A Study on the Safety of TAK-279 and Whether it Can Reduce Inflammation in the Bowel of Participants With Moderately to Severely Active Ulcerative Colitis
- Conditions
- Ulcerative Colitis
- Interventions
- Drug: TAK-279Drug: Placebo
- Registration Number
- NCT06254950
- Lead Sponsor
- Takeda
- Brief Summary
The main aim of this study is to learn if TAK-279 reduces bowel inflammation and symptoms compared to placebo. Another aim is to compare any medical problems that participants have when they take TAK-279 or placebo and how well the participants tolerate any problems.
The participants will take capsules of either TAK-279 or placebo for up to 3 months (12 weeks). Then all the participants will receive TAK-279 for the rest of the treatment part of the study (1 year or 52 weeks).
During the study, participants will visit their study clinic several times.
- Detailed Description
Study TAK-279-UC-2001 is a multicenter, randomized, placebo-controlled, study with a 12-week double-blinded induction treatment period, a 40-week open-label treatment period (52 total weeks of treatment), and a 4-week safety follow-up period.
An approximate total of eligible 207 participants will be randomized to one of the three treatment groups -
1. TAK-279 Dose 1
2. TAK-279 Dose 2
3. Placebo
The maximum study duration per participant is approximately 60 weeks, including up to 30 days for the screening period, a 12-week randomized and double-blinded induction treatment period, a 40-week open-label treatment period, and a 4-week safety follow-up period.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 207
- Male or female aged 18-75 years old with diagnosis of UC for at least 30 days.
- Confirmed diagnosis of moderately to severely active UC assessed by mMS and ES.
- Participants must have had an inadequate response to, loss of response to, or intolerance to at least one conventional, biologic or advance therapy for UC.
- Participants must meet the contraception recommendations.
- Participants with indeterminate/unclassified inflammatory bowel disease (IBD), microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, diverticular disease associated with colitis, and/or clinical/histologic findings suggestive of Crohn's disease (CD).
- Participants with complications of UC such as strictures, stenoses, fistulas, short gut syndrome, or any other manifestation that might require surgery during the study.
- Participants with a current ileostomy or colostomy. Participants who had a J-pouch are excluded, as a J-pouch could result in a stoma.
- Participants who have failed 3 or more classes of advanced therapies.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description TAK-279 Dose 1 TAK-279 TAK-279, capsules, orally at Dose 1 up to Week 12 followed by either Dose 1 or Dose 2 up to week 52 based on the response. TAK-279 Dose 2 TAK-279 TAK-279, capsules, orally at Dose 2 up to Week 12 followed by either Dose 1 or Dose 2 up to week 52 based on the response. Placebo TAK-279 TAK-279 matching placebo capsules, orally, for 12 weeks followed by TAK-279 capsules, orally either Dose 1 or Dose 2 up to Week 52 based on the response. Placebo Placebo TAK-279 matching placebo capsules, orally, for 12 weeks followed by TAK-279 capsules, orally either Dose 1 or Dose 2 up to Week 52 based on the response.
- Primary Outcome Measures
Name Time Method Percentage of Participants Achieving Clinical Remission at Week 12 Based on Modified Mayo Score (mMS) Week 12 The mMS is a composite score of 3 assessments consisting of stool frequency (SF), rectal bleeding (RB), and endoscopic score (ES). Each component subscore ranges from 0 to 3 and total score range of the mMS is from 0 to 9, with higher scores indicating more severe disease. Clinical remission is defined an mMS of ≤2 with SF subscore ≤ 1, RB subscore = 0, and ES ≤ 1 (score of 1 modified to exclude friability).
- Secondary Outcome Measures
Name Time Method Change From Baseline in Fatigue as Measured by the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) Score at Week 12 Baseline and Week 12 The FACIT-Fatigue is a reliable and valid instrument for measuring fatigue. The responses to the 13 items on the FACIT-Fatigue questionnaire are each measured on a 5-point Likert scale, where 0=Not at all, 1=A little bit, 2=Somewhat, 3=Quite a bit and 4=Very much. The total score ranges from 0 to 52. High scores represent less fatigue.
Percentage of Participants Achieving Clinical Response at Week 12 Based on Modified Mayo Score (mMS) Baseline, Week 12 Clinical response defined as reduction from baseline in mMS of ≥2 points and ≥30% from baseline and a decrease from baseline in the RB subscore of ≥1 point or an absolute RB subscore of ≤1 point at Week 12.
Percentage of Participants Achieving Symptomatic Remission at Week 12 Week 12 Symptomatic remission is defined as a RB subscore of 0 and SF subscore of ≤1.
Percentage of Participants Achieving Endoscopic Improvement at Week 12 Week 12 Endoscopic improvement defined as a modified Mayo ES of ≤1 (score of 1 modified to exclude friability).
