Ulcerative ColitisPhase 3CONCLUDENCT04985968
The Efficacy and Safety of Cobitolimod in Participants With Moderate to Severe Active Left-Sided Ulcerative Colitis
A Phase 3 study testing Cobitolimod 250 mg and Cobitolimod 500 mg in people with Ulcerative Colitis, run by InDex Pharmaceuticals at 203 sites in 28 countries.
Trial summary
The purpose of the study is to evaluate the efficacy of cobitolimod treatment compared to placebo in inducing clinical remission, in participants with moderate to severe active left-sided UC and to evaluate the efficacy of cobitolimod maintenance treatment compared to placebo in inducing or maintaining clinical… 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?
- Cobitolimod 250 mg and Cobitolimod 500 mg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 171 participants
- Where
- 203 sitesin 28 countries
- Study dates
- 24 Nov 2021to 20 Dec 2023
- Phase
- Phase 3
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female ≥ 18 years of age.
- Established diagnosis of UC.
- Moderate to severe active left-sided UC assessed by central reading.
- Have inadequate response, loss of response or be intolerant of at least one of the following treatments: Oral GCS, AZA/6-MP, Biologics, JAK-inhibitors, or other approved advanced therapies for UC.
- Allowed to receive a therapeutic dose of the following UC drugs during the study: Oral GCS therapy (≤20 mg prednisone or equivalent/day) , Oral 5-ASA/SP compounds, AZA/6-MP.
- Ability to understand the treatment, willingness to comply with all study requirements, and ability to provide informed consent.
- Participants are eligible to be included in the maintenance study if they have achieved clinical response at week 6 and have adhered to the protocol procedures of the induction study.
Who cannot join
- Suspicion of differential diagnosis.
- Acute fulminant UC and/or signs of systemic toxicity.
- UC limited to the rectum or extending beyond the splenic flexure.
- Have failed treatment with more than three advanced therapies of two different therapeutic classes.
- Have had surgery for treatment of UC.
- History of malignancy, unless treated with no relapse of the disease and ≥ 5 years since last treatment (cured).
Show all 17Show fewer
- History or presence of any clinically significant disorder.
- Concomitant treatment with cyclosporine, methotrexate, tacrolimus, or advanced therapies or similar immunosuppressants and immunomodulators.
- Treatment with rectal GCS, 5-ASA/SP or tacrolimus.
- Long-term treatment (>14 days) with antibiotics or NSAIDs .
- Serious known active infection including history of latent or active tuberculosis.
- Gastrointestinal infections including positive Clostridium difficile stool assay.
- Females who are lactating or have a positive serum pregnancy test.
- Women of childbearing potential not using highly effective contraceptive methods.
- Concurrent participation in another clinical study.
- Previous exposure to cobitolimod.
- Participants will not be eligible for the maintenance study if they are not willing to comply with all further study requirements.
Trial locations and contacts
203 sites in 28 countries.
203 sites in 28 countries
United States25 sites
Dayton Gastroenterology
Beavercreek, Ohio, 45440
RecioMed Clinical Research Network, Inc.
Boynton Beach, Florida, 33472
Digestive Health Associates of Texas, PA
Carrollton, Texas, 75019
Carolina Digestive Health Associates, PA
Charlotte, North Carolina, 28209
MB & V Medical Research
Doral, Florida, 33172
Gastroenterology Associates of Northern Virginia
Fairfax, Virginia, 22031
Amicis Research Center
Granada Hills, California, 91344
Carolina Research
Greenville, North Carolina, 27834
Peters Medical Research
High Point, North Carolina, 27262
Clinical Research Solution: Digestive Health Associates
Houston, Texas, 77024
Baylor College of Medicine - Gastroeneterology
Houston, Texas, 77030
A+ Research, Inc.
Miami, Florida, 33012
SouthCoast Research Center, Inc
Miami, Florida, 33136
I.V.A.M. Clinical & Investigational Center LLC
Miami, Florida, 33144
D&H National Research Centers, Inc.
Miami, Florida, 33155
Medical Professionals Clinical Research Center
Miami, Florida, 33165
Wisconsin Center For Advanced Research
Milwaukee, Wisconsin, 53215
Allameh Medical Corporation
Mission Viejo, California, 92691
Gastroenterology Group Of Naples
Naples, Florida, 34102
Lenox Hill Hospital
New York, New York, 10075
Prospective Research Innovations Inc.
