Colitis, UlcerativePhase 2NCT03844932
A Study Evaluating the Efficacy and Safety of ST-0529 in Subjects With Moderately to Severely Active Ulcerative Colitis
A Phase 2 study testing ST-0529 in people with Colitis, Ulcerative, run by Sublimity Therapeutics Holdco Limited at 89 sites in 17 countries.
Trial summary
Study CYC-202 is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of ST-0529 in subjects with moderately to severely active UC, defined as a score of 5 to 9 on the 3-Component Adapted Mayo Score (comprised of rectal bleeding, stool frequency and… 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?
- ST-0529
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 235 participants
- Where
- 89 sitesin 17 countries
- Study dates
- 24 Jan 2019to 14 Apr 2021
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 and female adult subjects 18 to 75 years old, inclusive.
- Willing to provide written informed consent and to be compliant with the schedule of study visits and protocol assessments.
- Diagnosis of UC established at least 3 months prior to the Baseline visit, by clinical and endoscopic evidence (colonoscopy or flexible sigmoidoscopy)
- Moderately to severely active UC defined as the 3-Component Adapted Mayo Score of 5-9, inclusive, with an endoscopic sub-score of ≥ 2 (from central reading), and a rectal bleeding sub-score of ≥ 1, as determined 10 days (± 3 days) prior to Baseline.
- Evidence of active UC, confirmed histologically (from local read), extending proximal to the rectum with ≥ 15 cm of involved colon.
- At Screening, a colonoscopy will be required if the subject has had extensive colitis or pancolitis of > 8 years duration or left-sided colitis of > 12 years duration but has not had a colonoscopy within 1 year of the initial screening date. If the subject has had a colonoscopy within 1 year of the initial screening date, a flexible sigmoidoscopy may be used.
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- Subjects presenting at Screening with moderately to severely active UC demonstrating an inadequate response or loss of response or intolerance/medical contraindication to at least one of the following conventional therapies for UC:
- Corticosteroids:
- Signs and symptoms of active disease despite treatment with an adequate dose (e.g., prednisolone > 40 mg/day or equivalent) over a period of 4 weeks for oral therapy or intravenously (IV) for up to 1 week or ≥ 9 mg/day oral budesonide;
- OR
- Unable to reduce corticosteroids below the equivalent of prednisolone 10 mg daily orally within 3 months of starting steroids or having experienced a relapse within 3 months of stopping steroids;
- OR
- History of, or current intolerance to corticosteroids (including, but not limited to Cushing's syndrome, osteopenia/osteoporosis, hyperglycemia, insomnia, infection).
- Immunomodulators:
- Signs and symptoms of active disease despite at least 3 months of treatment with a sufficient dose (oral azathioprine ≥ 1.5 mg/kg or 6-mercaptopurine [6-MP] ≥ 0.75 mg/kg);
- OR
- History of, or current dose-limiting toxicity associated with use of the agent (e.g., but not limited to nausea/vomiting, abdominal pain, pancreatitis, liver function test [LFT] abnormalities, lymphopenia, TPMT genetic mutation, infection).
- Anti-tumor necrosis factor (anti-TNF) agents:
- Signs and symptoms of active disease despite treatment with a single anti-TNF agent. Treatment failure is defined as a relapse after an initial response to therapy as follows:
- Infliximab: At least 4 infusions of at least 5 mg/kg within a 14-week timeframe for induction and maintenance;
- Adalimumab: Induction regimen incorporating 160 mg at Week 0 (four 40 mg injections in one day or two 40 mg injections per day for two consecutive days) and 80 mg at Week 2, followed by maintenance treatment of 40 mg every other week up to at least Week 8;
- Golimumab: Induction regimen incorporating 200 mg subcutaneous (sc) injection at Week 0, followed by 100 mg at Week 2 and then maintenance treatment of 50 mg or 100 mg (weight dependent) every 4 weeks after completion of the induction regimen up to at least Week 12;
- OR
- History of, or current intolerance (with an initial response), defined as the presence of clinically significant side-effects, including infusion-related hypersensitivity.
