Ulcerative ColitisPhase 3COTTONWOODNCT02118584
Study for Participants With Ulcerative Colitis Previously Enrolled in Etrolizumab Phase II/III Studies
A Phase 3 study testing Etrolizumab in people with Ulcerative Colitis, run by Hoffmann-La Roche at 411 sites in 42 countries.
Trial summary
This two-part, part 1: open-label extension (OLE) and part 2: safety monitoring (SM) study will examine the efficacy and safety of continued etrolizumab treatment in moderate to severe ulcerative colitis (UC) participants previously enrolled in etrolizumab Phase II/III studies. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Ulcerative Colitis
- What is being tested?
- Etrolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,822 participants
- Where
- 411 sitesin 42 countries
- Study dates
- 15 Sep 2014to 5 Oct 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Part 1 (Open-label Extension)
- Participants previously enrolled in the Phase II OLE study or Phase III controlled studies who meet the eligibility criteria for open-label etrolizumab for those studies as described in the protocol
- Part 2 (Safety Monitoring)
- Participants whose safety follow-up or PML follow-up is not completed within Study GA27927 and participants who had their last dose of etrolizumab in July 2016 in Study GA27927 and are not eligible or willing to enroll in Part 1 (OLE)
- Participants who participated in one of the etrolizumab Phase III studies and are not eligible or willing to enter Part 1 (OLE)
- Participants who transfer from Part 1 (OLE)
- Completion of the 12-week safety follow-up prior to entering.
Who cannot join
- Part 1 (Open-label Extension)
- Withdrawal of consent from and participant not compliant in the Phase II OLE study or any of the Phase III studies
- Participant who discontinued etrolizumab/etrolizumab placebo prior to Week 10 or did not perform the Week 10 visit of the Phase III Studies GA28948, GA28949, GA29102, and GA29103
- Participant who discontinued etrolizumab/etrolizumab placebo prior to Week 14 or did not perform the Week 14 visit of the Phase III Study GA28950
- Any new, significant, uncontrolled condition
Trial locations and contacts
411 sites in 42 countries.
411 sites in 42 countries
United States57 sites
University of Michigan
Ann Arbor, Michigan, 48109
Asheville Gastroenterology Associates, P.A.
Asheville, North Carolina, 28801
Atlanta Gastroenterology Associates
Atlanta, Georgia, 30342
Innovative Medical Research of South Florida, Inc.
Aventura, Florida, 33180
Gastroenterology Associates, LLC
Baton Rouge, Louisiana, 70809
Washington Gastroenterology
Bellevue, Washington, 98004
Ehrhardt Clinical Research, LLC
Belton, Missouri, 64012
University of Alabama Medical Center
Birmingham, Alabama, 35294
Massachusetts General Hospital; Crohn's & Colitis Center
Boston, Massachusetts, 02114
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599
Northwestern University Feinberg School Of Medicine
Chicago, Illinois, 60611
University of Chicago Medical Center; Medicine, Section of Pulmonary
Chicago, Illinois, 60637
Consultants for Clin. Rsrch
Cincinnati, Ohio, 45219
UC Health Clinical Trials Office; Division of Digestive Diseases
Cincinnati, Ohio, 45267
West Central Gastroenterology d/b/a Gastro Florida
Clearwater, Florida, 33756
Ericksen Research and Development
Clinton, Utah, 84015
Peak Gastroenterology Associates
Colorado Springs, Colorado, 80907
Texas Digestive Disease Consultants - Dallas
Dallas, Texas, 75231
Henry Ford Health System
Detroit, Michigan, 48202
Clinica Peruano Americana S.A.
Great Neck, New York, 11021
University of Mississippi Medical Center
Jackson, Mississippi, 39216
Kansas City Research Institute, LLC
Kansas City, Missouri, 64131
Kinston Medical Specialists
Kinston, North Carolina, 28501
University of California San Diego Medical Center
La Jolla, California, 92093-5354
Clinical Research of the Rockies
Lafayette, Colorado, 80026
Gastroenterology Associates of Central Georgia
Macon, Georgia, 31201
Gastrointestinal Specialists of Georgia, PC
Marietta, Georgia, 30060
Gastroenterology Center of the Midsouth, P.C.
Memphis, Tennessee, 38120
Great Lakes Gastroenterology Research, LLC
Mentor, Ohio, 44060
Regenerate Clinical Trials
Miami, Florida, 33155
IMIC, Inc
Miami Beach, Florida, 33140
Regents of the University of Minnesota
Minneapolis, Minnesota, 55455
FQL Research, LLC
Miramar, Florida, 33025
Gastroenterology Group of Naples
Naples, Florida, 34102
Vanderbilt University Medical Center
Nashville, Tennessee, 37212
Aquiant Research
New Albany, Indiana, 47150
Advanced Research Institute, Inc.
