Ulcerative ColitisPhase 3OCTAVENCT01465763
A Study Evaluating The Efficacy And Safety Of CP-690,550 In Patients With Moderate To Severe Ulcerative Colitis
A Phase 3 study testing tofacitinib in people with Ulcerative Colitis, run by Pfizer at 178 sites in 28 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
- 614 participants
- Where
- 178 sitesin 28 countries
- Study dates
- Apr 2012to May 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-alpha 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
178 sites in 28 countries.
178 sites in 28 countries
United States71 sites
Georgia Endoscopy Center (Colonoscopy only)
Alpharetta, Georgia, 30005
Florida Surgery Center
Altamonte Springs, Florida, 32701
Saint Joseph Mercy Hospital - Inpatient Pharmacy (Pharmacy Only)
Ann Arbor, Michigan, 48106
East Ann Arbor Health and Geriatrics Center - University of Michigan Health Systems
Ann Arbor, Michigan, 48109-2701
University of Michigan Health Systems
Ann Arbor, Michigan, 48109-5000
Michigan Clinical Research Unit - Univeristy of Michigan Health System
Ann Arbor, Michigan, 48109-5872
Medical Science Research Building 1 - University of Michigan Health Systems
Ann Arbor, Michigan, 48109
GI Consultants (Colonoscopy only)
Atlanta, Georgia, 30342
Cleveland Clinic
Cleveland, Ohio, 44195
NYU Langone Long Island Clinical Research Associates
Great Neck, New York, 11021
NYU Langone Nassau Gastroenterology Associates
Great Neck, New York, 11021
Endoscopy Center of Connecticut, LLC
Guilford, Connecticut, 06437
Endoscopy Center of Connecticut, LLC
Hamden, Connecticut, 06518
Gastroenterology Center of Connecticut, PC
Hamden, Connecticut, 06518
Medical Research Center of Connecticut, LLC
Hamden, Connecticut, 06518
Houston Hospital for Specialized Surgery
Houston, Texas, 77004
Baylor College of Medicine (Baylor Medical Center)
Houston, Texas, 77030
Baylor College of Medicine - Baylor Medical Center (Drug Storage)
Houston, Texas, 77030
Gastroenterology Consultants, P.A.
Houston, Texas, 77034
Emory Healthcare Heart Center (EKG)
Johns Creek, Georgia, 30097
Investigational Drug Service Pharmacy
La Jolla, California, 92093
UCSD Medical Center
La Jolla, California, 92093
UCSD Medical Centre
La Jolla, California, 92093
Cedars Sinai Medical Center - Thalians Bldg
Los Angeles, California, 90048
Cedars Sinai Medical Center
Los Angeles, California, 90048
Cedars Sinai Surgery Center
Los Angeles, California, 90048
Cedars-Sinai Medical Center
Los Angeles, California, 90048
CRC Office - Cedars-Sinai Medical Center - Inflammatory Bowel Disease Center
Los Angeles, California, 90048
Gastroenterology Associates of Central Georgia
Macon, Georgia, 31201
Center for Advanced Gastroenterology
Maitland, Florida, 32751
MNH Surgical Center
Maitland, Florida, 32751
Sand Lake Imaging
Maitland, Florida, 32751
Icahn School of Medicine at Mount Sinai
Marietta, Georgia, 30067
Great Lakes Gastroenterology
Mentor, Ohio, 44060
Mentor Medical Campus
Mentor, Ohio, 44060
The Endoscopy Center of Lake County
Mentor, Ohio, 44060
Wisconsin Center for Advanced Research - GI Associates, LLC
Milwaukee, Wisconsin, 53215
Internal Medicine Center, LLC
Mobile, Alabama, 36608
Springhill Memorial Hospital
Mobile, Alabama, 36608
The Private Practice of Simon Lichtiger, MD
New York, New York, 10028
Mount Sinai Doctos Faculty Practice
New York, New York, 10029
Mount Sinai Medical Center
New York, New York, 10029
Mount Sinai School of Medicine
New York, New York, 10029
Columbia University Medical Center
New York, New York, 10032
CUMC Research Pharmacy
New York, New York, 10032
Kornbluth, Legnani, George MD, PC
New York, New York, 10128
Southwest Gastroenterology
Oak Lawn, Illinois, 60453
North Florida Gastroenterology Research, LLC
Orange Park, Florida, 32073
Orange Park Surgery Center
Orange Park, Florida, 32073
Citrus Ambulatory Surgery Center
Orlando, Florida, 32806
Internal Medicine Specialists
Orlando, Florida, 32806
Desert Advanced Imaging
Palm Springs, California, 92262
Erik Palmer, DO
Palm Springs, California, 92262
Homan A Zadeh, MD, MPH
Palm Springs, California, 92262
Hope Square Surgical Center
Rancho Mirage, California, 92270
Alpine Medical Group
Salt Lake City, Utah, 84102
Wasatch Clinical Research
Salt Lake City, Utah, 84107
Wasatch Endoscopy Center
Salt Lake City, Utah, 84124
Sharp Rees-Stealy Medical Group, Inc.
