Progressive Multiple Sclerosis (PMS)Phase 3CONSONANCENCT03523858
A Study to Evaluate Ocrelizumab Treatment in Participants With Progressive Multiple Sclerosis
A Phase 3 study testing Ocrelizumab in people with Progressive Multiple Sclerosis (PMS), run by Hoffmann-La Roche at 120 sites in 24 countries.
Trial summary
This study is a prospective, multicenter, open-label, single-arm effectiveness and safety study in participants with progressive multiple sclerosis (PMS). Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Progressive Multiple Sclerosis (PMS)
- What is being tested?
- Ocrelizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 927 participants
- Where
- 120 sitesin 24 countries
- Study dates
- 28 May 2018to 22 Oct 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have a definite diagnosis of PMS (as per the revised McDonald 2010 criteria for PPMS or Lublin et al. 2014 criteria for PMS)
- EDSS (Expanded Disability Status Scale) </ =6.5 at screening
- Have a documented evidence of disability progression independent of relapse at any point over the 2 years prior to the screening visit. In case relapse(s) have occurred in the last 2 years, disability progression will have to be considered as independent of relapse activity as per treating physician's judgment
- Fulfill at least one of the 21 criteria assessing the evidence of disability progression independent of relapse activity in the last 2 years using the pre-baseline disability progression rating system checklist
- Have experience of having used a smartphone and connecting a smartphone to Wi-Fi network providers
- For women of childbearing potential: agreement to remain abstinent or use acceptable contraceptive methods during the treatment period and for at least 6 months, or longer if the local label is more stringent after the last dose of study drug
Who cannot join
- Relapsing-remitting multiple sclerosis (RRMS) at screening
- Inability to complete an MRI
- Gadolinium (Gd) intolerance
- Known presence of other neurological disorders
- Exclusions Related to General Health:
- Pregnancy confirmed by positive serum β human chorionic gonadotropin (hCG) measured at screening
Show all 40Show fewer
- Lactation
- Any concomitant disease that may require chronic treatment of systemic corticosteroids or immunosuppressants during the course of the study
- History or currently active primary or secondary immunodeficiency
- Lack of peripheral venous access
- Significant or uncontrolled somatic disease or any other significant disease that may preclude participant from participating in the study.
- Active infections must be treated and resolved prior to the first infusion of ocrelizumab
- Participants in a severely immunocompromised state until the condition resolves
- Participants with known active malignancies or being actively monitored for recurrence of malignancy
- Participants who have or have had confirmed progressive multifocal leukoencephalopathy (PML)
- Exclusions Related to Laboratory Findings:
- Positive screening tests for hepatitis B
- CD4 count <250/μL
- ANC <1.0 × 103/μL
- AST/SGOT or ALT/SGPT ≥3.0 × ULN in combination with either an elevated total bilirubin (>2 X ULN) or clinical jaundice
- Exclusions Related to Medications:
- Hypersensitivity to ocrelizumab or to any of its excipients
- Previous treatment with ocrelizumab
- Previous treatment with B-cell targeted therapies (i.e., atacicept, tabalumab, belimumab, ofatumumab, or obinutuzumab). Note: previous treatment with rituximab is allowed as long as the last dose was administered more than 6 months before the ocrelizumab infusion AND if discontinuation was due to adverse events or immunogenicity AND if Bcell levels are above the lower limit of normal (LLN) prior to screening.
- Any previous treatment with alemtuzumab (Campath/Mabcampath/Lemtrada), total body irradiation, or bone marrow transplantation
- Previous treatment with natalizumab where PML has not been excluded according to specific algorithm
- Contraindications to or intolerance of oral or intravenous (IV) corticosteroids, including methylprednisolone administered IV, according to the country label
- Systemic corticosteroid therapy within 4 weeks prior to screening
- All vaccines should be given at least 6 weeks before the first infusion of ocrelizumab, unless the local regulations allow for a shorter interval. Live/live attenuated vaccines should be avoided during treatment and safety follow-up period until B cells are peripherally repleted
- Previous treatment with daclizumab, ozanimod or figolimod in the last 8 weeks
- Previous treatment with siponimod in the last 2 weeks
- Treatment with fampridine/dalfampridine (Fampyra)/Ampyra) or other symptomatic MS treatment unless on stable dose for ≥30 days prior to screening
- Previous treatment with natalizumab in the last 12 weeks.