New Port Richey, Florida, 34653
NYU Langone Medical Center
New York, New York, 10016-9451
Weill Cornell Medical College (WCMC) - Judith Jaffe Multiple Sclerosis Center (JJMSC)
New York, New York, 10021
Southwest Gastroenterology
Oak Lawn, Illinois, 60453
University of California, Irvine Medical Center
Orange, California, 92868
Internal Medicine Specialists
Orlando, Florida, 32806
McGuire Research Institute; Gastroenterology
Richmond, Virginia, 23249
University of Utah School of Medicine
Salt Lake City, Utah, 84132
Wellness Clinical Research Center
San Antonio, Texas, 78232
SDG Clinical Research
San Diego, California, 92103
University of California at San Francisco
San Francisco, California, 94115
Louisiana Research Center, LLC
Shreveport, Louisiana
Texas Digestive Disease Consultants - Southlake
Southlake, Texas, 76092
Atlanta Gastroenterology Specialists, PC
Suwanee, Georgia, 30024
Cotton-O'Neil Clinical Research Center, Digestive Health
Topeka, Kansas, 66606
Center for Digestive Health
Troy, Michigan, 48098
Tyler Research Institute, LLC
Tyler, Texas, 75701
Ventura Clinical Trials
Ventura, California, 93003
Rocky Mountain Gastroenterology Associates
Wheat Ridge, Colorado, 80033
Shafran Gastroenterology Center
Winter Park, Florida, 32789
Huron Gastroenterology Associates
Ypsilanti, Michigan, 48197
Ukraine29 sites
RCNECRCH Dept of Surgery, SHEI Ukr BSMU
Chernivtsi, Podolia Governorate, 58002
RCI Chernivtsi RCH Gastroenterology Bukovinsky SMU
Chernivtsi, 58002
SI Dnipropetrovsk MA of MOHU SI Institute of gastroenterology of AMSU
Dnipropetrovsk, 49074
CNE Prof. O.O. Shalimov Kharkiv City Clinical Hospital #2 of KCC
Kharkiv, Kharkiv Governorate, 61037
Communal Non-commercial Enterprise of Kharkiv Regional Council Regional Clinical Hospital
Kharkiv, Kharkiv Governorate, 61058
GI L.T.Malaya Therapy National Institute of the NAMS of Ukraine
Kharkiv, 61039
CI of Healthcare Kharkiv CCH #13
Kharkiv, 61124
CI Kherson Afanasii and Olha Tropiny City Clinical Hospital
Kherson, 73000
Communal Institution of Kyiv Regional Council Kyiv Regional Clinical Hospital
Kyiv, Kharkiv Governorate, 04107
CNE Kyiv CCH #18
Kyiv, KIEV Governorate, 01030
CI of Kyiv RC Kyiv Regional Clinical Hospital
Kyiv, KIEV Governorate, 04107
Medical Center of Limited Liability Company Medical Clinic Blagomed
Kyiv, KIEV Governorate, 1023
Med Center of International Institute of Clinical Trials LLC; Medical Center "OK!Clinic+"
Kyiv, KIEV Governorate, 2091
CI of Kyiv RC Regional Clinical Hospital #2
Kyiv, KIEV Governorate, 4073
CNI Consultative and Diagnostic Center of Desnianskyi District of Kyiv
Kyiv, 02232
Lviv Regional Clinical Hospital
Lviv, KIEV Governorate, 79010
Odessa regional clinical Hospital
Odesa, 65117
M.V. Sklifosovskyi Poltava RCH Dept of Gastroenterology HSEIU UMSA
Poltava, 36011
M.V. Sklifosovskyi Poltava RCH Outpatient UMSA HSEIU Ukrainian Medical Stomatological Academy
Poltava, 36011
CI of SRC Sumy RCH Dept of Gasroenterology Sumy SU MI
Sumy, Kharkiv Governorate, 40022
CI UDH Dept of Ther SHEI Fac of PGE&Pre-Univ Training
Uzhhorod, KIEV Governorate, 88009
A.Novak Transcarpathian Regional Clinical Hospital
Uzhhorod, KIEV Governorate, 88018
Private Small Enterprise Medical Center Pulse
Vinnytsia, 21001
M.I. Pyrogov VRCH Dept of Gastroenterology M.I. Pyrogov VNMU
Vinnytsia, 21018
MCIC Health Clinic BO LTD TPC Slaomed
Vinnytsia, 21029
LLC Gastroenterology Center IBD Team
Zaporizhzhya, Kharkiv Governorate, 69000
CI City Hospital #1
Zaporizhzhya, Tavria Okruha, 69104
Co Ltd. Diaservice
Zaporizhzhya, 69035
CI City Hospital #7
Zaporizhzhya, 69118
Poland28 sites
AppleTreeClinics Sp. z o.o.
?ód?, 90-349
Nasz Lekarz Osrodek Badan Klinicznych
Bydgoszcz, 85-312
Centrum Medyczne Lukamed Joanna Luka
Chojnice, 89-600
Centrum Medyczne Sw. Lukasza
Cz?stochowa, 42-202
7 Szpital Marynarki Wojennej z Przychodnia SPZOZ im. W. Lasinskiego
Gdansk, 80-305
Pro Familia Altera Sp z o.o.
Katowice, 40-645
Nzoz All-Medicus
Katowice, 40-660
Uniwersyteckie Centrum Kliniczne im. prof. K. Gibinskiego SUM
Katowice, 40-752
NZOZ Centrum Medyczne ProMiMed
Krakow, 31-637
Centrum Opieki Zdrowotnej Orkan-Med
Ksawerów, 95-054
Indywidualna Specjalistyczna Praktyka Lekarska
Lublin, 20-015
GASTROMED Sp. z o.o.
Lublin, 20-582
Allmedica Badania Kliniczne Sp z o.o. Sp K.
Nowy Targ, 34-400
Wojewodzki Specjalistyczny Szpital w Olsztynie
Olsztyn, 10-561
SOLUMED Centrum Medyczne
Późna, 60-529
Centrum Medyczne Medyk
Rzeszów, 35-055
Gabinet Lekarski, Bartosz Korczowski
Rzeszów, 35-302
Specjalistyczna Praktyka Lekarska Dr med. Marek Horynski; endoskopia
Sopot, 81-756
Niepubliczny Zaklad Opieki Zdrowotnej SONOMED
Szczecin, 70-351
Twoja Przychodnia-Szczecinskie Centrum Medyczne
Szczecin, 71-434
Centrum Zdrowia MDM
Warsaw, 00-189
Zespó Przychodni Specjalistycznych PRIMA
Warsaw, 02-018
Endoterapia PFG Sp. z o.o.
Warsaw, 02-653
Narodowy Instytut Onkologii im. Marii Sk?odowskiej-Curie - Pa?stwowy Instytut Badawczy
Warsaw, 02-781
Nzoz Vivamed
Warsaw, 03-580
Przychodnia EuroMediCare
Wroc?aw, 50-220
PlanetMed
Wroc?aw, 52-210
LexMedica Osrodek Badan Klinicznych
Wroclaw, 53-114
Russia23 sites
SBEI HPE Altai StateMedicalUniversityofMoH andSD
Barnaul, Altayskiy Kray, 656050
Medical and Sanitary Division of Severstal
Cherepovets, Vologda Oblast, 162600
Irkutsk State Medical Academy of Continuing Education
Irkutsk, 664079
FSBIH Central Clinical Hospital of RAS
Moscow, Moscow Oblast, 119333
FSBI ?State Scientific Centre of Coloproctology" of the MoH of RF; Gastroenterology
Moscow, Moscow Oblast, 123154
Yusupov Hospital
Moskva, Adygeya Republic, 127015
SBHI of NN region ?RCH of NN n.a. N.A.Semashko?