- Vedolizumab:
- Signs and symptoms of active disease despite a history of at least one induction regimen, defined as at least a 14-week (10 weeks in the EU) induction consisting of 300 mg IV at Weeks 0, 2 and 6.
- OR
- History of intolerance to vedolizumab including, but not limited to, serious infections, hepatotoxicity, heart failure, allergic reactions, or any other condition that contributed to discontinuation of the agent.
- Subjects receiving oral corticosteroids for the treatment of UC must be on a stable dose of ≤ 40 mg/day (prednisolone or equivalent), or ≤ 9 mg/day budesonide. This dose must be stable from the initial Screening visit until 1 week after the initiation of study treatment.
- Subjects receiving oral 5-ASA must be on a stable dose from the initial Screening visit until the end of the study.
- Subjects willing to cease the use of any therapeutic enema or suppository or foams, other than that required in preparation for study-mandated colonoscopy/flexible sigmoidoscopies, from the initial Screening visit until the end of the study.
- Subjects willing to cease use of azathioprine or 6-MP from the initial Screening visit until the end of the study.
- Negative serum pregnancy test in females of childbearing potential at Screening.
- If female and of childbearing potential, must agree to be sexually abstinent or use one of the following highly effective methods of birth control from the initial Screening visit until 30 days after the last dose of study drug is administered:
- Hormonal contraceptives (e.g., combined oral contraceptives, patch, vaginal ring, injectables, and implants);
- Intrauterine contraceptive system;
- Surgical sterilization or partner sterile (must have documented proof);
- AND
- One of the following effective methods of birth control:
- Male/female condom;
- Cervical cap with spermicide;
- Diaphragm with spermicide;
- Contraceptive sponge.
- Male subjects must be either surgically sterile (must have documented proof), agree to be sexually inactive or use a double-barrier method of birth control (e.g., condom and diaphragm with spermicide, condom with cervical cap and spermicide) from first study drug administration until 90 days after final drug administration.
Who cannot join
- If a subject has any of the following criteria, they will be excluded from the study:
- Subjects without previous treatment for UC.
- Ulcerative colitis limited to rectum (ulcerative proctitis).
- Evidence of acute severe colitis with toxic megacolon, abdominal abscess, bowel stricture or bowel perforation.
- A diagnosis of Crohn's colitis, colitis yet to be classified, ischemic colitis, NSAID-induced colitis, idiopathic colitis (i.e., colitis not consistent with UC) or radiation colitis.
- Subjects with evidence of pathogenic bowel infection (Clostridium difficile, Escherichia coli, Salmonella, Shigella or Campylobacter).
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- Previous surgery for UC or, in the opinion of the Investigator, will likely require surgery for UC during the study.
- Any histological evidence of mucosal dysplasia.
- Subjects with a current or recent history of severe, progressive or uncontrolled cardiac (including uncontrolled hypertension), renal, hepatic, hematological, gastrointestinal, metabolic, endocrine, pulmonary, cardiac or neurological (e.g., history of seizures) disease, abnormal magnesium or potassium levels, hypocholesterolemia, or any other severe co-morbidity that, in the opinion of the Investigator, could confound the study results or put the study subject at unreasonable risk.
- Malignancies or history of malignancy within 5 years of the initial Screening visit, with the exception of adequately treated or excised non-metastatic basal cell carcinoma or squamous cell carcinoma of the skin.
- Any of the following laboratory abnormalities during the screening period - if values are initially outside the prescribed limits, the evaluation may be repeated once within the screening period to determine eligibility:
- Hemoglobin level < 8.0 g/dL
- Absolute WBC count < 3.0 × 10^9/L
- Absolute Lymphocyte count < 0.5 × 10^9/L
- Absolute neutrophil count < 1.2 × 10^9/L
- Platelet count < 100 × 10^9/L or >1200 × 10^9/L
- ALT or AST > 2.0 × ULN
- Alkaline phosphatase > 2.0 × ULN
- Serum creatinine > 1.5 × ULN
- Bilirubin > 1.5 × ULN
- Subjects with active TB infection or known history of prior treated or untreated TB infection.
