A Study of the Efficacy and Safety of Etrolizumab Treatment in Maintenance of Disease Remission in Ulcerative Colitis (UC) Participants Who Are Naive to Tumor Necrosis Factor (TNF) Inhibitors (LAUREL)
Colitis, Ulcerative
About this trial
This is an interventional treatment trial for Colitis, Ulcerative
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of ulcerative colitis (UC) established at least 3 months prior to Day 1 by clinical and endoscopic evidence
- Moderately to severely active UC as determined by an MCS of 6-12 with an endoscopic subscore greater than or equal to (≥)2 as determined by the central reading procedure (endoscopy to be performed 4-16 days prior to Day 1), a rectal bleeding subscore ≥1, and a stool frequency subscore ≥1 during the screening period (prior to Day 1)
- Evidence of UC extending a minimum of 20 centimeters (cm) from the anal verge as determined by baseline endoscopy (flexible sigmoidoscopy or colonoscopy) performed during screening, 4-16 days prior to Day 1
- Naive to treatment with any anti-TNF therapy
- Participants must have had an inadequate response, loss of response, or intolerance to prior corticosteroid and/or immunosuppressant treatment
- Background regimen for UC may include oral 5-aminosalicylate (5-ASA), oral corticosteroids, budesonide, probiotics, azathioprine (AZA), 6-mercaptopurine (6-MP), or methotrexate (MTX) if doses have been stable during the screening period
- Use of highly effective contraception
- Must have received a colonoscopy within the past year or be willing to undergo a colonoscopy in lieu of a flexible sigmoidoscopy at screening
Exclusion Criteria:
- A history of or current conditions and diseases affecting the digestive tract, such as indeterminate colitis, suspicion of ischemic colitis, radiation colitis, or microscopic colitis, Crohn's disease, fistulas or abdominal abscesses, colonic mucosal dysplasia, intestinal obstruction, toxic megacolon, or unremoved adenomatous colonic polyps
- Prior or planned surgery for UC
- Past or present ileostomy or colostomy
- Any prior treatment with etrolizumab or other anti-integrin agents (including natalizumab, vedolizumab, and efalizumab) as stated in the protocol
- Any prior treatment with anti-adhesion molecules (such as mucosal addressin cell adhesion molecule [MAdCAM-1])
- Any prior treatment with rituximab
- Any treatment with tofacitinib during screening
- Cogenital or acquired immune deficiency, chronic hepatitis B or C infection, human immunodeficiency virus (HIV) positive, or history of tuberculosis (active or latent)
- Evidence of or treatment for Clostridium difficile within 60 days prior to Day 1 or other intestinal pathogens within 30 days prior to Day 1
- History of recurrent opportunistic infections and/or severe disseminated viral infections
- History of organ transplant
- Any major episode of infection requiring treatment with intravenous (IV) antibiotics within 8 weeks prior to screening or oral antibiotics within 4 weeks prior to screening
- Received a live attenuated vaccine within 4 weeks prior to Day 1
Sites / Locations
- University of California, Irvine Medical Center
- Clinical Applications Laboratories, Inc.
- University of California at San Francisco
- Ventura Clinical Trials
- Peak Gastroenterology Associates; Gastroenterology
- Clinical Research of the Rockies
- West Central Gastroenterology d/b/a Gastro Florida
- IMIC, Inc
- Regenerate Clinical Trials
- Advanced Research Institute, Inc.
- Shafran Gastroenterology Center
- Northwestern University-Feinberg School of Medicine; Division of Gastroenterology and Hepatology
- Southwest Gastroenterology
- Aquiant Research
- Louisiana Research Center, LLC
- Commonwealth Clinical Studies
- Henry Ford Health System
- Center for Digestive Health
- University of Minnesota
- University of Mississippi Medical Center
- Ehrhardt Clinical Research, LLC
- Manhattan Clinical Research
- Weill Cornell Medical College-New York Presbyterian Hospital
- Asheville Gastroenterology Associates, P.A.