Nizhny Novgorod, Niznij Novgorod, 603126
FSBI "Scientific Research Institute of Physyology and Basic Medicine" under the SB of RAMS
Novosibirsk, 630117
BHI of Omsk region Clinical Oncology Dispensary
Omsk, 644013
SBEI of HPE "Omsk SMA" Ministry of healthcare of RF"
Omsk, 644043
SEIHPE "Rostov SMU of MoH of RF"
Rostov-on-Don, Rostov Oblast, 344022
FSBMEI HPE "Military Medical Academy n.a. S.M. Kirov" of the MoD of the RF; Therapy
Saint Petersburg, Sankt-Peterburg, 193163
FFSBI "The Nikiforov Russian Center of Emergency and Radiation Medicine"; Pulmonology
Saint Petersburg, Sankt-Peterburg, 194044
SPb SBIH "City Multy-field Hospital # 2"; Intensive Pulmonology and Thoracal Surgery
Saint Petersburg, Sankt-Peterburg, 194354
Baltic Medicine
Saint Petersburg, Sankt-Peterburg, 194356
City Hospital #26
Saint Petersburg, Sankt-Peterburg, 196247
Pavlov First Saint Petersburg State Medical University
Saint Petersburg, Sankt-Peterburg, 197022
SBIH City Clinical Hospital #31
Saint Petersburg, Sankt-Peterburg, 197110
SPb SHI "City Hospital #9"
Saint Petersburg, Sankt-Peterburg, 197110
LLC International Medical Centre ?SOGAZ?
Saint Petersburg, Sankt-Peterburg, 198035
Stavropol Regional Clinical Diagnostic Consultative Center
Stavropol, 355017
FSBEI HE "Stavropol State Medical University" of Ministry of Healthcare of Russian Federation
Stavropol, 355018
SBEI HPE "Voronezh State Medical University n.a. N.N. Burdenko" of the MoH of the RF
Voronezh, Voronez, 394036
Germany20 sites
Charite Universitaetsmedizin Berlin - Campus Charite Mitte
Berlin, 10117
Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin
Berlin, 12203
DRK Kliniken Berlin Westend
Berlin, 14050
Krankenhaus Waldfriede e. V.
Berlin, 14163
Berufsgenossenschaftliches Universitaetsklinikum Bergmannsheil GmbH
Bochum, 44789
Universitaetsklinikum Erlangen
Erlangen, 91054
Klinikum der Johann Wolfgang Goethe-Universitaet
Frankfurt, 60590
Universitaetsklinikum Freiburg; Urology
Freiburg im Breisgau, 79106
Universitaetsklinikum Halle (Saale)
Halle, 06120
Hamburgisches Forschungsinstitut fuer CED
Hamburg, 20148
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
Gastroenterologie Eppendorfer Baum
Hamburg, 20249
Medizinische Hochschule Hannover; Klinik für Gastroenterologie, Hepatologie und Endokrinologie
Hanover, 30625
Universitaetsklinikum Jena; Apotheke des Uniersitätsklinikums Jena
Jena, 07740
Universitaetsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24116
Medizinisches Zentrum Klinikum Lueneburg
Lüneburg, 21339
Klinikum Mannheim GmbH Universitätsklinikum
Mannheim, 68167
Universitaetsklinikum Muenster
Münster, 48149
Gemeinschaftspraxis Dres. Joachim Mueller und Steffi Appelt
Schweinfurt, 97421
Universitaetsklinikum Ulm
Ulm, 89081
Italy19 sites
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpigh
Bologna, Emilia-Romagna, 40138
Fondazione Poliambulanza Istituto Ospedaliero
Brescia, Lombardy, 25124
Azienda Ospedaliera Universitaria Careggi
Florence, Tuscany, 50134
Azienda Ospedaliera Fatebenefratelli e Oftalmico
Milan, Lombardy, 20121
Azienda Socio Sanitaria Territoriale Niguarda (Grande Ospedale Metropolitano Niguarda)
Milan, Lombardy, 20162
Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)
Milan, Lombardy
A.O.U. Policlinico di Modena
Modena, Emilia-Romagna, 40124
Azienda Ospedaliera di Padova
Padova, Veneto, 35128
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo, Sicily, 90127
Azienda Ospedaliero Universitaria di Parma
Parma, Emilia-Romagna, 43126
Ospedale di Circolo; Neuropsichiatria Infantile
Rho, Lombardy, 20017
Azienda Ospedaliera Universitaria Policlinico Tor Vergata
Rome, Lazio, 00133
Ospedale Sandro Pertini
Rome, Lazio, 00157
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Rome, Lazio, 00168
Azienda Ospedaliera San Camillo Forlanini
Rome, Lazio, 151
Istituto Clinico Humanitas
Rozzano (MI), Lombardy, 20089
I.R.C.C.S Policlinico San Donato
San Donato Milanese (MI), Lombardy, 20097
IRCCS Ospedale Casa Sollievo della Soffenza; Stru Comp di Gastroenterologia ed Endoscopia digest
San Giovanni Rotondo, Lombardy, 71013
Ospedale Mauriziano Umberto I
Turin, Piedmont, 10128
Brazil17 sites
Hospital Felicio Rocho
Belo Horizonte, Minas Gerais, 30110-068
UNESP - Faculdade de Medicina da Universidade Estadual Paulista - Campus Botucatu
Botucatu, São Paulo, 18618-970
CCBR - Brasilia
Brasília, Federal District, 70200-730
CAEP - Centro Avancado de Estudos e Pesquisas Ltda.
Campinas, São Paulo, 13087-567
Centro Digestivo de Curitiba
Curitiba, Paraná, 80430-160
Hospital Universitario Walter Cantidio - UFC
Fortaleza, Ceará, 60430-370
Instituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda
Goiânia, Goiás, 74535-170
CECIP - Centro de Estudos Clínicos do Interior Paulista
Jaú, São Paulo, 17210-190
Hospital Moinhos de Vento
Porto Alegre, Rio Grande do Sul, 90035-001
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Ernesto Dornelles
Porto Alegre, Rio Grande do Sul, 90160-092
Hospital Universitario Clementino Fraga Filho - UFRJ
Rio de Janeiro, Rio de Janeiro, 21941-913
Hospital Universitario Prof Edgar Santos-Ufba; Ambulatorio Magalhaes Neto 3Andar- Dermatologia
Salvador, Estado de Bahia, 41110-170
Pesquisare Saúde Sociedade Simples
Santo André, São Paulo, 09080-000
Hospital Estadual Mario Covas
São Bernardo do Campo, São Paulo, 09715-090
Hospital Sírio-Libanês
São Paulo, São Paulo, 01308-050
Hospital do Servidor Público Estadual/HSPE-SP
São Paulo, São Paulo, 04039-901
South Korea17 sites
Dong-A University Hospital
Busan, 49201
Pusan National University Hospital
Busan, 602-739
Kyungpook National University Medical Center
Daegu, 41404
Keimyung University Dongsan Medical Center
Daegu, 41931
Kyungpook National University Hospital
Daegu, 41944
Yeungnam Univ. Hospital
Daegu, 705-717
Korea University Ansan Hospital
Gyeonggi-do, 15355
CHA Bundang Medical Centre; CHA university
Seongnam, 13520
Seoul National University Bundang Hospital
Seongnam-si, 463-707
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Severance Hospital, Yonsei University Health System
Seoul, 03722
Samsung Medical Center
Seoul, 06351
Asan Medical Center.