- Subject with a positive serology test result for HIV (HIV type 1 or type 2).
- Subject with a positive serology test result for active HBV or HCV infection.
- Treatment with biologic agents for UC within 56 days or 5 half-lives (whichever is greater) prior to the Baseline visit.
- Treatment with any calcineurin inhibitor (e.g. cyclosporine or tacrolimus) within 28 days prior to the Baseline visit.
- Treatment with methotrexate or JAK inhibitors (e.g. tofacitinib) from the initial Screening visit until the end of the study.
- Initiation of treatment with an oral or IV corticosteroid from the initial Screening visit until the end of the study.
- Use of any strong inhibitors of CYP enzymes (e.g., cimetidine, fluoxetine, quinidine, erythromycin, ciprofloxacin, fluconazole, ketoconazole, diltiazem, grapefruit juice and HIV antivirals) within 14 days prior to the Baseline visit.
- Use of strong or moderate P-gp inhibitors (e.g., amiodarone, azithromycin, clarithromycin, itraconazole, ketoconazole, dronedarone, lapatinib, quinidine, ranolazine, verapamil) within 14 days prior to the Baseline visit.
- Use of any herbal medication for the treatment of UC or which might interfere with CYP enzymes within 14 days prior to the Baseline visit.
- Subjects vaccinated with a live or live-attenuated vaccine within 14 days of the Baseline visit, or planned vaccination during conduct of the study.
- Subjects with a QTcF of > 450 ms for males and > 470 ms for females at Screening.
- A history of risk factors for Torsades de pointes (e.g., history of heart failure, hypokalemia, family history of Long QT Syndrome).
- Known hypersensitivity to cyclosporine or any excipients contained in ST-0529.
- History of alcohol or drug abuse in the year prior to the initial Screening visit.
- Subjects currently breast feeding, pregnant, or unwilling to delay initiation of breast feeding for at least 90 days after the last dose of study drug is administered.
- Participation in another clinical trial and having received investigational medication within 30 days or within 5 half-lives (whichever is longer) prior to the Baseline visit, or concurrent participation in another clinical trial.
- Subjects who, in the opinion of the Investigator, are unsuitable for inclusion in the study.
Trial locations and contacts
89 sites in 17 countries.
89 sites in 17 countries
Ukraine14 sites
Chernivtsi Regional Clinical Hospital
Chernivtsi, 58001
Ivano-Frankivsk National Medical University, Regional Clinical Hospital
Ivano-Frankivsk, 76008
Kharkiv City Clinical Hospital No 2 n.a. prof. O.O.Shalimov
Kharkiv, 61037
Kiev City Clinical Hospital No. 1
Kiev, 2091
Communal Institution of Kyiv Regional Council "Kyiv Regional Clinical Hospital"
Kyiv, 04107
Ukrainian-German Gastroenterology Center "BYK-Kyiv"
Kyiv, 1030
Volyn Regional Clinical Hospital
Lutsk, 43000
Communal Nonprofit Enterprise "Lviv Clinical Emergency Care Hospital"
Lviv, 79059
Communal Nonprofit Entreprise, "Lviv Clinical Emergency Care Hospital", 1st Therapeutic Dpt
Lviv, 79059
Communal Nonprofit Enterprise "Odesa Regional Clinical Hospital"
Odesa, 65025
