- WA25046
- Conditions
- Multiple Sclerosis, Primary Progressive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 735 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 2 Mar 2011 (actual)
- Primary completion
- 23 Jul 2015 (actual)
- Study completion
- 31 Dec 2022 (actual)
- First posted
- 3 Sep 2010 (estimated)
- Results
- Posted 26 Dec 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, parallel group, double-blind, placebo controlled study will evaluate the efficacy and safety of ocrelizumab in participants with primary progressive multiple sclerosis. Eligible participants will be randomized 2 : 1 to receive either ocrelizumab or placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Experimental | Drug: Ocrelizumab, Other: PlaceboParticipants with primary progressive multiple sclerosis (PPMS) received placebo matched to ocrelizumab at a schedule interval of 24 weeks up to at least 120 weeks. |
| Ocrelizumab 600 mg | Placebo comparator | Drug: OcrelizumabParticipants with PPMS received ocrelizumab as two IV infusions of 300 mg separated by 14 days at a scheduled interval of every 24 weeks up to at least 120 weeks. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Diagnosis of primary progressive multiple sclerosis (according to revised McDonald criteria)
- EDSS at screening from 3 to 6.5 points
- Disease duration from onset of MS symptoms less than (<) 15 years if EDSS greater than (>) 5.0; <10 years if EDSS greater than or equal to (>/=) 5.0
- Sexually active male and female participants of reproductive potential must use two methods of contraception throughout the study treatment phase and for 48 weeks after the last dose
Key exclusion criteria (8 listed)
- History of relapsing remitting MS, secondary progressive, or progressive relapsing MS at screening
- Inability to complete an MRI (contraindications for MRI)
- Known presence of other neurologic disorders
- Known active infection or history of or presence of recurrent or chronic infection
- History of cancer, including solid tumors and hematological malignancies (except for basal cell, in situ squamous cell carcinomas of the skin and in situ carcinoma of the cervix that have been excised and resolved)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OcrelizumabTwo IV infusions of 300 mg in each treatment cycle of double blind treatment period; two IV infusions of ocrelizumab 300 mg for Cycle 1 and single IV infusion of ocrelizumab 600 mg for subsequent cycles in OLE phase. | Drug | Ocrelizumab 600 mg, Placebo |
| PlaceboTwo IV infusions of placebo matched to ocrelizumab in each treatment cycle of double blind treatment period. | Other | Placebo |
Primary outcome
Time to Onset of Clinical Disability Progression (CDP) Sustained for at Least 12 Weeks During the Double-Blind Treatment Period
Time frame: Maximal follow up: 216 weeks for Placebo arm and 217 weeks for Ocrelizumab arm
The time to onset of CDP was defined as time from baseline to first disability progression, which is confirmed at next regularly scheduled visit >=12 weeks (>=84 days) after initial disability progression. Baseline for time to onset of CDP is the date of randomization, independent of the first day of dosing. Disability progression is defined as an increase of >= 1.0 point from baseline expanded disability status scale (EDSS) score, if baseline EDSS value is <=5.5 points (inclusive), or an increase of >=0.5 points, if baseline EDSS is >5.5 points. The total EDSS score ranges from 0 (normal) to 10 (death due to multiple sclerosis). The randomized participants who did not receive any treatment were censored at days 0 in each Arm.
6 secondary outcomes
Time to Onset of Clinical Disability Progression (CDP) Sustained for at Least 24 Weeks During the Double-Blind Treatment Period
Time frame: Maximal follow up: 216 weeks for Placebo arm and 217 weeks for Ocrelizumab arm
Percent Change From Baseline in Timed 25-Foot Walk (T25-FW) at Week 120
Time frame: Baseline, Week 120
Percent Change From Baseline in Total Volume of T2 Lesions at Week 120
Time frame: From Baseline to Week 120
Percent Change in Total Brain Volume From Week 24 to Week 120
Time frame: From Week 24 to Week 120
Change in From Baseline Physical Component Summary Score (PCS) SF- 36 Health Survey (SF-36) at Week 120
Time frame: From Baseline to Week 120
Number of Participants With at Least One Adverse Event (AE)
Time frame: From baseline to 9 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jan 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40258203Kappos L, Yiu S, Dahlke F, Coetzee T, Cutter GR, Yuen S, Bonati U, Lublin FD. Composite Confirmed Disability Worsening/Progression Is a Useful Clinical Endpoint for Multiple Sclerosis Clinical Trials. Neurology. 2025 May 27;104(10):e213558. doi: 10.1212/WNL.0000000000213558. Epub 2025 Apr 21.
- Derived from this study: PubMed 38071574Zivadinov R, Pei J, Clayton D, Goldman DE, Winger RC, Cabatingan MS, Dwyer MG, Bergsland N. Evolution of atrophied T2 lesion volume in primary-progressive multiple sclerosis: results from the phase 3 ORATORIO study. J Neurol Neurosurg Psychiatry. 2024 May 14;95(6):536-543. doi: 10.1136/jnnp-2023-332573.
- Derived from this study: PubMed 37652990Loomis SJ, Sadhu N, Fisher E, Gafson AR, Huang Y, Yang C, Hughes EE, Marshall E, Herman A, John S, Runz H, Jia X, Bhangale T, Bronson PG. Genome-wide study of longitudinal brain imaging measures of multiple sclerosis progression across six clinical trials. Sci Rep. 2023 Aug 31;13(1):14313. doi: 10.1038/s41598-023-41099-0.
