O'HAND: A Study to Evaluate the Efficacy and Safety of Ocrelizumab in Adults With Primary Progressive Multiple Sclerosis
Study Details
Study Description
Brief Summary
This study will evaluate the efficacy and safety of ocrelizumab ( Ocrevus®) compared with placebo in participants with primary progressive multiple sclerosis (PPMS), including participants later in their disease course. This study focuses on upper limit disability progression. This study will consist of the following phases: screening, double-blind treatment, follow-up 1 (FU1), an optional open-label extension (OLE), follow-up 2 (FU2), and B-cell monitoring (BCM).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
The screening phase will last up to 24 weeks. In the double-blind treatment phase, participants will undergo at least 120 weeks of study treatment. Study drug (ocrelizumab or placebo) will be administered every 24 weeks. In the FU1 phase, all participants who discontinue prematurely from the double-blind treatment phase will enter the FU1 phase, including participants who receive post-double progression ocrelizumab (PDP OCR) treatment, other immunomodulatory or immunosuppressive treatment(s) for MS, commercial ocrelizumab, or no treatment. The FU1 phase will run in parallel with the double-blind treatment phase until the primary analysis is performed. If the primary analysis is positive, an optional OLE phase is planned for eligible participants who either have remained in the double-blind treatment phase or are on PDP OCR treatment at the time of the primary analysis and, in the opinion of the investigator, could benefit from ocrelizumab treatment. The follow-up 2 (FU2) phase will begin after the primary analysis is performed. The following participants will move into the FU2 phase: participants who are ongoing in the FU1 and not on PDP OCR treatment at the time of primary analysis; participants who are ongoing in the double-blind treatment phase or receiving PDP OCR at the time of the primary analysis and do not enter the OLE phase; participants who complete or withdraw from the OLE phase. At the end of the FU2, all participants will move into B-cell monitoring (BCM) phase until the end of the study. This study will end when all participants who are not being treated with an alternative B-cell depleting therapy have repleted his or her B-cells.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Ocrelizumab Participants will receive ocrelizumab by IV infusion every 24 weeks. |
Drug: Ocrelizumab
The first dose of ocrelizumab will be administered as two 300 mg IV infusions given 14 days apart. For the subsequent doses, ocrelizumab will be administered as a single 600 mg infusion every 24 weeks. A minimum interval of 20 or 22 weeks, depending if the previous dose was administered in one or two infusion, should be maintained between each infusion.
Other Names:
|
Placebo Comparator: Placebo Participants will receive placebo matched to ocrelizumab by IV infusion every 24 weeks. |
Drug: Placebo
The first dose of placebo will be administered as two 300 mg IV infusions given 14 days apart. For the subsequent doses, placebo will be administered as a single 600 mg infusion every 24 weeks, with a minimum interval of 20 or 22 weeks, depending if the previous dose was administered in one or two infusion, should be maintained between each infusion.
|
Outcome Measures
Primary Outcome Measures
- Time to Upper Limb Disability Progression Confirmed For at Least 12 Weeks [Baseline up to approximately 5.5 years]
20% increase from baseline in Nine-Hole Peg Test (9-HPT) confirmed for at least 12 weeks.
Secondary Outcome Measures
- Time to Upper Limb Disability Progression Confirmed For at Least 24 Weeks [Baseline up to approximately 5.5 years]
20% increases from baseline in 9-HPT confirmed for at least 24 weeks.
- Time to Disability Progression Confirmed For at Least 12 Weeks [Baseline up to approximately 5.5 years]
Increase in EDSS Score is defined as an increase of >= 1.0 point from baseline EDSS score in participants with a baseline EDSS score <= 5.5 or an increase of >= 0.5 point in participants with a baseline EDSS score of > 5.5.
- Time to Disability Progression Confirmed For at Least 24 Weeks [Baseline up to approximately 5.5 years]
Increase in EDSS Score is defined as an increase of >= 1.0 point from baseline EDSS score in participants with a baseline EDSS score <= 5.5 or an increase of >= 0.5 point in participants with a baseline EDSS score of > 5.5.
