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Ulcerative ColitisPhase 2FalconNCT04130919

Study to Evaluate the Efficacy and Safety of Tilpisertib in Adults With Moderately to Severely Active Ulcerative Colitis

A Phase 2 study testing Tilpisertib in people with Ulcerative Colitis, run by Gilead Sciences at 49 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is to demonstrate the efficacy of tilpisertib (formerly GS-4875) compared with placebo control in achieving clinical remission per modified Mayo Clinic Score (MCS) in adults with moderately to severely active ulcerative colitis (UC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Ulcerative Colitis
What is being tested?
Tilpisertib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
19 participants
Where
49 sitesin 9 countries
Study dates
20 Dec 2019to 14 Dec 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males, or non-pregnant, non-lactating females, at least 18 years of age based on the date of the screening visit.
  • UC of at least 3 months duration before randomization confirmed by endoscopy and histology at any time in the past AND a minimum disease extent of 15 centimeter (cm) from the anal verge. Documentation of endoscopy and histology consistent with the diagnosis of UC must be available in the source documents prior to the initiation of screening.
  • Moderately to severely active UC as determined during screening by a centrally read endoscopy score ≥ 2, a Rectal Bleeding subscore ≥ 1, a Stool Frequency subscore ≥ 1 and Physicians Global Assessment (PGA) of ≥ 2 as defined by the Mayo Clinic Score; total MCS must be between 6 and 12, inclusive.
  • Previously demonstrated an inadequate response (primary non-response) or loss of response (secondary non-response) to a tumor necrosis factor-alpha (TNFα) inhibitor (ie, infliximab, adalimumab, golimumab, or biosimilars). The induction treatment regimen resulting in inadequate response or loss of response should have been in accordance with local prescribing information/guidelines or as outlined below.
  • Infliximab: 5 mg/kg at Weeks 0, 2, and 6
  • Adalimumab: 160 mg on Day 1 (given in 1 day or split over consecutive days), followed by 80 mg 2 weeks later (Day 15), 40 mg 2 weeks later (Day 29) and every 2 weeks thereafter until Day 57
Show all 21Show fewer
  • Golimumab: 200 mg on Day 1 followed by 100 mg at Week 2
  • May be receiving concomitant therapy for UC at the time of enrollment as specified in the protocol, provided the dose prescribed has been stable as indicated prior to randomization.
  • Meet the following Tuberculosis (TB) screening criteria:
  • No evidence of active TB, latent TB, or inadequately treated TB as evidenced by 1 of the following:
  • A negative QuantiFERON test or equivalent assay reported by the central lab at screening or within 90 days prior to randomization date. OR
  • A history of fully treated active or latent TB according to local standard of care. Investigator must verify adequate previous anti-TB treatment and provide documentation; these individuals do not require QuantiFERON testing and eligibility must be approved by the sponsor prior to enrollment in the study. AND
  • A chest radiograph (views as per local guidelines with the report or films available for investigator review) taken at screening or within the 4 months prior to randomization without evidence of active or latent TB infection.
  • Laboratory assessments at screening within the following parameters:
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) and total bilirubin ≤ 2 X upper limit of normal (ULN)
  • Estimated glomerular filtration rate (eGFR) ≥ 60 ml/min (1.0 mL/sec) as calculated by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) Cystatin C formula as described in protocol.
  • Hemoglobin ≥ 8 g/dL (≥ 80 g/L)
  • Absolute neutrophil count (ANC) ≥ 1.5 × 10^3/μL (≥ 1.5 GI/L)
  • Platelets ≥ 100 × 10^3/μL (≥ 100 GI/L)
  • White blood cells (WBC) ≥ 3 × 10^3/μL (≥ 3 GI/L)
  • Absolute lymphocyte count ≥ 0.75 × 10^3/μL (≥ 0.75 GI/L)

Who cannot join

  • Currently displaying clinical signs of acute severe colitis, fulminant colitis, or toxic megacolon.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

49 sites in 9 countries.

