Ulcerative ColitisPhase 3FIGARO UC 302NCT03259308
Efficacy and Safety Study of SHP647 as Induction Therapy in Participants With Moderate to Severe Ulcerative Colitis
A Phase 3 study testing Ontamalimab in people with Ulcerative Colitis, run by Shire at 207 sites in 22 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of SHP647 in inducing remission, based on composite score of patient-reported symptoms and centrally read endoscopy, in participants with moderate to severe ulcerative colitis (UC). Read more about this study
- Who is it for?
- Ages 16 to 80 years
- Conditions the study is for
- Ulcerative Colitis
- What is being tested?
- Ontamalimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 279 participants
- Where
- 207 sitesin 22 countries
- Study dates
- 5 Dec 2017to 6 Oct 2020
- 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 16 to 80 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
- Participants must be able to voluntarily provide written, signed, and dated informed consent and/or assent, as applicable, to participate in the study.
- Participants less than (<) 18 years of age must weigh >=40 kg and must have body mass index (BMI) >=16.5 kilogram per square metre (kg/m^2).
- Participants must have a documented diagnosis of UC for >=3 months before screening. The following must be available in each participant's source documentation:
- A biopsy report to confirm the histological diagnosis. b. A report documenting disease duration based upon prior colonoscopy. Note: If this documentation is not available at the time of screening, a colonoscopy with biopsy to confirm the diagnosis is required during the screening period.
- Participants must be willing to undergo a flexible sigmoidoscopy or colonoscopy, including biopsy sample collection, during screening after all other inclusion criteria have been met.
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- Participants must have moderate to severe active UC, defined as a total Mayo score of >=6, including a centrally read endoscopic subscore >=2, rectal bleeding subscore >=1, and stool frequency subscore >=1 at baseline.
- Participants must have evidence of UC extending proximal to the rectum (ie, not limited to proctitis).
- Participants must have had an inadequate response to, or lost response to, or had an intolerance to at least 1 conventional treatment such as mesalamine (5-aminosalicylate [ASA]), glucocorticoids, immunosuppressants (azathioprine [AZA], 6-mercaptopurine [6-MP], or methotrexate [MTX]), or anti-tumor necrosis factor (TNF).
- Participants receiving any treatment(s) for UC are eligible provided they have been, and are anticipated to be, on a stable dose for the designated period of time.
- Participants are males or nonpregnant, nonlactating females who, if sexually active, agree to comply with the contraceptive requirements of the protocol, or females of nonchildbearing potential.
Who cannot join
- Participants with indeterminate colitis, microscopic colitis, non-steroidal anti-inflammatory drug-induced colitis, ischemic colitis, infectious colitis, or clinical/histologic findings suggestive of Crohn's disease.
- Participants with colonic dysplasia or neoplasia. (Participants with prior history of adenomatous polyps will be eligible if the polyps have been completely removed.)
- Participants with past medical history or presence of toxic megacolon.
- Participants with colonic stricture, past medical history of colonic resection, a history of bowel surgery within 6 months before screening, or who are likely to require surgery for UC during the treatment period.
- Participants at risk for colorectal cancer must have a colonoscopy performed during the screening period with results available within 10 days before the baseline visit, unless the participant has had a surveillance colonoscopy performed within 1 year prior to screening, and any adenomatous polyps found at that examination have been excised. Colonoscopy report and pathology report (if biopsies are obtained) from the colonoscopy performed during screening or in the prior year confirming no evidence of dysplasia and colon cancer must be available in the source documents.
- Participants at risk for colorectal cancer include, but are not limited to:
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- Participants with extensive colitis for >=8 years or disease limited to left side of colon (ie, distal to splenic flexure) for >=10 years before screening, regardless of age.
- Participants >=50 years of age at the time of signing of the informed consent form.
- Participants have had prior treatment with ontamalimab (formerly PF-00547659, SHP647).
- Participants with known or suspected intolerance or hypersensitivity to the investigational product(s), closely related compounds, or any of the stated ingredients.
- Participants have received anti-TNF treatment within 60 days before baseline.
- Participants have received any biologic with immunomodulatory properties (other than anti-TNFs) within 90 days before baseline.
- Participants have received any nonbiologic treatment with immunomodulatory properties (other than their current background UC treatment) within 30 days before baseline.
- Participants have ever received anti-integrin/adhesion molecule treatment (example (eg): natalizumab, vedolizumab, efalizumab, etrolizumab, or any other investigational anti-integrin/adhesion molecule).
- Participants have received parenteral or rectal glucocorticoids, or rectal 5-ASA, within 14 days before screening endoscopic procedure.
- Participants have received leukocyte apheresis or selective lymphocyte, monocyte, or granulocyte apheresis or plasma exchange within 30 days before baseline.
- Participants have participated in other investigational studies within either 30 days or 5 half-lives of investigational product used in the study (whichever is longer) before baseline.
- Participants have received a live (attenuated) vaccine within 30 days before the baseline visit.
- Participants with active enteric infections (positive stool culture and sensitivity), Clostridium difficile infection or pseudomembranous colitis [Participants with C. difficile infection at screening may be allowed re-test after treatment], evidence of active cytomegalovirus infection or Listeria monocytogenes, known active invasive fungal infections such as histoplasmosis or parasitic infections, clinically significant underlying disease that could predispose the participants to infections, or a history of serious infection (requiring parenteral antibiotic and/or hospitalization) within 4 weeks before the baseline visit.
- Participants with abnormal chest x-ray findings at screening, such as presence of active tuberculosis (TB), general infections, heart failure, or malignancy.
- Participants with evidence of active or latent infection with Mycobacterium TB or participants with this history who have not completed a generally accepted full course of treatment before randomization are excluded. All other participants must have either the Mantoux (purified protein derivative [PPD]) tuberculin skin test or interferon gamma release assay (IGRA) performed.
- Participants who have no history of previously diagnosed active or latent TB are excluded if they have a positive Mantoux (PPD) tuberculin skin test (ie >=5 millimeter [mm] induration) or a positive IGRA (the latter to be tested at the site's local laboratory) during screening or within 12 weeks before screening. If IGRA test cannot be performed locally, a central laboratory may be used, with prior agreement from the sponsor.
