AzTrials
AzTrials

Multiple Sclerosis, Relapsing-RemittingPhase 3NCT02545868

A Study to Evaluate the Effects of Ocrelizumab on Immune Responses In Participants With Relapsing Forms of Multiple Sclerosis

A Phase 3 study testing 23-PPV, 13-PCV Booster and Influenza Vaccine in people with Multiple Sclerosis, Relapsing-Remitting, run by Hoffmann-La Roche at 22 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Multiple Sclerosis, Relapsing-Remitting
What is being tested?
23-PPV, 13-PCV Booster and Influenza Vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
22 sitesin 2 countries
Study dates
27 Oct 2015to 21 Sep 2021
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

22 sites in 2 countries.

22 sites in 2 countries

United States20 sites
  • Abington Neurological Associates

    Abington, Pennsylvania, 19001

  • University of New Mexico

    Albuquerque, New Mexico, 87131

  • Mercy Hospital St. Louis / Mercy Clinic Neurology

    Chesterfield, Missouri, 63017

  • Ohio Health Research Institute Grant Medical Center

    Columbus, Ohio, 43214

  • Neurology Clinic PC

    Cordova, Tennessee, 38018

  • North Central Neurology Associates

    Cullman, Alabama, 35058

  • Michigan Institute for Neurological Disorders

    Farmington Hills, Michigan, 48334

  • Fullerton Neurology and Headache Center

    Fullerton, California, 92835

  • The Minneapolis Clinic of Neurology

    Golden Valley, Minnesota, 55422

  • Neurology Associates PA

    Hickory, North Carolina, 28602

  • Scripps Clinic

    La Jolla, California, 92037

  • Cleveland Clinic Lou Ruvo; Center for Brain Research

    Las Vegas, Nevada, 89106

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

    Miami, Florida, 33136

  • Central Texas Neurology Consultants

    Round Rock, Texas, 78681

  • Rocky Mountain MS Clinic

    Salt Lake City, Utah, 84103

  • Swedish Medical Center

    Seattle, Washington, 98104-1360

  • Staten Island Univ Hospital

    Staten Island, New York, 10306

  • University of South Florida

    Tampa, Florida, 33612

  • Territory Neurology and Research Institute

    Tucson, Arizona, 85704

  • MDH Research LLC

    Westerville, Ohio, 43082

Other trials in United States

Canada2 sites
  • University of Calgary

    Calgary, Alberta, T2N 2T9

  • University of British Columbia Hospital; Division of Neurology

    Vancouver, British Columbia, V6T 2B5

Other trials in Canada

About this study

Official title: 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

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).

Being tested
23-PPV, 13-PCV Booster, Influenza Vaccine, KLH, OCR
Medical subject headings
Multiple Sclerosis, Relapsing-Remitting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 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).

  • 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).

  • Influenza VaccineBiological

    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).

  • 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).

  • OCRDrug

    Also called RO4964913, PRO70769, rhuMAb 2H7

    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.

  • 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).

Study groups in NCT02545868
Study groupRoleWhat they receive
Group A: OCR + VaccinesExperimentalParticipants 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.
Receives: Biological: 23-PPV; Biological: 13-PCV Booster; Biological: Influenza Vaccine; Biological: KLH; Drug: OCR; Biological: TT Vaccine
Group B: Vaccines (Optional OCR in Extension)OtherParticipants 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.
Receives: Biological: 23-PPV; Biological: Influenza Vaccine; Biological: KLH; Drug: OCR; Biological: TT Vaccine

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: 8 weeks after TT vaccine

Secondary outcomes (31)
  1. Percentage of Participants With Positive Response to TT Vaccine Measured 4 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 4 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 4 weeks after vaccination compared with pre-vaccination levels.

    Measured: 4 weeks after TT vaccine

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

    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 4 weeks after vaccination. For participants with pre-vaccination tetanus antibody titers >/= 0.1 IU/mL, a positive response was defined as at least a 2-fold increase in antibody titers measured 4 weeks after vaccination compared with pre-vaccination levels.

    Measured: 4 weeks after TT vaccine

  3. Mean Levels of Anti-Tetanus Antibody

    Anti-tetanus antibody levels were assessed by enzyme-linked immunosorbent assay (ELISA).

    Measured: Immediately prior to and at 4 and 8 weeks after TT vaccine

  4. Mean Levels of Anti-KLH Antibody: Immunoglobulin (Ig) G

    Anti-KLH antibody levels were assessed by ELISA.

    Measured: Immediately prior to first KLH administration and 4, 8, and 12 weeks after first KLH administration

  5. Mean Levels of Anti-KLH Antibody: Ig M

    Anti-KLH antibody levels were assessed by ELISA.

    Measured: Immediately prior to first KLH administration and 4, 8, and 12 weeks after first KLH administration

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

    Positive response against a serotype was defined as a 2-fold increase in anti-pneumococcal antibody level or greater than (>) 1 microgram per milliliter (mcg/mL) rise compared with pre-vaccination levels.

    Measured: 4 weeks after 23-PPV

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

    Positive response against a serotype was defined as a 2-fold increase in anti-pneumococcal antibody level or > 1 mcg/mL rise compared with pre-vaccination levels.

