Ulcerative ColitisPhase 3FIGARO UC 301NCT03259334
Efficacy and Safety Study of SHP647 as Induction Therapy in Participants With Moderate to Severe Ulcerative Colitis
A Phase 3 study testing Ontamalimab in people with Ulcerative Colitis, run by Shire at 207 sites in 18 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of SHP647 in inducing remission, based on composite score of participant-reported symptoms and centrally read endoscopy, in participants with moderate to severe ulcerative colitis (UC). Read more about this study
- Who is it for?
- Ages 16 to 80 years
- Conditions the study is for
- Ulcerative Colitis
- What is being tested?
- Ontamalimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 380 participants
- Where
- 207 sitesin 18 countries
- Study dates
- 9 Feb 2018to 23 Oct 2020
- 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 16 to 80 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
- Participants must be able to voluntarily provide written, signed, and dated informed consent and/or assent, as applicable, to participate in the study.
- Participants must be between greater than or equal to (>=)16 and <=80 years of age at the time of the signing of the informed consent/assent form.
- Participants less than (<) 18 years of age must weigh >=40 kg and must have body mass index (BMI) >=16.5 kilogram per square meter (kg/m^2).
- Participants must have a documented diagnosis of UC for >=3 months before screening. The following must be available in each participant's source documentation:
- A biopsy report to confirm the histological diagnosis.
Show all 13Show fewer
- A report documenting disease duration based upon prior colonoscopy. Note: If this documentation is not available at the time of screening, a colonoscopy with biopsy to confirm the diagnosis is required during the screening period.
- Participants must be willing to undergo a flexible sigmoidoscopy or colonoscopy, including biopsy sample collection, during screening after all other inclusion criteria have been met.
- Participants must have moderate to severe active UC, defined as a total Mayo score of >=6, including a centrally read endoscopic subscore >=2, rectal bleeding subscore >=1, and stool frequency subscore >=1 at baseline.
- Participants must have evidence of UC extending proximal to the rectum (ie, not limited to proctitis).
- Participants must have had an inadequate response to, or lost response to, or had an intolerance to at least 1 conventional treatment such as mesalamine (5-aminosalicylate [ASA]), glucocorticoids, immunosuppressants (azathioprine [AZA], 6-mercaptopurine [6-MP], or methotrexate [MTX]), or anti-tumor necrosis factor (TNF).
- Participants receiving any treatment(s) for UC are eligible provided they have been, and are anticipated to be, on a stable dose for the designated period of time.
- Participants are males or nonpregnant, nonlactating females who, if sexually active, agree to comply with the contraceptive requirements of the protocol, or females of nonchildbearing potential.
Who cannot join
- Participants with indeterminate colitis, microscopic colitis, non-steroidal anti-inflammatory drug-induced colitis, ischemic colitis, infectious colitis, or clinical/histologic findings suggestive of Crohn's disease.
- Participants with colonic dysplasia or neoplasia. (Participants with prior history of adenomatous polyps will be eligible if the polyps have been completely removed.)
- Participants with past medical history or presence of toxic megacolon.
- Participants with colonic stricture, past medical history of colonic resection, a history of bowel surgery within 6 months before screening, or who are likely to require surgery for UC during the treatment period.
- Participants at risk for colorectal cancer must have a colonoscopy performed during the screening period with results available within 10 days before the baseline visit, unless the participant has had a surveillance colonoscopy performed within 1 year prior to screening, and any adenomatous polyps found at that examination have been excised. Colonoscopy report and pathology report (if biopsies are obtained) from the colonoscopy performed during screening or in the prior year confirming no evidence of dysplasia and colon cancer must be available in the source documents.
- Participants at risk for colorectal cancer include, but are not limited to:
Show all 60Show fewer
- Participants with extensive colitis for >=8 years or disease limited to left side of colon (ie, distal to splenic flexure) for >=10 years before screening, regardless of age.
- Participants >=50 years of age at the time of signing of the informed consent form.
- Participants have had prior treatment with SHP647.
- Participants with known or suspected intolerance or hypersensitivity to the investigational product(s), closely related compounds, or any of the stated ingredients.
- Participants have received anti-TNF treatment within 60 days before baseline.
- Participants have received any biologic with immunomodulatory properties (other than anti-TNFs) within 90 days before baseline.
- Participants have received any nonbiologic treatment with immunomodulatory properties (other than their current background UC treatment) within 30 days before baseline.
- Participants have ever received anti-integrin/adhesion molecule treatment (example (eg): natalizumab, vedolizumab, efalizumab, etrolizumab, or any other investigational anti-integrin/adhesion molecule).
- Participants have received parenteral or rectal glucocorticoids, or rectal 5-ASA, within 14 days before screening endoscopic procedure.
- Participants have received leukocyte apheresis or selective lymphocyte, monocyte, or granulocyte apheresis or plasma exchange within 30 days before baseline.
- Participants have participated in other investigational studies within either 30 days or 5 half-lives of investigational product used in the study (whichever is longer) before baseline.
- Participants have received a live (attenuated) vaccine within 30 days before the baseline visit.
- Participants with active enteric infections (positive stool culture and sensitivity), Clostridium difficile infection or pseudomembranous colitis [Participants with C. difficile infection at screening may be allowed re-test after treatment], evidence of active cytomegalovirus infection or Listeria monocytogenes, known active invasive fungal infections such as histoplasmosis or parasitic infections, clinically significant underlying disease that could predispose the participants to infections, or a history of serious infection (requiring parenteral antibiotic and/or hospitalization) within 4 weeks before the baseline visit.
- Participants with abnormal chest x-ray findings at screening, such as presence of active tuberculosis, general infections, heart failure, or malignancy.
- Participants with evidence of active or latent infection with Mycobacterium tuberculosis (TB) or participants with this history who have not completed a generally accepted full course of treatment before randomization are excluded. All other participants must have either the Mantoux (purified protein derivative [PPD]) tuberculin skin test or interferon gamma release assay (IGRA) performed.
- Participants who have no history of previously diagnosed active or latent tuberculosis are excluded if they have a positive Mantoux (PPD) tuberculin skin test (ie >=5 millimeter [mm] induration) or a positive IGRA (the latter to be tested at the site's local laboratory) during screening or within 12 weeks before screening. If IGRA test cannot be performed locally, a central laboratory may be used, with prior agreement from the sponsor.
