A Study to Evaluate the Effects of Ocrelizumab on Immune Responses In Participants With Relapsing Forms of Multiple Sclerosis

NCT ID: NCT02545868

Last Updated: 2024-03-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-27

Study Completion Date

2021-09-21

Brief Summary

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This multicenter, randomized, open-label study will evaluate the immune response to vaccines (tetanus toxoid \[TT\]-containing adsorbed vaccine, 23-valent pneumococcal polysaccharide vaccine \[23-PPV\] either unboosted or boosted with 13-valent pneumococcal conjugate vaccine \[13-PCV\], influenza vaccine, keyhole limpet hemocyanin \[KLH\]) after administration of a dose of ocrelizumab (OCR) in participants with relapsing multiple sclerosis (RMS).

Detailed Description

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Conditions

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Multiple Sclerosis, Relapsing-Remitting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group A: OCR + Vaccines

Participants will receive dual infusion of OCR 300 milligrams (mg) on Day 1 and then on Day 15, and then participants will further receive immunization course (TT-containing adsorbed vaccine, 23-PPV either unboosted or boosted with 13-PCV, influenza vaccine, and repeated administration with KLH) at 12 weeks post-OCR treatment until Week 24. Participants who complete the 24-week immunization study period will have the option for retreatment with a single infusion of 600 mg OCR on Day 169 and subsequent single infusions (600 mg OCR) at intervals of 24 weeks. Participants who have received one or more infusions of OCR will enter the 48-week safety follow-up period.

Group Type EXPERIMENTAL

23-PPV

Intervention Type BIOLOGICAL

The 23-PPV vaccine will be given as a 0.5-milliliter (mL) intramuscular (IM) injection in the deltoid muscle on Day 112 (Group A) or Day 28 (Group B).

13-PCV Booster

Intervention Type BIOLOGICAL

The 13-PCV booster will be given as an IM injection in the deltoid muscle on Day 140 (select participants in Group A).

Influenza Vaccine

Intervention Type BIOLOGICAL

The influenza vaccine will be given as an IM injection in the deltoid muscle at any time between Day 85 and Day 144 (select participants in Group A) or any time between Day 1 and Day 85 (Group B).

KLH

Intervention Type BIOLOGICAL

KLH will be given as a 1-mg subcutaneous (SC) injection on Days 84, 112, and 140 (Group A) or Days 1, 28, and 56 (Group B).

OCR

Intervention Type DRUG

OCR will be given as an intravenous (IV) infusion at a dose of 600 mg, with the first dose given as two infusions of 300mg 14 days apart, according to the specifications described in the corresponding Group A and Group B arms.

TT Vaccine

Intervention Type BIOLOGICAL

The TT-containing adsorbed vaccine will be given as a 0.5-mL IM injection in the deltoid muscle on Day 85 (Group A) or Day 1 (Group B).

Group B: Vaccines (Optional OCR in Extension)

Participants will receive immunizations (TT-containing adsorbed vaccine, 23-PPV, influenza vaccine, and repeated administration with KLH) on Day 1 until Week 12 of the immunization period.

Group Type OTHER

23-PPV

Intervention Type BIOLOGICAL

The 23-PPV vaccine will be given as a 0.5-milliliter (mL) intramuscular (IM) injection in the deltoid muscle on Day 112 (Group A) or Day 28 (Group B).

Influenza Vaccine

Intervention Type BIOLOGICAL

The influenza vaccine will be given as an IM injection in the deltoid muscle at any time between Day 85 and Day 144 (select participants in Group A) or any time between Day 1 and Day 85 (Group B).

KLH

Intervention Type BIOLOGICAL

KLH will be given as a 1-mg subcutaneous (SC) injection on Days 84, 112, and 140 (Group A) or Days 1, 28, and 56 (Group B).

OCR

Intervention Type DRUG

OCR will be given as an intravenous (IV) infusion at a dose of 600 mg, with the first dose given as two infusions of 300mg 14 days apart, according to the specifications described in the corresponding Group A and Group B arms.

TT Vaccine

Intervention Type BIOLOGICAL

The TT-containing adsorbed vaccine will be given as a 0.5-mL IM injection in the deltoid muscle on Day 85 (Group A) or Day 1 (Group B).

