Relapsing Multiple SclerosisPhase 3NCT01247324
A Study of Ocrelizumab in Comparison With Interferon Beta-1a (Rebif) in Participants With Relapsing Multiple Sclerosis
A Phase 3 study testing Interferon beta-1a and Ocrelizumab in people with Relapsing Multiple Sclerosis, run by Hoffmann-La Roche at 142 sites in 32 countries.
Trial summary
This randomized, double-blind, double-dummy, parallel-group study will evaluate the efficacy and safety of ocrelizumab in comparison with interferon beta-1a (Rebif) in participants with relapsing multiple sclerosis. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Relapsing Multiple Sclerosis
- What is being tested?
- Interferon beta-1a and Ocrelizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 821 participants
- Where
- 142 sitesin 32 countries
- Study dates
- 31 Aug 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 multiple sclerosis, in accordance with the revised McDonald criteria (2010)
- At least 2 documented clinical attacks within the last 2 years prior to screening or one clinical attack in the years prior to screening (but not within 30 days prior to screening)
- Neurologic stability for greater than or equal to (>=) 30 days prior to both screening and baseline
- Expanded Disability Status Scale (EDSS) score 0 to 5.5 inclusive
Who cannot join
- Primary progressive multiple sclerosis
- Disease duration of more than 10 years in participants with EDSS less than or equal to (<=) 2.0 at screening
- Contraindications for MRI
- Known presence of other neurological disorders which may mimic multiple sclerosis
- Pregnancy or lactation
- Requirement for chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study
Show all 12Show fewer
- History of or currently active primary or secondary immunodeficiency
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies
- Active infection, or history of or known presence of recurrent or chronic infection (e.g., hepatitis B or C, human immunodeficiency virus [HIV], syphilis, tuberculosis)
- History of progressive multifocal leukoencephalopathy
- Contraindications to or intolerance of oral or iv corticosteroids
- Contraindications to Rebif or incompatibility with Rebif use
Trial locations and contacts
142 sites in 32 countries.
142 sites in 32 countries
United States40 sites
The MS Center; Advance Neurology and Pain
Advance, North Carolina, 27006
University of New Mexico
Albuquerque, New Mexico, 87131
Shepherd Center Inc.
Atlanta, Georgia, 30309
Emory University; Department of Neurology
Atlanta, Georgia, 30322
NeuroTrials Research, Inc.
Atlanta, Georgia, 30342
American Health Network Institute, LLC
Avon, Indiana, 46123
Massachusetts General Hospital.
Boston, Massachusetts, 02114
Uni of Vermont Medical Center;
Burlington, Vermont, 05405
Mercy Medical Group
Carmichael, California, 95608
Atrium Health Neurosciences Institute ? Charlotte
Charlotte, North Carolina, 28204
OnSite Clinical Solutions LLC
Charlotte, North Carolina, 28277
Northwestern University; Dept. of Neurology
Chicago, Illinois, 60611
University Neurology Inc.
Cincinnati, Ohio, 45219
Michigan Neurology Associates P.C.
Clinton Township, Michigan, 48035
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43212
Michigan Institute for Neurological Disorders
Farmington Hills, Michigan, 48334
The Minneapolis Clinic of Neurology
Golden Valley, Minnesota, 55422
Neurology Associates PA
Hickory, North Carolina, 28602
Uni of Texas Health Science Center At Houston
Houston, Texas, 77030
Scripps Clinic
La Jolla, California, 92037
MS Center of California
Laguna Hills, California, 92653
Southern California Permanente Medical Group
Los Angeles, California, 90027
Bhupesh Dihenia M.D. P.A.
Lubbock, Texas, 79410
Health First Physicians Inc.
Melbourne, Florida, 32901
Mercy Research Institute
Miami, Florida, 33133
Consultants in Neurology Ltd
Northbrook, Illinois, 60062
Oklahoma Medical Research Foundation
Oklahoma City, Oklahoma, 73104
University of Nebraska Medical Center
Omaha, Nebraska, 68198-0600
Neuro-Therapeutics Inc.