- Previous treatment with teriflunomide in the last 12 weeks. This washout period can be shortened if an accelerated elimination procedure is implemented before screening visit. One of the following elimination procedures can be used:
- Cholestyramine 8 g administered 3 times daily for a period of at least 7 days (cholestyramine 4 g three times a day can be used, if cholestyramine 8 g three times a day is not well tolerated)
- Alternatively, 50 g of activated powdered charcoal is administered every 12 hours for a period of at least 7 days.
- Previous treatment with azathioprine, cyclophosphamide, mycophenolate mofetil or methotrexate in the last 12 weeks
- Treatment with any investigational agent within 24 weeks of screening (Visit 1) or five half-lives of the investigational drug (whichever is longer) or treatment with any experimental procedures for MS
- Previous treatment with mitoxantrone, cyclosporine or cladribine in the last 96 weeks
- Participants previously treated with teriflunomide within the last two years, unless measured plasma concentrations are less than 0.02 mg/l. If above or not known, an accelerated elimination procedure should be implemented before screening visit
Trial locations and contacts
120 sites in 24 countries.
120 sites in 24 countries
Italy20 sites
Azienda Ospedaliero Universitaria Consorziale Policlinico di
Bari, Apulia, 70124
Ospedale Binaghi
Cagliari, Sardinia, 09126
AOU Policlinico V. Emanuele - P.O G. Rodolico
Catania, Sicily, 95123
AOUC Azienda Ospedaliero-Universitaria Careggi
Florence, Tuscany, 50134
Irccs A.O.U.San Martino Ist
Genoa, Liguria, 16132
IRCCS Ospedale San Raffaele
Milan, Lombardy, 20132
Fond. Istituto Neurologico C.Besta
Milan, Lombardy, 20133
A. O. U. Federico II
Naples, Campania, 80131
Università degli Studi della Campania Luigi Vanvitelli
Naples, Campania, 80131
Università degli studi della Campania Luigi Vanvitelli
Naples, Campania, 80138
Azienda Sanitaria Ospedaliera S. Luigi Gonzaga
Orbassano, Piedmont, 10043
IRCCS Istituto Neurologico C. Mondino?Dip. Neurologia Neuroriabilitazione S.S. Sclerosi Multipla
Pavia, Lombardy, 27100
IRCCS Istituto Neurologico Neuromed
Pozzilli, Molise, 86077
Policlinico Tor Vergata Dip. Neuroscienze-Clinica Neurologica-UOSD Sclerosi Multipla
Rome, Lazio, 00133
Policlinico Universitario A. Gemelli
Rome, Lazio, 00168
A.O. Sant'Andrea
Rome, Lazio, 00189
Azienda Ospedaliera Sant'Andrea
Rome, Lazio, 00189
Ospedale Cattinara
Trieste, Friuli Venezia Giulia, 34149
AOU Città della Salute e della Scienza
Turin, Piedmont, 10126
Policlinico G.B. Rossi
Verona, Veneto, 37134
United States15 sites
Massachusetts General Hospital
Boston, Massachusetts, 02114
University of Chicago
Chicago, Illinois, 60637-1470
University of Cincinnati
Cincinnati, Ohio, 45267
Neurology Clinic PC
Cordova, Tennessee, 38018
Wayne State University School of Medicine
Detroit, Michigan, 48210
MS Center of California
Laguna Hills, California, 92653
The MS Center of Northeastern New York
Latham, New York, 12110
SC3 Research Group, Inc
Pasadena, California, 91105
Central Texas Neurology Consultants
Round Rock, Texas, 78681
Lone Star Neurology of San Antonio
San Antonio, Texas, 78258
University of California San Francisco
San Francisco, California, 94158