- Percent Change in Total Volume of T2 Lesions on MRI [Baseline up to week 120]
- Percent Change in Total Brain Volume on MRI Scans [Week 24 to Week 120]
- Percentage of Participants with Adverse Events [Baseline up to 8.5 years]
- Percentage of Participants With Serious Adverse Events [Baseline up to 8.5 years]
- Area Under the Serum Concentration-Time Curve (AUC) of Ocrelizumab [Baseline, Weeks 2, 12, 24, 48, 60, 72, and every 12 weeks till the end of the double-blind period and Weeks 0 and 48 of the OLE period]
- Evaluation of Ocrelizumab Pharmacodynamics, as measured by B-Cell Levels in Blood [Baseline, Weeks 2, 24, 48, 72 and every 12 weeks till the end of the double-blind period and Weeks 0, 22, 46, 70 and 96 of the OLE period]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
EDSS score at screening and baseline >= 3.0 to 8.0, inclusive
-
Disease duration from the onset of MS symptoms relative to randomization date:
Less than 20 years in patients with an EDSS score at screening 7.0 - 8.0 Less than 15 years in patients with an EDSS at screening 5.5 - 6.5 Less than 10 years in patients with an EDSS at screening <= 5.0
-
Documented history or presence at screening of at least one of the following laboratory findings in a cerebrospinal fluid specimen: Elevated IgG index or one or more IgG oligoclonal bands detected by isoelectric focusing
-
Screening and baseline 9-HPT completed in > 25 seconds (average of the two hands)
-
Neurological stability for ≥ 30 days prior to baseline
-
Ability to complete the 9-HPT within 240 seconds with each hand at screening and baseline
-
Neurological stability for >/= 30 days prior to baseline
-
Patients previously treated with immunosuppressants, immunomodulators, or other immunomodulatory therapies must undergo an appropriate washout period according to the local label of the immunosuppressant/immunomodulatory drug used
-
For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use adequate contraceptive methods during the treatment period and for 6 or 12 months after the final dose of ocrelizumab. Adherence to local requirements, if more stringent, is required.
-
For female patients without reproductive potential: Women may be enrolled if surgically sterile (i.e hysterectomy, complete bilateral oophorectomy) or post-menopausal unless the patient is receiving a hormonal therapy for her menopause or if surgically sterile
Exclusion Criteria:
-
History of relapsing-remitting or secondary progressive MS at screening
-
Confirmed serious opportunistic infection including: active bacterial, viral, fungal, mycobacterial infection or other infection, including tuberculosis or atypical mycobacterial disease
-
Patients who have or have had confirmed or a high degree of suspicion of progressive multifocal leukoencephalopathy (PML)
-
Known active malignancy or are being actively monitored for recurrence of malignancy
-
Immunocompromised state
-
Receipt of a live-attenuated vaccine within 6 weeks prior to randomization
-
Inability to complete an MRI or contraindication to Gd administration.
-
Patients requiring symptomatic treatment of MS and/or physiotherapy who are not on a stable regimen. Patients must not initiate symptomatic treatment of MS or physiotherapy within 4 weeks of randomization.