Pasadena, California, 91105
Albert Einstein Medical Center; Depatment of Neurosensory sciences
Philadelphia, Pennsylvania, 19141
21st Century Neurology
Phoenix, Arizona, 85004
Magee-Woman's Hospital
Pittsburgh, Pennsylvania, 15213
Providence Neurological Specialties
Portland, Oregon, 97225
University of California at San Francisco
San Francisco, California, 94115
Miami Research Associates
South Miami, Florida, 33143
Washington University; Wash Uni. Sch. Of Med
St Louis, Missouri, 63110
The MS Center for Innovations In Care
St Louis, Missouri, 63131
Multicare Research Institute; Multicare Neuroscience Center of Washington
Tacoma, Washington, 98405
Axiom Clinical Research of Florida
Tampa, Florida, 33609
University of South Florida
Tampa, Florida, 33612
Russia12 sites
Kemerovo Regional Clinical Hospital
Kemerovo, 650066
Central Clinical Hospital #2 N.A. Semashko OAO RJHD
Moskva, Moscow Oblast, 107150
FGBU FNKC FMBA of Russia
Moskva, Moscow Oblast, 115682
FSBIH Siberian Regional Medical Centre of FMBA of Russia
Novosibirsk, 630007
MRC for Oncology and Neurology Biotherapy
Novosibirsk, 630090
MMA of Ministry of Defense of Russia named after S.M. Kirov
Saint Petersburg, Sankt-Peterburg, 194044
St.-Peterburg State institution of health care City multifield hospital #2
Saint Petersburg, Sankt-Peterburg, 194354
Samara State Medical University
Samara, 443099
Reg. SI of Health Care Smolensk Regional Clinical Hospital
Smolensk, 214018
Regional Multiple Sclerosis Centre b/o CC ECM "Neftyanik"
Tyumen, Tyumen Oblast, 625000
Regional Multiple Sclerosis Centre b/o CC ECM "Neftyanik"
Tyumen, 625000
Sverdlovsk Regional Clinical Hospital 1
Yekaterinburg, Sverdlovsk Oblast, 620102
Germany10 sites
Charité Universitaetsmedizin Berlin, Campus Charité Mitte
Berlin, 10117
Universitätsklinikum "Carl Gustav Carus"; MS Center Dresden
Dresden, 01307
Asklepiosklinik Barmbek; Abteilung Neurologie
Hamburg, 22291
Diakoniekrankenhaus Henriettenstiftung gGMBH; Klinik für Neurologie und klinische Neurophysiologie
Hanover, 30171
Universitaetsklinikum Mainz - PS; Klinik und Poliklinik fuer Neurologie
Mainz, 55131
Praxis Dr. med. Mathias Niedhammer, Facharzt für Neurologie
Oldenburg, 26122
Neurozentrum Prien Elisabeth Hans-Thümmler Stefan Braune
Prien am Chiemsee, 83209
Universitätsklinikum Rostock, Zentrum für Nervenheilkunde; Klinik und Poliklinik für Neurologie
Rostock, 18147
Universitätsklinikum Tübingen, Zentrum für Neurologie
Tübingen, 72076
Studienzentrum Nordwest Dr med Joachim Springub Herr Wolfgang Schwarz
Westerstede, 26655
Czechia6 sites
Fakultni nemocnice u sv. Anny; Neurologicka klinika
Brno, 656 91
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Nemocnice Jihlava; NEU-Neurologicke oddeleni
Jihlava, 58633
Krajska Nemocnice Pardubice Neurologicka Klinika
Pardubice, 532 03
VFN Praha Poliklinika Rs Centrum - Budova A
Prague, 12808
Krajska zdravotni, a. s. ? Nemocnice Teplice, o. z.; Neurologicke oddeleni
Teplice, 415 29
Bulgaria5 sites
MHAT Avis Medica; Neurology Department
Pleven, 5800
First MHAT; Clinic of Neurology
Sofia, 1000
MHATNP Sv.Naum EAD; Clinic in neurology diseases for movement disorders
Sofia, 1113
ACIBADEM CITY CLINIC TOKUDA HOSPITAL EAD; Clinic of Neurology and Sleep Medicine
Sofia, 1407
Military Medical Academy; Neurology
Sofia, 1606
France5 sites
Groupe Hospitalier Pellegrin
Bordeaux, 33000
CHU Hopital Gabriel Montpied; Service de Neurologie
Clermont-Ferrand, 63003
Hopital Central; Neurologie
Nancy, 54035
CHU de Nîmes Hopital Caremeau; Service de Neurologie
Nîmes, 30900
Hopital Hautepierre - CHU Strasbourg; Service de Neurologie
Strasbourg, 67098
Ukraine5 sites
MMPIDon.Reg.Cl.&Ter.Med.Com.Neur.Dept.DNMU n.a.M.Gorkiy; Ch. of Nervous Diseases and Med. Genetics
Donetsk, 83099
St.In.Inst. of Neurol.Psych.and Narcol.of the AMSU; Dept. of Neuroinfection and Multiply Sclerosis
Kharkiv, 61068
Kyiv City Cl.Hosp.#4 Depart.of Neurology #2NMU; Department of Neurology
Kyiv, 03110
Lviv Regional Clinical Hospital; Department of Neurology
Lviv, 79010
Vin.Reg.Psych.Hosp.N.A Yuschenko O.I., Vnmu N.A. Pyrogov; Department of Nervous Diseases
Vinnytsia, 21005
Italy4 sites
Azienda Socio Sanitaria Territoriale della Valle Olona (pres
Gallarate, Aosta Valley, 21013
Irccs Ospedale San Raffaele
Milan, Lombardy, 20132
Azienda Ospedaliera di Padova; Clinica Neurologica
Padova, Veneto, 35128
Azienda Ospedaliera Sant'Andrea
Rome, Lazio, 00189
Peru4 sites
Policlinico Especializado en Neurologia
Callao, 04
Clinica Anglo Americana
Lima, 18
Hospital Nacional Dos de Mayo
Lima
Clinica Centenario Peruano Japonesa; Neurology
Pueblo Libre, Lima 21
Poland4 sites
COPERNICUS Podmiot Leczniczy Sp. z o. o. Szpital im. M. Kopernika; Oddzia? Neurologiczny
Gdansk, 80-803
Specjal. Praktyka Lekarska; Prof. Grzegorz Opala
Katowice, 40-588
MA-LEK Clinical Sp. Z o.o.