- An IGRA is strongly recommended for participants with a prior Bacillus Calmette-Guerin (BCG) vaccination, but may be used for any participant. Documentation of IGRA product used and the test result must be in the participant's source documentation if performed locally. Acceptable IGRA products include QuantiFERON TB Gold Plus In-Tube Test.
- If the results of the IGRA are indeterminate, the test may be repeated, and if a negative result is obtained, enrollment may proceed. In participants with no history of treated active or latent TB, a positive test on repeat will exclude the participant. Participants with a history of active or latent TB infection must follow instructions for "Participants with a prior diagnosis of active or latent TB are excluded unless both of the following criteria are met" in this criterion.
- Participants with repeat indeterminate IGRA results, with no prior TB history, may be enrolled after consultation with a pulmonary or infectious disease specialist who determines low risk of infection (ie, participant would be acceptable for immunosuppressant [eg, anti-TNF] treatment without additional action). This consultation must be included in source documentation.
- Results from a chest x-ray, taken within the 12 weeks before or during screening must show no abnormalities suggestive of active TB infection as determined by a qualified medical specialist.
- Participants with a prior diagnosis of active or latent TB are excluded unless both of the following criteria are met:
- The participant has previously received an adequate course of treatment for either latent (eg, 9 months of isoniazid or an acceptable alternative regimen, in a locale where rates of primary multidrug TB resistance are <5%. Participants from regions with higher rates of primary multidrug TB resistance are excluded) or active (acceptable multidrug regimen) TB infection. Evidence of diagnosis and treatment must be included in source documentation. Consultation with a pulmonary or infectious disease specialist to confirm adequate treatment (ie, participant would be acceptable for immunosuppressant [eg, anti-TNF] treatment without additional action) must be performed during the screening period. The consultation report must be included in source documentation prior to enrollment.
- A chest x-ray performed within 12 weeks before screening or during screening indicates no evidence of active or recurrent disease, and documentation of interpretation by a qualified medical specialist must be included in source documentation.
- Participants with a pre-existing demyelinating disorder such as multiple sclerosis or new onset seizures, unexplained sensory motor, or cognitive behavioral, neurological deficits, or significant abnormalities noted during screening.
- Participants with any unexplained symptoms suggestive of progressive multifocal leukoencephalopathy (PML) based on the targeted neurological assessment during the screening period.
- Participants with a transplanted organ. Skin grafts to treat pyoderma gangrenosum are allowed.
- Participants with a significant concurrent medical condition at the time of screening or baseline, including, but not limited to, the following:
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- Any major illness/condition or evidence of an unstable clinical condition (eg, renal, hepatic, hematologic, gastrointestinal (except disease under study), endocrine, cardiovascular, pulmonary, immunologic [eg, Felty's syndrome], or local active infection/infectious illness) that, in the investigator's judgment will substantially increase the risk to the participant if he or she participates in the study.
- Cancer or history of cancer or lymphoproliferative disease within the previous 5 years (other than resected cutaneous basal cell carcinoma, squamous cell carcinoma, or carcinoma in situ of the uterine cervix that has been treated with no evidence of recurrence).
- Presence of acute coronary syndrome (eg, acute myocardial infarction, unstable angina pectoris) within 24 weeks before screening.
- History of significant cerebrovascular disease within 24 weeks before screening.
- Participants who have had significant trauma or major surgery within 4 weeks before the screening visit, or with any major elective surgery scheduled to occur during the study.
- Participants with evidence of cirrhosis with or without decompensation.
- Participants with primary sclerosing cholangitis.
- Participants with evidence of positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb).
- Note: If a participant tests negative for HBsAg, but positive for HBcAb, the participant would be considered eligible if no presence of hepatitis B virus (HBV) DNA is confirmed by HBV DNA polymerase chain reaction (PCR) reflex testing performed in the central laboratory.
- Participants with chronic hepatitis C virus (HCV) (positive HCV antibody [HCVAb] and HCVRNA).
- Note: Participants who are HCVAb positive without evidence of HCV RNA may be considered eligible (spontaneous viral clearance or previously treated and cured [defined as no evidence of HCVRNA at least 12 weeks prior to baseline]).
- Participants with any of the following abnormalities in hematology and/or serum chemistry profiles during screening.
- Note: Screening laboratory tests, if the results are considered by the investigator to be transient and inconsistent with the participant's clinical condition, may be repeated once during the screening period for confirmation. Results must be reviewed for eligibility prior to the screening endoscopy procedure.
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- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels >=3.0×upper limit of normal (ULN).
- Total bilirubin level >=1.5×ULN or >2.0×ULN if the participant has a known documented history of Gilbert's syndrome.
- Hemoglobin level <=80 gram per liter (g/L) (8.0 gram per deciliter [g/dL]).
- Platelet count <=100×10^9 per liter (/L) (100,000 cells per cubic millimeter [mm^3]) or >=1000×10^9/L (1,000,000 cells/mm^3).
- White blood cell count <=3.5×10^9/L (3500 cells/mm^3).
- Absolute neutrophil count (ANC)<2×10^9/L (2000 cells/mm^3).
- Serum creatinine level >1.5 × ULN or estimated glomerular filtration rate <30 ml/min/1.73m^2 based on the abbreviated Modification of Diet in Renal Disease Study Equation.
- Note: If platelet count is <150,000 cells/mm^3, a further evaluation should be performed to rule out cirrhosis, unless another etiology has already been identified.
- Participants with known human immunodeficiency virus (HIV) infection based on documented history, with positive serological test, or positive HIV serologic test at screening, tested at the site's local laboratory in accordance with country requirements or tested at the central laboratory.
- Note: A documented negative HIV test within 6 months of screening is acceptable and does not need to be repeated.
- Participants who have, or who have a history of (within 2 years before screening), serious psychiatric disease, alcohol dependency, or substance/drug abuse or dependency of any kind, including abuse of medical marijuana (cannabis).
- Participants with any other severe acute or chronic medical or psychiatric condition or laboratory or electrocardiogram (ECG) abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Female participants who are planning to become pregnant during the study period.
- Participants who do not agree to postpone donation of any organ or tissue, including male participants who are planning to bank or donate sperm and female participants who are planning to harvest or donate eggs, for the duration of the study and through 16 weeks after last dose of investigational product.
- Participants who are investigational site staff members or relatives of those site staff members or Participants who are Shire employees directly involved in the conduct of the study.
Trial locations and contacts
207 sites in 22 countries.