Communal Nonprofit Enterprise "Ternopil University Hospital" of Ternopil Regional Council
Ternopil, 46002
Municipal Institution "Uzhhorod Central District Hospital"
Uzhhorod, 88009
Medical Center "Health Clinic"
Vinnytsia, 21000
Communal Non-profit Enterprise "Vinnytsia City Clinical Hospital #1"
Vinnytsia, 21029
Russia10 sites
Federal State Center of Coloproctology
Moscow, 123423
LLC Medical center Healthy family
Novosibirsk, 630099
Military Medical Academy
Saint Petersburg, 191 124
North-Western State Medical University n.a. I.I.Mechnikov
Saint Petersburg, 191015
Saint-Petersburg State Medical Academy n.a. I.I. Mechnikov of Federal Agency of Healthcare & Social Development
Saint Petersburg, 195067
Scientific Research Center Eco-Safety LLC
Saint Petersburg, 196143
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, 197022
Non state Public Health Institution "Railway clinical hospital on station Samara" of joint stock company Russian railways
Samara, 403029
Saratov State Medical University
Saratov, 410054
Siberia State Medical University
Tomsk, 630055
Germany9 sites
Medizinische Klinik für Gastroenterologie, Infektiologie, Rheumatologie charite
Berlin, 12203
Krankenhaus Walfriede, Akademisches Lehrkrankenhaus der Charite
Berlin, 14163
Klinik für Gastroenterologie, Pulmologie und allg. lnnere Medizin
Cologne, 5103
Agaplesion Markus Krankenhaus Medizinischen Klinik I, Gastroenterologie, Hepatologie, Onkologie, lnfektiologie
Frankfurt, 60431
Universitatsklinikum Freiburg, Medizinische Klinik
Freiburg im Breisgau, 79106
Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Zentrym für Innere Medizin
Hanover, 30625
Eugastro GmbH
Leipzig, Saxony, 4103
Universität Leipzig, Klinik f. Gastroenterologie und Rheumatologie
Leipzig, 4103
Gastroenterologische Gemeinschaftspraxis Minden
Minden, 32123
United States8 sites
University of Chicago
Chicago, Illinois, 60637
AGA Clinical Reasearch Associates, LLC
Egg Harbor, New Jersey, 08234
Baylor College of Medicine
Houston, Texas, 77030
Biopharma Informatic, LLC.
Houston, Texas, 77084
Advanced Research Institute
Largo, Florida, 33377
Advanced Research Institute, Inc.
New Port Richey, Florida, 34653
Endoscopic Research Inc
Orlando, Florida, 32803
Palmtree Clinical Research Inc
Palm Springs, California, 92262
United Kingdom7 sites
Barnsley Hospital NHS Foundation Trust
Barnsley, Yorkshire, S75 2EP
South Eastern Health & Social Care Trust, Ulster Hospital
Belfast, Co Antrim, BT161RH
Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust
Birmingham, Warwickshire, B15 2TH
Addenbrooke's Hospital
Cambridge, Cambridgeshire, CB2 0QQ
Royal Liverpool & Broadgreen University Hospitals NHS Trust
Liverpool, Merseyside, L7 8XP
University College London Hospital NHS Foundation Trust
London, NWI 2BU
King's College Hospital NHS Foundation Trust
London, SE59RS
Poland6 sites
Centrum Opieki Zdrowotnej Orkan-med
Ksawerów, 95-054
Oddział Kliniczny Gastroenterologii Ogólnej i Onkologicznej SPZOZ Uniwersytecki Szpital Kliniczny nr 1 im. Norberta Barlickiego UM
Lodz, 90-153
Medicome Sp. z o.o.
Oświęcim, 32600
Centrum Medyczne Medyk
Rzeszów, 35-526
Endoskopia sp. z o.o.