Interventions

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23-PPV

The 23-PPV vaccine will be given as a 0.5-milliliter (mL) intramuscular (IM) injection in the deltoid muscle on Day 112 (Group A) or Day 28 (Group B).

Intervention Type BIOLOGICAL

13-PCV Booster

The 13-PCV booster will be given as an IM injection in the deltoid muscle on Day 140 (select participants in Group A).

Intervention Type BIOLOGICAL

Influenza Vaccine

The influenza vaccine will be given as an IM injection in the deltoid muscle at any time between Day 85 and Day 144 (select participants in Group A) or any time between Day 1 and Day 85 (Group B).

Intervention Type BIOLOGICAL

KLH

KLH will be given as a 1-mg subcutaneous (SC) injection on Days 84, 112, and 140 (Group A) or Days 1, 28, and 56 (Group B).

Intervention Type BIOLOGICAL

OCR

OCR will be given as an intravenous (IV) infusion at a dose of 600 mg, with the first dose given as two infusions of 300mg 14 days apart, according to the specifications described in the corresponding Group A and Group B arms.

Intervention Type DRUG

TT Vaccine

The TT-containing adsorbed vaccine will be given as a 0.5-mL IM injection in the deltoid muscle on Day 85 (Group A) or Day 1 (Group B).

Intervention Type BIOLOGICAL

Other Intervention Names

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RO4964913, PRO70769, rhuMAb 2H7

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of RMS in accordance with the revised McDonald criteria
* Received at least one previous immunization against TT or tetanus and diphtheria (DT/Td) or tetanus, diphtheria, and acellular pertussis (DTaP/Tdap)
* Expanded Disability Status Scale (EDSS) at Screening from 0 to 5.5 points, inclusive
* For sexually active female participants of reproductive potential, use of reliable means of contraception

Exclusion Criteria

* Contraindications for or intolerance to oral or IV corticosteroids, including IV methylprednisolone, according to the country label
* Known presence of other neurologic disorders
* Treatment with any investigational agent within 24 weeks of screening or 5 half-lives of the investigational drug, whichever is longer, or treatment with any experimental procedure for multiple sclerosis
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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North Central Neurology Associates

Cullman, Alabama, United States

Site Status

Territory Neurology and Research Institute

Tucson, Arizona, United States

Site Status

Fullerton Neurology and Headache Center

Fullerton, California, United States

Site Status

Scripps Clinic

La Jolla, California, United States

Site Status

University of Miami School of Medicine; Dept. of Neurology Movement Disorder Center

Miami, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Michigan Institute for Neurological Disorders

Farmington Hills, Michigan, United States

Site Status

The Minneapolis Clinic of Neurology

Golden Valley, Minnesota, United States

Site Status

Mercy Hospital St. Louis / Mercy Clinic Neurology

Chesterfield, Missouri, United States

Site Status

Cleveland Clinic Lou Ruvo; Center for Brain Research

Las Vegas, Nevada, United States

Site Status

University of New Mexico

Albuquerque, New Mexico, United States

Site Status

Staten Island Univ Hospital

Staten Island, New York, United States

Site Status

Neurology Associates PA

Hickory, North Carolina, United States

Site Status

Ohio Health Research Institute Grant Medical Center

Columbus, Ohio, United States

Site Status

MDH Research LLC

Westerville, Ohio, United States

Site Status

Abington Neurological Associates

Abington, Pennsylvania, United States

Site Status

Neurology Clinic PC

Cordova, Tennessee, United States

Site Status

Central Texas Neurology Consultants

Round Rock, Texas, United States

Site Status

Rocky Mountain MS Clinic

Salt Lake City, Utah, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

University of British Columbia Hospital; Division of Neurology

Vancouver, British Columbia, Canada

Site Status

Countries

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United States Canada

References

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Bar-Or A, Calkwood JC, Chognot C, Evershed J, Fox EJ, Herman A, Manfrini M, McNamara J, Robertson DS, Stokmaier D, Wendt JK, Winthrop KL, Traboulsee A. Effect of ocrelizumab on vaccine responses in patients with multiple sclerosis: The VELOCE study. Neurology. 2020 Oct 6;95(14):e1999-e2008. doi: 10.1212/WNL.0000000000010380. Epub 2020 Jul 29.

Reference Type DERIVED
PMID: 32727835 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2015-001357-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BN29739

Identifier Type: -

Identifier Source: org_study_id

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