Katowice, 40-595
Neurologiczny NZOZ Centrum Leczenia SM; Osrodek Badan Klinicznych
Plewiska, 62-064
Slovakia4 sites
FNsP Bratislava - Nemocnica Stare mesto
Bratislava, 813 69
FNsP Bratislava, Nemocnica Ruzinov
Bratislava, 826 06
Univerzitna nemocnica Bratislava Nemocnica sv. Cyrila a Metoda; Nemocnicna lekaren
Bratislava, 851 07
Fakultna nemocnica s poliklinikou Zilina
Žilina, 012 07
Spain4 sites
Hospital de Basurto
Bilbao, Vizcaya, 48013
Hospital Universitario Puerta De Hierro Majadahonda; Servicio de Neurología
Madrid, 28222
Complejo Hospitalario Nuestra Señora de la Candelaria; Servicio de Neurologia
Santa Cruz de Tenerife, Tenerife, 38010
Hospital Universitario Virgen Macarena
Seville, 41009
Argentina3 sites
Instituto centenario
Buenos Aires, C1204AAD
Hospital Español
Ciudad Autonoma Bs As, C1209AAB
Fundacion Rosarina de Neurorehabilitacion
Rosario, S2000BZL
Belgium3 sites
AZ Sint Jan
Bruges, 8000
Cliniques Universitaires Saint-Luc; Neurology
Brussels, 1200
AZ Delta (Campus Rumbeke)
Roeselare, 8800
Brazil3 sites
Hospital das Clinicas - UFG;Reumatologia
Goiânia, Goiás, 74653-050
Clinica Neurologica; Neurocirurgica de Joinville
Joinville, Santa Catarina, 89202-190
IMV Pesquisa Neurológica
Porto Alegre, Rio Grande do Sul, 90110-000
Hungary3 sites
Semmelweis Egyetem AOK; Neurologiai Klinika
Budapest, 1083
Fovarosi Onkormanyzat Jahn Ferenc Del-Pesti
Budapest, 1204
Szent Borbala Korhaz; Neurology
Tatabánya, 2800
Lithuania3 sites
Kaunas Medical University Hospital
Kaunas, 50009
Klaipeda University Hospital Public Institution
Klaipėda, 92288
Vilnius University Hospital Santariskiu Clinic
Vilnius, 08661
Serbia3 sites
Military Medical Academy
Belgrade, 11040
Clinical Center Kragujevac
Kragujevac, 34000
Clinical Center Nis
Niš, 18000
Tunisia3 sites
Hopital Razi
Mannouba, 2010
Hopital Universitaire Fattouma Bourguiba
Monastir, 5000
Hopital Charles Nicolle
Tunis, 1006
Estonia2 sites
West Tallinn Central Hospital
Tallinn, 10617
Tartu University Hospital
Tartu, 51014
Latvia2 sites
Maritime Medicine Centre of Latvia Hospital of Vecmilgravis Department of Neurology
Riga, 1015
P. Stradins Clinical University Hospital; Neurology
Riga, LV-1002
Mexico2 sites
Grupo Médico Camino S.C.
Mexico City, Mexico CITY (federal District), 03600
Hospital Universitario Dr Jose Eleuterio Gonzalez; Universidad Autónoma de Nuevo León
Monterrey, Nuevo León, 64460
Switzerland2 sites
Universitätsspital Basel Medizin Neurologie; Neurologische Poliklinik
Basel, 4031
Ospedale Regionale Lugano Civico Medizin Neurologie; Neurologia
Lugano, 6900
United Kingdom2 sites
Walton Centre NHS Foundation Trust, Neuroscience Research Centre; CLINICAL TRIALS UNIT
Liverpool, L9 7LJ
Royal London Hospital; Neurology
London, E1 1BD
Australia1 site
Royal North Shore Hospital; Department of Neurology
St Leonards, New South Wales, 2065
Israel1 site
Chaim Sheba Medical Center; Neurology Department
Ramat Gan, 5262000
About this study
Official title: A Randomized, Double-Blind, Double-Dummy, Parallel-Group Study To Evaluate the Efficacy and Safety of Ocrelizumab in Comparison to Interferon Beta-1a (Rebif®) in Patients With Relapsing Multiple Sclerosis
This randomized, double-blind, double-dummy, parallel-group study will evaluate the efficacy and safety of ocrelizumab in comparison with interferon beta-1a (Rebif) in participants with relapsing multiple sclerosis. Participants will be randomized to receive either ocrelizumab 600 mg or matching placebo intravenous (IV) as 300 mg infusions on Days 1 and 15 for the first dose and as a single infusion of 600 mg for all subsequent infusions every 24 weeks, with placebo injections matching interferon beta-1a SC three times per week; or interferon beta-1a 44 mcg SC injections three times per week (with placebo infusions matching ocrelizumab infusions every 24 weeks). Planned duration of double-blind treatment is 96 weeks. Participants who complete the 96-week double-blind treatment will have an option to enter a single-group, active-treatment, open-label extension period, providing they fulfill the eligibility criteria.
