Clinical trial • Phase IV • Neurology

Ocrelizumab for Multiple Sclerosis

Phase IV trial of Ocrelizumab for Multiple Sclerosis.

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Multiple Sclerosis
Trial Stage
Phase IV
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
02-09-2024
First CTIS Authorization Date
17-09-2024

Trial design

Randomised, standard ocrelizumab (standard fixed 24 week interval) versus personalized b cell tailored ocrelizumab; investigational product: ocrevus 300 mg concentrate for solution for infusion (active substance ocrelizumab). exact dose and schedule beyond 'fixed 24 week interval' for the comparator arm are not specified in the record.-controlled Phase IV trial across 22 sites in Netherlands.

Randomised
Yes
Comparator
Standard ocrelizumab (standard fixed 24 week interval) versus personalized B cell tailored ocrelizumab; investigational product: Ocrevus 300 mg concentrate for solution for infusion (active substance ocrelizumab). Exact dose and schedule beyond 'fixed 24 week interval' for the comparator arm are not specified in the record.
Biomarker Stratified
True, biomarker: B cell count (B-cell tailored dosing); strata not specified in record
Target Sample Size
296
Trial Duration For Participant
672

Eligibility

Recruits 296 Vulnerable population selected (isVulnerablePopulationSelected = true). Subject information and informed consent forms are listed in the documents (L1_SIS and ICF BLOOMS Dutch). No further details about assent or specific consent-handling procedures are provided in the record..

Pregnancy Exclusion
Women who are pregnant or expect to become pregnant during the study period
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Subject information and informed consent forms are listed in the documents (L1_SIS and ICF BLOOMS Dutch). No further details about assent or specific consent-handling procedures are provided in the record.

Inclusion criteria

  • {"criterion_text":"- A current diagnosis of relapsing remitting multiple sclerosis according to the 2017 McDonald criteria\n- Age of 18 or older\n- EDSS score of 0 to 6.5 inclusive\n- Treatment with ocrelizumab for a minimum of 48 weeks (two 300 mg infusions and one 600 mg infusion)\n- Last ocrelizumab interval not extended, maximum of 7,5 months between the infusions"}

Exclusion criteria

  • {"criterion_text":"- Previous treatment with alemtuzumab, cladribine or stem cell transplantation\n- Relapse in the past 3 months prior to inclusion\n- Subsequent treatment with another DMT next to ocrelizumab in the past 6 months prior to inclusion\n- Inability to undergo regular MRI scanning\n- Women who are pregnant or expect to become pregnant during the study period"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The two co-primary end points are the difference of percentage of confirmed relapse-free patients between the two treatment groups after 96 weeks follow-up and the difference of percentage of patients without new/enlarging T2 MRI lesions between the two treatment groups after 96 weeks follow-up.","definition_or_measurement_approach":"Comparison of the difference in percentage of confirmed relapse-free patients between treatment groups after 96 weeks follow-up; and comparison of the difference in percentage of patients without new/enlarging T2 MRI lesions between treatment groups after 96 weeks follow-up."}

Recruitment

Planned Sample Size
296
Recruitment Window Months
62
Consent Approach
Informed consent is required; subject information and informed consent forms are listed (L1_SIS and ICF BLOOMS Dutch). The available documents are in Dutch. No additional details on assent, who provides consent for specific vulnerable groups, or multiple language versions are provided in the record.

Geography

Total Number Of Sites
22
Total Number Of Participants
296

Netherlands

Earliest CTIS Part Ii Submission Date
13-09-2024
Latest Decision Or Authorization Date
03-02-2026
Processing Time Days
508
Number Of Sites
22
Number Of Participants
296

