MedPath

Efficacy and Safety of GLPG1205 in Subjects With Active Ulcerative Colitis

Phase 2
Completed
Conditions
Ulcerative Colitis
Interventions
Drug: Placebo
Registration Number
NCT02337608
Lead Sponsor
Galapagos NV
Brief Summary

* Approximately 60 patients suffering from moderate to severe ulcerative colitis will be evaluated for improvement of disease activity (efficacy) when taking GLPG1205 or matching placebo once daily for 12 weeks in addition to their stable background treatment.

* During the course of the study, patients will also be examined for any side effects that may occur (safety and tolerability), and the amount of GLPG1205 present in the blood (Pharmacokinetics) as well as the effects of GLPG1205 on disease- and mechanism of action-related parameters (Pharmacodynamics) in blood, stool and colonic biopsies will be determined.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria
  • Male or female subjects between 18 and 75 years
  • Documented history of UC
  • Presence of active UC for a minimum period of 14 days prior to screening and spread beyond the rectum, Mayo score ≥ 6 with rectal bleeding score ≥ 1 and endoscopy score ≥ 2
  • Absence of infectious colitis
  • Tumor necrosis factor alpha (TNFα) inhibitor-naive subjects should have failed at least 1 prior conventional therapy
  • Continuation of concurrent treatment with oral steroids (≤30 mg prednisolone eq/day), immunosuppressants and 5-aminosalicylates at stable dose is allowed
  • Female subjects must have a negative blood pregnancy test, unless they are surgically sterile, had a hysterectomy, or have been postmenopausal for at least 1 year
  • Subjects will have to use highly effective contraceptive methods
Exclusion Criteria
  • History of sensitivity to any component of the study drug, or a history of drug or other allergy
  • Any concurrent illness, condition, disability, or clinically significant abnormality that, in the investigator's opinion, represents a safety risk for the subject's participation, may affect the interpretation of data, or may prevent the subject from safely completing the assessments
  • History of significant psychological, neurologic, hepatic, renal, endocrine, cardiovascular, GI (other than UC), pulmonary, or metabolic disease
  • History of active infections requiring intravenous antibiotics within the past 4 weeks prior to screening.
  • History of malignancy within the past 5 years; presence or history of intestinal malignancy
  • History of bowel surgery within 6 months prior to screening; history of colon resection with < 30 cm of the colon remaining
  • Suspicion of Crohn's disease, indeterminate colitis, microscopic colitis, ischemic colitis, diverticular disease-associated colitis, or radiation-induced colitis
  • Subject who has received non-permitted UC therapies within specified timeframes, depending on the medication, as stated in the protocol
  • Subject who is pregnant or lactating

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo daily dosing in the morning
GLPG1205 100mg QDGLPG1205GLPG1205 100mg daily dosing in the morning
Primary Outcome Measures
NameTimeMethod
Changes in Mayo score at Week 8Screening and Week 8

To evaluate the efficacy of GLPG1205 in terms of changes in Mayo score comparing results at Week 8 with baseline between GLPG1205 treated subjects and placebo subjects

Secondary Outcome Measures
NameTimeMethod
Changes in partial Mayo scoreFrom Screening to Week 12

To evaluate the efficacy of GLPG1205 in terms of changes in partial Mayo score comparing results with baseline between GLPG1205 treated subjects and placebo subjects at every visit up to Week 12

Changes in faecal calprotectin levelsFrom Screening to Week 12

To characterize the pharmacodynamics (PD) of GLPG1205 by measuring the levels of faecal calprotectin in stool at every visit up to Week 12

Changes in myeloperoxidase (MPO) levels in colonic biopsiesScreening and Week 8

To characterize the pharmacodynamics (PD) of GLPG1205 by measuring the levels of myeloperoxidase (MPO) in colonic biopsies at Screening and Week 8

Histological response rateScreening and Week 8

To evaluate the efficacy of GLPG1205 in terms of histological response rate by use of the histopathological Geboes index comparing results at Week 8 with baseline between GLPG1205 treated subjects and placebo subjects

Number of subjects with adverse eventsFrom Screening to Week 16

To evaluate the safety and tolerability of GLPG1205 between GLPG1205 treated subjects and placebo subjects in terms of adverse events at every visit

Number of subjects with abnormal laboratory parametersFrom Screening to Week 16

To evaluate the safety and tolerability of GLPG1205 between GLPG1205 treated subjects and placebo subjects in terms of abnormal laboratory parameters at every visit

Number of subjects with abnormal vital signsFrom Screening to Week 16

To evaluate the safety and tolerability of GLPG1205 between GLPG1205 treated subjects and placebo subjects in terms of abnormal vital signs at every visit

Number of subjects with abnormal electrocardiogramFrom Screening to Week 16

To evaluate the safety and tolerability of GLPG1205 between GLPG1205 treated subjects and placebo subjects in terms of abnormal electrocardiograms at every visit

Number of subjects with abnormal physical examinationFrom Screening to Week 16

To evaluate the safety and tolerability of GLPG1205 between GLPG1205 treated subjects and placebo subjects in terms of abnormal physical examination at every visit

The plasma levels of GLPG1205Week 4, 8 and 12

To characterize the pharmacokinetics (PK) of GLPG1205 by measuring the amount in plasma at Week 4, 8 and 12

Changes in serum C-reactive protein (CRP) levelsFrom Screening to Week 16

To characterize the pharmacodynamics (PD) of GLPG1205 by measuring the levels of C-reactive protein in serum at every visit

Trial Locations

Locations (39)

St. Pierre University Hospital Center

🇧🇪

Brussels, Belgium

Leuven University Hospital

🇧🇪

Leuven, Belgium

Clinic Saint-Joseph

🇧🇪

Liege, Belgium

Hepato-Gastroenterology HK Ltd.

🇨🇿

Hradec Kralove, Czech Republic

Outpatient Clinic of Internal Medicine and Gastroenterology

🇨🇿

Pilsen, Czech Republic

Orlickoustecka Hospital, Inc.

🇨🇿

Usti nad Orlici, Czech Republic

Regional Hospital T. Bata, Clinic of Internal Medicine

🇨🇿

Zlin, Czech Republic

Hospital Znojmo

🇨🇿

Znojmo, Czech Republic

Gastroenterology Specialist Practice

🇩🇪

Berlin, Germany

Asklepios West Hospital Hamburg, Clinic of Internal Medicine

🇩🇪

Hamburg, Germany

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St. Pierre University Hospital Center
🇧🇪Brussels, Belgium

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