207 sites in 22 countries
United States62 sites
Advanced Research Center
Anaheim, California, 92805
University of Michigan
Ann Arbor, Michigan, 48109
Infinite Clinical Trials
Atlanta, Georgia, 30349
Commonwealth Clinical Studies LLC
Brockton, Massachusetts, 02302
Renaissance Research Medical Group, INC
Cape Coral, Florida, 33991
Clinical Research Institute of Michigan
Chesterfield, Michigan, 48047
Chevy Chase Clinical Research
Chevy Chase, Maryland, 20815
Loretto Hospital
Chicago, Illinois, 60644
Gastro Florida
Clearwater, Florida, 33756
Hi Tech and Global Research, LLc
Coral Gables, Florida, 33134
Kindred Medical Institute for Clinical Trials, LLC
Corona, California, 92879
Atlanta Center For Gastroenterology PC
Decatur, Georgia, 30033
United Medical Doctors
Encinitas, California, 92024
Prestige Clinical Research
Franklin, Ohio, 45005
Mid Atlantic Health Specialists
Galax, Virginia, 24333
Digestive Health Associates of Texas, P.A.dba DHAT Research Institute
Garland, Texas, 75044
NYU Langone Long Island Clinical Research Associates
Great Neck, New York, 11021
IL Gastroenterology Group
Gurnee, Illinois, 60031
National Clinical, LLC
Hamtramck, Michigan, 48212
Gastroenterology Associates of Hazard
Hazard, Kentucky, 41701
Edward Hines Jr VA Hospital - NAVREF - PPDS
Hines, Illinois, 60141
CroNOLA, LLC.
Houma, Louisiana, 70360
Precision Research Institute, LLC
Houston, Texas, 77039
Biopharma Informatic Inc.
Houston, Texas, 77043
Southwest Clinical Trials
Houston, Texas, 77074
Aztec Medical Research
Houston, Texas, 77079
BI Research Center
Houston, Texas, 77084
ENCORE Borland-Groover Clinical Research - ERN - PPDS
Jacksonville, Florida, 32256
East Carolina Gastroenterology
Jacksonville, North Carolina, 28546
SIH Research
Kissimmee, Florida, 34741
Mayo Clinic Health System - PPDS
La Crosse, Wisconsin, 54601
University of California San Diego
La Jolla, California, 92037
Advanced Biomedical Research of America
Las Vegas, Nevada, 89123
Alliance Medical Research LLC
Lighthouse PT, Florida, 33064
VA Long Beach Healthcare System - NAVREF - PPDS
Long Beach, California, 90822
Ohio Clinical Research Partners LLC
Mentor, Ohio, 44060
Arizona Digestive Health Mesa - East
Mesa, Arizona, 85206
Sanchez Clinical Research, Inc
Miami, Florida, 33157
Crystal Biomedical Research
Miami Lakes, Florida, 33065
Facey Medical Foundation
Mission Hills, California, 91345
United Medical Doctors
Murrieta, California, 92563
Pharma Research International Inc
Naples, Florida, 34110
Bayside Clinical Research - New Port Richey
New Port Richey, Florida, 34655
Weill Cornell Medical College
New York, New York, 10021
Encompass Care
North Las Vegas, Nevada, 89086
Dupage Medical Group
Oakbrook Terrace, Illinois, 60181
Veteran's Research and Education Foundation - NAVREF - PPDS
Oklahoma City, Oklahoma, 73104
Southtowns Gastroenterology, PLLC
Orchard Park, New York, 14127
Elite Clinical Studies - Phoenix - Clinedge - PPDS
Phoenix, Arizona, 85018
Accel Research Sites - St. Petersburg - ERN - PPDS
Pinellas Park, Florida, 33781
Veterans Research Foundation of Pittsburgh - NAVREF - PPDS
Pittsburgh, Pennsylvania, 15240
BRCR Medical Center Inc.
Plantation, Florida, 33322
Alliance Clinical Research-(Vestavia Hills)
Poway, California, 92064
Southern Star Research Institute LLC
San Antonio, Texas, 78229
University of California San Francisco
San Francisco, California, 94158
Care Access Research, San Pablo
San Pablo, California, 94806
Washington University in St. Louis
St Louis, Missouri, 63110
St Louis Center For Clinical Research
St Louis, Missouri, 63128
Atlanta Gastroenterology Specialists, PC
Suwanee, Georgia, 30024
DBC Research
Tamarac, Florida, 33321
Winchester Gastroenterology Associates
Winchester, Virginia, 22601
UMass Memorial Medical Center
Worcester, Massachusetts, 01655
Ukraine27 sites
Regional Municipal Non-profit Enterprise "Chernivtsi Regional Clinical Hospital"
Chernivtsi, Chernivtsi Oblast, 58001
ME Dnipropetrovsk Regional Clinical Hospital n.a. I.I Mechnykov Dnipropetrovsk Regional Council
Dnipro, 49005
LLC Medical Center Family Medicine Clinic
Dnipro, 49038
State Institution "Institute of Gastroenterology of National Academy of Medical Sciences of Ukraine"
Dnipro, 49074
Municipal Nonprofit Enterprise CCH #2 n.a. prof. O.O. Shalimov of Kharkiv City Council
Kharkiv, Kharkiv Oblast, 61037
Clinic of SI National Institute of Therapy n.a. L.T. Mala of NAMS of Ukraine
Kharkiv, 61039
Communal Non-Commercial Enterprize of Kharkiv Regional Council Regional Clinical Hospital
Kharkiv, 61058
MNPE of Kharkiv Regional Council Regional Clinical Specialized Dispensary of Radiation Protection
Kharkiv, 61166
Municipal Non-profit Enterprise Kherson City Clinical Hospital named after Ye.Ye. Karabelesh
Kherson, 73000
Municipal Enterprise Kryvyi Rih City Clinical Hospital #2 of Kryvyi Rih City Council
Kryvyi Rih, 50056
Medical Center of LLC Medical Clinic Blagomed
Kyiv, 01023
Kyiv City Clinical Hospital #18
Kyiv, 01030
Treatment and Diagnostic Center "Healthy and Happy" of LLC "Healthy and Happy"
Kyiv, 01033
Municipal Institution of KRC Kyiv Regional Hospital #2
