Crohn's DiseasePhase 2DIONENCT03635112
Efficacy and Safety of TD-1473 in Crohn's Disease
A Phase 2 study testing TD-1473 in people with Crohn's Disease, run by Theravance Biopharma at 178 sites in 22 countries.
Trial summary
A Phase 2 study to evaluate the efficacy, safety and tolerability of TD-1473 in subjects with moderately-to-severely active Crohn's Disease with up to 48 weeks of treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Crohn's Disease
- What is being tested?
- TD-1473
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 167 participants
- Where
- 178 sitesin 22 countries
- Study dates
- 19 Nov 2018to 30 Dec 2021
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Is at least 18 years of age at screening
- Males and females with clinical evidence of Crohn's disease for at least 3 months duration at screening
- Moderately-to-severely active Crohn's Disease at baseline, as defined by a Crohn's Disease Activity Index (CDAI) score of 220-450 inclusive
- SES-CD score of ≥ 3 with ulceration (corresponding to a score of 1) in at least 1 of the 5 ileocolonic segments on the Ulcerated Surface subscore of the SES-CD]
- Is corticosteroid-dependent or has demonstrated inadequate response, or intolerance to conventional therapy (aminosalicylates, corticosteroids and immunomodulators such as azathioprine, 6-mercaptopurine, or methotrexate) or biologics (e.g., anti-TNF therapy, anti-IL-12/23 (anti-interleukin), anti-integrin).
- Additional inclusion criteria apply
Who cannot join
- Is currently receiving biologic (anti-TNF, anti-integrin, or anti-IL12/23) therapy
- Has a current bacterial, parasitic, fungal, or viral infection
- Has clinically significant abnormalities in laboratory evaluations
- Prior exposure or potential exposure to a JAK inhibitor that was stopped due to intolerance or lack of efficacy
- Subject has participated in another clinical trial of an investigational drug (or medical device) within 30 days prior to Screening or 5x the half-life of the investigational drug, whichever is longer, or is currently participating in another trial of an investigational drug (or medical device)
- Subject has failed ≥ 3 biologic agents of 3 different mechanisms of action (i.e., anti-TNF, anti-integrin, and anti-IL12/23)
- Additional exclusion criteria apply
Trial locations and contacts
178 sites in 22 countries.
178 sites in 22 countries
United States44 sites
Theravance Biopharma Investigational Site
Aventura, Florida, 33180
Theravance Biopharma Investigational Site
Birmingham, Alabama, 35233-2110
Theravance Biopharma Investigational Site
Boerne, Texas, 78006
Theravance Biopharma Investigational Site
Brockton, Massachusetts, 02302
Theravance Biopharma Investigational Site
Clearwater, Florida, 33765
Theravance Biopharma Investigational Site
El Paso, Texas, 79936
Theravance Biopharma Investigational Site
Garland, Texas, 75044
Theravance Biopharma Investigational Site
Gastonia, North Carolina, 28504
Theravance Biopharma Investigational Site
Greenville, North Carolina, 27834
Theravance Biopharma Investigational Site
Harlingen, Texas, 78550
Theravance Biopharma Investigational Site
Hialeah, Florida, 33013
Theravance Biopharma Investigational Site
Hollywood, Florida, 33021
Theravance Biopharma Investigational Site
Houston, Texas, 77058
Theravance Biopharma Investigational Site
Kansas City, Kansas, 66160
Theravance Biopharma Investigational Site
La Jolla, California, 92093
Theravance Biopharma Investigational Site
Lansdowne Town Center, Virginia, 20176
Theravance Biopharma Investigational Site
Largo, Florida, 33777
Theravance Biopharma Investigational Site
Las Vegas, Nevada, 89133
Theravance Biopharma Investigational Site
Los Angeles, California, 90048
Theravance Biopharma Investigational Site
Louisville, Kentucky, 40202
