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Clinical Trials/NCT04469062
NCT04469062WithdrawnPhase 3

A Phase 3b, Randomized, Double-Blind, Parallel-Arm, Placebo- and Active- Controlled Treat-Through Study of Mirikizumab and Vedolizumab in Participants With Moderately to Severely Active Ulcerative Colitis

Eli Lilly and Company0 sitesStarted: April 20, 2021Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Withdrawn
Primary Endpoint
Percentage of Participants in Histologic Remission

Study Overview

Brief Summary

The purpose of this study is to evaluate if study drug mirikizumab is safe and effective compared to vedolizumab and placebo in participants with moderately to severely active ulcerative colitis (UC).

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
18 Years to 80 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Participants must have a diagnosis of UC for at least 3 months prior to baseline
  • Participants must have a confirmed diagnosis of moderately or severely active UC, as assessed by the modified Mayo score (MMS)
  • Participants must have demonstrated an inadequate response to, a loss of response to, or an intolerance to conventional or to biologic therapy for UC
  • Participants must, if female, meet the contraception requirements

Exclusion Criteria

  • Participants must not have a current diagnosis of Crohn's disease or inflammatory bowel disease-unclassified (indeterminate colitis)
  • Participants must not have had a previous colectomy
  • Participants must not have current evidence of toxic megacolon
  • Participants must not have prior exposure to anti-IL-23p19 antibodies (e.g. risankizumab, brazikumab, guselkumab or tildrakizumab), vedolizumab, or natalizumab
  • Participants must not have prior clinical failure or intolerance to anti-IL12p40 antibodies (e.g. ustekinumab), anti-integrin antibodies other than vedolizumab and natalizumab (e.g. etrolizumab) or anti-integrin ligand antibodies (e.g. ontamalimab) within 4 weeks prior to screening endoscopy

Arms & Interventions

Mirikizumab

Experimental

Mirikizumab administered intravenously (IV) and subcutaneously (SC).

Intervention: Mirikizumab IV (Drug)

Mirikizumab

Experimental

Mirikizumab administered intravenously (IV) and subcutaneously (SC).

Intervention: Mirikizumab SC (Drug)

Vedolizumab

Active Comparator

Vedolizumab administered IV.

Intervention: Vedolizumab IV (Drug)

Placebo

Placebo Comparator

Placebo administered SC and IV.

Intervention: Placebo IV (Drug)

Placebo

Placebo Comparator

Placebo administered SC and IV.

Intervention: Placebo SC (Drug)

Outcomes

Primary Outcomes

Percentage of Participants in Histologic Remission

Time Frame: Week 12

Histologic remission based on histology.

Secondary Outcomes

  • Percentage of Participants in Symptomatic Remission(Week 52)
  • Percentage of Participants with Clinical Response(Week 12)
  • Percentage of Participants with Corticosteroid (CS) Free Remission without Surgery (Subgroup of Participants on CS at Baseline)(Week 52)
  • Percentage of Participants with Resolution of Extraintestinal Manifestations (EIMs) Among Those That had Them at Baseline(Week 52)
  • Change from Baseline on the Inflammatory Bowel Disease Questionnaire (IBDQ) Score(Baseline, Week 52)
  • Percentage of Participants Undergoing Surgery for UC (Including Colectomy)(Week 52)
  • Percentage of Participants Hospitalized for UC(Week 52)
  • Percentage of Participants in Clinical Remission(Week 52)
  • Percentage of Participants in Endoscopic Remission(Week 52)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

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