Sopot, 81-756
WIP Warsaw IBD Point Profesor Kierkus
Warsaw, 00-728
Italy5 sites
Humanitas Research Hospital, IBD Center
Milan, 20089
A.0.U. di Modena - Policlinico S.C. di Gastroenterologia
Modena, 41124
Fondazione IRCCS Policlinico San Matteo - Medicina Generale I
Pavia, 27100
ASST Rhodense - Ospedale di Rho
Rho, 20017
Fondazione Casa Sollievo della Sofferenza
San Giovanni Rotondo, 71013
France4 sites
CHU Amiens Picardie - Service Hépato-Gastroentérologie
Amiens, 80054
CHU DE MONTPELLIER - Hôpital St ELOI
Montpellier, 34295
CHU de Saint-Etienne - Service de Gastro-Entérologie-Hépatologie
Saint-Etienne, 42055
Hôpital de Brabois Service d'Hépato-Gastro-Entérologie
Vandœuvre-lès-Nancy, 54511
Hungary4 sites
DRC Gyógyszervizsgáló Központ Kft.
Balatonfüred, 8230
Semmelweis University
Budapest, 1088
Semmelweis University, AOK Varosmajori Sziv- es Ergyogyaszati Klinika,
Budapest, H-1031
Bugat Pal Hospital
Gyöngyös, 3200
Israel4 sites
Gastroenterology Institute, Emek Medical Center
Afula, 1834111
Barzilai Medical Center
Ashkelon, 7830604
Clalit Health Services Jerusalem
Jerusalem, 9362410
Institute of Gastroenterology, Meir Medical Center
Kfar Saba, 4428164
Serbia4 sites
Clinical Center Zvezdara
Belgrade, 11000
Clinical Hospital Center "Dr Dragisa Misovic-Dedinje"
Belgrade, 11000
Clinical-Hospital Centre Bezanijska Kosa - Gastroenterology Department
Belgrade, 11080
Clinical Center Kragujevac
Kragujevac, 34000
Belarus3 sites
Grodno Regional Clinical Hospital
Grodno, 230017
Gomel Regional Clinical Hospital
Homyel, 246 029
City Clinical Emergency Hospital
Minsk, 220024
Bulgaria3 sites
MedConsult Pleven
Pleven, 5800
Medical Center Asklepion
Sofia, 1303
UMBAL Tsaritsa Joanna ISUL
Sofia, 1527
Romania3 sites
MedLife Grivita
Bucharest, 010719
Colentina Clinical Hospital
Bucharest, 020125
University Hospital Bucharest
Bucharest, 050098
Canada2 sites
Dalhousie University - Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, B3H 2Y9
London Health Sciences Centre
London, Ontario, N6A 5W9
Ireland2 sites
Mater Misericordiae University Hospital
Dublin, D07 RX49
St. James's Hospital
Dublin
About this study
Official title: A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of ST-0529 in Subjects With Moderately to Severely Active Ulcerative Colitis
Study CYC-202 is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of ST-0529 in subjects with moderately to severely active UC, defined as a score of 5 to 9 on the 3-Component Adapted Mayo Score (comprised of rectal bleeding, stool frequency and endoscopy sub-scores; score range 0-9).
Read the detailed description
The study consists of a Screening period, Treatment period and Follow-up. The Screening period is comprised of two separate in-clinic visits, SV1 and SV2. At the initial Screening visit (SV1), subjects will be required to provide written informed consent to participate in the study and will then be assessed for eligibility. Electronic diaries will be provided to subjects at this visit to use for the duration of the study in order to record information relating to their UC disease. Subjects will return to the clinic for their Screening endoscopic assessment (SV2). Ulcerative colitis disease activity for eligibility will be assessed using the 3-Component Adapted Mayo Score. Upon successful completion of the Screening period, subjects will return to the clinic for their Baseline visit.
During the Treatment period, subjects will be evaluated in the clinic at Baseline (Day 1), Week 2, Week 4, Week 8, and Week 12 (End of Treatment Period). At Week 6 and Week 10, subjects will be contacted by telephone to assess Adverse Events (AEs), concomitant medication usage and study drug regimen adherence.
Subjects who complete the 12-week Treatment period will attend the Week 16 End of Study (EOS) visit. Subjects who discontinue study drug and withdraw or are withdrawn from the study before the Week 12 visit will be requested to return to the clinic as soon as possible to complete an Early Termination (ET) visit.
