A study of oral CP-690,550 as an induction therapy in subjects with moderate to severe ulcerative colitis.

• Conditions: Moderate to severe active Ulcerative Colitis; MedDRA version: 17.0Level: LLTClassification code 10045365Term: Ulcerative colitisSystem Organ Class: 100000004856; Therapeutic area: Diseases [C] - Digestive System Diseases [C06]

• Registration Number: EUCTR2011-004579-35-HR
• Lead Sponsor: Pfizer Inc, 235 East 42nd Street, New York, New York 10017

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2014-08-28
• Last Update Posted: 6 October 2015

Recruitment & Eligibility

• Status: ot Recruiting
• Sex: All
• Target Recruitment: 545

Inclusion Criteria

Subjects must meet all of the following inclusion criteria to be eligible for enrollment into the study:
1. Subject must be at least 18 years of age.
2. Males and females with a diagnosis (endoscopic or radiographic and histological) of UC >4 months prior to entry into the study. A biopsy report supporting the diagnosis prior to the baseline visit must be available in the source documents.
3. Subjects with moderately to severely active UC as defined by a total Mayo score of >6, with a rectal bleeding score of >1 and an endoscopic
subscore of >2 on the Mayo score determined within 10 days of baseline visit (Visit 2).
4. Subjects must have failed or be intolerant (discontinued the medication due to an
adverse event as determined by the investigator) of at least one of the following treatments for UC:
- Oral or intravenous corticosteroids.
Azathioprine or 6-mercaptopurine (6-MP).
- Anti-TNF-alpha therapy: infliximab or adalimumab.
5. Subjects currently receiving the following treatment for UC are eligible providing they have been and are anticipated to be on stable
dose for designated period of time:
- Oral 5-ASA or sulfasalazine stable dose for at least 4 weeks prior to baseline and during the study period.
- Oral corticosteroids (prednisone equivalent up to 25 mg/day;
budesonide up to 9 mg/day) stable dose for at least 2 weeks prior to baseline and during the study period.
- Chronic treatment for UC with antibiotics (eg, metronidazole, rifaximin) stable dose for at least 2 weeks prior to baseline and during the study period.
6. No evidence of active or latent or inadequately treated infection with
Mycobacterium tuberculosis (TB) prior to randomization as defined by all of the following:
- A negative QuantiFERON-TB Gold (QFT-G) In-Tube test documented within 3 months prior to or during screening. If initial and repeat QFT-G
tests are indeterminate, a negative Mantoux/Purified Protein Derivative
(PPD) tuberculin skin test(with a result of <5 mm of induration) documented within 3 months prior to or during screening is required.
[Subjects with a history of Bacille Calmette Guérin (BCG) vaccination must have a
negative QFT-G test].
- A chest radiograph, taken within the 3 months prior to or during screening, without changes suggestive of active TB infection as
determined by a qualified radiologist.
- No history of either untreated or inadequately treated latent or active TB infection.
- If a subject has previously received an adequate course of therapy for
either latent (9 months of isoniazid in a locale where rates of primary multi-drug TB resistance are <5% or an acceptable alternative regimen) or active (acceptable multi-drug regimen) TB infection, neither a QFT-G
test nor a PPD test is needed, but a chest radiograph must still be
obtained if not performed within 3 months prior to a given Screening
visit. Documentation of adequate treatment for TB will be obtained prior
to first dose of study drug.
- A subject who is currently being treated for active TB infection is to be excluded.
- A subject who is currently being treated for latent TB infection can only
be enrolled with confirmation of current incidence rates of multi-drug
resistant TB infection in the locale, documentation of an adequate
treatment regimen, and with prior approval by the sponsor.
7. Female subjects of childbearing potential must agree to use a highly
effective method of contraception throughout the study and for at least 4
week

Exclusion Criteria

1. Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, or clinical findings suggestive of Crohn's disease.
2. Subjects with disease limited to distal 15 cm.
3. Subjects without previous treatment for UC (ie, treatment-naïve).
4. Subjects receiving the following therapy within the designated time period or are expected to receive any of these therapies during the study period:
- Azathioprine, 6-mercaptopurine, or methotrexate within 2 weeks prior
to baseline.
- Anti-TNF-alpha therapy (eg, infliximab, adalimumab, or certolizumab)
within 8 weeks prior to baseline.
- Cyclosporine, mycophenolate mofetil/mycophenolic acid, or tacrolimus
within 4 weeks prior to baseline.
- Interferon therapy within 8 weeks prior to baseline.
- Intravenous corticosteroids within 2 weeks prior to baseline.
- Rectally administered formulation of corticosteroids or 5-ASA within 2
weeks prior to baseline.
- Anti-adhesion molecule therapy taken within 1 year (eg, natalizumab or any investigational anti-adhesion molecule therapy).
- Subjects with prior treatment with lymphocyte-depleting agents/
Subjects who have received rituximab or other selective B lymphocyte depleting agents are eligible if they have not received such therapy for at least 1 year prior to baseline.
- Other marketed immunosuppressants or biologics with
immunomodulatory properties within 3 months prior to baseline.
5. Subjects displaying clinical signs of fulminant colitis or toxic megacolon.
6. Subjects with evidence of colonic adenomas or dysplasia. However, subjects with prior history of adenomatous polyps will be eligible if the polyps have been completely removed and the subjects are free of polyps at baseline.
7. Subjects at risk for colorectal cancer must have a colonoscopy. Colonoscopy report and pathology report (if biopsies are obtained) must
be available in the source document:
- If the subject is >50 years of age, a colonoscopy within 10 years of the screening visit is required to exclude adenomatous polyps. Subjects whose adenomas have been completely excised at baseline will be
eligible.
- If the subject has extensive colitis for >8 years or disease limited to
left side of colon (ie, distal to splenic flexure) for >10 years, regardless of age, a colonoscopy within 1 year of the screening visit is required to survey for dysplasia. Subjects with dysplasia or cancer identified on
biopsies will be excluded.
8. Subjects who have had surgery for UC or in the opinion of the Investigator, are likely to require surgery for UC during the study period
9. Subjects who have positive stool examinations for enteric pathogens,
pathogenic ova or parasites, or Clostridium difficile toxin at screening.
10. Subjects with clinically significant infections currently or within 6 months of baseline (eg, those requiring hospitalization or parenteral
antimicrobial therapy or opportunistic infections), a history of any infection requiring antimicrobial therapy within 2 weeks of baseline, or a history of any infection otherwise judged by the investigator to have the
potential for exacerbation by participation in the study
11. Subjects with a history of more than one episode of herpes zoster, a
history of disseminated herpes zoster or disseminated herpes simplex.
12. Subjects infected with human immunodeficiency virus (HIV) or
hepatitis B or C viruses (Subjects with positive HCV antibody must have
further testing for HCV RNA by PCR13

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified