Start with OCREVUS at the first sign of RMS disease activity
Diagnosed based on the McDonald criteria
The efficacy and safety of OCREVUS in RMS were studied vs Rebif in 2 double-blind, double-dummy trials evaluating over 1600 patients for 2 years.1,2
Relapses were defined as new or worsening neurologic symptoms that were attributable to multiple sclerosis, persisted for over 24 hours, were immediately preceded by a stable or improving neurological state for at least 30 days, and were accompanied by objective neurological worsening as defined in the study protocols. Measurements performed at intermediate timepoints were not prespecified in the statistical testing hierarchy and reflect numerical trends only2,4
Limitations of the open-label, uncontrolled study period
Patients in the OLE period successfully completed the controlled period and are subject to continued dropout; they may represent an enriched population. The endpoints measured were not prespecified or powered to conclude statistical significance; they only convey numerical trends. Conclusions regarding the treatment effect of OCREVUS cannot be drawn on the basis of OLE data. Measurements performed at intermediate timepoints were not prespecified in the statistical testing hierarchy and reflect numerical trends only.1,5
Contraindications
Treatment with ocrelizumab is contraindicated in patients with active hepatitis B virus infection and in patients with a history of life-threatening administration reactions to ocrelizumab. OCREVUS ZUNOVO is also contraindicated in patients with a history of hypersensitivity to ocrelizumab, hyaluronidase, or any component of OCREVUS ZUNOVO.
Limitations
Confirmed disability progression (CDP) was defined as patients with EDSS ≤5.5 who experienced an EDSS increase of ≥1.0. For patients with EDSS >5.5, progression was an EDSS increase of ≥0.5. Disability progression was categorized as confirmed if it was present at 12 or 24 weeks over the treatment period.2
Confirmed disability improvement (CDI) was defined as a reduction from the baseline EDSS score of at least 1.0 point (or 0.5 points if the baseline EDSS score was >5.5) that was sustained for at least 12 weeks in patients with a baseline EDSS score of at least 2.0.2
Explore the latest OCREVUS safety data, including open-label extension data.
Speak to an OCREVUS Representative to learn more about OCREVUS.
The warnings and precautions for ocrelizumab are infusion reactions (OCREVUS) or injection reactions (OCREVUS ZUNOVO) and infections, which include respiratory tract infections, herpes, hepatitis B virus (HBV) reactivation, and a warning for progressive multifocal leukoencephalopathy (PML). Additional warnings are possible increased risk of immunosuppressant effects with other immunosuppressants, reduction in immunoglobulins, malignancies, and immune-mediated colitis.
Conclusions regarding the treatment effect of OCREVUS (ocrelizumab) cannot be drawn on the basis of OLE data.
*The precise mechanism by which OCREVUS exerts its therapeutic effects in MS is unknown.1
†Relative reductions vs Rebif in T1 Gd+ lesions were observed in the controlled period at each of the intermediate timepoints, Weeks 24, 48, and 96. The measurements performed at these intermediate timepoints were not prespecified in the statistical testing hierarchy and reflect numerical trends only.2,4
Unadjusted controlled and OLE data include the ITT population; clinical cutoff date: November 2022. Number of T1 Gd+ lesions at each timepoint for all patients in the treatment group divided by the total number of brain MRI scans at that timepoint.3,8
OCREVUS: Infusion Reactions
Management recommendations for infusion reactions depend on the type and severity of the reaction. Permanently discontinue OCREVUS if a life-threatening or disabling infusion reaction occurs.
OCREVUS ZUNOVO: Injection Reactions
Management recommendations for injection reactions depend on the type and severity of the reaction. Permanently discontinue OCREVUS ZUNOVO if a life-threatening or disabling injection reaction occurs.
Conclusions regarding the treatment effect of OCREVUS (ocrelizumab) cannot be drawn on the basis of OLE data.
‡Relative reductions in T2 lesions were observed in the controlled period at each of the intermediate timepoints, Weeks 24, 48, and 96. The measurements performed at these intermediate timepoints were not prespecified in the statistical testing hierarchy and reflect numerical trends only.2,4
Unadjusted controlled and OLE data include the ITT population; clinical cutoff date: November 2022. Number of new or enlarging T2 lesions relative to preceding scan for all patients in the treatment group at each timepoint for all patients in the treatment group divided by the total number of brain MRI scans at that timepoint.3,8
Infections
Serious, including life-threatening or fatal, bacterial, viral, parasitic and fungal infections have occurred with ocrelizumab. An increased risk of serious infections has been observed in patients who have received anti-CD20 B-cell depleting therapies. Delay administration of ocrelizumab in patients with an active infection until the infection is resolved. Vaccination with live-attenuated or live vaccines is not recommended during treatment with ocrelizumab-containing products and after discontinuation, until B-cell repletion
Patients in the OLE period successfully completed the controlled period and are subject to continued dropout; they may represent an enriched population. The endpoints measured were not prespecified or powered to conclude statistical significance; they only convey numerical trends. Conclusions regarding the treatment effect of OCREVUS cannot be drawn on the basis of OLE data.1,5
*OCREVUS: OPERA I, n=410; OPERA II, n=417. Rebif: OPERA I, n=411; OPERA II, n=418.2
†OCREVUS arm: 600-mg intravenous (IV) dose every 24 weeks (first dose: two 300-mg IV infusions 2 weeks apart) or placebo as subcutaneous (SC) injections 3 times/week; Rebif arm: 44-μg SC 3 times/week or placebo IV infusions every 24 weeks.2
Speak to an OCREVUS Representative to learn more about OCREVUS.
aCD20=anti-CD20; ARR=annualized relapse rate; DMT=disease modifying therapy; EDSS=Expanded Disability Status Scale; Gd+=gadolinium-enhancing; ITT=intent-to-treat; MRI=magnetic resonance imaging; MS=multiple sclerosis; OLE=open-label extension; RMS=relapsing multiple sclerosis.