Kyiv, 04073
Municipal Non-profit Enterprise of Kyiv Regional Council Kyiv Regional Clinical Hospital
Kyiv, 04107
Lviv Railway Clinical Hospital of branch Health Center of Joint Stock Co. Ukrainian Railway
Lviv, 79007
Municipal Nonprofit Enterprise Lviv Clinical Emergency Care Hospital
Lviv, 79059
Municipal Non-profit Enterprise Odessa Regional Clinical Hospital of Odessa Regional Council
Odesa, 65025
MNPE Central City Clinical Hospital of Uzhhorod City Council
Uzhhorod, 88000
Municipal Nonprofit Enterprise Vinnytsia City Clinical Hospital #1
Vinnytsia, Vinnytsia Oblast, 21001
Communal Nonprofit Enterprise Vinnytsia Regional Clinical Hospital named after N.I. Pirogov VRC
Vinnytsia, Vinnytsia Oblast, 21018
Medical Clinical Research Center of Medical Center LLC Health Clinic
Vinnytsia, 21009
Communal Nonprofit Enterprise Vinnytsia Regional Clinical Hospital named after N.I. Pirogov VRC
Vinnytsia, 21018
City Clinical Hospital #1
Vinnytsia, 21029
Communal Non-Commercial Enterprise "Vinnytsia City Clinical Hospital №1"
Vinnytsia, 21029
Municipal Non-profit Enterprise City Emergency Care Hospital of Zaporizhzhia Regional Council
Zaporizhzhya, 69000
MNPE City Hospital No. 6 of Zaporizhzhia City Council
Zaporizhzhya, 69035
Japan17 sites
Kunimoto Hospital
Asahikawa, 070-0061
Fukuoka University Chikushi Hospital
Chikushino-shi, 818-8502
Medical Corporation Aoyama Clinic
Kobe, Hyôgo, 650-0015
Aizawa Hospital
Matsumoto-shi, 390-0814
Hyogo College of Medicine
Nishinomiya-shi, Hyôgo, 663-8501
Ishida Clinic of IBD and Gastroenterology
Ōita, 870-0823
Chiinkai Dojima General & Gastroenterology Clinic
Osaka, 530-0003
Kinshukai Infusion Clinic
Osaka, 530-0011
Yodogawa Christian Hospital
Osaka, 533-0024
Bellland General Hospital
Sakai, 599-8247
Toho University Sakura Medical Center
Sakura, 285-8741
Sapporo Medical University Hospital
Sapporo, Hokkaidô, 060-8543
Tohoku Rosai Hospital
Sendai, 981-8563
Dokkyo Medical University Hospital
Shimotsuga-gun, 321-0293
Medical Corporation Shoyu-kai Fujita Gastroenterology Hospital
Takatsuki, 569-0086
Nihonbashi Egawa Clinic
Tokyo, 103-0028
Koukokukai Ebisu Clinic
Tokyo, 150-0013
South Korea16 sites
Inje University Haeundae Paik Hospital
Busan, 48108
Pusan National University Hospital
Busan, 49241
Kyungpook National University Hospital
Daegu, 41944
Yeungnam University Hospital
Daegu, 42415
Kyungpook National University Chilgok Hospital
Daegu, 702-210
Gachon University Gil Medical Center
Incheon, 405-760
CHA Bundang Medical Center, CHA University
Seongnam, Gyeonggido, 13496
Kyung Hee University Hospital
Seoul, 02447
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Severance Hospital Yonsei University Health System - PPDS
Seoul, 03722
Asan Medical Center - PPDS
Seoul, 05505
Samsung Medical Center PPDS
Seoul, 06351
Inje University Seoul Paik Hospital
Seoul, 100-032
The Catholic University of Korea, St. Vincent's Hospital
Suwon, Gyeonggido, 16247
Yonsei University Wonju Severance Christian Hospital
Wŏnju, Gang'weondo, 26426
Bulgaria13 sites
University Multiprofile Hospital for Active Treatment - Dr. Georgi Stranski EAD
Pleven, 5800
Multiprofile Hospital for Active Treatment Eurohospital
Plovdiv, 4004
Specialized Hospital for Active Treatment of Pneumophthisiatric Diseases Dr.D.Gramatikov- Ruse- PPDS
Rousse, 7002
Medical Center-1-Sevlievo EOOD
Sevlievo, 5400
Second Multiprofile Hospital for Active Treatment Sofia
Sofia, Sofia-Grad, 1202
Diagnostic and Consulting Center Aleksandrovska EOOD
Sofia, Sofia-Grad, 1431
University Multiprofile Hospital for Active Treatment Sveta Anna
Sofia, Sofia-Grad, 1750
Acibadem City Clinic University Multiprofile Hospital for Active Treatment EOOD
Sofia, Sofia-Grad, 1784
Medical Center Excelsior OOD - PPDS
Sofia, 1000
University Multiprofile Hospital for Active Treatment Sv Ivan Rilski EAD
Sofia, 1431
University Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD
Sofia, 1527
Medical Center Convex EOOD
Sofia, 1680
Diagnostic Consultative Centre Mladost - M OOD
Varna, 9000
Hungary12 sites
Bekes Megyei Kozponti Korhaz
Békéscsaba, 5600
Magyar Honvédség Egészségügyi Központ
Budapest, 1062
Pannónia Magánorvosi Centrum Kft
Budapest, 1136
ENDOMEDIX Kft.
Budapest, 1139
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Bekes Megyei Kozponti Korhaz
Gyula, 5700
Mohacsi Korhaz
Mohács, 7700
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Tolna Megyei Balassa János Kórház
Szekszárd, 7100
Csongrad Megyei Dr. Bugyi Istvan Korhaz
Szentes, 6600
Jávorszky Ödön Kórház
Vác, 2600
Csolnoky Ferenc Korhaz
Veszprém, 8200
Mexico11 sites
Centro de Investigación Médica Aguascalientes
Aguascalientes, 20116
Phylasis Clinicas Research S. de R.L. de C.V.
Cuautitlán Izcalli, 54769
Clinica de Higado y Gastroenterologia Integral, S.C.
Cuernavaca, Morelos, 62170
JM Research S.C
Cuernavaca, Morelos, 62290
Centro de Investigacion Clinica Acelerada, S.C.
Distrito Federal, 07020
Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
Durango, 34000
Unidad de Atencion Medica e Investigacion en Salud
Mérida, Yucatán, 97000
Health Pharma Professional Research S.A de C.V.
