Comparable Infection Risk of Ocrelizumab and Rituximab in Multiple Sclerosis in a Nationwide Swedish Cohort Study - Takeaways - MDSpire

Infection Risk Assessment of Ocrelizumab Versus Rituximab in Multiple Sclerosis: Findings from a Nationwide Cohort Study in Sweden

  • By

  • Thomas Frisell

  • Sebastian Hedberg

  • Fredrik Piehl

  • June 17, 2026

Share

  • 1

    A nationwide cohort study in Sweden compared infection-related hospitalizations between rituximab and ocrelizumab in multiple sclerosis patients.

  • 2

    The study included 9,704 rituximab, 148 ocrelizumab, and 7,020 other DMT treatment starts, with an average follow-up of 5.4 years for rituximab.

  • 3

    The crude rate of serious infections was 22 per 1,000 person-years on rituximab and 30 on ocrelizumab, both significantly higher than other DMTs.

  • 4

    Antibiotic use was approximately 10 times more frequent than serious infections, with adjusted rates increased by 26% for rituximab and 73% for ocrelizumab.

  • 5

    The relapse rate was significantly lower for ocrelizumab compared to rituximab, indicating differences in treatment efficacy.

Original Source(s)

Related Content