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Crohn's DiseasePhase 2NCT02405442

Safety and Efficacy of Andecaliximab in Participants With Moderately to Severely Active Crohn's Disease

A Phase 2 study testing Andecaliximab in people with Crohn's Disease, run by Gilead Sciences at 74 sites in 13 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study will primarily evaluate the safety and efficacy of andecaliximab in adults with active Crohn's disease. The study will consist of a Double-Blind Phase of 8 weeks followed by an Open-Label Extension. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Crohn's Disease
What is being tested?
Andecaliximab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
187 participants
Where
74 sitesin 13 countries
Study dates
30 Apr 2015to 22 Dec 2016
Phase
Phase 2
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability to provide a written informed consent
  • Females of childbearing potential must have a negative pregnancy test at screening and baseline
  • Documented diagnosis of Crohn's disease with a minimum disease duration of 6 months with involvement of the ileum and/or colon at a minimum
  • Moderately to severely active Crohn's disease as defined by a Crohn's Disease Activity Index (CDAI) total score between 220-450 (inclusive) AND with evidence of active disease as measured by ileocolonoscopy
  • Within the previous 5 years, demonstrated an inadequate clinical response or intolerance of at least one of the following agents:
  • Corticosteroids
Show all 16Show fewer
  • Immunomodulators
  • Tumor necrosis factor-alpha (TNFα) antagonists
  • Vedolizumab
  • May be receiving the following drugs:
  • Oral 5-aminosalicylate (5-ASA)
  • Oral corticosteroid therapy
  • Antidiarrheals for chronic diarrhea
  • Azathioprine or 6-mercaptopurine (6-MP) or methotrexate
  • Antibiotics for the treatment of Crohn's disease
  • Able to comply with the dosing instructions for study drug and able to comply with the study visits and requirements

Who cannot join

  • Evidence of abscess at screening
  • Extensive colonic resection (subtotal or total colectomy) or history of > 2 small bowel resections
  • Ileostomy, colostomy, or symptomatic stenosis of the intestine
  • Current use of oral corticosteroids at a dose equivalent to > 30 mg/day of prednisone
  • Ulcerative colitis or indeterminate colitis
  • Short bowel syndrome
Show all 13Show fewer
  • Stool sample positive for Clostridium difficile (C. difficile) toxin, E. coli, Salmonella, Shigella, Campylobacter or Yersinia
  • Treatment with any monoclonal antibody within 4 weeks of screening
  • History or evidence of colonic mucosal dysplasia
  • HIV, hepatitis B, hepatitis C, or tuberculosis (TB) infection
  • Participated in a clinical study with an investigational drug or biologic within the last 30 days
  • Any chronic medical condition (including, but not limited to, cardiac or pulmonary disease) that, in the opinion of the investigator, would make the individual unsuitable for the study or would prevent compliance with the study protocol
  • Note: Other protocol defined Inclusion/ Exclusion criteria may apply.

Trial locations and contacts

74 sites in 13 countries.

74 sites in 13 countries

United States33 sites
  • University of Michigan

    Ann Arbor, Michigan

  • Texas Clinical Research Institute

    Arlington, Texas

  • Asheville Gastroenterology Associates

    Asheville, North Carolina

  • Gastroenterology Associates Of Tidewater

    Chesapeake, Virginia

  • Clinical Research Institute of Michigan, LLC

    Chesterfield, Michigan

  • Consultants For Clinical Research

    Cincinnati, Ohio

  • Iowa Digestive Disease Center

    Clive, Iowa

  • Digestive Health Specialists of The Southeast

    Dothan, Alabama

  • AGA Clinical Research Associates, LLC

    Egg Harbor, New Jersey

  • Gastro One

    Germantown, Tennessee

  • Ertan Digestive Disease Center of Excellence, UTH/MH-TMC

    Houston, Texas

  • Medical Diagnostic Center (MDC)-Indiana University (IU) Health University Hospital

    Indianapolis, Indiana

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire

  • South Denver Gastroenterology

    Lone Tree, Colorado

  • Cedars Sinai Medical Center

    Los Angeles, California

  • Gastroenterology Associates Of Central Georgia, LLC

    Macon, Georgia

  • Great Lakes Gastroenterology

    Mentor, Ohio

  • University of Miami

    Miami, Florida

  • Delta Research Partners

    Monroe, Louisiana

  • Gastroenterology Group Of Naples

    Naples, Florida

  • Vanderbilt University Medical Center

    Nashville, Tennessee

  • Columbia University Medical Center/ New York Presbyterian

    New York, New York

  • Digestive and Liver Disease Specialists

    Norfolk, Virginia

  • Premier Medical Group Of The Hudson Valley

    Poughkeepsie, New York

  • Mcguire Dvamc

    Richmond, Virginia

  • Mayo Clinic Rochester

    Rochester, Minnesota

  • Mayo Clinic Rochester

    Rochester, New York

  • Gastroenterology Research of San Antonio

    San Antonio, Texas

  • Mayo Clinic

    Scottsdale, Arizona

  • University of Washington Medical Center

    Seattle, Washington

  • Louisiana Research Center

    Shreveport, Louisiana

  • Washington University School of Medicine

    St Louis, Missouri

  • Cotton-O'Neil Clinical Research Center, Digestive Health

    Topeka, Kansas

Other trials in United States

Poland7 sites
  • The Medical University of Bialystok Clinical

    Bialystok

  • Gastromed

    Lublin

  • Ai Centrum Medyczne

    Poznan

  • CRC Sp. z o.o.

