Evidence map›Paper›PMID 34605319›Full record

Trial reportMultiple sclerosis (Houndmills, Basingstoke, England)2022

Rapid and sustained B-cell depletion with subcutaneous ofatumumab in relapsing multiple sclerosis: APLIOS, a randomized phase-2 study.

Amit Bar-Or, Heinz Wiendl, Xavier Montalban, Enrique Alvarez, Maria Davydovskaya, Silvia R Delgado, Evgeniy P Evdoshenko, Natasa Giedraitiene, Katrin Gross-Paju, Sulev Haldre and 23 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Multiple sclerosis (Houndmills, Basingstoke, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03560739 (A 12 Week Randomized Open Label Parallel Group Multicenter Study to Evaluate Bioequivalence of 20 mg Subcutaneous Ofatumumab Injected by Pre-filled Syringe or Autoinjector in Adult RMS Patients), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03560739 phase2completednot on this map

A 12 Week Randomized Open Label Parallel Group Multicenter Study to Evaluate Bioequivalence of 20 mg Subcutaneous Ofatumumab Injected by Pre-filled Syringe or Autoinjector in Adult RMS Patients

TypeinterventionalSponsorNovartis PharmaceuticalsRan2018 to 2020Enrolled284ConditionsMultiple SclerosisArmsofatumumab with PRF, ofatumumab with AI
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Clinical Qualification of Subcutaneous Injection Devices for Monoclonal Antibodies.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Real-world effectiveness and safety of ofatumumab in relapsing-remitting multiple sclerosis: Insights from naïve and switch patients.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  13. Article
  14. Observational
  15. Review
  16. Review
  17. Article
  18. Article
  19. Ofatumumab in pediatric multiple sclerosis: a case series.Therapeutic advances in neurological disorders · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 20 institutions in 10 countries.

Amit Bar-OrA Bar-Or Center for Neuroinflammation and Experimental Therapeutics and Department of Neurology, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street - 3 Gates Building, Philadelphia, PA 19104, USA.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University of Münster, Münster, Germany.ORCID 0000-0003-4310-3432
Xavier MontalbanCentre d'Esclerosi Múltiple de Catalunya (Cemcat), Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Enrique AlvarezDepartment of Neurology, Rocky Mountain MS Center, University of Colorado, Aurora, CO, USA.
Maria DavydovskayaPirogov Russian National Research Medical University, Moscow, Russian Federation.
Silvia R DelgadoMS Center and Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA.
Evgeniy P EvdoshenkoSt Petersburg Center for Multiple Sclerosis and Other Autoimmune Diseases, St Petersburg, Russian Federation.
Natasa GiedraitieneClinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Katrin Gross-PajuWest-Tallinn Central Hospital, Tallinn, Estonia/Institute of Health Care Technology, TalTech, Tallinn, Estonia.
Sulev HaldreDepartment of Neurology and Neurosurgery, University of Tartu, Tartu, Estonia/Neurology Clinic, Tartu University Hospital, Tartu, Estonia.
Craig E HerrmanJWM Neurology, Indianapolis, IN, USA.
Guillermo IzquierdoMultiple Sclerosis Unit, Hospital Vithas NISA Sevilla, Sevilla, Spain.
Guntis KarelisNeurology and Neurosurgery Department, Riga East University Hospital and Riga Stradins University, Riga, Latvia.
Fritz LeutmezerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Miroslav MaresDepartment of Neurology, Pardubice Regional Hospital, Pardubice, Czech Republic.
Jose E Meca-LallanaMultiple Sclerosis CSUR, Department of Neurology, Virgen de la Arrixaca Clinical University Hospital-IMIB-Arrixaca, Murcia, Spain/Clinical Neuroimmunology and Multiple Sclerosis Cathedra, Universidad Católica San Antonio (UCAM), Murcia, Spain.
Dalia MickevicieneLithuanian University of Health Sciences, Kaunas, Lithuania.
Jacqueline NicholasOhioHealth Riverside Methodist Hospital, Columbus, OH, USA.
Derrick S RobertsonMultiple Sclerosis Division, Department of Neurology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Denis V SazonovDepartment of Clinical Trials FSBIH SDMC of FMBA of Russia, Novosibirsk, Russian Federation.
Kenneth SharlinSharlin Health and Neurology, Ozark, MO, USA.
Bharathy SundaramTexas Institute for Neurological Disorders, Sherman, TX, USA.
Natalia TotolyanDepartment of Neurology, First Pavlov State Medical University of St Petersburg, St Petersburg, Russian Federation.
Marta VachovaDepartment of Neurology, Teplice Hospital, Teplice, Czech Republic.
Martin ValisDepartment of Neurology, Faculty of Medicine in Hradec Králové, Charles University in Prague and University Hospital Hradec Králové, Hradec Králové, Czech Republic.
Morten BaggerNovartis Pharma AG, Basel, Switzerland.
Dieter A HäringNovartis Pharma AG, Basel, Switzerland.
Inga LudwigNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0002-2963-5179
Roman WilliNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0001-9612-9877
Martin ZalesakNovartis Pharma AG, Basel, Switzerland.
Wendy SuNovartis Pharmaceutical Corporation, East Hanover, NJ, USA.
Martin MerschhemkeNovartis Pharma AG, Basel, Switzerland.
Edward J FoxCentral Texas Neurology Consultants PA, Round Rock, TX, USA.
Novartis (Switzerland) · CHCentral Texas Neurology Consultants · USCharles University · CZEast Tallinn Central Hospital · EEFirst Pavlov State Medical University of St. Petersburg · RUHospitales Nisa · ESLithuanian University of Health Sciences · LTMedical University of Vienna · ATNovartis (United States) · USOhioHealth · USPardubice RegionPirogov Russian National Research Medical University · RURegional Museum in Teplice · CZRiga East University Hospital · LVRocky Mountain MS Center · USState Research Institute of Highly Pure Biopreparations · RUTartu University Hospital · EEUniversidad Católica de Murcia · ESUniversity of Miami · USUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOfatumumab, the first fully human anti-CD20 monoclonal antibody, is approved in several countries for relapsing multiple sclerosis (RMS).

objectiveTo demonstrate the bioequivalence of ofatumumab administered by an autoinjector versus a pre-filled syringe (PFS) and to explore the effect of ofatumumab on B-cell depletion.

methodsAPLIOS (NCT03560739) is a 12-week, open-label, parallel-group, phase-2 study in patients with RMS receiving subcutaneous ofatumumab 20 mg every 4 weeks (q4w) (from Week 4, after initial doses on Days 1, 7, and 14). Patients were randomized 10:10:1:1 to autoinjector or PFS in the abdomen, or autoinjector or PFS in the thigh, respectively. Bioequivalence was determined by area under the curve (AUC

resultsA total of 256 patients contributed to the bioequivalence analyses (autoinjector-abdomen,

conclusionOfatumumab 20 mg q4w self-administered subcutaneously via autoinjector is bioequivalent to PFS administration and provides rapid B-cell depletion.

Indexed as

Multiple SclerosisAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedHumansInjections, SubcutaneousAntibodies, MonoclonalAntibodies, Monoclonal, Humanizedofatumumabautoinjector penbioequivalencemultiple sclerosisOfatumumabpharmacokineticspre-filled syringe

Identifiers

PMID34605319
PMCPMC9024029
OpenAlexW3203803649

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.