Transmural Healing and Disease-Modifying Effect of Guselkumab in Crohn's Disease Patients
- Registration Number
- NCT06408935
- Lead Sponsor
- Janssen-Cilag Ltd.
- Brief Summary
The purpose of this study is to evaluate the efficacy of guselkumab in healing of all layers of the digestive tract (transmural healing) with the help of a score called Magnetic Resonance Index of Activity (MaRIA) based on a scan at Week 48.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 112
- Has luminal Crohn's disease (CD) of at least 3 months duration (defined as a minimum of 12 weeks), with colitis, ileitis, or ileocolitis, confirmed at any time in the past by radiography, histology, and/or endoscopy
- Has clinically active CD, defined as a baseline CD activity index (CDAI) score greater than or equal to (>=)220 but <=450 and either: a. Mean daily stool frequency (SF) count >=4, based on the unweighted CDAI component of the number of liquid or very soft stools or b. Mean daily AP score >=2, based on the unweighted CDAI component of abdominal pain (AP)
- Active transmural activity in at least one segment (segmental magnetic resonance index of activity [MaRIA] >= 11)
- a. Has demonstrated inadequate response/intolerance to conventional therapy; b. Has previously demonstrated lack of initial response (that is, primary non-responders), responded initially but then lost response with continued therapy (that is, secondary non-responders), or was intolerant to a maximum of 1 class of advanced therapies at a dose approved for the treatment of Crohn's disease (that is, janus kinase [JAK] inhibitors, infliximab, adalimumab, certolizumab pegol, vedolizumab, ustekinumab, or approved biosimilars for these agents)
- Has complications of Crohn's disease, such as symptomatic strictures or stenoses (unless less than [<]3 centimeter (cm) dilatation and not symptomatic or displaying associated fistula/fistulae and/or or abscess), fibrotic stenosis, internal fistulas, short gut syndrome, or any other manifestation, that might be anticipated to require surgery, could preclude the use of the CDAI to assess response to therapy, or would possibly confound the ability to assess the effect of treatment with guselkumab
- Currently has or is suspected to have an abscess. Recent cutaneous and perianal abscesses are not exclusionary if drained and adequately treated at least 3 weeks before baseline, or 8 weeks before baseline for intra-abdominal abscesses, provided that there is no anticipated need for any further surgery. Participants with active perianal fistulas may be included if there are no associated stenoses, no anticipated surgery and no abscesses currently identified
- Has had any kind of bowel resection within 6 months, or any other intra-abdominal or other major surgery within 12 weeks before baseline
- Has a draining (that is, functioning) stoma or ostomy
- Has a stool culture or other examination positive for an enteric pathogen, including Clostridioides difficile (formerly known as Clostridium difficile) toxin, in the previous 4 months, unless a repeat examination is negative and there are no signs of ongoing infection with that pathogen
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Guselkumab Guselkumab Participants will receive guselkumab 200 milligram (mg) intravenously (IV) at week 0, 4 and 8. Afterwards, participants will be alternately assigned at study level to 2 dose cohorts, high dose (200 mg subcutaneous (SC) every 4 weeks (Q4W) starting at week 12) through week 92 or low dose (100 mg SC every 8 weeks (Q8W) starting at week 16) through week 88. Starting at Week 24, participants in the low-dose cohort will be permitted to escalate to the 200 mg SC Q4W regimen if they are symptomatic and at the discretion of the investigator.
- Primary Outcome Measures
Name Time Method Percentage of Participants Achieving a Magnetic Resonance Index of Activity (MaRIA) Less Than (<)11 in All Intestinal Segments at Week 48 At Week 48 Percentage of participants achieving a MaRIA \<11 in all intestinal segments at Week 48 will be reported. The MaRIA scoring system is used to grade severity in Crohn's Disease (CD) by assessing ileocolonic CD activity on contrast-enhanced magnetic resonance imaging (MRI) enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11.
