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Colitis, UlcerativePhase 2NCT02840721

Safety, Efficacy, and Tolerability Study of PF-06480605 in Subjects With Moderate to Severe Ulcerative Colitis.

A Phase 2 study testing PF-06480605 in people with Colitis, Ulcerative, run by Telavant, Inc. at 28 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, and efficacy of PF-06480605 in subjects with moderate to severe ulcerative colitis. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Colitis, Ulcerative
What is being tested?
PF-06480605
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
28 sitesin 6 countries
Study dates
26 Oct 2016to 30 Aug 2018
Phase
Phase 2
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects between ≥ 18 and ≤ 75 years of age at the time of informed consent
  • Male subjects able to father children and female subjects of childbearing potential must agree to use two highly effective methods of contraception throughout the study and until the Week 26 visit
  • Diagnosis of ulcerative colitis for ≥ 4 months
  • Subjects with moderate to severe active ulcerative colitis as defined by screening colonoscopy with total Mayo score of ≥ 6, with rectal bleeding subscore of ≥ 1, and an endoscopic subscore of ≥ 2 on the Mayo
  • Active disease beyond the rectum (> 15 cm of active disease at the screening colonoscopy)
  • Must have inadequate response to, loss of response to, or intolerance to at least one conventional therapy for ulcerative colitis such as: Steroids; Immunosuppressants (AZA, 6-MP, or MTX); Anti -TNF inhibitors (eg, infliximab, adalimumab, or golimumab); Anti-integrin inhibitors (eg, vedolizumab).
  • Subjects currently receiving the following treatment are eligible provided they have been on stable doses of Oral 5-ASA or sulfasalazine for at least 4 weeks prior to baseline; oral corticosteroids stable dose for at least 2 weeks prior to baseline; 6-MP or AZA stable dose for 8 weeks prior to baseline.

Who cannot join

  • Diagnosis of indeterminate colitis, ischemic colitis, radiation colitis, diverticular disease associated with colitis, microscopic colitis or Crohn's Disease. Subjects with clinical findings suggestive of Crohn's disease (eg, fistulae, granulomas on biopsy) are also excluded.
  • Subjects with colonic dysplasia or neoplasia, toxic megacolon, primary sclerosing cholangitis, known colonic stricture, history of colonic or small bowel stoma, history of colonic or small bowel obstruction or resection
  • Presence of active enteric infections (positive stool culture and sensitivity)
  • Known history of HIV based on documented history with positive serological test, or positive HIV serologic test at screening
  • Presence of a transplanted organ
  • Cancer or history of cancer or lymphoproliferative disease within the previous 5 years (other than resected cutaneous basal cell or squamous cell carcinoma that has been treated with no evidence of recurrence);
Show all 19Show fewer
  • Acute coronary syndrome (eg., myocardial infarction, unstable angina pectoris);
  • Any history of cerebrovascular disease within 24 weeks before screening;
  • Subject with current or a history of QT prolongation
  • Class III or Class IV heart failure
  • Prior evidence of liver injury or toxicity due to methotrexate
  • Abnormality in hematology and/or chemistry profiles during screening (as detailed in the protocol)
  • Subjects receiving the following therapies within the designated time period:
  • > 9 mg/day of oral budesonide or >20 mg/day prednisone or equivalent within 2 weeks prior to baseline
  • IV, IM (parenteral), or topical (rectal) treatment of 5-ASA or corticosteroid enemas/suppositories within 2 weeks prior to baseline
  • Biologics including anti-TNF inhibitors as described: Infliximab, Adalimumab, or Golimumab within 8 weeks prior to baseline
  • Anti-integrin inhibitors (eg, vedolizumab) within 12 weeks prior to baseline
  • Other investigational procedures or products, or live attenuated vaccine within 30 days prior to baseline.
  • Current or history (within 2 years) of serious psychiatric disease or alcohol or drug abuse

Trial locations and contacts

28 sites in 6 countries.

28 sites in 6 countries

United States12 sites
  • Surgery Center of Aventura

    Aventura, Florida, 33180

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Brigham and Women's Hospital

    Chestnut Hill, Massachusetts, 02467

  • NYU Langone Long Island Clinical Research Associates

    Great Neck, New York, 11021

  • NYU Langone Nassau Gastroenterology Associates

    Great Neck, New York, 11021

  • New York Presbyterian Hospital-Weill Cornell Medical College

    New York, New York, 10021

  • Weill Cornell Medical College

    New York, New York, 10021

  • Weill Cornell Medicine

    New York, New York, 10021

  • New York Presbyterian Hospital

    New York, New York, 10065

  • Venture Ambulatory Surgical Center

    North Miami Beach, Florida, 33162

  • FQL Research, LLC

    Pembroke Pines, Florida, 33027

  • Allegiance Research Specialists, LLC

    Wauwatosa, Wisconsin, 53226

Other trials in United States

Poland5 sites
  • SPZOZ WSzZ im. Jedrzeja. Sniadeckiego W Bialymstoku Oddzial Chorob Wewnetrznych i Gastroenterologii

