Safety and Efficacy of Andecaliximab in Participants With Moderately to Severely Active Crohn's Disease
Crohn's Disease
About this trial
This is an interventional treatment trial for Crohn's Disease
Eligibility Criteria
Key Inclusion Criteria:
- Ability to provide a written informed consent
- Females of childbearing potential must have a negative pregnancy test at screening and baseline
- Documented diagnosis of Crohn's disease with a minimum disease duration of 6 months with involvement of the ileum and/or colon at a minimum
- Moderately to severely active Crohn's disease as defined by a Crohn's Disease Activity Index (CDAI) total score between 220-450 (inclusive) AND with evidence of active disease as measured by ileocolonoscopy
Within the previous 5 years, demonstrated an inadequate clinical response or intolerance of at least one of the following agents:
- Corticosteroids
- Immunomodulators
- Tumor necrosis factor-alpha (TNFα) antagonists
- Vedolizumab
May be receiving the following drugs:
- Oral 5-aminosalicylate (5-ASA)
- Oral corticosteroid therapy
- Antidiarrheals for chronic diarrhea
- Azathioprine or 6-mercaptopurine (6-MP) or methotrexate
- Antibiotics for the treatment of Crohn's disease
- Able to comply with the dosing instructions for study drug and able to comply with the study visits and requirements
Key Exclusion Criteria:
- Evidence of abscess at screening
- Extensive colonic resection (subtotal or total colectomy) or history of > 2 small bowel resections
- Ileostomy, colostomy, or symptomatic stenosis of the intestine
- Current use of oral corticosteroids at a dose equivalent to > 30 mg/day of prednisone
- Ulcerative colitis or indeterminate colitis
- Short bowel syndrome
- Stool sample positive for Clostridium difficile (C. difficile) toxin, E. coli, Salmonella, Shigella, Campylobacter or Yersinia
- Treatment with any monoclonal antibody within 4 weeks of screening
- History or evidence of colonic mucosal dysplasia
- HIV, hepatitis B, hepatitis C, or tuberculosis (TB) infection
- Participated in a clinical study with an investigational drug or biologic within the last 30 days
- Any chronic medical condition (including, but not limited to, cardiac or pulmonary disease) that, in the opinion of the investigator, would make the individual unsuitable for the study or would prevent compliance with the study protocol
Note: Other protocol defined Inclusion/ Exclusion criteria may apply.
Sites / Locations
- Digestive Health Specialists of The Southeast
- Mayo Clinic
- Cedars Sinai Medical Center
- South Denver Gastroenterology
- University of Miami
- Gastroenterology Group Of Naples
- Gastroenterology Associates Of Central Georgia, LLC
- Medical Diagnostic Center (MDC)-Indiana University (IU) Health University Hospital
- Iowa Digestive Disease Center
- Cotton-O'Neil Clinical Research Center, Digestive Health
- Delta Research Partners
- Louisiana Research Center
- University of Michigan
- Clinical Research Institute of Michigan, LLC
- Mayo Clinic Rochester
- Washington University School of Medicine
- Dartmouth-Hitchcock Medical Center
- AGA Clinical Research Associates, LLC
- Columbia University Medical Center/ New York Presbyterian
- Premier Medical Group Of The Hudson Valley
- Mayo Clinic Rochester
- Asheville Gastroenterology Associates
- Consultants For Clinical Research
- Great Lakes Gastroenterology
- Gastro One
- Vanderbilt University Medical Center
- Texas Clinical Research Institute
- Ertan Digestive Disease Center of Excellence, UTH/MH-TMC
- Gastroenterology Research of San Antonio
- Gastroenterology Associates Of Tidewater
- Digestive and Liver Disease Specialists
- Mcguire Dvamc
- University of Washington Medical Center
- Concord Repatriation General Hospital
- Royal Adelaide Hospital
- Flinders Medical Centre
- Footscray Hospital
- Gastroenterology/Colorectal Medicine & Genetics
- Percuro Clinical Research Ltd.
- Percuro Clinical Research Ltd.
- Hepato-Gastroenterologie Hk S.R.O.
- Ibd Clinical And Research Centre-Iscare Ivf
- Hopital Beaujon
- CHRU de Lille
- Chu Hotel Dieu-Chu De Nantes
- CHU de Saint Etienne - Hopital Nord
- Universitatsklinikum Schleswig-Holstein
- Eugastro Gmbh
- Klinikum der Universitat Munchen
- Rethy Pal Hospital-Clinic Bekescsaba
- Tolna Megye Balassa Janos Korhaz
- Pannonia Maganorvosi Centrum Kft
- Debreceni Egyeterm Orvos es Egeszsegtudomanyi Centrum
- Universita Campus Biomedico
- Humanitas Research Hospital
- Christchurch Hospital
- Southern District Health Board
- Capital and Coast District Health board-Wellington hospital
- The Medical University of Bialystok Clinical
- Gastromed
- Ai Centrum Medyczne
- CRC Sp. z o.o.
- Endoskopia SP. z.o.o.
- Centralny Szpital Kliniczny MSWiA
- Lexmedica
- Panorama Mediclinic Pvt Hospital
- Parklands Medical Centre
- Hospital Universitari de Bellvitge
- Hospital Universitario de Fuenlabrada
- Hospital Ramon y Cajal
- Hospital Universitari i Politecnic La Fe de Valencia
- Norfolk and Norwich University Hospital Nhs Foundation Trust
- Cambridge University Hospitals NHS Foundation Trust
- Oxford University Hospitals NHS Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Andecaliximab 150 mg Every 2 Weeks
Andecaliximab 150 mg Weekly
Andecaliximab 300 mg Weekly
Placebo
Double-Blind Phase: Participants will receive 1 single-use prefilled syringe (PFS) of andecaliximab 150 mg and matching placebo coadministered at Weeks 0, 2, 4, and 6 and 2 single-use PFS of placebo coadministered at Weeks 1, 3, 5, and 7. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Double-Blind Phase: Participants will receive 1 single-use PFS of andecaliximab 150 mg and matching placebo coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Double-Blind Phase: Participants will receive 2 single-use PFS of andecaliximab 150 mg coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.
Double-Blind Phase: Participants will receive 2 single-use PFS of placebo coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.