NCT02545868

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

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
102

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Oct 2015

Longer than P75 for phase_3

Geographic Reach
2 countries

22 active sites

Status
completed

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

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 10, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

October 27, 2015

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 14, 2017

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

June 6, 2018

Completed
3.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 21, 2021

Completed
Last Updated

March 26, 2024

Status Verified

February 1, 2024

Enrollment Period

1.3 years

First QC Date

September 8, 2015

Results QC Date

February 13, 2018

Last Update Submit

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

EXPERIMENTAL

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.

Biological: 23-PPVBiological: 13-PCV BoosterBiological: Influenza VaccineBiological: KLHDrug: OCRBiological: TT Vaccine

Group B: Vaccines (Optional OCR in Extension)

OTHER

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.

Biological: 23-PPVBiological: Influenza VaccineBiological: KLHDrug: OCRBiological: TT Vaccine

Interventions

23-PPVBIOLOGICAL

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).

Group A: OCR + VaccinesGroup B: Vaccines (Optional OCR in Extension)
13-PCV BoosterBIOLOGICAL

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

Group A: OCR + Vaccines

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).

Group A: OCR + VaccinesGroup B: Vaccines (Optional OCR in Extension)
KLHBIOLOGICAL

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).

Group A: OCR + VaccinesGroup B: Vaccines (Optional OCR in Extension)
OCRDRUG

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.

Also known as: RO4964913, PRO70769, rhuMAb 2H7
Group A: OCR + VaccinesGroup B: Vaccines (Optional OCR in Extension)
TT VaccineBIOLOGICAL

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 A: OCR + VaccinesGroup B: Vaccines (Optional OCR in Extension)

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

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

Location

Territory Neurology and Research Institute

Tucson, Arizona, 85704, United States

Location

Fullerton Neurology and Headache Center

Fullerton, California, 92835, United States

Location

Scripps Clinic

La Jolla, California, 92037, United States

Location

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

Miami, Florida, 33136, United States

Location

University of South Florida

Tampa, Florida, 33612, United States

Location

Michigan Institute for Neurological Disorders

Farmington Hills, Michigan, 48334, United States

Location

The Minneapolis Clinic of Neurology

Golden Valley, Minnesota, 55422, United States

Location

Mercy Hospital St. Louis / Mercy Clinic Neurology

Chesterfield, Missouri, 63017, United States

Location

Cleveland Clinic Lou Ruvo; Center for Brain Research

Las Vegas, Nevada, 89106, United States

Location

University of New Mexico

Albuquerque, New Mexico, 87131, United States

Location

Staten Island Univ Hospital

Staten Island, New York, 10306, United States

Location

Neurology Associates PA

Hickory, North Carolina, 28602, United States

Location

Ohio Health Research Institute Grant Medical Center

Columbus, Ohio, 43214, United States

Location

MDH Research LLC

Westerville, Ohio, 43082, United States

Location

Abington Neurological Associates

Abington, Pennsylvania, 19001, United States

Location

Neurology Clinic PC

Cordova, Tennessee, 38018, United States

Location

Central Texas Neurology Consultants

Round Rock, Texas, 78681, United States

Location

Rocky Mountain MS Clinic

Salt Lake City, Utah, 84103, United States

Location

Swedish Medical Center

Seattle, Washington, 98104-1360, United States

Location

University of Calgary

Calgary, Alberta, T2N 2T9, Canada

Location

University of British Columbia Hospital; Division of Neurology

Vancouver, British Columbia, V6T 2B5, Canada

Location

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.

MeSH Terms

Conditions

Multiple Sclerosis, Relapsing-Remitting

Interventions

Influenza Vaccinesocrelizumab

Condition Hierarchy (Ancestors)

Multiple SclerosisDemyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Results Point of Contact

Title
Medical Communications
Organization
Hoffmann-La Roche

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

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

Locations