MN39158
What it found
Results are posted in the registry, but without a statistical test of the main measure. See the numbers below.
What was tested
Treatment tested
- Ocrelizumab
B-lymphocyte antigen CD20 binding agent
Results by group
Time to Onset of Confirmed Disability Progression (CDP) Sustained for at Least 24 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 222.1 weeks | 439 |
Time to Onset of CDP Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | Not reached | 616 |
Time to Onset of CDP Sustained for at Least 48 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 222.1 weeks | 439 |
Time to Onset of CDP Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | Not reached | 616 |
Percentage of Participants Who Had CDP Sustained for at Least 24 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 20.5 percentage of participants | 439 |
Percentage of Participants Who Had CDP Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 15.1 percentage of participants | 616 |
Percentage of Participants Who Had CDP Sustained for at Least 48 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 18.9 percentage of participants | 439 |
Percentage of Participants Who Had CDP Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 11.0 percentage of participants | 616 |
Percentage of Participants Who Had Confirmed Disability Improvement (CDI) Sustained for at Least 24 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 24.0 percentage of participants | 18.7–29.9 | 242 |
Percentage of Participants Who Had CDI Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 40.3 percentage of participants | 320 |
Percentage of Participants Who Had CDI Sustained for at Least 48 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 20.7 percentage of participants | 15.7–26.3 | 242 |
Percentage of Participants Who Had CDI Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 32.8 percentage of participants | 320 |
Percentage of Participants Who Had Improved, Stable or Worsened Disability Compared With CASTING Baseline in EDSS Category at LIBERTO Week 96
At LIBERTO Week 96
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 18.7 percentage of participants | 305 | |
| CASTING Cohort | 65.9 percentage of participants | 305 | |
| CASTING Cohort | 15.4 percentage of participants | 305 |
CASTING Cohort
CASTING Cohort
CASTING Cohort
Percentage of Participants Who Had Stable or Worsened Disability Compared With ENSEMBLE Baseline in EDSS Category at LIBERTO Week 96
At LIBERTO Week 96
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 11 percentage of participants | 616 | |
| ENSEMBLE Cohort | 89 percentage of participants | 616 |
ENSEMBLE Cohort
ENSEMBLE Cohort
Change From CASTING Baseline in EDSS Score to LIBERTO Week 96
CASTING Baseline to LIBERTO Week 96 (up to 4 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| CASTING Cohort | 0.12 score on scale | 0.07 (Standard Error) | 305 |
Change From ENSEMBLE Baseline in EDSS Score to LIBERTO Week 96
ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | -0.119 score on scale | 0.059 (Standard Error) | 551 |
Time to ≥ 20% Increase in 25-foot Walk Test (T25FWT) Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | Not reached | 616 |
Time to ≥ 20% Increase in 25FWT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | Not reached | 616 |
Time to ≥ 20% Increase in 9 Hole Peg Test (9HPT) Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | Not reached | 616 |
Time to ≥ 20% Increase in 9HPT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | Not reached | 616 |
Percentage of Participants With ≥ 20% Increase in T25FWT Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 24.4 percentage of participants | 616 |
Percentage of Participants With ≥ 20% Increase in T25FWT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 17.7 percentage of participants | 616 |
Percentage of Participants With ≥ 20% Increase in 9HPT Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 9.4 percentage of participants | 616 |
Percentage of Participants With ≥ 20% Increase in 9HPT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
| Group | Value | Interval | Number analysed |
|---|---|---|---|
| ENSEMBLE Cohort | 6.5 percentage of participants | 616 |
Values as posted on ClinicalTrials.gov. Outcomes measured differently across trials are not directly comparable.