-
Contraindications to mandatory premedications for infusion-related reactions, including:
uncontrolled psychosis for corticosteroids and closed-angle glaucoma for antihistamines
-
Known presence of other neurologic disorders
-
Pregnant or breastfeeding, or intending to become pregnant during the study and for 6 or 12 months after last infusion of the study drug
-
Lack of peripheral venous access
-
Significant, uncontrolled disease, such as cardiovascular, pulmonary, renal, hepatic, endocrine or gastrointestinal, or any other significant disease that may preclude patient from participating in the study
-
Any concomitant disease that may require chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study
-
History of alcohol or other drug abuse
-
History of primary or secondary immunodeficiency
-
Treatment with any investigational agent within 24 weeks prior to screening (Visit 1) or 5 half-lives of the investigational drug (whichever is longer), or treatment with any experimental procedure for MS
-
Previous treatment with B-cell targeting therapies
-
Any previous treatment with bone marrow transplantation and hematopoietic stem cell transplantation
-
Any previous history of transplantation or anti-rejection therapy
-
Treatment with IV Ig or plasmapheresis within 12 weeks prior to randomization
-
Systemic corticosteroid therapy within 4 weeks prior to screening
-
Positive serum hCG measured at screening or positive urine β-hCG at baseline
-
Positive screening tests for hepatitis B
-
Any additional exclusionary criterion as per ocrelizumab (Ocrevus®) local label, if more stringent than the above
-
Lack of MRI activity at screening/baseline if more than 650 patients without MRI activity have already been enrolled, as defined by T1 Gd+ lesion(s) and/or new and/or enlarged T2 lesion(s) in the screening, to ensure that at least 350 patients with MRI activity will be randomized
Eligibility Criteria for Open-Label Extension Phase:
-
Completed the double-blind treatment phase of the trial or have received PDP OCR in the FU1 phase, and who, in the opinion of the investigator, may benefit from treatment with Ocrelizumab. Patients who withdrew from study treatment and received another disease-modifying therapy (DMT) or commercial ocrelizumab will not be allowed to enter in the OLE phase.
-
Meet the re-treatment criteria for ocrelizumab
-
For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use adequate contraceptive methods during the treatment period and for 6 or 12 months after the final dose of ocrelizumab. Adherence to local requirements, if more stringent, is required.
-
For female patients without reproductive potential: Women may be enrolled if surgically sterile (i.e. hysterectomy, complete bilateral oophorectomy) or post-menopausal unless the patient is receiving a hormonal therapy for her menopause or if surgically sterile
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Phoenix Neurological Associates Ltd | Phoenix | Arizona | United States | 85006 |
2 | Arcadia Neurology Center | Arcadia | California | United States | 91006 |
3 | Multiple Sclerosis Center of California | Newport Beach | California | United States | 92663 |
4 | Georgetown University Medical Center | Washington | District of Columbia | United States | 20007 |
5 | SFM Clinical Research, LLC | Boca Raton | Florida | United States | 33487 |
6 | MS and Neuromuscular Center of Excellence | Clearwater | Florida | United States | 33761 |
