A Study to Provide Complementary Efficacy, Safety and Patient Reported Outcomes Data in Participants With Active Relapsing Forms of Multiple Sclerosis (MS) in a Pragmatic Setting
- Conditions
- Multiple Sclerosis
- Interventions
- Registration Number
- NCT03589105
- Lead Sponsor
- Hoffmann-La Roche
- Brief Summary
This national, open-label study is designed to give complementary efficacy, safety and patient reported outcomes (PROs) data in participants with active relapsing forms of MS. Participants will receive a maximum of 2 treatment cycles of ocrelizumab infusions: an initial dose of two 300 milligram (mg) infusions separated by 14 days followed by one single infusion of 600 mg ocrelizumab 24 weeks after the first infusion. Disease activity is determined by clinical relapses and/or Magnetic Resonance Imaging (MRI) activity.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 423
- Age >/=18 years at screening
- Patients with relapsing forms of multiple sclerosis (RMS) with active disease defined by clinical or imaging features: (i) at least one clinical relapse over a 6-month period prior to screening; (ii) AND/OR at least one T1 gadolinium-enhancing lesion or new and/or enlarging T2 lesion as detected by brain Magnetic Resonance Imaging (MRI) performed over a 3 months period prior to screening with no change of Disease-Modifying Treatment(s) (DMT) compared to a previous MRI performed within 24 months before screening
- For women of childbearing potential: agreement to use an acceptable birth control method during the treatment period and for at least 12 months after the last dose of ocrelizumab
- Participants should be beneficiary of healthcare coverage under the social security system
- Diagnosis of primary progressive MS
- Inability to complete an MRI (contraindications for MRI include but are not restricted to weight ≥140 kg, pacemaker, cochlear implants, presence of foreign substances in the eye, intracranial vascular clips, surgery within 6 weeks of entry into the study, coronary stent implanted within 8 weeks prior to the time of the intended MRI, etc...)
- Gadolinium intolerance
- History of ischemic cerebrovascular disorders (e.g., stroke, transient ischemic attack) or ischemia of the spinal cord
- History or known presence of central nervous system (CNS) or spinal cord tumor (e.g., meningioma, glioma)
- History or known presence of potential metabolic causes of myelopathy (e.g., untreated vitamin B12 deficiency)
- History or known presence of infectious causes of myelopathy (e.g., syphilis, Lyme disease, human T-lymphotropic virus 1 (HTLV-1), herpes zoster myelopathy)
- History of genetically inherited progressive CNS degenerative disorder (e.g., hereditary paraparesis; MELAS [mitochondrial myopathy, encephalopathy, lactic acidosis, stroke] syndrome)
- Neuromyelitis optica
- History or known presence of systemic autoimmune disorders potentially causing progressive neurologic disease (e.g., lupus, anti-phospholipid antibody syndrome, Sjogren's syndrome, Behçet's disease, sarcoidosis)
- History of severe, clinically significant brain or spinal cord trauma (e.g., cerebral contusion, spinal cord compression)
- Vulnerable patients (Patient referred to in Articles L. 1121-5 to L. 1121-8 and L. 1122-1-2 of the French Public Health Code)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Ocrelizumab Treatment Cycles Ocrelizumab 300 mg Each participant will receive an initial dose of two 300 mg infusions of Ocrelizumab each separated by 14 days followed by one single dose of 600 mg 24 weeks after the initial dose. Ocrelizumab Treatment Cycles Ocrelizumab 600 mg Each participant will receive an initial dose of two 300 mg infusions of Ocrelizumab each separated by 14 days followed by one single dose of 600 mg 24 weeks after the initial dose.
- Primary Outcome Measures
Name Time Method Percentage of participants free of disease activity From Enrollment to Week 48 This outcome measure evaluates the impact of ocrelizumab on disease activity in participants with active Relapsing Multiple Sclerosis (RMS). Freedom of disease activity is defined as participant without any relapse from enrollment to Week 48 and without T1 Gadolinium-enhancing lesion detected by brain MRI at Week 48 and without any new and/or enlarging T2 lesion detected by brain MRI at Week 48.