Seoul, 5505
The Catholic University of Korea St. Vincent's Hospital
Suwon, 442-723
Ajou University Hospital
Suwon, 443-721
Yonsei University Wonju Severance Christian Hospital
Wŏnju, 26426
Hungary16 sites
DRC Gyogyszervizsgalo Kozpont Kft
Balatonfüred, 8230
Bekes Megyei Kozponti Korhaz Dr. Rethy Pal Tagkorhaza
Békéscsaba, 5600
Semmelweis Egyetem; Belgyogyaszati es Hematologiai Klinika
Budapest, 1088
Eszak-Kozep-budai Centrum, Uj Szent Janos Korhaz es Szakrendelo
Budapest, 1125
Pannónia Klinika Magánorvosi
Budapest, 1136
Magyar Honvedseg Egeszsegugyi Kozpont; Fázis I-es Klinikai Farmakológiai Vizsgálóhely
Budapest, H-1077
Endomedix Diagnosztikai Kozpont
Budapest
Vasutegeszsegugyi Kft. - Debreceni Egeszsegugyi Kozpont
Debrecen, 4025
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Markhot Ferenc Oktato Korhaz es Rendelointezet
Eger, 3300
Petz Aladar Megyei Oktato Korhaz
Győr, 9024
Pest Megyei Flor Ferenc Korhaz
Kistarcsa, 2143
Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz
Miskolc, 3526
Pecsi Tudomanyegyetem
Pécs, 7624
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Csongrad Megyei Dr. Bugyi Istvan Korhaz
Szentes, 6600
Australia14 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Bankstown-Lidcombe Hospital
Bankstown, New South Wales, 2200
Flinders Medical Centre
Bedford Park, South Australia, 5042
Monash Medical Centre
Clayton, Victoria, 3168
Concord Repatriation General Hospital
Concord, New South Wales, 2139
St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065
Footscray Hospital
Footscray, Victoria, 3011
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Launceston General Hospital; Gastroenterology Research
Launceston, Tasmania, 7250
Mater Adult Hospital
Mackay, Queensland, 4740
St Frances Xavier Cabrini Hospital
Malvern, Victoria, 3144
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Royal Melbourne Hospital; Department of Colorectal Medicine and Genetics
Parkville, Victoria, 3050
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Canada14 sites
University of Calgary
Calgary, Alberta, T2N 2T9
Zeidler Ledcor Centre - University of Alberta; Division of Gasroenterology
Edmonton, Alberta, T6G 2X8
Centre de santé et de services sociaux Champlain-Charles-Le Moyne
Greenfield Park, Quebec, J4V 2H1
Guelph GI & Surgery Clinic
Guelph, Ontario, N1H 3R3
Queen Elizabeth II Health Sciences Centre; Gastroenterology Research
Halifax, Nova Scotia, B3H 1V7
Hotel Dieu de Levis
Lévis, Quebec, G6V 3Z1
University Hospital - London Health Sciences Centre
London, Ontario, N6A 5A5
Hôpital Maisonneuve - Rosemont
Montreal, Quebec, H1T 2M4
Taunton Health Centre
Oshawa, Ontario, L1H 7K4
Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8
Mount Sinai Hospital
Toronto, Ontario, M5G 1X5
Toronto Liver Centre
Toronto, Ontario, M6H 3M1
Pacific Gastroenterology Associates
Vancouver, British Columbia, V6Z 2K5
Toronto Digestive Disease Associates
Vaughan, Ontario, L4L 4Y7
France14 sites
CHU Amiens - Hopital Sud
Amiens, 80054
CHU de Caen Hopital Cote de Nacre
Caen, 14033
CHU Tours - Hôpital Trousseau
Chambray-lès-Tours, 37170
Hôpital Beaujon
Clichy, 92110
Hopital Claude Huriez - CHU Lille
Lille, 59037
CHU Hopital Saint Eloi
Montpellier, 34295
CHU Nice - Hopital de l'Archet 2
Nice, 06202
Hôpital Saint-Louis
Paris, 75475
CHU Bordeaux - Hôpital Haut-Lévêque
Pessac, 33600
Centre Hospitalier Lyon Sud; Service de Gastro-Enterologie
Pierre-Bénite, 69495
CHU Saint Etienne - Hôpital Nord
Saint-Etienne, 42055
Höpital Hautepierre; Pediatrie1
Strasbourg, 67098
CHU de Toulouse - Hôpital Rangueil
Toulouse, 31059
Hôpital de Brabois Adultes
Vandœuvre-lès-Nancy, 54511
Bulgaria12 sites
Medical Centre "Asklepii", OOD
Dupnitsa, 2600
DCC Sv. Pantaleymon OOD; II-nd Clinic of Neurology
Pleven, 5800
Medical center Medconsult Pleven OOD
Pleven, 5800
MHAT - Ruse, AD
Rousse, 7002
MHAT "Hadzhi Dimitar", OOD
Sliven, 8800
"City Clinic UMHAC" EOOD
Sofia, 1407
UMHAT "Sv. Ivan Rilski", EAD
Sofia, 1431
UMHAT Tsaritsa Yoanna - ISUL, EAD
Sofia, 1527
Diagnostic Consultation Center CONVEX EOOD
Sofia, 1680
Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
Stara Zagora, 6000
MHAT 'Sv. Marina', EAD; First Children's Clinic
Varna, 9010
MC Medica Plus
Veliko Tarnovo, 5000
Czechia12 sites
Vojenska nemocnice Brno
Brno, 636 00
Fakultni nemocnice u sv. Anny v Brne; I.Interni kardioangiologicka klinika
Brno, 65691
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Hepato-Gastroenterologie HK, s.r.o.
Hradec Králové, 500 12
Oblastni nemocnice Kladno, a.s., nemocnice Stredoces. kraje; Endoskopicke centrum
Kladno, 272 59
PreventaMed, s.r.o.
Olomouc, 779 00
Mestska Nemocnice Ostrava
Ostrava, 728 80
Pardubicka krajska nemocnice a.s.
Pardubice, 532 03
ISCARE a.s.