- Conditions
- Relapsing Multiple Sclerosis
- Being tested
- Interferon beta-1a, Ocrelizumab-matching placebo, Ocrelizumab, Interferon beta-1a-matching placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Interferon beta-1aDrug
Also called Rebif
Ocrelizumab-matching placeboDrug
OcrelizumabDrug
Also called RO4964913
Interferon beta-1a-matching placeboDrug
| Study group | Role | What they receive |
|---|---|---|
| Interferon beta-1a 44 mcg SC | Active comparator | Interferon beta-1a 44 mcg SC injections three times per week (with placebo infusions matching ocrelizumab infusions every 24 weeks). Receives: Drug: Interferon beta-1a; Drug: Ocrelizumab-matching placebo |
| Ocrelizumab | Experimental | Ocrelizumab 600 mg intravenous (IV) as 300 mg infusions on Days 1 and 15 for the first dose and as a single infusion of 600 mg for all subsequent infusions every 24 weeks, with placebo injections matching interferon beta-1a SC three times per week. Receives: Drug: Ocrelizumab; Drug: Interferon beta-1a-matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annualized Relapse Rate (ARR) in Participants With Relapsing Multiple Sclerosis (MS) at 96 Weeks
ARR was protocol-defined and calculated as the total number of relapses for all participants in the treatment group divided by the total participant-years of exposure to that treatment.
Measured: Week 96
Secondary outcomes (13)
Time to Onset of Confirmed Disability Progression (CDP) for at Least 12 Weeks During the Double-Blind Treatment Period
Disability progression was defined as an increase in the Expanded Disability Status Scale (EDSS) score of: A) >=1.0 point from the baseline EDSS score when the baseline score was less than or equal to (<=) 5.5 B) >=0.5 point from the baseline EDSS score when the baseline score was >5.5 The EDSS scale ranges from 0 (normal neurological exam) to 10 (death due to multiple sclerosis). This outcome measure was considered confirmatory only when results of both studies WA21092 and WA21093 were combined. Disability progression was considered confirmed when the increase in the EDSS was confirmed at a regularly scheduled visit at least 12 weeks after the initial documentation of neurological worsening. EDSS assessment and who were on treatment at time of clinical cut-off date were censored at the date of their last EDSS assessment.
Measured: Week 108
Number of T1 Gadolinium (Gd)-Enhancing Lesions as Detected by Brain Magnetic Resonance Imaging (MRI) During the Double-Blind Treatment
The total number of T1 gadolinium-enhancing lesions for all participants in the treatment group was calculated as the sum of the individual number of lesions at Weeks 24, 48, and 96.
Measured: Baseline up to Week 96
Number of New, and/or Enlarging T2 Hyperintense Lesions as Detected by Brain Magnetic Resonance Imaging (MRI) During the Double Blind Treatment
The total number of new and/or enlarging T2 lesions for all participants in the treatment group was calculated as the sum of the individual number of lesions at Weeks 24, 48, and 96.
Measured: Baseline up to Week 96
Percentage of Participants With Confirmed Disability Improvement (CDI) for at Least 12 Weeks
Disability improvement was assessed only for the subgroup of participants with a baseline EDSS score of >= 2.0. It was defined as a reduction in EDSS score of: A) >=1.0 from the baseline EDSS score when the baseline score was >=2 and <=5.5 B) >= 0.5 when the baseline EDSS score > 5.5. The EDSS scale ranges from 0 (normal neurological exam) to 10 (death due to multiple sclerosis). This outcome measure was considered confirmatory only when results of both studies WA21092 and WA21093 were combined.
Measured: Week 96
Time to Onset of Confirmed Disability Progression (CDP) for at Least 24 Weeks During the Double-Blind Treatment Period
Disability progression was defined as an increase in the Expanded Disability Status Scale (EDSS) score of: A) >=1.0 point from the baseline EDSS score when the baseline score was less than or equal to (<=) 5.5 B) >=0.5 point from the baseline EDSS score when the baseline score was >5.5 The EDSS scale ranges from 0 (normal neurological exam) to 10 (death due to multiple sclerosis). This outcome measure was considered confirmatory only when results of both studies WA21092 and WA21093 were combined. Disability progression was considered confirmed when the increase in the EDSS was confirmed at a regularly scheduled visit at least 24 weeks after the initial documentation of neurological worsening. Participants who had initial disability progression with no confirmatory EDSS assessment and who were on treatment at time of clinical cut-off date were censored at the date of their last EDSS assessment.