7 | Neurological Services of Orlando | Orlando | Florida | United States | 32806 |
8 | Vero Neurology | Vero Beach | Florida | United States | 32960 |
9 | Consultants in Neurology Ltd | Northbrook | Illinois | United States | 60062 |
10 | University of Kansas Medical Center | Kansas City | Kansas | United States | 66160 |
11 | Michigan Neurology Associates P.C. | Clinton Township | Michigan | United States | 48035 |
12 | Henry Ford Hospital | Detroit | Michigan | United States | 48202 |
13 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198-0600 |
14 | University of New Mexico | Albuquerque | New Mexico | United States | 87131 |
15 | Dent Neurological Institute | Amherst | New York | United States | 14226 |
16 | State University of New York at Buffalo; Department of Neurology | Buffalo | New York | United States | 14203 |
17 | Columbus Neuroscience | Columbus | Ohio | United States | 43801 |
18 | Thomas Jefferson University | Philadelphia | Pennsylvania | United States | 19107 |
19 | Albert Einstein Medical Center | Philadelphia | Pennsylvania | United States | 19141 |
20 | Premier Neurology | Greer | South Carolina | United States | 29650 |
21 | Vanderbilt MS Clinic | Nashville | Tennessee | United States | 37215 |
22 | Maxine Mesinger MS Clinic/Baylor College of Medicine; Neurology | Houston | Texas | United States | 77030 |
23 | Meridian Clinical Research | Norfolk | Virginia | United States | 23502 |
24 | Center for Neurological Disorders | Milwaukee | Wisconsin | United States | 53215 |
25 | Brain and Mind Research Institute | Camperdown | New South Wales | Australia | 2050 |
26 | John Hunter Hospital | New Lambton | New South Wales | Australia | 2305 |
27 | Austin Hospital | Heidelberg | Victoria | Australia | 3084 |
28 | Royal Melbourne Hospital | Parkville | Victoria | Australia | 3050 |
29 | Medizinische Universitat Graz | Graz | Austria | 8036 | |
30 | Kepler Universitatsklinikum Linz | Linz | Austria | 4021 | |
31 | Christian-Doppler-Klinik Salzburg | Salzburg | Austria | 5020 | |
32 | Cliniques Universitaires St-Luc | Bruxelles | Belgium | 1200 | |
33 | UZ Antwerpen | Edegem | Belgium | 2650 | |
34 | CHU Tivoli | La Louvière | Belgium | 7100 | |
35 | MS & Neurologisch Revalidatie Centrum | Overpelt | Belgium | 3900 | |
36 | Military Medical Academy HBAT | Pleven | Bulgaria | 5800 | |
37 | Multiprofile Hospital For Active Treatment Avis Medica | Pleven | Bulgaria | 5800 | |
38 | Multiprofile Hospital for Active Treatment of Neurology and Psychiatry Sv. Naum EAD | Sofia | Bulgaria | 1113 | |
39 | University of Alberta | Edmonton | Alberta | Canada | T6G 2G3 |
40 | Vancouver Hospital Ubc | Vancouver | British Columbia | Canada | V6T 2B5 |
41 | Health Sciences Centre Winnipeg | Winnipeg | Manitoba | Canada | R3A 1R9 |
42 | Dalhousie Multiple Sclerosis Research Unit | Halifax | Nova Scotia | Canada | B3H 4K4 |
43 | London Health Sciences Centre | London | Ontario | Canada | N6A 4L6 |
44 | Ottawa Hospital | Ottawa | Ontario | Canada | K1H 8L6 |
45 | University of Toronto | Toronto | Ontario | Canada | M5G 1Z6 |
46 | Clinique Neuro Outaouais | Gatineau | Quebec | Canada | J8Y 1W2 |
47 | Recherche Sepmus, Inc. | Greenfield Park | Quebec | Canada | J4V 2J2 |
48 | Clinica Colsanitas S.A. sede Clinica Universitaria Colombia | Bogota | Colombia | 111321 | |
49 | Sociedad de Cirugia de Bogota Hospital San Jose | Bogotá | Colombia | 111411 | |
50 | Instituto Neurologico de Colombia INDEC | Medellin | Colombia | ||
51 | Clinical Hospital Centre Osijek | Osijek | Croatia | 31000 | |
