Study of an On-Body Injection System for Home Use of Ocrelizumab in People with Multiple Sclerosis

2025-523726-40-00 Protocol CN46182 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 24 Jun 2026 · Status Ongoing, recruiting · 4 EU/EEA countries · 24 sites · Protocol CN46182

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 150
Countries 4
Sites 24

Multiple Sclerosis

To evaluate the suitability of the on-body delivery system (OBDS) for high concentration (HC) subcutaneous (SC) ocrelizumab administration by the participant or their lay caregiver

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10], Diseases [C] - Immune System Diseases [C20]
Trial duration
24 Jun 2026 → ongoing
Decision date (initial)
2026-06-26
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann La Roche

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Safety

To evaluate the suitability of the on-body delivery system (OBDS) for high concentration (HC) subcutaneous (SC) ocrelizumab administration by the participant or their lay caregiver

Secondary objectives 2

  1. To evaluate the suitability of OBDS for HC SC ocrelizumab administration at home
  2. To evaluate the safety of OBDS + HC SC ocrelizumab

Conditions and MedDRA coding

Multiple Sclerosis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Age 18-65 years at the time of signing Informed Consent Form
  2. Willing and able to receive injections using the OBDS, as either a self-injection or administered by a lay caregiver For participants who are willing to complete self-injection: deemed by the healthcare provider to be able to do the injection based on motor and cognitive function
  3. For female participants of childbearing potential, agreement to remain abstinent (refrain from heterosexual intercourse) or use adequate contraception during the treatment period and for 6 months after the final dose of ocrelizumab
  4. For female participants without childbearing potential: Female participants may be enrolled if postmenopausal
  5. Currently being treated with ocrelizumab: At least one prior dose of ocrelizumab 600 mg IV or 920 mg SC Note: The first dose of ocrelizumab in this study will be administered approximately 6 months (± 1 month) after a previous (pre-study) ocrelizumab dose (and may not be administered earlier than 5 months after the last pre-study ocrelizumab dose)
  6. Diagnosis of MS according to the revised McDonald 2024 criteria (Montalban et al. 2025) or the most current published revision of the McDonald criteria at the time of study start

Exclusion criteria 6

  1. Participant does not have reliable and consistent access to communication (e.g., telephone/mobile phone)
  2. Participant resides in a location that, in the investigator's opinion, does not allow for timely access to an emergency medical facility
  3. Pregnant or breastfeeding, or intending to become pregnant during the study or within the time frame in which contraception is required
  4. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies
  5. Sensitivity or intolerance to any ingredient (including excipients) of ocrelizumab
  6. Sensitivity or intolerance to acrylic

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Occurrence of successful self/lay caregiver administration of the Week 1 dose

Secondary endpoints 5

  1. Occurrence of successful self/lay caregiver administration at home of the Week 24 and Week 48 doses
  2. Occurrence and nature of injection reactions (severity, treatment, need for intervention by a healthcare professional, outcome)
  3. Occurrence and severity of adverse device effect (ADEs) and anticipated serious adverse device effect (ASADEs)
  4. Occurrence of unanticipated serious adverse device effect (USADEs)
  5. Occurrence of device deficiency (DDs) that could lead to serious adverse device effect serious adverse device effect (SADEs)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Ocrevus, Ocrelizumab

PRD13535589 · Product

Active substance
Ocrelizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
F. HOFFMANN-LA ROCHE LTD
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

F. Hoffmann-La Roche AG

Sponsor organisation
F. Hoffmann-La Roche AG
Address
Grenzacherstrasse 124
City
Basel
Postcode
4058
Country
Switzerland

Scientific contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Public contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Third parties 8

OrganisationCity, countryDuties
Perceptive Informatics Inc.
ORG-100013171
Burlington, United States Other
Q2q Communications Limited
ORG-100041455
Richmond, United Kingdom Other
Neurostatus-UHB AG
ORG-100046513
Basel, Switzerland Other
Cenetron Diagnostics Ltd.
ORG-100037417
Austin, United States Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis
Axon Communications Inc.
ORL-000017462
Toronto, Canada Other
Unilabs A/S
ORG-100032351
Copenhagen Oe, Denmark Laboratory analysis

Locations

4 EU/EEA countries · 24 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruitment pending 6 4
Italy Ongoing, recruiting 15 6
Poland Authorised, recruitment pending 18 8
Spain Ongoing, recruiting 15 6
Rest of world
Ukraine, Mexico, Argentina, Canada, Turkey, United Kingdom, United States, Brazil
96

Investigational sites

France

4 sites · Authorised, recruitment pending
Centre Hospitalier National d'Ophtalmologie des Quize-Vingts
Neurology, 28 Rue De Charenton, 75012, Paris
Centre Hospitalier Universitaire De Toulouse
Neurology, 1 Place Du Docteur Joseph Baylac, 31300, Toulouse
Centre Hospitalier Valence
Neurology, 179 Boulevard Marechal Juin, 26000, Valence
Hospital Hotel Dieu
Neurology, 1 Place Alexis Ricordeau, 44000, Nantes