Rancho Cucamonga, California, 91730
Alliance Clinical Research - Gastroenterology
Tampa, Florida, 33615
Valiance Clinical Research
Tarzana, California, 91356
Cotton O'Neil Clinical Research Center
Topeka, Kansas, 66606
Clinical Research Institute of Michigan
Troy, Michigan, 48098
Poland19 sites
MPS - MED sp. z o.o.
Grudziądz
MZ Badania Slowik Zymla Spolka jawna
Knurów
Centrum Medyczne Plejady
Krakow
Centrum Medyczne PROMED
Krakow
Krakowskie Centrum Medyczne Sp. z o.o.
Krakow
Szpital Zakonu Bonifratrow Sw. Jana Bozego w Lodzi
Lodz
Klinika Badawcza Centrum Badawcze Panaceum Agnieszka Brzezicka, Magdalena Lenkiewicz Sp. z o.o.
Malbork
Twoja Przychodnia - Opolskie Centrum Medyczne
Opole
Medicome Sp. z o.o.
Oświęcim
Szpital Kliniczny im. Heliodora Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu
Poznan
ETG Skierniewice
Skierniewice
KO-MED Centra Kliniczne Staszow
Staszów
Twoja Przychodnia - SCM
Szczecin
GASTROMED Kopoń, Zmudziński i Wspólnicy spółka jawna, Specjalistyczne Centrum Gastrologii i Endoskopii, Specjalistyczne Gabinety Lekarskie
Torun
Bodyclinic sp. z o.o. sp.k.
Warsaw
Centralny Szpital Kliniczny MSWiA w Warszawie
Warsaw
Centrum Zdrowia Matki, Dziecka i Mlodziezy
Warsaw
PlanetMed
Wroclaw
ETG Zamosc
Zamość
Germany16 sites
Universitätsklinikum Augsburg
Augsburg
Charité - Universitätsmedizin Berlin KöR
Berlin
University Hospital Cologne AöR
Cologne
MVZ Sanaklinikum Duisburg
Duisburg
Universitätsklinikum Erlangen
Erlangen
Agaplesion Markus Krankenhaus
Frankfurt am Main
Klinikum der Johann Wolfgang Goethe-Universität - Medizinische Klinik I
Frankfurt am Main
Universitätsklinikum Freiburg
Freiburg im Breisgau
Uniklinik Halle (Saale)
Halle
Gastroenterology Outpatient Clinic Prof. Dr. med. Ehehalt
Heidelberg
University Hospital Schleswig-Holstein
Kiel
Universitätsmedizin Mannheim
Mannheim
Medius Klinik Nürtingen
Nürtingen
Universitätsklinikum Rostock
Rostock
Universitätsklinikum Ulm
Ulm
Internistische Praxis Weyhe
Weyhe
Italy12 sites
ASST Papa Giovanni XXIII - Cardiologia - Bergamo
Bergamo
AO Brotzu
Cagliari
Universita degli Studi di Firenze - Azienda Ospedaliero - Un
Florence
IRCCS Ospedale San Raffaele
Milan
Azienda Ospedaliera San Gerardo
Monza
AOU di Padova
Padova
Azienda Ospedaliera Universitaria Policlinico Tor Vergata (P
Roma
Policlinico Universitario Agostino Gemelli
Roma
Policlinico Universitario Campus Biomedico
Rome
A.O. Ordine Mauriziano Di Torino
Torino
AOU S. Maria della Misericordia
Udine
Universita degli Studi dell'Insubria - Ospedale di Circolo e
Varese
France11 sites
CHRU de Lille - Hôpital Claude Huriez
Lille
CHRU Montpellier-Hopital Saint Eloi - Hepato-gastro-enterologie
Montpellier
CHU de Nancy Brabois
Nancy
CHU de Nice - Hôpital de l'Archet II - Gastro-Entérologie, Hépatologie
Nice
Hopital Bichat - Gastroenterology
Paris
Hopital Saint Antoine
Paris
Centre Hospitalier Lyon Sud
Pierre-Bénite
Centre Hospitalier Universitaire de Poitiers
Poitiers
CHU de Saint Etienne, Hôpital Nord - Service de Gastroentérologie
Saint-Etienne
CHU Amiens - Hopital Sud - Service Hepato-Gastroenterolog
Salouël
Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
Toulouse
South Korea10 sites
Inje University Haeundae Paik Hospital
Busan
Kyungpook National University Hospital
Daegu
Hanyang University Guri Hospital
Guri-si
Kyung Hee University Hospital
Seoul
Seoul National University Bundang Hospital
