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Multiple SclerosisPhase 4MINORENCT04998812

A Study Evaluating B Cell Levels In Infants Potentially Exposed To Ocrelizumab During Pregnancy

A Phase 4 study testing Ocrelizumab in people with Multiple Sclerosis and Clinically Isolated Syndrome, run by Hoffmann-La Roche at 11 sites in 5 countries.

Completed

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

Official record
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Trial summary

This study will evaluate the potential placental transfer of ocrelizumab in pregnant women with clinically isolated syndrome (CIS) or multiple sclerosis (MS) [in line with the locally approved indications] whose last dose of ocrelizumab was administered any time from 6 months before the last menstrual period (LMP)… Read more about this study

Who is it for?
Ages 18 to 40 years, women only
What is being tested?
Ocrelizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
11 sitesin 5 countries
Study dates
13 Apr 2022to 14 Jul 2025
Phase
Phase 4
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 40 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Diagnosis of MS or CIS (in line with the locally approved indications)
  • Currently pregnant with singleton pregnancy at gestational week ≤30 at enrolment
  • Documentation that first and second obstetric ultrasound has been conducted before enrolment during the screening period
  • Documentation that the last exposure to ocrelizumab occurred up to 6 months before the LMP before the woman became pregnant OR during the first trimester of pregnancy

Who cannot join

  • Last exposure to ocrelizumab >6 months before the woman's LMP or later than the first trimester of pregnancy
  • Gestational age at enrolment >30 weeks
  • Non-singleton pregnancy
  • Received the last dose of ocrelizumab at a different posology other than per the local prescribing information
  • Lack of access to ultrasound pre-natal care as part of standard clinical practice
  • Prior or current obstetric/gynecological conditions associated with adverse pregnancy outcomes
Show all 19Show fewer
  • Pre-pregnancy body mass index >35 kg/m2
  • Any concomitant disease that may require chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study
  • Prior or current history of primary or secondary immunodeficiency, or woman in an otherwise severely immunocompromised state
  • Significant and uncontrolled disease that may preclude a woman from participating in the study
  • Women with known active malignancies or being actively monitored for recurrence of malignancy including solid tumors and hematological malignancies
  • Prior or current history of alcohol or drug abuse, or current use of tobacco
  • Positive screening tests for hepatitis B
  • Treatment with drugs known to have teratogenic effects
  • Planned treatment with interferons, glatiramer acetate, or pulsed corticosteroids as a bridging therapy after the last ocrelizumab dose and throughout pregnancy
  • Treatment with disease-modifying therapies for MS within their respective half-lives prior to the last ocrelizumab dose or prior to the LMP
  • Treatment with natalizumab within 12 weeks prior to the LMP
  • Treatment with teriflunomide within the last two years, unless measured plasma concentrations are <0.02 mg/L. If levels are >0.02 mg/L or not known, an accelerated elimination procedure is required
  • Treatment with any investigational agent within 6 months or five half-lives of the investigational drug prior to the last ocrelizumab dose or prior to the LMP

Trial locations and contacts

11 sites in 5 countries.

11 sites in 5 countries

United States4 sites
  • University Of Colorado

    Aurora, Colorado, 80045

  • The Ken and Ruth Davee department of Neurology

    Chicago, Illinois, 60611-4296

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • University of California San Francisco

    San Francisco, California, 94158

Other trials in United States

France2 sites
  • Hopital Pierre Wertheimer - Hopital Neurologique

    Bron, 69003

  • Hôpital de la Pitié Salpétrière

    Paris, 75013

Other trials in France

Germany2 sites
  • St. Josef Hospital GmbH

    Bochum, 44791

  • MultipEL Studies - Institut für klinische Studien

    Hamburg, 22179

Other trials in Germany

Switzerland2 sites
  • Universitätsspital Basel

    Basel, 4031

  • Inselspital Bern

    Bern, 3010

Other trials in Switzerland

Spain1 site
  • Hosp. Clinico San Carlos

    Madrid, 28040

Other trials in Spain

About this study

Official title: A Phase IV Multicenter, Open-Label Study Evaluating B Cell Levels In Infants Potentially Exposed To Ocrelizumab During Pregnancy

This study will evaluate the potential placental transfer of ocrelizumab in pregnant women with clinically isolated syndrome (CIS) or multiple sclerosis (MS) [in line with the locally approved indications] whose last dose of ocrelizumab was administered any time from 6 months before the last menstrual period (LMP) through to the first trimester (up to gestational week 13) of pregnancy, and the corresponding pharmacodynamic effects (B cell levels) in the infant.

Being tested
Ocrelizumab
Keywords
ocrelizumab, OCREVUS, placental transfer, pregnancy
Medical subject headings
Multiple Sclerosis

What participants receive

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

  • OcrelizumabDrug

    Post-partum dosing and treatment duration are at the discretion of the physicians, in accordance with local clinical practice and local labelling.

