Ulcerative ColitisPhase 3OCTAVENCT01458951
A Study To Evaluate Both The Efficacy and Safety Profile of CP-690,550 In Patients With Moderately to Severely Active Ulcerative Colitis
A Phase 3 study testing tofacitinib in people with Ulcerative Colitis, run by Pfizer at 182 sites in 29 countries.
Trial summary
This study is designed to evaluate the efficacy and safety of tofacitinib (CP-690,550) in patients with moderate to severe ulcerative colitis who have failed or be intolerant to one of following treatments for ulcerative colitis: oral steroids, azathiopurine/6-mercaptopurine, or anti-TNF-alpha therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Ulcerative Colitis
- What is being tested?
- tofacitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 547 participants
- Where
- 182 sitesin 29 countries
- Study dates
- Jun 2012to Jun 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject must be at least 18 years of age.
- Males and females with a documented diagnosis of UC at least 4 months prior to entry into the study.
- Subjects with moderately to severely active UC based on Mayo score criteria.
- Subjects must have failed or be intolerant of at least one of the following treatments for UC:
- Corticosteroids (oral or intravenous).
- Azathioprine or 6 mercaptopurine (6 MP).
- Anti TNF therapy.
Who cannot join
- Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, or clinical findings suggestive of Crohn's disease.
- Subjects with disease limited to distal 15 cm.
- Subjects without previous treatment for UC (ie, treatment naïve).
- Subjects displaying clinical signs of fulminant colitis or toxic megacolon.
Trial locations and contacts
182 sites in 29 countries.
182 sites in 29 countries
United States62 sites
Texas Clinical Research Institiute
Arlington, Texas, 76012
Austin Gastroenterology PA/Professional Quality Research, Inc.
Austin, Texas, 78705
Austin Gastroenterology PA
Austin, Texas, 78745
Austin Endoscopy Center II
Austin, Texas, 78746
Bristol Hospital
Bristol, Connecticut, 06010
Connecticut Clinical Research Foundation
Bristol, Connecticut, 06010
Clinical Research Institute of Michigan, LLC
Chesterfield, Michigan, 48047
Chevy Chase Endoscopy Center (Endoscopies Only)
Chevy Chase, Maryland, 20815
MGG Group Co., Inc., Chevy Chase Clinical Research
Chevy Chase, Maryland, 20815
Surgery Center of Columbia
Columbia, Missouri, 65201
Citrus Surgery & Endoscopy Center (Colonoscopy)
Crystal River, Florida, 34429
Atlanta Center for Gastroenterology, P.C.
Decatur, Georgia, 30033
AGA Clinical Research Associates, LLC
Egg Harbor, New Jersey, 08234
Carolina Research - Carolina Digestive Diseases
Greenville, North Carolina, 27834
Hannibal Regional Hospital
Hannibal, Missouri, 63401
Memorial Hermann Hospital
Houston, Texas, 77030
The University of Texas Health Science Center at Houston
Houston, Texas, 77030
Nature Coast Clinical Research
Inverness, Florida, 34452
Suncoast Endoscopy Center (colonoscopy)
Inverness, Florida, 34453
Regional Gastroenterology Associates of Lancaster, Ltd.
Lancaster, Pennsylvania, 17604
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
South Jersey Gastroenterology
Marlton, New Jersey, 08053
Audrain Medical Center
Mexico, Missouri, 65265
Center for Digestive & Liver Disease, Inc.
Mexico, Missouri, 65265
Gastroenterology Group of Naples
Naples, Florida, 34102
Vanderbilt University Medical Center - IBD Clinic
Nashville, Tennessee, 37212-1375
Vanderbilt University Medical Center - GI Research Office
Nashville, Tennessee, 37212-1610
Vanderbilt University Medical Center - Drug Shipment
Nashville, Tennessee, 37232-7610
Vanderbilt University Medical Center - GCRC
Nashville, Tennessee, 37232
Vanderbilt University Medical Center - Heart Station
Nashville, Tennessee, 37232
Vanderbilt University Medical Center - Radiology
Nashville, Tennessee, 37232
Yale New Haven Hospital
New Haven, Connecticut, 06510
Yale University School of Medicine
New Haven, Connecticut, 06510
Alliance Clinical Research
Oceanside, California, 92056
Central Connecticut Endoscopy Center
Plainville, Connecticut, 06062
Advanced Gastroenterology Center
Port Orange, Florida, 32127
Advanced Medical Research Center
Port Orange, Florida, 32127
Endoscopy Center
Port Orange, Florida, 32127
Port Orange Urgent Care
Port Orange, Florida, 32127
VCU Health System Digestive Health Center
Richmond, Virginia, 23298
VCU Health System Endoscopy Suite
Richmond, Virginia, 23298
VCU Medical Center Investigational Drug Service (IDS)
Richmond, Virginia, 23298
Virginia Commonwealth University, Clinical Research Services (CRSU)
Richmond, Virginia, 23298
Mayo Clinic
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14642
Clinical Application Laboratories
San Diego, California, 92103
San Diego Endoscopy Center
San Diego, California, 92103
UCSF Endoscopy Unit at Mount Zion
San Francisco, California, 94115
University of California San Francisco
San Francisco, California, 94115
Gastrointestinal Specialists, A.M.C.