- Secondary Outcome Measures
Name Time Method Percentage of Participants Achieving a MaRIA <11 in All Intestinal Segments at Weeks 16 and 96. At Weeks 16 and 96 Percentage of participants achieving a MaRIA \<11 in all intestinal segments at Weeks 16 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.
Percentage of Participants Achieving a MaRIA <11 and a Reduction of >=5 Points From Baseline in All Segments at Weeks 16, 48, and 96 At Weeks 16, 48, and 96 Percentage of participants achieving a MaRIA \<11 and a reduction of \>=5 points from baseline in all segments at Weeks 16, 48, and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.
Percentage of Participants Achieving a MaRIA <11 in All Segments and Endoscopic Remission at Weeks 48 and 96 At Week 48 and 96 Percentage of participants achieving a MaRIA \<11 in all segments and endoscopic remission at Weeks 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11. Endoscopic remission is defined as simple endoscopic score for Crohn's Disease (SES-CD) total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.
Percentage of Participants Achieving a MaRIA <11 in All Segments and Endoscopic Response at Weeks 48 and 96. At Weeks 48 and 96 Percentage of participants achieving a MaRIA \<11 in all segments and endoscopic response at Weeks 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11. Endoscopic Response is defined as \>=50% improvement from baseline in simple endoscopic score for Crohn's Disease (SES-CD) total score or SES-CD total score \<=2.
Percentage of Participants Achieving a MaRIA <11 in All Segments and Biomarkers Remission At Weeks 16, 48 and 96 Percentage of participants achieving a MaRIA \<11 in all segments and biomarkers remission will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11. Biomarker remission is defined as CRP \<=3 mg/L and fecal calprotectin (fCal) \<=250 mcg/g.
Percentage of Participants Achieving Endoscopic Response at Weeks 48 and 96 Weeks 48 and 96 Percentage of participants with transmural response (total) at Weeks 48 and Week 96 will be reported. Endoscopic Response is defined as \>=50% improvement from baseline in SES-CD total score or SES-CD \<=2.
Percentage of Participants Achieving Endoscopic Remission at Weeks 48 and 96 At Weeks 48 and 96 Percentage of participants achieving endoscopic remission at Weeks 48 and 96 will be reported. Endoscopic remission is defined as SES-CD total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.
Absolute Value of SES-CD Total Score Through Week 96 Baseline up to Week 96 Absolute value of SES-CD total score through Week 96 will be reported. The SES-CD score is used to evaluate endoscopic improvement. The SES-CD is based on the evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. An overall total SES-CD score is derived from the sum of all the component scores and can range from 0 to 56.
Change From Baseline in the SES-CD Total Score Through Week 96 Up to Week 96 Change from baseline in the SES-CD total score through Week 96 will be reported. The SES-CD score is used to evaluate Endoscopic Improvement. The SES-CD is based on the evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. An overall total SES-CD score is derived from the sum of all the component scores and can range from 0 to 56.
Percentage of Participants (Not Receiving Corticosteroids) Achieving Endoscopic Remission at Weeks 48 and 96 Baseline, at Weeks 48 and 96 Percentage of participants (not receiving corticosteroids) achieving endoscopic remission at Weeks 48 and 96 will be reported. Endoscopic remission is defined as SES-CD total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.
Percentage of Participants Achieving a MaRIA <11 in All Segments, Patient-Reported Outcome-2 (PRO-2) Remission, and No Worsening of Abdominal Pain (AP) or Stool Frequency (SF) From Baseline At Weeks 16, 48 and 96 Percentage of participants achieving a MaRIA \<11 in all segments and PRO-2 remission and no worsening of abdominal pain (AP) or stool frequency (SF) from baseline will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11. PRO-2 remission is defined as defined as AP mean daily score \<=1 and a SF mean daily score \<=3, and no worsening of AP or SF from baseline.