Mexico City, Mexico City, 03810
Accelerium, S. de R.L. de C.V.
Monterrey, 64000
Clinical Research Institute
Tlalnepantla, 54055
Investigacion Biomedica para el Desarrollo de Farmacos S.A. de C.V.
Zapopan, Jalisco, 45030
Spain10 sites
Centro Medico Teknon - Grupo Quironsalud
Barcelona, 08022
C.H. Regional Reina Sofia - PPDS
Córdoba, Córdoba, 14004
Hospital Universitario de Fuenlabrada
Fuenlabrada, Madrid, 28942
Hospital Universitario Juan Ramon Jimenez
Huelva, 21005
Hospital Universitario de La Princesa
Madrid, 28006
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario La Paz - PPDS
Madrid, 28046
Hospital Universitario Virgen del Rocio - PPDS
Seville, 41013
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
CHUVI - H.U. Alvaro Cunqueiro
Vigo, Pontevedra, 36312
Portugal5 sites
Hospital de Braga
Braga, 4710-243
Hospital Senhora da Oliveira - Guimaraes, E.P.E
Guimarães, 4835-044
Hospital da Luz
Lisbon, 1500-650
Centro Hospitalar do Algarve - Hospital de Portimao
Portimão, 8500-338
Hospital de São Bernardo
Setúbal, 2910-446
Belgium4 sites
UZ Gent
Ghent, Oost-Vlaanderen, 9000
AZ Groeninge
Kortrijk, West-Vlaanderen, 8500
UZ Gasthuisberg
Leuven, Vlaams Brabant, 3000
CHU Mouscron
Mouscron, 7700
Colombia4 sites
Fundación Clínica Shaio
Bogota, Cundinamarca, 111121
Servimed S.A.S
Bucaramanga, Santander Department, 680003
IPS Centro Médico Julián Coronel S.A.S. - PPDS
Cali
Hospital Pablo Tobón Uribe
Medellín, Antioquia, 050034
Greece4 sites
Ippokrateio General Hospital of Athens
Athens, Attica, 11527
University General Hospital of Patras
Pátrai, 26504
Theageneio Anticancer Oncology Hospital of Thessaloniki
Thessaloniki, 54007
Euromedica - PPDS
Thessaloniki, 54645
New Zealand4 sites
Dunedin Hospital
Dunedin, South Island, 9016
Auckland City Hospital
Grafton, Auckland, 1023
Waikato Hospital
Hamilton, 3240
Wellington Hospital
Newtown, Wellington Region, 6021
Argentina3 sites
Fundación Favaloro
Buenos Aires, C1093AAS
Hospital Privado Centro Médico de Córdoba
Córdoba
Sanatorio 9 de Julio SA
San Miguel de Tucumán, Tucumán Province, T4000DGI
Estonia3 sites
East Viru Central Hospital
Kohta-Järve, 31025
OÜ LV Venter
Pärnu, 80010
West Tallinn Central Hospital
Tallinn, 10617
Slovakia3 sites
Univerzitna nemocnica Bratislava
Bratislava, 851 07
KM Management, spol. s r.o.
Nitra, 949 01
Gastro LM, s.r.o.
Prešov, 080 01
Canada2 sites
Toronto Digestive Disease Associates Inc
Toronto, Ontario, M3N 2V7
Percuro Clinical Research LTD
Victoria, British Columbia, V8P 2P5
Lebanon2 sites
Rafik Hariri University Hospital
Beirut
Hammoud Hospital University Medical Center
Saida
Turkey (Türkiye)2 sites
Istanbul Universitesi Cerrahpasa Tip Fakultesi
Istanbul, 34098
Mersin University Medical Faculty
Mersin, 33169
Bosnia and Herzegovina1 site
Clinical Center Banja Luka
Banja Luka, 78000
About this study
Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Study of SHP647 as Induction Therapy in Subjects With Moderate to Severe Ulcerative Colitis (FIGARO UC 302)
The purpose of this study is to evaluate the efficacy of SHP647 in inducing remission, based on composite score of patient-reported symptoms and centrally read endoscopy, in participants with moderate to severe ulcerative colitis (UC).
Read the detailed description
27Mar2020: Enrollment of new patients into this study has been paused due to the COVID-19 situation. The duration of this pause is dependent on the leveling and control of the COVID-19 pandemic.
- Conditions
- Ulcerative Colitis
- Being tested
- Ontamalimab, Placebo
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OntamalimabDrug
Also called SHP647, PF- 00547659
Participants will receive 1 mL of ontamalimab sterile aqueous buffered solution at an appropriate concentration to provide the intended dose of drug (25 or 75 mg).
PlaceboDrug
Participants will receive 1 mL of sterile aqueous buffered solution.
| Study group | Role | What they receive |
|---|---|---|
| Ontamalimab 25 mg | Experimental | Participants will receive 25 milligram (mg) of ontamalimab subcutaneous (SC) injection using a prefilled syringe (PFS) on Week 0, Week 4 and Week 8. Receives: Drug: Ontamalimab |
| Ontamalimab 75 mg | Experimental | Participants will receive 75 mg of ontamalimab SC injection using PFS on Week 0, Week 4 and Week 8. Receives: Drug: Ontamalimab |
| Placebo | Placebo comparator | Participants will receive placebo matched to ontamalimab SC injection using PFS on Week 0, Week 4, and Week 8. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Remission Based on Composite Score at Week 12
Remission was defined as a composite score of patient-reported symptoms using daily e-diary and centrally read endoscopy as stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline, rectal bleeding sub-score of 0 and endoscopic sub-score of 0 or 1 (modified, excluded friability). The composite score was a recommended measure derived from the Mayo score without the physician global assessment (PGA) sub-score and ranged from 0 to 9 points. The Mayo score was a measure of Ulcerative Colitis (UC) disease activity. It ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease. The sub-scores were stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Secondary outcomes (23)
Number of Participants With Endoscopic Remission at Week 12
Endoscopic remission was defined by centrally read endoscopic sub-score 0 or 1 (modified, excluded friability). The centrally read endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease.
Measured: At Week 12
Number of Participants With Clinical Remission at Week 12
Clinical remission was defined by stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline in stool frequency sub-score, and rectal bleeding sub-score of 0. The stool frequency sub-score and rectal bleeding sub-score ranged from 0 to 3 with higher scores indicating more severe disease.
