The present study (D5272C00001/Legacy #3151-201-008) aims to evaluate the efficacy and safety of brazikumab in patients with moderately to severely active UC and will include assessments of clinical responses as demonstrated by improvement of symptoms and of colonic mucosal appearance as observed on endoscopy
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
242
Intravenous brazikumab on day 1, day 15, and day 43 followed by Subcutaneous brazikumab every 4 weeks beginning on day 71 through Week 50
Intravenous placebo on day 1, day 15, and day 43 followed by Subcutaneous placebo every 4 weeks beginning on Day 71 through Week 50.
Clinical Remission
Efficacy was assessed using the Mayo Scoring System for assessment of Ulcerative Colitis. The Mayo score assesses * stool frequency, * rectal bleeding, * endoscopic findings, and * physician's assessment of disease activity. Each of these four subscores can be scored as 0, 1, 2, or 3, where 0 is a normal finding and 3 corresponds to severe disease. The Mayo score has been modified (modified Mayo Score, mMS) to specify no friability in the endoscopy subscore of 1 (mild disease). Clinical Remission is defined by the mMS at Week 10: * Endoscopy subscore = 0 or 1, AND * Rectal bleeding subscore = 0, AND * Stool frequency subscore = 0 or 1, AND at least a 1-point decrease from baseline Further, if the patient * discontinue treatment prematurely for any reason * takes rescue treatment or meet the rescue criteria * uses prohibited medication the patient is considered as unsuccessfully treated and imputed as non-responder
Time frame: at Week 10
Sustained Clinical Remission
Sustained clinical remission defined as Modified Mayo Score (mMS): Endoscopy subscore = 0 or 1, AND Rectal bleeding subscore = 0, AND Stool frequency subscore = 0 or 1 AND at least a 1 point decrease from baseline Further, if the patient * discontinue treatment prematurely for any reason * takes rescue treatment or meet the rescue criteria * uses prohibited medication the patient is considered as unsuccessfully treated and imputed as non-responder
Time frame: Week 10 and 54
CS-free Clinical Remission
CS-free clinical remission defined as mMS: Endoscopy subscore = 0 or 1, AND Rectal bleeding subscore = 0, AND Stool frequency subscore = 0 or 1 AND at least a 1 point decrease from baseline Further, if the patient * discontinue treatment prematurely for any reason * takes rescue treatment or meet the rescue criteria * uses prohibited medication the patient is considered as unsuccessfully treated and imputed as non-responder
Time frame: Week 54
Clinical Response
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Research Site
Phoenix, Arizona, United States
Research Site
Tucson, Arizona, United States
Research Site
Little Rock, Arkansas, United States
Research Site
Chula Vista, California, United States
Research Site
Lancaster, California, United States
Research Site
Lincoln, California, United States
Research Site
Mission Hills, California, United States
Research Site
Poway, California, United States
Research Site
Colorado Springs, Colorado, United States
Research Site
Clearwater, Florida, United States
...and 115 more locations
Efficacy was assessed using the Mayo Scoring System for assessment of Ulcerative Colitis. The Mayo score assesses * stool frequency, * rectal bleeding, * endoscopic findings, and * physician's assessment of disease activity. Each of these four subscores can be scored as 0, 1, 2, or 3, where 0 is a normal finding and 3 corresponds to severe disease. The Mayo score is the sum of the four subscores. The Mayo score has been modified (modified Mayo Score, mMS) to specify no friability in the endoscopy subscore of 1 (mild disease). Clinical response is defined as Reduction in mMS ≥ 2 points from baseline AND ≥ 30% from baseline AND a decrease in the rectal bleeding score ≥ 1 point from baseline or a score of 0 or 1 Further, if the patient * discontinue treatment prematurely for any reason * takes rescue treatment or meet the rescue criteria * uses prohibited medication the patient is considered as unsuccessfully treated and imputed as non-responder
Time frame: Week 10
Endoscopic Improvement
Efficacy was assessed using the Mayo Scoring System for assessment of Ulcerative Colitis. The Mayo score assesses * stool frequency, * rectal bleeding, * endoscopic findings, and * physician's assessment of disease activity. Each of these four subscores can be scored as 0, 1, 2, or 3, where 0 is a normal finding and 3 corresponds to severe disease. Endoscopic improvement is defined as Endoscopy subscore ≤ 1. Further, if the patient * discontinue treatment prematurely for any reason * takes rescue treatment or meet the rescue criteria * uses prohibited medication the patient is considered as unsuccessfully treated and imputed as non-responder
Time frame: Week 10
Serum Concentrations of Brazikumab (Induction)
Pharmacokinetics: concentration of brazikumab in serum
Time frame: through week 10
Exposure-response
Participants with Clinical Remission by Quartile of Brazikumab concentration
Time frame: through week 68
Incidence of Anti-drug Antibodies (Induction)
Immunogenicity: incidence of brazikumab anti-drug antibodies in serum
Time frame: through week 10
Adverse Events
Number and percentage of patients with reported adverse events.
Time frame: Through week 68: Induction: AE with onset on or after first IV dose up to SC dose, or early term trt date + 18 wks after last dose. Maintenance: AE with onset on or after first SC dose up to and including 18 weeks after date of last SC dose.
Laboratory Values
Percentage of patients with potentially clinically significant changes in hematology, clinical chemistry, urinalysis.
Time frame: through week 68
Vital Signs
Percentage of patients with potentially clinically significant changes in systolic and diastolic blood pressure, and pulse rate.
Time frame: through week 68
Abnormal ECG Results Through Week 68
Percentage of patients with potentially clinically significant changes in 12-lead ECG recordings
Time frame: through week 68
Serum Concentrations of Brazikumab (Maintenance)
Pharmacokinetics: concentration of brazikumab in serum
Time frame: Week 30 through week 68
Incidence of Anti-drug Antibodies (Maintenance)
Immunogenicity: incidence of brazikumab anti-drug antibodies in serum
Time frame: Week 30 through week 68
mMS Total Score (Induction)
mMS total score at baseline and Week 10
Time frame: through Week 10
mMS Component Score: Endoscopy (Induction)
Number of participants in each score category for Endoscopy score
Time frame: through Week 10
mMS Component Score: Stool Frequency (Induction)
Number of participants in each score category for Stool frequency
Time frame: through Week 10
mMS Component Score: Rectal Bleeding (Induction)
Number of participants in each score category for Rectal bleeding
Time frame: through Week 10
Total mMS (Maintenance)
mMS total score at baseline and Week 54
Time frame: Week 54
mMS Component Score: Endoscopy (Maintenance)
Number of participants in each score category for Endoscopy score
Time frame: through Week 54
mMS Component Score: Stool Frequency (Maintenance)
Number of participants in each score category for Stool frequency score
Time frame: through Week 54
mMS Component Score: Rectal Bleeding (Maintenance)
Number of participants in each score category for Rectal bleeding score
Time frame: through Week 54