Prague, 170 04
Nemocnice Na Bulovce
Prague, 180 01
Krajska zdravotni, a.s. ? Masarykova nemocnice v Usti nad Labem, o.z., Ocni oddeleni
Ústí nad Labem, 401 13
Krajska nemocnice T. Bati, a.s.
Zlín, 76001
United Kingdom12 sites
Addenbrooke's Hospital
Cambridge, CB2 0QQ
University Hospital Coventry
Coventry, CV2 2DX
Royal Devon and Exeter Hospital (Wonford)
Exeter, EX2 5DW
St James University Hospital
Leeds, LS9 7TF
The Royal London Hospital
London, E1 1FR
University College London Hospital
London, N7 9NH
St Thomas Hospital
London, SE1 7EH
King's College London
London, SE5 9NU
Fairfield General Hospital
Manchester, M8 5RB
Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP
Nottingham University Hospitals; QMC Campus
Nottingham, NG7 2UH
Southampton General Hospital
Southampton, SO16 6YD
India10 sites
K.L.E. Society's Dr. Prabhakar Kore Hospital and Medical Research Centre
Belagavi, Karnataka, 590010
M. S. Ramaiah Medical College and Hospital
Bengaluru, Karnataka, 560054
Deccan College of Medical Sciences and Allied Hospitals; Department of Gastroenterology
Hyderabad, Andhra Pradesh, 500058
S. R. Kalla Memorial Gastro & General Hospital
Jaipur, Rajasthan, 302001
Dayanand Medical College and Hospital
Ludhiana, Punjab, 141001
Kasturba Medical College & Hospital
Manglore, Karnataka, 575001
Midas institute of Gastroenterology
Nagpur, Maharashtra, 440012
Ruby Hall Clinic
Pune, Maharashtra, 411001
King Edward Memorial Hospital Research Centre
Pune, 411011
Nirmal Hospital
Surat, Gujarat, 395002
Belgium9 sites
GZA Ziekenhuizen - Campus Sint-Vincentius
Antwerp, 2018
Imeldaziekenhuis
Bonheiden, 2820
CHU St Pierre (St Pierre)
Brussels, 1000
UZ Brussel
Brussels, 1090
Cliniques Universitaires Saint-Luc; Pharmacy
Brussels, 1200
UZ Gent
Ghent, 9000
AZ Sint Elisabeth Herentals
Herentals, 2200
UZ Leuven; Neurology
Leuven, 3000
AZ Delta (Campus Rumbeke)
Roeselare, 8800
Spain9 sites
Fundacion Hospital de Alcorcon; Servicio de Digestivo
Alcorcón, Madrid, 28922
Centro Médico Teknon
Barcelona
Hospital Universitari de Girona Dr Josep Trueta
Girona, 17007
Hospital Universitario de la Princesa
Madrid, 28006
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario de Fuenlabrada
Madrid, 28942
Corporacio Sanitaria Parc Tauli
Sabadell, Barcelona, 08208
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Hospital Universitario Miguel Servet
Zaragoza, 50009
Israel8 sites
Bnai Zion Medical Center; Internal Medicine
Haifa, 3339419
Shaare Zedek Medical Center
Jerusalem, 9103102
Hadassah University Hospital - Ein Kerem
Jerusalem, 9112001
Holy Family Hospital
Nazareth, 1641101
Rabin Medical Center Beilinson Campus; Gaucher Clinic Genetics Institute
Petach Tiqwa, 49100
Kaplan Medical Center
Rehovot, 7610001
Assaf Harofeh
Rishon LeZiyyon, 7505001
Chaim Sheba Medical Center; Pediatrics B North and Pediatric Endocrinology Unit
Tel HaShomer, 52621
Slovakia7 sites
Fakultna nemocnica s poliklinikou F.D. Roosevelta
Banská Bystrica, 974 01
Nemocnica A.Lena Humenne, n.o.
Humenné, 066 01
Endomed, s.r.o.
Košice, 040 01
KM Management spol. s r.o.
Nitra, 94901
Gastro I, s.r.o.
Prešov, 080 01
Svet zdravia a.s.
Rimavská Sobota, 979 01
Accout Center s.r.o.
Šahy, 936 01
New Zealand6 sites
North Shore Hospital
Auckland, 0620
Middlemore Hospital
Auckland
Dunedin Hospital
Dunedin
Waikato Hospital
Hamilton, 3248
Shakespeare Specialist Group
Takapuna, 0620
Tauranga Hospital
Tauranga, 3143
Estonia5 sites
OÜ Innomedica
Tallinn, 10117
East Tallinn Central Hospital
Tallinn, 10138
West Tallinn Central Hospital
Tallinn, 10617
North Estonia Medical Centre Foundation
Tallinn, 13419
Tartu University Hospital
Tartu, 51014
Mexico5 sites
Phylasis Clinicas Research S de RL de CV
Cuautitlán Izcalli, 54769
Centro Integral en Reumatología S.A. de C.V. (CIRSA)
Guadalajara, Jalisco, 44160
Accelerium S. de R.L. de C.V.
Monterrey, Nuevo León, 64000
Hospital Universitario Dr Jose Eleuterio Gonzalez; Universidad Autónoma de Nuevo León
Monterrey, Nuevo León, 64460
Centro Regiomontano de Estudios Clínicos Roma S.C.