Shreveport, Louisiana, 71103
Shreveport Endoscopy Center, A.M.C.
Shreveport, Louisiana, 71103
Louisiana Research Center, LLC
Shreveport, Louisiana, 71105
Cotton-O'Neil Clinical Research Center, Digestive Health
Topeka, Kansas, 66606
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center
Torrance, California, 90502
Center for Digestive Health
Troy, Michigan, 48098
Surgical Centers of Michigan
Troy, Michigan, 48098
Desert Sun Clinical Research, LLC
Tucson, Arizona, 85710
Desert Sun Gastroenterology
Tucson, Arizona, 85710
Desert Sun Surgery Center
Tucson, Arizona, 85710
Digestive Health Specialists of Tyler
Tyler, Texas, 75701
The Gastroenterology Group of South Jersey
Vineland, New Jersey, 08360
The Endo Center at Voorhees
Voorhees Township, New Jersey, 08043
Hungary9 sites
Dr. Rethy Pal Korhaz-Rendelointezet- III. Belgyogyaszat
Békéscsaba, Europe, 5600
Szent Janos Korhaz és Eszak-budai Egyesített Korhazak I Belgyogyaszat-Gasztroenterologiai Osztaly
Budapest, 1125
Peterfy Sandor utcai Korhaz- Rendelointezet es Baleseti Kozpontl. Belgyogyaszat
Budapest, H-1076
MH Honvedkorhaz
Budapest, H-1134
Pannonia Maganorvosi Centrum Kft.
Budapest, H-1135
Debreceni Egyetem Klinikai Központ Belgyógyászati Intézet, Gasztroenterológiai Tanszék
Debrecen, 4032
Bekes Megyei Pandy Kalman Korhaz
Gyula, H-5700
Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz
Miskolc, 3526
"Karolina Korhaz Rendelointezet,Belgyogyaszat
Mosonmagyaróvár, 9200
South Korea9 sites
Pusan National University Hospital
Busan, 602-739
Hanyang University Guri Hospital, Clinical Laboratory
Guri-si, Gyeonggi-do, 471-701
Gachon University Gil Medical Center
Incheon, 405-760
CHA Bundang Medical Center, CHA University
Seongnam-si, Gyeonggi-do, 463-712
Seoul National University Hospital
Seoul, 110-744
Severance Hospital, Yonsei University Health System
Seoul, 120-752
Kyung Hee University Hospital
Seoul, 130-872
Samsung Medical Center
Seoul, 135-710
Asan Medical Center
Seoul, 138-736
Ukraine9 sites
Regional Municipal Institution "Chernivtsi Regional Clinical Hospital"
Chernivtsi, 58001
Regional Municipal Institution Chernivtsi Regional Clinical Hospital
Chernivtsi, 58001
State Institution Institute of Gastroenterology of the National Academy of Medical Sciences
Dnipropetrovsk, 49074
Municipal Healthcare Institution Kharkiv City Clinical Hospital #2, Proctology Department
Kharkiv, 61037
Kyiv City Clinical Hospital #8,
Kiev, Ukraine, 04201
Municipal Institution "Odesa Regional Clinical Hospital"
Odesa, 65025
Medical Clinical Research Center "Health Clinic" on the base of
Vinnytsia, 21029
Motor-Sich clinic, LLC
Zaporizhzhya, 69068
Minicipal Institution "City Hospital #7" Therapeutic Department,
Zaporizhzhya, 69118
Estonia8 sites
ECG Unit, Innomedica OU and Qualitas AS (ECG Only)
Tallinn, 10117
Innomedica OU
Tallinn, 10117
X-Ray Unit, Qualitas AS (X-Ray Only)
Tallinn, 10117
East Tallinn Central Hospital Internal Medicine Clinic
Tallinn, 10138
ECG Unit, East Tallinn Central Hospital
Tallinn, 10138
X-Ray Unit, East Tallinn Central Hospital
Tallinn, 10138
Quattromed HTI Laboratorid OU
Tallinn, 12618
Mammograaf OU (Endoscopy Only)
Tallinn, 13419
Russia8 sites
State budget institution of healthcare "City Clinical Hospital # 51 healthcare department of Moscow"
Moscow, Russia, 121309
Federal state budget institution "State scientific centre of coloproctology"
Moscow, 123423
State budget Healthcare Institution Moscow regional scientific research clinical institute
Moscow, 129110
Federal State Budgetary Institution "Scientific Research Institute of Physiology and
Novosibirsk, 630117
Municipal institution of healthcare "City clinical hospital 12"
Saratov, 410039
Municipal institution of healthcare "Clinical Hospital # 2"
Yaroslavl, Russia, 150010
OOO Medical Center of Diagnostics and Prophylaxis "Sodruzhestvo"
Yaroslavl, Russia, 150040
State budget institution of healthcare of Yaroslavl region Regional clinical hospital
Yaroslavl, 150062
Poland7 sites
Oddzial Chorob Wewnetrznych i Gastroenterologii,
Bialystok, Podlaskie Voivodeship, 15-950
Centrum Endoskopii Zabiegowej, Poradnia Chorob Jelitowych,
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-168
Gabinet Endoskopii Przewodu Pokarmowego
Krakow, 31-009
Centrum Medyczne Szpital Sw. Rodziny Sp. z o. o.