- Derived from this study: PubMed 36792367Hauser SL, Bar-Or A, Weber MS, Kletzl H, Gunther A, Manfrini M, Model F, Mercier F, Petry C, Wing Q, Koendgen H, Smith T, Kappos L. Association of Higher Ocrelizumab Exposure With Reduced Disability Progression in Multiple Sclerosis. Neurol Neuroimmunol Neuroinflamm. 2023 Feb 15;10(2):e200094. doi: 10.1212/NXI.0000000000200094. Print 2023 Mar.
- Derived from this study: PubMed 36163349Falet JR, Durso-Finley J, Nichyporuk B, Schroeter J, Bovis F, Sormani MP, Precup D, Arbel T, Arnold DL. Estimating individual treatment effect on disability progression in multiple sclerosis using deep learning. Nat Commun. 2022 Sep 26;13(1):5645. doi: 10.1038/s41467-022-33269-x.
- Derived from this study: PubMed 35672926Arnold DL, Sprenger T, Bar-Or A, Wolinsky JS, Kappos L, Kolind S, Bonati U, Magon S, van Beek J, Koendgen H, Bortolami O, Bernasconi C, Gaetano L, Traboulsee A. Ocrelizumab reduces thalamic volume loss in patients with RMS and PPMS. Mult Scler. 2022 Oct;28(12):1927-1936. doi: 10.1177/13524585221097561. Epub 2022 Jun 7.
- Derived from this study: PubMed 33724638Butzkueven H, Spelman T, Horakova D, Hughes S, Solaro C, Izquierdo G, Kubala Havrdova E, Grand'Maison F, Prat A, Girard M, Hupperts R, Onofrj M, Lugaresi A, Taylor B; MSBase Study Group; Giovannoni G, Kappos L, Hauser SL, Montalban X, Craveiro L, Freitas R, Model F, Overell J, Muros-Le Rouzic E, Sauter A, Wang Q, Wormser D, Wolinsky JS. Risk of requiring a wheelchair in primary progressive multiple sclerosis: Data from the ORATORIO trial and the MSBase registry. Eur J Neurol. 2022 Apr;29(4):1082-1090. doi: 10.1111/ene.14824. Epub 2021 May 6.
- Derived from this study: PubMed 33129442Wolinsky JS, Arnold DL, Brochet B, Hartung HP, Montalban X, Naismith RT, Manfrini M, Overell J, Koendgen H, Sauter A, Bennett I, Hubeaux S, Kappos L, Hauser SL. Long-term follow-up from the ORATORIO trial of ocrelizumab for primary progressive multiple sclerosis: a post-hoc analysis from the ongoing open-label extension of the randomised, placebo-controlled, phase 3 trial. Lancet Neurol. 2020 Dec;19(12):998-1009. doi: 10.1016/S1474-4422(20)30342-2. Epub 2020 Oct 29.
- Derived from this study: PubMed 30415593Fox EJ, Markowitz C, Applebee A, Montalban X, Wolinsky JS, Belachew S, Fiore D, Pei J, Musch B, Giovannoni G. Ocrelizumab reduces progression of upper extremity impairment in patients with primary progressive multiple sclerosis: Findings from the phase III randomized ORATORIO trial. Mult Scler. 2018 Dec;24(14):1862-1870. doi: 10.1177/1352458518808189. Epub 2018 Nov 12.
- Derived from this study: PubMed 30155979Wolinsky JS, Montalban X, Hauser SL, Giovannoni G, Vermersch P, Bernasconi C, Deol-Bhullar G, Garren H, Chin P, Belachew S, Kappos L. Evaluation of no evidence of progression or active disease (NEPAD) in patients with primary progressive multiple sclerosis in the ORATORIO trial. Ann Neurol. 2018 Oct;84(4):527-536. doi: 10.1002/ana.25313.
- Derived from this study: PubMed 28002688Montalban X, Hauser SL, Kappos L, Arnold DL, Bar-Or A, Comi G, de Seze J, Giovannoni G, Hartung HP, Hemmer B, Lublin F, Rammohan KW, Selmaj K, Traboulsee A, Sauter A, Masterman D, Fontoura P, Belachew S, Garren H, Mairon N, Chin P, Wolinsky JS; ORATORIO Clinical Investigators. Ocrelizumab versus Placebo in Primary Progressive Multiple Sclerosis. N Engl J Med. 2017 Jan 19;376(3):209-220. doi: 10.1056/NEJMoa1606468. Epub 2016 Dec 21.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/members/ourmembers/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
184 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ocrelizumab in people with Multiple Sclerosis, Primary Progressive, run by Hoffmann-La Roche at 184 sites in 29 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 8 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 10 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 184 sites in United States, Germany, France, Spain, Ukraine and 24 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 26 Dec 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?
Time to Onset of Clinical Disability Progression (CDP) Sustained for at Least 12 Weeks During the Double-Blind Treatment Period (time frame: Maximal follow up: 216 weeks for Placebo arm and 217 weeks for Ocrelizumab arm). 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 NCT01194570, which also lists 11 linked publications.
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 10 Jan 2024.