- Conditions
- Colitis, Ulcerative
- Being tested
- ST-0529
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ST-0529Drug
Also called cyclosporine
ST-0529 utilizes SmPill® technology to encapsulate the otherwise insoluble cyclosporine in a presolubilized, lipid-based formulation.
| Study group | Role | What they receive |
|---|---|---|
| ST-0529 18.75 mg* | Experimental | ST-0529: 18.75 mg orally twice daily (BID)
*Jan 2021 update: following the IDMC recommendation, this arm has been dropped Receives: Drug: ST-0529 |
| ST-0529 37.5 mg* | Experimental | ST-0529: 37.5 mg orally twice daily (BID)
*Jan 2021 update: following the IDMC recommendation, this arm has been dropped Receives: Drug: ST-0529 |
| ST-0529 75 mg | Experimental | ST-0529: 75 mg orally twice daily (BID) Receives: Drug: ST-0529 |
| Matching Placebo | Placebo comparator | Placebo: matching placebo orally twice daily (BID) Receives: Drug: ST-0529 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical Remission at Week 12
Stool frequency sub-score of ≤ 1 associated with a decrease ≥ 1 point from baseline, rectal bleeding sub-score of 0, and an endoscopic sub-score of ≤ 1 using the 3-Component Adapted Mayo Score.
The 3-Component Adapted Mayo Score is a measure of UC disease ranging from 0 to 9 points and consists of 3 sub-scores, each graded from 0 - 3 with higher scores indicating more severe disease. The sub-scores are stool frequency (0 - 3); rectal bleeding (0 - 3); findings of endoscopy (0 - 3).
Measured: Week 12
Secondary outcomes (5)
Clinical Response at Week 12
A decrease from baseline in the 3-Component Adapted Mayo Score of ≥ 2 points and ≥ 30%, with an accompanying decrease in the sub-score for rectal bleeding of ≥ 1 point or an absolute sub-score for rectal bleeding of ≤ 1.
The 3-Component Adapted Mayo Score is a measure of UC disease ranging from 0 to 9 points and consists of 3 sub-scores, each graded from 0 - 3 with higher scores indicating more severe disease. The sub-scores are stool frequency (0 - 3); rectal bleeding (0 - 3); findings of endoscopy (0 - 3).
Measured: Week 12
Endoscopic Healing at Week 12
Endoscopic Healing (I) defined as an endoscopic sub-score of ≤ 1.
The endoscopic sub-score is part of the 3-Component Adapted Mayo score and ranges from 0 - 3, with higher scores indicating more severe disease.
Measured: Week 12
Corticosteroid-free clinical response at Week 12
Clinical response and achieving a corticosteroid-free status at Week 12 in subjects using oral corticosteroids at the Baseline visit. Clinical response is defined as a decrease from baseline in the 3-Component Adapted Mayo Score of ≥ 2 points and > 30%, with an accompanying decrease in the sub-score for rectal bleeding of ≥ 1 point or an absolute sub-score for rectal bleeding of ≤ 1.
Measured: Week 12
Corticosteroid-free clinical remission at Week 12
Clinical remission and achieving a corticosteroid-free status at Week 12 in subjects using oral corticosteroids at the Baseline visit. Clinical remission is defined as a stool frequency sub-score of ≤ 1 associated with a decrease ≥ 1 point from baseline, rectal bleeding sub-score of 0, and an endoscopic sub-score of ≤ 1 using the 3-Component Adapted Mayo Score.
Measured: Week 12
Changes from baseline in individual Adapted Mayo sub-scores at Week 12
The Adapted Mayo Score is a measure of UC disease ranging from 0 to 12 points and consists of 4 sub-scores, each graded from 0 - 3 with higher scores indicating more severe disease. The sub-scores are stool frequency (0 - 3); rectal bleeding (0 - 3); findings of endoscopy (0 - 3); and Physician's Global Assessment [PGA] (0 - 3).
