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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT02861014




Registration number
NCT02861014
Ethics application status
Date submitted
5/08/2016
Date registered
10/08/2016
Date last updated
27/01/2022

Titles & IDs
Public title
A Study of Ocrelizumab in Participants With Relapsing Remitting Multiple Sclerosis (RRMS) Who Have Had a Suboptimal Response to an Adequate Course of Disease-Modifying Treatment (DMT)
Scientific title
An Open-Label Study To Evaluate the Efficacy and Safety of Ocrelizumab in Patients With Relapsing Multiple Sclerosis Who Have A Suboptimal Response to an Adequate Course of Disease-Modifying Treatment
Secondary ID [1] 0 0
2015-005597-38
Secondary ID [2] 0 0
MA30005
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Multiple Sclerosis, Relapsing-Remitting 0 0
Condition category
Condition code

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Other - Ocrelizumab

Experimental: Ocrelizumab - Ocrelizumab will be administered as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.


Treatment: Other: Ocrelizumab
Ocrelizumab will be administered as two 300 mg IV infusions on Days 1 and 15 followed by one 600 mg IV infusions administered at Weeks 24, 48, and 72.
Intervention code [1] 0 0
Treatment: Other
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants With No Evidence of Disease Activity (NEDA) as Per Protocol Defined Events During a 96-Week Period
Timepoint [1] 0 0
Week 96
Secondary outcome [1] 0 0
Percentage of Participants Free From a Protocol-Defined Event of Disease Activity During 24 Weeks Period
Timepoint [1] 0 0
Baseline up to 24 weeks
Secondary outcome [2] 0 0
Percentage of Participants Free From a Protocol-Defined Event of Disease Activity During 48 Weeks Period
Timepoint [2] 0 0
Baseline up to 48 weeks
Secondary outcome [3] 0 0
Time to First Protocol-Defined Event of Disease Activity
Timepoint [3] 0 0
Baseline up to 96 Weeks
Secondary outcome [4] 0 0
Change From Baseline to Week 96 in Expanded Disability Status Scale (EDSS)
Timepoint [4] 0 0
Baseline, Weeks: 24, 48, 72, 96
Secondary outcome [5] 0 0
Absolute Change From Baseline in EDSS Category at Week 96
Timepoint [5] 0 0
Up to Week 96
Secondary outcome [6] 0 0
Percentage of Participants With a Baseline EDSS Score =2 With CDI at Week 96
Timepoint [6] 0 0
Week 96
Secondary outcome [7] 0 0
Annualized Protocol-defined Relapse Rate at Week 96
Timepoint [7] 0 0
Week 96
Secondary outcome [8] 0 0
Time to Onset of 24-week Confirmed Disability Progression
Timepoint [8] 0 0
Baseline up to 96 Weeks
Secondary outcome [9] 0 0
Time to Onset of First Protocol-Defined Relapse
Timepoint [9] 0 0
Baseline up to 96 Weeks
Secondary outcome [10] 0 0
Time to Onset of First New and/or Enlarging T2 Lesion
Timepoint [10] 0 0
Baseline up to 96 Weeks
Secondary outcome [11] 0 0
Mean Number of T1 Gd-enhancing Lesions Per MRI Scan at Weeks 24, 48 and 96
Timepoint [11] 0 0
Weeks: 24, 48, 96
Secondary outcome [12] 0 0
Change From Baseline to Week 96 in Total T2 Lesion Volume Detected by Brain MRI From
Timepoint [12] 0 0
Baseline, Week 96
Secondary outcome [13] 0 0
Percentage Change From Baseline to Week 96 in Total T2 Lesion Volume Detected by Brain MRI
Timepoint [13] 0 0
Baseline, Week 96
Secondary outcome [14] 0 0
Volume of New and/or Enlarging T2 Hyperintense Lesions Volume of Lesions Per MRI Scan at Weeks 24, 48, 96
Timepoint [14] 0 0
Weeks 24, 48, 96
Secondary outcome [15] 0 0
Mean Number of New and/or Enlarging T2 Hyperintense Lesions Per MRI Scan
Timepoint [15] 0 0
Weeks 24, 48, 96
Secondary outcome [16] 0 0
Change From Baseline at Week 48 and 96 in T1 Hypointense Lesion Volume
Timepoint [16] 0 0
Weeks 48, 96
Secondary outcome [17] 0 0
Percentage Change From Baseline at Week 48 and 96 in T1 Hypointense Lesion Volume
Timepoint [17] 0 0
Weeks 48, 96
Secondary outcome [18] 0 0
Adjusted Mean Change From Baseline at Week 48 and 96 in T1 Hypointense Lesion Volume
Timepoint [18] 0 0
Weeks 48, 96
Secondary outcome [19] 0 0
Adjusted Mean Percentage Change From Baseline in Brain Volume
Timepoint [19] 0 0
Weeks 24, 48, 96
Secondary outcome [20] 0 0
Adjusted Mean Percentage Change From Baseline in Cortical Grey Matter Volume
Timepoint [20] 0 0
Weeks 48, 96
Secondary outcome [21] 0 0
Adjusted Mean Percentage Change From Baseline in White Matter Volume
Timepoint [21] 0 0
Weeks 48, 96
Secondary outcome [22] 0 0
Mean Change From Baseline in Cognitive Performance (Processing Speed/Working Memory) at Week 48 and Week 96 as Measured by the Brief International Cognitive Assessment for MS - Symbol Digit Modalities Test (SDMT) Score
Timepoint [22] 0 0
Baseline, Weeks: 48, 96
Secondary outcome [23] 0 0
Change From Baseline in Cognitive Performance (Visuospatial Memory) at Week 48 and Week 96 as Measured by the Brief International Cognitive Assessment for MS - Brief Visuospatial Memory Test-Revised (BVMT-R) Score
Timepoint [23] 0 0
Baseline, Weeks 48, 96
Secondary outcome [24] 0 0
Percentage Change From Baseline in Cognitive Performance (Processing Speed/Working Memory) at Week 48 and Week 96 as Measured by the Brief International Cognitive Assessment for MS - Symbol Digit Modalities Test (SDMT) Score
Timepoint [24] 0 0
Baseline, Weeks 48, 96
Secondary outcome [25] 0 0
Percentage Change From Baseline in Cognitive Performance (Visuospatial Memory) at Week 48 and Week 96 as Measured by the Brief International Cognitive Assessment for MS - Brief Visuospatial Memory Test-Revised (BVMT-R) Score
Timepoint [25] 0 0
Baseline, Weeks: 48, 96
Secondary outcome [26] 0 0
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Timepoint [26] 0 0
Baseline up to to 96 weeks after the end of the Treatment Period