Seoul
Seoul National University Hospital
Seoul
Kyung Hee University Hospital - Internal Medicine
Soeul
Kyung Hee University Hospital
Soeul
The Catholic University of Korea, St. Vincent's Hospital
Suwon
Yonsei University, Wonju Severance Christian Hospital
Wŏnju
United Kingdom10 sites
Northern Care Alliance NHS Foundation Trust-Fairfield General Hospital - Gastroenterology
Bury
Accellacare Warwickshire Quality Research Site
Coventry
County Durham and Darlington NHS Foundation Trust (CDDFT) - Darlington Memorial Hospital
Darlington
Glasgow Royal Infirmary
Glasgow
North West London Hospitals NHS Trust
Harrow
Central Middlesex Hospital
London
Kings College Hospital
London
Accellacare North London
Northwood
Accellacare Limited/Accellacare of South London
Orpington
Royal Berkshire Hospital
Reading
Bosnia and Herzegovina8 sites
University Clinical Centre of the Republic of Srpska - Gastroenterology
Banja Luka
The University Hospital Foca
Foca
Clinical Center University of Sarajevo - Gastroenterology
Sarajevo
General Hospital "Prim.dr.Abdulah Nakas"
Sarajevo
Polyclinic Dr. Al-Tawil
Sarajevo
Opca Bolnica Tesanj
Tešanj
Plava Medical Group
Tuzla
Cantonal Hospital Zenica
Zenica
Serbia7 sites
Clinic Center of Serbia
Belgrade
Clinical Hospital Center "Dr. Dragisa Misovic"
Belgrade
Euromedik Hospital
Belgrade
Zvezdara University Medical Center
Belgrade
Clinical Center Kragujevac - Center for Gastroenterohepatology
Kragujevac
General Hospital Dr Djordje Joanovic
Zrenjanin
General hospital Zrenjanin
Zrenjanin
Australia6 sites
Monash Health
Clayton
St Vincent's Hospital Melbourne
Fitzroy
The Alfred Hospital
Melbourne
Royal Melbourne Hospital
Parkville
Mater Health Services
South Brisbane
Princess Alexandra Hospital
Woolloongabba
Belgium6 sites
UZ Antwerpen
Antwerp
Imelda Ziekenhuis
Bonheiden
Erasme University Hospital
Brussels
Universitair Ziekenhuis Gent
Ghent
AZ Groeninge - Campus Kennedylaan
Kortrijk
AZ Delta
Roeselare
Brazil6 sites
Instituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda
Goiânia
Hospital de Clinicas de Porto Alegre - Centro de Pesquisa Clinica
Porto Alegre
Ufrj - Hospital Universitario Clementino Fraga Filho
Rio de Janeiro
Praxis Pesquisa Medica
Santo André
CEMEC - Centro Multidisciplinar de Estudos Clinicos
São Bernardo do Campo
Kaiser Clinica
São José do Rio Preto
Croatia6 sites
Opca bolnica Bjelovar
Bjelovar
Clinical Hospital Osijek
Osijek
Opca bolnica Pula
Pula
Zadar General Hospital
Zadar
Poliklinika Solmed
Zagreb
University Hospital Centre Zagreb
Zagreb
Israel6 sites
The Barzilai Medical Center
Ashkelon
The Edith Wolfson Medical Center
Holon
Hadassah Medical Organization, Hadassah Medical Center, Ein-
Jerusalem
Shaare Zedek Medical Center
Jerusalem
Galilee Medical Center (Western Galilee Hospital)
Nahariya
Kaplan Medical Center
Rehovot
Romania6 sites
Sana Monitoring
Bucharest
Spitalul Clinic Colentina
Bucharest
Spitalul Clinic Judetean de Urgenta Cluj-Napoca
Cluj-Napoca
Spitalul Clinic Judetean de Urgenta "Sf. Spiridon" Iasi
Iași
Spitalul Clinic Judetean Mures
Târgu Mureş
Cabinet Particular Policlinic Algomed
Timișoara
Denmark5 sites
Aalborg University Hospital
Aalborg
Aarhus University Hospital
Aarhus
Herlev Hospital
Herlev
Hillerod Hospital
Hillerød
Lillebælt Hospital Vejle
Vejle
Hungary5 sites
Clinexpert Egészségügyi Szolgáltató És Kereskedelmi Kft.