- Secondary Outcome Measures
Name Time Method Percentage of participants with no new and/or enlarging T2 lesion as detected by brain MRI At Week 48 This outcome measure evaluates the impact of ocrelizumab on disease activity in participants with active RMS.
Annualized relapse rate At Week 48 Annualized relapse rate is defined as the total number of clinical relapses divided by the number of participant-years of study treatment exposure. This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Percentage of participants with stable, improved, or worsened expanded disability status scale (EDSS) From Enrollment to Week 48 This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Percentage of participants with confirmed disability progression at Week 24 (CDP24) At Week 48 This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Mean Change in EDSS From Baseline to Week 48 This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Percentage of relapse-free RMS participants From Enrollment to Week 24 and Week 48 This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Percentage of participants with no T1 gadolinium-enhancing lesion and no new and/or enlarging T2 lesion as detected by brain MRI At Week 48 This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Percentage of participants with no T1 gadolinium-enhancing lesion as detected by brain MRI At Week 48 This outcome measure describes the efficacy of ocrelizumab in active RMS participants.
Change in the score of MS symptom severity scale (SymptoMScreen) At Week 24 and Week 48 This outcome measure describes the impact of ocrelizumab on patient reported outcomes (MS symptom severity, fatigue, health-related quality of life with standard and disease specific scales, work productivity, and treatment satisfaction) in active RMS patients.
Change in the score of Modified Fatigue Impact Scale (MFIS) At Week 24 and Week 48 This outcome measure describes the impact of ocrelizumab on patient reported outcomes (MS symptom severity, fatigue, health-related quality of life with standard and disease specific scales, work productivity, and treatment satisfaction) in active RMS patients.
Change in the score of EuroQol 5-Dimension Questionnaire (EQ-5D-5L with Visual Analogue Scale (VAS)) for health-related quality of life At Week 24 and Week 48 This outcome measure describes the impact of ocrelizumab on patient reported outcomes (MS symptom severity, fatigue, health-related quality of life with standard and disease specific scales, work productivity, and treatment satisfaction) in active RMS patients.
Change in the score of Work Productivity and Activity Impairment scale (WPAI:SHP) At Week 24 and Week 48 This outcome measure describes the impact of ocrelizumab on patient reported outcomes (MS symptom severity, fatigue, health-related quality of life with standard and disease specific scales, work productivity, and treatment satisfaction) in active RMS patients.
Change in the score of Multiple Sclerosis International Quality Of Life Questionnaire (MusiQOL) At Week 24 and Week 48 This outcome measure describes the impact of ocrelizumab on patient reported outcomes (MS symptom severity, fatigue, health-related quality of life with standard and disease specific scales, work productivity, and treatment satisfaction) in active RMS patients.
Change in the score of Treatment Satisfaction Questionnaire for Medication (TSQM-14) At Week 24 and Week 48 This outcome measure describes the impact of ocrelizumab on patient reported outcomes (MS symptom severity, fatigue, health-related quality of life with standard and disease specific scales, work productivity, and treatment satisfaction) in active RMS patients.
