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临床试验/NCT04033445
NCT04033445进行中(未招募)2 期

CNTO1959UCO3001: A Phase 2b/3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Protocol to Evaluate the Efficacy and Safety of Guselkumab in Participants With Moderately to Severely Active Ulcerative Colitis

Janssen Research & Development, LLC734 个研究点 分布在 4 个国家目标入组 1,064 人开始时间: 2019年9月26日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
1,064
试验地点
734
主要终点
Induction Study 1: Percentage of Participants With Clinical Response at Week I-12

研究概览

简要总结

The purpose of this study is to evaluate the efficacy and safety of guselkumab in participants with moderately to severely active ulcerative colitis (UC).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Documented diagnosis of ulcerative colitis (UC)
  • Moderately to severely active UC, defined by modified Mayo score
  • Demonstrated inadequate response or intolerance to medical therapies specified in the protocol
  • Screening laboratory test results within the parameters specified in the protocol

排除标准

  • Diagnosis of indeterminate colitis, microscopic colitis, ischemic colitis, or Crohn's disease or clinical findings suggestive of Crohn's disease
  • UC limited to the rectum only or to less than (<) 20 centimeter (cm) of the colon
  • Presence of a stoma
  • Presence or history of a fistula
  • Receiving prohibited medications and/or treatment

研究组 & 干预措施

Induction Study 1: Placebo IV

Placebo Comparator

Participants will receive matching placebo IV in Induction Study 1. Subsequent study treatment will be determined by the participant's clinical response status at Week 12. Clinical nonresponders will be administered guselkumab IV.

干预措施: Placebo (Drug)

Induction Study 1: Guselkumab Dose 1

Experimental

Participants will receive guselkumab dose 1 intravenously (IV) in Induction Study 1. Subsequent study treatment will be determined by the participant's clinical response status at Week 12.

干预措施: Guselkumab (Drug)

Maintenance Study: Maintenance Dose Regimen 1

Experimental

Participants will receive guselkumab maintenance dose regimen 1 subcutaneously (SC) every 4 weeks (q4w).

干预措施: Guselkumab (Drug)

Induction Study 1: Guselkumab Dose 2

Experimental

Participants will receive guselkumab dose 2 IV in Induction Study 1. Subsequent study treatment will be determined by the participant's clinical response status at Week 12.

干预措施: Guselkumab (Drug)

Maintenance Study: Placebo SC

Placebo Comparator

Participants will receive matching placebo SC q4w.

干预措施: Placebo (Drug)

Induction Study 2: Placebo IV

Placebo Comparator

Participants will receive matching placebo IV in Induction Study 2. Subsequent study treatment will be determined by the participant's clinical response status at Week 12. Clinical nonresponders will be administered guselkumab IV.

干预措施: Placebo (Drug)

Induction Study 2: Guselkumab IV

Experimental

Participants will receive guselkumab IV in Induction Study 2. Subsequent study treatment will be determined by the participant's clinical response status at Week 12.

干预措施: Guselkumab (Drug)

Maintenance Study: Maintenance Dose Regimen 2

Experimental

Participants will receive guselkumab maintenance dose regimen 2 SC every 8 weeks (q8w).

干预措施: Guselkumab (Drug)

结局指标

主要结局

Induction Study 1: Percentage of Participants With Clinical Response at Week I-12

时间窗: At Week I-12

Clinical response was defined as a decrease from induction baseline in the modified Mayo score by greater than or equal to (\>=) 30 percent (%) and \>=2 points, with either a \>=1 point decrease from baseline (Week 0 of IS-1) in the rectal bleeding subscore or a rectal bleeding subscore of 0 or 1. The modified Mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore as determined during central review, each subscore graded from 0 (normal) to 3 (severe) with higher scores indicating more severe disease. These individual subscores were summed up to give a total modified Mayo score range of 0 (normal) to 9 (severe disease), where higher scores indicated more severe disease activity. This outcome measure was planned to be analyzed for specified arms only.

Induction Study 2: Percentage of Participants With Clinical Remission at Week I-12

时间窗: At Week I-12

Clinical remission was based on the modified Mayo score. Clinical remission was defined as Mayo stool frequency subscore of 0 or 1 and not increased from baseline (Week 0 of IS-2), a Mayo rectal bleeding subscore of 0, and Mayo endoscopic subscore of 0 or 1 with no friability. The modified Mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore as determined during central review, each subscore graded from 0 (normal) to 3 (severe) with higher scores indicating more severe disease. These individual subscores were summed up to give a total modified Mayo score range of 0 (normal) to 9 (severe disease), where higher scores indicated more severe disease activity. This outcome measure was planned to be analyzed for specified arms only.

Maintenance Study: Percentage of Participants With Clinical Remission at Week M-44

时间窗: At Week M-44

Clinical remission was based on the modified Mayo score. Clinical remission was defined as Mayo stool frequency subscore of 0 or 1 and not increased from baseline (Week 0 of IS-1 and IS-2), a Mayo rectal bleeding subscore of 0, and Mayo endoscopic subscore of 0 or 1 with no friability. The modified Mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore as determined during central review, each subscore graded from 0 (normal) to 3 (severe) with higher scores indicating more severe disease. These individual subscores were summed up to give a total modified Mayo score range of 0 (normal) to 9 (severe disease), where higher scores indicated more severe disease activity. This outcome measure was planned to be analyzed for randomized arms only.

次要结局

  • Induction Study 1: Percentage of Participants With Clinical Remission at Week I-12(At Week I-12)
  • Induction Study 1: Percentage of Participants With Symptomatic Remission at Week I-12(At Week I-12)
  • Induction Study 1: Percentage of Participants With Endoscopic Healing at Week I-12(At Week I-12)
  • Induction Study 1: Percentage of Participants With Histologic-Endoscopic Mucosal Healing at Week I-12(At Week I-12)
  • Induction Study 1: Percentage of Participants With Endoscopic Normalization at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Symptomatic Remission at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Endoscopic Healing at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Clinical Response at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Symptomatic Remission at Week I-4(At Week I-4)
  • Induction Study 2: Percentage of Participants With Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Histologic-Endoscopic Mucosal Healing at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Fatigue Response at Week I-12(At Week I-12)
  • Induction Study 2: Percentage of Participants With Symptomatic Remission at Week I-2(At Week I-2)
  • Induction Study 2: Percentage of Participants With Endoscopic Normalization at Week I-12(At Week I-12)
  • Maintenance Study: Percentage of Participants With Symptomatic Remission at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With Endoscopic Healing at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With Corticosteroid-free Clinical Remission at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With Clinical Response at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With Histologic-Endoscopic Mucosal Healing at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With IBDQ Remission at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With Fatigue Response at Week M-44(At Week M-44)
  • Maintenance Study: Percentage of Participants With Clinical Remission at Week 44 Among the Participants Who Had Achieved Clinical Remission at Maintenance Baseline(At Week M-44)
  • Maintenance Study: Percentage of Participants With Endoscopic Normalization at Week M-44(At Week M-44)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (734)

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