San Diego, California, 92101
Sharp Rees-Stealy Medical Group
San Diego, California, 92101
Sharp Rees-Stealy Medical Group,Inc
San Diego, California, 92123
Center for Advanced Medicine
St Louis, Missouri, 63110
Washington University School of Medicine - Division of Gastroenterology
St Louis, Missouri, 63110
Atlanta Gastroenterology Specialists, PC
Suwanee, Georgia, 30024
Johns Creek Diagnostic Center (X-Ray only)
Suwanee, Georgia, 30024
RGL Medical Services (x-ray only)
West Jordan, Utah, 84084
Shafran Gastroenterology Center
Winter Park, Florida, 32789
Michigan Heart SJMH (Blood draws and ECGs only)
Ypsilanti, Michigan, 48106
Huron Gastroenterology Associates / Center for Digestive Care
Ypsilanti, Michigan, 48197
Saint Joseph Mercy Hospital Outpatient Laboratory (Blood draws only)
Ypsilanti, Michigan, 48197
Florida Medical Clinic, P.A.
Zephyrhills, Florida, 33542
Japan23 sites
Chiba University Hospital
Chiba, Chiba, 260-8677
Fukuoka University Chikushi Hospital
Fukuoka, 818-8502
Tokai University Hachioji Hospital
Hachiōji, Tokyo, 192-0032
National Hospital Organization Mito Medical Center
Higashi-ibaraki-gun, Ibaraki, 311-3193
National Hospital Organization Hirosaki National Hospital
Hirosaki, Aomori, 036-8545
Hiroshima University Hospital
Hiroshima, Hiroshima, 734-8551
Sameshima Hospital
Kagoshima, 892-0846
Kuniyoshi Hospital
Kochi, Kochi, 780-0901
Kurume University Hospital
Kurume, Fukuoka, 830-0011
Jikei University Hospital
Minato-ku, Tokyo, 105-8471
Kitasato University Kitasato Institute Hospital
Minato-ku, Tokyo, 108-8642
Aichi Medical University Hospital
Nagakute, Aichi-ken, 480-1195
The Hospital of Hyogo College of Medicine
Nishinomiya, Hyōgo, 663-8501
Osaka City University Hospital
Osaka, Osaka, 545-8586
Shiga University of Medical Science Hospital
Ōtsu, Shiga, 520-2192
Toho University Sakura Medical Center
Sakura, Chiba, 285-8741
Hokkaido P.W.F.A.C Sapporo-Kosei general Hospital
Sapporo, Hokkaido, 060-0033
National Hospital Organization Sendai Medical Center
Sendai, Miyagi, 983-8520
NTT Medical Center Tokyo
Shinagawa-ku, Tokyo, 141-8625
Showa University Hospital
Shinagawa-ku, Tokyo, 142-8666
Osaka Medical College Hospital
Takatsuki-shi, Osaka, 569-8686
Keio University Hospital
Tokyo, Tokyo, 160-8582
Tokyo Medical And Dental University Hospital, Faculty of Medicine
Tokyo, 113-8519
Russia11 sites
State budgetInstitution ofHealthcare Nizhniy NovgorodRegionalClinicalHospital namedafterN.A.Semashko
Nizhny Novgorod, 603126
Federal State Institution "Sibirian regional Medical Centre of Federal Medicobiologic Agency"
Novosibirsk, 630068
Municipal budget institution of healthcare of Novosibirsk "City Clinical Hospital
Novosibirsk, 630084
State Budget Educational Institution of Higher Professional Education
Novosibirsk, 630091
Municipal budget institution of healthcare "Central City Hospital of Pyatigorsk"
Pyatigorsk, Stavropol Kray, 357500
Federal State Budgetary Military Educational Institution of High Professional Education
Saint Petersburg, 191015
GBOU VPO "Northwest State Medical University n.a. I.I. Mechnikov"
Saint Petersburg, 191015
GUZ City Hospital #26
Saint Petersburg, 196247
Non-State Healthcare Institution "Road Clinical Hispital at the station Samara" of Open Joint-Stock
Samara, 443029
Limited Liability Company Medical Company "Hepatolog"
Samara, 443093