Measured: At Week 12
Number of Participants With Clinical Response Based on Composite Score at Week 12
Clinical response based on composite score was defined as a decrease from baseline in the composite score of patient-reported symptoms using daily e-diary and centrally read endoscopy of at least 2 points and at least 30 percent (%), with an accompanying decrease in the sub-score for rectal bleeding greater than or equal to (>=) 1 point or a sub-score for rectal bleeding less than or equal to (<=) 1. The composite score was a recommended measure derived from the Mayo score without the PGA sub-score and ranged from 0 to 9 points. The Mayo score was a measure of UC disease activity. It ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease The sub-scores were stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Number of Participants With Mucosal Healing Based on Endoscopic and Histological Assessment Using the Geboes Score Grading System at Week 12
Mucosal healing was defined by centrally read endoscopic sub-score 0 or 1 (modified, excluded friability) and centrally read Geboes score of <=2. The centrally read endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease. Geboes score grading system, was a validated score for evaluating histologic disease activity in UC as follows: grade 0 equal to (=) structural and architectural changes; grade 1 = chronic inflammatory infiltrate; grade 2 = lamina propria neutrophils and eosinophils; grade 3 = neutrophils in the epithelium; grade 4 = crypt destruction; grade 5 = erosions or ulceration. A higher Geboes score indicating more severe disease. Number of participants with mucosal healing based on endoscopic and histological assessment using the Geboes score grading system were reported.
Measured: At Week 12
Number of Participants With Remission Based on Total Mayo Score at Week 12
Remission was defined as a Total Mayo score of <=2 with no individual sub-score (stool frequency, rectal bleeding, endoscopy [modified, excluded friability], and PGA) exceeding 1, at the Week 12. The Total Mayo score ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease: stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Number of Participants With Clinical Response Based on Total Mayo Score at Week 12
Clinical response (Mayo) was defined as a decrease from baseline in the Total Mayo score of at least 3 points and at least 30%, with an accompanying decrease in the sub-score for rectal bleeding >=1 point or an absolute sub-score for rectal bleeding <=1. The Total Mayo score ranged from 0 to 12 points and consisted of the following 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease: stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
Measured: At Week 12
Number of Participants With Partial Mayo Score <=2 With no Individual Sub-score Greater Than (>) 1 at Weeks 4, 8, and 12
The partial Mayo score ranged from 0 to 9 points and consisted of the following 3 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease: Stool frequency (0-3); Rectal bleeding (0-3); PGA (0-3). The partial Mayo score did not include the endoscopy sub-score.
Measured: At Weeks 4, 8, and 12
Number of Participants With Clinical Remission With Stool Frequency Sub-scores of 0 or 1 and Rectal Bleeding Sub-score of 0 at Weeks 4 and 8
Number of participants were reported with stool frequency sub-scores of 0 or 1 and rectal bleeding sub-score of 0. Clinical remission was defined as stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline in stool frequency sub-score, and a rectal bleeding sub-score of 0. The stool frequency sub-score and rectal bleeding sub-score of Mayo score ranges from 0 to 3 with higher scores indicating more severe disease.
Measured: At Weeks 4 and 8
Number of Participants With Endoscopic Remission With Sub-score of 0 at Week 12
Endoscopic remission was defined by centrally read endoscopic sub-score 0 (modified, excluded friability). The centrally read endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease.
Measured: At Week 12
Number of Participants With Clinical Remission With Both Rectal Bleeding and Stool Frequency Sub-scores of 0 at Weeks 4, 8, and 12
Number of participants were reported with rectal bleeding and stool frequency sub-scores of 0. Clinical remission was defined as both rectal bleeding and stool frequency sub-scores of 0. The stool frequency sub-score and rectal bleeding sub-score of Mayo score ranges from 0 to 3 with higher scores indicating more severe disease.
Measured: At Weeks 4, 8, and 12
Number of Participants With Deep Remission at Week 12
Deep remission was defined as both endoscopic and rectal bleeding sub-scores of 0, and stool frequency sub-score <=1 and a centrally read Geboes score of <=2. The stool frequency sub-score, rectal bleeding sub-score and endoscopic sub-score of Mayo score ranged from 0 to 3 with higher scores indicating more severe disease. The composite score was a recommended measure consisted of the Mayo score without the PGA sub-score and ranged from 0 to 9 points. Geboes score grading system was a validated score for evaluating histologic disease activity in UC as follows: grade 0 = structural and architectural changes; grade 1 = chronic inflammatory infiltrate; grade 2 = lamina propria neutrophils and eosinophils; grade 3 = neutrophils in the epithelium; grade 4 = crypt destruction; grade 5 = erosions or ulceration. A higher Geboes score indicating more severe disease.
Measured: At Week 12
Change From Baseline in Average Worst Abdominal Pain Score Based on Patient Reported Outcome-ulcerative Colitis (PRO-UC) Daily e-Diary at Week 12
PRO-UC signs and symptom data were collected using a daily e-diary during treatment period. Collection of daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data of abdominal pain worst severity, as experienced over the previous 24 hours, in the e-diary. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or non-consecutive) of last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Abdominal pain's worst severity assessment was based on an 11-point numerical rating scale with 0 anchor at "No pain" and 10 at "Worst Imaginable Pain" as experienced over the previous 24 hours, in the e-diary. Higher scores indicating more severe pain.
Measured: Baseline, Week 12
Change From Baseline in Diarrhea (Average Loose Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC signs and symptom data were collected using a daily e-diary during treatment period. Collection of daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for number of loose bowel movement, as experienced over the previous 24 hours, in the e-diary. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number of loose bowel movement ranged from 0-27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Average Bowel Movements With Urgency Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC signs and symptom data were collected using a daily e-diary during treatment period. Collection of daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for number of bowel movement with urgency, as experienced over the previous 24 hours. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number bowel movements urgency ranged from 0 to 27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Absolute Stool Frequency (Average Number of Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC signs and symptom data were collected using a daily e-diary during treatment period. Collection of daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for average number of bowel movements, as experienced over the previous 24 hours. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number bowel movements ranged from 0 to 27. Higher scores indicating more frequent bowel movements.