52 | General Hospital Varazdin | Varazdin | Croatia | 42000 | |
53 | Clinical Hospital Sestre Milosrdnice | Zagreb | Croatia | 10000 | |
54 | University Hospital Center Zagreb | Zagreb | Croatia | 10000 | |
55 | Alexandria University Hospital; New University Hospitlal Building;Clinical Research Center CRC | Alexandria | Egypt | 21500 | |
56 | Ain Shams University Hospital | Cairo | Egypt | 11566 | |
57 | Sayed Galal University Hospital; Neurology Department | Cairo | Egypt | 11865 | |
58 | CHU Amiens Hopital Sud; Neurologie | Amiens Cedex1 | France | 80054 | |
59 | Centre Hospitalier Universitaire de Bordeaux Hopital Pellegrin | Bordeaux | France | 33076 | |
60 | Hopital Pierre Wertheimer - Hopital Neurologique | Bron | France | 69677 | |
61 | Centre Hospitalier Universitaire de Clermont Ferrand | Clermont-ferrand | France | 63000 | |
62 | Centre Hospitalier de Colmar - Hopital Louis Pasteur; Service de Neurologie | Colmar | France | 68024 | |
63 | Hopital Saint Vincent de Paul - GHICL Lille - Parent | Lille | France | 59020 | |
64 | Hopitaux de La Timone | Marseille | France | 13385 | |
65 | CHU Gui de Chauliac | Montpellier | France | 34000 | |
66 | CHRU Nancy | Nancy | France | 54035 | |
67 | Hopital Guillaume Et Rene Laennec | Nantes | France | 44805 | |
68 | CHU de Nimes - Hopital Universitaire Caremeau | Nimes | France | 30900 | |
69 | Groupe Hospitalier Paris Saint Joseph | Paris | France | 75014 | |
70 | Hopital Civil | Strasbourg | France | 67091 | |
71 | Pineo Medical Ecosystem LTD | Tbilisi | Georgia | 0114 | |
72 | Tbilisi State Medical University | Tbilisi | Georgia | 0141 | |
73 | Khechinashvili University Hospital | Tbilisi | Georgia | 179 | |
74 | Medizinische Hochschule Hannover | Hannover | Germany | 30625 | |
75 | Bacs-Kiskun Megyei Korhaz | Kecskemet | Hungary | 6000 | |
76 | Szent Borbala Korhaz | Tatabánya | Hungary | 2800 | |
77 | Saint Vincent's University Hospital | Dublin | Ireland | Dublin 4 | |
78 | AOU dell'Università degli Studi della Campania Luigi Vanvitelli | Napoli | Campania | Italy | |
79 | Fondazione PTV Policlinico Tor Vergata | Rome | Lazio | Italy | 00133 |
80 | Azienda Ospedaliera Sant'andrea | Rome | Lazio | Italy | 00189 |
81 | Ospedale Policlinico San Martino | Genova | Liguria | Italy | 16132 |
82 | Ospedale San Raffaele S.r.l. - PPDS | Milano | Lombardia | Italy | 20132 |
83 | ASST degli Spedali Civili di Brescia - Presidio Ospedaliero di Montichiari | Montichiari | Lombardia | Italy | 25018 |
84 | ASST di Pavia - Fondazione Istituto Neurologico Mondino IRCCS | Pavia | Lombardia | Italy | 27100 |
85 | Azienda Sanitaria Ospedaliera S Luigi Gonzaga | Orbassano | Piemonte | Italy | 10043 |
86 | Fondazione Istituto G. Giglio di Cefalu | Cefalù | Sicilia | Italy | 90015 |
87 | Azienda Ospedaliera di Padova; Clinica Neurologica | Padova | Veneto | Italy | 35128 |
88 | Hospital Civil Fray Antonio Alcalde | Guadalajara | Jalisco | Mexico | 44280 |
89 | Centro de Diagnostico Neurofisiologico S.C | Mexico City | Mexico CITY (federal District) | Mexico | 01600 |
90 | Unidad de Investigacion en Salud de Chihuahua | Mexico City | Mexico CITY (federal District) | Mexico | 14390 |
91 | Neurociencias Estudios Clinicos S.C. | Culiacán | Sinaloa | Mexico | 80020 |
92 | Scientia Investigacion Clinica S.C. | Chihuahua | Mexico | 31203 | |
93 | Hospital Angeles Chihuahua | Chihuahua | Mexico | 31238 | |
94 | Grupo Medico Camino | DF | Mexico | 03310 | |
