The purpose of this study is to determine the safety and tolerability of administration of multiple ascending doses of KHK4083 and to select the highest dose tolerated by subjects with moderately active Ulcerative Colitis (UC) followed by a Long-term Extension Therapy (LTE) phase for eligible subjects with a clinical response.
A Phase 2, double-blind clinical study of multiple ascending doses of KHK4083 (or placebo) with an Long-term Extension Therapy (LTE) phase will be conducted in approximately 60 randomized adult subjects with moderately active UC who have a documented unsuccessful previous treatment. The Treatment Period includes double-blind Induction Therapy (12 weeks) and Open-label Therapy (OLE) phase (40 weeks) for eligible subjects at Week 12. Subjects already enrolled in the double-blind, long-term extension (LTE) under preceding versions of the protocol who worsen may be eligible to transition to the OLE up to Week 28. The Follow Up Period after the last administration will be for up to 16 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
66
Unnamed facility
Greenville, South Carolina, United States
Unnamed facility
Hradec Králové, Czechia
Unnamed facility
Znojmo, Czechia
Unnamed facility
Budapest, Hungary
Unnamed facility
Budapest, Hungary
Unnamed facility
Budapest, Hungary
Unnamed facility
Bydgoszcz, Poland
Unnamed facility
Rzeszów, Poland
Unnamed facility
Sopot, Poland
Unnamed facility
Tychy, Poland
...and 13 more locations
Number of Subjects With Treatment-related Adverse Events
To determine the safety and tolerability of KHK4083
Time frame: Up to 52 weeks
Number of Subjects With Treatment-related Serious Adverse Events
To determine the safety and tolerability of KHK4083
Time frame: Up to 52 weeks
Number of Subjects Who Show Improvement in the Mucosa at Week 12
Measured by the modified Mayo endoscopy sub-score (mMES), which ranges from 0-3 with higher scores = more severe disease.
Time frame: 12 weeks
Proportion of Subjects Who Show Improvement in the Mucosa at Week 52
Measured by the modified Mayo endoscopy sub-score (mMES), which ranges from 0-3 with higher scores = more severe disease.
Time frame: 52 weeks
Number of Subjects With Confirmed Anti-KHK4083 Antibodies (Immunogenicity)
The immunogenicity was assessed by determination of the development of anti-drug antibodies (ADA) against KHK4083.
Time frame: 52 weeks
Number of Subjects Who Achieve Mucosal Healing at Week 12
The endoscopic Mayo Score (Mayo endoscopic subscore) evaluates ulcerative colitis stage, based only on endoscopic exploration. The scale ranges from 0 to 3, with higher scores = more severe activity. Mucosal healing is defined as modified Mayo endoscopy sub-score (mMES) of 0 or 1 at Week 12.
Time frame: 12 weeks
Number of Subjects Who Achieve Mucosal Healing at Week 52
The endoscopic Mayo Score (Mayo endoscopic subscore) evaluates ulcerative colitis stage, based only on endoscopic exploration. The scale ranges from 0 to 3, with higher scores = more severe activity. Mucosal healing is defined as modified Mayo endoscopy sub-score (mMES) of 0 or 1.
Time frame: 52 weeks
Number of Subjects Who Achieve Clinical Improvement at Week 12
The Mayo Clinic Score is comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The total score ranges from 0-12 with higher scores indicating increased severity of disease. Improvement will be based on a reduction in the total Mayo Clinic score.
Time frame: 12 weeks
Change From Baseline in Total Mayo Scale Score at Week 52
The Mayo Clinic Score is comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The total score ranges from 0-12 with higher scores indicating increased severity of disease. Improvement was based on a reduction (mean change from Baseline \[Week 0\] to Week 52) in the total Mayo Clinic score.
Time frame: 52 weeks
Number of Subjects Who Achieve a Clinical Response at Week 12
The Mayo Clinic Score is comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The total score ranges from 0-12 with higher scores indicating increased severity of disease. Clinical Response is a reduction in the total Mayo Clinic score of at least 3 points.
Time frame: 12 weeks
Number of Subjects Who Achieve a Clinical Response at Week 52
The Mayo Clinic Score is comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The total score ranges from 0-12 with higher scores indicating increased severity of disease. Clinical Response indicates the change from Baseline in the Total Mayo Clinic score \<= -3 and the percentage change from Baseline in the Total Mayo Clinic score \<= -30% to Week 12, with an accompanying decrease in the rectal bleeding subscore of at least 1 point or an absolute rectal bleeding subscore of \<= 1.
Time frame: 52 weeks
Number of Subjects Who Achieve Clinical Remission at Week 12
The Mayo Clinic Score is comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The total score ranges from 0-12 with higher scores indicating increased severity of disease. Clinical remission is defined as a total Mayo Clinic score of ≤ 2 and no subscores \> 1.
Time frame: 12 weeks
Number of Subjects Who Achieve Clinical Remission at Week 52
The Mayo Clinic Score is comprised of 4 parts: stool frequency, rectal bleeding, endoscopic findings and physician's global assessment, each scored from 0-3. The total score ranges from 0-12 with higher scores indicating increased severity of disease. Clinical remission is defined as a total Mayo Clinic score of ≤ 2 and no subscores \> 1.
Time frame: 52 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.