    Bialystok, 15-950

  • Centrum Endoskopii Zabiegowej, Poradnia Chorob Jelitowych Szpital Uniwersytecki nr 2 im Jana Biziela

    Bydgoszcz, 85-168

  • Piotr Walczak Gabinet Endoskopii Przewodu Pokarmowego

    Krakow, 31-009

  • SANTA FAMILIA Centrum Badan Profilaktyki i Leczenia

    Lodz, 90-302

  • Endoskopia Sp. z.o.o.

    Sopot, 81-756

Other trials in Poland

Belgium3 sites
  • UZ Leuven (University Hospital Leuven) - Pharmacy Clinical Trials

    Leuven, 3000

  • UZ Leuven (University Hospital Leuven) - Radiology Department

    Leuven, 3000

  • UZ Leuven (University Hospital Leuven), Campus Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Italy3 sites
  • AOU Mater Domini - Univ."Magna Graecia" di Catanzaro - Campus Venuta - U.O Fisiopatologia Digestiva

    Catanzaro, CZ, 88100

  • Policlinico Universitario Campus Biomedico

    Roma, RM, 00128

  • ISTITUTO CLINICO HUMANITAS Sezione Autonoma di Malattie Infiammatorie Croniche Intestinali

    Rozzano, Milan (MI), 20089

Other trials in Italy

Netherlands3 sites
  • Academic Medical Center, Apotheek-Kenniscentrum Geneesmiddelenonderzoek

    Amsterdam, North Holland, 1105 AZ

  • Academic Medical Centre, Department of Radiology

    Amsterdam, North Holland, 1105 AZ

  • Academic Medical Centre, Dept. of Gastroenterology

    Amsterdam, North Holland, 1105 AZ

Other trials in Netherlands

South Korea2 sites
  • Kangbuk Samsung Hospital

    Seoul, 03181

  • Asan Medical Center

    Seoul, 05505

Other trials in South Korea

About this study

Official title: A PHASE 2A, MULTICENTER, SINGLE ARM, OPEN- LABEL, TWO-STAGE, STUDY TO EVALUATE THE EFFICACY, SAFETY, TOLERABILITY AND PHARMACOKINETICS OF PF-06480605 IN SUBJECTS WITH MODERATE TO SEVERE ULCERATIVE COLITIS

The purpose of this study is to evaluate the safety, tolerability, and efficacy of PF-06480605 in subjects with moderate to severe ulcerative colitis.

Read the detailed description

This is a Phase 2a, single arm, two-stage study in subjects with moderate to severe ulcerative colitis. Subjects will receive 500 mg of PF-06480605 intravenously every 2 weeks for a total of 7 doses. Blood, stool, and tissue samples will be collected at various time points throughout the study to evaluate safety, tolerability, efficacy, pharmacokinetics, and immunogenicity. Duration of participation for subjects will be approximately 8 months.

Being tested
PF-06480605
Medical subject headings
Colitis, Ulcerative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PF-06480605Drug

    PF-06480605 500 mg IV Q2W x 7 Doses

Study groups in NCT02840721
Study groupRoleWhat they receive
PF-06480605ExperimentalPF-06480605 500 mg IV Q2W X 7 doses
Receives: Drug: PF-06480605

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events, Serious Adverse Events, and Who Withdrew Due to Adverse Events

    An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. A serious AE (SAE) was any untoward medical occurrence at any dose that (1) resulted in death; (2) was life-threatening (immediate risk of death); (3) required inpatient hospitalization or prolongation of existing hospitalization; (4) resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); (5) resulted in congenital anomaly/birth defect. A treatment-emergent AE (TEAE) was defined as an event that emerged during treatment having been absent pre-treatment, or worsened relative to the pre-treatment state. Causality to study treatment was determined by the investigator.

    Measured: Day 1 up to final onsite visit (Week 26)

  2. Number of Participants With Laboratory Abnormalities

    The following parameters were evaluated: hematology (hemoglobin, hematocrit, erythrocytes, erythrocyte mean corpuscular volume, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time, and prothrombin time), clinical chemistry (bilirubin, direct bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, protein, albumin, blood urea nitrogen, creatinine, urate, sodium, potassium, chloride, calcium, glucose, and creatine kinase), and urinalysis (urine glucose, ketones, urine protein, urine hemoglobin, nitrite, leukocyte esterase, urine erythrocytes, urine leukocytes, hyaline casts, and bacteria).