- An IGRA is strongly recommended for participants with a prior Bacillus Calmette-Guerin (BCG) vaccination, but may be used for any participant. Documentation of IGRA product used and the test result must be in the participant's source documentation if performed locally. Acceptable IGRA products include QuantiFERON TB Gold Plus In-Tube Test.
- If the results of the IGRA are indeterminate, the test may be repeated, and if a negative result is obtained, enrollment may proceed. In participants with no history of treated active or latent tuberculosis, a positive test on repeat will exclude the participant. Participants with a history of active or latent TB infection must follow instructions for "participants with a prior diagnosis of active or latent TB are excluded unless both of the following criteria are met" in this criterion.
- Participants with repeat indeterminate IGRA results, with no prior TB history, may be enrolled after consultation with a pulmonary or infectious disease specialist who determines low risk of infection (ie, participant would be acceptable for immunosuppressant [eg, anti-TNF] treatment without additional action). This consultation must be included in source documentation.
- Results from a chest x-ray, taken within the 12 weeks before or during screening must show no abnormalities suggestive of active TB infection as determined by a qualified medical specialist.
- Participants with a prior diagnosis of active or latent TB are excluded unless both of the following criteria are met:
- The participant has previously received an adequate course of treatment for either latent (eg, 9 months of isoniazid or an acceptable alternative regimen, in a locale where rates of primary multidrug TB resistance are <5%. Participants from regions with higher rates of primary multidrug TB resistance are excluded) or active (acceptable multidrug regimen) TB infection. Evidence of diagnosis and treatment must be included in source documentation. Consultation with a pulmonary or infectious disease specialist to confirm adequate treatment (ie, participant would be acceptable for immunosuppressant [eg, anti-TNF] treatment without additional action) must be performed during the screening period. The consultation report must be included in source documentation prior to enrollment.
- A chest x-ray performed within 12 weeks before or during screening indicates no evidence of active or recurrent disease, and documentation of interpretation by a qualified medical specialist must be included in source documentation.
- Participants with a pre-existing demyelinating disorder such as multiple sclerosis or new onset seizures, unexplained sensory motor, or cognitive behavioral, neurological deficits, or significant abnormalities noted during screening.
- Participants with any unexplained symptoms suggestive of progressive multifocal leukoencephalopathy (PML) based on the targeted neurological assessment during the screening period.
- Participants with a transplanted organ. Skin grafts to treat pyoderma gangrenosum are allowed.
- Participants with a significant concurrent medical condition at the time of screening or baseline, including, but not limited to, the following:
- <!-- -->
- Any major illness/condition or evidence of an unstable clinical condition (eg, renal, hepatic, hematologic, gastrointestinal (except disease under study), endocrine, cardiovascular, pulmonary, immunologic [eg, Felty's syndrome], or local active infection/infectious illness) that, in the investigator's judgment will substantially increase the risk to the participant if he or she participates in the study.
- Cancer or history of cancer or lymphoproliferative disease within the previous 5 years (other than resected cutaneous basal cell carcinoma, squamous cell carcinoma, or carcinoma in situ of the uterine cervix that has been treated with no evidence of recurrence).
- Presence of acute coronary syndrome (eg, acute myocardial infarction, unstable angina pectoris) within 24 weeks before screening.
- History of significant cerebrovascular disease within 24 weeks before screening.
- Participants who have had significant trauma or major surgery within 4 weeks before the screening visit, or with any major elective surgery scheduled to occur during the study.
- Participants with evidence of cirrhosis with or without decompensation.
- Participants with primary sclerosing cholangitis.
- Participants with evidence of positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb).
- Note: If a participant tests negative for HBsAg, but positive for hepatitis B virus (HBcAb), the participant would be considered eligible if no presence of HBV DNA is confirmed by HBV DNA polymerasechainreaction(PCR) reflex testing performed in the central laboratory.
- Participants with chronic hepatitis C (HCV) (positive HCVAb and HCVRNA). Note: Participants who are HCVAb positive without evidence of HCVRNA may be considered eligible (spontaneous viral clearance or previously treated and cured [defined as no evidence of HCV RNA at least 12 weeks prior to baseline]).
- Participants with any of the following abnormalities in hematology and/or serum chemistry profiles during screening.
- Note: Screening laboratory tests, if the results are considered by the investigator to be transient and inconsistent with the participant's clinical condition, may be repeated once during the screening period for confirmation. Results must be reviewed for eligibility prior to the screening endoscopy procedure.
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels >=3.0×upper limit of normal (ULN).
- Total bilirubin level >=1.5×ULN or >2.0×ULN if the participant has a known documented history of Gilbert's syndrome.
- Hemoglobin level <=80 gram per liter (g/L) (8.0 gram per deciliter [g/dL]).
- Platelet count <=100×10^9 per liter (/L) (100,000 cells per cubic millimeter [mm^3]) or >=1000×10^9/L (1,000,000 cells/mm^3).
- White blood cell count <=3.5×10^9/L (3500 cells/mm^3). - Absolute neutrophil count (ANC)<2×10^9/L (2000 cells/mm^3).
- Serum creatinine level >1.5 × ULN or estimated glomerular filtration rate <30 ml/min/1.73m^2 based on the abbreviated Modification of Diet in Renal Disease Study Equation.
- Note: If platelet count is <150,000 cells/mm^3, a further evaluation should be performed to rule out cirrhosis, unless another etiology has already been identified.
- Participants with known human immunodeficiency virus (HIV) infection based on documented history, with positive serological test, or positive HIV serologic test at screening, tested at the site's local laboratory in accordance with country requirements or tested at the central laboratory.
- Note: A documented negative HIV test within 6 months of screening is acceptable and does not need to be repeated.
- Participants who have, or who have a history of (within 2 years before screening), serious psychiatric disease, alcohol dependency, or substance/drug abuse or dependency of any kind, including abuse of medical marijuana (cannabis).
- Participants with any other severe acute or chronic medical or psychiatric condition or laboratory or electrocardiogram (ECG) abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Female participants who are planning to become pregnant during study period.
- Participants who do not agree to postpone donation of any organ or tissue, including male participants who are planning to bank or donate sperm and female participants who are planning to harvest or donate eggs, for the duration of the study and through 16 weeks after last dose of investigational product.
- Participants who are investigational site staff members or relatives of those site staff members or Participants who are Shire employees directly involved in the conduct of study.
Trial locations and contacts
207 sites in 18 countries.