Percentage of Participants Achieving a MaRIA <11 in All Segments, PRO-2, and Endoscopic Remission At Weeks 48 and 96 Percentage of participants achieving a MaRIA \<11 in all segments, PRO-2, and endoscopic remission will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. The MaRIA scale is based on features that are predictors for active disease; bowel wall thickness, presence of mucosal ulcers, presence of mural edema, measurement of WSI before and after IV contrast administration and RCE of the intestinal wall. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11. PRO is defined as defined as AP mean daily score \<=1 and a SF ) mean daily score \<=3, and no worsening of AP or SF from baseline. Endoscopic remission is defined as SES-CD total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.
Absolute Value of Global Simple MaRIA Score Through Week 96 Baseline up to Week 96 Absolute Value of global simple MaRIA score through Week 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11.
Change From Baseline in the Global Simple MaRIA Score Through Week 96 Up to Week 96 Change from baseline in the global simple MaRIA score through Week 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.
Percentage of Participants Achieving a MaRIA <7 in All Intestinal Segments and Not Receiving Corticosteroids at Weeks 16, 48, and 96 At Weeks 16, 48, and 96 Percentage of participants achieving a MaRIA \<7 in all intestinal segments and not receiving corticosteroids at Weeks 16, 48, and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.
Percentage of Participants Achieving Transmural Segmental Response with Intestinal Ultrasound (IUS) at Weeks 4, 8, 16, 48, and 96 Baseline, at Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving transmural segmental response with IUS at Weeks 4, 8, 16, 48, and 96 will be reported. Transmural segmental response with IUS is defined as a reduction from baseline of 25 percent (%) in BWT or a reduction from baseline of bowel wall thickness (BWT) \>=2 mm or a reduction from baseline of BWT \>=1 millimeter (mm) plus a decrease from baseline in color doppler signal (CDS) \>=1 point.
Percentage of Participants with Transmural Response (total) at Weeks 4, 8, 16, 48, and Week 96 Baseline, at Weeks 4, 8, 16, 48, and Week 96 Percentage of participants with transmural response (total) at Weeks 4, 8, 16, 48, and Week 96 will be reported. Transmural segmental response with IUS is defined as: a reduction from baseline of 25 percent (%) in BWT or a reduction from baseline of BWT \>=2 millimeter (mm) or a reduction from baseline of BWT \>=1 mm plus a decrease from baseline in color doppler \>=1 point, per baseline pathological segment. Transmural response (total) requires that at least one pathological segment at baseline fulfills the criteria.
Percentage of Participants Achieving a MaRIA <7 in All Intestinal Segments at Weeks 16, 48 and 96 At Weeks 16, 48 and 96 Percentage of participants achieving a MaRIA \<7 in all intestinal segments at Weeks 16, 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.
Percentage of Participants Achieving a MaRIA <7 in All Segments and Endoscopic Remission at Weeks 48 and 96 At Weeks 48 and 96 Percentage of participants achieving a MaRIA \<7 in all segments and endoscopic remission at Weeks 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. The MaRIA scale is based on features that are predictors for active disease; bowel wall thickness, presence of mucosal ulcers, presence of mural edema, measurement of WSI before and after IV contrast administration and RCE of the intestinal wall. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11.
Percentage of Participants Achieving Transmural Remission with IUS at Weeks 4, 8, 16, 48, and 96 At Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving transmural remission with IUS at Weeks 4, 8, 16, 48, and 96 will be reported. Transmural remission with IUS is defined as BWT \<=3 mm for ileum and colon plus color doppler signal 0, in all segments.
Absolute Value of International Bowel Ultrasound Segmental Activity Score (IBUS-SAS) Through Week 96 Baseline up to Week 96 Absolute value of IBUS-SAS through Week 96 will be reported. IBUS-SAS score is defined as 4\*BWT+15\*IMF+7\*CDS+4\*BWS.
Change from Baseline in International Bowel Ultrasound Segmental Activity Score (IBUS-SAS) Through Week 96 Up to Week 96 Change from baseline in IBUS-SAS through Week 96 will be reported. IBUS-SAS score is defined as 4\*BWT+15\*IMF+7\*CDS+4\*BWS.