Swedish Multiple Sclerosis Center
Seattle, Washington, 98122
Washington University School of Medicine
St Louis, Missouri, 63110
University of South Florida
Tampa, Florida, 33613
Dragonfly Research, LLC
Wellesley, Massachusetts, 02481
France14 sites
CHIC Cote Basque Bayonne
Bayonne, 64109
Groupe Hospitalier Pellegrin
Bordeaux, 33076
Hopital neurologique Pierre Wertheimer - CHU Lyon
Bron, 69677
CHU De Caen
Caen, 14033
Hopital Gabriel Montpied CHU de Clermont-Ferrand
Clermont-Ferrand, 63003
Hopital B Roger Salengro
Lille, 59037
CHU de la Timone - Hopital d Adultes
Marseille, 13005
Hopital Gui de Chauliac
Montpellier, 34295
CHRU Nancy
Nancy, 54035
Hopital Nord Laennec
Nantes, 44093
Hôpital Pasteur
Nice, 06002
GroupeHospitalo-Universitaire Caremeau
Nîmes, 30029
Centre Hospitalier Universitaire de Rennes
Rennes, 35033
Hopitaux Universitaires de Strasbourg
Strasbourg, 67091
Canada7 sites
Fraser Health Authority - Fraser Health Multiple Sclerosis
Burnaby, British Columbia, V5G 2X6
Recherche Sepmus Inc.
Greenfield Park, Quebec, J4V 2J2
London Health Sciences Centre Uni Campus
London, Ontario, N6A 5A5
Hospital Notre-Dame du Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2L 4M1
Saskatoon City Hospital
Saskatoon, Saskatchewan, S7K 0M7
St. Michael'S Hospital
Toronto, Ontario, M5B 1W8
University of British Columbia Hospital
Vancouver, British Columbia, V6T 2B5
Poland7 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, 15-276
Szpital Uniwersytecki w Krakowie
Krakow, 31-503
Centrum Neurologii Krzysztof Selmaj
Lodz, 90-324
SP Swiecickiego UM Marcinkowskiego
Późna, 60-355
Centrum Medyczne "MEDYK"
Rzeszów, 35-055
Wojskowy Instytut Medyczny - Pa?Stwowy Instytut Badawczy
Warsaw, 04-141
SPSK nr 1
Zabrze, 41-800
Germany6 sites
Universitätsklinikum "Carl Gustav Carus", Zentrum für Klinische Neurowissenschaften
Dresden, 01307
Universitätsmedizin Greifswald
Greifswald, 17475
NeuroConcept AG C/O mind mvz GmbH
Stuttgart, 70182
NeuroPoint Gesellschaft fur vorbeugende Gesundheitspflege mbH
Ulm, 89073
Studienzentrum Nordwest Dr med Joachim Springub Herr Wolfgang Schwarz
Westerstede, 26655
Deutsche Klinik für Diagnostik
Wiesbaden, 65191
Bosnia and Herzegovina4 sites
University Clinical Center of the Republic of Srpska
Banja Luka, 78000
University Hospital Mostar
Mostar, 88000
Clinical Center University of Sarajevo
Sarajevo, 71000
University Clinical Center Tuzla
Tuzla, 75000
Brazil4 sites
Instituto de Neurologia de Curitiba
Curitiba, Paraná, 81210-310
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital das Clínicas Faculdades Médicas de Ribeirão Preto
Ribeirão Preto, São Paulo, 14051-140
Hospital das Clinicas - FMUSP_X
São Paulo, São Paulo, 05403-000
Czechia4 sites
Nemocnice Jihlava
Jihlava, 58633
Fakultní Nemocnice Olomouc
Olomouc, 779 00
Fakultni nemocnice Ostrava
Ostrava-Poruba, 708 52
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Hungary4 sites
Semmelweis Egyetem AOK
Budapest, 1083
VALEOMED Diagnosztikai Központ
Esztergom, 2500
Jósa András Oktatókórház
Nyíregyháza, 4400
Pécsi Tudományegyetem, Klinikai Központ Neurológiai Klinika
Pécs, 7623
Mexico4 sites
Hospital General de Mexico
Mexico, Tlaxcala, 06726
Grupo Medico de Investigacion Clinica Multidisciplinaria
Mexico City, Mexico CITY (federal District), 03100
Clinstile S.A de C.V.
