Multicenter Study of Oral Ozanimod as Maintenance Therapy in patients with Moderately to Severely Active Crohn’s Disease
- Conditions
- Moderately to Severely Active Crohn’s DiseaseMedDRA version: 20.0Level: PTClassification code 10011401Term: Crohn's diseaseSystem Organ Class: 10017947 - Gastrointestinal disordersTherapeutic area: Diseases [C] - Digestive System Diseases [C06]
- Registration Number
- EUCTR2017-004294-14-NO
- Lead Sponsor
- Celgene International II Sàrl
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Authorised-recruitment may be ongoing or finished
- Sex
- All
- Target Recruitment
- 485
Subjects must satisfy the following criteria to be enrolled in the study:
1. Subject fulfilled the inclusion criteria at time of entry into the Induction Study (RPC01-3201 or RPC01-3202) and have completed the Week 12 efficacy assessments of the Induction Study.
2. Must be male or female subject aged 18 to 75 years (at Randomization), inclusive.
3. Subject must provide written informed consent prior to any studyrelated procedures and have the ability to comply with the Table of Events.
4. Subject is in clinical response (a reduction from baseline in CDAI of =100 points or CDAI score of < 150 points) and/or in clinical remission based on an average daily stool frequency score = 3 with abdominal pain and stool frequency no worse than baseline and an average abdominal pain score = 1 and/or CDAI score of < 150 points at Week 12 of the Induction Study.
5. Female subjects of childbearing potential:
Must agree to practice a highly effective method of contraception throughout the study until completion of the 75-day Safety Follow-Up Visit. Highly effective methods of contraception are those that alone or in combination result in a failure rate of a Pearl Index of less than 1% per year when used consistently and correctly. Acceptable methods of birth control in the study are the following:
? combined hormonal (containing oestrogen and progestogen) contraception, which may be oral, intravaginal, or transdermal
? progestogen-only hormonal contraception associated with inhibition of ovulation, which may be oral, injectable, or implantable
? placement of an intrauterine device (IUD)
? placement of an intrauterine hormone-releasing system (IUS)
? bilateral tubal occlusion
? vasectomised partner
? sexual abstinence
Male subjects:
Must agree to use a latex condom during sexual contact with women of childbearing potential while participating in the study until completion of
the 75-day safety follow-up visit.
All subjects:
Periodic abstinence (calendar, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), spermicides only, and lactational amenorrhoea method are not acceptable methods of contraception. Female condom and male condom should not be used together.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 435
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 50
Exclusions Related to General Health:
1. Subject has any clinically relevant hepatic, neurological, pulmonary, ophthalmological, endocrine, psychiatric, or other major systemic disease making implementation of the protocol or interpretation of the study difficult or that would put the subject at risk by participating in the
study.
2. Subject is pregnant, lactating, or has a positive urine beta human chorionic gonadotropin (ß-hCG) measured prior to randomization.
3. Subject has suspected or diagnosed intra-abdominal or perianal abscess that has not been appropriately treated.
4. Subject has a history of uveitis (within the last year) or clinically confirmed diagnosis of macular edema.
5. Subject has undergone a colectomy (partial or total), small bowel resection, or an ostomy (ie, temporary colostomy, permanent colostomy,
ileostomy, or other enterostomy) since Day 1 of the Induction Studies or has developed symptomatic fistula (enterocutaneous or entero-enteral).
6. Subject has had active cancer within 5 years including solid tumors and hematological malignancies (except basal cell and in situ squamous
cell carcinomas of the skin or cervical dysplasia/cancer that have been excised and resolved) or colonic dysplasia that has not been completely
removed.
Exclusions Related to Medications:
7. Hypersensitivity to active ingredients or excipients of ozanimod or placebo
8. Subject has received any of the following therapies during the Induction Study:
a. rectal steroid therapy (ie, steroids administered to the rectum or sigmoid via foam or enema)
b. rectal 5-ASA (ie, 5-ASA administered to the rectum)
c. parenteral corticosteroids
d. total parenteral nutrition therapy
e. antibiotics for the treatment of CD
f. immunomodulatory agents (6-MP, azathioprine, including but not limited to cyclosporine, mycophenolate mofetil, tacrolimus, and sirolimus)
g. immunomodulatory biologic agents
h. investigational agents
i. apheresis
9. Subject has current or planned treatment with immunomodulatory agents (eg, azathioprine, 6-MP, or methotrexate) during the Maintenance Study.
10. Subject has chronic nonsteroidal anti-inflammatory drug (NSAID) use (note: occasional use of NSAIDs and acetaminophen [eg, headache, arthritis, myalgias, or menstrual cramps] and aspirin up to 325 mg/day is permitted).
11. Subject has received treatment with Class Ia or Class III antiarrhythmic drugs or treatment with 2 or more agents in combination known to prolong PR interval.
12. Subject has received a live or live attenuated vaccine within 4 weeks prior to first dose of IP.
13. Subject has received previous treatment with lymphocyte-depleting therapies (eg, Campath™, anti-CD4, cladribine, rituximab, ocrelizumab, cyclophosphamide, mitoxantrone, total body irradiation, bone marrow transplantation, alemtuzumab, or daclizumab).
14. Subject has received previous treatment with D-penicillamine, leflunomide or thalidomide.
15. Subject has received previous treatment with natalizumab or fingolimod.
16. Subject has received previous treatment with cyclosporine, tacrolimus, sirolimus, or mycophenolate mofetil within 16 weeks of first dose of IP.
17. Subject has a history of treatment with IV immune globulin (IVIg), or plasmapheresis, within 3 months prior to first dose of IP.
18. Subject receiving treatment with breast cancer resistance protein (BCRP) inhibitors (eg, cyclosporine, eltrombopag)
19. Subjects is receiving treatment with any of the following drugs or interventions within the t
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method