Measured: Week 108
Number of T1 Hypointense Lesions During the Double-Blind Treatment
The total number of new T1-Hypo-Intense Lesions (Chronic Black Holes) for all participants in the treatment group was calculated as the sum of the individual number of new lesions at Weeks 24, 48, and 96.
Measured: Baseline up to Week 96
Change From Baseline in Multiple Sclerosis Functional Composite (MSFC) Score to Week 96
MSFC score consists of: A) Timed 25-Foot walk; B) 9-Hole Peg Test (9-HPT); and C) Paced Auditory Serial Addition Test (PASAT-3 version). The MSFCS is based on the concept that scores for these three dimensions (arm, leg, and cognitive function) are combined to create a single score (the MSFC) that can be used to detect change over time in a group of participants with MS. Since the three primary measures differ in what they actually measure, a common composite score for the three different measures i.e., Z- score was selected for the purpose. MSFC Score = {Z arm, average + Z leg, average + Z cognitive} / 3.0. The results from each of these three tests are transformed into Z-scores and averaged to yield a composite score for each participant at each time point. A score of +1 indicates that, on average, an individual scored 1 standard deviation (SD) better than the reference population and a score of -1 indicates that an individual scored 1 SD worse than the reference population.
Measured: Baseline, Week 96
Percent Change in Brain Volume as Detected by Brain Magnetic Resonance Imaging (MRI) From Week 24 to Week 96
Brain volume was recorded as an absolute "normalized" value at the baseline visit then recorded at subsequent visits as a percentage change relative to the absolute value at the baseline visit. Therefore, brain volume at Week 24 was calculated as the brain volume at the baseline visit multiplied by 1 + ([percentage change in brain volume from baseline visit to Week 24]/100). Estimates are from analysis based on mixed-effect model of repeated measures (MMRM) using unstructured covariance matrix: Percentage Change = Brain Volume at Week 24 + Geographical Region (US vs. ROW) + Baseline EDSS (< 4.0 vs. >= 4.0) + Week + Treatment + Treatment*Week (repeated values over Week) + Brain Volume at Week 24*Week.
Measured: From Week 24 up to Week 96
Change From Baseline in Short Form Health Survey-36 (SF-36) Physical Component Summary (PCS) Score at Week 96
The SF-36 is a multi-purpose, short-form health survey with 36 questions. It yields an 8-scale profile of functional health and well-being scores (domains) as well as psychometrically based physical and mental health summary measures. The SF-36 taps 8 health concepts: physical functioning, bodily pain, physical role functioning, emotional role functioning, emotional well-being, social functioning, vitality, and general health perceptions. The 8 scales are further summarized to 2 distinct higher-ordered clusters: the PCS and mental composite t-score (MCS). The range for all 8 domains as well as for the composite t- scores is from 0 to 100 with 100 as best possible health status and 0 as worst health status.
Measured: Baseline, Week 96
Percentage of Participants Who Have No Evidence of Disease Activity (NEDA) up to Week 96
NEDA was defined only for participants with a baseline EDSS score >=2.0. The EDSS scale ranges from 0 (normal neurological exam) to 10 (death due to multiple sclerosis). Participants who completed the 96- week treatment period were considered as having evidence of disease activity if at least one protocol- defined relapse (PDR), a confirmed disability progression (CDP) event or at least one MRI scan showing MRI activity (defined as Gd-enhancing T1 lesions, or new or enlarging T2 lesions) was reported during the 96-week treatment period, otherwise the participant was considered as having NEDA.
Measured: Week 96
Number of Participants With Adverse Events (AEs)
AEs included infusion related reactions (IRRs) and serious MS relapses, but excluded non-serious MS relapses. Serious Adverse Events (SAEs) included serious MS relapses and serious IRRs.
Measured: Baseline up to 588 weeks
Exposure to Ocrelizumab (Area Under the Concentration - Time Curve, AUC)
AUC represents total drug exposure for one dosing interval after the 4th dose.
Measured: Pre-infusion at Weeks 1, 24, 48, 72; and 30 minutes post-infusion at Week 72; at any time during Weeks 84 and 96
Number of Participants With Anti-Drug Antibodies (ADAs) to Ocrelizumab
Number of participants positive for anti-drug antibodies (ADAs) to ocrelizumab is the number of post- baseline evaluable participants determined to have treatment-induced ADA or treatment-enhanced ADA during the study period.
Measured: Baseline up to week 96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Nov 2010 (estimated)
- Study start31 Aug 2011
- Primary completion2 Apr 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 (17)Papers the sponsor has linked to this study.