49 sites in 9 countries

United States23 sites
  • Consultants for Clinical Research

    Cincinnati, Ohio, 45219

  • Alliance Medical Research

    Coral Springs, Florida, 33071

  • Allied Digestive Disease Center

    Cypress, Texas, 77429

  • Gut P.C., dba Digestive Health Specialists of the Southeast

    Dothan, Alabama, 36305

  • Southwest Clinical Trials

    Houston, Texas, 77074

  • Encore Borland-Groover Clinical Research

    Jacksonville, Florida, 32256

  • Kansas City Research Institute

    Kansas City, Missouri, 64131

  • Om Research LLC

    Lancaster, California, 93534

  • Advanced Biomedical Research of America

    Las Vegas, Nevada, 89123

  • Gastrointestinal Specialists of Georgia

    Marietta, Georgia, 30060

  • A Plus Research, Inc

    Miami, Florida, 33144

  • United Medical Doctors

    Murrieta, California, 92563

  • Vanderbilt University Medical Center - IBD Clinic

    Nashville, Tennessee, 37212-1375

  • Gastroenterology Associates of Orangeburg

    Orangeburg, South Carolina, 29118

  • BRCR Medical Center Inc.

    Plantation, Florida, 33322

  • Advanced Medical Research Center

    Port Orange, Florida, 32127

  • Alliance Clinical Research

    Poway, California, 92064

  • Clinical Associates in Research Therapeutics of America, LLC

    San Antonio, Texas, 78212

  • Texas Digestive Disease Consultants

    San Marcos, Texas, 78666

  • Louisiana Research Center, LLC

    Shreveport, Louisiana, 71105

  • Texas Digestive Disease Consultants

    Southlake, Texas, 76092

  • Atlanta Gastroenterology Specialists, PC

    Suwanee, Georgia, 30024

  • Allegiance Research Specialists, LLC

    Wauwatosa, Wisconsin, 53225

Other trials in United States

France9 sites
  • Hopital Beaujon

    Clichy, 92110

  • CHU de Dijon Bourgogne

    Dijon, 21079

  • Centre Hospitalier Universitaire de Grenoble Alpes

    Grenoble, 38043

  • CHRU de Lille - Hôpital Claude Huriez

    Lille, 59000

  • CHU de Lyon Sud

    Pierre-Bénite, 69495

  • CHRU Pontchaillou

    Rennes, 35033 Cedex 9

  • CHU de Saint Etienne

    Saint-Etienne, 42055

  • Hopital Rangueil

    Toulouse, 31059 cedex 9

  • CHRU de Nancy

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Australia4 sites
  • St Vincent's Hospital Melbourne

    Fitzroy, Victoria, 3065

  • Coastal Digestive Health

    Maroochydore, Queensland, 4558

  • Emeritus Research

    Melbourne, Victoria, 3124

  • The Queen Elizabeth Hospital

    Woodville, South Australia, 5011

Other trials in Australia

Germany3 sites
  • Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik fur Innere Medizin I, Haus C, Haus K3

    Kiel, 24105

  • Eugastro GmbH

    Leipzig, 04103

  • Gastroenterologische Gemeinschaftspraxis Minden

    Minden, 32423

Other trials in Germany

Poland3 sites
  • Twoja Przychodnia - Szczecinskie Centrum Medyczne

    Szczecin, 71-434

  • "GASTROMED" Kopon, Zmudzinski i Wsp. Sp. J. Spec. Centrum Gastrologii i Endoskopii, Spec. Gabinety Lekarskie

    Torun, 87-100

  • Centrum Medyczne Melita Medical

    Wroclaw, 50-449

Other trials in Poland

Switzerland3 sites
  • Gastroenterologische Praxis Balsiger, Seibold & Partner/Crohn-Colitis-Zentrum

    Bern, 3012

  • Inselspital Bern/Klinik fur Viszerale Chirurgie und Medizin/Bauchzentrum

    Bern, CH-3010

  • Universitätsspital Zürich/Klinik für Gastroenterologie und Hepatologie

    Zurich, 8091

Other trials in Switzerland

Austria2 sites
  • Medizinische Universität Innsbruck, Universitätsklinik für Innere Medizin I

    Innsbruck, 6020

  • Medizinische Universitat Wien Klinik fur Innere Medizin III/Abt. fur Gastroenterologie and Hepatologie

    Vienna, 1090

Other trials in Austria

Canada1 site
  • Vancouver General Hospital - The Gordon and Leslie Diamond Health Care Centre

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

Italy1 site
  • Istituto Clinico Humanitas

    Rozzano, 20089

Other trials in Italy

About this study

Official title: A Phase 2, Blinded, Randomized, Placebo-Controlled Study Evaluating the Efficacy and Safety of GS-4875 in Subjects With Moderately to Severely Active Ulcerative Colitis

The primary objective of this study is to demonstrate the efficacy of tilpisertib (formerly GS-4875) compared with placebo control in achieving clinical remission per modified Mayo Clinic Score (MCS) in adults with moderately to severely active ulcerative colitis (UC).