Sites

Site Name
Jeroen Bosch Ziekenhuis Stichting
Department Name
Neurology
Principal Investigator Name
Jeroen van Eijk
Principal Investigator Email
J.Eijkvan@jbz.nl
Contact Person Name
Jeroen van Eijk
Contact Person Email
J.Eijkvan@jbz.nl
Site Name
Haga Hospital
Department Name
Neurology
Principal Investigator Name
Jurgen Piet
Principal Investigator Email
j.piet@hagaziekenhuis.nl
Contact Person Name
Jurgen Piet
Contact Person Email
j.piet@hagaziekenhuis.nl
Site Name
Slingeland Ziekenhuis
Department Name
Neurology
Principal Investigator Name
Christiaan Roosendaal
Principal Investigator Email
C.Roosendaal@slingeland.nl
Contact Person Name
Christiaan Roosendaal
Contact Person Email
C.Roosendaal@slingeland.nl
Site Name
Medisch Spectrum Twente
Department Name
Neurology
Principal Investigator Name
Ruben Portier
Principal Investigator Email
R.Portier@mst.nl
Contact Person Name
Ruben Portier
Contact Person Email
R.Portier@mst.nl
Site Name
Ommelander Ziekenhuis Groningen B.V.
Department Name
Neurology
Principal Investigator Name
Jessica Nielsen
Principal Investigator Email
j.nielsen@ozg.nl
Contact Person Name
Jessica Nielsen
Contact Person Email
j.nielsen@ozg.nl
Site Name
St. Antonius Ziekenhuis
Department Name
Neurology
Principal Investigator Name
Erwin Hoogervorst
Principal Investigator Email
e.hoogervorst@antoniusziekenhuis.nl
Contact Person Name
Erwin Hoogervorst
Site Name
Flevoziekenhuis Stichting
Department Name
Neurology
Principal Investigator Name
Anke Vennegoor
Principal Investigator Email
wetenschapsbureau@flevoziekenhuis.nl
Contact Person Name
Anke Vennegoor
Site Name
Noordwest Ziekenhuisgroep Stichting
Department Name
Neurology
Principal Investigator Name
Bjorn van Geel
Principal Investigator Email
B.M.van.Geel@nwz.nl
Contact Person Name
Bjorn van Geel
Contact Person Email
B.M.van.Geel@nwz.nl
Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Neurology
Principal Investigator Name
Ide Smets
Principal Investigator Email
i.smets@erasmusmc.nl
Contact Person Name
Ide Smets
Contact Person Email
i.smets@erasmusmc.nl
Site Name
Groene Hart Ziekenhuis
Department Name
Neurology
Principal Investigator Name
Koen de Gans
Principal Investigator Email
Koen.de.Gans@ghz.nl
Contact Person Name
Koen de Gans
Contact Person Email
Koen.de.Gans@ghz.nl
Site Name
Wilhelmina Ziekenhuis Assen
Department Name
Neurology
Principal Investigator Name
Mark Kloosterziel
Principal Investigator Email
Mark.Kloosterziel@WZA.NL
Contact Person Name
Mark Kloosterziel
Contact Person Email
Mark.Kloosterziel@WZA.NL
Site Name
Maasstad Ziekenhuis Stichting
Department Name
Neurology
Principal Investigator Name
Luuk van Rooij
Principal Investigator Email
RooijL@maasstadziekenhuis.nl
Contact Person Name
Luuk van Rooij
Contact Person Email
RooijL@maasstadziekenhuis.nl
Site Name
Streekziekenhuis Koningin Beatrix
Department Name
Neurology
Principal Investigator Name
Ilse Arts
Principal Investigator Email
i.arts@skbwinterswijk.nl
Contact Person Name
Ilse Arts
Contact Person Email
i.arts@skbwinterswijk.nl
Site Name
Isala Klinieken Stichting
Department Name
Neurology
Principal Investigator Name
Onno Groeneveld
Principal Investigator Email
o.n.groeneveld@isala.nl
Contact Person Name
Onno Groeneveld
Contact Person Email
o.n.groeneveld@isala.nl
Site Name
OLVG
Department Name
Neurology
Principal Investigator Name
Nynke Kalkers
Principal Investigator Email
N.F.Kalkers@olvg.nl
Contact Person Name
Nynke Kalkers
Contact Person Email
N.F.Kalkers@olvg.nl
Site Name
Spaarne Gasthuis Stichting
Department Name
Neurology
Principal Investigator Name
Liselore Mensing
Principal Investigator Email
lmensing@spaarnegasthuis.nl
Contact Person Name
Liselore Mensing
Contact Person Email
lmensing@spaarnegasthuis.nl
Site Name
Reinier de Graaf Groep
Department Name
Neurology
Principal Investigator Name
Jolijn Kragt
Principal Investigator Email
wetenschapsbureau@rdgg.nl
Contact Person Name
Jolijn Kragt
Contact Person Email
wetenschapsbureau@rdgg.nl
Site Name
Zuyderland Medisch Centrum Stichting
Department Name
Neurology
Principal Investigator Name
Oliver Gerlach
Principal Investigator Email
ol.gerlach@zuyderland.nl
Contact Person Name
Oliver Gerlach
Contact Person Email
ol.gerlach@zuyderland.nl
Site Name
Amsterdam UMC Stichting
Department Name
Neurology
Principal Investigator Name
Joep Killestein
Principal Investigator Email
j.killestein@amsterdamumc.nl
Contact Person Name
Joep Killestein
Contact Person Email
j.killestein@amsterdamumc.nl
Site Name
Alrijne Zorggroep Stichting
Department Name
Neurology
Principal Investigator Name
Elske Hoitsma
Principal Investigator Email
ehoitsma@alrijne.nl
Contact Person Name
Elske Hoitsma
Contact Person Email
ehoitsma@alrijne.nl
Site Name
Amphia Hospital
Department Name
Neurology
Principal Investigator Name
Caspar van Munster
Principal Investigator Email
CvanMunster@amphia.nl
Contact Person Name
Caspar van Munster
Contact Person Email
CvanMunster@amphia.nl
Site Name
Rijnstate Ziekenhuis Stichting
Department Name
Neurology
Principal Investigator Name
Jop Mostert
Principal Investigator Email
JMostert@rijnstate.nl
Contact Person Name
Jop Mostert
Contact Person Email
JMostert@rijnstate.nl

Sponsor

Primary sponsor

Full Name
Amsterdam UMC Stichting
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Ocrevus 300 mg concentrate for solution for infusion
Active Substance
Ocrelizumab
Modality
Monoclonal antibody
Routes Of Administration
Intravenous infusion
Route
Intravenous infusion
Authorisation Status
Authorised (marketing authorisation EU/1/17/1231/001)
Maximum Dose
600 mg

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