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How does Ocrevus work for MS?

Medically reviewed by Carmen Pope, BPharm. Last updated on Aug 1, 2024.

Official answer

by Drugs.com

Ocrevus (ocrelizumab) works in multiple sclerosis (MS) by targeting a specific protein, called CD20 that exists on the surface of immature and mature B-lymphocytes. B lymphocytes are a type of white blood cell which are thought to contribute to the development of MS in several different ways, including secreting antibodies during an MS attack that cause inflammation which damages the myelin coating around nerve cells in the brain and spinal cord. When Ocrevus binds to this protein, it causes B-cells to self-destruct or disintegrate.

Ocrevus is a targeted treatment that is approved for the treatment of relapsing forms of multiple sclerosis (MS) and primary progressive MS in adults. It is a biological treatment called a monoclonal antibody.

How effective is Ocrevus in MS?

Research has shown that Ocrevus is effective at reducing the number of relapses per year in people with MS, increasing the percentage of people who remain relapse-free, and reducing the rate of disability progression. In one trial in people with early primary progressive MS, people taking Ocrevus were 24% less likely to have an increase in their disability than those taking placebo, which equates to delaying the need for a wheelchair by approximately seven years.

Ocrevus is given as an intravenous infusion every six months, after an initial dose of two infusions two weeks apart.

References
  • Ocrevus (ocrelizumab) 05/2020 Genentech, Inc. https://www.drugs.com/pro/ocrevus.html
  • Ocrevus. National Multiple Sclerosis Society. 2020 https://www.nationalmssociety.org/Treating-MS/Medications/Ocrevus#:~:text=Ocrevus%20is%20approved%20by%20the,primary%20progressive%20MS%20in%20adults.
  • Lehmann-Horn K, Kronsbein HC, Weber MS. Targeting B cells in the treatment of multiple sclerosis: recent advances and remaining challenges. Ther Adv Neurol Disord. 2013;6(3):161-173. DOI:10.1177/1756285612474333

Read next

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Is Kesimpta better than Ocrevus?

In patients with relapsing forms of multiple sclerosis, Kesimpta (ofatumumab) is thought to be more effective than Ocrevus (ocrelizumab) in some ways, but no clinical trials have directly compared the two drugs

Ocrevus is the only one of the two drugs approved to treat primary progressive multiple sclerosis Continue reading

How much does Ocrevus cost?

Ocrevus costs approximately $20,769 for one 300 mg/10mL vial depending on the pharmacy you visit and based on using the Drugs.com discount card. Most people do not pay for the full cost of Ocrevus. This price is for cash paying customers and is not valid with insurance plans. People with commercial or private insurance may be eligible for Ocrevus Co-Pay assistance and pay as little as $0 per infusion. Co-pay assistance is provided up to $1,500 per calendar year in the first year and up to $1,000 each calendar year after. Continue reading

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