Efficacy and Safety Study of Apremilast to Treat Active Ulcerative Colitis (UC)
Ulcerative Colitis
About this trial
This is an interventional treatment trial for Ulcerative Colitis focused on measuring Ulcerative Colitis, Inflammatory Bowel Disease
Eligibility Criteria
Inclusion Criteria:
Subjects must satisfy the following criteria to be enrolled in the study:
- Male or female aged 18 and over at the time of signing the informed consent.
- Must understand and voluntarily sign an informed consent form prior to any study related assessments/procedures being conducted.
- Diagnosis of ulcerative colitis (UC) with a duration of at least 3 months prior to the Screening Visit..
- Total Mayo Score (TMS) ≥ 6 to ≤ 11 (range: 0-12) at baseline, prior to randomization in the study.
- Endoscopic subscore ≥ 2 (range: 0-3) on the Mayo score prior to randomization in the study.
- Subjects must have had a therapeutic failure, been intolerant to, or have a contraindication to, at least one of the following: oral aminosalicylates (ie, 5-aminosalicylic acid [5-ASA] compounds or sulfasalazine [SSZ]), budesonide, systemic corticosteroids, or immunosuppressants (eg, 6-mercaptopurine [6-MP], azathioprine [AZA], or methotrexate [MTX]).
Exclusion Criteria:
The presence of any of the following will exclude a subject from enrollment:
- Diagnosis of Crohn's disease, indeterminate colitis, ischemic colitis, microscopic colitis, radiation colitis or diverticular disease-associated colitis.
- Ulcerative colitis restricted to the distal 15 cm or less (eg, ulcerative proctitis).
- Subjects who have had surgery as a treatment for UC or who, in the opinion of the Investigator, are likely to require surgery for UC during the study.
- Clinical signs suggestive of fulminant colitis or toxic megacolon.
- Prior use of any tumor necrosing factor (TNF) inhibitor (or any biologic agent).
- Prior use of mycophenolic acid, tacrolimus, sirolimus, cyclosporine or thalidomide.
- Use of intravenous (IV) corticosteroids within 2 weeks of the Screening Visit.
- Use of immunosuppressants (AZA, 6-MP or MTX) within 8 weeks of the Screening Visit.
- Use of topical treatment with 5-ASA or corticosteroid enemas or suppositories within 2 weeks of the Screening Visit.
- History of any clinically significant neurological, renal, hepatic, gastrointestinal, pulmonary, metabolic, cardiovascular, psychiatric, endocrine, hematological disorder or disease, or any other medical condition that, in the investigator's opinion, would preclude participation in the study.
Sites / Locations
- Digestive Health Specialists of The Southeast
- Southern California Research Institute Medical Group, Inc.
- Connecticut Clinical Research Foundation
- Consultants for Clinical Research of South Florida
- Avail Clinical Research, LLC
- Precision Clinical Research, LLC
- Pharmax Research Clinic, Inc.
- Gastroenterology Group of Naples
- Advanced Medical Research Center
- University of Chicago Medical Center
- University of Iowa Hospitals and Clinics
- University of Louisville
- UMass Medical Center
- Clinical Research Institute of Michigan, LLC
- Center for Digestive Health Research
- Gastrointestinal Associates PA
- NYU Langone Long Island Clinical Research Associates
- Consultants for Clinical Research
- Quality Medical Research
- Digestive Research Center/ Gastroenterology Consultants of San Antonio
- Digestive Health Specialist of Tyler
- San Antonio Gastroenterology
- University of Utah
- Harborview Medical Center
- University of Washington Medical Center
- Concord Repatriation General Hospital
- Liverpool Hospital
- Mater Adult Hospital
- Footscray Hospital
- Royal Melbourne Hospital
- Multiprofile Hospital for Active Treatment Kaspela
- Medical Center Asklepion - Humane Medicine Research EOOD
- University Multiprofile Hospital for Active Treatment ACIBADEM City Clinic Sofia
- University Multiprofile Hospital for Active Treatment Sveti Ivan Rilski EAD
- University Multiprofile Hospital for Active Treatment Tsaritsa Yoanna ISUL EAD
- Clinic of Gastroenterology
- Multiprofile Hospital for Active Treatment Sveta Marina EAD
- Winnipeg Regional Health Authority - Health Sciences Centre
- Hamilton Health Sciences Corporation, McMaster University Medical Centre
- Fakultni nemocnice u sv Anny v Brne
- Fakultni nemocnice Hradec Kralove
- Hepato-Gastroenterologie HK, s. r. o.