Budapest
Pannónia Magánorvosi Centrum Kft
Budapest
Semmelweis Egyetem Altalanos Orvostudomanyi Kar Sebeszeti, Transzplantacios es Gasztroenterologiai Klinika
Budapest
Semmelweis Egyetem Altalanos Orvostudomanyi Kar
Budapest
SzTE Szt-Gy A Orvostud Kar Bel Klin
Szeged
Lithuania5 sites
Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Kaunas
Klaipeda Seamen's Hospital
Klaipėda
Republic Klaipeda Hospital
Klaipėda
Panevezio ligonine
Panevezys
Vilniaus Universiteto ligonines Santariskiu Klinikos
Vilnius
Mexico5 sites
Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
Durango
Medical Care and Research S. A. de C. V
Mérida
Clinicos Asociados Bocm, S.C.
Mexico City
Centro Regiomontano de Estudios Clinicos Roma SC
Monterrey
Clinical Research Institute S.C.
Tlalnepantla
Slovakia5 sites
FNsP F.D.R. Banska Bystrica
Banská Bystrica
CLINIQ s.r.o.
Bratislava
ENDOMED s.r.o.
Košice
GASTROMEDIC, s.r.o.
Nové Zámky
Accout Center s.r.o.
Šahy
Austria4 sites
MedUn Innsbruck
Innsbruck
LKH Klagenfurt
Klagenfurt
Universitätsklinikum Salzburg
Salzburg
Akh Wien
Vienna
Norway4 sites
Ålesund Hospital, Møre & Romsdal Hospital trust, Dept. of Medicine, div of Gastroenterology and the Clinical research unit HMR
Ålesund
Akershus Universitetssykehus
Lørenskog
Vestfold Hjertesenter As
Tønsberg
Universitetssykehuset Nord-Norge Tromsø, Gastrolab, Medisinsk poliklinikk, B8
Tromsø
Portugal4 sites
Hospital Prof. Doutor Fernando Fonseca (HFF) (Hospital Amadora Sintra)
Amadora
Hospital de Braga
Braga
Hospital Beatriz Angelo (HBA)
Loures
Centro Hospitalar de Entre o Douro e Vouga (CHEDV)- Hospital São Sebastião
Santa Maria da Feira
Canada3 sites
MUMC - Hamilton Health Sciences
Hamilton
Installation Hospital Maisonneuve-Rosemont
Montreal
Royal University Hospital
Saskatoon
Sweden3 sites
Örebro Univ. Hospital
Örebro
Karolinska Universitetssjukhuset - Gastroenterology
Stockholm
Uppsala University Hospital, Akademiska
Uppsala
Turkey (Türkiye)3 sites
Hacettepe University Medical Faculty - Hematology
Ankara
Istanbul University Medical Faculty
Istanbul
Mersin Universtiy Medical Faculty
Mersin
Georgia2 sites
JSC " Evex Hospitals"
Batumi
LTD Israel-Georgian Medical Research Clinic Helsicore
Tbilisi
About this study
Official title: A Randomised Double-Blind Placebo-Controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of Cobitolimod as an Induction and Maintenance Therapy in Participants With Moderate to Severe Active Left-Sided Ulcerative Colitis
The purpose of the study is to evaluate the efficacy of cobitolimod treatment compared to placebo in inducing clinical remission, in participants with moderate to severe active left-sided UC and to evaluate the efficacy of cobitolimod maintenance treatment compared to placebo in inducing or maintaining clinical remission at week 52, in participants with clinical response at week 6 after induction treatment with cobitolimod.
Read the detailed description
This phase III study protocol includes an induction study for 6 weeks and a maintenance study for an additional 45 weeks.