Theravance Biopharma Investigational Site
Miami, Florida, 33135
Theravance Biopharma Investigational Site
Mobile, Alabama, 36688
Theravance Biopharma Investigational Site
New Lenox, Illinois, 60451
Theravance Biopharma Investigational Site
New Port Richey, Florida, 34653
Theravance Biopharma Investigational Site
Oakland, California, 94612
Theravance Biopharma Investigational Site
Orangeburg, South Carolina, 29118
Theravance Biopharma Investigational Site
Pittsburgh, Pennsylvania, 15212
Theravance Biopharma Investigational Site
Rock Hill, South Carolina, 29732
Theravance Biopharma Investigational Site
Rockville, Maryland, 20850
PMG Research of Salisbury
Salisbury, North Carolina, 28144
Theravance Biopharma Investigational Site
San Antonio, Texas, 78215
Theravance Biopharma Investigational Site
San Antonio, Texas, 78229
Theravance Biopharma Investigational Site
Santa Monica, California, 90404
Theravance Biopharma Investigational Site
Scottsdale, Arizona, 85259-5499
Theravance Biopharma Investigational Site
Southlake, Texas, 76092
Theravance Biopharma Investigational Site
Spring, Texas, 77386
Theravance Biopharma Investigational Site
St Louis, Missouri, 63110
Theravance Biopharma Investigational Site
St. Petersburg, Florida, 33710
Theravance Biopharma Investigational Site
Tampa, Florida, 33603
Theravance Biopharma Investigational Site
Tampa, Florida, 33606
Theravance Biopharma Investigational Site
Tulsa, Oklahoma, 74136
Theravance Biopharma Investigational Site
Uniontown, Pennsylvania, 15401
Theravance Biopharma Investigational Site
Utica, New York, 13502
Theravance Biopharma Investigational Site
Wyoming, Michigan, 49519
Poland17 sites
Theravance Biopharma Investigational Site
Krakow, Lesser Poland Voivodeship, 31501
Theravance Biopharma Investigational Site
Lodz, Łódź Voivodeship, 90302
Theravance Biopharma Investigational Site
Lodz, Łódź Voivodeship, 91-034
Theravance Biopharma Investigational Site
Lodz, Łódź Voivodeship, 91363
Theravance Biopharma Investigational Site
Poznan, Greater Poland Voivodeship, 61-113
Theravance Biopharma Investigational Site
Rzeszów, Podkarpackie Voivodeship, 35302
Theravance Biopharma Investigational Site
Sopot, Pomeranian Voivodeship, 81-756
Theravance Biopharma Investigational Site
Szczecin, Zachodnio-Pomorskie, 71434
Theravance Biopharma Investigational Site
Tychy, Silesian Voivodeship, 43 100
Theravance Biopharma Investigational Site
Warsaw, Masovian Voivodeship, 00-728
Theravance Biopharma Investigational Site
Warsaw, Masovian Voivodeship, 00635
Theravance Biopharma Investigational Site
Warsaw, Masovian Voivodeship, 02-653
Theravance Biopharma Investigational Site
Warsaw, Masovian Voivodeship, 02-781
Theravance Biopharma Investigational Site
Warsaw, Masovian Voivodeship, 03-580
Theravance Biopharma Investigational Site
Włocławek, Kuyavian-Pomeranian Voivodeship, 87-800
Theravance Biopharma Investigational Site
Wroclaw, Lower Silesian Voivodeship, 52416
Theravance Biopharma Investigational Site
Wroclaw, Lower Silesian Voivodeship, 53-333
Ukraine14 sites
Theravance Biopharma Investigational Site
Chernivtsi, 58001
Theravance Biopharma Investigational Site
Kharkiv, 61037
Theravance Biopharma Investigational Site
Kharkiv, 61039
Theravance Biopharma Investigational Site
Kharkiv, 61137
Theravance Biopharma Investigational Site
Kiev, KIEV CITY, 04107
Theravance Biopharma Investigational Site
Kremenchuk, Poltava Oblast, 39617
Theravance Biopharma Investigational Site
Kyiv, KIEV CITY, 01030
Theravance Biopharma Investigational Site
Kyiv, Kyiv City, 01133
Theravance Biopharma Investigational Site
Lviv, 79059
Theravance Biopharma Investigational Site
Uzhhorod, Transcarpathian, 88000
Theravance Biopharma Investigational Site
Uzhhorod, Zakarpattia Oblast, 88009
Theravance Biopharma Investigational Site
Vinnytsia, 21005