    Measured: Day 1 up to final onsite visit (Week 26)

  3. Number of Participants With Vital Signs Data Meeting Pre-specified Criteria

    Vital signs evaluation included sitting diastolic blood pressure (DBP), systolic blood pressure (SBP), and pulse rate. Sitting blood pressure was measured with the participant's arm supported at the level of the heart, and recorded to the nearest millimeters of mercury (mm Hg). The same size BP cuff which had been properly sized and calibrated was used to measure BP each time. Number of participants with vital signs data meeting pre-specified criteria is presented.

    Measured: Baseline up to final onsite visit (Week 26)

  4. Number of Participants With Electrocardiogram (ECG) Data Meeting Pre-specified Criteria

    All scheduled 12-lead ECGs were performed after the participant had rested quietly for at least 10 minutes in a supine position. Number of participants with ECG data meeting pre-specified criteria is presented.

    Measured: Baseline up to final onsite visit (Week 26)

  5. Percentage of Participants Achieving Endoscopic Improvement at Week 14, Based on Uniformly Minimum-Variance Unbiased Estimator (UMVUE) - Per Protocol Analysis Set

    Endoscopic improvement at Week 14 was defined as Mayo endoscopic sub-score of 0 or 1, and without friability. The Mayo scoring system was used to assess ulcerative colitis activity, and it ranges from 0 to 12, calculated as sum of 4 sub-scores, with higher scores indicating more severe disease. The 4 sub-scores are stool frequency (0=normal number of stools; 1=1 to 2 stools more than normal; 2=3 to 4 stools more than normal; 3= 5 or more stools more than normal); rectal bleeding (0=no blood seen; 1=streaks of blood with stools less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes); findings on endoscopy (0=normal or inactive disease; 1=mild disease [erythema, decreased vascular pattern, mild friability]; 2=moderate disease [marked erythema, lack of vascular pattern, friability, erosions]; 3=severe disease [spontaneous bleeding, ulceration]); and physician's global assessment (0=normal; 1=mild disease; 2=moderate disease; 3=severe disease).

    Measured: Week 14

Secondary outcomes (11)
  1. Percentage of Participants Achieving Remission at Week 14 - Full Analysis Set

    Remission: total Mayo score <=2 with no individual subscore >1. Mayo scoring system was used to assess ulcerative colitis activity (range: 0 to 12, calculated as sum of 4 subscores, higher scores indicating more severe disease). The 4 subscores are stool frequency (0=normal number of stools; 1=1 to 2 stools more than normal; 2= 3 to 4 stools more than normal; 3= 5 or more stools more than normal); rectal bleeding (0=no blood seen; 1=streaks of blood with stools less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes); findings on modified endoscopy (0=normal or inactive disease; 1=mild disease [erythema, decreased vascular pattern, no friability]; 2=moderate disease [marked erythema, lack of vascular pattern, friability, erosions]; 3=severe disease [spontaneous bleeding, ulceration]); and physician's global assessment (0=normal; 1=mild disease; 2=moderate disease; 3=severe disease).

    Measured: Week 14

  2. Percentage of Participants Achieving Remission at Week 14 - Per Protocol Analysis Set

    Remission: total Mayo score <=2 with no individual subscore >1. Mayo scoring system was used to assess ulcerative colitis activity (range: 0 to 12, calculated as sum of 4 subscores, higher scores indicating more severe disease). The 4 subscores are stool frequency (0=normal number of stools; 1=1 to 2 stools more than normal; 2= 3 to 4 stools more than normal; 3= 5 or more stools more than normal); rectal bleeding (0=no blood seen; 1=streaks of blood with stools less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes); findings on modified endoscopy (0=normal or inactive disease; 1=mild disease [erythema, decreased vascular pattern, no friability]; 2=moderate disease [marked erythema, lack of vascular pattern, friability, erosions]; 3=severe disease [spontaneous bleeding, ulceration]); and physician's global assessment (0=normal; 1=mild disease; 2=moderate disease; 3=severe disease).

    Measured: Week 14

  3. Percentage of Participants Achieving Endoscopic Remission at Week 14 - Full Analysis Set

    Endoscopic remission at Week 14 was defined as Mayo endoscopic sub-score of 0. The Mayo scoring system was used to assess ulcerative colitis activity, and it ranges from 0 to 12, calculated as sum of 4 sub-scores, with higher scores indicating more severe disease. The 4 sub-scores are stool frequency (0=normal number of stools; 1=1 to 2 stools more than normal; 2= 3 to 4 stools more than normal; 3= 5 or more stools more than normal); rectal bleeding (0=no blood seen; 1=streaks of blood with stools less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes); findings on endoscopy (0=normal or inactive disease; 1=mild disease [erythema, decreased vascular pattern, mild friability]; 2=moderate disease [marked erythema, lack of vascular pattern, friability, erosions]; 3=severe disease [spontaneous bleeding, ulceration]); and physician's global assessment (0=normal; 1=mild disease; 2=moderate disease; 3=severe disease).