Lodz, Iodzkie, 90-302
Endoskopia Sp. z.o.o.
Sopot, 81-756
H-T Centrum Medyczne sp. z o.o. sp. komandytowa
Tychy, Silesian Voivodeship, 43100
Nzoz Vivamed
Warsaw, 03-580
France6 sites
CHU Amiens PICARDIE - Hopital SUD
Amiens, 80054
Hopital Saint Andre
Bordeaux, France, 33075
Hopital Beaujon
Clichy, 92110
Hopital Saint Antoine
Paris, 75571
C.H.U. de Reims - Hôpital Robert Debré
Reims, 51092
Hopital Nord
Saint-Priest-en-Jarez, 42270
New Zealand6 sites
Auckland City Hospital
Auckland, 1023
Christchurch Hospital
Christchurch, Canterbury, 8011
Waikato Hospital
Hamilton, 3240
P3 Research Limited
Wellington, 6021
Pacific Radiology (X-rays only)
Wellington, 6021
Bowen Hospital
Wellington, 6035
Australia5 sites
Monash Medical Centre
Clayton, Victoria, 3168
Concord Hospital -Concord Repatriation Hospital
Concord, New South Wales, 2139
Concord Repatriation General Hospital
Concord, New South Wales, 2139
The Canberra Hospital
Garran, Australian Capital Territory, 2605
Liverpool Hospital Eastern Campus
Liverpool, New South Wales, 2170
Canada5 sites
University of Alberta Hospital - Walter C. Mackenzie Health Sciences Centre
Edmonton, Alberta, T6G 2B7
University of Alberta - Zeidler Ledcor Centre
Edmonton, Alberta, T6G 2X8
Montreal General Hospital - McGill University Health Centre
Montreal, Quebec, H3G 1A4
Saskatoon City Hospital
Saskatoon, Saskatchewan, S7K 0M7
Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8
Germany5 sites
Klinikum der Johann Wolfgang Goethe-Universitaet
Frankfurt, 60590
Universitäetsklinik Schleswig-Holstein, Campus Kiel
Kiel, Schlewig Holstein, 24105
Gastroenterologische Gemeinschaftspraxis Minden
Minden, 32423
University Hospital Munich-Grosshadern
Munich, 81377
Universitaetsklinikum Ulm
Ulm, 89081
Serbia4 sites
Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology
Belgrade, 11000
Clinical Centre of Vojvodina, Clinic for Gastroenterology and Hepatology
Novi Sad, 21000
Clinical Centre of Vojvodina, Emergency Internal Medicine Division
Novi Sad, 21000
General Hospital Subotica
Subotica, 24000
Slovakia4 sites
Lama Medical Care s.r.o., Gastroenterologicko-Hepatologicke centrum Thalion
Bratislava, 831 04
KM Management spol. s r.o.
Nitra, 949 01
Aura SA, s.r.o.
Nové Mesto nad Váhom, 91501
Gastro I., s.r.o.