Monterrey, Nuevo León, 64610
Serbia5 sites
Clinical Center Zvezdara
Belgrade, 11000
Military Medical Academy
Belgrade, 11040
Clinical Center Zemun
Belgrade, 11080
Clinical Center Kragujevac
Kragujevac, 34000
General Hospital Djordje Joanovic
Zrenjanin, 23000
Malaysia4 sites
Hospital Raja Perempuan Zainab II; Department of Medicine
Kota Bharu, 15586
Pusat Perubatan Universiti Kebangsaan Malaysia
Kuala Lumpur, FED. Territory of Kuala Lumpur, 56000
University Malaya Medical Center
Kuala Lumpur, FED. Territory of Kuala Lumpur, 59100
Hospital Tengku Ampuan Afzan
Kuantan, Pahang, 25100
Romania4 sites
S.C MedLife S.A
Bucharest, 010719
Centrul Medical Unirea SRL
Bucharest, 040055
Spitalul Clinic Colentina
Bucharest, 772202
Centrul de Gastroenterologie Dr. Goldis
Timișoara, 300002
South Africa4 sites
Netcare Universitas Private Hospital
Bloemfontein, 9301
Dr MJ Prins Practice
Cape Town, 7500
Dr JP Wright Practice
Cape Town, 7708
Emmed Research
Pretoria, 0002
Denmark3 sites
Ålborg Universitets Hospital; Gastromedicinsk
Aalborg, 9000
Herlev og Gentofte Hospital
Hellerup, 2900
Rigshospitalet; Afdeling for Tarmsvigt og Leversygdomme
København Ø, 2100
Latvia3 sites
Central Outpatient Clinic
Daugavpils, LV-5401
Pauls Stradins Clinical University Hospital
R?ga, LV-1002
Digestive Diseases Center "Gastro"
R?ga, LV-1079
Lithuania3 sites
Hospital of Lithuanian University of Health. Sciences Kaunas Clinics
Kaunas, 50009
Klaipeda Seamen's Hospital, Public Institution
Klaipėda, 92288
Vilnius University Hospital Santariskiu Clinic, Public Institution; Cardiology
Vilnius, LT-08661
Netherlands3 sites
Amsterdam UMC Location VUMC
Amsterdam, 1081 HV
Amsterdam UMC Location AMC
Amsterdam, 1105 AZ
Radboudumc
NL -nijmegen, 6525 GA
Turkey (Türkiye)3 sites
Gazi University Medical Faculty; Gastroenterology
Ankara, 06500
Haydarpasa Numune Training and Research Hospital; Medical Oncology
Istanbul, 34668
Kocaeli Universitesi Tip Fakultesi; Infectious Diseases
Kocaeli, 41380
Argentina2 sites
Instituto Medico DAMIC
Córdoba, X5003DCE
Hospital Provincial del Centenario
Rosario, S2002KDS
Austria2 sites
LKH - Universitätsklinikum der PMU Salzburg
Salzburg, 5020
Medizinische Universität Wien
Vienna, 1090
Colombia2 sites
RTS - Fundación Valle de Lili
Cali, 0
Instituto de Coloproctologia ICO S.A.S.
Medellín, 050025
Croatia2 sites
Clinical Hospital Centre Osijek
Osijek, 31000
Clinical Hospital Sveti Duh; Department of Neurology
Zagreb, 10000
Portugal2 sites
Hospital de Braga
Braga, 4710-243
Hospital da Senhora da Oliveira Guimarães
Guimarães, 4835-044
Switzerland2 sites
Inselspital-Universitaetsspital Bern
Bern, 3010
Crohn-Colitis Zentrum Bern - Gemeinschaftspraxis Balsiger, Seibold und Partner
Bern, 3012
About this study
Official title: An Open-Label Extension and Safety Monitoring Study of Moderate to Severe Ulcerative Colitis Patients Previously Enrolled in Etrolizumab Phase II/III Studies
This two-part, part 1: open-label extension (OLE) and part 2: safety monitoring (SM) study will examine the efficacy and safety of continued etrolizumab treatment in moderate to severe ulcerative colitis (UC) participants previously enrolled in etrolizumab Phase II/III studies. Participants with moderate to severe UC who were enrolled in the Phase II OLE study (GA27927 [NCT01461317]) or the Phase III studies (GA28948 [NCT02163759], GA28949 [NCT02171429], GA28950 [NCT02100696], GA29102 [NCT02165215], and GA29103 [NCT02136069]) were included. Participants from the Phase II OLE study or the Phase III studies who are not eligible or willing to receive etrolizumab in the OLE-SM study, and who have completed the 12-week safety follow-up period will be enrolled in Part 2. Part 1 of OLE-SM will continue for up to 9 years after the first participant is enrolled into the study. Following Part 1, participants will enter Part 2 for a period of 92 weeks.
- Conditions
- Ulcerative Colitis
- Being tested
- Etrolizumab
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EtrolizumabDrug
Also called RG7413, RO5490261, PRO145223, rhuMAb Beta7
Participants will receive etrolizumab 105 milligrams (mg), administered subcutaneously (SC) every 4 weeks for up to 9 years or until either commercial availability or the Sponsor's decision to terminate the study.
| Study group | Role | What they receive |
|---|---|---|
| Part 1: Open-label Extension | Experimental | Participants with moderate to severe UC who were enrolled in the Phase II OLE study or the Phase III studies, and who meet the eligibility criteria for enrollment will receive open-label etrolizumab in Part 1 (OLE). Receives: Drug: Etrolizumab |
| Part 2: Safety Monitoring | No intervention | All participants from Part 1 (OLE), participants whose PML follow-up is not completed within the Phase II OLE study, and participants transferring from the Phase III double-blind studies after the 12-week safety follow-up will be monitored for PML (92 weeks). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Percentage of Participants With Clinical Remission as Determined by the Partial Mayo Clinic Score (pMCS)
The pMCS is a composite of 3 assessments, each rated from 0 (none) to 3 (severe disease): stool frequency, rectal bleeding, and physician's global assessment. The total score for pMCS ranges from 0 (none) to 9 (severe disease). pMCS clinical remission was defined as pMCS ≤ 2, a rectal bleeding score of 0-1, physician's global assessment of 0-1, stool frequency subscore of 0-1. Percentages have been rounded off.
Measured: Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, 312 and 324 weeks
Part 1: Percentage of Participants With Remission as Determined by the Mayo Clinic Score (MCS)
The Mayo Clinic scoring system is a composite of 4 assessments for UC disease activity. The 4 component sub-scores are: 1) stool frequency, 2) rectal bleeding, 3) flexible sigmoidoscopy scores, and 4) physician's global assessment, each rated from 0-3, 0 representing no pathology to 3 for severe disease. The minimum Mayo Score is 0 (no pathology) and the maximum is 12 (severe disease). MCS remission was defined as MCS ≤ 2, a rectal bleeding score of 0, physician's global assessment of 0-1, stool frequency subscore of 0-1 and endoscopy score of 0-1. Percentage has been rounded off.
Measured: At OLE Week 108
Part 1: Percentage of Participants With Endoscopic Remission
The Mayo scoring system is a composite of 4 assessments for UC disease activity. The 4 component sub-scores are: 1) stool frequency, 2) rectal bleeding, 3) flexible sigmoidoscopy scores, and 4) physician's global assessment, each rated from 0-3, 0 representing no pathology to 3 for severe disease. The minimum Mayo Score is 0 (no pathology) and the maximum is 12 (severe disease). Endoscopic remission was defined as Mayo Endoscopic subscore = 0. Percentage has been rounded off.