95 | Instituto de Investigaciones Aplicadas a la Neurociencia A.C. | Durango | Mexico | 34000 | |
96 | Clinical Associates in Research Therapeutics of Americas-Mexico CARTA-MEX | Monterrey | Mexico | 64050 | |
97 | Clinical Research Institute | Tlalnepantla | Mexico | 54055 | |
98 | Christchurch Hospital | Christchurch | New Zealand | 8011 | |
99 | Dunedin Hospital | Dunedin | New Zealand | ||
100 | Waikato Hospital; Neurology | Hamilton | New Zealand | 3240 | |
101 | Wellington Hospital; Department of Neurology | Wellington | New Zealand | 6021 | |
102 | Uniwersytecki Szpital Kliniczny w Bialymstoku | Bialystok | Poland | 15-276 | |
103 | Neurocentrum Bydgoszcz sp z o.o | Bydgoszcz | Poland | 85-796 | |
104 | COPERNICUS Podmiot Leczniczy Sp. z o. o. Szpital im. M. Kopernika; Oddział Neurologiczny | Gdansk | Poland | 80-803 | |
105 | M.A. - LEK A. M. Maciejowscy SC. Centrum Terapii SM | Katowice | Poland | 40-571 | |
106 | RESMEDICA Spolka z o.o. | Kielce | Poland | 25-726 | |
107 | SP ZOZ Szpital Uniwersytecki w Krakowie; Oddzial Kliniczny Kliniki Neurologii | Kraków | Poland | 31-503 | |
108 | Centrum Neurologii Krzysztof Selmaj | Lodz | Poland | 90-324 | |
109 | Rejdak Konrad Indywidualna Praktyka Lekarska dr hab. Konrad Rejdak | Lublin | Poland | 20-605 | |
110 | Wojewodzki Szpital Specjalistyczny | Olsztyn | Poland | 10-561 | |
111 | Clinical Research Center Sp. z o.o. MEDIC-R Spółka Komandytowa | Poznań | Poland | 60-848 | |
112 | Wojewódzki Szpital Specjalistyczny Nr 3 | Rybnik | Poland | 44-200 | |
113 | Centrum Medyczne "MEDYK" | Rzeszow | Poland | 35-055 | |
114 | EUROMEDIS Sp z o o | Szczecin | Poland | 70-111 | |
115 | Centrum Medyczne NeuroProtect | Warszawa | Poland | 01-684 | |
116 | Instytut Psychiatrii i Neurologii II Klinika Neurologiczna | Warszawa | Poland | 02-957 | |
117 | Miedzyleski Szpital Specjalistyczny w Warszawie | Warszawa | Poland | 04-749 | |
118 | EMC Instytut Medyczny S.A. | Wrocław | Poland | 50-220 | |
119 | SPSK Nr 1 Im Prof S Szyszko Slaskiego Uniwersytetu Medcznego | Zabrze | Poland | 41-800 | |
120 | Hospital de Braga | Braga | Portugal | 4710-243 | |
121 | Hospital Beatriz Angelo | Loures | Portugal | 2674-514 | |
122 | Centro Hospitalar do Porto - Hospital de Santo António | Porto | Portugal | 4099-001 | |
123 | Campus Neurologico Senior | Torres Vedras | Portugal | 2560-280 | |
124 | Colentina Clinical Hospital | Bucharest | Romania | 020125 | |
125 | Emergency University Hospital | Bucharest | Romania | 050098 | |
126 | SC Clubul Sanatatii SRL | Campulung | Romania | 115100 | |
127 | County Hospital Caracal | Caracal | Romania | 235200 | |
128 | Cai Ferate Clinical Hospital | Constanţa | Romania | 900123 | |
129 | Spitalul Municipal Dr.Alexandru Simionescu Hunedoara | Hunedoara | Romania | 331057 | |
130 | Targu Mures Clinical Emergency County Hospital | Targu Mures | Romania | 540100 | |
131 | State Healthcare Institution Territorial Clinical Hospital | Barnaul | Altaj | Russian Federation | 656024 |
132 | Kuvatov Republican Clinical Hospital | UFA | Baskortostan | Russian Federation | 450005 |
133 | Research Center of Neurology of RAMS | Moscow | Moskovskaja Oblast | Russian Federation | 125367 |
134 | City Clinical Hospital #24 | Moscow | Moskovskaja Oblast | Russian Federation | 127015 |
135 | Moscow Regional Research Clinical Institute Na Mfvladimirskiy | Moscow | Moskovskaja Oblast | Russian Federation | 129110 |
136 | City Out Patient Clinic For Rehabilitation Treatment #7 | Moskva | Moskovskaja Oblast | Russian Federation | 105005 |