207 sites in 18 countries
United States38 sites
Inquest Clinical Research/Coastal Gastroenterology Associates, PA
Baytown, Texas, 77521
Massachusetts General Hospital
Boston, Massachusetts, 02114
HP Clinical Research
Bountiful, Utah, 84010
New York Total Medical Care PC
Brooklyn, New York, 11215
Northwestern University
Chicago, Illinois, 60611
University of Chicago Medical Center
Chicago, Illinois, 60637
Consultants For Clinical Research Inc
Cincinnati, Ohio, 45219
Consultants For Clinical Research Inc
Cincinnati, Ohio, 45249
Peak Gastroenterology Associates
Colorado Springs, Colorado, 80906
Asthma and Allergy Associates PC - CRN - PPDS
Colorado Springs, Colorado, 80907
Gastrointestinal Diseases, Inc. Research
Columbus, Georgia, 31904
Advanced Clinical Research Network
Coral Gables, Florida, 33134
Northside Gastroenterology
Cypress, Texas, 77429
Exemplar Research, Inc. - Elkins
Elkins, West Virginia, 26241
Medisphere Medical Research Center LLC
Evansville, Indiana, 47714
Consultants For Clinical Research Inc
Fairfield, Ohio, 45014
Gastro One
Germantown, Tennessee, 38138
Clinical Trials of SWLA LLC
Lake Charles, Louisiana, 70601
OM Research LLC - Lancaster - ClinEdge - PPDS
Lancaster, California, 93534
Atria Clinical Research - Clinedge - PPDS
Little Rock, Arkansas, 72209
Nuren Medical and Research Center
Miami, Florida, 33144
Laporte County Institute For Clinical Research
Michigan City, Indiana, 46360
West Virginia University Hospital
Morgantown, West Virginia, 26506
Gastroenterology Group of Naples
Naples, Florida, 34102
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Digestive Health Center PA
Ocean Springs, Mississippi, 39564
Omega Research Consultants LLC - Clinedge - PPDS
Orlando, Florida, 32810
Allegheny Center For Digestive Health
Pittsburgh, Pennsylvania, 15212
Inland Empire Liver Foundation
Rialto, California, 92377
East Coast Institute for Research, LLC
Saint Augustine, Florida, 32086
Digestive Health Center at UWMC
Seattle, Washington, 98195
University of Washington
Seattle, Washington, 98195
Louisiana Research Center LLC
Shreveport, Louisiana, 71105
Piedmont Healthcare
Statesville, North Carolina, 28677
CHI Franciscan Digestive Care Associates
Tacoma, Washington, 98405
DM Clinical Research - ERN - PPDS
Tomball, Texas, 77375
Advanced Gastroenterology-Union City
Union City, Tennessee, 38261
Digestive Disease Associates
Wyomissing, Pennsylvania, 19610
Poland35 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, Podlaskie Voivodeship, 15-276
Vitamed Galaj i Cichomski sp.j.
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-079
Szpital Uniwersytecki Nr 2 im. Dr Jana Biziela w Bydgoszczy
Bydgoszcz, 85-168
Centrum Medyczne Pratia Bydgoszcz
Bydgoszcz, 85-796
Centrum Medyczne Czestochowa - PRATIA - PPDS
Częstochowa, 42-200
Centrum Medyczne Gdynia - PRATIA - PPDS
Gdynia, 81-338
Szpital Specjalistyczny sw Lukasza - Oddzial Gastroenterologii
Gmina Końskie, Świętokrzyskie Voivodeship, 26-200
BioVirtus Centrum Medyczne
Józefów, 05-410
Szpital Zakonu Bonifratrow pw. Aniolow Strozow w Katowicach
Katowice, 40-211
NZOZ All Medicus
Katowice, 40-659
Krakowskie Centrum Medyczne
Krakow, Lesser Poland Voivodeship, 31-501
Centrum Medyczne A-Z Clinic Mateusz Sidor, Piotr Puc-Lekarze Spolka Partnerska
Krakow, 31-315
Centrum Opieki Zdrowotnej Orkan-Med Stec-Michalska Sp. J.
Ksawerów, 95-054
Med Gastr Sp.z.o.o Sp.k
Lodz, 91-034
Niepubliczny Zaklad Opieki Zdrowotnej CENTRUM MEDYCZNE Szpital Swietej Rodziny
Lódz, Lódzkie, 90-302
SPZOZ Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej UM w Lodzi
Lódz, Lódzkie, 90-647
Instytut Centrum Zdrowia Matki Polki
Lódz, Lódzkie, 93-338
Twoja Przychodnia - Centrum Medyczne Nowa Sol
Nowa Sól, 67-100
Centrum Innowacyjnych Terapii
Piaseczno, 05-500
Clinical Research Center Spółka z Ograniczoną Odpowiedzialnością, Medic-R Spółka Komandytowa
Poznan
Korczowski Bartosz, Gabinet Lekarski
Rzeszów, 35-302
Endoskopia Sp. z o.o.
Sopot, Pomeranian Voivodeship, 81-756
Twoja Przychodnia - Szczecińskie Centrum Medyczne
Szczecin, West Pomeranian Voivodeship, 71-434
Sonomed Sp. z o.o.
Szczecin, 71-685
Gastromed Kopon Zmudzinski i Wspolnicy Sp.j.Specjalistyczne Centrum Gastrologii i Endoskopii Specj
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
H-T. Centrum Medyczne Endoterapia
Tychy, Silesian Voivodeship, 43-100
Centrum Medyczne Warszawa - PRATIA - PPDS
Warsaw, Masovian Voivodeship, 01-868
Niepubliczny Zakład Opieki Zdrowotnej VIVAMED
Warsaw, Masovian Voivodeship, 03-580
Miedzyleski Szpital Specjalistyczny w Warszawie
Warsaw, Masovian Voivodeship, 04-749
Centrum Zdrowia MDM
Warsaw, 00-635
Centralny Szpital Kliniczny MSW
Warsaw, 02-507
Centrum Diagnostyczno - Lecznicze Barska sp. z o.o.