Theravance Biopharma Investigational Site
Zaporizhzhya, 69104
Theravance Biopharma Investigational Site
Zaporizhzhya, 69600
Bulgaria12 sites
Theravance Biopharma Investigational Site
Dobrich, 9300
Theravance Biopharma Investigational Site
Plovdiv, 4004
Theravance Biopharma Investigational Site
Sliven, 8800
Theravance Biopharma Investigational Site
Sofia, Sofia, 1303
Theravance Biopharma Investigational Site
Sofia, Sofia, 1336
Theravance Biopharma Investigational Site
Sofia, Sofia, 1431
Theravance Biopharma Investigational Site
Sofia, Sofia, 1527
Theravance Biopharma Investigational Site
Sofia, Sofia, 1784
Theravance Biopharma Investigational Site
Stara Zagora, 6000
Theravance Biopharma Investigational Site
Stara Zagora, 6001
Theravance Biopharma Investigational Site
Targovishte, Targovishte, 7700
Theravance Biopharma Investigational Site
Veliko Tarnovo, 5000
Israel9 sites
Theravance Biopharma Investigational Site
Be’er Ya‘aqov, Rehoboth, 7030000
Theravance Biopharma Investigational Site
Haifa, 3339419
Theravance Biopharma Investigational Site
Holon, 5822012
Theravance Biopharma Investigational Site
Jerusalem, 9362410
Theravance Biopharma Investigational Site
Kfar Saba, Sharon, 4428164
Theravance Biopharma Investigational Site
Nahariya, 2210001
Theravance Biopharma Investigational Site
Petah Tikva, 4941492
Theravance Biopharma Investigational Site
Rehovot, Rehoboth, 7661041
Theravance Biopharma Investigational Site
Tel Aviv, 6423906
France8 sites
Theravance Biopharma Investigational Site
Clichy, 92110
Theravance Biopharma Investigational Site
Colombes, Île-de-France Region, 92701
Theravance Biopharma Investigational Site
Nice, Provence-Alpes-Côte d'Azur Region, 06202
Theravance Biopharma Investigational Site
Pierre-Bénite, Auvergne-Rhône-Alpes, 69495
Theravance Biopharma Investigational Site
Reims, Champagne-ardenne, 51092
Theravance Biopharma Investigational Site
Saint-Etienne, Auvergne, 42055
Theravance Biopharma Investigational Site
Toulouse, Midi-pyrenees, 31059
Theravance Biopharma Investigational Site
Vandœuvre-lès-Nancy, 54511
Russia8 sites
Theravance Biopharma Investigational Site
Moscow, Moscow City, 127015
Theravance Biopharma Investigational Site
Novosibirsk, 630005
Theravance Biopharma Investigational Site
Novosibirsk, 630087
Theravance Biopharma Investigational Site
Rostov-on-Don, Rostov Oblast, 344022
Theravance Biopharma Investigational Site
Saint Petersburg, 195257
Theravance Biopharma Investigational Site
Saint Petersburg, 196247
Theravance Biopharma Investigational Site
Samara, Samara Oblast, 443041
Theravance Biopharma Investigational Site
Saratov, 410053
Portugal7 sites
Theravance Biopharma Investigational Site
Braga, 4700-308
Theravance Biopharma Investigational Site
Guimarães, 4835-044
Theravance Biopharma Investigational Site
Leiria, 2410-197
Theravance Biopharma Investigational Site
Lisbon, 1500-458
Theravance Biopharma Investigational Site
Santa Maria da Feira, 4520-211
Theravance Biopharma Investigational Site
Setúbal, 2910-446
Theravance Biopharma Investigational Site
Vila Nova de Gaia, 4434-502
Romania7 sites
Theravance Biopharma Investigational Site
Bucharest, Bucharest, 020125
Theravance Biopharma Investigational Site
Bucharest, 050098
Theravance Biopharma Investigational Site
Cluj-Napoca, Cluj, 400162
Theravance Biopharma Investigational Site
Cluj-Napoca, 400006
Theravance Biopharma Investigational Site
Oradea, Bihor County, 410066
Theravance Biopharma Investigational Site
Timișoara, Timiș County, 300002
Theravance Biopharma Investigational Site
Timișoara, Timiș County, 300167
South Korea7 sites
Theravance Biopharma Investigational Site
Busan, 48108
Theravance Biopharma Investigational Site
Daegu, 42601
Theravance Biopharma Investigational Site
Guri-si, Gyeonggi-do, 11923