    Poznan

  • Endoskopia SP. z.o.o.

    Sopot

  • Centralny Szpital Kliniczny MSWiA

    Warsaw

  • Lexmedica

    Wroclaw

Other trials in Poland

Australia5 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia

  • Flinders Medical Centre

    Bedford Park, South Australia

  • Concord Repatriation General Hospital

    Concord, New South Wales

  • Footscray Hospital

    Footscray, Victoria

  • Gastroenterology/Colorectal Medicine & Genetics

    Melbourne, Victoria

Other trials in Australia

France4 sites
  • Hopital Beaujon

    Clichy

  • CHRU de Lille

    Lille

  • Chu Hotel Dieu-Chu De Nantes

    Nantes

  • CHU de Saint Etienne - Hopital Nord

    Saint-Priest-en-Jarez

Other trials in France

Hungary4 sites
  • Rethy Pal Hospital-Clinic Bekescsaba

    Békéscsaba

  • Tolna Megye Balassa Janos Korhaz

    Beri Balogh Adam

  • Pannonia Maganorvosi Centrum Kft

    Budapest

  • Debreceni Egyeterm Orvos es Egeszsegtudomanyi Centrum

    Debrecen

Other trials in Hungary

Spain4 sites
  • Hospital Universitari de Bellvitge

    Barcelona

  • Hospital Universitario de Fuenlabrada

    Fuenlabrada

  • Hospital Ramon y Cajal

    Madrid

  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia

Other trials in Spain

Germany3 sites
  • Universitatsklinikum Schleswig-Holstein

    Kiel

  • Eugastro Gmbh

    Leipzig

  • Klinikum der Universitat Munchen

    München

Other trials in Germany

New Zealand3 sites
  • Christchurch Hospital

    Christchurch

  • Southern District Health Board

    Dunedin

  • Capital and Coast District Health board-Wellington hospital

    Wellington

Other trials in New Zealand

United Kingdom3 sites
  • Cambridge University Hospitals NHS Foundation Trust

    Cambridge

  • Norfolk and Norwich University Hospital Nhs Foundation Trust

    Norwich, Norfolk

  • Oxford University Hospitals NHS Trust

    Oxford

Other trials in United Kingdom

Canada2 sites
  • Percuro Clinical Research Ltd.

    Victoria, British Columbia

  • Percuro Clinical Research Ltd.

    Victoria

Other trials in Canada

Czechia2 sites
  • Hepato-Gastroenterologie Hk S.R.O.

    Hradec Králové

  • Ibd Clinical And Research Centre-Iscare Ivf

    Prague

Other trials in Czechia

Italy2 sites
  • Universita Campus Biomedico

    Roma

  • Humanitas Research Hospital

    Rozzano

Other trials in Italy

South Africa2 sites
  • Parklands Medical Centre

    Durban

  • Panorama Mediclinic Pvt Hospital

    Panorama, Cape Town

Other trials in South Africa

About this study

Official title: A Phase 2, Double-blind, Randomized, Placebo-Controlled, Multicenter Study Evaluating the Safety and Efficacy of GS-5745 in Subjects With Moderately to Severely Active Crohn's Disease

This study will primarily evaluate the safety and efficacy of andecaliximab in adults with active Crohn's disease. The study will consist of a Double-Blind Phase of 8 weeks followed by an Open-Label Extension. Participants who complete the Double-Blind Phase will be eligible to enroll in the optional Open-Label Extension for an additional 44 weeks. Participants who complete Week 52 assessments will be eligible to enter the Extended Treatment Phase to continue treatment with andecaliximab for an additional 156 weeks.

Conditions
Crohn's Disease
Being tested
Andecaliximab, Placebo
Medical subject headings
Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AndecaliximabDrug

    Also called GS-5745

    Andecaliximab administered via subcutaneous (SC) injection

  • PlaceboDrug

    Placebo to match andecaliximab administered via SC injection

Study groups in NCT02405442
Study groupRoleWhat they receive
Andecaliximab 150 mg Every 2 WeeksExperimentalDouble-Blind Phase: Participants will receive 1 single-use prefilled syringe (PFS) of andecaliximab 150 mg and matching placebo coadministered at Weeks 0, 2, 4, and 6 and 2 single-use PFS of placebo coadministered at Weeks 1, 3, 5, and 7. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Receives: Drug: Andecaliximab; Drug: Placebo
Andecaliximab 150 mg WeeklyExperimentalDouble-Blind Phase: Participants will receive 1 single-use PFS of andecaliximab 150 mg and matching placebo coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Receives: Drug: Andecaliximab; Drug: Placebo
Andecaliximab 300 mg WeeklyExperimentalDouble-Blind Phase: Participants will receive 2 single-use PFS of andecaliximab 150 mg coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Receives: Drug: Andecaliximab
PlaceboPlacebo comparatorDouble-Blind Phase: Participants will receive 2 single-use PFS of placebo coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Receives: Drug: Andecaliximab; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving Clinical Response (PRO2 Score ≤ 8) at Week 8 of the Double-Blind Phase