137 | City Clinical Hospital #15 n.a. N.F. Filatov | Moskva | Moskovskaja Oblast | Russian Federation | 111539 |
138 | Neftyanik Medical and Sanitary Unit | Tumen | Moskovskaja Oblast | Russian Federation | 625000 |
139 | City Clinical Hospital #12 | Nizhny Novgorod | Niznij Novgorod | Russian Federation | 603003 |
140 | Nizhniy Novgorod City Hospital #33 | Nizhny Novgorod | Niznij Novgorod | Russian Federation | 603005 |
141 | Nizhegorodskaya Regional Clinical Hospital n.a. Semashko | Nizhny Novgorod | Niznij Novgorod | Russian Federation | 603126 |
142 | City Center of MS Treatment based on Saint-Petersburg City Clinical Hospital #31 | Sankt-peterburg | Sankt Petersburg | Russian Federation | 197110 |
143 | City Hospital #40 of Kurortniy Administrative District | St. Petersburg | Sankt Petersburg | Russian Federation | 197706 |
144 | Yaroslavl Clinical Hospital #8 | Yaroslavl | Sankt Petersburg | Russian Federation | 150030 |
145 | City Clinical Hospital #4 | Saransk | Saratov | Russian Federation | 430032 |
146 | Republican Clinical Hospital For Rehabilitation Treatment | Kazan | Tatarstan | Russian Federation | 420021 |
147 | Ulyanovsk Regional Clinical Hospital | Ulyanovsk | Uljanovsk | Russian Federation | 432063 |
148 | Belgorod Regional Clinical Hospital | Belgorod | Russian Federation | 308007 | |
149 | Sverdlovsk Regional Clinical Hospital 1 | Ekaterinburg | Russian Federation | 620102 | |
150 | Kemerovo Regional Clinical Hospital | Kemerovo | Russian Federation | 650066 | |
151 | Kirov State Medical Academy | Kirov | Russian Federation | 610027 | |
152 | Krasnoyarsk State Medical Academy | Krasnoyarsk | Russian Federation | 660022 | |
153 | SBHI of Nizhny Novgorod region City Clinical Hospital #3; neurology department | Nizniy Novgorod | Russian Federation | 603155 | |
154 | FSBIH Siberian Regional Medical Centre of FMBA of Russia | Novosibirsk | Russian Federation | 630007 | |
155 | Perm SMA n.a. academ. E.A. Vagner | Perm | Russian Federation | 614990 | |
156 | Samara Regional Clinical Hospital named after V.D. Seredavina | Samara | Russian Federation | 443095 | |
157 | Siberian State Medical University of Roszdrav | Tomsk | Russian Federation | 634050 | |
158 | Regional State Budget Institution of Healthcare Tver Regional Clinical Hospital | Tver | Russian Federation | ||
159 | Clinical Center of Serbia | Belgrade | Serbia | 11000 | |
160 | Military Medical Academy | Belgrade | Serbia | 11040 | |
161 | Clinical Center Kragujevac | Kragujevac | Serbia | 34000 | |
162 | Clinical Center Nis | NIS | Serbia | 18000 | |
163 | Clinical Centre of Vojvodina | Nova Sad | Serbia | 21000 | |
164 | General Hospital Uzice | Uzice | Serbia | 31000 | |
165 | Clinical Hospital Centre Zemun | Zemun | Serbia | 11080 | |
166 | Hospital Universitario Puerta de Hierro - Majadahonda | Majadahonda | Madrid | Spain | 28220 |
167 | Hospital Universitario Quironsalud Madrid | Pozuelo de Alarcón | Madrid | Spain | 28223 |
168 | Complejo Hospitalario Universitario de Vigo | Vigo | Pontevedra | Spain | 36204 |
169 | Hospital Universitario Virgen Macarena | Seville | Sevilla | Spain | 41071 |
170 | Hospital Universitario Cruces | Barakaldo | Vizcaya | Spain | 48903 |
171 | Hospital Universitario Vall d'Hebron - PPDS | Barcelona | Spain | 08035 | |
172 | Hospital Clinic de Barcelona | Barcelona | Spain | 08036 | |
173 | Hospital General de Castellon | Castellon | Spain | 12004 | |
174 | Hospital Universitario Ramon y Cajal | Madrid | Spain | 28034 | |