Percentage of Participants Achieving Endoscopic Remission at Week 12 Week 12 Endoscopic remission defined as a modified Mayo ES of 0.
Percentage of Participants With no Bowel Urgency at Week 12 Week 12 Bowel urgency measured by the bowel urgency electronic diary (eDiary) item at Week 12.
Percentage of Participants With no Abdominal Pain at Week 12 Week 12 Abdominal pain measured by abdominal pain eDiary item at Week 12.
Percentage of Participants With Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score ≥170 at Week 12 Week 12 The IBDQ is a 32-item questionnaire that measures 4 dimensions: bowel function (10 items), emotional status (12 items), systemic symptoms (5 items), and social function (5 items). The total score ranges from 32 to 224, with higher scores representing better quality of life.
Change From Baseline in Disease-Specific Health-related Quality of Life (HRQoL) as Measured by IBDQ Total Score at Week 12 Baseline and Week 12 The IBDQ is a 32-item questionnaire that measures 4 dimensions: bowel function (10 items), emotional status (12 items), systemic symptoms (5 items), and social function (5 items). The total score ranges from 32 to 224, with higher scores representing better quality of life.
Trial Locations
- Locations (132)
GastroIntestinal BioSciences
🇺🇸Los Angeles, California, United States
United Medical Doctors
🇺🇸Murrieta, California, United States
UCI Health
🇺🇸Orange, California, United States
West Central Gastroenterology, LLP, d/b/a/ Gastro Florida
🇺🇸Clearwater, Florida, United States
Auzmer Research
🇺🇸Lakeland, Florida, United States
GI PROS, Inc.
🇺🇸Naples, Florida, United States
USF Health Morsani Center for Advanced Healthcare
🇺🇸Tampa, Florida, United States
Emory University Hospital, The Emory Clinic
🇺🇸Atlanta, Georgia, United States
Atlanta Center For Gastroenterology, P.C.
🇺🇸Decatur, Georgia, United States
Holden Comprehensive Cancer Center, University of Iowa Hospitals and Clinics
🇺🇸Iowa City, Iowa, United States
University Of Louisville
🇺🇸Louisville, Kentucky, United States
Woodholme Gastroenterology Associates
🇺🇸Glen Burnie, Maryland, United States
BVL Clinical Research
🇺🇸Liberty, Missouri, United States
Las Vegas Medical Research
🇺🇸Las Vegas, Nevada, United States
Rochester Clinical Research
🇺🇸New York, New York, United States
DiGiovanna Institute for Medical Education and Research
🇺🇸North Massapequa, New York, United States
Hightower Clinical - SSM Health
🇺🇸Oklahoma City, Oklahoma, United States
Gastroenterology Associates, PA
🇺🇸Greenville, South Carolina, United States
Novel Research, LLC
🇺🇸Bellaire, Texas, United States
Tyler Research Institute, LLC
🇺🇸Tyler, Texas, United States
University of Washington Medical Center
🇺🇸Seattle, Washington, United States
Nepean Clinical School
🇦🇺Kingswood, New South Wales, Australia
Concord Repatriation General Hospital
🇦🇺Sydney, New South Wales, Australia
Western Health/Footscray Hospital
🇦🇺Melbourne, Victoria, Australia
Harry Perkins Medical Research Institute Fiona Stanley Hospital
🇦🇺Murdoch, Australia
Hopital Universitaire de Bruxelles/ Academisch Ziekenhuis Burssel
🇧🇪Brussels, Anderlecht / Region Capitale De Bruxelles/ Brussel, Belgium
Universitair Ziekenhuis Leuven
🇧🇪Leuven, Belgium
Heritage Medical Research Clinic - University Of Calgary
🇨🇦Calgary, Alberta, Canada
Fraser Clinical Trials
🇨🇦New Westminster, British Columbia, Canada
London Health Sciences Centre - University Hospital
🇨🇦London, Ontario, Canada
London Health Sciences Centre - Victoria Hospital
🇨🇦London, Ontario, Canada
Centre Hospitalier de l'Universite de Montreal
🇨🇦Montreal, Quebec, Canada
The Research Institute of the McGill University Health Center
🇨🇦Montreal, Quebec, Canada
Hepato-Gastroenterologie HK, s.r.o.
🇨🇿Hradec Kralove, Czechia
Fakultni Nemocnice Ostrava (FNO)
🇨🇿Ostrava-Poruba, Czechia
Axon Clinical s.r.o.