Study groups in NCT04998812
Study groupRoleWhat they receive
Pregnant Women with CIS or MSExperimentalPregnant women with CIS or MS (in line with the locally approved indications) receiving commercial ocrelizumab up to 6 months before the LMP or during the first trimester of pregnancy (up to gestational week 13), due to accidental exposure, or in whom a decision to treat with ocrelizumab was taken as part of routine clinical practice.
Receives: Drug: Ocrelizumab
InfantsNo interventionInfants born to women receiving commercial ocrelizumab IV either 0-6 months before the LMP or during the first trimester of pregnancy (up to gestational week 13) due to accidental exposure, or in whom a decision to treat with ocrelizumab was taken as part of routine clinical practice were observed up to month 13 of age.

What is being measured

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

  1. Percentage of Infants With B Cell Levels (Cluster of Differentiation 19 [CD19+] Cells) Below the Lower Limit of Normal (LLN)

    The event rate (percentage of infants with B cell levels below LLN) and corresponding Clopper Pearson 95% CI were reported. B-cell reference ranges by week of life (absolute counts) are defined by Borriello et al. 2022.

    Measured: At Week 6 of infant's life

Secondary outcomes (25)
  1. Absolute CD19+ B Cell Count in the Infant Potentially Exposed to Ocrelizumab During Pregnancy

    Measured: At Week 6 of infant's life

  2. Percentage of CD19+ B Cell in the Infant Potentially Exposed to Ocrelizumab During Pregnancy

    Measured: At Week 6 of infant's life

  3. Serum Concentration of Ocrelizumab in the Umbilical Cord Blood at Birth

    Serum ocrelizumab concentrations were measured in the umbilical cord blood at birth (within 1 hour after delivery) to evaluate whether there was placental transfer of ocrelizumab from the mother to the infant. At delivery, blood samples from the umbilical cord were collected. Ocrelizumab serum concentration below the lower limit of quantification (LLOQ = 156 ng/ml) was set to zero.

    Measured: Within 1 hour after delivery (at birth, Day 1)

  4. Serum Concentration of Ocrelizumab in the Infant at Week 6 of Life

    Serum ocrelizumab concentrations were measured were measured at 6 weeks of the infants life to evaluate whether there was placental transfer of ocrelizumab from the mother to the infant. Serum samples from the infant were collected.

    Measured: At Week 6 of infant's life

  5. Serum Concentration of Ocrelizumab in the Mother

    Serum concentration of ocrelizumab in the mother during pregnancy (time frame of blood sampling: Week 24-30, Week 35) and at delivery (time frame of blood sampling: within 24 hours after delivery). Ocrelizumab serum concentration below the lower limit of quantification (LLOQ = 156 ng/ml) was set to zero.

    Measured: Baseline (gestational Weeks 24-30), gestational Week 35, and at delivery (within 24 hours after delivery) (at birth, Day 1)

  6. Percentage of Infants With Adverse Events

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. Percentages have been rounded off.

    Measured: Up to approximately 71 weeks

  7. Percentage of Mothers With Adverse Events

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. Percentages have been rounded off.

    Measured: Up to approximately 87.6 weeks

  8. Infant Characteristics at Birth: Body Weight

    Day 1 refers to the time an infant's birth.

    Measured: At birth (Day 1)

  9. Infant Characteristics at Birth: Head Circumference

    Day 1 refers to the time an infant's birth.

    Measured: At birth (Day 1)

  10. Infant Characteristics at Birth: Body Length

    Day 1 refers to the time an infant's birth.

    Measured: At birth (Day 1)

  11. Percentage of Pregnancies Resulting in Live Births, Therapeutic Abortions, or Stillbirth

    Pregnancy outcomes analysed included live births (term and preterm, presence of congenital anomalies) and elective/therapeutic abortions and stillbirths.

    Measured: During pregnancy (anytime between 37 to 42 weeks of gestation) and at birth (at Day 1)

  12. Mean Titers of Measles, Immunoglobin G (IgG) Antibody in Response to MMR Vaccination

    The immune response to MMR vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines. mIU/mL=milli-international units per milliliter.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  13. Mean Titers of Mumps, IgG Antibody in Response to MMR Vaccination

    The immune response to MMR vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines. RU/mL=relative units per milliliter.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  14. Mean Titers of Rubella, IgG Antibody in Response to MMR Vaccination

    The immune response to MMR vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines. IU/mL=international units per milliliter.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  15. Percentage of Infants With Positive Humoral Response to MMR Vaccination

    Percentage of infants with positive humoral response (seroprotective titers as defined for the individual vaccine) are presented for each IgG antibody titer. Seroprotective titer based on vaccine tests for MMR vaccine are as follows: Anti-Measles Vir IgG(-70)CL: ≥ 120 mIU/mL; Anti-MumpsAT Vir iGG(-70)CL: ≥ 17 U/mL; Anti-Rub Vir IgG(-70)RUOCL: ≥ 10 IU/mL. Percentages have been rounded off.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  16. Mean Titers of Corynebacterium Diphtheriae, IgG Antibody in Response to Diphtheria-Tetanus-Pertussis (DTP) Vaccination

