A Study to Evaluate the Safety of Administering Ocrelizumab Per a Shorter Infusion Protocol in Participants With Primary Progressive Multiple Sclerosis (PPMS) and Relapsing Multiple Sclerosis (RMS)



Status:Recruiting
Conditions:Neurology, Neurology, Multiple Sclerosis
Therapuetic Areas:Neurology, Other
Healthy:No
Age Range:18 - 55
Updated:3/27/2019
Start Date:September 14, 2018
End Date:March 29, 2019
Contact:Reference Study ID Number: ML40638 www.roche.com/about_roche/roche_worldwide.htm
Email:global-roche-genentech-trials@gene.com
Phone:888-662-6728 (U.S. and Canada)

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A Phase IIIb, Open-Label Study To Evaluate The Safety And Tolerability Of Shorter Infusions Of Ocrelizumab In Patients With Primary Progressive And Relapsing Multiple Sclerosis

This study is an open-label, non-randomized study to evaluate rate and severity of
infusion-related reactions (IRRs) of ocrelizumab infused over a shorter time period than the
approved administration rate in participants with PPMS or RMS in the United States (U.S.).
Participants will be enrolled into two cohorts. Cohort 1 will examine the effect of
administering ocrelizumab per a shorter infusion protocol for Dose 2 or Dose 3. This cohort
will consist of patients who have already received one or two doses of ocrelizumab according
to the approved infusion protocol (i.e., per the currently U.S. label) and have reported no
serious IRRs and who will then receive the next infusion of ocrelizumab at a higher rate in
order to deliver 600 mg over the course of approximately 2 hours. Cohort 2 will examine the
effect of administering ocrelizumab per a shorter infusion protocol for the second infusion
of Dose 1. This cohort will consist of ocrelizumab naïve patients who, after receiving
Infusion 1/Dose 1 of ocrelizumab at the approved rate (300 mg over approximately 2.5 hours or
longer) have no reported serious IRRs, will then receive the second 300-mg shorter infusion
over approximately 1.5 hours.


Inclusion Criteria:

- Eligible to receive ocrelizumab per the United States Package Insert (USPI)

- Able to comply with the study protocol, in the investigator's judgment

- Age 18-55 years, inclusive

- Have a diagnosis of PPMS or RMS, confirmed per the revised 2017 McDonald criteria

- Expanded Disability Status Scale (EDSS) score of 0 to 6.5, inclusive

- For women of childbearing potential: agreement to remain abstinent (refrain from
heterosexual intercourse) or use contraceptive methods that result in a failure rate
of <1% per year during the treatment period and for at least 6 months after the last
dose of study treatment (per the USPI)

Exclusion Criteria:

- Experienced serious IRR(s)

- History of life-threatening infusion reaction to ocrelizumab

- Known presence of other neurological disorders

- Pregnancy or lactation, or intention to become pregnant during the study

- Any concomitant disease that may require chronic treatment with systemic
corticosteroids or immunosuppressants during the course of the study

- Significant, uncontrolled disease, such as cardiovascular (including cardiac
arrhythmia), pulmonary (including obstructive pulmonary disease), renal, hepatic,
endocrine, and gastrointestinal or any other significant disease that may preclude
patient from participating in the study

- Congestive heart failure

- Known active bacterial, viral, fungal, mycobacterial infection or other infection or
any severe episode of infection requiring hospitalization or treatment with IV
antibiotics within 4 weeks prior to baseline visit or oral antibiotics within 2 weeks
prior to baseline visit

- History of or currently active primary or secondary immunodeficiency

- History or known presence of recurrent or chronic infection (e.g., HIV, syphilis,
tuberculosis)

- History of recurrent aspiration pneumonia requiring antibiotic therapy

- History of malignancy, including solid tumors and hematological malignancies,except
basal cell, in situ squamous cell carcinoma of the skin, and in situ carcinoma of the
cervix of the uterus that have been excised with clear margins

- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal
antibodies

- History of alcohol or drug abuse within 24 weeks prior to enrollment

- Receipt of a live vaccine within 6 weeks prior to enrollment

- Systemic corticosteroid therapy within 4 weeks prior to enrollment

- Contraindications to or intolerance of oral or IV corticosteroids, including IV
methylprednisolone (or equivalent steroid) administered according to the country label

- Treatment with alemtuzumab

- Treatment with a B-cell targeted therapies other than ocrelizumab

- Treatment with a drug that is experimental

- Abnormal laboratory results per local laboratory standards and investigator assessment
We found this trial at
5
sites
825 Northeast 13th Street
Oklahoma City, Oklahoma 73104
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Oklahoma City, OK
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Aurora, CO
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9500 Euclid Avenue
Cleveland, Ohio 44195
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Cleveland, OH
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111 South Grant Avenue
Columbus, Ohio 43215
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Columbus, OH
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110 Cedar Street
Wellesley, Massachusetts 02481
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Wellesley, MA
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