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

CompletedPhase 3Relapsing MSNCT02545868

What it found

Results posted, not judged

Results are posted in the registry, but without a statistical test of the main measure. See the numbers below.

What was tested

Treatment tested

  • 23-PPV
  • 13-PCV Booster
  • Influenza Vaccine
  • KLH
  • OCR
  • TT Vaccine

Results by group

Percentage of Participants With Positive Response to TT Vaccine Measured 8 Weeks After TT Vaccine

8 weeks after TT vaccine

GroupValueIntervalNumber analysed
Group A (A1 + A2)23.9 percentage of participants68
Group B54.5 percentage of participants34

Group A (A1 + A2)

23.9

Group B

54.5

normal distribution approximation -30.7 (95% CI -50.5–-10.8)

Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.

Safety

GroupParticipants at riskSerious adverse eventsDeaths
Group A1335 (15.2%)0
Group A2355 (14.3%)0
Group B346 (17.6%)0

As posted on ClinicalTrials.gov. Serious adverse events include any serious health event during the trial, whether or not the treatment caused it.

What it measured

Main measures

  • Percentage of Participants With Positive Response to TT Vaccine Measured 8 Weeks After TT Vaccine

    8 weeks after TT vaccine

    Immune response

Other measures (31)

  • Percentage of Participants With Positive Response to TT Vaccine Measured 4 Weeks After TT Vaccine

    4 weeks after TT vaccine

    Immune response
  • Percentage of Participants With Tetanus Antibody Titer >/=0.2 IU/mL or 2-Fold Increase in Tetanus Antibody Titers

    4 weeks after TT vaccine

    Immune response
  • 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

  • Percentage of Participants With Positive Response Against Individual Pneumococcal Serotypes in 23-PPV

    4 weeks after 23-PPV

  • Percentage of Participants With Positive Response Against >/=2 Pneumococcal Serotypes

    4 weeks after 23-PPV

  • Percentage of Participants With Positive Response Against >/=12 Pneumococcal Serotypes

    4 weeks after 23-PPV

  • Mean Levels of Anti-Pneumococcal Antibody

    Immediately prior to and 4 weeks after 23-PPV

  • Percentage of Participants With Positive Response Against Individual Pneumococcal Serotypes in 13-PCV

    8 weeks after 23-PPV, which was 4 weeks after Group A1 participants received 13-PCV

Who could take part

Relapsing MS · 18 to 55 · EDSS 0 to 5.5

Show the full criteria

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

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

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).

Papers

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History

    1. Started

      Oct 2015

    2. Main results due

      Feb 2017

    3. Finished

      Sept 2021

    4. Results posted

      Jun 2018

    Assembled by software from public sources.