- Other trials for Relapsing Multiple SclerosisStudies 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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 821 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
- NCT01247324
- Sponsor's protocol ID
- WA21092
- Other IDs
- 2010-020337-99
- Status last verified
- Feb 2024
- First submitted
- 23 Nov 2010
- Last updated
- 4 Mar 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Hauser SL, Bar-Or A, Giovannoni G, Montalban X, Lebrun-Frenay C, Amezcua L, Villar LM, Arnold DL, Weber MS, Filippi M, Pasquarelli N, Chognot C, Wang Q, Schneble HM, Craveiro L, Kappos L. Ten Years of Ocrelizumab in Relapsing Multiple Sclerosis: The OPERA I and II Randomized Clinical Trials. JAMA Neurol. 2026 Oct 5. doi: 10.1001/jamaneurol.2026.3507. Online ahead of print.
PubMed 42832215Kappos L, Yiu S, Reucassel J, Oh J, Granziera C, Killestein J, Bermel RA, Berge C, Kazlauskaite A, Schneble HM, Dahlke F, Cree BAC. Performance of Composite Endpoints Defining Progression Independent of Relapse Activity in Multiple Sclerosis. Ann Clin Transl Neurol. 2025 Sep;12(9):1805-1812. doi: 10.1002/acn3.70111. Epub 2025 Jul 8.
PubMed 40629721Montobbio N, Bovis F, Signori A, Carmisciano L, Schiavetti I, Ponzano M, Tur C, Granziera C, Cagol A, Arnold DL, Kappos L, Sormani MP. Uncovering a bias in estimated treatment effects on PIRA in multiple sclerosis clinical trials. EBioMedicine. 2025 Jul;117:105802. doi: 10.1016/j.ebiom.2025.105802. Epub 2025 Jun 18.
PubMed 40554392Kappos 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 40258203Benedict RH, Kappos L, Miller A, Hartung HP, Overell J, Pei J, Dahlke F, Bernasconi C, Koendgen H, Wang Q, Bonati U, Cohan S. Cognitive effects of ocrelizumab vs interferon beta-1a in relapsing multiple sclerosis: A post hoc analysis of the OPERA I/II trials. Mult Scler Relat Disord. 2025 Mar;95:106310. doi: 10.1016/j.msard.2025.106310. Epub 2025 Feb 2.
PubMed 39965438Muros-Le Rouzic E, Heer Y, Yiu S, Tozzi V, Braune S, van Hovell P, Bergmann A, Bernasconi C, Model F, Craveiro L; NTD study group. Five-year efficacy outcomes of ocrelizumab in relapsing multiple sclerosis: A propensity-matched comparison of the OPERA studies with other disease-modifying therapies in real-world lines of treatments. J Cent Nerv Syst Dis. 2024 Sep 13;16:11795735241260563. doi: 10.1177/11795735241260563. eCollection 2024.
PubMed 39290861Loomis 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 37652990Kolind S, Gaetano L, Assemlal HE, Bernasconi C, Bonati U, Elliott C, Hagenbuch N, Magon S, Arnold DL, Traboulsee A. Ocrelizumab-treated patients with relapsing multiple sclerosis show volume loss rates similar to healthy aging. Mult Scler. 2023 May;29(6):741-747. doi: 10.1177/13524585231162586. Epub 2023 May 6.
PubMed 37148240Laurent SA, Strauli NB, Eggers EL, Wu H, Michel B, Demuth S, Palanichamy A, Wilson MR, Sirota M, Hernandez RD, Cree BAC, Herman AE, von Budingen HC. Effect of Ocrelizumab on B- and T-Cell Receptor Repertoire Diversity in Patients With Relapsing Multiple Sclerosis From the Randomized Phase III OPERA Trial. Neurol Neuroimmunol Neuroinflamm. 2023 Apr 24;10(4):e200118. doi: 10.1212/NXI.0000000000200118. Print 2023 Jul.
PubMed 37094998Hauser 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 35672926Krishnan AP, Song Z, Clayton D, Gaetano L, Jia X, de Crespigny A, Bengtsson T, Carano RAD. Joint MRI T1 Unenhancing and Contrast-enhancing Multiple Sclerosis Lesion Segmentation with Deep Learning in OPERA Trials. Radiology. 2022 Mar;302(3):662-673. doi: 10.1148/radiol.211528. Epub 2021 Dec 14.
PubMed 34904871Giovannoni G, Kappos L, de Seze J, Hauser SL, Overell J, Koendgen H, Manfrini M, Wang Q, Wolinsky JS. Risk of requiring a walking aid after 6.5 years of ocrelizumab treatment in patients with relapsing multiple sclerosis: Data from the OPERA I and OPERA II trials. Eur J Neurol. 2022 Apr;29(4):1238-1242. doi: 10.1111/ene.14823. Epub 2021 May 5.