Włocławek, Kuyavian-Pomeranian Voivodeship, 87-800
Melita Medical
Wroclaw, Lower Silesian Voivodeship, 50-449
Lexmedica
Wroclaw, Lower Silesian Voivodeship, 53-114
Samodzielny Publiczny Szpital Wojewodzki im. Papieza Jana Pawla II
Zamość, 22-400
Russia18 sites
Kazan State Medical University
Kazan', 420064
Moscow Clinical Scientific Center
Moscow, 111123
Moscow Regional Research Clinical Institute Na Mfvladimirskiy
Moscow, 129110
Nizhegorodskaya Regional Clinical Hospital n.a. Semashko
Nizhny Novgorod, 603126
Research Institute of Physiology and Basic Medicine
Novosibirsk, 630117
Rostov State Medical University
Rostov-on-Don, 344022
Rostov State Medical University
Rostov-on-Don, 344091
Union Clinic, LLC
Saint Petersburg, 191119
St. Elizabeth Municipal Clinical Hospital
Saint Petersburg, 195257
First St. Petersburg State Medical University n.a. I.P Pavlov
Saint Petersburg, 197022
Russian Medical Military Academy n.a. S.M. Kirov
Saint Petersburg
Medical University Reaviz
Samara, 443011
Private Healthcare Institution Clinical Hospital RZD-Medicina of Samara city
Samara, 443029
Medical Company Hepatolog, LLC
Samara, 443093
SHI Regional Clinical Hospital
Saratov, 410053
Smolensk Regional Clinical Hospital
Smoensk, 214018
Stavropol State Medical University
Stavropol, 355017
Regional Consulting and Diagnostics Centre
Tyumen, 625026
Japan17 sites
Tokatsu Tsujinaka Hospital
Abiko-shi, Chiba, 270-1168
Shinbeppu Hospital
Beppu, Ôita, 874-0833
Hakodate Koseiin Hakodate Goryoukaku Hospital
Hakodate, 040-0001
Yuai Memorial Hospital
Koga, 306-0232
Kawabe Clinic
Koganei, 184-0003
Dokkyo Medical University Saitama Medical Center
Koshigaya, 343-8555
Hidaka Coloproctology Clinic
Kurume-shi, 839-0809
Jikei University Hospital
Minato-ku, Tokyo, 105-8471
Kitasato University Kitasato Institute Hospital
Minato-ku, Tokyo, 108-8642
Aichi Medical University Hospital
Nagakute, 480-1195
Nishinomiya Municipal Central Hospital
Nishinomiya, 663-8014
Ome Municipal General Hospital
Ōme, Tokyo, 198-0042
Onomichi General Hospital
Onomichi
Shiga University of Medical Science Hospital
Ōtsu, 520-2192
Sagamihara Kyodo Hospital
Sagamihara, Kanagawa, 252-5188
Sapporo Tokushukai Hospital
Sapporo, Hokkaidô, 004-0041
Sapporo Higashi Tokushukai Hospital
Sapporo, 065-0033
Italy15 sites
Azienda Ospedaliero Universitaria Di Bologna - Policlinico S Orsola Malpighi
Bologna, 40138
Azienda Ospedaliera Mater Domini Di Catanzaro
Catanzaro, Calabria, 88100
Azienda Ospedaliera Universitaria Careggi
Florence, Tuscany, 50134
Azienda Ospedaliero Universitaria Di Modena Policlinico
Modena, Emilia-Romagna, 41124
Ospedale Sacro Cuore Don Calabria
Negrar, Veneto, 37024
A.O.U. Maggiore della Carità
Novara, 28100
Azienda Ospedale Università Padova - Dipartimento Salute della Donna e del Bambino - INCIPIT - PIN
Padova, Veneto, 35128
Fondazione IRCCS Policlinico San Matteo di Pavia
Pavia, 27100
La Sapienza-Università di Roma-Policlinico Umberto I
Roma, 00161
Fondazione Policlinico Universitario A Gemelli
Roma, 00168
Azienda Ospedaliera San Camillo Forlanini
Rome, Lazio, 00152
Istituto Clinico Humanitas
Rozzano (MI), 20089
Ospedale Casa Sollievo Della Sofferenza IRCCS
San Giovanni Rotondo (FG), Apulia, 71013
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Torino, 10126
Azienda Ospedaliera Ordine Mauriziano di Torino
Torino, 10128
Germany12 sites
Universitätsklinikum der RWTH Aachen
Aachen, North Rhine-Westphalia, 52074
Charité - Universitätsmedizin Berlin
Berlin, 13353
Gastroenterologische Facharztpraxis am Mexikoplatz
Berlin-Zehlendorf, 14163
Sana Klinikum Biberach
Biberach an der Riss, 88400
Uniklinik Köln
Cologne, 50937
Universitätsklinikum Frankfurt
Frankfurt, 60590
Asklepios Westklinikum Hamburg Ggmbh
Hamburg, 22559
Universitätsklinikum Jena
Jena, Thuringia, 07747
Universitatsklinikum Schleswig-Holstein
Kiel, Schleswig-Holstein, 24105
Klinikum rechts der Isa der Technischen Universitaet Muenchen
Munich, 81675
Gastro Campus Research GbR
Münster, North Rhine-Westphalia, 48159
Universitätsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081
Romania11 sites
Dr.Carol Davila Emergency University Central Military Hospital
Bucharest, 010825
Sana Monitoring SRL
Bucharest, 011025
Colentina Clinical Hospital
Bucharest, 020125
Prof. Dr. Matei Bals Institute of Infectious Diseases
Bucharest, 021105
Fundeni Clinical Institute
Bucharest, 022328
Centrul Medical Hifu Terramed Conformal S.R.L.
