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Trial · NCT04230174

Effect of Ocrelizumab on Neuroinflammation in Multiple Sclerosis as Measured by 11C-PBR28 MR-PET Imaging of Microglia Activation

NCT04230174, Phase 4, Completed, Massachusetts General Hospital; results first posted 2025-12-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Effect of Ocrelizumab on Neuroinflammation in Multiple Sclerosis as Measured by 11C-PBR28 MR-PET Imaging of Microglia Activation. Trials, record NCT04230174. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04230174

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Effect of Ocrelizumab on Neuroinflammation in Multiple Sclerosis as Measured by 11C-PBR28 MR-PET Imaging of Microglia Activation
NCT number
NCT04230174
Status
Completed
Phases
Phase 4
Enrollment
22 participants, actual
Lead sponsor
Massachusetts General Hospital
Conditions
Multiple Sclerosis
Interventions
11C-PBR28
First posted
2020-01-18
Last updated
2025-12-30
Results first posted
2025-12-30

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Baseline to 12 monthThe primary endpoint is change in mean 11C-PBR28 SUVR in multiple sclerosis patients after 1-year of ocrelizumab therapy in different brain regions.
SecondaryMagnetization Transfer Ratio (MTR)Baseline to 12-month
Secondary endpoint is changes in mean magnetization transfer ratio (MTR) in cortex and normal appearing white matter (NAWM) of multiple sclerosis patients after 1-year of ocrelizumab therapy. MTR is defined as: S0 - S\_MT/S0; where S0 is the signal intensity without the magnetization transfer (MT) pulse and S\_MT is the signal intensity with the MT pulse. It is dimensionless because it is defined as a ratio of two signals with the same physical units, so the units cancel out. Larger MTR indicate stronger interaction between free water protons and macromolecular-bound protons.
SecondaryCortical ThicknessBaseline to 12-monthSecondary endpoint is changes in cortical thickness after 1-year ocrelizumab treatment in patients with multiple sclerosis.
SecondaryWhite Matter (WM) Lesion VolumeBaseline to 12 monthsSecondary endpoint is changes in WM lesion load after 1-year of ocrelizumab therapy in patients with MS.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Baseline to 12 month
Fifteen MS patients completed the follow-up MR-PET study, which was performed at an average interval of 19.8 days (SD=22.6) after receiving the 1-year ocrelizumab dose. A patient was excluded from the PET analysis after it was discovered that they were using a medication not allowed by the study protocol.
SUVRMEAN
SECONDARYMagnetization Transfer Ratio (MTR)Baseline to 12-month
Longitudinal MTR scans were acquired in 15 patients; in one subject, however, the MT\_off acquisition was not completed due to early scan termination as the subject was unable to tolerate the scan duration. MTR maps from another subject were excluded from the group analysis due to severe motion artifacts.
% of MTRMEAN
SECONDARYCortical ThicknessBaseline to 12-monthA patient was excluded from the study analysis after it was discovered that they were using a medication not allowed by the study protocol.mm2MEAN
SECONDARYWhite Matter (WM) Lesion VolumeBaseline to 12 monthsA patient was excluded from the study analysis after it was discovered that they were using a medication not allowed by the study protocol.mm cubicMEAN

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Multiple sclerosis patientsBaseline SUVR in perilesional white matter0.9Standard Deviation 0.19SUVR
11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Multiple sclerosis patientsBaseline SUVR in white matter lesions0.9Standard Deviation 0.21SUVR
11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Multiple sclerosis patientsBaseline SUVR in thalamus1.31Standard Deviation 0.26SUVR
11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Multiple sclerosis patients12-month SUVR in perilesional white matter0.84Standard Deviation 0.19SUVR
11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Multiple sclerosis patients12-month SUVR in white matter lesions0.83Standard Deviation 0.2SUVR
11C-PBR28 Uptake as Measured by Standardized Uptake Values Normalized by a Pseudoreference Region (SUVR)Multiple sclerosis patients12-month SUVR in thalamus1.23Standard Deviation 0.25SUVR
Magnetization Transfer Ratio (MTR)Multiple sclerosis patientsBaseline NAWM MTR27.9Standard Deviation 1.4% of MTR
Magnetization Transfer Ratio (MTR)Multiple sclerosis patientsBaseline cortical MTR17.3Standard Deviation 0.9% of MTR
Magnetization Transfer Ratio (MTR)Multiple sclerosis patients12-month NAWM MTR27.0Standard Deviation 1.9% of MTR
Magnetization Transfer Ratio (MTR)Multiple sclerosis patients12-month cortical MTR16.8Standard Deviation 1.1% of MTR

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMultiple Sclerosis Patients20
Overall StudyCOMPLETEDMultiple Sclerosis Patients15
Overall StudyNOT COMPLETEDMultiple Sclerosis Patients5

Adverse events8

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCovid-19Infections and infestationsMultiple Sclerosis Patients4204
otherTypical multiple sclerosis relapseNervous system disordersMultiple Sclerosis Patients2202
otherUrinary infectionInfections and infestationsMultiple Sclerosis Patients1201
otherHiatal herniaGastrointestinal disordersMultiple Sclerosis Patients1201
otherPregnancyPregnancy, puerperium and perinatal conditionsMultiple Sclerosis Patients1201
otherOcrevus infusion reactionSkin and subcutaneous tissue disordersMultiple Sclerosis Patients2202
otherUrinary incontinenceRenal and urinary disordersMultiple Sclerosis Patients1201
seriousPneumoniaRespiratory, thoracic and mediastinal disordersMultiple Sclerosis Patients1201

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMultiple Sclerosis Patients020
Total, other adverse eventsMultiple Sclerosis Patients1220
Total, serious adverse eventsMultiple Sclerosis Patients120

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04230174

GET https://conductscience.org/api/trials/v1/NCT04230174/registered