Measured: Baseline, Week 12
Change From Baseline in Absolute Rectal Bleeding (Average Number Bowel Movements With Blood) Score Based on PRO-UC Daily e-Diary at Week 12
PRO-UC signs and symptom data were collected using a daily e-diary during treatment period. Collection of daily e-diary data was begun at least 10 days before the baseline visit. Participants were asked to record the signs and symptom data for average number of bowel movements with blood, as experienced over the previous 24 hours. Participant's signs and symptom average scores at each scheduled visit were calculated based on data recorded over the most recent 3 days (consecutive or nonconsecutive) of the last 10 days prior to the scheduled visit start date excluding the following days: day of any bowel preparation, day of endoscopy, any days between day of bowel preparation and day of endoscopy, and the 2 days after the day of endoscopy. Average number bowel movements with blood ranged from 0 to 27. Higher scores indicating more frequent bowel movements with blood.
Measured: Baseline, Week 12
Change From Baseline in Total Sign/Symptom Score Based on PRO-UC Daily e-Diary at Week 12
Total sign/symptom score was the average of the average scores of worst abdominal pain over the past 24 hours and the conversion scale values for number of bowel movements blood, number of bowel movements with urgency, number of bowel movements and number of loose bowel movements, with scale ranged of 0-10, with higher scores indicating higher severity.
Measured: Baseline, Week 12
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Domains Scores at Weeks 8 and 12
IBDQ was a psychometrically validated participant-reported outcome (PRO) instrument for measuring the disease-specific health-related quality of life (HRQL) in participants with inflammatory bowel disease, including UC. The IBDQ consisted of 32 items, which were grouped into 4 dimensions: bowel function, emotional status, systemic symptoms, and social function. The 4 domains were scored as follows: Bowel symptoms: 10 to 70; Systemic symptoms: 5 to 35; Emotional function: 12 to 84; Social function: 5 to 35. Higher scores indicating a better quality of life.
Measured: Baseline, Weeks 8 and 12
Change From Baseline in IBDQ Total Scores at Weeks 8 and 12
IBDQ was a psychometrically validated PRO instrument for measuring the disease-specific HRQL in participants with inflammatory bowel disease, included UC. The IBDQ consisted of 32 items, which were grouped into 4 dimensions: bowel function, emotional status, systemic symptoms, and social function. The 4 domains were scored as follows: Bowel symptoms: 10 to 70; Systemic symptoms: 5 to 35; Emotional function: 12 to 84; Social function: 5 to 35. The total IBDQ score ranged from 32 to 224. For the total score and each domain, a higher score indicating better HRQL. A score of at least 170 corresponds to clinical remission and an increase of at least 16 points was considered to indicate a clinically meaningful improvement.
Measured: Baseline, Weeks 8 and 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Week 12
SF-36 was a generic quality-of-life instrument that had been widely used to assess health-related quality of life (HRQL) of participants. SF-36 consisted of 36 items that were aggregated into 8 multi-item scales (physical functioning [1=yes, limited a lot to 3=no, not limited at all], role-physical [1=all of the time to 5=none of the time], bodily pain [1=very severe to 6=none], general health [1=poor to 5=excellent], vitality [1=none of the time to 5=all of the time], social functioning [1=all of the time: to 5=none of the time], role emotional [1=all of the time to 5=none of the time] and mental health [1=all of the time to 5=none of the time]). Four domains comprised physical component summary (PCS) score (physical functioning, role-physical, bodily pain, general health) and remaining 4 domains comprised mental component summary (MCS) score (vitality, social functioning, role-emotional, mental health). The scores ranged from 0 to 100. Higher scores indicating better HRQL.
Measured: Baseline, Week 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Individual Domain Scores) at Week 12
SF-36 was a generic quality-of-life instrument that had been widely used to assess HRQL of participants. Generic instruments were used in general populations to assess a wide range of domains applicable to a variety of health states, conditions, and diseases. The SF-36 consisted of 36 items that were aggregated into 8 multi-item scales (physical functioning [1=yes, limited a lot to 3=no, not limited at all], role-physical [1=all of the time to 5=none of the time], bodily pain [1=very severe to 6=none], general health [1=poor to 5=excellent], vitality [1=none of the time to 5=all of the time], social functioning [1=all of the time: to 5=none of the time], role emotional [1=all of the time to 5=none of the time] and mental health [1=all of the time to 5=none of the time]), with scores ranged from 0 to 100. Higher scores indicating better HRQL.
Measured: Baseline, Week 12
Number of Participants Based on Inpatient Hospitalization
Number of participants based on inpatient hospitalization due to all-cause hospitalization, gastrointestinal related, other illness/problem, and undergo gastrointestinal related procedures during the entire study period were reported.
Measured: From start of study up to follow up (Week 29)
Median Duration of Total Inpatient Days
Inpatient days were calculated as Date of discharge - Date of admission + 1. Median duration of total inpatient days during the entire study period was reported.
Measured: From start of study up to follow-up (Week 29)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Aug 2017
- Study start5 Dec 2017
- Primary completion15 Jul 2020
- Study completion6 Oct 2020
Why it stopped: Sponsor decision to discontinue the SHP647 (ontamalimab) clinical trial development program for inflammatory bowel diseases (IBD) early.
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.
- Other trials for Ulcerative ColitisStudies of the same condition, open and under way.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 279 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Shire
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03259308
- Sponsor's protocol ID
- SHP647-302
- Other IDs
- 2017-000572-28, 2017
- Acronym
- FIGARO UC 302
- Status last verified
- Mar 2021
- First submitted
- 21 Aug 2017
- Last updated
- 26 Apr 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy and Safety Study of SHP647 as Induction Therapy in Subjects With Moderate to Severe Ulcerative Colitis (FIGARO UC 302)
- ClinicalTrials.gov ID
- NCT03259308
- Acronym / sponsor ID
- FIGARO UC 302 / SHP647-302
- Conditions
- Ulcerative Colitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor decision to discontinue the SHP647 (ontamalimab) clinical trial development program for inflammatory bowel diseases (IBD) early.
- Enrolment
- 279 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 5 Dec 2017 (actual)
- Primary completion
- 15 Jul 2020 (actual)
- Study completion
- 6 Oct 2020 (actual)
- First posted
- 23 Aug 2017 (actual)
- Results
- Posted 26 Apr 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy of SHP647 in inducing remission, based on composite score of patient-reported symptoms and centrally read endoscopy, in participants with moderate to severe ulcerative colitis (UC).