    The immune response to DTP vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  17. Mean Titers of Bordetella Pertussis, IgG Antibody in Response to DTP Vaccination

    The immune response to DTP vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. Cut-off Index (COI) = unitless ratio calculated as the signal intensity of the sample divided by the signal of the assay's cut-off calibrator. It is interpreted as follows:

    • COI < 0.95: Negative;
    • COI 0.95-1.04: Equivocal;
    • COI > 1.04: Positive. The assay used has not been standardized against WHO International Units (IU/mL) for Bordetella pertussis IgG and therefore, cannot be converted to IU/mL. Higher COI values = a stronger antibody signal, but are not directly correlated with clinical protection. Positivity was defined using the manufacturer's COI cut-off (>1.04).

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  18. Mean Titers of Tetanus Toxoid, IgG Antibody in Response to DTP Vaccination

    The immune response to DTP vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  19. Percentage of Infants With Positive Humoral Response to DTP Vaccination

    Percentage of infants with positive humoral response (seroprotective titers as defined for the individual vaccine) was presented for each IgG antibody titer. Seroprotective titer based on vaccine tests for DTP vaccine are as follows: Anti-Diphtheria IgG(-70)CL and Anti-Tetanus Toxoid IgG(-70)RUO: ≥ 0.01 IU/mL; Bordetella pertussis antibodies, IgG: > 1.04 COI. COI = unitless ratio calculated as the signal intensity of the sample divided by the signal of the assay's cut-off calibrator. It is interpreted as follows:

    • COI < 0.95: Negative;
    • COI 0.95-1.04: Equivocal;
    • COI > 1.04: Positive. The assay used has not been standardized against WHO international units for Bordetella pertussis IgG and therefore, cannot be converted to IU/mL. Higher COI values = a stronger antibody signal, but are not directly correlated with clinical protection. Positivity was defined using the manufacturer's COI cut-off (>1.04).

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  20. Mean Titers of Antibody Immune Responses to Haemophilus Influenzae Type B (Hib) Vaccination

    The immune response to Hib vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  21. Percentage of Infants With Positive Humoral Response to Hib Vaccination

    Percentage of infants with positive humoral response (seroprotective titers as defined for the individual vaccine) will be presented for each IgG antibody titer. Seroprotective titer based on vaccine tests for Hib vaccine are as follows: Hib, IgG: ≥ 0.15 µg/mL.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  22. Mean Titers of Antibody Immune Responses to Hepatitis B Virus (HBV) Vaccination

    The immune response to HBV vaccination will be assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine is not planned to be administered. This is to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  23. Percentage of Infants With Positive Humoral Response to HBV Vaccination

    Percentage of infants with positive humoral response (seroprotective titers as defined for the individual vaccine) was presented for the IgG antibody titer. Seroprotective titer based on vaccine tests for HBV vaccine are as follows: Anti-HBs: ≥ 10 mIU/mL.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  24. Mean Titers of Antibody Immune Responses to 13-valent Pneumococcal Conjugate (PCV-13) Vaccination

    The immune response to PCV-13 vaccination was assessed 1 month after the first dose of MMR vaccine (if the first dose is administered at 11 months of age or later) or 1 month after the second dose of MMR vaccine (if the first dose is administered before 11 months of age), or at Month 13 of chronological age if MMR vaccine was not planned to be administered. This was to evaluate whether infants can mount humoral immune responses to clinically relevant vaccines.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

  25. Percentage of Infants With Positive Humoral Response to PCV-13 Vaccination

    Percentage of infants with positive humoral response (seroprotective titers as defined for the individual vaccine) was presented for each IgG antibody titer. Seroprotective titer based on vaccine tests for PCV-13 vaccine are as follows: 13 Valent anti-pneumococcal antibody panel: ≥ 0.35 µg/ml. Percentages have been rounded off.

    Measured: Up to 1 month after the first or second dose of MMR vaccine (at approximately Month 13)

Timeline

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

  1. First posted10 Aug 2021
  2. Study start13 Apr 2022
  3. Primary completion8 Apr 2024
  4. Study completion14 Jul 2025

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 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
35 pregnant women with singleton pregnancy were enrolled in the study (70 participants in total, including the infants).
Masking
None (open label)
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04998812
Sponsor's protocol ID
MN42988
Other IDs
2021-000062-14, 2024-510974-25-00
Acronym
MINORE
Status last verified
Mar 2026
First submitted
6 Aug 2021
Last updated
15 Apr 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Ocrelizumab in people with Multiple Sclerosis and Clinically Isolated Syndrome, run by Hoffmann-La Roche at 11 sites in 5 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 19 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 15 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, France, Germany, Switzerland, Spain. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 22 May 2025). 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 Infants With B Cell Levels (Cluster of Differentiation 19 [CD19+] Cells) Below the Lower Limit of Normal (LLN) (time frame: At Week 6 of infant's life). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Apr 2026.

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MINORE Clinical Trial NCT04998812 | AzTrials