In the induction study there will be an initial phase to explore the best dose, between cobitolimod 250 mg and cobitolimod 500 mg using adaptive design.
- Conditions
- Ulcerative Colitis
- Being tested
- Cobitolimod 250 mg, Cobitolimod 500 mg, Placebo
- Keywords
- Colitis, Ulcerative, Gastrointestinal Disease, Inflammatory Bowel Diseases, Glucocorticosteroids, Anti-Inflammatory Agents, Therapeutic uses, Cobitolimod, Toll like receptor 9 agonist, TLR9 agonist, Kappaproct, IDX0150, DIMS0150
- Medical subject headings
- Colitis, Ulcerative, Gastrointestinal Diseases, Inflammatory Bowel Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cobitolimod 250 mgDrug
Also called Kappaproct
Rectal administration
Cobitolimod 500 mgDrug
Also called Kappaproct
Rectal administration
PlaceboDrug
Rectal administration
| Study group | Role | What they receive |
|---|---|---|
| Cobitolimod 250 mg | Experimental | Dose of 250 mg cobitolimod
2 treatments during induction study and subsequently every third week Receives: Drug: Cobitolimod 250 mg |
| Cobitolimod 500 mg | Experimental | Dose of 500 mg cobitolimod
2 treatments during induction study and subsequently every third week Receives: Drug: Cobitolimod 500 mg |
| Placebo | Placebo comparator | Dose of Placebo
2 treatments during induction study and subsequently every third week Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Induction - Proportion of participants with clinical remission.
Clinical remission defined by the 3-component Mayo score.
Measured: Week 6
Maintenance - Proportion of participants with clinical remission.
Clinical remission defined by the 3-component Mayo score.
Measured: Week 52
Secondary outcomes (28)
Induction - Proportion of participants with endoscopic improvement.
Endoscopic improvement defined by the Mayo Endoscopic score.
Measured: Week 6
Induction - Proportion of participants with symptomatic remission.
Symptomatic remission defined by the 2-component Mayo score.
Measured: Week 6
Induction - Proportion of participants with clinical response.
Clinical remission defined by the 3-component Mayo score.
Measured: Week 6
Induction - Proportion of participants with normalisation of stool frequency.
Stool frequency defined by the Mayo score for Stool Frequency.
Measured: Week 6
Induction - Proportion of participants with absence of rectal bleeding.
Rectal bleeding defined by the Mayo score for Rectal Bleeding.
Measured: Week 6
Induction - Mean stool frequency.
Mean stool frequency defined by the Mayo score for Stool Frequency.
Measured: Week 6
Induction - Proportion of participants with histologic improvement.
Defined by the Robarts Histologic Index.
Measured: Week 6
Induction - Proportion of participants with histologic remission.
Histologic remission defined by the Robarts Histologic Index.
Measured: Week 6
Induction - Proportion of participants with mucosal healing.
Mucosal healing defined by the Mayo Endoscopic score and Robarts Histologic Index.
Measured: Week 6
Induction - Mean ln-transformed faecal calprotectin.
Mean ln-transformed faecal calprotectin defined by faecal calprotectin values.
Measured: Week 6
Induction - Mean 3-component and 4-component Mayo scores.
Defined by 3-component and 4-component Mayo scores.
Measured: Week 6
Induction - Mean IBDQ total score.
Defined by the Inflammatory Bowel Disease Questionnaire (IBDQ).
Measured: Week 6
Induction - Proportion of participants with an improvement in IBDQ total score.
Defined by the IBDQ.
Measured: Week 6
Maintenance - Proportion of participants with endoscopic improvement.
Endoscopic improvement defined by the Mayo Endoscopic score.
Measured: Week 52
Maintenance - Proportion of participants with clinical remission and steroid-free.
Defined by the 3-component Mayo score and use of glucocorticosteroids.
Measured: Week 52
Maintenance - Proportion of participants with clinical remission among those who achieved clinical remission
Defined by the 3-component Mayo score.
Measured: Week 52
Maintenance - Proportion of participants with symptomatic remission.
Symptomatic remission defined by the 2-component Mayo score.
Measured: Week 52
Maintenance - Proportion of participants with histologic improvement.