🇨🇿Praha 5, Czechia
Odense Universitetshospital (OUH) (Odense University Hospital)
🇩🇰Odense, Syddanmark, Denmark
Aalborg Hospital
🇩🇰Aalborg, Denmark
Sydvestjysk Region/Esbjerg Hospital
🇩🇰Esbjerg, Denmark
Hillerod Hospital, Hilleroed Sygehus
🇩🇰Hillerod, Denmark
Hvidovre Hospital Medicinsk Gastroenterologisk Afdeling
🇩🇰Hvidovre, Denmark
Region Sjaelland Sygehus Nord, Koge Sygehus
🇩🇰Koge, Denmark
Centre Hospital Regional Et Universitaire De Tours (Chru Tours) - Houpital Trousseau
🇫🇷Chambray-les-Tours, France
CHU De Clermont Ferrand - Hopital Estaing
🇫🇷Clermont-Ferrand, France
Hopital l'Archet 2
🇫🇷Nice Cedex 3, France
Hopital Nord Chu Saint-Etienne
🇫🇷Saint Etienne, France
Centre Hospitalier Regional Universitaire de Nancy Hopital Brabois
🇫🇷Vandoeuvre les Nancy, France
Agaplesion Markus Krankenhaus
🇩🇪Frankfurt Am Main, Germany
Hamburger Forschungsinstitut Fuer Chronisch Entzuendliche Darmerkrankungen (HaFCED e.K.)
🇩🇪Hamburg, Germany
Medizinische Hochschule Hannover, Hannover Medical School
🇩🇪Hannover, Germany
Praxis fur Gastroenterologie
🇩🇪Heidelberg, Germany
Universitaetsklinikum Schleswig-Holstein, UKSH-Campus Kiel
🇩🇪Kiel, Germany
St. Marien- und St. Annastiftskrankenhaus
🇩🇪Ludwigshafen, Germany
Universitaetsklinikum Mannheim GmbH
🇩🇪Mannheim, Germany
Universitaetsklinikum Tuebingen
🇩🇪Tuebingen, Germany
University Hospital Of Ulm, Universitatsklinikum Ulm
🇩🇪Ulm, Germany
University General Hospital of Patras
🇬🇷Patras, Achaia, Greece
Evaggelismos Hospital (Evangelismos Hospital)-University of Athens
🇬🇷Athens, Attiki, Greece
University Hospital of Heraklion
🇬🇷Heraklion, Crete, Greece
Sotiria General Hospital of Athens
🇬🇷Athens, Greece
G.N.A. Gennimatas
🇬🇷Athens, Greece
Clinexpert
🇭🇺Budapest, Hungary
Semmelweis Egyetem
🇭🇺Budapest, Hungary
Pannonia Maganorvosi Centrum Kft.
🇭🇺Budapest, Hungary
Javorszky Odon Korhaz
🇭🇺Vac, Hungary
IRCCS A.O.U. Policlinico S. Orsola - Malpighi
🇮🇹Bologna, Italy
Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele Hospital
🇮🇹Milan, Italy
Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello
🇮🇹Palermo, Italy
Azienda Ospedaliera San Camillo Forlanini
🇮🇹Rome, Italy
IRCCS Istituto clinico humanitas - Humanitas Mirasole spa
🇮🇹Rozzano, Italy
AO Ordine Mauriziano di Torino
🇮🇹Torino, Italy
Toho University Sakura Medical Center
🇯🇵Sakura, Chiba, Japan
Sapporo Medical University Hospital
🇯🇵Sapporo, Hokkaido, Japan
Kansai Medical University Hospital
🇯🇵Hirakata, Osaka, Japan
Kitasato University Kitasato Institute Hospital
🇯🇵Minato-ku, Tokyo, Japan
The jikei University Hospital
🇯🇵Minato, Tokyo, Japan
Kyorin University Hospital
🇯🇵Mitaka-City, Tokyo, Japan
Fukuoka University Hospital
🇯🇵Fukuoka, Japan
Saga University Hospital
🇯🇵Saga, Japan
Yonsei University Wonju Severance Christian Hospital
🇰🇷Wonju, Gangwon, Korea, Republic of
Inje University Haeundae Paik Hospital
🇰🇷Busan, Korea, Republic of
Kosin University Gospel Hospital
🇰🇷Busan, Korea, Republic of
Yeungnam University Medical Center
🇰🇷Daegu, Korea, Republic of
Keimyung University Dongsan Hospital
🇰🇷Daegu, Korea, Republic of
Severance Hospital, Yonsei University Health System
🇰🇷Seoul, Korea, Republic of
Asan Medical Center (AMC)
🇰🇷Seoul, Korea, Republic of
Samsung Medical Center
🇰🇷Seoul, Korea, Republic of
Chung-Ang University Hospital
🇰🇷Seoul, Korea, Republic of
St. Elisabeth Ziekenhuis
🇳🇱Tilburg, Netherlands
Akershus University Hospital
🇳🇴Lorenskog, Akershus, Norway
Vestre Viken HF - Baerum Sykehus
🇳🇴Drammen, Gjettum, Norway
Oslo Univeristy Hospital Ulleval Hospital
🇳🇴Oslo, Norway
Centrum Medyczne Melita Medical
🇵🇱Wroclaw, Dolnolskie, Poland
PlanetMed Sp. z o.o.