Percentage of Participants Achieving IBUS-SAS Response at Weeks 4, 8, 16, 48, and Week 96 Baseline, at Weeks 4, 8, 16, 48, and Week 96 Percentage of participants achieving IBUS-SAS response at Weeks 4, 8, 16, 48, and Week 96 will be reported. IBUS-SAS is defined as a reduction in IBUS-SAS score from baseline of \>=10 points per baseline pathological segment and segmental score \<=12 (if not pathological), at baseline.
Percentage of Participants Achieving BWT <=3 mm for Ileum and Colon Plus CDS 0, in all segments and Participants Not Receiving Corticosteroids at Weeks 4, 8, 16, 48, and 96 At Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving BWT \<=3 mm for Ileum and Colon plus CDS 0, in all segments at Weeks 4, 8, 16, 48, and 96 will be reported. Participants not receiving corticosteroids achieving BWT \<=3 mm for Ileum and Colon plus CDS 0 at Weeks 4, 8, 16, 48, and 96 will be reported.
Absolute Value of BWT through Week 96 Baseline up to Week 96 Absolute Value of BWT through Week 96 will be reported.
Change From Baseline in BWT Through Week 96 Up to Week 96 Change from baseline in BWT through Week 96 will be reported.
Absolute Value of Simple IUS Score For CD (SUS-CD) Score Through Week 96 Baseline up to Week 96 Absolute value of SUS-CD score through Week 96 will be reported. SUS-CD is based on the sum of classifications for BWT and CDS for all segments.
Change From Baseline in the SUS-CD Score Through Week 96 Up to Week 96 Change from Baseline in the SUS-CD score through Week 96 will be reported. SUS-CD is based on the sum of classifications for BWT and CDS for all segments.
Percentage of Participants Achieving Endoscopic Healing of the Intestinal Mucosa at Weeks 48 and 96 At Weeks 48 and 96 Percentage of participants achieving endoscopic healing of the intestinal mucosa at Weeks 48 and 96 will be reported. Endoscopic healing is defined as the resolution (absence) of mucosal ulcers in response to a therapeutic intervention.
Percentage of Participants Achieving Crohn's Disease Activity Index (CDAI) <150 at Weeks 4, 8, 16, 48 and 96 At Weeks 4, 8, 16, 48 and 96 Percentage of participants achieving CDAI \<150 at Weeks 4, 8, 16, 48 and 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.
Percentage of Participants Achieving a Reduction in the CDAI Score of >=100 points or CDAI <150 From Baseline at Weeks 4, 8, 16, 48, and 96 At Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving a reduction in the CDAI score of \>=100 points or CDAI \<150 from Baseline at Weeks 4, 8, 16, 48, and 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.
Percentage of Participants (Not Receiving Corticosteroids) Achieving CDAI Score <150 at Weeks 4, 8, 16, 48 and 96 At Weeks 4, 8, 16, 48 and 96 Percentage of participants (not receiving corticosteroids) achieving CDAI Score \<150 at Weeks 4, 8, 16, 48 and 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.
Absolute Value of CDAI Score Through Week 96 Baseline up to Week 96 Absolute Value of CDAI score through Week 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.
Change From Baseline in CDAI Score Through Week 96 Up to Week 96 Change from baseline in CDAI score through Week 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.
Percentage of Participants Achieving PRO-2 Remission at Weeks 4, 8, 16, 48, and Week 96 At Weeks 4, 8, 16, 48, and Week 96 Percentage of participants achieving PRO-2 remission at Weeks 4, 8, 16, 48, and Week 96 will be reported. PRO-2 remission is defined as AP mean daily score \<=1 and a SF mean daily score \<=3, and no worsening of AP or SF from baseline.
Percentage of Participants Achieving Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Weeks 48 and 96 At Week 48 and Week 96 Percentage of participants achieving IBDQ remission at Weeks 48 and 96 will be reported. The IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD to evaluate PROs across 4 dimensions: bowel symptoms (loose stools, AP), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability).