Theravance Biopharma Investigational Site
Seongnam-si, Gyeonggi-do, 13496
Theravance Biopharma Investigational Site
Seoul, 02447
Theravance Biopharma Investigational Site
Seoul, 03722
Theravance Biopharma Investigational Site
Wŏnju, Gangwon-do, 26426
Germany6 sites
Theravance Biopharma Investigational Site
Berlin, 14050
Theravance Biopharma Investigational Site
Hamburg, 22559
Theravance Biopharma Investigational Site
Hanover, Lower Saxony, 30625
Theravance Biopharma Investigational Site
Kiel, Schleswig-Holstein, 24105
Theravance Biopharma Investigational Site
München, Bavaria, 80331
Theravance Biopharma Investigational Site
München, Bavaria, 81377
Serbia6 sites
Theravance Biopharma Investigational Site
Belgrade, 11000
Theravance Biopharma Investigational Site
Belgrade, 11080
Theravance Biopharma Investigational Site
Kragujevac, 34000
Theravance Biopharma Investigational Site
Niš, 18000
Theravance Biopharma Investigational Site
Subotica, 24000
Theravance Biopharma Investigational Site
Zrenjanin, 23000
Spain6 sites
Theravance Biopharma Investigational Site
Barcelona, 08022
Theravance Biopharma Investigational Site
Barcelona, 08036
Theravance Biopharma Investigational Site
Huelva, 21005
Theravance Biopharma Investigational Site
Las Palmas de Gran Canaria, Las Palmas, 35010
Theravance Biopharma Investigational Site
Madrid, 28922
Theravance Biopharma Investigational Site
Valencia, 46010
Croatia4 sites
Theravance Biopharma Investigational Site
Osijek, County of Osijek-Baranja, 31 000
Theravance Biopharma Investigational Site
Rijeka, 51000
Theravance Biopharma Investigational Site
Split, 21000
Theravance Biopharma Investigational Site
Zagreb, 10000
Hungary4 sites
Theravance Biopharma Investigational Site
Baja, Bács-Kiskun county, 6500
Theravance Biopharma Investigational Site
Budapest, H-1088
Theravance Biopharma Investigational Site
Debrecen, Hajdú-Bihar, 4032
Theravance Biopharma Investigational Site
Gyöngyös, Heves County, 3200
South Africa4 sites
Theravance Biopharma Investigational Site
Claremont, Western Cape, 7708
Theravance Biopharma Investigational Site
Johannesburg, Gauteng, 1619
Theravance Biopharma Investigational Site
Johannesburg, Gauteng, 2196
Theravance Biopharma Investigational Site
Lenasia, Gauteng, 1827
Australia3 sites
Theravance Biopharma Investigational Site
Bankstown, New South Wales, 2200
Theravance Biopharma Investigational Site
Elizabeth Vale, South Australia, 5112
Theravance Biopharma Investigational Site
Perth, Western Australia, 6000
Austria3 sites
Theravance Biopharma Investigational Site
Innsbruck, Tyrol, 6020
Theravance Biopharma Investigational Site
Klagenfurt, Carinthia, 9020
Theravance Biopharma Investigational Site
Vienna, State of Vienna, 1090
United Kingdom3 sites
Theravance Biopharma Investigational Site
Blackpool, England, FY3 8NR
Theravance Biopharma Investigational Site
Glasgow, Scotland, G51 4TF
Theravance Biopharma Investigational Site
London, England, NW1 2PG
Georgia2 sites
Theravance Biopharma Investigational Site
Tbilisi, 0114
Theravance Biopharma Investigational Site
Tbilisi, 0159
Greece2 sites
Theravance Biopharma Investigational Site
Athens, Attica, 115 27
Theravance Biopharma Investigational Site
Heraklion, Crete, 71110
New Zealand2 sites
Theravance Biopharma Investigational Site
Hamilton, Waikato Region, 3204
Theravance Biopharma Investigational Site
Lower Hutt, Wellington Region, 5010
About this study
Official title: A Phase 2 Multi-Center, Randomized, Double-Blind, Placebo˗Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Induction Therapy With 2 Doses of TD-1473 in Subjects With Moderately-to-Severely Active Crohn's Disease
A Phase 2 study to evaluate the efficacy, safety and tolerability of TD-1473 in subjects with moderately-to-severely active Crohn's Disease with up to 48 weeks of treatment.