Being tested
Tilpisertib, 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.

  • TilpisertibDrug

    Also called GS-4875

    Tablets administered orally once daily

  • PlaceboDrug

    Tablets administered orally once daily

Study groups in NCT04130919
Study groupRoleWhat they receive
Tilpisertib 300 mgExperimentalParticipants will receive blinded tilpisertib 300 mg for up to 10 weeks. An efficacy assessment will be performed at Week 10. Participants who achieve MCS response will continue on the blinded treatment for up to 50 weeks.
Receives: Drug: Tilpisertib
Tilpisertib 100 mgExperimentalParticipants will receive blinded tilpisertib 100 mg for up to 10 weeks. An efficacy assessment will be performed at Week 10. Participants who achieve MCS response will continue on the blinded treatment for up to 50 weeks.
Receives: Drug: Tilpisertib
PlaceboPlacebo comparatorParticipants will receive blinded tilpisertib matching placebo for up to 10 weeks. An efficacy assessment will be performed at Week 10. Participants who achieve MCS response will continue on the blinded treatment for up to 50 weeks.
Receives: Drug: Placebo
Open-label Tilpisertib 300 mgExperimentalBased on the efficacy assessment results at Week 10, participants who do not achieve MCS response will have the option to receive open-label tilpisertib 300 mg for up to 50 weeks.
Receives: Drug: Tilpisertib

What is being measured

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

  1. Percentage of Participants Who Achieved Clinical Remission Per Modified Mayo Clinic Score (MCS) at Week 10

    The modified MCS is a scoring system for assessment of ulcerative colitis (UC) activity and is composed of subscores from endoscopy (range: 0 to 3, where 0 = normal or inactive disease and 3 = severe disease [spontaneous bleeding, ulceration]), rectal bleeding (range: 0 to 3, where 0 = no blood seen and 3 = blood alone passes), stool frequency (range: 0 to 3, where 0 = normal number of stools and 3 = at least 5 or more stools more than normal), and physician's global assessment (PGA) (range: 0 to 3, where 0 = normal and 3 = severe disease). Total score for MCS ranges from 0 to 12 (sum of all subscores), with higher scores indicating higher disease activity. Clinical remission per modified MCS is defined as stool frequency subscore ≤ 1 and not greater than baseline, rectal bleeding subscore of 0, and endoscopic subscore ≤ 1 at Week 10.

    Measured: Week 10

Secondary outcomes (6)
  1. Percentage of Participants Who Achieved Endoscopic Response at Week 10

    Endoscopic response was defined as an endoscopic subscore of ≤ 1 at Week 10. Endoscopic subscore is a part of the modified MCS which is a scoring system for assessment of UC activity. Endoscopic subscore range: 0 to 3, where 0 = normal or inactive disease, 1 = mild disease (erythema, decreased vascular pattern), 2 = moderate disease (marked erythema, lack of vascular pattern, friability, erosions), and 3 = severe disease (spontaneous bleeding, ulceration).

    Measured: Week 10

  2. Percentage of Participants Who Achieved MCS Response at Week 10

    The modified MCS is a scoring system for assessment of UC activity and is composed of subscores from endoscopy (range: 0 to 3, where 0 = normal or inactive disease and 3 = severe disease [spontaneous bleeding, ulceration]), rectal bleeding (range: 0 to 3, where 0 = no blood seen and 3 = blood alone passes), stool frequency (range: 0 to 3, where 0 = normal number of stools and 3 = at least 5 or more stools more than normal), and PGA (range: 0 to 3, where 0 = normal and 3 = severe disease). Total score for MCS ranges from 0 to 12 (sum of all subscores), with higher scores indicating higher disease activity. MCS response is defined as a decrease from baseline of ≥ 3 points and at least 30% in MCS, in addition to a ≥ 1 point decrease from baseline in the rectal bleeding subscore or a rectal bleeding subscore ≤ 1 at Week 10.

    Measured: Week 10

  3. Percentage of Participants Who Achieved MCS Remission at Week 10

    The modified MCS is a scoring system for assessment of UC activity and is composed of subscores from endoscopy (range: 0 to 3, where 0 = normal or inactive disease and 3 = severe disease [spontaneous bleeding, ulceration]), rectal bleeding (range: 0 to 3, where 0 = no blood seen and 3 = blood alone passes), stool frequency (range: 0 to 3, where 0 = normal number of stools and 3 = at least 5 or more stools more than normal), and PGA (range: 0 to 3, where 0 = normal and 3 = severe disease). Total score for MCS ranges from 0 to 12 (sum of all subscores), with higher scores indicating higher disease activity. MCS remission is defined as a MCS score of ≤ 2 and no individual subscore > 1 at Week 10.