Eligibility
Key inclusion criteria
* Have a definite diagnosis of RRMS, confirmed as per the revised McDonald 2010 criteria
* Have a length of disease duration, from first symptom, of less than (<) 10 years
* Have received no more than two prior DMTs, and the discontinuation of the most recent DMT was due to lack of efficacy
* Suboptimal disease control while on a DMT
* Expanded Disability Status Scale (EDSS) of 0.0 to 4.0, inclusive, at Screening
* For women of childbearing potential: agreement to use an acceptable birth control method during the treatment period and for at least 6 months after the last dose of study drug
Minimum age
18 Years
Maximum age
55 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Secondary progressive multiple sclerosis (SPMS) or history of primary progressive or progressive relapsing multiple sclerosis (MS)
* Inability to complete an Magnetic Resonance Imaging (MRI) procedure
* Known presence of other neurological disorders
* Any concomitant disease that may require chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study
* History or currently active primary or secondary immunodeficiency
* History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies
* History of opportunistic infections
* History or known presence of recurrent or chronic infection
* History of malignancy
* Congestive heart failure
* Known active bacterial, viral, fungal, mycobacterial infection or other infection, excluding fungal infection of nail beds

Study design
Purpose of the study
Treatment
Allocation to intervention
Not applicable
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
9/09/2016
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
15/12/2020
Sample size
Target
Accrual to date
Final
681
Recruitment in Australia
Recruitment state(s)
NSW
Recruitment hospital [1] 0 0
St George Hospital - Kogarah, New South Wales
Recruitment postcode(s) [1] 0 0
2217 - Kogarah, New South Wales
Recruitment outside Australia
Country [1] 0 0
Belgium
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Bruxelles
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Belgium
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Edegem
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Belgium
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Gent
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Belgium
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La Louvière
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Belgium
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Leuven
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Melsbroek
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Overpelt
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Brno
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Jihlava
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Czechia
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Prague
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Praha
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Aarhus N
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Glostrup
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Odense C
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Sønderborg
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Tallinn
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Tartu
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Finland
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Tampere
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Finland
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Turku
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France
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Besançon
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France
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Bordeaux
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Bron
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Ankara
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Izmir
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Kocaeli
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Edinburgh
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Exeter
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Glasgow
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Inverness
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Leeds
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London
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Newcastle upon Tyne
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Salford
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Swansea
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Truro

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Hoffmann-La Roche
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this prospective, multicenter, open-label, efficacy, and safety study is to assess the efficacy and safety of ocrelizumab in participants with Relapsing Remitting Multiple Sclerosis (RRMS) who have had a suboptimal response to an adequate course of a Disease-Modifying Treatment (DMT). The study will consist of a Screening period (up to 4 weeks), an Open-label treatment period (96 weeks; with last dose administered at Week 72), and a Follow-up period of at least 2 years.
Trial website
https://clinicaltrials.gov/study/NCT02861014
Trial related presentations / publications
Vermersch P, Oreja-Guevara C, Siva A, Van Wijmeersch B, Wiendl H, Wuerfel J, Buffels R, Kadner K, Kuenzel T, Comi G; CASTING Investigators. Efficacy and safety of ocrelizumab in patients with relapsing-remitting multiple sclerosis with suboptimal response to prior disease-modifying therapies: A primary analysis from the phase 3b CASTING single-arm, open-label trial. Eur J Neurol. 2022 Mar;29(3):790-801. doi: 10.1111/ene.15171. Epub 2021 Nov 25.
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Trials
Address 0 0
Hoffmann-La Roche
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT02861014