Evidence map›Paper›PMID 39460719›Full record

Trial reportAnnals of clinical and translational neurology2024

Subcutaneous ocrelizumab in multiple sclerosis: Results of the Phase 1b OCARINA I study.

Scott D Newsome, Lawrence Goldstick, Derrick S Robertson, James D Bowen, Robert T Naismith, Ben Townsend, Catarina Figueiredo, Heidemarie Kletzl, Mylene Giraudon, Oscar Bortolami and 6 more

2 registry-linked trialsAbstract readClinical Trial, Phase IMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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.

NCT03972306 phase1completednot on this map

A Phase Ib, Open-Label, Multicenter Study To Investigate The Pharmacokinetics, Safety, And Tolerability Of Subcutaneous Ocrelizumab Administration In Patients With Multiple Sclerosis

TypeinterventionalSponsorHoffmann-La RocheRan2019 to 2025Enrolled134ConditionsMultiple Sclerosis (MS)ArmsOcrelizumab, rHuPH20
NCT05232825 phase3completednot on this map

A Study To Investigate The Pharmacokinetics, Pharmacodynamics, Safety And Radiological And Clinical Effects Of Subcutaneous Ocrelizumab Versus Intravenous Ocrelizumab In Patients With Multiple Sclerosis

TypeinterventionalSponsorHoffmann-La RocheRan2022 to 2025Enrolled236ConditionsRelapsing Multiple Sclerosis, Primary Progressive Multiple SclerosisArmsOcrelizumab IV, Ocrelizumab SC, Methylprednisolone IV, Diphenhydramine IV, Dexamethasone given orally
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

16 authors.

Scott D NewsomeJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lawrence GoldstickUniversity of Cincinnati Waddell Center for Multiple Sclerosis, Cincinnati, Ohio, USA.
Derrick S RobertsonCollege of Medicine, University of South Florida, Tampa, Florida, USA.
James D BowenMultiple Sclerosis Center, Swedish Neuroscience Institute, Seattle, Washington, USA.
Robert T NaismithDepartment of Neurology, Neuroimmunology Section, Washington University, St. Louis, Missouri, USA.
Ben TownsendF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Catarina FigueiredoF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Heidemarie KletzlF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Mylene GiraudonF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Oscar BortolamiIQVIA RDS, Milan, Italy.
Dusanka ZecevicF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Caroline GiacobinoF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Susanne ClinchRoche Products Ltd, Welwyn Garden City, UK.
Yun-An ShenGenentech, Inc., South San Francisco, California, USA.
Gurpreet Deol-BhullarHoffmann-La Roche Limited, Mississauga, Ontario, Canada.
Robert A BermelDepartment of Neurology, Mellen Center for Multiple Sclerosis, Cleveland Clinic, Cleveland, Ohio, USA.

Funding

F. Hoffmann-La Roche Ltd.
6 · The paper itself

Abstract

objectiveSubcutaneous ocrelizumab is being developed to provide treatment flexibility and additional choice to patients with multiple sclerosis. OCARINA I (NCT03972306) is an open-label, multicenter, Phase 1b, dose-finding study to investigate the pharmacokinetics, safety, tolerability, and immunogenicity of subcutaneous ocrelizumab and to select a dose for the Phase 3 OCARINA II study (NCT05232825).

methodsPatients with relapsing or primary progressive multiple sclerosis (aged 18-65 years; Expanded Disability Status Scale score 0.0-6.5) were enrolled into two groups: previously treated with intravenous ocrelizumab (Group A) or naïve to ocrelizumab (Group B). Patients received single ascending doses of subcutaneous ocrelizumab up to 1200 mg. Following dose escalation, new patients in Group A were randomized (1:1) to receive a single 600 mg intravenous ocrelizumab dose or the candidate subcutaneous dose, which was predicted to result in similar exposure as the 600 mg intravenous dose while being safe and well tolerated. The area under the concentration-time curve for both formulations was used to select the subcutaneous ocrelizumab dose. Patients in all cohorts could enter a dose-continuation phase.

resultsEighty-eight and 47 patients were enrolled into Group A and B, respectively; most patients were female (72.7%/63.0%), and mean age at baseline was 45.7 and 39.7 years, respectively. Subcutaneous ocrelizumab was well tolerated across all doses tested. The 920 mg subcutaneous ocrelizumab dose was selected for the OCARINA II study based on pharmacokinetic and safety data.

interpretationSubcutaneous ocrelizumab may provide patients with multiple sclerosis with an additional treatment option.

Indexed as

Antibodies, Monoclonal, HumanizedImmunologic FactorsAdolescentAdultAgedDose-Response Relationship, DrugFemaleHumansInjections, SubcutaneousMaleMiddle AgedMultiple SclerosisMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-RemittingYoung AdultAntibodies, Monoclonal, HumanizedImmunologic Factorsocrelizumab

Identifiers

PMID39460719
PMCPMC11651187

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.