Percentage of Participants with Adverse Events (AE) From Baseline to Week 48 This outcome measure describes ocrelizumab safety in active RMS patients. Severity of AEs is determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v4.0)
Trial Locations
- Locations (46)
CHU de la Timone - Hopital d Adultes; Service de Neurologie
🇫🇷Marseille, France
Fondation Hopital Saint Joseph; Neurologie
🇫🇷Marseille, France
Centre hospitalier Annecy Genevois Site St Julien; Neurologie
🇫🇷Metz Tessy, France
Centre hospitalier de Montlucon; Neurologie
🇫🇷Montlucon, France
Hopital Cote De Nacre; Unite Neurologie Generale
🇫🇷Caen, France
CH Jean Rougier; Neurologie
🇫🇷Cahors, France
Hopital Gui de Chauliac; Neurologie
🇫🇷Montpellier, France
Groupe Hospitalier Paris Saint Joseph; Service de Neurologie et Neurovasculaire
🇫🇷Paris, France
Fondation Rothschild; Service de Neurologie
🇫🇷Paris, France
Centre hospitalier de Mulhouse Hopital Emile Muller; Neurologie
🇫🇷Mulhouse Cedex 1, France
Hôpital Guillaume et René Laënnec; Service Neurologie
🇫🇷Nantes, France
Hôpital Pasteur; Service de Neurologie
🇫🇷Nice, France
CHU de Nîmes Hopital Caremeau; Service de Neurologie
🇫🇷Nimes, France
Hopital Saint Antoine; Neurologie
🇫🇷Paris, France
CHU Saint Etienne - Hôpital Nord; Neurologie
🇫🇷Saint-priest-en-jarez, France
Hopital Pontchaillou
🇫🇷Rennes, France
Hopital Civil de Strasbourg; Service de Neurologie
🇫🇷Strasbourg, France
Hopital européen de Marseille; Neurologie
🇫🇷Marseille, France
CHU Amiens Hopital Sud; Neurologie
🇫🇷Amiens Cedex1, France
CHU Angers, Batiement Larrey 2, Neurologie
🇫🇷Angers Cedex 9, France
CH de Gonesse; Neurologie
🇫🇷Gonesse, France
CHU de Besancon Hopital Jean Minjoz; Service de Neurologie
🇫🇷Besançon, France
Centre hospitalier d'Agen; Neurologie
🇫🇷Agen, France
Groupe Hospitalier Pellegrin; Service de neurochirurgie B
🇫🇷Bordeaux, France
Hopital Pierre Wertheimer; Neurologie D
🇫🇷Bron, France
CHU de Grenoble; Neurologie
🇫🇷La Tronche, France
Centre hospitalier de Libourne Hopital Robert Boulin; Neurologie
🇫🇷Libourne Cedex, France
CH St Vincent de Paul
🇫🇷Lille, France
Hopital Roger Salengro; Service de Neurologie
🇫🇷Lille, France
Gh De Meaux; Neurologie
🇫🇷Meaux, France
Hopital Central - CHU de Nancy; Service de Neurologie
🇫🇷Nancy, France
Centre Hospitalier de Cornouaille; Neurologie
🇫🇷Quimper, France
CHU Poitiers - La Milétrie; Neurologie
🇫🇷Poitiers, France
HIA de Toulon hôpital militaire; Neurologie
🇫🇷Toulon, France
Hôpital Charles Nicolle; Service de Neurologie
🇫🇷Rouen, France
Centre hospitalier Guy Chatiliez de Tourcoing; Neurologie
🇫🇷Tourcoing Cedex, France
Hopital Foch; Neurologie
🇫🇷Suresnes, France
Centre hospitalier de Valence; Neurologie
🇫🇷Valence Cedex 9, France
CHU Brest Hopital La Cavale Blanche; Neurologie
🇫🇷Brest, France
Ch De Calais; Hopital De Jour
🇫🇷Calais Cedex, France
CHMS Site Chambery; Neurologie
🇫🇷CHAMBERY Cedex, France
Hôpital General - Service de neurologie; Service de neurologie
🇫🇷Dijon Cedex, France
CHU Hopital Gabriel Montpied; Service de Neurologie
🇫🇷Clermont Ferrand, France
Centre hospitalier Andre Mignot; Neurologie
🇫🇷Le Chesnay Cedex, France
CHU Dupruytren - Limoges; Neurologie
🇫🇷Limoges, France
CH Le Mans; Neurologie
🇫🇷Le Mans, France