Mexico City, Mexico CITY (federal District), 06700
Unidad de investigacion en salud (UIS)
Mexico City, 14050
Netherlands4 sites
Amphia Ziekenhuis
Breda, 4818 CK
Catharina ziekenhuis
Eindhoven, 5623 EJ
Maasstadziekenhuis
NL -rotterdam, 3079 DZ
Zuyderland Medisch Centrum - Sittard Geleen
Sittard-Geleen, 6162 BG
Russia4 sites
Jusupovskaya Hospital
Moscow, Moscow Oblast, 117186
Vladimirskiy Regional Scientific Research Inst.
Moscow, Moscow Oblast, 129110
City Clinical Hospital #24
Moskva, Moscow Oblast, 127015
National Center of Social Significant Disease
Saint Petersburg, Sankt-Peterburg, 197110
Denmark3 sites
Aarhus Universitetshospital
Aarhus N, 8200
Rigshospitalet
Glostrup Municipality, 2600
Hjerne- og nervesygdomme, Ambulatorium, Skleroseklinikken
Sønderborg, 6400
Ireland3 sites
Cork University Hospital
Cork
Beaumont Hospital
Dublin, 9
St Vincents University Hospital
Dublin, Dublin 4
Morocco3 sites
Centre Hospitalier Universitaire Hassan II
Fes, 30000
Hopital Cheikh Zaid
Rabat, 10000
Hopital Militaire d'Instruction Mohamed V
Rabat, 10100
Spain3 sites
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Universitario Virgen de Arrixaca
Murcia
Hospital Universitario la Fe
Valencia, 46026
Colombia2 sites
Organizacion Sanitas Internacional
Bogotá
Fundacion Clinica Valle del Lili
Cali
Egypt2 sites
Clinical Research Center-Alex university
Alexandria, 21561
Neurology Department, Ain Shams University Hospitals
Cairo, 11566
Lebanon2 sites
American University of Beirut - Medical Center
Beirut, 11-236
Lebanese American University Medical Center- Rizk Hospial
Beirut
United Arab Emirates2 sites
Cleveland Clinic Abu Dhabi
Abu Dhabi, 112412
Rashid hospital
Dubai
About this study
Official title: An Open-Label, Single-Arm 4-Year Study to Evaluate Effectiveness and Safety of Ocrelizumab Treatment in Patients With Progressive Multiple Sclerosis
This study is a prospective, multicenter, open-label, single-arm effectiveness and safety study in participants with progressive multiple sclerosis (PMS).
