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Published on: December 9, 2015
Real-world effectiveness of ocrelizumab in relapsing multiple sclerosis: An MSBase registry sub-study
Helmut Butzkueven1, Pamela Farr2, Serkan Ozakbas3
1Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Australia; MSBase Foundation, Alfred Centre, Melbourne, Australia.
Ocrelizumab (OCR) shows significant long-term effectiveness in relapsing multiple sclerosis (RMS) patients in real-world settings. The study observed reduced relapses and disability progression, with high treatment persistence.
Area of Science:
- Neurology
- Immunology
- Clinical Trials
Background:
- Ocrelizumab (OCR) is a targeted therapy for relapsing multiple sclerosis (RMS).
- Real-world data is crucial for understanding long-term treatment effectiveness beyond clinical trials.
Purpose of the Study:
- To evaluate the long-term effectiveness and safety of ocrelizumab (OCR) in a real-world cohort of patients with relapsing multiple sclerosis (RMS).
- To assess outcomes including disability worsening, disease progression, and no evidence of disease activity (NEDA-3).
Main Methods:
- Prospective, longitudinal, observational cohort study (MSOCR-R) using the international MSBase registry.
- Inclusion of 1011 patients with RMS newly treated with OCR.
- Analysis of confirmed disability worsening (CDW), progression independent of relapses (PIRA), and NEDA-3 over a median follow-up of 3.4 years.
Main Results:
- Four-year probabilities for 24-week CDW and PIRA were 25.2% and 21.9%, respectively.
- Annualized relapse rate decreased significantly from 0.58 to 0.05 post-OCR initiation.
- Achieving NEDA-3 at 4 years was 39.7%, with 88.0% treatment persistence.
Conclusions:
- Ocrelizumab demonstrates strong real-world effectiveness in managing relapsing multiple sclerosis.
- First-line treatment with OCR was associated with superior clinical outcomes.
- The findings support OCR as a valuable therapeutic option for RMS patients.
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