Detailed description
27Mar2020: Enrollment of new patients into this study has been paused due to the COVID-19 situation. The duration of this pause is dependent on the leveling and control of the COVID-19 pandemic.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Ontamalimab 25 mg | Experimental | Drug: OntamalimabParticipants will receive 25 milligram (mg) of ontamalimab subcutaneous (SC) injection using a prefilled syringe (PFS) on Week 0, Week 4 and Week 8. |
| Ontamalimab 75 mg | Experimental | Drug: OntamalimabParticipants will receive 75 mg of ontamalimab SC injection using PFS on Week 0, Week 4 and Week 8. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo matched to ontamalimab SC injection using PFS on Week 0, Week 4, and Week 8. |
Who may qualify
- Ages
- 16 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (11 listed)
- Participants and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
- Participants must be able to voluntarily provide written, signed, and dated informed consent and/or assent, as applicable, to participate in the study.
- Participants less than (<) 18 years of age must weigh >=40 kg and must have body mass index (BMI) >=16.5 kilogram per square metre (kg/m^2).
- Participants must have a documented diagnosis of UC for >=3 months before screening. The following must be available in each participant's source documentation:
- Participants must be willing to undergo a flexible sigmoidoscopy or colonoscopy, including biopsy sample collection, during screening after all other inclusion criteria have been met.
Key exclusion criteria (63 listed)
- Participants with indeterminate colitis, microscopic colitis, non-steroidal anti-inflammatory drug-induced colitis, ischemic colitis, infectious colitis, or clinical/histologic findings suggestive of Crohn's disease.
- Participants with colonic dysplasia or neoplasia. (Participants with prior history of adenomatous polyps will be eligible if the polyps have been completely removed.)
- Participants with past medical history or presence of toxic megacolon.
- Participants with colonic stricture, past medical history of colonic resection, a history of bowel surgery within 6 months before screening, or who are likely to require surgery for UC during the treatment period.
- Participants at risk for colorectal cancer must have a colonoscopy performed during the screening period with results available within 10 days before the baseline visit, unless the participant has had a surveillance colonoscopy performed within 1 year prior to screening, and any adenomatous polyps found at that examination have been excised. Colonoscopy report and pathology report (if biopsies are obtained) from the colonoscopy performed during screening or in the prior year confirming no evidence of dysplasia and colon cancer must be available in the source documents.
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 |
|---|---|---|
| OntamalimabAlso: SHP647, PF- 00547659Participants will receive 1 mL of ontamalimab sterile aqueous buffered solution at an appropriate concentration to provide the intended dose of drug (25 or 75 mg). | Drug | Ontamalimab 25 mg, Ontamalimab 75 mg |
| PlaceboParticipants will receive 1 mL of sterile aqueous buffered solution. | Drug | Placebo |
Primary outcome
Number of Participants With Remission Based on Composite Score at Week 12
Time frame: At Week 12
Remission was defined as a composite score of patient-reported symptoms using daily e-diary and centrally read endoscopy as stool frequency sub-score of 0 or 1 with at least a 1-point change from baseline, rectal bleeding sub-score of 0 and endoscopic sub-score of 0 or 1 (modified, excluded friability). The composite score was a recommended measure derived from the Mayo score without the physician global assessment (PGA) sub-score and ranged from 0 to 9 points. The Mayo score was a measure of Ulcerative Colitis (UC) disease activity. It ranged from 0 to 12 points and consisted of 4 sub-scores, each graded from 0 to 3 with higher scores indicating more severe disease. The sub-scores were stool frequency (0-3); rectal bleeding (0-3); findings of endoscopy (0-3); PGA (0-3).
23 secondary outcomes
Number of Participants With Endoscopic Remission at Week 12
Time frame: At Week 12
Number of Participants With Clinical Remission at Week 12
Time frame: At Week 12
Number of Participants With Clinical Response Based on Composite Score at Week 12
Time frame: At Week 12
Number of Participants With Mucosal Healing Based on Endoscopic and Histological Assessment Using the Geboes Score Grading System at Week 12
Time frame: At Week 12
Number of Participants With Remission Based on Total Mayo Score at Week 12
Time frame: At Week 12
Number of Participants With Clinical Response Based on Total Mayo Score at Week 12
Time frame: At Week 12
Number of Participants With Partial Mayo Score <=2 With no Individual Sub-score Greater Than (>) 1 at Weeks 4, 8, and 12
Time frame: At Weeks 4, 8, and 12
Number of Participants With Clinical Remission With Stool Frequency Sub-scores of 0 or 1 and Rectal Bleeding Sub-score of 0 at Weeks 4 and 8
Time frame: At Weeks 4 and 8
Number of Participants With Endoscopic Remission With Sub-score of 0 at Week 12
Time frame: At Week 12
Number of Participants With Clinical Remission With Both Rectal Bleeding and Stool Frequency Sub-scores of 0 at Weeks 4, 8, and 12
Time frame: At Weeks 4, 8, and 12
Number of Participants With Deep Remission at Week 12
Time frame: At Week 12
Change From Baseline in Average Worst Abdominal Pain Score Based on Patient Reported Outcome-ulcerative Colitis (PRO-UC) Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Diarrhea (Average Loose Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Average Bowel Movements With Urgency Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Absolute Stool Frequency (Average Number of Bowel Movements) Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Absolute Rectal Bleeding (Average Number Bowel Movements With Blood) Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Total Sign/Symptom Score Based on PRO-UC Daily e-Diary at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Domains Scores at Weeks 8 and 12
Time frame: Baseline, Weeks 8 and 12
Change From Baseline in IBDQ Total Scores at Weeks 8 and 12
Time frame: Baseline, Weeks 8 and 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Individual Domain Scores) at Week 12
Time frame: Baseline, Week 12
Number of Participants Based on Inpatient Hospitalization
Time frame: From start of study up to follow up (Week 29)
Median Duration of Total Inpatient Days
Time frame: From start of study up to follow-up (Week 29)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Apr 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain more information on the study, click here/on this linkLink provided by the sponsor.
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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.
Study Director study director
Shire
207 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ontamalimab in people with Ulcerative Colitis, run by Shire at 207 sites in 22 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 11 inclusion and 63 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 26 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 207 sites in United States, Ukraine, Japan, South Korea, Bulgaria and 17 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 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 26 Apr 2021). 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?
Number of Participants With Remission Based on Composite Score at Week 12 (time frame: At Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 26 Apr 2021.