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Research study to determine whether an investigational drug, SHP647, is safe and effective long term in the treatment of moderate to severe Ulcerative Colitis or Crohn's Disease (AIDA)

Phase 1
Conditions
lcerative colitis or Crohn's Disease
MedDRA version: 20.1Level: LLTClassification code 10045365Term: Ulcerative colitisSystem Organ Class: 10017947 - Gastrointestinal disorders
MedDRA version: 20.0Level: PTClassification code 10011401Term: Crohn's diseaseSystem Organ Class: 10017947 - Gastrointestinal disorders
Therapeutic area: Diseases [C] - Digestive System Diseases [C06]
Registration Number
EUCTR2017-000574-11-PL
Lead Sponsor
Shire Human Genetic Therapies, Inc.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
2453
Inclusion Criteria

Subjects with UC:
1. Subjects and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
2. Subjects must be able to voluntarily provide written, signed, and dated (personally or via a legally authorized representative) informed consent and/or assent, as applicable, to participate in the study.
3. Subjects must have been enrolled previously in Study SHP647-301 or SHP647-302 and are in the treatment period of Study SHP647-303, completed the ET or Week 52 visit in the maintenance study SHP647-303, had responded to ontamalimab treatment (in the induction and/or maintenance studies), and meet one of the following criteria:
o Subjects are on placebo at the maintenance study ET or Week 52 visit:
they received ontamalimab in the induction studies and fulfilled the maintenance study response entry criteria, OR
o Subjects have received ontamalimab at the maintenance study ET or Week 52 visit:
? Clinical composite score that has decreased by =2 points and =30%, with an accompanying decrease in the subscore for RB =1 point or a subscore for RB =1, compared to the baseline value for induction studies, AND/OR
? Composite score that has decreased by =30% and =3 points compared to the baseline value for induction studies.
4. Subjects receiving any treatment(s) for UC described in Section 5.2.1 are eligible provided they have been on a stable dose for the designated period of time.

Subjects with Crohn's Disease
1. Subjects and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
2. Subjects must be able to voluntarily provide written, signed, and dated (personally or via a legally authorized representative) informed consent and/or assent, as applicable, to participate in the study.
3. Subjects must have been enrolled previously in Study SHP647-305 or SHP647-306 and are in the treatment period of Study SHP647-307, completed the ET or Week 52 visit in maintenance study SHP647-307, had responded to ontamalimab treatment (in the induction and/or maintenance studies), and meet one of the following criteria:
o Subjects are on placebo at the maintenance study ET or Week 52 visit: they received ontamalimab in the induction study and fulfilled the maintenance study response criteria, OR
o Subjects have received ontamalimab at the maintenance study ET or Week 52 visit:
• CDAI score that has decreased by =100 points at the end of treatment visit compared to the baseline value for induction studies, AND/OR
• SES-CD that has decreased by =25% compared to the baseline value for induction studies.
4. Subjects receiving any treatment(s) for CD described in Section 5.3.1 are eligible provided they have been on a stable dose for the designated period of time.
Are the trial subjects under 18? yes
Number of subjects for this age range: 247
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 2158
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 48

Exclusion Criteria

Subjects with UC:
1. Subjects who had major protocol deviation(s) (as determined by the sponsor) in Study SHP647-301, SHP647-302, or SHP647-303.
2. Subjects who permanently discontinued investigational product because of an adverse event (AE), regardless of relatedness to investigational product, in Study SHP647-301, SHP647-302, or SHP647303.
3. Subjects who are likely to require major surgery for UC.
4. Subjects are females who became pregnant during Study SHP647-301,
SHP647-302, or SHP647-303, females who are lactating, females who are planning to become pregnant during the study period, or males or females of childbearing potential not agreeing to continue using appropriate contraception methods (ie, highly effective methods for female and medically appropriate methods for male study subjects) through the conclusion of study participation.
5. Subjects who do not agree to postpone donation of any organ or tissue, including male subjects who are planning to bank or donate sperm and female subjects who are planning to harvest or donate eggs, for the duration of the study and through 16 weeks after last dose of investigational product.
6. Subjects who, in the opinion of the investigator or the sponsor, will be uncooperative or unable to comply with study procedures.
7. Subjects who have a newly-diagnosed malignancy or recurrence of malignancy (other than resected cutaneous basal cell carcinoma, squamous cell carcinoma, or carcinoma in situ of the uterine cervix that has been treated with no evidence of recurrence).
8. Subjects who have developed any major illness/condition or evidence of an unstable clinical condition (eg, renal, hepatic, hematologic, gastrointestinal [GI] [except disease under study], endocrine, cardiovascular, pulmonary, immunologic [eg, Felty's syndrome], or local active infection/infectious illness) that, in the investigator's judgment, will substantially increase the risk to the subject if he or she participates in the study.
9. Subjects with any other severe acute or chronic medical or psychiatric condition or laboratory or electrocardiogram (ECG) abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
10. Subjects with known exposure to Mycobacterium tuberculosis (TB) since testing at screening in Study SHP647-301 or SHP647-302 and who have been advised to require treatment for latent or active disease, but who are without a generally accepted course of treatment.
11. Subjects who are investigational site staff members or relatives of
those site staff members or subjects who are sponsor employees directly
involved in the conduct of the study.
12. Subjects who are participating in other investigational studies (other than SHP647-301, SHP647-302, or SHP647-303) or plan to participate in other investigational studies during long-term extension study SHP647304.

Subjects with CD:
1. Subjects who had major protocol deviation(s) (as determined by the sponsor) in Study SHP647-305, SHP647-306, or SHP647-307.
2. Subjects who permanently discontinued investigational product because of an AE, regardless of relatedness to investigational product, in Study SHP647-305, SHP647-306, or SHP647-307.
3. Subjects who are likely to require major surgery for CD or developed acute severe complications of CD (with o

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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