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Feb 2019
- Study start24 Jan 2019
- Primary completion14 Apr 2021
- Study completion14 Apr 2021
Why it stopped: The Sublimity Board of Directors carefully evaluated the IA data: the 9.6% treatment remission difference for 75mg BID vs placebo (due to an increase in placebo response rate) was determined not sufficient to continue to fund the study
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Colitis, UlcerativeStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The study will investigate ST-0529 doses of 18.75 mg BID, 37.5 mg BID, or 75 mg BID, versus matching placebo BID.
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 235 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sublimity Therapeutics Holdco Limited
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Dr. Falk Pharma GmbH
- Responsible party
- Sponsor
- Investigators
- Sponsor Responsible Medical Officer, Study director, Sublimity Therapeutics (HoldCo) Ltd
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03844932
- Sponsor's protocol ID
- CYC-202
- Status last verified
- May 2021
- First submitted
- 31 Jan 2019
- Last updated
- 7 May 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of ST-0529 in Subjects With Moderately to Severely Active Ulcerative Colitis
- ClinicalTrials.gov ID
- NCT03844932
- Acronym / sponsor ID
- CYC-202
- Conditions
- Colitis, Ulcerative
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The Sublimity Board of Directors carefully evaluated the IA data: the 9.6% treatment remission difference for 75mg BID vs placebo (due to an increase in placebo response rate) was determined not sufficient to continue to fund the study
- Enrolment
- 235 participants (actual)
- Lead sponsor
- Sublimity Therapeutics Holdco LimitedIndustry (pharma, biotech, devices)
- Collaborators
- Dr. Falk Pharma GmbH
- Study start
- 24 Jan 2019 (actual)
- Primary completion
- 14 Apr 2021 (actual)
- Study completion
- 14 Apr 2021 (actual)
- First posted
- 19 Feb 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study CYC-202 is a multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of ST-0529 in subjects with moderately to severely active UC, defined as a score of 5 to 9 on the 3-Component Adapted Mayo Score (comprised of rectal bleeding, stool frequency and endoscopy sub-scores; score range 0-9).
Detailed description
The study consists of a Screening period, Treatment period and Follow-up. The Screening period is comprised of two separate in-clinic visits, SV1 and SV2. At the initial Screening visit (SV1), subjects will be required to provide written informed consent to participate in the study and will then be assessed for eligibility. Electronic diaries will be provided to subjects at this visit to use for the duration of the study in order to record information relating to their UC disease. Subjects will return to the clinic for their Screening endoscopic assessment (SV2). Ulcerative colitis disease activity for eligibility will be assessed using the 3-Component Adapted Mayo Score. Upon successful completion of the Screening period, subjects will return to the clinic for their Baseline visit.
During the Treatment period, subjects will be evaluated in the clinic at Baseline (Day 1), Week 2, Week 4, Week 8, and Week 12 (End of Treatment Period). At Week 6 and Week 10, subjects will be contacted by telephone to assess Adverse Events (AEs), concomitant medication usage and study drug regimen adherence.
Subjects who complete the 12-week Treatment period will attend the Week 16 End of Study (EOS) visit. Subjects who discontinue study drug and withdraw or are withdrawn from the study before the Week 12 visit will be requested to return to the clinic as soon as possible to complete an Early Termination (ET) visit.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 4
- Model description
- The study will investigate ST-0529 doses of 18.75 mg BID, 37.5 mg BID, or 75 mg BID, versus matching placebo BID.
| Arm | Type | Receives |
|---|---|---|
| ST-0529 18.75 mg* | Experimental | Drug: ST-0529ST-0529: 18.75 mg orally twice daily (BID) *Jan 2021 update: following the IDMC recommendation, this arm has been dropped |
| ST-0529 37.5 mg* | Experimental | Drug: ST-0529ST-0529: 37.5 mg orally twice daily (BID) *Jan 2021 update: following the IDMC recommendation, this arm has been dropped |
| ST-0529 75 mg | Experimental | Drug: ST-0529ST-0529: 75 mg orally twice daily (BID) |
| Matching Placebo | Placebo comparator | Drug: ST-0529Placebo: matching placebo orally twice daily (BID) |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (44 listed)
- Male and female adult subjects 18 to 75 years old, inclusive.