- Nemocnice Slany
- Amiens University Hospital
- Hopital Beaujon
- CHRU Nantes
- CHU de Nice Archet I
- Centre Hospitalier Lyon Sud
- Centre Hospitalier Universitaire de Saint Etienne
- CHRU Nancy
- DRK Kliniken Berlin Westend
- Crohn-Colitis-Centre Rhein-Main
- Universitatsklinikum Schleswig-Holstein
- Gastroenterologische Praxis Minden
- Pannónia Magánorvosi Centrum Kft.
- ENDOMEDIX Kft.
- Vasútegészségügyi Nonprofit Kiemelten Közhasznú Kft. Debreceni Egészségügyi Központja
- Karolina Korhaz Rendelointezet
- Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
- Tolna Megyei Balassa Janos Korhaz
- Javorszky Odon Korhaz
- Azienda Ospedaliero Universitaria Di Bologna Policlinico Sorsola Malpighi
- IRCCS - Istituo Clinico Humanitas - Humanitas Cancer Center
- Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello
- Fondazione PTV Policlinico Tor Vergata
- Complesso Integrato Columbus
- Universitair Medisch Centrum Groningen
- Ikazia Ziekenhuis
- Auckland City Hospital
- Christchurch Hospital
- Dunedin Hospital
- Waikato hospital
- Uniwersytecki Szpital Kliniczny w Bialymstoku
- Osrodek Badan Klinicznych CLINSANTE S.C.
- Centrum Medyczne sw. Lukasza
- Economicus - NZOZ ALL-MEDICUS
- Endoskopia Sp. z o.o.
- Sonomed Sp. z o.o.
- Gastromed Kopon Zmudzinski i Wspolnicy Sp. j. Specjalistyczne Centrum Gastrologii i Endoskopii Spec. Gabinety Lekarskie
- Centrum Zdrowia Matki, Dziecka i Mlodziezy
- Niepubliczny Zaklad Opieki Zdrowotnej VIVAMED
- Lexmedica Drubajlo Hanna
- Ars Medica
- Republican Clinical Hospital
- Stolitsa-Medikl, LLC
- SEIHPE Rostov State Medical University of MoH of RF
- Regional Clinical Hospital
- Russian Medical Military Academy na SMKirov
- Regional Clinical Hospital, Gastroenterology department, State Higher Education Institute Ivano-Frankivsk National Medical University
- Ivano-Frankivsk Regional Clinical Hospital
- Ivano-Frankivsk Central City Clinical Hospital
- Kharkiv City Clinical Hospital 2
- Private Enterprise Private Manufacture Company Acinus
- Kremenchuk City Hospital # 1 n.a O.T.Bohaievskyi
- Lviv Emergency Clinical Hospital, Therapeutics Department No. 1
- Municipal Institution Odesa Regional Clinical Hospital
- Central City Clinical Hospital
- Vinnytsia Regional Clinical Hospital n a M I Pyrohov
- Municipal Institution Zaporizhzhia
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Apremilast 30 mg PO BID
Apremilast 40 mg PO BID
Placebo BID
Apremilast 30 mg by mouth (PO) twice a day (BID) for 12 weeks After 12 weeks: Participants who achieve at least a 20% decrease from baseline in the total Mayo score (TMS) will continue to receive apremilast 30 mg BID for an additional 40 weeks. (Wk 52) Participants who do not achieve at least a 20% decrease from baseline in the TMS will receive apremilast 40 mg BID for an additional 40 weeks (Wk 52) After 52 weeks, participants who are eligible for the Extension Phase will continue to receive the same dose of apremilast assigned at Wk 12 (30 mg BID or 40 mg BID) for an additional 52 weeks (Wk 104)
Apremilast 40 mg by mouth (PO) twice a day (BID) for 12 weeks After 12 weeks, participants assigned to the 40 mg BID dose of apremilast at baseline will continue to receive apremilast 40 mg BID for an additional 40 weeks (Wk 52) After 52 weeks, participants who are eligible for the extension Phase will continue to receive apremilast 40 mg BID for an additional 52 weeks (Wk 104)
Identically matching placebo by mouth (PO) twice a day (BID) for 12 weeks. After 12 weeks all participants randomized to placebo at baseline will be re-randomized to receive apremilast 30 mg or 40 mg BID for an additional 40 weeks (Wk 52) After Wk 52, participants who are eligible for the extension phase will continue to receive the same dose of apremilast assigned at Wk 12 (30 mg BID or 40 mg BID) for an additional 52 weeks (Wk 104)