Safety
| Group | Participants at risk | Serious adverse events | Deaths |
|---|---|---|---|
| CASTING Cohort | 439 | 41 (9.3%) | 0 |
| ENSEMBLE Cohort | 616 | 109 (17.7%) | 2 |
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
Time to Onset of Confirmed Disability Progression (CDP) Sustained for at Least 24 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatigueTime to Onset of CDP Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatigueTime to Onset of CDP Sustained for at Least 48 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatigueTime to Onset of CDP Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatiguePercentage of Participants Who Had CDP Sustained for at Least 24 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatiguePercentage of Participants Who Had CDP Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatiguePercentage of Participants Who Had CDP Sustained for at Least 48 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatiguePercentage of Participants Who Had CDP Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatiguePercentage of Participants Who Had Confirmed Disability Improvement (CDI) Sustained for at Least 24 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatiguePercentage of Participants Who Had CDI Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatiguePercentage of Participants Who Had CDI Sustained for at Least 48 Weeks From CASTING Baseline to LIBERTO Week 96
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatiguePercentage of Participants Who Had CDI Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatiguePercentage of Participants Who Had Improved, Stable or Worsened Disability Compared With CASTING Baseline in EDSS Category at LIBERTO Week 96
At LIBERTO Week 96
Disability progressionFatigueBladder, bowel and sexual functionPercentage of Participants Who Had Stable or Worsened Disability Compared With ENSEMBLE Baseline in EDSS Category at LIBERTO Week 96
At LIBERTO Week 96
Disability progressionFatigueBladder, bowel and sexual functionChange From CASTING Baseline in EDSS Score to LIBERTO Week 96
CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionFatigueBladder, bowel and sexual functionChange From ENSEMBLE Baseline in EDSS Score to LIBERTO Week 96
ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionFatigueBladder, bowel and sexual functionTime to ≥ 20% Increase in 25-foot Walk Test (T25FWT) Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionWalking and mobilityTime to ≥ 20% Increase in 25FWT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionWalking and mobilityTime to ≥ 20% Increase in 9 Hole Peg Test (9HPT) Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionTime to ≥ 20% Increase in 9HPT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionPercentage of Participants With ≥ 20% Increase in T25FWT Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionWalking and mobilityPercentage of Participants With ≥ 20% Increase in T25FWT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionWalking and mobilityPercentage of Participants With ≥ 20% Increase in 9HPT Sustained for at Least 24 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionPercentage of Participants With ≥ 20% Increase in 9HPT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progression1. Evaluate clinical measures related to disease progression over two years in MS patients
Other measures (53)
Time to First Protocol-Defined Event of Disease Activity
From CASTING Baseline to LIBERTO Week 96 (up to 4 years); From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionRelapsesMRI lesionsFatigueSafetyTime to First Relapse
From CASTING Baseline to LIBERTO Week 96 (up to 4 years); From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionRelapsesFatigueSafetyAnnualized Protocol-Defined Relapse Rate
From CASTING Baseline to LIBERTO Week 96 (up to 4 years); From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionRelapsesFatigueSafetyPercentage of Relapse Free Participants
From CASTING Baseline to LIBERTO Week 96 (up to 4 years); From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionRelapsesFatigueSafetyPercentage of Participants With No Protocol-Defined Event of Disease Activity (NEDA) for CASTING Rollover Cohort
From CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Disability progressionRelapsesMRI lesionsPercentage of Participants With NEDA for ENSEMBLE Cohort
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionRelapsesMRI lesionsPercentage of Participants With No Evidence of Progression (NEP) From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionWalking and mobilityPercentage of Participants With No Evidence of Progression Sustained for at Least 24 Weeks and Disease Activity (NEPAD) From ENSEMBLE Baseline ENSEMBLE to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Disability progressionRelapsesMRI lesionsWalking and mobilityChange From Baseline in Symbol Digit Modalities Test (SDMT) Score for CASTING Rollover Cohort
CASTING Baseline to LIBERTO Week 96 (up to 4 years)
Thinking and memoryTime to 8-point Improvement Change in the SDMT Sustained for at Least 48 Weeks From ENSEMBLE Baseline to LIBERTO Week 96
From ENSEMBLE Baseline to LIBERTO Week 96 (up to 6 years)
Thinking and memory
Who could take part
MS (type not specified) · 18 to 65
Inclusion Criteria: * Signed Informed Consent Form * Able to comply with the study protocol, in the investigator's judgment * Completed the treatment period of Roche sponsored ocrelizumab P-trials Exclusion Criteria: * Hypersensitivity to ocrelizumab or to any of its excipients. * Participantss in a severely immunocompromised state until the condition resolves. * Evidence of any adverse event potentially attributable to ocrelizumab, for which the local label recommends permanent discontinuation. * Existence of a contra-indication as per SmPC * Prohibited concomitant medication as specified in protocol * Participants intending to become pregnant during the study or within 6 months after the last dose of the study drug in the parent study
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
This extension study will evaluate the effectiveness and safety of ocrelizumab in multiple sclerosis (MS) participants who were previously enrolled in a F. Hoffmann-La Roche (Roche) sponsored ocrelizumab phase IIIb/IV trial (i.e. the Parent, P-trial).
Papers
Results
Long-Term Treatment With Ocrelizumab in Patients With Early-Stage Relapsing MS: Nine-Year Data From the OPERA Studies Open-Label Extension.Neurology · 2025
Results
Vermersch P, Benedict RHB, Van Wijmeersch B, Cutter G, Kister L, Oreja-Guevara C, Siva A, Wiendl H, Wuerfel J, El Azzouzi B, Kuenzel T, Buffels R, Craveiro L, Dirks P, Comi G. Efficacy and Safety of Patients With Relapsing Multiple Sclerosis Switching to Ocrelizumab Due to Suboptimal Treatment Response: Results of the 4-Year CASTING-LIBERTO Trial. Eur J Neurol. 2026 Jun;33(6):e70628. doi: 10.1111/
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Status unknown
No result found
History
Started
Jul 2018
Main results due
Jul 2025
Finished
Jul 2025
Results posted
Sept 2026
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