Samara Diagnostic center, X-ray Department
Samara, 443093
Ukraine9 sites
State Institution "National L.T. Malaya Therapy Institute of National Academy
Kharkiv, Ukraine, 61039
Kyiv Municipal Clinical Hospital #18, Proctology Department
Kyiv, 01030
LTD "St. Paraskeva Medical Center"
Lviv, 79019
Municipal City Clinical Hospital of the Emergency Medical Care, 1-st Therapy Department of hospital,
Lviv, 79059
SI "Railway Hospital of the SI "Odesa Railway"", Polyclinic Department,
Odesa, 65010
InternalMedicineCenterofCrimean RepublicInstitution"ClinicalTerritorialMedicalCommunity"University
Simferopol, Ar Krym, 95017
SI "District Clin. Hosp.of Uzhgorod station (STSA "Lviv Railway", Therapy Dep., SBHEI
Uzhhorod, 88009
Vinnytsia National Medical University
Vinnytsia, 21005
Vinnytsia Regional Clinical Hospital for Invalids of the Great Patriotic War, Therapy Department #2
Vinnytsia, 21005
Italy6 sites
SOC Gastroenterologia Centro di Riferimento Oncologico
Aviano, 33081
AOU Mater Domini - U.O. Fisiopatologia Digestiva
Catanzaro, CZ, 88100
IBD Center - IRCCS Humanitas
Milan, Milan, 20089
A.O.R. Villa Sofia- Cervello
Palermo, PA, 90146
Comitato Etico Palermo 2
Palermo, PA, 90146
Istituto Clinico Humanitas IRCSS
Rozzano, Milano, 20089
Canada5 sites
Hertiage Medical Research Clinic- University Of Calgary
Calgary, Alberta, T2N 4Z6
McMaster University Medical Center
Hamilton, Ontario, L8N 3Z5
Hamilton Health Sciences Corporation - McMaster University Medical Centre
Hamilton, Ontario, L8S 4K1
London Health Sciences Centre - University Hospital
London, Ontario, N6A 5A5
Hopital Maisonneuve-Rosemont
Montreal, Quebec, H1T 2M4
Germany4 sites
Universitaetsmedizin Berlin, Charite Campus Virchow-Klinikum,
Berlin, 13353
Universitaetsklinikum Halle (Saale)
Halle, 06120
Medizinische Hochschule Hannover
Hanover, 30625
Klinikum Luneburg/Abteilung Gastroenterologie
Lüneburg, 21339
Hungary4 sites
Szent Margit Korhaz III Belgyogyaszati Gasztroenterologiai Osztaly
Budapest, 1032
Pecsi Tudomanyegyetem Klinikai Kozpont
Pécs, 7624
Szegedi Tudomanyegyetem Altalanos Orvostudomanyi Kar I. sz. Belgyogyaszati Klinika
Szeged, 6720
Javorszky Odon Korhaz/Gasztroenterologiai Osztaly
Vác, H-2600
Poland4 sites
Gabinet Lekarski - Janusz Rudzinski
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-681
Oddzial Kliniczny Gastroenterologii Ogolnej i Onkologicznej SP ZOZ Uniwersytecki
Lodz, 90-153
Klinika Chorob Wewnetrznych i Gastroenterologii z Pododdzialem Leczenia
Warsaw, Masovian Voivodeship, 02-507
Lexmedica
Wroclaw, 53-114
Serbia4 sites
Clinical Hospital Centre Zvezdara
Belgrade, 11000
Military Medical Academy
Belgrade, 11000
Clinical Centre of Kragujevac
Kragujevac, 34000
General Hospital "Djordje Joanovic" Department for Gastroenterology and Hepatology
Zrenjanin, Serbia, Europe, 23000
Spain4 sites
Hospital Clínic i provincial de Barcelona
Barcelona, 08036
Hospital Clinico San Carlos
Madrid, Madrid, 28040
Hospital Universitario La Princesa
Madrid, 28006
Hospital Universitario de Fuenlabrada
Madrid, 28942
Australia3 sites
Eastern Health Box Hill Hospital
Box Hill, Victoria, 3128
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050
Nepean Hospital
Kingswood, New South Wales, 2747
Czechia3 sites
Hepato-Gastroenterologie HK, s.r.o.
Hradec Králové, 500 12
Institut klinicke a experimentalni mediciny
Prague, 140 21
Klinicke Centrum ISCARE I.V.F.