Percentage of Participants Achieving IBDQ Response at Weeks 48 and 96 Baseline, at Weeks 48 and 96 Percentage of participants achieving IBDQ response at Weeks 48 and 96 will be reported. IBDQ response is defined as \>=16-point improvement in IBDQ score from baseline. IBDQ score ranges from 32 to 224, with higher scores indicating better outcomes.
Absolute Value of IBDQ Through Week 96 Baseline up to Week 96 Absolute value of IBDQ through Week 96 will be reported. The IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD to evaluate PROs across 4 dimensions: bowel symptoms (loose stools, AP), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). Scores range from 32 to 224, with higher scores indicating better outcomes.
Change From Baseline in IBDQ Score Through Week 96 Up to Week 96 Change from baseline in IBDQ score through Week 96 will be reported. The IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD to evaluate PROs across 4 dimensions: bowel symptoms (loose stools, AP), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). Scores range from 32 to 224, with higher scores indicating better outcomes.
Change from Baseline in Urgency Numeric Rating Scale (UNRS) Through Week 96 Baseline up to Week 96 Change from baseline in UNRS through Week 96 will be reported. UNRS is designed to assess changes in the severity of bowel urgency (sudden or immediate need). Severity of bowel urgency is defined by the patient's perception of overall experience in which respondents consider the immediacy of bowel movement urgency severity over 24 h on an 11-point horizontal NRS ranging from 0 ('no urgency') to 10 ('worst possible urgency').
Percentage of Participants Achieving C-reactive Protein (CRP) Normalization at Weeks 4, 8, 16, 48, and Week 96 Baseline, at Weeks 4, 8, 16, 48, and Week 96 CRP normalization is defined as CRP \<=3 mg/L, among participants with baseline elevation in CRP (that is, \>3 mg/L).
Percentage of Participants Achieving >=50% Improvement of CRP Response From Baseline at Weeks 4, 8, 16, 48, and 96 Baseline, at Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving \>=50% improvement of CRP response from baseline at Weeks 4, 8, 16, 48, and 96 will be reported.
Percentage of Participants Achieving fCal Normalization at Weeks 4, 8, 16, 48, and 96 Baseline, at Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving fCal normalization at Weeks 4, 8, 16, 48, and 96 will be reported. fCal normalization is defined as fCal \<=250 mcg/g among participants with elevated fCal at baseline.
Percentage of Participants Achieving >=50% Improvement of fCal Response From Baseline at Weeks 4, 8, 16, 48, and 96 Baseline, at Weeks 4, 8, 16, 48, and 96 Percentage of participants achieving \>=50% improvement of fCal response from baseline at Weeks 4, 8, 16, 48, and 96 will be reported.
Change From Baseline in CRP and fCal Levels Over Time Baseline, Weeks 4, 8, 16, 32, 48, and 96 Change from baseline in CRP and fCal levels over time will be reported.
Values of CRP and fCal Levels Over Time Baseline, Weeks 4, 8, 16, 32, 48, and 96 Values of CRP and fCal levels over time will be reported.
Number of Participants with Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TSAEs) Through Week 48 Up to Week 48 An AE is any untoward medical occurrence in a clinical study subject administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAEs are defined as the AEs occurring after first administration of study intervention (or worsened since then). An serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product. TESAEs are defined as serious events between administration of study drug and after the last dose that were absent before treatment or that worsen relative to pretreatment state.
Trial Locations
- Locations (57)
Hosp. Gral. Univ. Dr. Balmis
🇪🇸Alicante, Spain
Hosp Reina Sofia
🇪🇸Cordoba, Spain
Complejo Hosp Univ. de Ferrol
🇪🇸Ferrol, Spain
Hosp. Univ. de La Paz
🇪🇸Ferrol, Spain
Hosp. Univ. de La Princesa
🇪🇸Madrid, Spain
Hosp. Univ. Pta. de Hierro Majadahonda
🇪🇸Madrid, Spain
Hosp. Clinico Univ. de Valencia
🇪🇸Valencia, Spain
Hosp. Alvaro Cunqueiro
🇪🇸Vigo, Spain
Chang-Hua Christian Hospital
🇨🇳Changhua, Taiwan
Far Eastern Memorial Hospital
🇨🇳New Taipei, Taiwan
National Taiwan University Hospital
🇨🇳Taipei, Taiwan
GASTRO I. s.r.o.