- Conditions
- Progressive Multiple Sclerosis (PMS)
- Being tested
- Ocrelizumab
- 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
Ocrelizumab will be administered via intravenous (IV) infusion at an initial dose of two 300-mg infusions separated by 14 days (on Days 1 and 15), and then 600 mg at every subsequent dose every 24 weeks for the remainder of the study treatment period (approximately 192 weeks)
| Study group | Role | What they receive |
|---|---|---|
| Ocrelizumab | Experimental | Ocrelizumab will be administered via intravenous (IV) infusion. Receives: Drug: Ocrelizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of Participants with No Evidence of Progression (NEP)
NEP is defined as no progression sustained for at least 24 weeks on all of the following three components (confirmed disability progression [CDP]; ≥20% increase in timed 25-foot walk test [T25FWT]; ≥20% increase in nine-hole peg test [9HPT])
Measured: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192
Proportion of Participants with no evidence of progression and no active disease (NEPAD)
NEPAD is defined as no progression sustained for at least 24 weeks on all of the three components of NEP (CDP, T25FWT, 9HPT), no protocol-defined relapse, no enlarging or new T2 lesion, and no T1 gadolinium (Gd+)-enhancing lesion
Measured: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192
Secondary outcomes (26)
Change from Baseline in Cognitive Function, as Measured by the Symbol Digit Modalities Test (SDMT)
Measured: Baseline to end of study (Week 192)
Change from Baseline in Cognitive Function, as Measured by Brief Visuospatial Memory Test - Revised (BVMT-R)
Measured: Baseline to end of study (Week 192)
Mean Change from Baseline in the Expanded Disability Status Scale (EDSS) score over the course of the study
Measured: Baseline to end of study (Week 192)
Time to Onset of First Confirmed Disability Progression (CDP) Sustained for at least 24 and 48 Weeks
Measured: Baseline to onset of first CDP (as measured by EDSS) sustained for at least 24 and 48 weeks
Time to Onset of First >=20% Increase in Timed 25-foot Walk Test (T25FWT) Sustained for at least 24 Weeks
Measured: Baseline to onset of first >=20% increase in T25FWT sustained for at least 24 weeks
Time to Onset of First >=20% Increase in 9 Hole Peg Test (9HPT) Sustained For At Least 24 Weeks
Measured: Baseline to onset of first >=20% increase in 9HPT sustained for at least 24 weeks
Proportion of Participants with NEP
Measured: Week 24 to Week 96, Week 24 to Week 192, and Week 48 to Week 192
Proportion of Participants with NEPAD
Measured: Week 24 to Week 96, Week 24 to Week 192, Week 48 to Week 192
Change from Baseline in Patient-Reported Outcomes (PROs)
PROs collected in this study will be the Multiple Sclerosis Impact Scale (MSIS-29), the Multiple Sclerosis Walking scale (MSWS-12), the ABILHAND-56 Questionnaire, Fatigue Scale for Motor and Cognitive function (FSMC), SymptoMScreen, 88-item Multiple Sclerosis Spasticity Scale (MSSS-88), Numerical Pain Rating Scale (NPRS), and the Patient Global Impression of Severity (PGIS) for upper limb, lower limb and cognitive function
Measured: Baseline to end of study (Week 192)
Change from Baseline in the number of falls and near-falls
Measured: Baseline to end of study (Week 192)
Change in Whole Brain Volume (Whole, Cerebral White Matter, Cortical Grey Matter, Deep grey matter)
Measured: Baseline to end of study (Week 192)
Change in thalamic volumes
Measured: Baseline to end of study (Week 192)
Change in whole and regional cerebellar volume (cervical cord grey and white matter area)
Measured: Baseline to end of study (Week 192)
Change in cervical cord cross-sectional area (total, white matter and grey matter)
Measured: Baseline to end of study (Week 192)
Change in number of new/enlarging T2 lesions and total T2 Lesion Volume
Measured: Baseline to end of study (Week 192)
Change in number of T1 Gadolinium (Gd)+ Lesions and total volume
Measured: 'Baseline to end of study (Week 192)
Change in number of T1 lesions
Measured: Baseline to end of study (Week 192)
Number in total volume of T1 lesions
Measured: Baseline to end of study (Week 192)
Change in Slowly Evolving Lesions (SEL)
Measured: Baseline to end of study (Week 192)
Change in normalised T1 intensity/T1 Gd+ enhancement in New Focal T2 Lesions, SELs, Persistent Areas of Non-SEL T2 Lesions, and Normal-Appearing Brain Tissue
Measured: Baseline to end of study (Week 192)
Change in Gd-enhancing late-Fluid-Attenuated Inversion-Recovery (FLAIR) Meningeal Lesions
Measured: Baseline to end of study (Week 192)
Change in the number/ spatial distribution of lesions in the cervical spinal cord
