RecruitingPhase 3NCT06847724

Comparative PK, PD, Efficacy, and Safety Assessment of the Proposed Ocrelizumab Biosimilar CYB704 and Ocrevus in Participants With Relapsing Multiple Sclerosis

A Randomized, Double-blind, Parallel-group Study to Compare the Pharmacokinetics, Efficacy, Pharmacodynamics, Safety, and Immunogenicity of CYB704 (Proposed Ocrelizumab Biosimilar) and Ocrevus® in Participants With Relapsing Multiple Sclerosis (RMS) [STRIVE-MS].


Sponsor

Sandoz

Enrollment

175 participants

Start Date

Jun 10, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn if drug CYB704, a proposed biosimilar to Ocrevus, works to treat multiple sclerosis in the same way as the reference product Ocrevus(R). The main questions it aims to answer are: * Is CYB704 distributed in the body in the same way as the reference product (demonstration of pharmacokinetic (PK) similarity)? * Does have CYB704 the same treatment effect and side effects as the reference product? Researchers will compare CYB704 to a Ocrevus (Ocrevus-US and Ocrevus-EU). Participants will: * Take drug CYB704 or Ocrevus (Ocrevus-US and Ocrevus-EU) * Visit the clinic for at least 15 treatment visits, checkups and tests * Will undergo regular magnetic resonance imaging (MRI) examinations


Eligibility

Min Age: 18 YearsMax Age: 55 Years

Inclusion Criteria4

  • Diagnosis of RMS (relapsing remitting multiple sclerosis (MS) or active secondary progressive MS)
  • Evidence of recent disease activity as defined in study protocol
  • Expanded Disability Status scale score of 0 to 5.5 (inclusive) at screening
  • Neurological stability (no new signs or symptoms referable to Central Nervous System (CNS) within 30 days before both screening and first study treatment

Exclusion Criteria8

  • Diagnosis of primary progressive MS
  • Disease duration of more than 10 years in participants with an Expanded Disability Status Scale (EDSS) ≤2.0 at screening
  • Inability to complete an MRI or contraindication to gadolinium administration
  • History of allergic or anaphylactic reactions to ocrelizumab or one of the premedications (methylprednisolone or equivalent corticosteroid, antihistamine, antipyretic)
  • Pregnant participants
  • Current or history of medical conditions as outlined in the study protocol
  • Prohibited medications (current and history) as outlined in the study protocol
  • Abnormal laboratory blood values as outlined in the study protocol

Interventions

BIOLOGICALCYB704

Intravenous Infusion

BIOLOGICALOcrevus-EU

Intravenous Infusion

BIOLOGICALOcrevus-US

Intravenous Infusion


Locations(40)

Sandoz Investigational Site

Maitland, Florida, United States

Sandoz Investigational Site

Ormond Beach, Florida, United States

Sandoz Investigational Site

Banja Luka, Bosnia and Herzegovina

Sandoz Investigational Site

Bihać, Bosnia and Herzegovina

Sandoz Investigational Site 2

Sarajevo, Bosnia and Herzegovina

Sandoz Investigational Site

Sarajevo, Bosnia and Herzegovina

Sandoz Investigational Site

Pleven, Bulgaria

Sandoz Investigational Site 2

Plovdiv, Bulgaria

Sandoz Investigational Site

Plovdiv, Bulgaria

Sandoz Investigational Site 2

Sofia, Bulgaria

Sandoz Investigational Site 3

Sofia, Bulgaria

Sandoz Investigational Site 4

Sofia, Bulgaria

Sandoz Investigational Site 5

Sofia, Bulgaria

Sandoz Investigational Site

Sofia, Bulgaria

Sandoz Investigational Site

Varaždin, Croatia

Sandoz Investigational Site

Zagreb, Croatia

Sandoz Investigational Site

Rustavi, Georgia

Sandoz Investigational Site 2

Tbilisi, Georgia

Sandoz Investigational Site 3

Tbilisi, Georgia

Sandoz Investigational Site 4

Tbilisi, Georgia

Sandoz Investigational Site 5

Tbilisi, Georgia

Sandoz Investigational Site 6

Tbilisi, Georgia

Sandoz Investigational Site 7

Tbilisi, Georgia

Sandoz Investigational Site 8

Tbilisi, Georgia

Sandoz Investigational Site

Tbilisi, Georgia

Sandoz Investigational Site

Shtip, North Macedonia

Sandoz Investigational Site

Skopje, North Macedonia

Sandoz Investigational Site

Bydgoszcz, Poland

Sandoz Investigational Site 2

Katowice, Poland

Sandoz Investigational Site

Katowice, Poland

Sandoz Investigational Site

Lodz, Poland

Sandoz Investigational Site

Lublin, Poland

Sandoz Investigational Site

Nowa Sól, Poland

Sandoz Investigational Site 2

Poznan, Poland

Sandoz Investigational Site

Poznan, Poland

Sandoz Investigational Site

Szczecin, Poland

Sandoz Investigational Site

Warsaw, Poland

Sandoz Investigational Site

Zabrze, Poland

Sandoz Investigational Site

Belgrade, Serbia

Sandoz Investigational Site

Niš, Serbia

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NCT06847724


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