Histologic improvement defined by the Robarts Histologic Index.
Measured: Week 52
Maintenance - Proportion of participants with histologic remission.
Histologic remission defined by the Robarts Histologic Index.
Measured: Week 52
Maintenance - Proportion of participants with mucosal healing.
Mucosal healing defined by the Mayo Endoscopic score and Robarts Histologic Index.
Measured: Week 52
Maintenance - Proportion of participants with clinical response.
Clinical response defined by the 3-component Mayo score.
Measured: Week 52
Maintenance - Proportion of participants with absence of rectal bleeding.
Rectal bleeding defined by the Mayo score for Rectal Bleeding.
Measured: Week 52
Maintenance - Proportion of participants with normalisation of stool frequency.
Stool frequency defined by the Mayo score for Stool Frequency.
Measured: Week 52
Maintenance - Mean stool frequency.
Mean stool frequency defined by the Mayo score for Stool Frequency.
Measured: Week 52
Maintenance - Mean ln-transformed faecal calprotectin.
Mean ln-transformed faecal calprotectin.
Measured: Week 52
Maintenance - Mean 3-component and 4-component Mayo scores.
Defined by 3-component and 4-component Mayo scores.
Measured: Week 52
Maintenance - Mean IBDQ total score.
Defined by the use of the Inflammatory Bowel Disease Questionnaire (IBDQ).
Measured: Week 52
Maintenance - Proportion of participants with an improvement in IBDQ total score.
Defined by the IBDQ.
Measured: Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Aug 2021
- Study start24 Nov 2021
- Primary completion20 Dec 2023
- Study completion20 Dec 2023
Why it stopped: Due to futility
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 171 participants (actual)
Sponsor and investigators
- Lead sponsor
- InDex Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Raja Atreya, Professor, Principal investigator, Friedrich-Alexander University Erlangen-Nuremberg
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04985968
- Sponsor's protocol ID
- CSUC-01/21
- Acronym
- CONCLUDE
- Status last verified
- Dec 2023
- First submitted
- 22 Jul 2021
- Last updated
- 27 Dec 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised Double-Blind Placebo-Controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of Cobitolimod as an Induction and Maintenance Therapy in Participants With Moderate to Severe Active Left-Sided Ulcerative Colitis
- ClinicalTrials.gov ID
- NCT04985968
- Acronym / sponsor ID
- CONCLUDE / CSUC-01/21
- Conditions
- Ulcerative Colitis
- Keywords
- Colitis, Ulcerative, Gastrointestinal Disease, Inflammatory Bowel Diseases, Glucocorticosteroids, Anti-Inflammatory Agents, Therapeutic uses, Cobitolimod, Toll like receptor 9 agonist
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Due to futility
- Enrolment
- 171 participants (actual)
- Lead sponsor
- InDex PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 24 Nov 2021 (actual)
- Primary completion
- 20 Dec 2023 (actual)
- Study completion
- 20 Dec 2023 (actual)
- First posted
- 2 Aug 2021 (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.
The purpose of the study is to evaluate the efficacy of cobitolimod treatment compared to placebo in inducing clinical remission, in participants with moderate to severe active left-sided UC and to evaluate the efficacy of cobitolimod maintenance treatment compared to placebo in inducing or maintaining clinical remission at week 52, in participants with clinical response at week 6 after induction treatment with cobitolimod.
Detailed description
This phase III study protocol includes an induction study for 6 weeks and a maintenance study for an additional 45 weeks.
In the induction study there will be an initial phase to explore the best dose, between cobitolimod 250 mg and cobitolimod 500 mg using adaptive design.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Cobitolimod 250 mg | Experimental | Drug: Cobitolimod 250 mgDose of 250 mg cobitolimod 2 treatments during induction study and subsequently every third week |
| Cobitolimod 500 mg | Experimental | Drug: Cobitolimod 500 mgDose of 500 mg cobitolimod 2 treatments during induction study and subsequently every third week |
| Placebo | Placebo comparator | Drug: PlaceboDose of Placebo 2 treatments during induction study and subsequently every third week |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Male or female ≥ 18 years of age.
- Established diagnosis of UC.
- Moderate to severe active left-sided UC assessed by central reading.