- Willing to provide written informed consent and to be compliant with the schedule of study visits and protocol assessments.
- Diagnosis of UC established at least 3 months prior to the Baseline visit, by clinical and endoscopic evidence (colonoscopy or flexible sigmoidoscopy)
- Moderately to severely active UC defined as the 3-Component Adapted Mayo Score of 5-9, inclusive, with an endoscopic sub-score of ≥ 2 (from central reading), and a rectal bleeding sub-score of ≥ 1, as determined 10 days (± 3 days) prior to Baseline.
- Evidence of active UC, confirmed histologically (from local read), extending proximal to the rectum with ≥ 15 cm of involved colon.
Key exclusion criteria (38 listed)
- Subjects without previous treatment for UC.
- Ulcerative colitis limited to rectum (ulcerative proctitis).
- Evidence of acute severe colitis with toxic megacolon, abdominal abscess, bowel stricture or bowel perforation.
- A diagnosis of Crohn's colitis, colitis yet to be classified, ischemic colitis, NSAID-induced colitis, idiopathic colitis (i.e., colitis not consistent with UC) or radiation colitis.
- Subjects with evidence of pathogenic bowel infection (Clostridium difficile, Escherichia coli, Salmonella, Shigella or Campylobacter).
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 |
|---|---|---|
| ST-0529Also: cyclosporineST-0529 utilizes SmPill® technology to encapsulate the otherwise insoluble cyclosporine in a presolubilized, lipid-based formulation. | Drug | Matching Placebo, ST-0529 18.75 mg*, ST-0529 37.5 mg*, ST-0529 75 mg |
Primary outcome
Clinical Remission at Week 12
Time frame: Week 12
Stool frequency sub-score of ≤ 1 associated with a decrease ≥ 1 point from baseline, rectal bleeding sub-score of 0, and an endoscopic sub-score of ≤ 1 using the 3-Component Adapted Mayo Score. The 3-Component Adapted Mayo Score is a measure of UC disease ranging from 0 to 9 points and consists of 3 sub-scores, each graded from 0 - 3 with higher scores indicating more severe disease. The sub-scores are stool frequency (0 - 3); rectal bleeding (0 - 3); findings of endoscopy (0 - 3).
5 secondary outcomes
Clinical Response at Week 12
Time frame: Week 12
Endoscopic Healing at Week 12
Time frame: Week 12
Corticosteroid-free clinical response at Week 12
Time frame: Week 12
Corticosteroid-free clinical remission at Week 12
Time frame: Week 12
Changes from baseline in individual Adapted Mayo sub-scores at Week 12
Time frame: Week 12
Results and safety
The study was stopped early (reason given: The Sublimity Board of Directors carefully evaluated the IA data: the 9.6% treatment remission difference for 75mg BID vs placebo (due to an increase in placebo response rate) was determined not sufficient to continue to fund the study). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2021.
- Individual participant dataSharing planned: Undecided
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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.
Sponsor Responsible Medical Officer study director
Sublimity Therapeutics (HoldCo) Ltd
89 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ST-0529 in people with Colitis, Ulcerative, run by Sublimity Therapeutics Holdco Limited at 89 sites in 17 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 44 inclusion and 38 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 7 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 89 sites in Ukraine, Russia, Germany, United States, United Kingdom and 12 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 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?
The study was stopped early (reason given: The Sublimity Board of Directors carefully evaluated the IA data: the 9.6% treatment remission difference for 75mg BID vs placebo (due to an increase in placebo response rate) was determined not sufficient to continue to fund the study). Results are not available in the source record.
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?
Clinical Remission at Week 12 (time frame: 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 7 May 2021; AzTrials last refreshed its copy on 6 Nov 2026.