Bucharest, 031864
Cluj-Napoca Emergency Clinical County Hospital
Cluj-Napoca, Cluj, 400006
Affidea Romania SRL
Constanța, RO-900591
Gastromedica SRL
Iași, 700506
Dr. Tirnaveanu Amelita Private Practice
Oradea, 410066
Dr. Goldis Gastroenterology Center SRL
Timișoara, 300002
United Kingdom9 sites
Aberdeen Royal Infirmary - PPDS
Aberdeen, AB25 2ZN
Western General Hospital Edinburgh - PPDS
Edinburh, EH4 2XU
Fairfield General Hospital - PPDS
Lancashire, Bury, BL9 7TD
Pennine Acute Hospitals Trust
Lancashire, Bury, BL9 7TD
Whipps Cross University Hospital
London, London, City of, E11 1NR
Royal Gwent Hospital - PPDS
Newport, NP20 2UB
North Tyneside General Hospital
North Shields, Northumberland, NE29 8NH
Royal Shrewsbury Hospital
Shrewsbury, Shropshire, SY3 8XQ
New Cross Hospital
Wolverhampton, WV10 0QP
Croatia8 sites
Opca bolnica Bjelovar
Bjelovar, 43000
Opca Bolnica Karlovac
Karlovac, Karlovacka Županija, 47000
Clinical Hospital Centre Osijek
Osijek, 31000
University Hospital Centre Split
Split, 21000
General Hospital Virovitica
Virovitica, 33000
General County Hospital Vukovar and Croatian Veterans Hospital
Vukovar, 32000
General Hospital Zadar
Zadar, 23 000
University Hospital Center Zagreb
Zagreb, City of Zagreb, 10000
Australia7 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Concord Repatriation General Hospital
Concord, New South Wales, 2139
St Vincents Hospital Melbourne - PPDS
Fitzroy, Victoria, 3065
Royal Brisbane & Women's Hospital
Herston, Queensland, 4029
Liverpool Hospital
Liverpool, New South Wales, 2170
The Alfred Hospital
Melbourne, Victoria, 3004
Mater Hospital Brisbane
South Brisbane, Queensland, 4101
Austria7 sites
LKH-Universitätsklinikum Klinikum Graz
Graz, Styria, 8036
Klinikum Klagenfurt Am Woerthersee
Klagenfurt, 9020
Salzburger Landeskliniken
Salzburg, 5020
Universitätsklinikum St. Pölten
Sankt Pölten, 3100
A.ö. Krankenhaus der Barmherzigen Brüder
Sankt Veit an der Glan, Carinthia, 9300
Medizinische Universitat Wien (Medical University of Vienna)
Vienna, 1090
Klinikum Wels-Grieskirchen GmbH
Wels, 4600
Czechia6 sites
Hepato-Gastroenterologie HK, s. r. o.
Hradec Králové, Hradec Králové Region, 500 12
PreventaMed s.r.o.
Olomouc, Olomouc Region, 779 00
Institut Klinicke A Experimentalni Mediciny
Prague, 140 21
ISCARE I.V.F. a.s.
Prague, 170 04
Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o.z.
Ústí nad Labem, 401 13
Nemocnice Pardubickeho kraje, a.s. Orlickoustecka nemocnice
Ústí nad Orlicí, 562 18
Israel6 sites
Shaare Zedek Medical Center
Jerusalem, 91031
Hadassah Medical Center - PPDS
Jerusalem, 91120
Galilee Medical Center
Nahariya, 22100
Nazareth EMMS Hospital
Nazareth, 16100
Tel Aviv Sourasky Medical Center PPDS
Tel Aviv, 6423906
Baruch Padeh Poriya Medical Center
Tiberias, 15208
Netherlands5 sites
NWZ, location Alkmaar
Alkmaar, North Holland, 1815 JD
VU Medisch Centrum
Amsterdam, 1081 HV
Academisch Medisch Centrum Amsterdam
Amsterdam, 1105 AZ
Leids Universitair Medisch Centrum
Leiden, South Holland, 2333 ZA
ETZ-Elisabeth
Tilburg, North Brabant, 5022 GC
Serbia4 sites
Clinical Hospital Center ''Bezanijska Kosa''
Belgrade, 11080
University Clinical Center Kragujevac
Kragujevac, Šumadijski Okrug, 34000
University Clinical Center Nis
Niš, 18000
General Hospital Vrsac
Vršac, 26300
Brazil3 sites
Instituto Goiano de Gastroenterologia E Endoscopia Digestiva Ltda
Goiânia, Goiás, 74535-170
Hospital Da Cidade de Passo Fundo
Passo Fundo, Rio Grande do Sul, 99010-260
CEMEC - Centro Multidisciplinar de Estudos Clínicos
Santo André, São Paulo, 09190-510
Lithuania3 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
Kaunas, LT-50009
Vilnius University Hospital Santaros Klinikos
Vilnius, LT- 08661
Vilnius City Clinical Hospital
Vilnius, LT-10207
South Africa3 sites
Dr JP Wright
Claremont, Western Cape, 7708
CLINRESCO, ARWYP Medical Suites
Johannesburg, Gauteng, 1619
Dr. J Breedt
Pretoria, Gauteng, 0002
About this study
Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Study of SHP647 as Induction Therapy in Subjects With Moderate to Severe Ulcerative Colitis (FIGARO UC 301)
The purpose of this study is to evaluate the efficacy of SHP647 in inducing remission, based on composite score of participant-reported symptoms and centrally read endoscopy, in participants with moderate to severe ulcerative colitis (UC).
- Conditions
- Ulcerative Colitis
- Being tested
- Ontamalimab, Placebo
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OntamalimabDrug
Also called PF-00547659, SHP647
Participants will receive 1 mL of SHP647 sterile aqueous buffered solution at an appropriate concentration to provide the intended dose of drug (25 or 75 mg).
PlaceboOther
Participants will receive 1 mL of sterile aqueous buffered solution.
| Study group | Role | What they receive |
|---|---|---|
| Ontamalimab 25 mg | Experimental | Participants will receive 25 milligrams (mg) of ontamalimab (SHP647) subcutaneous (SC) injection using a prefilled syringe (PFS) on Week 0, Week 4 and Week 8. Receives: Drug: Ontamalimab |
| Ontamalimab 75 mg | Experimental | Participants will receive 75 mg of ontamalimab (SHP647) SC injection using PFS on Week 0, Week 4 and Week 8. Receives: Drug: Ontamalimab |
| Placebo | Placebo comparator | Participants will receive placebo matched to ontamalimab (SHP647) SC injection using PFS on Week 0, Week 4 and Week 8. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Remission at Week 12
Remission was defined as a composite score of patient-reported symptoms using daily e-diary and centrally read endoscopy as stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline, rectal bleeding sub-score of 0 and endoscopic sub-score of 0 or 1 (modified, excluded friability). The composite score was a recommended measure consisted of the Mayo score without the physician global assessment (PGA) sub-score and ranged from 0 to 9 points. The Mayo score was a measure of Ulcerative Colitis (UC) disease activity. It ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease. The sub-scores were stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Secondary outcomes (23)
Number of Participants With Endoscopic Remission at Week 12
Endoscopic remission was defined by centrally read endoscopic sub-score 0 or 1 (modified, excluded friability). The centrally read endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease.