Prague, 170 04
Estonia3 sites
ECG Unit of West Tallinn Central Hospital
Tallinn, 10617
West Tallinn Central Hospital Internal Diseases Clinic
Tallinn, 10617
X-Ray Department of West Tallinn Central Hospital
Tallinn, 10617
France3 sites
CHU de Nantes - Hotel Dieu
Nantes, 44093
Hopital Saint-Louis
Paris, 75010
Hopital Rangueil
Toulouse, 31059
Latvia3 sites
Digestive Diseases Center GASTRO
Riga, LV-1006
ECG room, Clinic "Linezers"
Riga, LV-1006
X-Ray Department, Clinic "Linezers"
Riga, LV-1006
New Zealand3 sites
Southern District Health Board
Dunedin, 9016
Shakespeare Specialist Group
Milford, Auckland, 0620
Bop Clinical School Clinical Trials Unit
Tauranga, 3143
Denmark2 sites
Aalborg Hospital
Aalborg, 9000
Aarhus University Hospital
Aarhus C, 8000
Israel2 sites
Rabin Medical Center, Beilinson campus
Petah Tikva, 49100
Tel Aviv Sourasky Medical Center
Tel Aviv, Israel, 64239
South Africa2 sites
Endocare Research Centre
Cape Town, Western Cape, 7646
Chris Hani Baragwanath Academic Hospital
Johannesburg, Gauteng, 2013
United Kingdom2 sites
Cambridge University Hospitals Nhs Foundation Trust
Cambridge, CB2 0QQ
University College London Hospital
London, NW1 2BU
Austria1 site
AKH Wien, Universitaetsklinik fuer Innere Medizin III,
Vienna, 1090
Belgium1 site
UZ Leuven (University Hospital Leuven), Campus Gasthuisberg
Leuven, 3000
Colombia1 site
Unidad de Gastroenterologia y Endoscopia Digestiva S.A. - UGASEND S.A.
Barranquilla, Atlántico, 00000
Netherlands1 site
Leiden University Medical Center
Leiden, South Holland, 2333 ZA
Romania1 site
Cabinet Particular Policlinic Algomed SRL
Timișoara, Jud Timis, 300002
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
Plabebo oral BID
| Study group | Role | What they receive |
|---|---|---|
| tofacitinib 10 mg BID | Experimental | Not described Receives: Drug: tofacitinib |
| Placebo | 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 (UC). 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 scores 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 subscore of at least 1 point or an absolute rectal bleeding subscore 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 centrally read flexible 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 scores 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 centrally read flexible 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 scores indicating more severe disease.
Measured: Week 8
Percentage of Participants With Symptomatic Remission at Week 8
Symptomatic 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 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 centrally read flexible 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 scores 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 centrally read flexible 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 scores indicating more severe disease.
Measured: Week 8
Partial Mayo Scores
A Partial Mayo Score (mayo score without endoscopy) graded 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 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) graded 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 grading from 0 to 3 with higher scores indicating more severe disease.
Measured: Baseline, Weeks 2, 4, 8
Change From Baseline in Total Mayo Scores 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 centrally read flexible 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 scores 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 posted7 Nov 2011 (estimated)
- Study startApr 2012
- Primary completionMay 2015
- Study completionMay 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 (35)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
- 614 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
- NCT01465763
- Sponsor's protocol ID
- A3921094
- Other IDs
- 2011-004578-27, OCTAVEINDUCTION1
- Acronym
- OCTAVE
- Status last verified
- May 2016
- First submitted
- 21 Oct 2011
- Last updated
- 7 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Rubin 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 35648151Mukherjee A, Tsuchiwata S, Nicholas T, Cook JA, Modesto I, Su C, D'Haens GR, Sandborn WJ. Exposure-Response Characterization of Tofacitinib Efficacy in Moderate to Severe Ulcerative Colitis: Results From Phase II and Phase III Induction and Maintenance Studies. Clin Pharmacol Ther. 2022 Jul;112(1):90-100. doi: 10.1002/cpt.2601. Epub 2022 Apr 27.
PubMed 35380740
Study at a glance
From the registry record, last updated by the sponsor on 7 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
- NCT01465763
- Acronym / sponsor ID
- OCTAVE / A3921094
- 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
- 614 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Apr 2012
- Primary completion
- May 2015 (actual)
- Study completion
- May 2015 (actual)
- First posted
- 7 Nov 2011 (estimated)
- Results
- Posted 7 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 | 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 |
| PlaceboPlabebo oral BID | Drug | Placebo |
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 (UC). 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 scores 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 Scores 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 7 Jun 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
- Derived from this study: PubMed 36124702Sandborn 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.
- 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
178 sites in 28 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 178 sites in 28 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 7 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 178 sites in United States, Japan, Russia, Ukraine, Italy and 23 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 7 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 NCT01465763, which also lists 35 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 7 Jun 2016.