Read the detailed description
A Phase 2 multi-center, randomized, double blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of 12 weeks of induction therapy with TD˗1473 in subjects with moderately-to-severely active Crohn's Disease. This study includes 3 phases: Screening, Induction, and Active Treatment Extension (ATE). The Induction phase of the study is a randomized, double blind, placebo controlled, parallel group study evaluating 2 oral dose levels of TD-1473 compared to placebo for 12 weeks in subjects with moderately to-severely active CD. Subjects who complete Induction will continue to receive TD-1473 in the ATE, for up to 48 additional weeks.
- Conditions
- Crohn's Disease
- Being tested
- Placebo, TD-1473
- Keywords
- TD-1473, Janus kinase inhibitor, JAK inhibitor, Inflammatory Bowel Disease, IBD, Crohn's Disease, Intestinal restriction
- Medical subject headings
- Crohn Disease, Inflammatory Bowel Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo will be taken daily by mouth (orally) for up to 12 weeks in the morning before eating.
TD-1473Drug
TD-1473, at Dose A or Dose B depending upon arm, will be taken daily by mouth (orally) for up to 12 weeks in the morning before eating. An additional 48 weeks either at Dose A or Dose B, depending on arm, may be administered if subjects finish the 12 week induction period.
| Study group | Role | What they receive |
|---|---|---|
| Active Treatment TD-1473 with Dose A | Active comparator | 1 oral Dose A daily of TD-1473 for 12 weeks in subjects with moderately to-severely active CD.
Subjects who complete Induction will continue to receive TD-1473 at Dose A in the Active Treatment Arm for up to 48 additional weeks. Receives: Drug: TD-1473 |
| Active Treatment TD-1473 with Dose B | Active comparator | 1 oral Dose B daily of TD-1473 for 12 weeks in subjects with moderately to-severely active CD.
Subjects who complete Induction will continue to receive TD-1473 at Dose B in the Active Treatment Arm for up to 48 additional weeks. Receives: Drug: TD-1473 |
| Placebo | Placebo comparator | 1 oral dose daily of placebo for 12 weeks in subjects with moderately to-severely active CD.
Subjects who complete Induction will receive TD-1473 at Dose A in the Active Treatment Arm for up to 48 additional weeks. Receives: Drug: Placebo; Drug: TD-1473 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score
The CDAI score was generated using regression coefficients for eight different predictors of disease activity: severity of abdominal pain, general well-being, very soft/liquid stool frequency, extra-intestinal symptoms, need for antidiarrheal drugs, presence of an abdominal mass, body weight and hematocrit. Participants reported information regarding symptoms using a diary. The subscores of abdominal pain (0-3), general well-being (0-4), and number of very soft or liquid stools were then summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.
Benchmarks for disease activity as measured by the CDAI were: <150, clinical remission; 150 to 219, mildly active disease; 220-450, moderately active disease; and >450, very severe disease.
Measured: Baseline to Week 12
Secondary outcomes (5)
Number of Participants Who Demonstrated a Clinical Response as Measured by CDAI
The CDAI score was generated using regression coefficients for eight different predictors of disease activity: severity of abdominal pain, general well-being, very soft/liquid stool frequency, extra-intestinal symptoms, need for antidiarrheal drugs, presence of an abdominal mass, body weight and hematocrit. Participants reported information regarding symptoms using a diary. The subscores of abdominal pain (0-3), general well-being (0-4), and number of very soft or liquid stools were then summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.
Benchmarks for disease activity as measured by the CDAI were: <150, clinical remission; 150 to 219, mildly active disease; 220-450, moderately active disease; and >450, very severe disease.
Clinical response was defined as a reduction from baseline of ≥100 points or CDAI <150
Measured: Week 12
Number of Participants Who Demonstrated CDAI Clinical Remission
The CDAI score was generated using regression coefficients for eight different predictors of disease activity: severity of abdominal pain, general well-being, very soft/liquid stool frequency, extra-intestinal symptoms, need for antidiarrheal drugs, presence of an abdominal mass, body weight and hematocrit. Participants reported information regarding symptoms using a diary. The subscores of abdominal pain (0-3), general well-being (0-4), and number of very soft or liquid stools were then summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.