PubMed 33724637Hauser SL, Kappos L, Arnold DL, Bar-Or A, Brochet B, Naismith RT, Traboulsee A, Wolinsky JS, Belachew S, Koendgen H, Levesque V, Manfrini M, Model F, Hubeaux S, Mehta L, Montalban X. Five years of ocrelizumab in relapsing multiple sclerosis: OPERA studies open-label extension. Neurology. 2020 Sep 29;95(13):e1854-e1867. doi: 10.1212/WNL.0000000000010376. Epub 2020 Jul 20.
PubMed 32690791
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Double-Dummy, Parallel-Group Study To Evaluate the Efficacy and Safety of Ocrelizumab in Comparison to Interferon Beta-1a (Rebif®) in Patients With Relapsing Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT01247324
- Acronym / sponsor ID
- WA21092
- Conditions
- Relapsing Multiple Sclerosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 821 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 31 Aug 2011 (actual)
- Primary completion
- 2 Apr 2015 (actual)
- Study completion
- 31 Dec 2022 (actual)
- First posted
- 24 Nov 2010 (estimated)
- Results
- Posted 18 Jul 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, double-blind, double-dummy, parallel-group study will evaluate the efficacy and safety of ocrelizumab in comparison with interferon beta-1a (Rebif) in participants with relapsing multiple sclerosis. Participants will be randomized to receive either ocrelizumab 600 mg or matching placebo intravenous (IV) as 300 mg infusions on Days 1 and 15 for the first dose and as a single infusion of 600 mg for all subsequent infusions every 24 weeks, with placebo injections matching interferon beta-1a SC three times per week; or interferon beta-1a 44 mcg SC injections three times per week (with placebo infusions matching ocrelizumab infusions every 24 weeks). Planned duration of double-blind treatment is 96 weeks. Participants who complete the 96-week double-blind treatment will have an option to enter a single-group, active-treatment, open-label extension period, providing they fulfill the eligibility criteria.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Interferon beta-1a 44 mcg SC | Active comparator | Drug: Interferon beta-1a, Drug: Ocrelizumab-matching placeboInterferon beta-1a 44 mcg SC injections three times per week (with placebo infusions matching ocrelizumab infusions every 24 weeks). |
| Ocrelizumab | Experimental | Drug: Ocrelizumab, Drug: Interferon beta-1a-matching placeboOcrelizumab 600 mg intravenous (IV) as 300 mg infusions on Days 1 and 15 for the first dose and as a single infusion of 600 mg for all subsequent infusions every 24 weeks, with placebo injections matching interferon beta-1a SC three times per week. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Diagnosis of multiple sclerosis, in accordance with the revised McDonald criteria (2010)
- At least 2 documented clinical attacks within the last 2 years prior to screening or one clinical attack in the years prior to screening (but not within 30 days prior to screening)
- Neurologic stability for greater than or equal to (>=) 30 days prior to both screening and baseline
- Expanded Disability Status Scale (EDSS) score 0 to 5.5 inclusive
Key exclusion criteria (12 listed)
- Primary progressive multiple sclerosis
- Disease duration of more than 10 years in participants with EDSS less than or equal to (<=) 2.0 at screening
- Contraindications for MRI
- Known presence of other neurological disorders which may mimic multiple sclerosis
- Pregnancy or lactation
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 |
|---|---|---|
| Interferon beta-1aAlso: Rebif | Drug | Interferon beta-1a 44 mcg SC |
| Ocrelizumab-matching placebo | Drug | Interferon beta-1a 44 mcg SC |
| OcrelizumabAlso: RO4964913 | Drug | Ocrelizumab |
| Interferon beta-1a-matching placebo | Drug | Ocrelizumab |
Primary outcome
Annualized Relapse Rate (ARR) in Participants With Relapsing Multiple Sclerosis (MS) at 96 Weeks
Time frame: Week 96
ARR was protocol-defined and calculated as the total number of relapses for all participants in the treatment group divided by the total participant-years of exposure to that treatment.