Measured: At Week 12
Number of Participants With Clinical Remission at Week 12
Clinical remission was defined by stool frequency (SF) sub-score of 0 or 1 with at least a 1-point change from baseline in stool frequency sub-score, and rectal bleeding sub-score of 0. Rectal bleeding is assessed on a scale from 0-3, where 0: no blood seen, 1: streaks of blood with stool less than half time, 2: obvious blood or streaks of blood with stool most of the time, and 3: blood alone passes. Stool frequency is assessed on a scale from 0-3, where 0: normal number of stools for this participant, 1: 1 to 2 stools more than normal, 2: 3 to 4 stools more than normal, and 3: 5 or more stools more than normal. Higher scores indicated more severe disease.
Measured: At Week 12
Number of Participants With Clinical Response Based on Composite Score at Week 12
Clinical response based on composite score was defined as a decrease from baseline in the composite score of patient-reported symptoms using daily e-diary and centrally read endoscopy of at least 2 points and at least 30 percent (%), with an accompanying decrease in the sub-score for rectal bleeding greater than or equal to (>=) 1 point or a sub-score for rectal bleeding less than or equal to (<=) 1. The composite score was a recommended measure derived from the Mayo score without the PGA sub-score and ranged from 0 to 9 points. The Mayo score was a measure of UC disease activity. It ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease The sub-scores were stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Number of Participants With Mucosal Healing Based on Endoscopic and Histological Assessment Using the Geboes Score Grading System at Week 12
Mucosal healing was defined by centrally read endoscopic sub-score 0 or 1 (modified, excluded friability) and centrally read Geboes score of <=2. The centrally read endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease. Geboes score grading system was a validated score for evaluating histologic disease activity in UC as follows: Grade 0 equal to (=) structural and architectural changes; Grade 1 = chronic inflammatory infiltrate; Grade 2 = lamina propria neutrophils and eosinophils; Grade 3 = neutrophils in the epithelium; Grade 4 = crypt destruction; Grade 5 = erosions or ulceration. A higher Geboes score indicating more severe disease.
Measured: At Week 12
Number of Participants With Remission Based on Total Mayo Score at Week 12
Remission was defined as a total Mayo score of <=2 with no individual sub-score (stool frequency, rectal bleeding, endoscopy [modified, excluded friability], and PGA) exceeding 1. The Total Mayo score ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease: stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Number of Participants With Clinical Response Based on Total Mayo Score at Week 12
Clinical response (Mayo) was defined as a decrease from baseline in the total Mayo score of at least 3 points and at least 30%, with an accompanying decrease in the sub-score for rectal bleeding >=1 point or an absolute sub-score for rectal bleeding <=1. The Total Mayo score ranged from 0 to 12 points and consisted of the following 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease: stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Number of Participants With Partial Mayo Score <=2 With no Individual Sub-score Greater Than (>) 1 at Weeks 4, 8, and 12
The partial Mayo score ranged from 0 to 9 points and consisted of the following 3 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease: Stool frequency (0-3); Rectal bleeding (0-3); PGA (0-3). The partial Mayo score did not include the endoscopy sub-score.
Measured: At Weeks 4, 8, and 12
Number of Participants With Clinical Remission With Stool Frequency Sub-scores of 0 or 1 and Rectal Bleeding Sub-score of 0 at Weeks 4 and 8
Clinical remission was defined as stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline in stool frequency sub-score, and a rectal bleeding sub-score of 0. Rectal bleeding was assessed on a scale from 0-3, where 0: no blood seen, 1: streaks of blood with stool less than half time, 2: obvious blood or streaks of blood with stool most of the time, and 3: blood alone passes. Stool frequency was assessed on a scale from 0-3, where 0: normal number of stools for this participant, 1: 1 to 2 stools more than normal, 2: 3 to 4 stools more than normal, and 3: 5 or more stools more than normal. Higher scores indicated more severe disease
Measured: At Weeks 4 and 8
Number of Participants With Endoscopic Remission With Sub-score of 0 at Week 12
Endoscopic remission was defined by centrally read endoscopic sub-score 0 (modified, excluded friability). The centrally read endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease.
Measured: At Week 12
Number of Participants With Clinical Remission With Both Rectal Bleeding and Stool Frequency Sub-scores of 0 at Weeks 4, 8, and 12
Clinical remission was defined as both rectal bleeding and stool frequency sub-scores of 0. Rectal bleeding was assessed on a scale from 0-3, where 0: no blood seen, 1: streaks of blood with stool less than half time, 2: obvious blood or streaks of blood with stool most of the time, and 3: blood alone passes. Stool frequency was assessed on a scale from 0-3, where 0: normal number of stools for this participant, 1: 1 to 2 stools more than normal, 2: 3 to 4 stools more than normal, and 3: 5 or more stools more than normal. Higher scores indicated more severe disease.
Measured: At Weeks 4, 8, and 12
Number of Participants With Deep Remission at Week 12
Deep remission was defined as both endoscopic and rectal bleeding sub-scores of 0, and stool frequency sub-score <=1 and a centrally read Geboes score of <=2. The stool frequency sub-score, rectal bleeding sub-score and endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease. The composite score was a recommended measure consisted of the Mayo score without the PGA sub-score and ranged from 0 to 9 points. Geboes score grading system was a validated score for evaluating histologic disease activity in UC as follows: Grade 0 = structural and architectural changes; Grade 1 = chronic inflammatory infiltrate; Grade 2 = lamina propria neutrophils and eosinophils; Grade 3 = neutrophils in the epithelium; Grade 4 = crypt destruction; Grade 5 = erosions or ulceration. A higher Geboes score indicating more severe disease.
Measured: At Week 12
Change From Baseline in Average Worst Abdominal Pain Score Based on Patient Reported Outcome-ulcerative Colitis (PRO-UC) Daily e-Diary at Week 12
PRO-UC daily e-diary data was collected using a daily e-diary during the treatment period. Collection of the daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data of abdominal pain worst severity, as experienced over the previous 24 hours, in the e-diary. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or non-consecutive) of the last 10 days prior to scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Abdominal pain's worst severity assessment was based on an 11-point numerical rating scale with 0 anchor at "No pain" and 10 at "Worst Imaginable Pain" as experienced over the previous 24 hours, in e-diary. Higher scores indicating more severe pain.