- Have inadequate response, loss of response or be intolerant of at least one of the following treatments: Oral GCS, AZA/6-MP, Biologics, JAK-inhibitors, or other approved advanced therapies for UC.
- Allowed to receive a therapeutic dose of the following UC drugs during the study: Oral GCS therapy (≤20 mg prednisone or equivalent/day) , Oral 5-ASA/SP compounds, AZA/6-MP.
Key exclusion criteria (17 listed)
- Suspicion of differential diagnosis.
- Acute fulminant UC and/or signs of systemic toxicity.
- UC limited to the rectum or extending beyond the splenic flexure.
- Have failed treatment with more than three advanced therapies of two different therapeutic classes.
- Have had surgery for treatment of UC.
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 |
|---|---|---|
| Cobitolimod 250 mgAlso: KappaproctRectal administration | Drug | Cobitolimod 250 mg |
| Cobitolimod 500 mgAlso: KappaproctRectal administration | Drug | Cobitolimod 500 mg |
| PlaceboRectal administration | Drug | Placebo |
Primary outcome
Induction - Proportion of participants with clinical remission.
Time frame: Week 6
Clinical remission defined by the 3-component Mayo score.
Maintenance - Proportion of participants with clinical remission.
Time frame: Week 52
Clinical remission defined by the 3-component Mayo score.
28 secondary outcomes
Induction - Proportion of participants with endoscopic improvement.
Time frame: Week 6
Induction - Proportion of participants with symptomatic remission.
Time frame: Week 6
Induction - Proportion of participants with clinical response.
Time frame: Week 6
Induction - Proportion of participants with normalisation of stool frequency.
Time frame: Week 6
Induction - Proportion of participants with absence of rectal bleeding.
Time frame: Week 6
Induction - Mean stool frequency.
Time frame: Week 6
Induction - Proportion of participants with histologic improvement.
Time frame: Week 6
Induction - Proportion of participants with histologic remission.
Time frame: Week 6
Induction - Proportion of participants with mucosal healing.
Time frame: Week 6
Induction - Mean ln-transformed faecal calprotectin.
Time frame: Week 6
Induction - Mean 3-component and 4-component Mayo scores.
Time frame: Week 6
Induction - Mean IBDQ total score.
Time frame: Week 6
Induction - Proportion of participants with an improvement in IBDQ total score.
Time frame: Week 6
Maintenance - Proportion of participants with endoscopic improvement.
Time frame: Week 52
Maintenance - Proportion of participants with clinical remission and steroid-free.
Time frame: Week 52
Maintenance - Proportion of participants with clinical remission among those who achieved clinical remission
Time frame: Week 52
Maintenance - Proportion of participants with symptomatic remission.
Time frame: Week 52
Maintenance - Proportion of participants with histologic improvement.
Time frame: Week 52
Maintenance - Proportion of participants with histologic remission.
Time frame: Week 52
Maintenance - Proportion of participants with mucosal healing.
Time frame: Week 52
Maintenance - Proportion of participants with clinical response.
Time frame: Week 52
Maintenance - Proportion of participants with absence of rectal bleeding.
Time frame: Week 52
Maintenance - Proportion of participants with normalisation of stool frequency.
Time frame: Week 52
Maintenance - Mean stool frequency.
Time frame: Week 52
Maintenance - Mean ln-transformed faecal calprotectin.
Time frame: Week 52
Maintenance - Mean 3-component and 4-component Mayo scores.
Time frame: Week 52
Maintenance - Mean IBDQ total score.
Time frame: Week 52
Maintenance - Proportion of participants with an improvement in IBDQ total score.
Time frame: Week 52
Results and safety
The study was stopped early (reason given: Due to futility). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Dec 2023.
- Individual participant dataSharing planned: No
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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.
Raja Atreya, Professor principal investigator
Friedrich-Alexander University Erlangen-Nuremberg
203 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cobitolimod 250 mg and Cobitolimod 500 mg in people with Ulcerative Colitis, run by InDex Pharmaceuticals at 203 sites in 28 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 17 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 27 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 203 sites in United States, Poland, Germany, Italy, France and 23 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Due to futility). 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?
Induction - Proportion of participants with clinical remission. (time frame: Week 6). The study lists 2 primary outcomes in all. 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 27 Dec 2023.