Prešov, 08001
United Kingdom4 sites
Department of Gastroenterology, Old Building
Bristol, England, BS2 8HW
St Mark's Hospital
Harrow, Middlesex, HA1 3UJ
Norfolk and Norwich University Hospital
Norwich, Norfolk, NR4 7UY
Norfolk and Norwich University Hospital
Norwich, NR4 7UY
Belgium3 sites
GZA St Vincentius
Antwerp, 2018
AZ Groeninge, Campus Kennedylaan
Kortrijk, 8500
H-Hartziekenhuis Roeselare-Menen vzw
Roeselare, 8800
Croatia3 sites
University Hospital Center Osijek, Clinic of Internal Medicine,
Osijek, 31000
University Hospital Center Rijeka
Rijeka, 51000
University Hospital Center Zagreb,Department of Gastroenterology
Zagreb, 10000
Denmark3 sites
Bispebjerg Hospital
Copenhagen, NV, 2400
Hvidovre University Hospital
Hvidovre, 2650
Odense University Hospital
Odense C, 5000
Israel3 sites
Rambam Health Care Campus
Haifa, 31096
The Edith Wolfson Medical Center/Gastroenterology Institute
Holon, 58100
Kaplan Medical Center
Rehovot, 76100
Netherlands3 sites
VU University Medical Center (VUMC)
Amsterdam, 1081 HV
Academic Medical Centre (AMC),
Amsterdam, 1105AZ
University Medical Center Groningen (UMCG)
Groningen, 9713 GZ
South Africa3 sites
Panorama Medi-Clinic
Cape Town, Western Cape, 7500
The Louis Leipoldt Medical Centre
Cape Town, Western Cape, 7530
Dr JP Wright
Claremont, Cape Town, Western Cape, 7708
Austria2 sites
Medizinische Universitat Innsbruck
Innsbruck, 6020
Krankenhaus Barmherzige Brueder St. Veit/Glan
Sankt Veit an der Glan, 9300
Czechia2 sites
Nemocnice Strakonice, a.s., Interni oddeleni
Strakonice, 386 29
Krajska Zdravotni a.s., Masarykova nemocnice Usti nad Labem, o.z.
Ústí nad Labem, 40113
Romania2 sites
Spitalul Universitar de Urgenta Bucuresti, Sectia de Medicina Interna 2 si Gastroenterologie
Bucharest, Sector 5, cod 050098
Spitalul Clinic Judetean Mures, Sectia Clinica de Gastroenterologie
Jud. Mures, 540103
Spain2 sites
Hospital Universitario de Bellvitge
Barcelona, 08907
Corporacio Sanitaria Parc Tauli
Sabadell, Barcelona, 08208
Taiwan2 sites
Chung Shan Medical University Hospital
Taichung, 40201
National Taiwan University Hospital
Taipei, 10002
Brazil1 site
Hospital de Clinicas de Porto Alegre - HCPA
Porto Alegre, Rio Grande do Sul, 90035-003
Colombia1 site
Instituto de Coloproctologia ICO S.A.S.
Medellín, Antioquia, 00000
About this study
Official title: A Multicentre, Randomized, Double-blind, Placebo-controlled, Parallel-group Study Of Oral Cp-690,550 As An Induction Therapy In Subjects With Moderate To Severe Ulcerative Colitis.
This study is designed to evaluate the efficacy and safety of tofacitinib (CP-690,550) in patients with moderate to severe ulcerative colitis who have failed or be intolerant to one of following treatments for ulcerative colitis: oral steroids, azathiopurine/6-mercaptopurine, or anti-TNF-alpha therapy.
- Conditions
- Ulcerative Colitis
- Being tested
- tofacitinib, Placebo
- Keywords
- Tofacitinib, CP-690, 550, Moderate to severe ulcerative colitis, phase 3 clinical trial, Mayo score
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
tofacitinibDrug
Also called CP-690,550
10 mg oral BID
PlaceboDrug
Placebo oral BID
| Study group | Role | What they receive |
|---|---|---|
| tofacitinib 10 mg BID | Experimental | Not described Receives: Drug: tofacitinib |
| Placebo BID | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Remission at Week 8
Remission in participants was defined by a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of Ulcerative Colitis . It consisted of 4 subscores: stool frequency, rectal bleeding, findings of centrally read flexible proctosigmoidoscopy and physician global assessment (PGA), each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
Measured: Week 8
Secondary outcomes (9)
Percentage of Participants Achieving Mucosal Healing at Week 8
Mucosal healing in participants was defined by Mayo endoscopic subscore of 0 or 1. The Mayo endoscopic subscore consisted of the findings of centrally read flexible proctosigmoidoscopy, graded from 0 to 3 with higher scores indicating more severe disease.
Measured: Week 8
Percentage of Participants Achieving Clinical Response at Week 8
Clinical response in participants was defined by a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with an accompanying decrease in the rectal bleeding sub score of at least 1 point or an absolute rectal bleeding sub score of 0 or 1. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible centrally read proctosigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
Measured: Week 8
Percentage of Participants With Endoscopic Remission at Week 8
Endoscopic remission in participants was defined by Mayo endoscopic subscore of 0. The Mayo endoscopic subscore consisted of the findings of centrally read flexible proctosigmoidoscopy, graded from 0 to 3 with higher scores indicating more severe disease.