13 secondary outcomes
Time to Onset of Confirmed Disability Progression (CDP) for at Least 12 Weeks During the Double-Blind Treatment Period
Time frame: Week 108
Number of T1 Gadolinium (Gd)-Enhancing Lesions as Detected by Brain Magnetic Resonance Imaging (MRI) During the Double-Blind Treatment
Time frame: Baseline up to Week 96
Number of New, and/or Enlarging T2 Hyperintense Lesions as Detected by Brain Magnetic Resonance Imaging (MRI) During the Double Blind Treatment
Time frame: Baseline up to Week 96
Percentage of Participants With Confirmed Disability Improvement (CDI) for at Least 12 Weeks
Time frame: Week 96
Time to Onset of Confirmed Disability Progression (CDP) for at Least 24 Weeks During the Double-Blind Treatment Period
Time frame: Week 108
Number of T1 Hypointense Lesions During the Double-Blind Treatment
Time frame: Baseline up to Week 96
Change From Baseline in Multiple Sclerosis Functional Composite (MSFC) Score to Week 96
Time frame: Baseline, Week 96
Percent Change in Brain Volume as Detected by Brain Magnetic Resonance Imaging (MRI) From Week 24 to Week 96
Time frame: From Week 24 up to Week 96
Change From Baseline in Short Form Health Survey-36 (SF-36) Physical Component Summary (PCS) Score at Week 96
Time frame: Baseline, Week 96
Percentage of Participants Who Have No Evidence of Disease Activity (NEDA) up to Week 96
Time frame: Week 96
Number of Participants With Adverse Events (AEs)
Time frame: Baseline up to 588 weeks
Exposure to Ocrelizumab (Area Under the Concentration - Time Curve, AUC)
Time frame: Pre-infusion at Weeks 1, 24, 48, 72; and 30 minutes post-infusion at Week 72; at any time during Weeks 84 and 96
Number of Participants With Anti-Drug Antibodies (ADAs) to Ocrelizumab
Time frame: Baseline up to week 96
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42832215Hauser SL, Bar-Or A, Giovannoni G, Montalban X, Lebrun-Frenay C, Amezcua L, Villar LM, Arnold DL, Weber MS, Filippi M, Pasquarelli N, Chognot C, Wang Q, Schneble HM, Craveiro L, Kappos L. Ten Years of Ocrelizumab in Relapsing Multiple Sclerosis: The OPERA I and II Randomized Clinical Trials. JAMA Neurol. 2026 Oct 5. doi: 10.1001/jamaneurol.2026.3507. Online ahead of print.
- Derived from this study: PubMed 40629721Kappos L, Yiu S, Reucassel J, Oh J, Granziera C, Killestein J, Bermel RA, Berge C, Kazlauskaite A, Schneble HM, Dahlke F, Cree BAC. Performance of Composite Endpoints Defining Progression Independent of Relapse Activity in Multiple Sclerosis. Ann Clin Transl Neurol. 2025 Sep;12(9):1805-1812. doi: 10.1002/acn3.70111. Epub 2025 Jul 8.
- Derived from this study: PubMed 40554392Montobbio N, Bovis F, Signori A, Carmisciano L, Schiavetti I, Ponzano M, Tur C, Granziera C, Cagol A, Arnold DL, Kappos L, Sormani MP. Uncovering a bias in estimated treatment effects on PIRA in multiple sclerosis clinical trials. EBioMedicine. 2025 Jul;117:105802. doi: 10.1016/j.ebiom.2025.105802. Epub 2025 Jun 18.
- 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 39965438Benedict RH, Kappos L, Miller A, Hartung HP, Overell J, Pei J, Dahlke F, Bernasconi C, Koendgen H, Wang Q, Bonati U, Cohan S. Cognitive effects of ocrelizumab vs interferon beta-1a in relapsing multiple sclerosis: A post hoc analysis of the OPERA I/II trials. Mult Scler Relat Disord. 2025 Mar;95:106310. doi: 10.1016/j.msard.2025.106310. Epub 2025 Feb 2.
- Derived from this study: PubMed 39290861Muros-Le Rouzic E, Heer Y, Yiu S, Tozzi V, Braune S, van Hovell P, Bergmann A, Bernasconi C, Model F, Craveiro L; NTD study group. Five-year efficacy outcomes of ocrelizumab in relapsing multiple sclerosis: A propensity-matched comparison of the OPERA studies with other disease-modifying therapies in real-world lines of treatments. J Cent Nerv Syst Dis. 2024 Sep 13;16:11795735241260563. doi: 10.1177/11795735241260563. eCollection 2024.
- 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 37148240Kolind S, Gaetano L, Assemlal HE, Bernasconi C, Bonati U, Elliott C, Hagenbuch N, Magon S, Arnold DL, Traboulsee A. Ocrelizumab-treated patients with relapsing multiple sclerosis show volume loss rates similar to healthy aging. Mult Scler. 2023 May;29(6):741-747. doi: 10.1177/13524585231162586. Epub 2023 May 6.
- Derived from this study: PubMed 37094998Laurent SA, Strauli NB, Eggers EL, Wu H, Michel B, Demuth S, Palanichamy A, Wilson MR, Sirota M, Hernandez RD, Cree BAC, Herman AE, von Budingen HC. Effect of Ocrelizumab on B- and T-Cell Receptor Repertoire Diversity in Patients With Relapsing Multiple Sclerosis From the Randomized Phase III OPERA Trial. Neurol Neuroimmunol Neuroinflamm. 2023 Apr 24;10(4):e200118. doi: 10.1212/NXI.0000000000200118. Print 2023 Jul.
- 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.
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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
142 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Interferon beta-1a and Ocrelizumab in people with Relapsing Multiple Sclerosis, run by Hoffmann-La Roche at 142 sites in 32 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 12 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 4 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 142 sites in United States, Russia, Germany, Czechia, Bulgaria and 27 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. 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 18 Jul 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?
Annualized Relapse Rate (ARR) in Participants With Relapsing Multiple Sclerosis (MS) at 96 Weeks (time frame: Week 96). 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 NCT01247324, which also lists 17 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 4 Mar 2024.