A Phase IIIB Multicenter, Randomized, Double-Blind, Controlled Study to Evaluate the Efficacy, Safety and Pharmacokinetics of a Higher Dose of Ocrelizumab in Adults With Primary Progressive Multiple Sclerosis
Sponsor:
Brief Summary:
efficacy, safety and pharmacokinetics of a higher dose of ocrelizumab per intravenous (IV)
infusion every 24 weeks in participants with PPMS, in comparison to the approved 600 mg dose
of ocrelizumab.
Criteria
– Diagnosis of primary progressive multiple sclerosis (PPMS).
– Expanded disability status scale (EDSS) score at screening and baseline, from 3 to 6.5
inclusive.
– Score of >/= to 2.0 on the Functional Systems scale for the pyramidal system that was
due to lower extremity findings.
– Participants requiring symptomatic treatment for MS and/or physiotherapy must be
treated at a stable dose. No initiation of symptomatic treatment for MS or
physiotherapy within 4 weeks of randomization.
– Participants must be neurologically stable for at least 30 days prior to randomization
and baseline.
– Disease duration from the onset of MS symptoms, less than 15 years in participants
with an EDSS score at screening >5.0, less than 10 years in participants with an EDSS
score at screening =5.0.
- Documented evidence of the presence of cerebrospinal fluid-specific oligoclonal bands.
- For females of childbearing potential, agreement to remain abstinent or use adequate
contraceptive methods.
- For female participants without reproductive potential, may be enrolled if
post-menopausal unless receiving a hormonal therapy for her menopause or if surgically
sterile.
Exclusion Criteria:
- History of relapsing remitting or secondary progressive MS at screening.
- Any known or suspected active infection at screening or baseline (except nailbed
infections), or any major episode of infection requiring hospitalization or treatment
with IV antimicrobials.
- History of confirmed or suspected progressive multifocal leukoencephalopathy.
- History of cancer, including hematologic malignancy and solid tumors, within 10 years
of screening.
- Immunocompromised state.
- Receipt of a live or live-attenuated vaccine within 6 weeks prior to randomization.
- Inability to complete an MRI or contraindication to gadolinium administration.
- Contraindications to mandatory pre-medications for IRRs.
- Known presence of other neurologic disorders.
- Any concomitant disease that may require chronic treatment with systemic
corticosteroids or immunosuppressants during the course of the study.
- Significant, uncontrolled disease that may preclude participant from participating in
the study.
- History of or currently active primary or secondary, non-drug-related,
immunodeficiency.
- Pregnant or breastfeeding or intending to become pregnant.
- Lack of peripheral venous access.
- History of alcohol or other drug abuse within 12 months prior to screening.
- Treatment with any investigational agent or treatment with any experimental procedure
for MS.
- Previous use of anti-CD20s if in the last 2 years before screening, or if B-cell count
is not normal, or if treatment was stopped due to safety reasons or lack of efficacy.
- Previous use of mitoxantrone, cladribine, atacicept, and alemtuzumab.
- Previous treatment with any other immunomodulatory or immunosuppressive medication not
already listed above without appropriate washout as described in the applicable local
label.
- If the washout requirements are not described in the applicable local label, then the
wash out period must be five times the half-life of the medication.
- Any previous treatment with bone marrow transplantation and hematopoietic stem cell
transplantation.
- Any previous history of transplantation or anti-rejection therapy.
- Treatment with intravenous (IV) immunoglobulin (Ig) or plasmapheresis within 12 weeks
prior to randomization.
- Systemic corticosteroid therapy within 4 weeks prior to screening.
- Positive screening tests for active, latent, or inadequately treated hepatitis B
- Sensitivity or intolerance to any ingredient of ocrelizumab.
- Any additional exclusionary criterion as per ocrelizumab local label, if more
stringent than the above.
Locations
- University of California Irvine, Irvine, California, United States, 92697
- University of California Davis Medical Center, Sacramento, California, United States, 95817
- University of California San Francisco, San Francisco, California, United States, 94117
- Stanford University Medical Center; Stanford Neuroscience Health Center, Stanford, California, United States, 94305
- Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, California, United States, 90502