OCREVUS [prescribing information]. South San Francisco, CA: Genentech, Inc. 2024.
OCREVUS [prescribing information]. South San Francisco, CA: Genentech, Inc. 2024.
Hauser SL, Bar-Or A, Comi G, et al. Ocrelizumab versus interferon beta-1a in relapsing multiple sclerosis. N Engl J Med. 2017;376(3): 221-234.
Hauser SL, Bar-Or A, Comi G, et al. Ocrelizumab versus interferon beta-1a in relapsing multiple sclerosis. N Engl J Med. 2017;376(3): 221-234.
Weber MS, Kappos L, Hauser SL, Nicholas JA, Schneble HM, Wang Q, Giovannoni G, Filippi M. The patient impact of 10 years of ocrelizumab treatment in multiple sclerosis: Long-term data from the Phase III OPERA and ORATORIO studies. Poster presented at: 39th Congress of the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS), October 11-13, 2023.
Weber MS, Kappos L, Hauser SL, Nicholas JA, Schneble HM, Wang Q, Giovannoni G, Filippi M. The patient impact of 10 years of ocrelizumab treatment in multiple sclerosis: Long-term data from the Phase III OPERA and ORATORIO studies. Poster presented at: 39th Congress of the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS), October 11-13, 2023.
Hauser SL, Bar-Or A, Comi G, et al. Ocrelizumab versus interferon beta-1a in relapsing multiple sclerosis. N Engl J Med. 2017;376(3)(suppl):S6.
Hauser SL, Bar-Or A, Comi G, et al. Ocrelizumab versus interferon beta-1a in relapsing multiple sclerosis. N Engl J Med. 2017;376(3)(suppl):S6.
Hauser SL, Kappos L, Arnold DL, et al. Five years of ocrelizumab in relapsing multiple sclerosis: OPERA studies open-label extension. Neurology. 2020;29(13)e1854-e1867.
Hauser SL, Kappos L, Arnold DL, et al. Five years of ocrelizumab in relapsing multiple sclerosis: OPERA studies open-label extension. Neurology. 2020;29(13)e1854-e1867.
Data on File. Genentech, Inc. April 2019.
Data on File. Genentech, Inc. April 2019.
Hauser SL, Kappos L, Montalban X, et al. Long-term reduction in 48-week confirmed disability progression after 5 years of ocrelizumab treatment in patients with relapsing multiple sclerosis. Presented at: 5th Congress of the European Academy of Neurology (EAN); June 29-July 2, 2019; Oslo, Norway.
Hauser SL, Kappos L, Montalban X, et al. Long-term reduction in 48-week confirmed disability progression after 5 years of ocrelizumab treatment in patients with relapsing multiple sclerosis. Presented at: 5th Congress of the European Academy of Neurology (EAN); June 29-July 2, 2019; Oslo, Norway.
Data on file. Genentech, Inc. April 2023.
Data on file. Genentech, Inc. April 2023.
Havrdová E, Arnold DL, Bar-Or A, et al. No evidence of disease activity (NEDA) analysis by epochs in patients with relapsing multiple sclerosis treated with ocrelizumab vs interferon beta-1a. Mult Scler J Exp Transl Clin. 2018;4(1): 2055217318760642.
Havrdová E, Arnold DL, Bar-Or A, et al. No evidence of disease activity (NEDA) analysis by epochs in patients with relapsing multiple sclerosis treated with ocrelizumab vs interferon beta-1a. Mult Scler J Exp Transl Clin. 2018;4(1): 2055217318760642.
Turner B, Cree BAC, Kappos L, et al. Ocrelizumab efficacy in subgroups of patients with relapsing multiple sclerosis. J Neurol. 2019;266(5):1182 -1193.
Turner B, Cree BAC, Kappos L, et al. Ocrelizumab efficacy in subgroups of patients with relapsing multiple sclerosis. J Neurol. 2019;266(5):1182 -1193.
Data on file. Genentech, Inc. February 2022.
Data on file. Genentech, Inc. February 2022.
Traboulsee A, Hauser SL, Havrdov E, et al. Efficacy of ocrelizumab on brain MRI outcomes in patients with early relapsing multiple sclerosis: pooled analysis of the OPERA studies. Presented at: 69th American Academy of Neurology (AAN) Annual Meeting; April 22-28, 2017; Boston, MA. Poster 338.
Traboulsee A, Hauser SL, Havrdov E, et al. Efficacy of ocrelizumab on brain MRI outcomes in patients with early relapsing multiple sclerosis: pooled analysis of the OPERA studies. Presented at: 69th American Academy of Neurology (AAN) Annual Meeting; April 22-28, 2017; Boston, MA. Poster 338.
Treaba CA, Balasa R, Podeanu DM, et al. Cerebral lesions of multiple sclerosis: is gadolinium always irreplaceable in assessing lesion activity? Diagn Interv Radiol. 2014;20:178 -184.
Treaba CA, Balasa R, Podeanu DM, et al. Cerebral lesions of multiple sclerosis: is gadolinium always irreplaceable in assessing lesion activity? Diagn Interv Radiol. 2014;20:178 -184.
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