Measured: Week 8
Percentage of Participants With Clinical Remission at Week 8
Clinical remission in participants was defined by a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible centrally read proctosigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
Measured: Week 8
Percentage of Participants With Symptomatic Remission at Week 8
Symptomatic remission was defined by a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point, and 0 subscore for both rectal bleeding and stool frequency. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible centrally read proctosigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
Measured: Week 8
Percentage of Participants With Deep Remission at Week 8
Deep remission in participants was defined by a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point and 0 subscore for both rectal bleeding and endoscopic subscores. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible centrally read proctosigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
Measured: Week 8
Partial Mayo Scores
A partial mayo score (mayo score without endoscopy) ranges from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores (stool frequency, rectal bleeding and PGA) and each grading from 0 to 3 with higher scores indicating more severe disease.
Measured: Baseline, Weeks 2, 4, 8
Change From Baseline in Partial Mayo Scores at Weeks 2, 4 and 8
Change in Partial Mayo scores at Weeks 2, 4, 8 relative to baseline were reported. A Partial Mayo Score (Mayo score without endoscopy) ranges from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores (stool frequency, rectal bleeding and PGA) with each graded from 0 to 3 with higher scores indicating more severe disease.
Measured: Baseline, Weeks 2, 4, 8
Change From Baseline in Total Mayo Score at Week 8
Change in total Mayo scores at Week 8 relative to Baseline was reported. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible centrally read proctosigmoidoscopy and PGA, each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
Measured: Baseline, Week 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Oct 2011 (estimated)
- Study startJun 2012
- Primary completionMay 2015
- Study completionJun 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (36)Papers the sponsor has linked to this study.
- Other trials for Ulcerative ColitisStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 547 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01458951
- Sponsor's protocol ID
- A3921095
- Other IDs
- 2011-004579-35, OCTAVEINDUCTION2
- Acronym
- OCTAVE
- Status last verified
- Apr 2016
- First submitted
- 21 Oct 2011
- Last updated
- 1 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Panes J, D'Haens GR, Sands BE, Ng SC, Lawendy N, Kulisek N, Guo X, Wu J, Vranic I, Panaccione R, Vermeire S. Analysis of tofacitinib safety in ulcerative colitis from the completed global clinical developmental program up to 9.2 years of drug exposure. United European Gastroenterol J. 2024 Jul;12(6):793-801. doi: 10.1002/ueg2.12584. Epub 2024 May 22.
PubMed 38778549Rubin DT, Torres J, Regueiro M, Reinisch W, Prideaux L, Kotze PG, Tan FH, Gardiner S, Mundayat R, Cadatal MJ, Ng SC. Association Between Smoking Status and the Efficacy and Safety of Tofacitinib in Patients with Ulcerative Colitis. Crohns Colitis 360. 2024 Jan 20;6(1):otae004. doi: 10.1093/crocol/otae004. eCollection 2024 Jan.
PubMed 38425446Rubin DT, Salese L, Cohen M, Kotze PG, Woolcott JC, Su C, Mundayat R, Paulissen J, Torres J, Long MD. Presence of risk factors associated with colectomy among patients with ulcerative colitis: a post hoc analysis of data from the tofacitinib OCTAVE ulcerative colitis clinical program. Ther Adv Gastroenterol. 2023 Aug 7;16:17562848231189122. doi: 10.1177/17562848231189122. eCollection 2023.
PubMed 37560161Schreiber S, Rubin DT, Ng SC, Peyrin-Biroulet L, Danese S, Modesto I, Guo X, Su C, Kwok KK, Jo H, Chen Y, Yndestad A, Reinisch W, Dubinsky MC. Major Adverse Cardiovascular Events by Baseline Cardiovascular Risk in Patients with Ulcerative Colitis Treated with Tofacitinib: Data from the OCTAVE Clinical Programme. J Crohns Colitis. 2023 Nov 24;17(11):1761-1770. doi: 10.1093/ecco-jcc/jjad104.
PubMed 37402275Kristensen LE, Danese S, Yndestad A, Wang C, Nagy E, Modesto I, Rivas J, Benda B. Identification of two tofacitinib subpopulations with different relative risk versus TNF inhibitors: an analysis of the open label, randomised controlled study ORAL Surveillance. Ann Rheum Dis. 2023 Jul;82(7):901-910. doi: 10.1136/ard-2022-223715. Epub 2023 Mar 17.
PubMed 36931693Lichtenstein GR, Cohen BL, Salese L, Modesto I, Wang W, Chan G, Ahmed HM, Su C, Peyrin-Biroulet L. Impact of Concomitant Corticosteroids on Tofacitinib Induction Efficacy and Infection Rates in Ulcerative Colitis. Dig Dis Sci. 2023 Jun;68(6):2624-2634. doi: 10.1007/s10620-022-07794-0. Epub 2023 Feb 4.
