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临床试验/ISRCTN11093445
ISRCTN11093445进行中(未招募)未知

A Phase Ib/IIb, randomised, double-blind, placebo-controlled trial to investigate the safety, tolerability and clinical activity of humanised antibody GSK1070806 in the treatment of patients with moderate-to-severe Crohn's disease

niversity of Birmingham0 个研究点目标入组 5 人开始时间: 2019年10月28日最近更新:
适应症

试验速览

阶段
未知
状态
进行中(未招募)
入组人数
5

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • A patient will be eligible for inclusion in this study only if all of the following criteria apply:
  • 1. Written informed consent prior to any of the screening procedures including discontinuation of prohibited medications. (see Section 7.11 for additional information)
  • 2. Patients that have been diagnosed with moderate to severe Crohn’s disease for at least 3 months prior to Screening Visit 1 defined by CDAI score between 220-450
  • 3. Patients are required to have endoscopic evidence of active Crohn’s disease at Baseline (screening visit 1) defined by endoscopic appearance: SES-CD excluding the narrowed component of > = 6 (or > = 4 for patients with isolated ileal disease).
  • 4. AST and ALT < = 2xULN; alkaline phosphatase and bilirubin < = 1.5xULN (isolated bilirubin > 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin < 35%)
  • 5. Male or female participants aged > = 16 years (up to 80 years)
  • Male participants:
  • 6. A male participant must agree to use contraception as detailed in Appendix 5 of this protocol for at least 180 days post-dose of study medication and refrain from donating sperm during this period.
  • Female participants:
  • 7. A female participant is eligible to participate if she is not pregnant or breastfeeding and not a woman of childbearing potential (WOCBP) defined as at least one of the following conditions:
  • 7.1. Premenopausal female with documented hysterectomy
  • 7.2. Premenopausal female with documented bilateral salpingectomy or oophorectomy
  • 7.3. Postmenopausal female defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a postmenopausal state in women not using hormonal contraception or hormonal replacement therapy (HRT). However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient.
  • 7.4. Females on HRT and whose menopausal status is in doubt will be required to use one of the non-hormonal highly effective contraception methods if they wish to continue their HRT during the trial. Otherwise, they must discontinue HRT to allow confirmation of postmenopausal status before trial enrolment.
  • 7.5. A WOCBP who agrees to follow the contraceptive guidance in Appendix 5 for at least 180 days post-dose of trial medication. If a hormonal method of birth control is selected from the list in Appendix 1 then participants must have been using these methods at least 28 days prior to GSK1070806 administration, or be abstinent, or utilise a condom as a method of contraception until the selected hormonal method has been in place for the 28 day period.

排除标准

  • A participant will not be eligible for inclusion in this trial if any of the following criteria apply:
  • 1. Diagnosis of ulcerative or indeterminate colitis
  • Crohn’s Disease complications:
  • 2. Evidence of an infected abscess by MRI or other examinations
  • 3. Bowel surgery other than appendectomy within 12 weeks prior to screen and/or has planned surgery or deemed likely to need surgery for CD during the trial period
  • 4. Participants with ileostomies, colostomies or rectal pouches
  • 5. Participants with a bowel stricture that is fixed
  • 6. Participants with evidence of short bowel syndrome
  • 7. Participants requiring enteral or parenteral feeding
  • 8. Deep penetrating ulcers at endoscopy thought to be at risk for perforation
  • Viral and bacterial infections:
  • 9. Presence of Hepatitis B surface antigen (HBsAg), (confirmed by Hepatitis B surface antigen test – within 12 months of randomisation) core antigen (HBcAg) or surface antibody (HBsAb), positive Hepatitis C (qualitative enzyme immunoassay) test result
  • 10. Known varicella, herpes zoster, or other severe viral infection within 6 weeks of randomisation
  • 11. The participant has a history of tuberculosis (TB) disease or latent TB infection, in the absence of documented adequate therapy for same.
  • 12. Positive screening test for TB (including T-SPOT.TB TB test), unless respiratory review confirms false positive test results
  • 13. History of uncontrolled bacterial or fungal infection requiring intravenous antibiotics
  • 14. Positive immunoassay for Clostridium difficile toxin and other enteric pathogens
  • Other exclusion criteria:
  • 15. Cardiology assessment/co-morbidity defined as:
  • 15.1. QTc > 450 msec (480msec for those with Bundle Branch Block) and/or
  • 15.2. Either QTcb or QTcf, machine or manual overread, males or females. The QT correction formula used to determine exclusion and discontinuation should be the same throughout the trial and/or
  • 15.3. Based on single QTc value (average of triplicate readings) of ECG obtained over a brief recording period
  • 16. The participant has congenital or acquired immunodeficiency, or a history of chronic or recurrent opportunistic infections
  • 17. The participant has current evidence of, or has been treated for a malignancy within the past five years (other than localised basal cell, squamous cell skin cancer, cervical dysplasia, or cancer in situ that has been resected)
  • 18. Use of any investigational drug within 30 days prior to screening, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer)
  • 19. Participant has received live, attenuated or recombinant vaccine(s) within 2 months of randomisation or will require vaccination within 3 months of trial drug infusion
  • 20. Any patients that are receiving medication(s) detailed in Section 7.11.2 of the trial protocol, will not be eligible for randomisation into the trial

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