    Measured: 4 weeks after 23-PPV

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

    Positive response against a serotype was defined as a 2-fold increase in anti-pneumococcal antibody level or > 1 mcg/mL rise compared with pre-vaccination levels.

    Measured: 4 weeks after 23-PPV

  9. Mean Levels of Anti-Pneumococcal Antibody

    Serotype-specific antibody levels (IgG) were assessed by bead-based multi-analyte immunodetection (MAID).

    Measured: Immediately prior to and 4 weeks after 23-PPV

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

    Positive response against a serotype was defined as a 2-fold increase in anti-pneumococcal antibody level or > 1 mcg/mL rise compared with pre-vaccination levels.

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

  11. Mean Level of Anti-Pneumococcal Antibody

    Serotype-specific antibody levels (IgG) were assessed by bead-based multi-analyte immunodetection (MAID).

    Measured: Immediately prior to 23-PPV and 4 and 8 weeks after 23-PPV

  12. Percentage of Participants With Seroprotection

    Seroprotection was defined as specific hemagglutination inhibition (HI) titers >40 at 4 weeks after vaccination.

    Measured: 4 weeks after seasonal influenza vaccine administration

  13. Percentage of Participants With 2-Fold Increase in Strain-Specific HI Titers

    2-fold increase from prevaccination HI titer.

    Measured: 4 weeks after seasonal influenza vaccine administration

  14. Percentage of Participants With 4-Fold Increase in Strain-Specific HI Titers

    4-fold increase from prevaccination HI titer.

    Measured: 4 weeks after seasonal influenza vaccine administration

  15. Percentage of Participants With Seroconversion

    Seroconversion at 4 weeks after vaccination defined, as per protocol, as a prevaccination HI titer <10 and an HI titer >40 at 4 weeks after vaccination. Seroconversion at 4 weeks after vaccination, defined per FDA guidance, as either a) a pre-vaccination HI titer <10 and HI titer >/= 40 at 4 weeks after vaccination, or b) a pre-vaccination HI titer >/= 10 and at least 4-fold increase in HI antibody titer at 4 weeks after vaccination.

    Measured: 4 weeks after influenza immunization

  16. Strain-Specific Geometric Mean Titer Levels

    Geometric mean titers (GMTs) in participants in Groups A2 and B were measured 4 weeks after vaccination.

    Measured: Baseline and Week 4

  17. Ratio of Strain-Specific Geometric Mean Titer Levels Postvaccination to Prevaccination

    Strain-specific GMT ratios were calculated as post-vaccination : pre-vaccination.

    Measured: Immediately prior to and 4 weeks after influenza vaccine

  18. Magnetic Resonance Imaging (MRI) Parameters: Volume of T2 Lesions

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  19. MRI Parameters: Number of T2 Lesions

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  20. MRI Parameters: Categorical Number of T2 Lesions

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  21. MRI Parameters: Number of Gadolinium (Gd)-Enhancing T1 Lesions

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  22. MRI Parameters: Categorical Number of Gd-enhancing T1 Lesions

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  23. MRI Parameters: Normalized Brain Volume

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  24. MRI Parameters: Volume of T2 Lesions: White Matter Volume

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  25. MRI Parameters: Cortical Grey Matter Volume

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  26. MRI Parameters: T1 Unenhancing Lesion Volume

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  27. MRI Parameters: Total Number of Lesions

    MRI assessments done to evaluate the long-term effects of ocrelizumab on MRI parameters.

    Measured: Baseline

  28. Cellular Immune Response Assessed by Flow Cytometry

    Flow cytometry is a laser-based technology commonly used for cell counting and sorting. In this study, this outcome measure is focusing on a single variable, CD19 count (total B cells). LLN = 80 cells/ul.

    Repleted is defined as CD19 >= LLN or baseline, whichever is lower.

    Measured: Days 1, 15, 85, 112, 140 and 169

  29. Total Immunoglobulin

    Measured: Days 1, 85, and 169

  30. Percentage of Participants With Anti-Drug Antibody Formation

    Anti-Drug Antibodies (ADA) may induce unwanted side effects, especially in biotechnology-derived pharmaceuticals, such as therapeutic antibodies and growth factors.

    Measured: Up to 24 Weeks (ISP)

  31. Percentage of Participants With Adverse Events (AEs), Serious AEs, or AEs Leading to Study Discontinuation

    An AE is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious AE is any AE that is fatal, life-threatening, requires or prolongs inpatient hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to study drug, or is a significant medical event in the investigator's judgment.

    Measured: During ISP (24 weeks for Group A and 12 weeks for Group B)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Sep 2015 (estimated)
  2. Study start27 Oct 2015
  3. Primary completion14 Feb 2017
  4. Study completion21 Sep 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02545868
Sponsor's protocol ID
BN29739
Other IDs
2015-001357-32, 2015
Status last verified
Feb 2024
First submitted
8 Sep 2015
Last updated
26 Mar 2024
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • 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.

    PubMed 32727835

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 23-PPV, 13-PCV Booster and Influenza Vaccine in people with Multiple Sclerosis, Relapsing-Remitting, run by Hoffmann-La Roche at 22 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jun 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Positive Response to TT Vaccine Measured 8 Weeks After TT Vaccine (time frame: 8 weeks after TT vaccine). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02545868, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Mar 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in