    Measured: Week 14

  4. Maximum Serum Concentration (Cmax) of PF-06480605

    Maximum serum concentration (Cmax) of PF-06480605 was observed directly from data.

    Measured: 30 minutes pre-dose and 1 hour post-dose on Day 85

  5. Average Serum Concentration (Cav) of PF-06480605

    Average serum concentration (Cav) of PF-06480605 was calculated as AUCtau/tau, where tau was the dosing interval (tau=14 days), and AUCtau was the area under the concentration-time profile from time 0 to time tau.

    Measured: 30 minutes pre-dose and 1 hour post-dose on Day 85

  6. Lowest Serum Concentration (Cmin) of PF-06480605

    Lowest serum concentration (Cmin) of PF-06480605 was observed directly from data.

    Measured: 30 minutes pre-dose and 1 hour post-dose on Day 85

  7. Area Under the Concentration-time Profile From Time Zero to Time Tau (AUCtau) of PF-06480605

    AUCtau of PF-06480605 was calculated using linear/log trapezoidal method; tau was the dosing interval (=14 days).

    Measured: 30 minutes pre-dose and 1 hour post-dose on Day 85

  8. Percentage of Participants Who Developed Anti-drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)

    Serum samples were analyzed using a new ADA assay with acid pre-treatment followed by a more drug-tolerant cell-based NAb assay. For ADA assay with acid pre-treatment, the sample was deemed positive if log titer >=1.30; for cell-based NAb assay, the sample was deemed positive if log titer >=0.699.

    Measured: Day 1 up to final onsite visit (Week 26)

  9. Change From Baseline in Fecal Calprotectin

    Fecal calprotectin has been used to detect intestinal inflammation (colitis or enteritis) and can serve as a biomarker for inflammatory bowel diseases. Elevated fecal calprotectin levels indicate migration of neutrophils into the intestinal mucosa, which occurs during intestinal inflammation.

    Measured: Baseline, Weeks 2, 8, 12 and 26

  10. Change From Baseline in High Sensitivity C-reactive Protein (HsCRP)

    HsCRP is used mainly as a marker of inflammation.

    Measured: Baseline, Weeks 2, 4, 6, 8, 10, 12, 14, 16, 20, 24, and 26

  11. Change From Baseline in Serum Total Soluable Tumor Necrosis Factor-like Ligand 1A (sTL1A)

    TL1A is a member of the tumor necrosis factor (TNF) family of cytokines. The investigational product of this study PF-06480605 is a fully human neutralizing antibody against TL1A.

    Measured: Baseline, Weeks 2, 4, 6, 8, 10, 12, 14, 16, 20, 24, and 26

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jul 2016 (estimated)
  2. Study start26 Oct 2016
  3. Primary completion31 May 2018
  4. Study completion30 Aug 2018

Resources

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02840721
Sponsor's protocol ID
B7541002
Other IDs
TUSCANY, 2016-001158-16, 2016
Status last verified
Oct 2023
First submitted
27 Jun 2016
Last updated
23 Oct 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Danese S, Klopocka M, Scherl EJ, Romatowski J, Allegretti JR, Peeva E, Vincent MS, Schoenbeck U, Ye Z, Hassan-Zahraee M, Rath N, Li G, Neelakantan S, Banfield C, Lepsy C, Chandra DE, Hung KE. Anti-TL1A Antibody PF-06480605 Safety and Efficacy for Ulcerative Colitis: A Phase 2a Single-Arm Study. Clin Gastroenterol Hepatol. 2021 Nov;19(11):2324-2332.e6. doi: 10.1016/j.cgh.2021.06.011. Epub 2021 Jun 12.

    PubMed 34126262

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-06480605 in people with Colitis, Ulcerative, run by Telavant, Inc. at 28 sites in 6 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 19 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 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, Poland, Belgium, Italy, Netherlands and 1 more country. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 19 Jun 2019). 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?

Number of Participants With Treatment-Emergent Adverse Events, Serious Adverse Events, and Who Withdrew Due to Adverse Events (time frame: Day 1 up to final onsite visit (Week 26)). The study lists 5 primary outcomes in all. 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 NCT02840721, which also lists 1 linked publication.

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 23 Oct 2023.

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