A Study to Evaluate the Effects of Ocrelizumab on Immune Responses In Participants With Relapsing Forms of Multiple Sclerosis
A Phase IIIB, Multicenter, Randomized, Parallel-Group, Open-Label Study to Evaluate the Effects of Ocrelizumab on Immune Responses in Patients With Relapsing Forms of Multiple Sclerosis
2 other identifiers
interventional
102
2 countries
22
Brief Summary
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).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Oct 2015
Longer than P75 for phase_3
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 8, 2015
CompletedFirst Posted
Study publicly available on registry
September 10, 2015
CompletedStudy Start
First participant enrolled
October 27, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 14, 2017
CompletedResults Posted
Study results publicly available
June 6, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 21, 2021
CompletedMarch 26, 2024
February 1, 2024
1.3 years
September 8, 2015
February 13, 2018
February 29, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Positive Response to TT Vaccine Measured 8 Weeks After TT Vaccine
For participants with pre-vaccination tetanus antibody titers \< 0.1 IU/mL, a positive response was defined as an antibody titer \>/= 0.2 IU/mL measured 8 weeks after vaccination. For participants with pre-vaccination tetanus antibody titers \>/= 0.1 IU/mL, a positive response was defined as at least a 4-fold increase in antibody titers measured 8 weeks after vaccination compared with pre-vaccination levels.
8 weeks after TT vaccine
Secondary Outcomes (31)
Percentage of Participants With Positive Response to TT Vaccine Measured 4 Weeks After TT Vaccine
4 weeks after TT vaccine
Percentage of Participants With Tetanus Antibody Titer >/=0.2 IU/mL or 2-Fold Increase in Tetanus Antibody Titers
4 weeks after TT vaccine
Mean Levels of Anti-Tetanus Antibody
Immediately prior to and at 4 and 8 weeks after TT vaccine
Mean Levels of Anti-KLH Antibody: Immunoglobulin (Ig) G
Immediately prior to first KLH administration and 4, 8, and 12 weeks after first KLH administration
Mean Levels of Anti-KLH Antibody: Ig M
Immediately prior to first KLH administration and 4, 8, and 12 weeks after first KLH administration
- +26 more secondary outcomes
Study Arms (2)
Group A: OCR + Vaccines
EXPERIMENTALParticipants 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 B: Vaccines (Optional OCR in Extension)
OTHERParticipants 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.
Interventions
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).
The 13-PCV booster will be given as an IM injection in the deltoid muscle on Day 140 (select participants in Group A).
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 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 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.
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).
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (22)
North Central Neurology Associates
Cullman, Alabama, 35058, United States
Territory Neurology and Research Institute
Tucson, Arizona, 85704, United States
Fullerton Neurology and Headache Center
Fullerton, California, 92835, United States
Scripps Clinic
La Jolla, California, 92037, United States
University of Miami School of Medicine; Dept. of Neurology Movement Disorder Center
Miami, Florida, 33136, United States
University of South Florida
Tampa, Florida, 33612, United States
Michigan Institute for Neurological Disorders
Farmington Hills, Michigan, 48334, United States
The Minneapolis Clinic of Neurology
Golden Valley, Minnesota, 55422, United States
Mercy Hospital St. Louis / Mercy Clinic Neurology
Chesterfield, Missouri, 63017, United States
Cleveland Clinic Lou Ruvo; Center for Brain Research
Las Vegas, Nevada, 89106, United States
University of New Mexico
Albuquerque, New Mexico, 87131, United States
Staten Island Univ Hospital
Staten Island, New York, 10306, United States
Neurology Associates PA
Hickory, North Carolina, 28602, United States
Ohio Health Research Institute Grant Medical Center
Columbus, Ohio, 43214, United States
MDH Research LLC
Westerville, Ohio, 43082, United States
Abington Neurological Associates
Abington, Pennsylvania, 19001, United States
Neurology Clinic PC
Cordova, Tennessee, 38018, United States
Central Texas Neurology Consultants
Round Rock, Texas, 78681, United States
Rocky Mountain MS Clinic
Salt Lake City, Utah, 84103, United States
Swedish Medical Center
Seattle, Washington, 98104-1360, United States
University of Calgary
Calgary, Alberta, T2N 2T9, Canada
University of British Columbia Hospital; Division of Neurology
Vancouver, British Columbia, V6T 2B5, Canada
Related Publications (1)
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.
PMID: 32727835DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-La Roche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 8, 2015
First Posted
September 10, 2015
Study Start
October 27, 2015
Primary Completion
February 14, 2017
Study Completion
September 21, 2021
Last Updated
March 26, 2024
Results First Posted
June 6, 2018
Record last verified: 2024-02