🇸🇰Presov, Slovakia
Klinikum Augsburg
🇩🇪Augsburg, Germany
Galilee Medical Center
🇮🇱Nahariya, Israel
Cliniq s.r.o.
🇸🇰Bratislava, Slovakia
ENDOMED s.r.o
🇸🇰Kosice, Slovakia
KM Management spol. s r.o.
🇸🇰Nitra, Slovakia
The Queen Elizabeth Hospital
🇦🇺Adelaide, Australia
Fiona Stanley Hospital
🇦🇺Murdoch, Australia
Mater Hospital Brisbane
🇦🇺South Brisbane, Australia
Western University & London Health Sciences Centre
🇨🇦London, Ontario, Canada
Nemocnice Ceske Budejovice a s
🇨🇿Ceske Budejovice, Czechia
Hepato-gastroenterologie HK, s.r.o.
🇨🇿Hradec Kralove, Czechia
ISCARE a.s.
🇨🇿Praha 9, Czechia
Charite Universitaetsmedizin Berlin
🇩🇪Berlin, Germany
Praxis Für Gastroenteroligie
🇩🇪Berlin, Germany
Medizinisches Versorgungszentrum (MVZ) Dachau
🇩🇪Dachau, Germany
Universitatsklinikum Frankfurt/ Medizinische Klinik 1
🇩🇪Frankfurt, Germany
Universitatsmedizin Gottingen
🇩🇪Gottingen, Germany
BSF Studiengesellschaft
🇩🇪Halle, Germany
Medizinische Hochschule Hannover
🇩🇪Hannover, Germany
Universitatsklinikum Schleswig Holstein
🇩🇪Kiel, Germany
Staedtisches Klinikum Lueneburg
🇩🇪Lüneburg, Germany
MVZ Portal 10
🇩🇪Münster, Germany
Siloah St Trudpert Klinikum
🇩🇪Pforzheim, Germany
Universitaetsklinikum Ulm
🇩🇪Ulm, Germany
Rambam Medical Center
🇮🇱Haifa, Israel
The Edith Wolfson Medical Center
🇮🇱Holon, Israel
Hadassah Medical Organization
🇮🇱Jerusalem, Israel
Rabin Medical Center
🇮🇱Petah Tikva, Israel
The Chaim Sheba Medical Center
🇮🇱Ramat Gan, Israel
Tel Aviv Sourasky Medical Center
🇮🇱Tel Aviv, Israel
Azienda Ospedaliera Policlinico S. Orsola-Malpighi
🇮🇹Bologna, Italy
IRCCS Ospedale San Raffaele
🇮🇹Milano, Italy
Asst Rhodense - Ospedale Di Rho
🇮🇹Rho, Italy
Universita Campus Bio-Medico di Roma
🇮🇹Roma, Italy
Fondazione Policlinico Universitario A Gemelli IRCCS
🇮🇹Roma, Italy
NZOZ Centrum Medyczne KERmed
🇵🇱Bydgoszcz, Poland
Centrum Medyczne Medyk
🇵🇱Rzeszow, Poland
GASTROMED Sp. z o.o.
🇵🇱Torun, Poland
WIP Warsaw IBD Point Profesor Kierkus
🇵🇱Warszawa, Poland
Melita Medical Sp. z o.o.
🇵🇱Wroclaw, Poland
Centrum Medyczne Oporow
🇵🇱Wroclaw, Poland
EuroMediCare Szpital Specjalistyczny z Przychodnia
🇵🇱Wroclaw, Poland
ETG Zamosc
🇵🇱Zamosc, Poland
FNsP F.D.R. Banska Bystrica
🇸🇰Banska Bystrica, Slovakia
Taipei Veterans General Hospital
🇨🇳Taipei, Taiwan