PubMed 36739367Dubinsky MC, Armuzzi A, Gecse KB, Ullman T, Bushmakin AG, DiBonaventura M, Cappelleri JC, Connelly SB, Woolcott JC, Salese L. Improvements in Disease Activity Partially Mediate the Effect of Tofacitinib Treatment on Generic and Disease-Specific Health-Related Quality of Life in Patients with Ulcerative Colitis: Data from the OCTAVE Program. Dig Dis. 2023;41(4):604-614. doi: 10.1159/000528788. Epub 2023 Jan 5.
PubMed 36603566Winthrop KL, Yndestad A, Henrohn D, Danese S, Marsal S, Galindo M, Woolcott JC, Jo H, Kwok K, Shapiro AB, Jones TV, Diehl A, Su C, Panes J, Cohen SB. Influenza Adverse Events in Patients with Rheumatoid Arthritis, Ulcerative Colitis, or Psoriatic Arthritis in the Tofacitinib Clinical Development Programs. Rheumatol Ther. 2023 Apr;10(2):357-373. doi: 10.1007/s40744-022-00507-z. Epub 2022 Dec 17.
PubMed 36526796Sandborn WJ, Sands BE, Vermeire S, Leung Y, Guo X, Modesto I, Su C, Wang W, Panes J. Modified Mayo score versus Mayo score for evaluation of treatment efficacy in patients with ulcerative colitis: data from the tofacitinib OCTAVE program. Ther Adv Gastroenterol. 2022 Dec 5;15:17562848221136331. doi: 10.1177/17562848221136331. eCollection 2022.
PubMed 36506749Lichtenstein GR, Bressler B, Francisconi C, Vermeire S, Lawendy N, Salese L, Sawyerr G, Shi H, Su C, Judd DT, Jones T, Loftus EV. Assessment of Safety and Efficacy of Tofacitinib, Stratified by Age, in Patients from the Ulcerative Colitis Clinical Program. Inflamm Bowel Dis. 2023 Jan 5;29(1):27-41. doi: 10.1093/ibd/izac084.
PubMed 36342120Hudesman DP, Torres J, Salese L, Woolcott JC, Mundayat R, Su C, Mosli MH, Allegretti JR. Long-Term Improvement in the Patient-Reported Outcomes of Rectal Bleeding, Stool Frequency, and Health-Related Quality of Life with Tofacitinib in the Ulcerative Colitis OCTAVE Clinical Program. Patient. 2023 Mar;16(2):95-103. doi: 10.1007/s40271-022-00603-w. Epub 2022 Nov 7.
PubMed 36336750Targownik L, Dubinsky MC, Steinwurz F, Bushmakin AG, Cappelleri JC, Tai E, Gardiner S, Hur P, Panes J. Disease Activity and Health-related Quality of Life Relationships with Work Productivity in Patients with Ulcerative Colitis in OCTAVE Induction 1 and 2 and OCTAVE Sustain. J Crohns Colitis. 2023 Apr 19;17(4):513-523. doi: 10.1093/ecco-jcc/jjac161.
PubMed 36271912Sandborn WJ, D'Haens GR, Sands BE, Panaccione R, Ng SC, Lawendy N, Kulisek N, Modesto I, Guo X, Mundayat R, Su C, Vranic I, Panes J. Tofacitinib for the Treatment of Ulcerative Colitis: An Integrated Summary of up to 7.8 Years of Safety Data from the Global Clinical Programme. J Crohns Colitis. 2023 Apr 3;17(3):338-351. doi: 10.1093/ecco-jcc/jjac141.
PubMed 36124702Loftus EV, Baumgart DC, Gecse K, Kinnucan JA, Connelly SB, Salese L, Su C, Kwok KK, Woolcott JC, Armuzzi A. Clostridium difficile Infection in Patients with Ulcerative Colitis Treated with Tofacitinib in the Ulcerative Colitis Program. Inflamm Bowel Dis. 2023 May 2;29(5):744-751. doi: 10.1093/ibd/izac139.
PubMed 35792493Winthrop KL, Vermeire S, Long MD, Panes J, Ng SC, Kulisek N, Mundayat R, Lawendy N, Vranic I, Modesto I, Su C, Melmed GY. Long-term Risk of Herpes Zoster Infection in Patients With Ulcerative Colitis Receiving Tofacitinib. Inflamm Bowel Dis. 2023 Jan 5;29(1):85-96. doi: 10.1093/ibd/izac063.
PubMed 35648151
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicentre, Randomized, Double-blind, Placebo-controlled, Parallel-group Study Of Oral Cp-690,550 As An Induction Therapy In Subjects With Moderate To Severe Ulcerative Colitis.
