Primary safety endpoint (ocrelizumab cohort) | Incidence and type of uncommon AEs (including AEs with an incidence of 0.1 to 1% [1 to 10 out of 1000 patients] or less) and death (including primary and underlying causes) in patients with MS newly exposed to ocrelizumab |
Key secondary safety endpoint (other DMT cohort) | Incidence and type of uncommon AEs (including AEs with an incidence of 0.1 to 1% [1 to 10 out of 1000 patients] or less) and death (including primary and underlying causes) in patients with MS newly exposed to selected DMTs other than ocrelizumab |
Secondary effectiveness endpoints (both cohorts) | Treatment success: proportion of patients with no clinical disease activity measured by relapse and disease progression and no discontinuation of current treatment due to AEs (excluding pregnancies) and lack of effectiveness |
Annualized relapse rate since start of treatment | |
Proportion of patients with relapses since start of treatment | |
Mean number of relapses per patients within the last 3 years before start of treatment | |
Change in expanded disability status scale (EDSS) from baseline | |
Proportion of patients with confirmed disability progression (CDP) | |
Time to onset of CDP | |
Time to onset of confirmed disability improvement (CDI) | |
Patient reported outcomes: treatment satisfaction, cognitive function, and health related quality of life | |
Other safety endpoints (both cohorts) | Incidence of all AEs |
Incidence of serious infections | |
Incidence of malignancies | |
Incidence of mortality due to malignancies | |
Exploratory endpoints (both cohorts) | Mean number of gadolinium (Gd) enhancing T1 lesions as detected by brain magnetic resonance imaging (MRI) |
Change from baseline in MRI lesions (T2 and Gd + lesions) | |
Global impression on the disease course as reported by physician and patient using an adapted ‘Clinical Global Impression (CGI)’ scale: Severity Score (change from baseline) and Improvement Score (by descriptive statistics [mean, standard deviation]) | |
Change from baseline in pharmacoeconomic outcomes as measured by ‘Work Productivity and Activity Impairment Questionnaire: Multiple Sclerosis (WPAI:MS)’ |