    Measured: Week 10

  4. Percentage of Participants Who Achieved Histologic Remission Based Upon the Geboes Scale at Week 10

    Geboes histologic remission was assessed using the Geboes histologic scores to identify histologic changes in ulcerative colitis. Possible scores are Grade 0:Architectural changes(0.0=No abnormality to 0.3=Severe diffuse or multifocal abnormalities); Grade 1:Chronic inflammatory infiltrate(1.0=No increase to 1.3=Marked increase);Grade 2A:Eosinophils in lamina propria(2A.0=No increase to 2A.3-=Marked increase; Grade 2B:Neutrophils in lamina propria(2B.0= No increase to 2B.3=Marked increase);Grade 3:Neutrophils in epithelium (3.0=None to 3.3=>50% crypts involved);Grade 4:Crypt destruction(4.0=none to 4.3=Unequivocal crypt destruction),and Grade 5:Erosions and ulcerations:(5.0=No erosion, ulceration or granulation to 5.4=Ulcer or granulation tissue). Histologic remission defined as having Grade 0 of ≤ 0.3, Grade 1 of ≤ 1.1, Grade 2a of ≤ 2A.3, Grade 2b of 2B.0, Grade 3 of 3.0, Grade 4 of 4.0, and Grade 5 of 5.0. Geboes score ranges from 0 to 5.4. Lower values indicate better outcome.

    Measured: Week 10

  5. Percentage of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)

    Treatment-emergent adverse events (TEAEs) for the Blinded Treatment phase are either defined as AEs with an onset date on or after the Blinded Treatment phase study drug start date and no later than 30 days after permanent discontinuation of the Blinded Treatment phase study drug if no Open-label Treatment phase study drug was taken, or any AEs with an onset date on or after the Blinded Treatment phase study drug start date and before the Open-label Treatment phase study drug start date if Open-label Treatment phase study drug was taken and/or any AEs leading to premature discontinuation of Blinded Treatment phase study drug. TEAEs for the Open-label Treatment phase are either defined as AEs with an onset date on or after the Open-label Treatment phase study drug start date and no later than 30 days after permanent discontinuation of the Open-lab Treatment phase study drug and/or any AEs leading to premature discontinuation of Open-label Treatment phase study drug.

    Measured: Blinded Treatment phase: First dose date up to 50.6 weeks plus 30 days; Open-label phase: First dose date up to 50.7 weeks plus 30 days

  6. Percentage of Participants Who Experienced Laboratory Abnormalities

    Treatment-emergent laboratory abnormalities for Blinded Treatment phase are defined as values that increase at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of last dose of Blinded Treatment phase study drug plus 30 days for participants who permanently discontinued Blinded Treatment phase study drug or before the first dose of Open-label Treatment phase study drug. For the Open-label Treatment phase, treatment-emergent laboratory abnormalities are defined as values that increase at least 1 toxicity grade from Open-label baseline at any postbaseline time point, up to and including the date of last dose of Open-label Treatment phase study drug plus 30 days for participants who permanently discontinued Open-label phase study drug. For maximum postbaseline toxicity grade, the most severe graded abnormality from all tests was counted for each patient. Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: life-threatening.

    Measured: Blinded Treatment phase: First dose date up to 50.6 weeks plus 30 days; Open-label phase: First dose date up to 50.7 weeks plus 30 days

Timeline

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

  1. First posted18 Oct 2019
  2. Study start20 Dec 2019
  3. Primary completion25 Feb 2021
  4. Study completion14 Dec 2021

Why it stopped: Sponsor terminated the study since a new molecular entity was able to achieve greater target coverage

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04130919
Sponsor's protocol ID
GS-US-365-4237
Other IDs
2019-001430-33, 2019
Acronym
Falcon
Status last verified
Jul 2022
First submitted
16 Oct 2019
Last updated
24 Aug 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tilpisertib in people with Ulcerative Colitis, run by Gilead Sciences at 49 sites in 9 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 21 inclusion and 2 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 24 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in United States, France, Australia, Germany, Poland and 4 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?

Yes. Results are posted in the registry (first posted 24 Aug 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Who Achieved Clinical Remission Per Modified Mayo Clinic Score (MCS) at Week 10 (time frame: Week 10). 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 24 Aug 2022.

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