Benchmarks for disease activity as measured by the CDAI were: <150, clinical remission; 150 to 219, mildly active disease; 220-450, moderately active disease; and >450, very severe disease.
CDAI clinical remission was defined as a CDAI score less than 150 at Week 12.
Measured: Week 12
Change From Baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) at Week 12
The SES-CD incorporated 4 descriptors: the ulcer size, the proportion of surface covered by ulcer, the proportion of surface covered by other lesions, and the presence of stenosis. Each descriptor was scored in 5 segments (ileum, right colon, transverse colon, left colon, and rectum). The total score ranged from 0 to 56, with higher scores indicating a worse outcome.
Measured: Baseline to Week 12
Number of Participants With Endoscopic Response at Week 12
Endoscopic Response was defined as a reduction of SES-CD score or Endoscopic Remission (defined as SES-CD ≤ 2) at Week 12.
Measured: Week 12
Number of Participants With Stool Frequency and Abdominal Pain (SFAP) Clinical Remission
SFAP clinical remission was defined as an abdominal pain score ≤1 (on a scale of 0-3 with 0 representing 'no pain' and 3 representing 'severe pain'), stool frequency ≤2.8, and both not worse than baseline at Week 12.
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2018
- Study start19 Nov 2018
- Primary completion30 Dec 2021
- Study completion30 Dec 2021
Why it stopped: The study was terminated by the sponsor on 16 November 2021 after a planned review by the Independent Data Monitoring Committee.
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 Crohn's DiseaseStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 167 participants (actual)
Sponsor and investigators
- Lead sponsor
- Theravance Biopharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Theravance Biopharma
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03635112
- Sponsor's protocol ID
- 0173
- Other IDs
- 2018-001272-37, 2018
- Acronym
- DIONE
- Status last verified
- Feb 2023
- First submitted
- 31 Jul 2018
- Last updated
- 13 Mar 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Theravance Biopharma, Inc. will not be sharing individual de-identified participant data or other relevant study documents.
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Multi-Center, Randomized, Double-Blind, Placebo˗Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Induction Therapy With 2 Doses of TD-1473 in Subjects With Moderately-to-Severely Active Crohn's Disease
- ClinicalTrials.gov ID
- NCT03635112
- Acronym / sponsor ID
- DIONE / 0173
- Conditions
- Crohn's Disease
- Keywords
- TD-1473, Janus kinase inhibitor, JAK inhibitor, Inflammatory Bowel Disease, IBD, Crohn's Disease, Intestinal restriction
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated by the sponsor on 16 November 2021 after a planned review by the Independent Data Monitoring Committee.
- Enrolment
- 167 participants (actual)
- Lead sponsor
- Theravance BiopharmaIndustry (pharma, biotech, devices)
- Study start
- 19 Nov 2018 (actual)
- Primary completion
- 30 Dec 2021 (actual)
- Study completion
- 30 Dec 2021 (actual)
- First posted
- 17 Aug 2018 (actual)
- Results
- Posted 13 Mar 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A Phase 2 study to evaluate the efficacy, safety and tolerability of TD-1473 in subjects with moderately-to-severely active Crohn's Disease with up to 48 weeks of treatment.
