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NCT Number: NCT07606521

A Biosimilar Trial to Investigate PK, PD, Safety With PB018 Versus US-licensed Ocrevus and EU-approved Ocrevus

This is a randomized, parallel group, double-blind, active-controlled, clinical pharmacology study to compare Pharmacokinetics, Pharmacodynamics and safety of PB018 versus Ocrevus in patients with Multiple Sclerosis.

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Key information

About this study

PB018, containing the active ingredient ocrelizumab, is a humanized monoclonal antibody that is being developed as a proposed biosimilar medicinal product to Ocrevus. The purpose of this study is to demonstrate similar PK, PD and safety of PB018 and Ocrevus in patients with Multiple Sclerosis.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female participants diagnosed with RMS and PPMS forms of MS in accordance with the revised McDonald criteria
  • Evidence of recent disease activity as defined in study protocol
  • Neurological stability for ≥ 30 days before both screening and first study treatment
  • Baseline EDSS score between 0 to 6.0 (both inclusive) for RMS patients and between 3.0 and 6.5 (both inclusive) for PPMS patients.

Key Exclusion Criteria:

  • Patient diagnosed with RMS for more than 10 years duration with an EDSS score ≤2.0 at Screening
  • Patients diagnosed with PPMS < 10 years with an EDSS at screening ≤ 5.0 or < 15 years with an EDSS at screening > 5
  • Patient unable to complete or has a contraindication to an MRI
  • Patient with contraindications and/or severe hypersensitivity to corticosteroids including methylprednisolone or any of the excipients of study drug or interventions defined in the study protocol.
  • Patient who has currently or history of any of medical conditions described in the study protocol.
  • Patients who have received or are going to receive any of prohibited medications or treatments defined in the study protocol.

Treatment and study plan

US-Ocrevus

Biological

Intravenous(IV) infusion

PB018

Biological

Intravenous(IV) infusion

EU-Ocrevus

Biological

Intravenous(IV) infusion

Primary outcomes

  1. Area under the concentration time curve

    Time frame: Week 0 to Week 24

    Demonstrate similar PK between Ocrevus and PB018

Secondary outcomes

  1. Time to reach Maximum serum concentration (Cmax)

    Time frame: Week 0 and Week 2

  2. Area under the concentration time curve in participants treated with PB018 versus US-licensed Ocrevus

    Time frame: Week 0 to Week 16

  3. Area under the concentration time curve in participants treated with PB018 versus EU-approved Ocrevus

    Time frame: Week 0 to Week 16

  4. Tmax (W0)

    Time frame: Week 0

  5. Tmax (W2)

    Time frame: Week 2

  6. T1/2

    Time frame: Week 0 to Week 24

  7. Clearance

    Time frame: Week 0 to Week 24

  8. Elimination rate constant

    Time frame: Week 0 to Week 24

  9. Volume of Distribution (Vz)

    Time frame: Week 0 to Week 24

  10. Ctrough

    Time frame: Week 0 to Week 24

  11. Mean residence time (MRT)

    Time frame: Week 0 to Week 24

  12. B-cell Depletion (CD19+ Cells)

    Time frame: Week 0 to Week 24

    Assessment of pharmacodynamic similarity between PB018 and reference ocrelizumab products based on the proportion of participants with CD19+ B-cell counts below predefined thresholds.

  13. MRI Lesion Activity

    Time frame: Week 0; Week 12; Week 24

    Assessment of similarity in MRI disease activity between PB018 and reference ocrelizumab products by evaluating new or enlarging brain lesions.

  14. Expanded Disability Status Scale (EDSS) score

    Time frame: Screening to Week 24

    Use of Disability Status Scale to measure for disability progression.

  15. Total number of participants with positive anti-drug antibodies (ADAs)

    Time frame: Week 0 to Week 24

  16. Total number of participants with neutralizing antibodies (Nab)

    Time frame: Week 0 to Week 24

  17. Number of participants with treatment-emergent adverse events (TEAE) as assessed by CTCAE v6.0

    Time frame: Week 0 to Week 24

  18. Number of participants discontinued due to adverse events / serious adverse events as assessed by CTCAE v6.0

    Time frame: Week 0 to Week 24

  19. Number of participants with treatment-emergent adverse events of special interest (TEAESI) as assessed by CTCAE v6.0

    Time frame: Week 0 to Week 24

Sponsors and collaborators

Lead sponsor

Polpharma Biologics International AG

Industry

Registry information

Official study title

A Randomized, Parallel-Group Double-Blind, Biosimilar Trial to Compare Pharmacokinetics (PK), Pharmacodynamics (PD), and Safety of PB018 Versus Ocrevus® in Participants With Multiple Sclerosis (MS)

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
May 26, 2026
Registry last updated
May 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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