- ClinicalTrials.gov ID
- NCT01458951
- Acronym / sponsor ID
- OCTAVE / A3921095
- Conditions
- Ulcerative Colitis
- Keywords
- Tofacitinib, CP-690, 550, Moderate to severe ulcerative colitis, phase 3 clinical trial, Mayo score
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 547 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Jun 2012
- Primary completion
- May 2015 (actual)
- Study completion
- Jun 2015 (actual)
- First posted
- 25 Oct 2011 (estimated)
- Results
- Posted 1 Jun 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed to evaluate the efficacy and safety of tofacitinib (CP-690,550) in patients with moderate to severe ulcerative colitis who have failed or be intolerant to one of following treatments for ulcerative colitis: oral steroids, azathiopurine/6-mercaptopurine, or anti-TNF-alpha therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| tofacitinib 10 mg BID | Experimental | Drug: tofacitinib |
| Placebo BID | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Subject must be at least 18 years of age.
- Males and females with a documented diagnosis of UC at least 4 months prior to entry into the study.
- Subjects with moderately to severely active UC based on Mayo score criteria.
- Subjects must have failed or be intolerant of at least one of the following treatments for UC:
Key exclusion criteria (4 listed)
- Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, or clinical findings suggestive of Crohn's disease.
- Subjects with disease limited to distal 15 cm.
- Subjects without previous treatment for UC (ie, treatment naïve).
- Subjects displaying clinical signs of fulminant colitis or toxic megacolon.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| tofacitinibAlso: CP-690,55010 mg oral BID | Drug | tofacitinib 10 mg BID |
| PlaceboPlacebo oral BID | Drug | Placebo BID |
Primary outcome
Percentage of Participants With Remission at Week 8
Time frame: Week 8
Remission in participants was defined by a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of Ulcerative Colitis . It consisted of 4 subscores: stool frequency, rectal bleeding, findings of centrally read flexible proctosigmoidoscopy and physician global assessment (PGA), each graded from 0 to 3 with higher scores indicating more severe disease. These scores were summed up to give a total score range of 0 to 12; where higher score indicating more severe disease.
9 secondary outcomes
Percentage of Participants Achieving Mucosal Healing at Week 8
Time frame: Week 8
Percentage of Participants Achieving Clinical Response at Week 8
Time frame: Week 8
Percentage of Participants With Endoscopic Remission at Week 8
Time frame: Week 8
Percentage of Participants With Clinical Remission at Week 8
Time frame: Week 8
Percentage of Participants With Symptomatic Remission at Week 8
Time frame: Week 8
Percentage of Participants With Deep Remission at Week 8
Time frame: Week 8
Partial Mayo Scores
Time frame: Baseline, Weeks 2, 4, 8
Change From Baseline in Partial Mayo Scores at Weeks 2, 4 and 8
Time frame: Baseline, Weeks 2, 4, 8
Change From Baseline in Total Mayo Score at Week 8
Time frame: Baseline, Week 8
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38778549Panes J, D'Haens GR, Sands BE, Ng SC, Lawendy N, Kulisek N, Guo X, Wu J, Vranic I, Panaccione R, Vermeire S. Analysis of tofacitinib safety in ulcerative colitis from the completed global clinical developmental program up to 9.2 years of drug exposure. United European Gastroenterol J. 2024 Jul;12(6):793-801. doi: 10.1002/ueg2.12584. Epub 2024 May 22.
- Derived from this study: PubMed 38425446Rubin DT, Torres J, Regueiro M, Reinisch W, Prideaux L, Kotze PG, Tan FH, Gardiner S, Mundayat R, Cadatal MJ, Ng SC. Association Between Smoking Status and the Efficacy and Safety of Tofacitinib in Patients with Ulcerative Colitis. Crohns Colitis 360. 2024 Jan 20;6(1):otae004. doi: 10.1093/crocol/otae004. eCollection 2024 Jan.
- Derived from this study: PubMed 37560161Rubin DT, Salese L, Cohen M, Kotze PG, Woolcott JC, Su C, Mundayat R, Paulissen J, Torres J, Long MD. Presence of risk factors associated with colectomy among patients with ulcerative colitis: a post hoc analysis of data from the tofacitinib OCTAVE ulcerative colitis clinical program. Ther Adv Gastroenterol. 2023 Aug 7;16:17562848231189122. doi: 10.1177/17562848231189122. eCollection 2023.
