This is randomized, placebo-controlled, dose-escalation, multicenter, Phase 2 study to evaluate the efficacy and safety of BBT-401-1S in patients with active ulcerative colitis. This study consists of three cohorts with 16-week treatment period per cohort that will be conducted sequentially.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
16
Total 16 week treatment period: The subject takes BBT-401-1S, QD for the first 12 weeks, then placebo for the last 4 weeks.
Total 16 week treatment period: The subject takes the placebo, QD for the first 8 weeks, then BBT-401-1S for the last 8 weeks.
Site 03
Sacramento, California, United States
Site 01
Ventura, California, United States
Site 11
Boca Raton, Florida, United States
Site 12
Pembroke Pines, Florida, United States
Change From Baseline in Total Mayo Score
The Total Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 12 points. The Total Mayo score consists of 4 subscores( Stool frequency, Rectal bleeding, Findings of endoscopy, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.
Time frame: Week 8
Change From Baseline in Partial Mayo Score
The Partial Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 9 points. The Partial Mayo score consists of 3 subscores( Stool frequency, Rectal bleeding, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.
Time frame: Week 8
Change From Baseline in Histologic Assessment of Endoscopic Biopsy
Histological assessment of endoscopic biopsy is an appropriate method for evaluating mucosal healing (Carbonnel et al, 1994).
Time frame: Week 8
Change From Baseline in Ulcerative Colitis Endoscopic Index of Severity (0-8)
The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) is the first validated index for the assessment of overall endoscopic activity. The model incorporates the vascular pattern score(0-2), the presence of bleeding score(0-3) and the presence of erosions and ulcers score (0-3). Higher score of the sum of these subscore indicates more severe disease.
Time frame: Week 8
Number and Severity of TEAEs
Treatment Emergent Adverse Event (TEAE) is defined as an adverse event that occurs or worsens on or after the first dose of study drug.
Time frame: up to 8 weeks after the last dose
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Site 04
Rockville, Maryland, United States
Site 10
Ann Arbor, Michigan, United States
Site 02
Monroe, North Carolina, United States
Site 08
Chattanooga, Tennessee, United States
Site 05
Austin, Texas, United States
Site 13
McAllen, Texas, United States
...and 1 more locations
Plasma Concentration of BBT- 401-1S
Analysis of Plasma Pharmacokinetics for BBT- 401 -1S
Time frame: Day 1, Week 4, Week 8
Change From Baseline in Concentration of Serum CRP
Widely used serum indicator of inflammation in Ulcerative Colitis(UC).
Time frame: Week 8
Change From Baseline in Concentration of Fecal Calprotectin
Reliable surrogate marker for disease activity in Ulcerative Colitis (UC).
Time frame: Week 8
Change From Baseline in Concentration of Fecal Lactoferrin
A stool (fecal) test that is used to detect inflammation in the intestines.
Time frame: Week 8