Measured: At OLE Week 108
Part 1: Number of Participants With Adverse Events (AEs) and Severity of AEs Assessed Using National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 [NCI CTCAE v4.0]
An AE is any untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. An AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. AEs were graded as per NCI CTCAE v4.0. Grade 1=Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated; Grade 2=Moderate; minimal, local or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living; Grade 3=Severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living; Grade 4=Life-threatening consequences/urgent intervention indicated; Grade 5=Death related to adverse event.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigation, whether or not considered related to the medicinal (investigational) product. A SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With Infection Related AEs and Severity of Infection-Related AEs Assessed Using NCI CTCAE v4.0
An AE is any untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. An AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. AEs were graded as per NCI CTCAE v4.0. Grade 1= Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated; Grade 2=Moderate; minimal, local or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living; Grade 3=Severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living; Grade 4=Life-threatening consequences/urgent intervention indicated; Grade 5=Death related to adverse event.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With Serious Infection Related AES
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. A SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With Injection Site Reactions and Severity of Injection Site Reactions Assessed Using NCI CTCAE v4.0
AE=untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. Injection-site reaction=any local reaction occurring at the site of injection following study drug administration. Signs (e.g., erythema, induration/swelling at injection site) and symptoms (e.g., pain, pruritus at injection site). Injection site reactions. were graded as per NCI CTCAE v4.0. Grade 1=Tenderness with or without associated symptoms (e.g., warmth, erythema, itching); Grade 2=Pain; lipodystrophy; edema; phlebitis; Grade 3=Ulceration or necrosis; severe tissue damage; operative intervention indicated; Grade 4=life-threatening consequences or urgent intervention indicated; Grade=5 death related to AE.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With AEs Leading to Etrolizumab Discontinuation
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a Etrolizumab, whether or not considered related to the medicinal (investigational) product. Number of participants who discontinued etrolizumab treatment during the OLE period have been reported here.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With Malignancies
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. Number of participants who developed malignancies during the OLE period have been reported here.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 1: Number of Participants With Hypersensitivity Reactions and Severity of Hypersensitivity Assessed Using NCI-CTCAE v4.0
AE=untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. Hypersensitivity was assessed as per NCI CTCAE v4.0. Grade 1=Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated; Grade 2=Moderate; minimal, local or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living; Grade 3=Severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living.
Measured: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
Part 2: Number of Participants With Confirmed Progressive Multifocal Leukoencephalopathy (PML) During the Post-Treatment PML Monitoring Period
Measured: From end of safety follow-up in Part 1 or Phase II/III parent studies up to a maximum of 92 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Apr 2014 (estimated)
- Study start15 Sep 2014
- Primary completion5 Oct 2023
- Study completion5 Oct 2023
Why it stopped: The study was terminated due to program discontinuation, based on mixed efficacy results in the parent studies. There were no safety concerns.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Ulcerative ColitisStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,822 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02118584
- Sponsor's protocol ID
- GA28951
- Other IDs
- 2013-004435-72
- Acronym
- COTTONWOOD
- Status last verified
- Sep 2024
- First submitted
- 16 Apr 2014
- Last updated
- 23 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Sandborn WJ, Vermeire S, Tyrrell H, Hassanali A, Lacey S, Tole S, Tatro AR; Etrolizumab Global Steering Committee. Etrolizumab for the Treatment of Ulcerative Colitis and Crohn's Disease: An Overview of the Phase 3 Clinical Program. Adv Ther. 2020 Jul;37(7):3417-3431. doi: 10.1007/s12325-020-01366-2. Epub 2020 May 22.
PubMed 32445184
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Extension and Safety Monitoring Study of Moderate to Severe Ulcerative Colitis Patients Previously Enrolled in Etrolizumab Phase II/III Studies
- ClinicalTrials.gov ID
- NCT02118584
- Acronym / sponsor ID
- COTTONWOOD / GA28951
- Conditions
- Ulcerative Colitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated due to program discontinuation, based on mixed efficacy results in the parent studies. There were no safety concerns.
- Enrolment
- 1,822 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 15 Sep 2014 (actual)
- Primary completion
- 5 Oct 2023 (actual)
- Study completion
- 5 Oct 2023 (actual)
- First posted
- 21 Apr 2014 (estimated)
- Results
- Posted 23 Oct 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This two-part, part 1: open-label extension (OLE) and part 2: safety monitoring (SM) study will examine the efficacy and safety of continued etrolizumab treatment in moderate to severe ulcerative colitis (UC) participants previously enrolled in etrolizumab Phase II/III studies. Participants with moderate to severe UC who were enrolled in the Phase II OLE study (GA27927 [NCT01461317]) or the Phase III studies (GA28948 [NCT02163759], GA28949 [NCT02171429], GA28950 [NCT02100696], GA29102 [NCT02165215], and GA29103 [NCT02136069]) were included. Participants from the Phase II OLE study or the Phase III studies who are not eligible or willing to receive etrolizumab in the OLE-SM study, and who have completed the 12-week safety follow-up period will be enrolled in Part 2. Part 1 of OLE-SM will continue for up to 9 years after the first participant is enrolled into the study. Following Part 1, participants will enter Part 2 for a period of 92 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Part 1: Open-label Extension | Experimental | Drug: EtrolizumabParticipants with moderate to severe UC who were enrolled in the Phase II OLE study or the Phase III studies, and who meet the eligibility criteria for enrollment will receive open-label etrolizumab in Part 1 (OLE). |
| Part 2: Safety Monitoring | No intervention | –All participants from Part 1 (OLE), participants whose PML follow-up is not completed within the Phase II OLE study, and participants transferring from the Phase III double-blind studies after the 12-week safety follow-up will be monitored for PML (92 weeks). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Part 1 (Open-label Extension)
- Participants previously enrolled in the Phase II OLE study or Phase III controlled studies who meet the eligibility criteria for open-label etrolizumab for those studies as described in the protocol
- Part 2 (Safety Monitoring)
- Participants whose safety follow-up or PML follow-up is not completed within Study GA27927 and participants who had their last dose of etrolizumab in July 2016 in Study GA27927 and are not eligible or willing to enroll in Part 1 (OLE)
- Participants who participated in one of the etrolizumab Phase III studies and are not eligible or willing to enter Part 1 (OLE)
Key exclusion criteria (5 listed)
- Part 1 (Open-label Extension)
- Withdrawal of consent from and participant not compliant in the Phase II OLE study or any of the Phase III studies
- Participant who discontinued etrolizumab/etrolizumab placebo prior to Week 10 or did not perform the Week 10 visit of the Phase III Studies GA28948, GA28949, GA29102, and GA29103
- Participant who discontinued etrolizumab/etrolizumab placebo prior to Week 14 or did not perform the Week 14 visit of the Phase III Study GA28950
- Any new, significant, uncontrolled condition
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EtrolizumabAlso: RG7413, RO5490261, PRO145223, rhuMAb Beta7Participants will receive etrolizumab 105 milligrams (mg), administered subcutaneously (SC) every 4 weeks for up to 9 years or until either commercial availability or the Sponsor's decision to terminate the study. | Drug | Part 1: Open-label Extension |
Primary outcome
Part 1: Percentage of Participants With Clinical Remission as Determined by the Partial Mayo Clinic Score (pMCS)
Time frame: Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, 312 and 324 weeks
The pMCS is a composite of 3 assessments, each rated from 0 (none) to 3 (severe disease): stool frequency, rectal bleeding, and physician's global assessment. The total score for pMCS ranges from 0 (none) to 9 (severe disease). pMCS clinical remission was defined as pMCS ≤ 2, a rectal bleeding score of 0-1, physician's global assessment of 0-1, stool frequency subscore of 0-1. Percentages have been rounded off.