    Clinical response was defined as patient-reported outcomes (PRO2) score ≤ 8 at Week 8. PRO2 is the weighted average of the 2 variables of frequency of liquid or very soft stool and abdominal pain, based on 7-day participant diary data. The PRO2 score has a minimum score of 0 and has no upper bound, with a higher score indicating more frequent stools and more severe abdominal pain. Week 8 refers to the analysis window of Day 43 to Day 70 and prior to the first Open-Label dose date. Participants with a missing PRO2 value at the Week 8 analysis visit were imputed as not achieving the Clinical Response.

    Measured: Week 8

  2. Percentage of Participants Achieving Endoscopic Response (≥ 50% Reduction From Baseline SES-CD) at Week 8 of the Double-Blind Phase

    Endoscopic response was defined as ≥ 50% reduction from baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) at Week 8. The SES-CD evaluates 4 endoscopic variables: ulcer size, ulcerated surface, affected surface, and presence of narrowings. The total SES-CD is calculated as the sum of the 4 variables for the 5 bowel segments: rectum, left colon, transverse colon, right colon, and ileum. Scores range from 0 to 60, with higher scores indicating more severe disease. Week 8 refers to the analysis window of Day 43 to Day 70 and prior to the first Open-Label dose date. Participants with missing SES-CD value at Week 8 analysis visit were imputed as not achieving Endoscopic Response.

    Measured: Week 8

Secondary outcomes (2)
  1. Percentage of Participants Achieving CDAI Remission (CDAI ≤ 150) at Week 8 of the Double-Blind Phase

    Clinical remission was defined as Crohn's Disease Activity Index (CDAI) ≤ 150 at Week 8. CDAI is used as a measure of clinical response and remission. It includes 8 variables of patient-reported symptoms and objective variables: stool count, abdominal pain, general well-being, complications, use of anti-diarrheal medications, presence of abdominal mass, hematocrit values, and weight. It has a minimum range of 0 and no upper bound, with higher scores indicating greater disease activity. Week 8 refers to the analysis window of Day 43 to Day 70 and prior to the first Open-Label dose date. Participants with missing CDAI score at Week 8 analysis visit were imputed as not achieving CDAI Remission.

    Measured: Week 8

  2. Percentage of Participants Achieving Mucosal Healing (SES-CD Size-of-Ulcer Subscore = 0) at Week 8 of the Double-Blind Phase

    The SES-CD evaluates 4 endoscopic variables: ulcer size, ulcerated surface, affected surface, and presence of narrowings. The SES-CD size-of-ulcer subscore ranges from 0 (none) to 3 (very large). Mucosal healing at Week 8 was defined as the size-of-ulcer subscore for segments with non-zero baseline value changes to zero at Week 8 AND the size-of-ulcer subscore for segments with zero value at baseline remain zero at Week 8. Week 8 refers to the analysis window of Day 43 to Day 70 and prior to the first Open-Label dose date. Participants with missing SES-CD size-of-ulcer subscore at Week 8 analysis visit were imputed as not achieving Mucosal Healing.

    Measured: Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Apr 2015 (estimated)
  2. Study start30 Apr 2015
  3. Primary completion30 Nov 2016
  4. Study completion22 Dec 2016

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
187 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02405442
Sponsor's protocol ID
GS-US-395-1663
Other IDs
2015-001249-10, 2015
Status last verified
Apr 2019
First submitted
27 Mar 2015
Last updated
23 Apr 2019
Data monitoring committee
Yes

Publications

  • Schreiber S, Siegel CA, Friedenberg KA, Younes ZH, Seidler U, Bhandari BR, Wang K, Wendt E, McKevitt M, Zhao S, Sundy JS, Lee SD, Loftus EV. A Phase 2, Randomized, Placebo-Controlled Study Evaluating Matrix Metalloproteinase-9 Inhibitor, Andecaliximab, in Patients With Moderately to Severely Active Crohn's Disease. J Crohns Colitis. 2018 Aug 29;12(9):1014-1020. doi: 10.1093/ecco-jcc/jjy070.

    PubMed 29846530

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Andecaliximab in people with Crohn's Disease, run by Gilead Sciences at 74 sites in 13 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 16 inclusion and 13 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 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Poland, Australia, France, Hungary and 8 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 28 Mar 2019). 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?

Percentage of Participants Achieving Clinical Response (PRO2 Score ≤ 8) at Week 8 of the Double-Blind Phase (time frame: Week 8). The study lists 2 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 NCT02405442, 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 Apr 2019.

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