- UNC at Chapel Hill - Dpt of Family Medicine; Center for Functional GI and Motility Disorders
- Kinston Medical Specialists
- Texas Digestive Disease Consultants - Dallas
- Texas Digestive Disease Consultants - Southlake
- Digestive Health Specialists of Tyler
- Ericksen Research and Development
- University of Utah School of Medicine
- McGuire Research Institute; Gastroenterology
- Northwest Gastroenterology Associates
- Hospital Universitario Walter Cantidio - UFC
- Centro Digestivo de Curitiba
- Hospital Moinhos de Vento
- CECIP - Centro de Estudos Clínicos do Interior Paulista
- Pesquisare Saúde Sociedade Simples
- Hospital Estadual Mario Covas
- Hospital Sírio-Libanês
- Hospital do Servidor Público Estadual/HSPE-SP
- Pacific Gastroenterology Associates
- Queen Elizabeth II Health Sciences Centre; Gastroenterology Research
- LHSC - University Hospital; Movement Disorders Program
- London Health Sciences Centre Victoria Hospital; Research Pharmacy
- Mount Sinai Hospital
- Toronto Digestive Disease Associates
- Fakultni nemocnice u sv. Anny v Brne; I.Interni kardioangiologicka klinika
- Hepato-Gastroenterologie HK, s.r.o.
- Nemocnice Na Bulovce
- Alborg Universitets Hospital
- Herlev og Gentofte Hospital
- Charite Universitaetsmedizin Berlin - Campus Charite Mitte
- Berufsgenossenschaftliches Universitaetsklinikum Bergmannsheil GmbH
- Ärztezentrum Ellwangen; Gemeinschaftspraxis
- Klinik Johann Wolfgang von Goethe Uni
- Medizinische Hochschule Hannover; Klinik für Gastroenterologie, Hepatologie und Endokrinologie
- Universitaetsklinikum Jena; Apotheke des Uniersitätsklinikums Jena
- Medizinisches Zentrum Klinikum Lueneburg
- Klinikum Mannheim GmbH Universitätsklinikum
- DRC Gyogyszervizsgalo Kozpont Kft
- Pannónia Klinika Magánorvosi
- Debreceni Egyetem Klinikai Kozpont
- Pest Megyei Flor Ferenc Korhaz
- Csongrad Megyei Dr. Bugyi Istvan Korhaz
- Osmania General Hospital
- Deccan College of Medical Sciences and Allied Hospitals
- Pushpawati Singhania Research Institute
- Shree Giriraj Multispeciality Hospital
- Nirmal Hospital
- K.L.E. Society's Dr. Prabhakar Kore Hospital and Medical Research Centre
- M. S. Ramaiah Medical College and Hospital
- Midas institute of Gastroenterology
- Dayanand Medical College and Hospital
- S. R. Kalla Memorial General Hospital
- Kasturba Medical College & Hospital
- Ruby Hall Clinic
- King Edward Memorial Hospital Research Centre
- Assaf Harofeh Medical Center
- Bnei Zion Medical Center; Department of Internal Medicine B
- Shaare Zedek Medical Center
- Hadassah University Hospital - Ein Kerem
- Holy Family Hospital
- Ospedale Sandro Pertini
- Fondazione Poliambulanza Istituto Ospedaliero
- Ospedale di Circolo; Neuropsichiatria Infantile
- Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
- Centro Regiomontano de Estudios Clínicos Roma S.C.
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
- Phylasis Clinicas Research S de RL de CV
- Zespó Przychodni Specjalistycznych PRIMA
- LexMedica Osrodek Badan Klinicznych
- Fakultna nemocnica Nitra
- Endomed, s.r.o.
- Dr JP Wright Practice
- Emmed Research
- CI of SRC Sumy RCH Dept of Rheumatology Sumy SU MI
- CI of Kyiv RC Kyiv Regional Clinical Hospital
- Lviv Regional Clinical Hospital
- A.Novak Transcarpathian Regional Clinical Hospital
- Odessa regional clinical Hospital
- M.V. Sklifosovskyi Poltava RCH Dept of Gastroenterology HSEIU UMSA
- SI Divisional Clinical Hospital of Uzhgorod Station of ST&BA LZ Dep of Therapy SHEI Uzhgorod NU
- M.I. Pyrogov VRCH Dept of Gastroenterology M.I. Pyrogov VNMU
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Open-Label Induction Phase: Etrolizumab
Double-Blind Maintenance Phase: Etrolizumab
Double-Blind Maintenance Phase: Placebo
All participants will receive treatment with open-label etrolizumab 105 milligrams (mg) subcutaneous (SC) injection once every 4 weeks (Q4W) up to Week 10.
Participants who achieved a clinical response at Week 10 during the induction phase and randomized to this arm for the double-blind maintenance phase will receive etrolizumab 105 mg SC injection Q4W from Week 12 up to Week 62.
Participants who achieved a clinical response at Week 10 during the induction phase and randomized to this arm for the double-blind maintenance phase will receive placebo (matched to etrolizumab) SC injection Q4W from Week 12 up to Week 62.