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A Study of Efficacy and Safety of Rosnilimab in Subjects with Moderate to Severe Ulcerative Colitis (ROSETTA)

Phase 2
Recruiting
Conditions
Ulcerative Colitis
Interventions
Drug: Placebo
Registration Number
NCT06127043
Lead Sponsor
AnaptysBio, Inc.
Brief Summary

ROSETTA STUDY: This study will evaluate the safety, tolerability, and efficacy of Rosnilimab in subjects with moderate to severe ulcerative colitis (UC)

Detailed Description

This is a Phase 2, randomized, double-blind, placebo-controlled, parallel-group, multicenter study to evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of rosnilimab in subjects with moderate to severe ulcerative colitis (UC).

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
132
Inclusion Criteria
  • Male or female ≥18
  • Participants with a clinical diagnosis of UC for prior to Day 1
  • Subject has moderate to severe, active UC, defined as a mMS ≥ 5 with an endoscopy subscore ≥2
  • Subject has had a surveillance colonoscopy that did not detect potential dysplasia or colon cancer performed within 1 year of Day 1.
  • Subject has a history of an inadequate response, loss of response, or intolerance to any combination of at least 2 UC therapy classes defined as, but not limited to, aminosalicylates, corticosteroids, immunomodulators, calcineurin inhibitors, or advanced UC therapies (e.g., biologics, JAK inhibitors, oral S1P receptor modulators, etc.)
Exclusion Criteria
  • Subject has a diagnosis of Crohn's disease or indeterminate colitis.
  • Subject has a diagnosis of fulminant colitis and/or toxic megacolon.
  • Subject has a history of an inadequate response, loss of response, or intolerance to any combination of 3 or more advanced UC therapy classes but not limited to, 1) anti-TNF antibodies (e.g., adalimumab, golimumab, infliximab), 2) other biologics (e.g., ustekinumab, vedolizumab), 3) oral JAK inhibitors (e.g., tofacitinib, upadacitinib), and 4) oral S1P receptor modulators (e.g., ozanimod).
  • Subject has disease limited to the rectum (ulcerative proctitis)
  • Subject has a history of colectomy (total or subtotal), ileoanal pouch, Kock pouch, or ileostomy or is planning bowel surgery.
  • The subject had prior exposure to a PD-1 or PD-L1 agonist, antagonist, or modulator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Rosnilimab SC Dose 2RosnilimabThis arm will receive low dose Rosnilimab SC
PlaceboPlaceboThis arm will receive Placebo SC
Rosnilimab SC Dose 1RosnilimabThis arm will receive High dose Rosnilimab SC
Primary Outcome Measures
NameTimeMethod
Mean change in modified Mayo Score (mMs) from Baseline to Week 12Baseline to Week 12

The mMS is an endoscopic and clinical scale, which ranges in scores from 0-9, with higher numbers indicating increased disease severity. It is used to assess UC disease activity. It consists of three subscores: RBS, SFS and an endoscopy subscore.

Secondary Outcome Measures
NameTimeMethod
Proportion of subjects showing endoscopic treatment improvement at Week 12Baseline to Week 12

Defined as an endoscopy subscore ≤ 1 without friability.

Proportion of subjects achieving clinical remission at Week 12Baseline to Week 12

Defined as a mMS ≤ 2, with a stool frequency subscore (SFS) ≤ 1, RBS=0, and endoscopic subscore ≤ 1 without friability.

Proportion of subjects achieving a clinical response at Week 12Baseline to Week 12

Defined as a decrease from Baseline in mMS ≥ 2 points and ≥ 30% with a decrease from Baseline in RBS ≥ 1 point or an absolute RBS ≤ 1.

Trial Locations

Locations (99)

AnaptysBio Investigational Site 10-115

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Phoenix, Arizona, United States

AnaptysBio Investigational Site 10-117

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Garden Grove, California, United States

AnaptysBio Investigational Site 10-112

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Lancaster, California, United States

AnaptysBio Investigational Site 10-129

🇺🇸

Lancaster, California, United States

AnaptysBio Investigational Site 10-108

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San Jose, California, United States

AnaptysBio Investigational Site 10-127

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Brooksville, Florida, United States

AnaptysBio Investigational Site 10-109

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Miami Gardens, Florida, United States

AnaptysBio Investigational Site 10-106

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Miami, Florida, United States

AnaptysBio Investigational Site 10-131

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Orlando, Florida, United States

AnaptysBio Investigational Site 10-123

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Orlando, Florida, United States

AnaptysBio Investigational Site 10-125

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Tampa, Florida, United States

AnaptysBio Investigational Site 10-122

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Atlanta, Georgia, United States

AnaptysBio Investigational Site 10-124

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Oak Lawn, Illinois, United States

AnaptysBio Investigational Site 10-118

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Las Vegas, Nevada, United States

AnaptysBio Investigational Site 10-133

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Utica, New York, United States

AnaptysBio Investigational Site 10-136

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Cincinnati, Ohio, United States

AnaptysBio Investigational Site 10-120

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Norman, Oklahoma, United States

AnaptysBio Investigational Site 10-103

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Kingsport, Tennessee, United States

AnaptysBio Investigational Site 10-104

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Dallas, Texas, United States

AnaptysBio Investigational Site 10-113

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Garland, Texas, United States

AnaptysBio Investigational Site 10-135

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Georgetown, Texas, United States

AnaptysBio Investigational Site 10-134

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Lubbock, Texas, United States

AnaptysBio Investigational Site 10-130

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Southlake, Texas, United States