Measured: Baseline to end of study (Week 192)
Spectroscopic MR: Measure of the Relative Signal Amplitude of N-Acetyl Aspartate (NAA), and Choline to Creatine
Only in centers with 1.5-Tesla MRI capable to perform it
Measured: Baseline to end of study (Week 192)
Measure of phase rim lesions using a Susceptibility-Weighted Imaging [SWI]/T2 sequence
Only in centers with 3-Tesla MRI capable to perform it, where this sequence would replace the spectroscopic MR in the acquisition flow
Measured: Baseline to end of study (Week 192)
Percentage of Participants with Adverse Events (AEs)
Measured: Baseline to end of study (Week 192)
Rates of study treatment discontinuation due to adverse events
Measured: Baseline to Week 192
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 May 2018
- Study start28 May 2018
- Primary completion22 Oct 2026 (estimated)
- Study completion22 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Progressive Multiple Sclerosis (PMS)Studies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 927 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
- NCT03523858
- Sponsor's protocol ID
- MN39159
- Other IDs
- 2017-001313-93, 2023-506429-13-00, 2023, 2017
- Acronym
- CONSONANCE
- Status last verified
- Jul 2026
- First submitted
- 16 Apr 2018
- Last updated
- 23 Jul 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
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 40258203
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Single-Arm 4-Year Study to Evaluate Effectiveness and Safety of Ocrelizumab Treatment in Patients With Progressive Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT03523858
- Acronym / sponsor ID
- CONSONANCE / MN39159
- Conditions
- Progressive Multiple Sclerosis (PMS)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 927 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 28 May 2018 (actual)
- Primary completion
- 22 Oct 2026 (estimated)
- Study completion
- 22 Oct 2026 (estimated)
- First posted
- 14 May 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a prospective, multicenter, open-label, single-arm effectiveness and safety study in participants with progressive multiple sclerosis (PMS).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Ocrelizumab | Experimental | Drug: OcrelizumabOcrelizumab will be administered via intravenous (IV) infusion. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Have a definite diagnosis of PMS (as per the revised McDonald 2010 criteria for PPMS or Lublin et al. 2014 criteria for PMS)
- EDSS (Expanded Disability Status Scale) </ =6.5 at screening
- Have a documented evidence of disability progression independent of relapse at any point over the 2 years prior to the screening visit. In case relapse(s) have occurred in the last 2 years, disability progression will have to be considered as independent of relapse activity as per treating physician's judgment
- Fulfill at least one of the 21 criteria assessing the evidence of disability progression independent of relapse activity in the last 2 years using the pre-baseline disability progression rating system checklist
- Have experience of having used a smartphone and connecting a smartphone to Wi-Fi network providers
Key exclusion criteria (40 listed)
- Relapsing-remitting multiple sclerosis (RRMS) at screening
- Inability to complete an MRI
- Gadolinium (Gd) intolerance
- Known presence of other neurological disorders
- Pregnancy confirmed by positive serum β human chorionic gonadotropin (hCG) measured at screening
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 |
|---|---|---|
| OcrelizumabOcrelizumab will be administered via intravenous (IV) infusion at an initial dose of two 300-mg infusions separated by 14 days (on Days 1 and 15), and then 600 mg at every subsequent dose every 24 weeks for the remainder of the study treatment period (approximately 192 weeks) | Drug | Ocrelizumab |
Primary outcome
Proportion of Participants with No Evidence of Progression (NEP)
Time frame: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192
NEP is defined as no progression sustained for at least 24 weeks on all of the following three components (confirmed disability progression [CDP]; ≥20% increase in timed 25-foot walk test [T25FWT]; ≥20% increase in nine-hole peg test [9HPT])
Proportion of Participants with no evidence of progression and no active disease (NEPAD)
Time frame: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192
NEPAD is defined as no progression sustained for at least 24 weeks on all of the three components of NEP (CDP, T25FWT, 9HPT), no protocol-defined relapse, no enlarging or new T2 lesion, and no T1 gadolinium (Gd+)-enhancing lesion
26 secondary outcomes