🇵🇱Wroclaw, Dolnoslaskie, Poland
Szpital Uniwersytecki nr 2 im. Dr Jana Biziela w Bydgoszczy
🇵🇱Bydgoszcz, Kujawsko-pomorskie, Poland
Gastromed Kopon, Zmudzinski i Wspolnicy Sp.j. Specjalistyczne Centrum Gastrologii i Endoskopii Specjalistyczne Gabinety Lekarskie
🇵🇱Torun, Kujawsko-pomo, Poland
AmiCare Sp. z o.o. Sp. k.
🇵🇱Lodz, Lodzkie, Poland
Panstwowy Instytut Medyczny MSWiA
🇵🇱Warszawa, Mazowieckie, Poland
Centrum Medyczne Pratia Gdynia
🇵🇱Gdynia, Pomorskie, Poland
Twoja Przychodnia - Szczecinskie Centrum Medyczne
🇵🇱Szczecin, Zachodniopomorskie, Poland
Oddzial Kliniczny Gastroenterologii Ogolnej i Onkologicznej SPZOZ Uniwersytecki Szpital Kliniczny Nr 1 im. Barlickiego Uniwersytetu Medycznego w Lodzi
🇵🇱Lodz, Poland
Centrum Medyczne Med-Gastr
🇵🇱Lodz, Poland
Medrise sp. z o.o
🇵🇱Lublin, Poland
Centrum Medyczne MedykSp. z o.o. Sp. K.
🇵🇱Rzeszow, Poland
Korczowski Bartosz, Gabinet Lekarski
🇵🇱Rzeszow, Poland
H-T. Centrum Medyczne Sp. z o.o. Sp.k.
🇵🇱Tychy, Poland
Wojskowy Instytut Medyczny
🇵🇱Warsaw, Poland
WIP Warsaw IBD Point Profesor Kierkus
🇵🇱Warsaw, Poland
Centrum Badan Klinicznych Piotr Napora Lekarze Spolka Partnerska, Centrum Badan Klinicznych Osrodek Badan Wczesnej Fazy
🇵🇱Wroclaw, Poland
ETG Zamosc
🇵🇱Zamosc, Poland
Policlinica Algomed: Centrul De Gastroenterologie Dr. Goldis
🇷🇴Timisoara, Jud Timis, Romania
Clinical Hospital Colentina-Spitalul Clinic Colentina
🇷🇴Bucharest, Romania
Clinica Medicum
🇷🇴Bucharest, Romania
Spitalul de Oncologie Monza - Soseaua Gheorghe Ionescu Sisesti
🇷🇴Bucuresti, Romania
Fakultna nemocnica F. D. Roosevelta
🇸🇰Banska Bystrica, Slovakia
Cliniq s. r. o.
🇸🇰Bratislava, Slovakia
Endomed
🇸🇰Kosice, Slovakia
Fakultna Nemocnica s poliklinikou Nove Zamky
🇸🇰Nove Zamky, Slovakia
Hospital Universitario de Fuenlabrada
🇪🇸Fuenlabrada, Spain
Hospital Juan Ramon Jimenez
🇪🇸Huelva, Spain
Hospital General Universitario Gregorio Maranon (HGUGM)
🇪🇸Madrid, Spain
University Hospital Basel
🇨🇭Basel, Switzerland
Changhua Christian Hospital (CCH)
🇨🇳Changhua City, Changhua County, Taiwan
National Taiwan University Hospital (NTUH)
🇨🇳Taipei City, Zhongzheng District, Taiwan
Kaohsiung Medical University Hospital
🇨🇳Kaohsiung, Taiwan
China Medical University Hospital
🇨🇳Taichung City, Taiwan
Chang Gung Memorial Foundation Linkou Chang Gung Memorial Hospital
🇨🇳Taoyuan City, Taiwan
Clinical Research Centre - Barts Health NHS Trust
🇬🇧London, E1 2at, United Kingdom
St George's University Hospitals NHS Foundation Trust
🇬🇧London, Greater London, United Kingdom
South Eastern Health and Social Care Trust - The Ulster Hospital
🇬🇧Belfast, United Kingdom
Addenbrooke's Hospital - Cambridge University Hospitals NHS Foundation Trust
🇬🇧Cambridge, United Kingdom
St Thomas' Hospital - Guy's & St Thomas' NHS Foundation Trust
🇬🇧London, United Kingdom