Product image of Ocrevus (Ocrelizumab) supplied by GNH India

Ocrevus

Active Ingredient:
Ocrelizumab
Origin:
EU

Ocrevus (Ocrelizumab)

Ocrelizumab, the active ingredient in Ocrevus, is a monoclonal antibody presented as a solution for injection for subcutaneous use. It selectively depletes CD20‑positive B cells and is indicated for the treatment of multiple sclerosis, including relapsing‑remitting forms and primary progressive disease, in adult patients. The therapy is administered under medical supervision and requires periodic monitoring of immune status.

GNH India supplies Ocrevus as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with a focus on quality assurance and regulatory compliance.

Manufacturer / TM Owner

Roche Registration Gmbh

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Indications & Clinical Uses

Ocrevus is a disease‑modifying therapy that targets B‑cell activity in multiple sclerosis.

  • Relapsing‑remitting multiple sclerosis: reduces relapse frequency and slows disability progression.
  • Primary progressive multiple sclerosis: slows accumulation of disability in adults.
  • Active disease in adults: decreases MRI lesion activity and inflammatory activity.

How It Works

  • Ocrelizumab is a humanized monoclonal antibody that binds selectively to the CD20 antigen on pre‑B and mature B lymphocytes. This binding triggers antibody‑dependent cellular cytotoxicity and complement‑mediated lysis, leading to rapid and sustained depletion of CD20‑positive B cells, thereby modulating the autoimmune response implicated in multiple sclerosis.

Side Effects

Common Side Effects

  • Infusion‑related reactions: flushing, rash, or shortness of breath during or shortly after administration.
  • Infections: upper respiratory tract infections, sinusitis, or urinary tract infections.
  • Fatigue, headache, or nausea.

Serious or Rare Side Effects

  • Opportunistic infections including reactivation of hepatitis B.
  • Progressive multifocal leukoencephalopathy (PML).
  • Severe infusion reactions such as anaphylaxis.
  • Cardiac events including arrhythmias.
  • Malignancies reported in long‑term use.
  • Hepatic injury with elevated liver enzymes.

Precautions & Warnings

Before initiating therapy, patients should be evaluated for infection risk and vaccination status.

  • Screen for active infections: assess and treat before first dose.
  • Monitor immunoglobulin levels: periodic blood tests to detect hypogammaglobulinemia.
  • Vaccination: administer required vaccines, especially non‑live, prior to treatment.
  • Pregnancy and breastfeeding: avoid unless benefits outweigh potential risks.
  • Concomitant immunosuppressants: use with caution and close monitoring.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ocrevus may interact with other agents that affect immune function.

Major Interactions (Avoid)

  • Live vaccines: contraindicated during and for several weeks after treatment.
  • Concurrent B‑cell depleting agents: increased risk of profound immunosuppression.
  • Severe hypersensitivity to ocrelizumab: avoid further exposure.

Moderate Interactions (Monitor Closely)

  • Antiviral prophylaxis (e.g., for hepatitis B): monitor viral load and liver function.
  • Immunosuppressive chemotherapy: adjust monitoring frequency and infection surveillance.
  • Non‑live vaccines: efficacy may be reduced; assess antibody response.
  • Other immunomodulators: consider cumulative immunosuppressive effect.

Frequently Asked Questions

Ocrevus is prescribed as a disease‑modifying therapy for adults with multiple sclerosis. It is approved for relapsing‑remitting forms and for primary progressive multiple sclerosis, where it helps reduce relapse rates, slow disability progression, and decrease inflammatory activity seen on MRI.

Ocrelizumab is a monoclonal antibody that binds to the CD20 protein on B‑lymphocytes. This binding triggers immune mechanisms that destroy CD20‑positive B cells, reducing the autoimmune activity that contributes to the demyelination and neuro‑inflammation characteristic of multiple sclerosis.

The dosing schedule for Ocrevus is determined by the prescribing clinician based on the patient’s condition, weight, and clinical response. The prescriber will decide the initial and subsequent infusion intervals in accordance with approved labeling and local guidelines.

The safety of ocrelizumab in pregnancy and lactation has not been fully established. It is generally advised to avoid use unless the potential benefit justifies the potential risk to the fetus or infant, and decisions should be made in consultation with a healthcare professional.

To request Ocrevus, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, cold‑chain shipping details and necessary import documentation.

Ocrevus is a B‑cell depleting monoclonal antibody, distinct from interferon‑based or oral sphingosine‑1‑phosphate modulators. Compared with those classes, it offers a different mechanism, longer dosing intervals, and a specific safety profile that includes infusion‑related reactions and infection risk, which clinicians weigh against efficacy benefits.

Ocrevus must be stored refrigerated between 2 °C and 8 °C. Keep the vials in the original packaging, protect them from light, and do not freeze or shake. If temporary temperature excursions occur, follow the manufacturer’s guidance before administration.

Ocrevus is given as an intravenous infusion under medical supervision. The first dose is split into two infusions two weeks apart, followed by a single infusion every six months. Administration settings must have facilities to manage potential infusion reactions.

Serious risks include opportunistic infections such as hepatitis B reactivation, progressive multifocal leukoencephalopathy (PML), severe infusion reactions, cardiac events, and rare cases of malignancy. Patients should be monitored regularly for signs of infection, cardiac symptoms, and abnormal laboratory values.

Ocrevus is contraindicated in individuals with known hypersensitivity to ocrelizumab or any of its excipients, and in patients with active severe infections. Live vaccines should not be administered during treatment, and caution is advised for those with compromised immune systems or uncontrolled cardiac disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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