Evidence map›Paper›PMID 39438591›Full record

Trial reportScientific reports2024

Evaluating efficacy and safety of ocrelizumab biosimilar (Xacrel) compared to the originator (Ocrevus) in relapsing multiple sclerosis: a phase III, randomized, equivalency, clinical trial.

Mohammad Ali Sahraian, Roya Abolfazli, Vahid Shaygannejad, Fereshteh Ashtari, Nastaran Majdinasab, Samira Navardi, Seyed Mohammad Baghbanian, Behnaz Sedighi, Abdorreza Naser Moghadasi, Mohammad Ali Nahayati and 11 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04966338 (A Phase III, Randomized, Two-armed, Double-blind, Parallel, Active-controlled Clinical Trial to Evaluate Equivalency of the Efficacy and Safety of Ocrelizumab), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04966338 phase3completednot on this map

A Phase III, Randomized, Two-armed, Double-blind, Parallel, Active-controlled Clinical Trial to Evaluate Equivalency of the Efficacy and Safety of Ocrelizumab (CinnaGen, Iran) in Comparison to Reference Product, Ocrevus® (Roche, Switzerland) in Patients With Relapsing Multiple Sclerosis

TypeinterventionalSponsorCinnagenRan2019 to 2021Enrolled170ConditionsMultiple Sclerosis, Relapsing-RemittingArmsOcrelizumab (CinnaGen, Iran), Ocrelizumab (Roche, Switzerland)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
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

21 authors.

Mohammad Ali SahraianMultiple Sclerosis Research Center, Neuroscience Institute, Sina Hospital, Tehran University of Medical Sciences, Hasan Abad Square, Imam Khomeini Avenue, Tehran, Iran. sahraian1350@yahoo.com.
Roya AbolfazliDepartment of Neurology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Vahid ShaygannejadIsfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Fereshteh AshtariIsfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Nastaran MajdinasabMusculoskeletal Rehabilitation Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran.
Samira NavardiMultiple Sclerosis Research Center, Neuroscience Institute, Sina Hospital, Tehran University of Medical Sciences, Hasan Abad Square, Imam Khomeini Avenue, Tehran, Iran.
Seyed Mohammad BaghbanianNeurology Department, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Behnaz SedighiNeurology Research Centre, Kerman University of Medical Sciences, Kerman, Iran.
Abdorreza Naser MoghadasiMultiple Sclerosis Research Center, Neuroscience Institute, Sina Hospital, Tehran University of Medical Sciences, Hasan Abad Square, Imam Khomeini Avenue, Tehran, Iran.
Mohammad Ali NahayatiDepartment of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hamidreza Ghalyanchi LangroodiClinical Development and Research Unit, Ghaem Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Seyed Ehsan MohammadianinejadIranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Nahid Beladi MoghadamNeurology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hormoz AyromlouNeurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Alireza NiksereshtNeurology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
Masoud GhiasianDepartment of Neuroimmunology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Nazanin RazazianNeurology Department, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Elnaz AsadollahzadehMultiple Sclerosis Research Center, Neuroscience Institute, Sina Hospital, Tehran University of Medical Sciences, Hasan Abad Square, Imam Khomeini Avenue, Tehran, Iran.
Araz SabzvariCinnaGen Medical Biotechnology Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Hamidreza KafiMedical Department, Orchid Pharmed Company, Tehran, Iran.
Sogol AlbooyehMedical Department, Orchid Pharmed Company, Tehran, Iran.

Funding

CinnaGen 701.967
6 · The paper itself

Abstract

Multiple sclerosis is an inflammatory demyelinating disease and represents a global health concern. Ocrelizumab, a humanized IgG monoclonal antibody, selectively targets CD20 on B cells and CD20-expressing T cells. This study aimed to compare the efficacy and safety of the biosimilar ocrelizumab candidate (Xacrel) to the originator product (Ocrevus) in Relapsing Multiple Sclerosis (RMS) patients. In this randomized trial, patients received either Xacrel or Ocrevus for 96 weeks. The primary endpoint was the equivalency of the medications in reducing the annualized relapse rate (ARR) at week 48. The secondary endpoints included time to the onset of disability progression confirmed at 12 and 24 weeks, the proportion of relapse-free patients, magnetic resonance imaging (MRI) evaluations, safety assessments, and immunogenicity over 96 weeks. A total of 170 patients were randomized (1:1 ratio). In the per protocol analysis, the upper and lower limits of 95% two-sided confidence intervals of difference between treatments in the 48-week ARR rate were in the predefined margin of - 0.2 to 0.2 (- 0.002; 95% CI - 0.080 to 0.075). The two products were also comparable in terms of other efficacy parameters, safety, and immunogenicity. The results confirmed that Xacrel is equivalent to Ocrevus in terms of 48-week ARR in RMS patients, with no considerable difference in other efficacy parameters and the safety profile during the 96 weeks. The trial was registered in Iranian registry of clinical trials (IRCT) on 10/06/2019 with the registration number of IRCT20150303021315N13 and in Clinicaltrials.gov on 19/07/2021 with the registration code of NCT04966338.

Indexed as

Antibodies, Monoclonal, HumanizedBiosimilar PharmaceuticalsMultiple Sclerosis, Relapsing-RemittingAdultFemaleHumansMaleMiddle AgedTherapeutic EquivalencyTreatment OutcomeYoung AdultAntibodies, Monoclonal, HumanizedBiosimilar Pharmaceuticalsocrelizumab

Identifiers

PMID39438591
PMCPMC11496495

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.