Italy

6 sites · Ongoing, recruiting
Fondazione Istituto G. Giglio Di Cafalu
UO Neurologia, Contrada Pietra Pollastra Snc, 90015, Cefalu'
Azienda Ospedaliera Policlinico Universitario Tor Vergata
UOSD Sclerosi Multipla, Viale Oxford 81, 00133, Rome
Azienda Ospedaliera Universitaria Federico II Di Napoli
Dipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, UOSD Sclerosi Multipla, Via Sergio Pansini 5, 80131, Naples
Ospedale San Raffaele S.r.l.
U.O. Neurologia, Centro Sclerosi Multipla, Via Olgettina 60, 20132, Milan
Azienda Ospedaliero Universitaria Ospedali Riuniti
Struttura Neurologia Universitaria, Viale Luigi Pinto 1, 71122, Foggia
Neurological Centre Of Latium Istituto Di Neuroscienze O In Breve N.C.L. Istituto Di Neuroscienze S.r.l.
Centro Sperimentazione Clinica, Neurologia, Via Patrica 15, 00178, Rome

Poland

8 sites · Authorised, recruitment pending
Neurocentrum Bydgoszcz Sp. z o.o.
NA, Ul. Aleje Prof. Sylwestra Kaliskiego 28/U1, 85-796, Bydgoszcz
Resmedica Sp. z o.o.
NA, Ul. Romualda Mielczarskiego 105/3-4, 25-726, Kielce
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
Poradnia Neurologiczna, Ul. Botaniczna 3, 31-503, Cracow
Nmedis Sp. z o.o.
NA, Ul. Kujawska 5, 35-323, Rzeszow
Centrum Neurologii Krzysztof Selmaj
NA, ul. Tylna 12, 90-324, Łódź
Care Clinic Sp. z o.o.
NA, Ul. Ligocka 103, 40-568, Katowice
IBISMED Wielospecjalistyczne Centrum Medyczne
NA, Banachiewicza 11, 41-800, Zabrze
Indywidualna Praktyka Lekarska Prof. Dr hab Konrad Rejdak
NA, 1 Maja 14, 20-410, Lublin

Spain

6 sites · Ongoing, recruiting
Hospital Universitari Vall D Hebron
Neurología, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
University Clinical Hospital Virgen De La Arrixaca
Neurología, Carretera Madrid-Cartagena S/N, El Palmar, Murcia
Hospital Universitario Virgen De La Macarena
Neurología, Avenida Del Doctor Fedriani 3, 41009, Sevilla
Hospital Universitario Quironsalud Madrid
Neurología, Calle De Diego De Velazquez 1, 28223, Pozuelo De Alarcon
Hospital Universitario De La Princesa
Neurología, Calle De Diego De Leon 62, 28006, Madrid
Hospital Universitario Ramon Y Cajal
Neurología, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2026-06-24 2026-06-26
Spain 2026-07-06 2026-07-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 39 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) d1_protocol-2025-523726-40-00-redacted 1.0
Protocol (for publication) d4_patient-facing-documents_memo 3
Recruitment arrangements (for publication) K1_Recruitment arrangement 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 3
Recruitment arrangements (for publication) K2_D&I Leaflet 2
Recruitment arrangements (for publication) K2_Document additionnel_redacted 1
Recruitment arrangements (for publication) K2_Other subject information material_Educational video script 1
Recruitment arrangements (for publication) K2_Other subject information material_Poster_REDACTED 1
Recruitment arrangements (for publication) K2_Other subject information material_Recruitment email 1
Recruitment arrangements (for publication) K2_Other subject information material_Study Brochure_REDACTED 1
Recruitment arrangements (for publication) K2_Recruitment material Educational Video Script 1.0
Recruitment arrangements (for publication) K2_Recruitment material Recruitment Email_redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material Study Brochure_redacted 1.0
Recruitment arrangements (for publication) K2_Recruitment material_educational video script 1
Recruitment arrangements (for publication) K2_Recruitment material_recruitment email_redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Study Brochure_redacted 1
Recruitment arrangements (for publication) K3_Recruitment material_Educational video script 1
Recruitment arrangements (for publication) K3_Recruitment material_Poster_redacted 1
Recruitment arrangements (for publication) K3_Recruitment material_Recruitment email_redacted 2
Recruitment arrangements (for publication) K3_Recruitment material_Study Brochure_redacted 2
Subject information and informed consent form (for publication) L1_Privacy consent form other subjects 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF for the use and sharing of infant health information 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF IAF 1
Subject information and informed consent form (for publication) L1_SIS and ICF IAF 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF participant_redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF RBR 1
Subject information and informed consent form (for publication) L1_SIS and ICF RBR 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Carepartner_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Infant 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_redacted 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_eng-2025-523726-40-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_es-2025-523726-40-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_fr-fr-2025-523726-40-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_it-2025-523726-40-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_pl-2025-523726-40-00 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-02-27 Spain Acceptable
2026-06-22
2026-06-24
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-06-30 Acceptable
2026-06-22
2026-06-30