Measured: Baseline, Week 12
Change From Baseline in Diarrhea (Average Loose Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC daily e-diary data was collected using a daily e-diary during the treatment period. Collection of the daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for number of loose bowel movement, as experienced over the previous 24 hours, in the e-diary. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number of loose bowel movement ranged from 0-27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Average Bowel Movements With Urgency Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC daily e-diary data was collected using a daily e-diary during the treatment period. Collection of the daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for number of bowel movement with urgency, as experienced over the previous 24 hours. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number bowel movements urgency ranged from 0 to 27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Absolute Stool Frequency (Average Number of Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC daily e-diary data was collected using a daily e-diary during the treatment period. Collection of the daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for average number of bowel movements, as experienced over the previous 24 hours. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number bowel movements ranged from 0 to 27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Absolute Rectal Bleeding (Average Number Bowel Movements With Blood) Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC daily e-diary data was collected using a daily e-diary during the treatment period. Collection of the daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for average number of bowel movements with blood, as experienced over the previous 24 hours. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number bowel movements with blood ranged from 0 to 27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Total Sign/Symptom Score Based on PRO-UC Daily e-Diary at Week 12
Total sign/symptom score was the average of the average scores of worst abdominal pain over the past 24 hours and the conversion scale values for number of bowel movements blood, number of bowel movements with urgency, number of bowel movements and number of loose bowel movements, with scale ranged of 0-10, with higher scores indicating higher severity.
Measured: Baseline, Week 12
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Domains Scores at Weeks 8 and 12
IBDQ was a psychometrically validated participant-reported outcome (PRO) instrument for measuring the disease-specific health-related quality of life (HRQL) in participants with inflammatory bowel disease, including UC. The IBDQ consisted of 32 items, which were grouped into 4 domains: bowel function, emotional status, systemic symptoms, and social function The 4 domains were scored as follows: Bowel symptoms: 10 to 70; Systemic symptoms: 5 to 35; Emotional function: 12 to 84; Social function: 5 to 35. Higher scores indicating a better quality of life.
Measured: Baseline, Weeks 8 and 12
Change From Baseline in IBDQ Total Scores at Weeks 8 and 12
IBDQ was a psychometrically validated PRO instrument for measuring the disease-specific HRQL in participants with inflammatory bowel disease, included UC. The IBDQ consisted of 32 items, which were grouped into 4 domains: bowel function, emotional status, systemic symptoms, and social function. The 4 domains were scored as follows: Bowel symptoms: 10 to 70; Systemic symptoms: 5 to 35; Emotional function: 12 to 84; Social function: 5 to 35. The total IBDQ score ranged from 32 to 224. For the total score and each domain, a higher score indicating better HRQL. A score of at least 170 corresponds to clinical remission and an increase of at least 16 points was considered to indicate a clinically meaningful improvement.
Measured: Baseline, Weeks 8 and 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Week 12
SF-36 was a generic quality-of-life instrument that had been widely used to assess health-related quality of life (HRQL) of participants). SF-36 consisted of 36 items that were aggregated into 8 multi-item scales (physical functioning [1=yes, limited a lot to 3=no, not limited at all], role-physical [1=all of the time to 5=none of the time], bodily pain [1=very severe to 6=none], general health [1=poor to 5=excellent], vitality [1=none of the time to 5=all of the time], social functioning [1=all of the time: to 5=none of the time], role emotional [1=all of the time to 5=none of the time] and mental health [1=all of the time to 5=none of the time]). Four domains comprised physical component summary (PCS) score (physical functioning, role-physical, bodily pain, general health) and remaining 4 domains comprised mental component summary (MCS) score (vitality, social functioning, role-emotional, mental health). The scores ranged from 0 to 100. Higher scores indicating better HRQL.
Measured: Baseline, Week 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Individual Domain Scores) at Week 12
SF-36 was a generic quality-of-life instrument that had been widely used to assess HRQL of participants. The SF-36 consisted of 36 items that were aggregated into 8 multi-item scales (physical functioning [1=yes, limited a lot to 3=no, not limited at all], role-physical [1=all of the time to 5=none of the time], bodily pain [1=very severe to 6=none], general health [1=poor to 5=excellent], vitality [1=none of the time to 5=all of the time], social functioning [1=all of the time: to 5=none of the time], role emotional [1=all of the time to 5=none of the time] and mental health [1=all of the time to 5=none of the time]), with scores ranged from 0 to 100. Higher scores indicating better HRQL.
Measured: Baseline, Week 12
Number of Participants Based on In-patient Hospitalization
Number of participants based on inpatient hospitalization due to all-cause hospitalization, gastrointestinal related, other illness/problem, and who had undergone gastrointestinal related procedures during the entire study period was reported.
Measured: Baseline up to Week 12
Median Duration of Total In-patient Days
In-patient days were calculated as Date of discharge - Date of admission + 1. Median duration of total inpatient days during the entire study period was reported.
Measured: Baseline up to Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Aug 2017
- Study start9 Feb 2018
- Primary completion22 Jul 2020
- Study completion23 Oct 2020
Why it stopped: Sponsor decision to discontinue the SHP647 (ontamalimab) clinical trial development program for inflammatory bowel diseases (IBD) early.
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.
- Other trials for Ulcerative ColitisStudies of the same condition, open and under way.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 380 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Shire
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03259334
- Sponsor's protocol ID
- SHP647-301
- Other IDs
- 2017-000599-27, 2017
- Acronym
- FIGARO UC 301
- Status last verified
- Jun 2021
- First submitted
- 21 Aug 2017
- Last updated
- 14 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Study of SHP647 as Induction Therapy in Subjects With Moderate to Severe Ulcerative Colitis (FIGARO UC 301)
- ClinicalTrials.gov ID
- NCT03259334
- Acronym / sponsor ID
- FIGARO UC 301 / SHP647-301
- Conditions
- Ulcerative Colitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor decision to discontinue the SHP647 (ontamalimab) clinical trial development program for inflammatory bowel diseases (IBD) early.
- Enrolment
- 380 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 9 Feb 2018 (actual)
- Primary completion
- 22 Jul 2020 (actual)
- Study completion
- 23 Oct 2020 (actual)
- First posted
- 23 Aug 2017 (actual)
- Results
- Posted 7 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy of SHP647 in inducing remission, based on composite score of participant-reported symptoms and centrally read endoscopy, in participants with moderate to severe ulcerative colitis (UC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Ontamalimab 25 mg | Experimental | Drug: OntamalimabParticipants will receive 25 milligrams (mg) of ontamalimab (SHP647) subcutaneous (SC) injection using a prefilled syringe (PFS) on Week 0, Week 4 and Week 8. |
| Ontamalimab 75 mg | Experimental | Drug: OntamalimabParticipants will receive 75 mg of ontamalimab (SHP647) SC injection using PFS on Week 0, Week 4 and Week 8. |
| Placebo | Placebo comparator | Other: PlaceboParticipants will receive placebo matched to ontamalimab (SHP647) SC injection using PFS on Week 0, Week 4 and Week 8. |
Who may qualify
- Ages
- 16 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (13 listed)
- Participants and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
- Participants must be able to voluntarily provide written, signed, and dated informed consent and/or assent, as applicable, to participate in the study.