- Derived from this study: PubMed 37402275Schreiber S, Rubin DT, Ng SC, Peyrin-Biroulet L, Danese S, Modesto I, Guo X, Su C, Kwok KK, Jo H, Chen Y, Yndestad A, Reinisch W, Dubinsky MC. Major Adverse Cardiovascular Events by Baseline Cardiovascular Risk in Patients with Ulcerative Colitis Treated with Tofacitinib: Data from the OCTAVE Clinical Programme. J Crohns Colitis. 2023 Nov 24;17(11):1761-1770. doi: 10.1093/ecco-jcc/jjad104.
- Derived from this study: PubMed 36931693Kristensen LE, Danese S, Yndestad A, Wang C, Nagy E, Modesto I, Rivas J, Benda B. Identification of two tofacitinib subpopulations with different relative risk versus TNF inhibitors: an analysis of the open label, randomised controlled study ORAL Surveillance. Ann Rheum Dis. 2023 Jul;82(7):901-910. doi: 10.1136/ard-2022-223715. Epub 2023 Mar 17.
- Derived from this study: PubMed 36739367Lichtenstein GR, Cohen BL, Salese L, Modesto I, Wang W, Chan G, Ahmed HM, Su C, Peyrin-Biroulet L. Impact of Concomitant Corticosteroids on Tofacitinib Induction Efficacy and Infection Rates in Ulcerative Colitis. Dig Dis Sci. 2023 Jun;68(6):2624-2634. doi: 10.1007/s10620-022-07794-0. Epub 2023 Feb 4.
- Derived from this study: PubMed 36603566Dubinsky MC, Armuzzi A, Gecse KB, Ullman T, Bushmakin AG, DiBonaventura M, Cappelleri JC, Connelly SB, Woolcott JC, Salese L. Improvements in Disease Activity Partially Mediate the Effect of Tofacitinib Treatment on Generic and Disease-Specific Health-Related Quality of Life in Patients with Ulcerative Colitis: Data from the OCTAVE Program. Dig Dis. 2023;41(4):604-614. doi: 10.1159/000528788. Epub 2023 Jan 5.
- Derived from this study: PubMed 36526796Winthrop KL, Yndestad A, Henrohn D, Danese S, Marsal S, Galindo M, Woolcott JC, Jo H, Kwok K, Shapiro AB, Jones TV, Diehl A, Su C, Panes J, Cohen SB. Influenza Adverse Events in Patients with Rheumatoid Arthritis, Ulcerative Colitis, or Psoriatic Arthritis in the Tofacitinib Clinical Development Programs. Rheumatol Ther. 2023 Apr;10(2):357-373. doi: 10.1007/s40744-022-00507-z. Epub 2022 Dec 17.
- Derived from this study: PubMed 36506749Sandborn WJ, Sands BE, Vermeire S, Leung Y, Guo X, Modesto I, Su C, Wang W, Panes J. Modified Mayo score versus Mayo score for evaluation of treatment efficacy in patients with ulcerative colitis: data from the tofacitinib OCTAVE program. Ther Adv Gastroenterol. 2022 Dec 5;15:17562848221136331. doi: 10.1177/17562848221136331. eCollection 2022.
- Derived from this study: PubMed 36342120Lichtenstein GR, Bressler B, Francisconi C, Vermeire S, Lawendy N, Salese L, Sawyerr G, Shi H, Su C, Judd DT, Jones T, Loftus EV. Assessment of Safety and Efficacy of Tofacitinib, Stratified by Age, in Patients from the Ulcerative Colitis Clinical Program. Inflamm Bowel Dis. 2023 Jan 5;29(1):27-41. doi: 10.1093/ibd/izac084.
- Derived from this study: PubMed 36336750Hudesman DP, Torres J, Salese L, Woolcott JC, Mundayat R, Su C, Mosli MH, Allegretti JR. Long-Term Improvement in the Patient-Reported Outcomes of Rectal Bleeding, Stool Frequency, and Health-Related Quality of Life with Tofacitinib in the Ulcerative Colitis OCTAVE Clinical Program. Patient. 2023 Mar;16(2):95-103. doi: 10.1007/s40271-022-00603-w. Epub 2022 Nov 7.
- Derived from this study: PubMed 36271912Targownik L, Dubinsky MC, Steinwurz F, Bushmakin AG, Cappelleri JC, Tai E, Gardiner S, Hur P, Panes J. Disease Activity and Health-related Quality of Life Relationships with Work Productivity in Patients with Ulcerative Colitis in OCTAVE Induction 1 and 2 and OCTAVE Sustain. J Crohns Colitis. 2023 Apr 19;17(4):513-523. doi: 10.1093/ecco-jcc/jjac161.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
182 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing tofacitinib in people with Ulcerative Colitis, run by Pfizer at 182 sites in 29 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 182 sites in United States, Hungary, South Korea, Ukraine, Estonia and 24 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Jun 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Remission at Week 8 (time frame: Week 8). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01458951, which also lists 36 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jun 2016.