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Prospective Study to Assess Disease Activity and Biomarkers in Minority Participants With Relapsing Multiple Sclerosis (RMS) After Initiation and During Treatment With Ocrelizumab

Phase 4
Active, not recruiting
Conditions
Multiple Sclerosis, Relapsing
Interventions
Registration Number
NCT04377555
Lead Sponsor
Genentech, Inc.
Brief Summary

Open-label, prospective, single-arm, multi-center study to assess disease activity and biomarker of neuronal damage in minority patients (self-identified Black or African American (AA) and Hispanic/Latino (HA) patients with relapsing multiple sclerosis (RMS) receiving treatment with Ocrelizumab. The study plans to enroll approximately 150 participants (75 AA and 75 HA) with 50 participants enrolled in a CSF sub-study.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
179
Inclusion Criteria
  • Diagnosis of RMS with Expanded Disability Status Scale (EDSS) 0-5.5 at enrollment
  • Participants who self-identify as Black or African American or Hispanic/Latino American
  • Treatment-naïve or initiating first or second switch from receiving treatment with certain disease modifying therapies (DMTs) including interferon or glatiramer acetate or dimethyl fumarate (DMF); or siponimod; or fingolimod; or diroximel fumarate; or teriflunomide; or ozanimod; or natalizumab
  • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use acceptable contraceptive methods during the treatment period and for 6 months after the final dose of ocrelizumab
  • Neurologically stable for at least 30 days prior to randomization and baseline assessments
Exclusion Criteria
  • Diagnosis of secondary progressive MS without relapses for at least 1 year (nonactive or inactive SPMS)
  • Primary Progressive Multiple Sclerosis (PPMS)
  • Participants with contraindication to gadolinium based contrast agent for MRI and participants who cannot tolerate MRI procedure
  • Infection Related
  • Cancer Related
  • Pregnant or lactating, or intending to become pregnant during the study
  • Other Medical Conditions
  • Known presence or history of other neurologic disorders
  • Vaccinations: Receipt of a live vaccine, or attenuated, or inactivated / component vaccine within 6 weeks prior to first administration of ocrelizumab
  • Laboratory: abnormalities or findings at screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
All ParticipantsOcrelizumabMain study participants will be evaluated at baseline, monitored and followed for a 1 year period with the option to participate in a 1 year extension. Participants in the CSF substudy will be followed for two years and will receive two additional doses of 600 mg ocrelizumab at Weeks 48 and 72.
Primary Outcome Measures
NameTimeMethod
Proportion of Participants Free of Any Protocol-defined Events During a 48-week Period on Treatment48 Weeks

A protocol-defined event is the occurrence of at least one of the following: a protocol-defined relapse; a 24-week Confirmed Disability Progression event; a T1 Gd-enhancing lesion or new and/or enlarging T2 lesion on brain magnetic resonance imaging (MRI)

Secondary Outcome Measures
NameTimeMethod
Time to onset of 24 weeks confirmed disability progression (CDP) at week 48Week 48
Annualized relapse rate at week 48Week 48
Time to protocol-defined eventWeek 48

A protocol-defined event is the occurrence of at least one of the following: a protocol-defined relapse; a 24-week Confirmed Disability Progression event; a T1 Gd-enhancing lesion or new and/or enlarging T2 lesion on brain MRI

Trial Locations

Locations (32)

SUNY Upstate Medical Center

🇺🇸

Syracuse, New York, United States

Neurology Specialists, Inc

🇺🇸

Dayton, Ohio, United States

Centro Internacional De Mercadeo

🇵🇷

Guaynabo, Puerto Rico

Keck School of Medicine of USC

🇺🇸

Los Angeles, California, United States

Johns Hopkins University Neurology Research Office

🇺🇸

Baltimore, Maryland, United States

Neurology Clinic - Cordova

🇺🇸

Cordova, Tennessee, United States

Barrow Neurological Institute

🇺🇸

Phoenix, Arizona, United States

Center for Neurology and Spine - Phoenix - Hunt - PPDS

🇺🇸

Phoenix, Arizona, United States

Georgetown University Medical Center

🇺🇸

Washington, District of Columbia, United States

Baptist Neurology - Beaches

🇺🇸

Jacksonville Beach, Florida, United States

University of Miami Miller School of Medicine

🇺🇸

Miami, Florida, United States

Shepherd Center Inc.

🇺🇸

Atlanta, Georgia, United States

Atlanta Neuroscience Institute

🇺🇸

Atlanta, Georgia, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

Josephson Wallack Munshower Neurology PC

🇺🇸

Indianapolis, Indiana, United States

University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

Wayne State University

🇺🇸

Detroit, Michigan, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Weill Cornell Medical College

🇺🇸

New York, New York, United States

Guilford Neurologic Associates

🇺🇸

Greensboro, North Carolina, United States

Jefferson University Hospitals, Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

North Texas Institute of Neurology and Headache NextStage Clinical Research Clinic

🇺🇸

Frisco, Texas, United States

Baylor College of Medicine Medical Center

🇺🇸

Houston, Texas, United States

Multiple Sclerosis Center of Tidewater

🇺🇸

Norfolk, Virginia, United States

Swedish Neuroscience Institute

🇺🇸

Seattle, Washington, United States

Wheaton Franciscan Healthcare - St. Francis Outpatient Center

🇺🇸

Milwaukee, Wisconsin, United States

Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

Aga Khan University Hospital

🇰🇪

Nairobi, Kenya

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