- Participants must be between greater than or equal to (>=)16 and <=80 years of age at the time of the signing of the informed consent/assent form.
- Participants less than (<) 18 years of age must weigh >=40 kg and must have body mass index (BMI) >=16.5 kilogram per square meter (kg/m^2).
- Participants must have a documented diagnosis of UC for >=3 months before screening. The following must be available in each participant's source documentation:
Key exclusion criteria (60 listed)
- Participants with indeterminate colitis, microscopic colitis, non-steroidal anti-inflammatory drug-induced colitis, ischemic colitis, infectious colitis, or clinical/histologic findings suggestive of Crohn's disease.
- Participants with colonic dysplasia or neoplasia. (Participants with prior history of adenomatous polyps will be eligible if the polyps have been completely removed.)
- Participants with past medical history or presence of toxic megacolon.
- Participants with colonic stricture, past medical history of colonic resection, a history of bowel surgery within 6 months before screening, or who are likely to require surgery for UC during the treatment period.
- Participants at risk for colorectal cancer must have a colonoscopy performed during the screening period with results available within 10 days before the baseline visit, unless the participant has had a surveillance colonoscopy performed within 1 year prior to screening, and any adenomatous polyps found at that examination have been excised. Colonoscopy report and pathology report (if biopsies are obtained) from the colonoscopy performed during screening or in the prior year confirming no evidence of dysplasia and colon cancer must be available in the source documents.
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 |
|---|---|---|
| OntamalimabAlso: PF-00547659, SHP647Participants will receive 1 mL of SHP647 sterile aqueous buffered solution at an appropriate concentration to provide the intended dose of drug (25 or 75 mg). | Drug | Ontamalimab 25 mg, Ontamalimab 75 mg |
| PlaceboParticipants will receive 1 mL of sterile aqueous buffered solution. | Other | Placebo |
Primary outcome
Number of Participants With Remission at Week 12
Time frame: At Week 12
Remission was defined as a composite score of patient-reported symptoms using daily e-diary and centrally read endoscopy as stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline, rectal bleeding sub-score of 0 and endoscopic sub-score of 0 or 1 (modified, excluded friability). The composite score was a recommended measure consisted of the Mayo score without the physician global assessment (PGA) sub-score and ranged from 0 to 9 points. The Mayo score was a measure of Ulcerative Colitis (UC) disease activity. It ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease. The sub-scores were stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
23 secondary outcomes
Number of Participants With Endoscopic Remission at Week 12
Time frame: At Week 12
Number of Participants With Clinical Remission at Week 12
Time frame: At Week 12
Number of Participants With Clinical Response Based on Composite Score at Week 12
Time frame: At Week 12
Number of Participants With Mucosal Healing Based on Endoscopic and Histological Assessment Using the Geboes Score Grading System at Week 12
Time frame: At Week 12
Number of Participants With Remission Based on Total Mayo Score at Week 12
Time frame: At Week 12
Number of Participants With Clinical Response Based on Total Mayo Score at Week 12
Time frame: At Week 12
Number of Participants With Partial Mayo Score <=2 With no Individual Sub-score Greater Than (>) 1 at Weeks 4, 8, and 12
Time frame: At Weeks 4, 8, and 12
Number of Participants With Clinical Remission With Stool Frequency Sub-scores of 0 or 1 and Rectal Bleeding Sub-score of 0 at Weeks 4 and 8
Time frame: At Weeks 4 and 8
Number of Participants With Endoscopic Remission With Sub-score of 0 at Week 12
Time frame: At Week 12
Number of Participants With Clinical Remission With Both Rectal Bleeding and Stool Frequency Sub-scores of 0 at Weeks 4, 8, and 12
Time frame: At Weeks 4, 8, and 12
Number of Participants With Deep Remission at Week 12
Time frame: At Week 12
Change From Baseline in Average Worst Abdominal Pain Score Based on Patient Reported Outcome-ulcerative Colitis (PRO-UC) Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Diarrhea (Average Loose Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Average Bowel Movements With Urgency Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Absolute Stool Frequency (Average Number of Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Absolute Rectal Bleeding (Average Number Bowel Movements With Blood) Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Total Sign/Symptom Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Domains Scores at Weeks 8 and 12
Time frame: Baseline, Weeks 8 and 12
Change From Baseline in IBDQ Total Scores at Weeks 8 and 12
Time frame: Baseline, Weeks 8 and 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Individual Domain Scores) at Week 12
Time frame: Baseline, Week 12
Number of Participants Based on In-patient Hospitalization
Time frame: Baseline up to Week 12
Median Duration of Total In-patient Days
Time frame: Baseline up to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain more information on the study, click here/on this linkLink provided by the sponsor.
Related trials for Ulcerative Colitis
Not yet recruitingPhase 1
An Open-label, DDI Study to Investigate the Effects of Duvakitug on the PK of Selected Cytochrome P450 Substrates
Ulcerative Colitis, Crohn's Disease
RecruitingObservational study
Longitudinal Immunophenotyping of Patients With Inflammatory Bowel Disease
Inflammatory Bowel Disease, Crohn's Disease
RecruitingObservational study
Ibd CAncer and seRious Infections in France (I-CARE 2)
IBD, Ulcerative Colitis
RecruitingObservational study
Characterization of Colorectal Dysplasic Lesions and Stratification of Their Evolving Risk in Inflammatory Bowel Disease Patients: a Prospective, Observational and Multicenter Study
Crohn Disease (CD), Colitis Ulcerative
Enrolling by invitationPhase 4
MOdel-Informed Precision Dosing of Ustekinumab and VEdolizumab in Inflammatory Bowel Disease
Inflammatory Bowel Diseases, Crohn Disease
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.
Study Director study director
Shire
207 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ontamalimab in people with Ulcerative Colitis, run by Shire at 207 sites in 18 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 13 inclusion and 60 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: stopped early, as of the sponsor's last update on 14 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 207 sites in United States, Poland, Russia, Japan, Italy and 13 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 May 2021). 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 Remission at Week 12 (time frame: At Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Jun 2021.