Change from Baseline in Cognitive Function, as Measured by the Symbol Digit Modalities Test (SDMT)
Time frame: Baseline to end of study (Week 192)
Change from Baseline in Cognitive Function, as Measured by Brief Visuospatial Memory Test - Revised (BVMT-R)
Time frame: Baseline to end of study (Week 192)
Mean Change from Baseline in the Expanded Disability Status Scale (EDSS) score over the course of the study
Time frame: Baseline to end of study (Week 192)
Time to Onset of First Confirmed Disability Progression (CDP) Sustained for at least 24 and 48 Weeks
Time frame: Baseline to onset of first CDP (as measured by EDSS) sustained for at least 24 and 48 weeks
Time to Onset of First >=20% Increase in Timed 25-foot Walk Test (T25FWT) Sustained for at least 24 Weeks
Time frame: Baseline to onset of first >=20% increase in T25FWT sustained for at least 24 weeks
Time to Onset of First >=20% Increase in 9 Hole Peg Test (9HPT) Sustained For At Least 24 Weeks
Time frame: Baseline to onset of first >=20% increase in 9HPT sustained for at least 24 weeks
Proportion of Participants with NEP
Time frame: Week 24 to Week 96, Week 24 to Week 192, and Week 48 to Week 192
Proportion of Participants with NEPAD
Time frame: Week 24 to Week 96, Week 24 to Week 192, Week 48 to Week 192
Change from Baseline in Patient-Reported Outcomes (PROs)
Time frame: Baseline to end of study (Week 192)
Change from Baseline in the number of falls and near-falls
Time frame: Baseline to end of study (Week 192)
Change in Whole Brain Volume (Whole, Cerebral White Matter, Cortical Grey Matter, Deep grey matter)
Time frame: Baseline to end of study (Week 192)
Change in thalamic volumes
Time frame: Baseline to end of study (Week 192)
Change in whole and regional cerebellar volume (cervical cord grey and white matter area)
Time frame: Baseline to end of study (Week 192)
Change in cervical cord cross-sectional area (total, white matter and grey matter)
Time frame: Baseline to end of study (Week 192)
Change in number of new/enlarging T2 lesions and total T2 Lesion Volume
Time frame: Baseline to end of study (Week 192)
Change in number of T1 Gadolinium (Gd)+ Lesions and total volume
Time frame: 'Baseline to end of study (Week 192)
Change in number of T1 lesions
Time frame: Baseline to end of study (Week 192)
Number in total volume of T1 lesions
Time frame: Baseline to end of study (Week 192)
Change in Slowly Evolving Lesions (SEL)
Time frame: Baseline to end of study (Week 192)
Change in normalised T1 intensity/T1 Gd+ enhancement in New Focal T2 Lesions, SELs, Persistent Areas of Non-SEL T2 Lesions, and Normal-Appearing Brain Tissue
Time frame: Baseline to end of study (Week 192)
Change in Gd-enhancing late-Fluid-Attenuated Inversion-Recovery (FLAIR) Meningeal Lesions
Time frame: Baseline to end of study (Week 192)
Change in the number/ spatial distribution of lesions in the cervical spinal cord
Time frame: Baseline to end of study (Week 192)
Spectroscopic MR: Measure of the Relative Signal Amplitude of N-Acetyl Aspartate (NAA), and Choline to Creatine
Time frame: Baseline to end of study (Week 192)
Measure of phase rim lesions using a Susceptibility-Weighted Imaging [SWI]/T2 sequence
Time frame: Baseline to end of study (Week 192)
Percentage of Participants with Adverse Events (AEs)
Time frame: Baseline to end of study (Week 192)
Rates of study treatment discontinuation due to adverse events
Time frame: Baseline to Week 192
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2026.
- 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.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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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
120 sites in 24 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 Progressive Multiple Sclerosis (PMS), run by Hoffmann-La Roche at 120 sites in 24 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 6 inclusion and 40 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: under way, not looking for participants, as of the sponsor's last update on 23 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 sites in Italy, United States, France, Canada, Poland and 19 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?
This study is still under way. Results are not available in the source record yet.
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?
Proportion of Participants with No Evidence of Progression (NEP) (time frame: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192). The study lists 2 primary outcomes in all. 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 NCT03523858, 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 23 Jul 2026.