AnaptysBio Investigational Site 10-132

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Tyler, Texas, United States

AnaptysBio Investigational Site 10-107

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Seattle, Washington, United States

AnaptysBio Investigational Site 12-101

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Innsbruck, Austria

AnaptysBio Investigational Site 12-104

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Salzburg, Austria

AnaptysBio Investigational Site 12-103

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St. Polten, Austria

AnaptysBio Investigational Site 12-102

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Vienna, Austria

AnaptysBio Investigational Site 61-102

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Sofia, Bulgaria

AnaptysBio Investigational Site 11-102

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London, Ontario, Canada

AnaptysBio Investigational Site 11-103

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Montréal, Quebec, Canada

AnaptysBio Investigational Site 11-105

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Calgary, Canada

AnaptysBio Investigational Site 74-104

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Rijeka, Croatia

AnaptysBio Investigational Site 74-101

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Zagreb, Croatia

AnaptysBio Investigational Site 16-102

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Nantes, France

AnaptysBio Investigational Site 16-103

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Nantes, France

AnaptysBio Investigational Site 16-101

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Tours, France

AnaptysBio Investigational Site 59-106

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Tbilisi, Georgia

AnaptysBio Investigational Site 59-103

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Tbilisi, Georgia

AnaptysBio Investigational Site 59-102

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Tbilisi, Georgia

AnaptysBio Investigational Site 59-101

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Tbilisi, Georgia

AnaptysBio Investigational Site 59-104

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Tbilisi, Georgia

AnaptysBio Investigational Site 59-105

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Tbilisi, Georgia

AnaptysBio Investigational Site 17-107

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Berlin, Germany

AnaptysBio Investigational Site 17-106

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Brandenburg, Germany

AnaptysBio Investigational Site 17-105

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Dachau, Germany

AnaptysBio Investigational Site 17-101

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Duisburg, Germany

AnaptysBio Investigational Site 17-110

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Erlangen, Germany

AnaptysBio Investigational Site 17-108

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Hamburg, Germany

AnaptysBio Investigational Site 17-103

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Kiel, Germany

AnaptysBio Investigational Site 17-109

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Ulm, Germany

AnaptysBio Investigational Site 20-112

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Bologna, Italy

AnaptysBio Investigational Site 20-111

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Cagliari, Italy

AnaptysBio Investigational Site 20-110

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Catania, Italy

AnaptysBio Investigational Site 20-108

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Legnano, Italy

AnaptysBio Investigational Site 20-105

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Milan, Italy

AnaptysBio Investigational Site 20-107

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Pavia, Italy

AnaptysBio Investigational Site 20-102

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Rozzano, Italy

AnaptysBio Investigational Site 20-109

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San Donato, Italy

AnaptysBio Investigational Site 20-104

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San Giovanni, Italy

AnaptysBio Investigational Site 20-113

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Turin, Italy

AnaptysBio Investigational Site 20-106

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Udine, Italy

AnaptysBio Investigational Site 21-101

🇳🇱

Amsterdam, Netherlands

AnaptysBio Investigational Site 30-108

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Bydgoszcz, Poland

AnaptysBio Investigational Site 30-106

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Częstochowa, Poland

AnaptysBio Investigational Site 30-112

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Elblag, Poland

AnaptysBio Investigational Site 30-102

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Katowice, Poland

AnaptysBio Investigational Site 30-115

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Katowice, Poland

AnaptysBio Investigational Site 30-111

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Kraków, Poland

AnaptysBio Investigational Site 30-123

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Kraków, Poland

AnaptysBio Investigational Site 30-114

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Lublin, Poland

AnaptysBio Investigational Site 30-104

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Poznań, Poland

AnaptysBio Investigational Site 30-117

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Poznań, Poland

AnaptysBio Investigational Site 30-120

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Poznań, Poland

AnaptysBio Investigational Site 30-116

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Rzeszów, Poland

AnaptysBio Investigational Site 30-113

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Sopot, Poland

AnaptysBio Investigational Site 30-110

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Toruń, Poland

AnaptysBio Investigational Site 30-101

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Bucharest, Romania

AnaptysBio Investigational Site 30-107

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Warsaw, Poland

AnaptysBio Investigational Site 30-109

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Warsaw, Poland

AnaptysBio Investigational Site 30-103

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Łódź, Poland

AnaptysBio Investigational Site 30-119

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Łódź, Poland

AnaptysBio Investigational Site 31-103

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Cluj-Napoca, Romania

AnaptysBio Investigational Site 31-102

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Timişoara, Romania

AnaptysBio Investigational Site 58-103

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Belgrade, Serbia

AnaptysBio Investigational Site 58-105

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Belgrade, Serbia

AnaptysBio Investigational Site 58-101

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Belgrad, Serbia

AnaptysBio Investigational Site 58-104

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Belgrad, Serbia

AnaptysBio Investigational Site 58-102

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Zrenjanin, Serbia

AnaptysBio Investigational Site 24-102

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Alicante, Spain

AnaptysBio Investigational Site 24-103

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Lleida, Spain

AnaptysBio Investigational Site 27-103

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Belfast, United Kingdom

AnaptysBio Investigational Site 27-102

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Cambridge, United Kingdom

AnaptysBio Investigational Site 27-106

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Liverpool, United Kingdom

AnaptysBio Investigational Site 27-101

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London, United Kingdom

AnaptysBio Investigational Site 27-105

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Runcorn, United Kingdom

AnaptysBio Investigational Site 27-107

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Shrewsbury, United Kingdom

AnaptysBio Investigational Site 27-104

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York, United Kingdom

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