175 | Hospital Universitario HM Sanchinarro-CIOCC | Madrid | Spain | 28050 | |
176 | Hospital Regional Universitario de Malaga - Hospital General | Malaga | Spain | 29010 | |
177 | Hospital Universitario Virgen de La Arrixaca | Murcia | Spain | 30120 | |
178 | Complejo Asistencial Universitario de Salamanca - H. Clinico | Salamanca | Spain | 37007 | |
179 | Hospital Universitari i Politecnic La Fe de Valencia | Valencia | Spain | 46026 | |
180 | Medical Center Dopomoga Plus | Kyiv | Chernihiv Governorate | Ukraine | 02123 |
181 | Medical Centre of PE First Private Clinic | Zhytomir | Crimean Regional Governmenta | Ukraine | 10008 |
182 | Municipal Non-profit Enterprise Zaporizhzhya Regional Hospital Zaporizhzhya Regional Council | Zaporizhzhia | Katerynoslav Governorate | Ukraine | 69600 |
183 | Zaporizhia City Multispecialty Clinical Hospital #9 | Zaporizhzhye | Katerynoslav Governorate | Ukraine | 69063 |
184 | Municipal Nonprofit Enterprise of Kharkiv Regional Council Regional Clinical Hospital | Kharkiv | Kharkiv Governorate | Ukraine | 61058 |
185 | Communal noncommercial enterprise of Lviv Regional Council Lviv Regional Clinical Hospital | Lviv | Kharkiv Governorate | Ukraine | 79010 |
186 | LLC Medical Center Family Medicine Clinic | Dnipro | Kherson Governorate | Ukraine | 49600 |
187 | Municipal Non-profit Enterprise Kherson City Clinical Hospital named after Ye.Ye. Karabelesh | Kherson | Kherson Governorate | Ukraine | 73000 |
188 | Medical Center of LLC MRT Elit | Kropyvnytsiy | Kherson Governorate | Ukraine | 25005 |
189 | ME Dnipropetrovsk Regional Clinical Hospital n.a. I.I Mechnykov Dnipropetrovsk Regional Council | Dnipro | KIEV Governorate | Ukraine | 49005 |
190 | Medical Center of LLC Medical Clinic Blagomed | Kyiv | KIEV Governorate | Ukraine | 01001 |
191 | Medical Clinical Research Center of Medical Center LLC Health Clinic | Vinnytsia | Podolia Governorate | Ukraine | 21009 |
192 | Municipal Institution Vinnytsia Regional Psychoneurological Hospital n.a. O.I. Yushchenko | Vinnytsya | Podolia Governorate | Ukraine | 21005 |
193 | Regional Clinical Hospital | Ivano-Frankivsk | Ukraine | 76018 | |
194 | Kyiv City Clinical Hospital #4 | Kyiv | Ukraine | 03110 | |
195 | Municipal Institution of Kyiv Regional Council Kyiv Regional Clinical Hospital | Kyiv | Ukraine | 04107 | |
196 | Volyn Regional Clinical Hospital | Lutsk | Ukraine | 43024 | |
197 | University Hospital of Wales | Cardiff | United Kingdom | CF14 4XW | |
198 | Queen Elizabeth University Hospital - PPDS | Glasgow | United Kingdom | G51 4TF | |
199 | Raigmore Hospital - PPDS | Inverness | United Kingdom | IV2 3UJ | |
200 | Walton Centre For Neurology and Neurosurgery | Liverpool | United Kingdom | L9 7LJ | |
201 | The Royal London Hospital | London | United Kingdom | E1 1BB | |
202 | The National Hospital for Neurology & Neurosurgery | London | United Kingdom | WC1N 3BG | |
203 | University of Nottingham | Nottingham | United Kingdom | NG7 2UH | |
204 | Peninsula College of Medicine and Dentistry | Plymouth | United Kingdom | PL6 8BX | |
205 | Salford Royal Hospital | Salford | United Kingdom | M6 8HD | |
206 | Royal Hallamshire Hospital | Sheffield | United Kingdom | S10 2JF | |
207 | University Hospital Southampton NHS Foundation Trust | Southhampton | United Kingdom | SO16 6YD | |
208 | Morriston Hospital | Swansea | United Kingdom | SA6 6NL |
Sponsors and Collaborators
- Hoffmann-La Roche
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- WA40404