Detailed description
A Phase 2 multi-center, randomized, double blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of 12 weeks of induction therapy with TD˗1473 in subjects with moderately-to-severely active Crohn's Disease. This study includes 3 phases: Screening, Induction, and Active Treatment Extension (ATE). The Induction phase of the study is a randomized, double blind, placebo controlled, parallel group study evaluating 2 oral dose levels of TD-1473 compared to placebo for 12 weeks in subjects with moderately to-severely active CD. Subjects who complete Induction will continue to receive TD-1473 in the ATE, for up to 48 additional weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Active Treatment TD-1473 with Dose A | Active comparator | Drug: TD-14731 oral Dose A daily of TD-1473 for 12 weeks in subjects with moderately to-severely active CD. Subjects who complete Induction will continue to receive TD-1473 at Dose A in the Active Treatment Arm for up to 48 additional weeks. |
| Active Treatment TD-1473 with Dose B | Active comparator | Drug: TD-14731 oral Dose B daily of TD-1473 for 12 weeks in subjects with moderately to-severely active CD. Subjects who complete Induction will continue to receive TD-1473 at Dose B in the Active Treatment Arm for up to 48 additional weeks. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: TD-14731 oral dose daily of placebo for 12 weeks in subjects with moderately to-severely active CD. Subjects who complete Induction will receive TD-1473 at Dose A in the Active Treatment Arm for up to 48 additional weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Is at least 18 years of age at screening
- Males and females with clinical evidence of Crohn's disease for at least 3 months duration at screening
- Moderately-to-severely active Crohn's Disease at baseline, as defined by a Crohn's Disease Activity Index (CDAI) score of 220-450 inclusive
- SES-CD score of ≥ 3 with ulceration (corresponding to a score of 1) in at least 1 of the 5 ileocolonic segments on the Ulcerated Surface subscore of the SES-CD]
- Is corticosteroid-dependent or has demonstrated inadequate response, or intolerance to conventional therapy (aminosalicylates, corticosteroids and immunomodulators such as azathioprine, 6-mercaptopurine, or methotrexate) or biologics (e.g., anti-TNF therapy, anti-IL-12/23 (anti-interleukin), anti-integrin).
Key exclusion criteria (7 listed)
- Is currently receiving biologic (anti-TNF, anti-integrin, or anti-IL12/23) therapy
- Has a current bacterial, parasitic, fungal, or viral infection
- Has clinically significant abnormalities in laboratory evaluations
- Prior exposure or potential exposure to a JAK inhibitor that was stopped due to intolerance or lack of efficacy
- Subject has participated in another clinical trial of an investigational drug (or medical device) within 30 days prior to Screening or 5x the half-life of the investigational drug, whichever is longer, or is currently participating in another trial of an investigational drug (or medical device)
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 |
|---|---|---|
| PlaceboPlacebo will be taken daily by mouth (orally) for up to 12 weeks in the morning before eating. | Drug | Placebo |
| TD-1473TD-1473, at Dose A or Dose B depending upon arm, will be taken daily by mouth (orally) for up to 12 weeks in the morning before eating. An additional 48 weeks either at Dose A or Dose B, depending on arm, may be administered if subjects finish the 12 week induction period. | Drug | Active Treatment TD-1473 with Dose A, Active Treatment TD-1473 with Dose B, Placebo |
Primary outcome
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score
Time frame: Baseline to Week 12
The CDAI score was generated using regression coefficients for eight different predictors of disease activity: severity of abdominal pain, general well-being, very soft/liquid stool frequency, extra-intestinal symptoms, need for antidiarrheal drugs, presence of an abdominal mass, body weight and hematocrit. Participants reported information regarding symptoms using a diary. The subscores of abdominal pain (0-3), general well-being (0-4), and number of very soft or liquid stools were then summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome. Benchmarks for disease activity as measured by the CDAI were: <150, clinical remission; 150 to 219, mildly active disease; 220-450, moderately active disease; and >450, very severe disease.
5 secondary outcomes
Number of Participants Who Demonstrated a Clinical Response as Measured by CDAI
Time frame: Week 12
Number of Participants Who Demonstrated CDAI Clinical Remission
Time frame: Week 12
Change From Baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) at Week 12
Time frame: Baseline to Week 12
Number of Participants With Endoscopic Response at Week 12
Time frame: Week 12
Number of Participants With Stool Frequency and Abdominal Pain (SFAP) Clinical Remission
Time frame: Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Mar 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No. Theravance Biopharma, Inc. will not be sharing individual de-identified participant data or other relevant study documents.
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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.
Medical Monitor study director
Theravance Biopharma
178 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing TD-1473 in people with Crohn's Disease, run by Theravance Biopharma at 178 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 6 inclusion and 7 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 13 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 178 sites in United States, Poland, Ukraine, Bulgaria, Israel 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 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 13 Mar 2023). 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?
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score (time frame: Baseline to 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 13 Mar 2023; AzTrials last refreshed its copy on 8 Nov 2026.