Part 1: Percentage of Participants With Remission as Determined by the Mayo Clinic Score (MCS)
Time frame: At OLE Week 108
The Mayo Clinic scoring system is a composite of 4 assessments for UC disease activity. The 4 component sub-scores are: 1) stool frequency, 2) rectal bleeding, 3) flexible sigmoidoscopy scores, and 4) physician's global assessment, each rated from 0-3, 0 representing no pathology to 3 for severe disease. The minimum Mayo Score is 0 (no pathology) and the maximum is 12 (severe disease). MCS remission was defined as MCS ≤ 2, a rectal bleeding score of 0, physician's global assessment of 0-1, stool frequency subscore of 0-1 and endoscopy score of 0-1. Percentage has been rounded off.
Part 1: Percentage of Participants With Endoscopic Remission
Time frame: At OLE Week 108
The Mayo scoring system is a composite of 4 assessments for UC disease activity. The 4 component sub-scores are: 1) stool frequency, 2) rectal bleeding, 3) flexible sigmoidoscopy scores, and 4) physician's global assessment, each rated from 0-3, 0 representing no pathology to 3 for severe disease. The minimum Mayo Score is 0 (no pathology) and the maximum is 12 (severe disease). Endoscopic remission was defined as Mayo Endoscopic subscore = 0. Percentage has been rounded off.
Part 1: Number of Participants With Adverse Events (AEs) and Severity of AEs Assessed Using National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 [NCI CTCAE v4.0]
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
An AE is any untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. An AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. AEs were graded as per NCI CTCAE v4.0. Grade 1=Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated; Grade 2=Moderate; minimal, local or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living; Grade 3=Severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living; Grade 4=Life-threatening consequences/urgent intervention indicated; Grade 5=Death related to adverse event.
Part 1: Number of Participants With Serious Adverse Events (SAEs)
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigation, whether or not considered related to the medicinal (investigational) product. A SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.
Part 1: Number of Participants With Infection Related AEs and Severity of Infection-Related AEs Assessed Using NCI CTCAE v4.0
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
An AE is any untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. An AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. AEs were graded as per NCI CTCAE v4.0. Grade 1= Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated; Grade 2=Moderate; minimal, local or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living; Grade 3=Severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living; Grade 4=Life-threatening consequences/urgent intervention indicated; Grade 5=Death related to adverse event.
Part 1: Number of Participants With Serious Infection Related AES
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. A SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.
Part 1: Number of Participants With Injection Site Reactions and Severity of Injection Site Reactions Assessed Using NCI CTCAE v4.0
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
AE=untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. Injection-site reaction=any local reaction occurring at the site of injection following study drug administration. Signs (e.g., erythema, induration/swelling at injection site) and symptoms (e.g., pain, pruritus at injection site). Injection site reactions. were graded as per NCI CTCAE v4.0. Grade 1=Tenderness with or without associated symptoms (e.g., warmth, erythema, itching); Grade 2=Pain; lipodystrophy; edema; phlebitis; Grade 3=Ulceration or necrosis; severe tissue damage; operative intervention indicated; Grade 4=life-threatening consequences or urgent intervention indicated; Grade=5 death related to AE.
Part 1: Number of Participants With AEs Leading to Etrolizumab Discontinuation
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a Etrolizumab, whether or not considered related to the medicinal (investigational) product. Number of participants who discontinued etrolizumab treatment during the OLE period have been reported here.
Part 1: Number of Participants With Malignancies
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. Number of participants who developed malignancies during the OLE period have been reported here.
Part 1: Number of Participants With Hypersensitivity Reactions and Severity of Hypersensitivity Assessed Using NCI-CTCAE v4.0
Time frame: From Day 1 up to end of 12-week safety follow up in OLE (approximately 7 years)
AE=untoward medical occurrence in participant administered a pharmaceutical product \& regardless of causal relationship with this treatment. AE can therefore be any unfavorable \& unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with use of investigational product, whether or not considered related to investigational product. Hypersensitivity was assessed as per NCI CTCAE v4.0. Grade 1=Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; or intervention not indicated; Grade 2=Moderate; minimal, local or non-invasive intervention indicated; or limiting age-appropriate instrumental activities of daily living; Grade 3=Severe or medically significant, but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; or limiting self-care activities of daily living.
Part 2: Number of Participants With Confirmed Progressive Multifocal Leukoencephalopathy (PML) During the Post-Treatment PML Monitoring Period
Time frame: From end of safety follow-up in Part 1 or Phase II/III parent studies up to a maximum of 92 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32445184Sandborn WJ, Vermeire S, Tyrrell H, Hassanali A, Lacey S, Tole S, Tatro AR; Etrolizumab Global Steering Committee. Etrolizumab for the Treatment of Ulcerative Colitis and Crohn's Disease: An Overview of the Phase 3 Clinical Program. Adv Ther. 2020 Jul;37(7):3417-3431. doi: 10.1007/s12325-020-01366-2. Epub 2020 May 22.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
411 sites in 42 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Etrolizumab in people with Ulcerative Colitis, run by Hoffmann-La Roche at 411 sites in 42 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 23 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 411 sites in United States, Ukraine, Poland, Russia, Germany and 37 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1: Percentage of Participants With Clinical Remission as Determined by the Partial Mayo Clinic Score (pMCS) (time frame: Baseline, Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, 204, 216, 228, 240, 252, 264, 276, 288, 300, 312 and 324 weeks). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02118584, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2024.