A Study of Mirikizumab (LY3074828) in Participants With Moderate to Severe Ulcerative Colitis
Ulcerative Colitis
About this trial
This is an interventional treatment trial for Ulcerative Colitis focused on measuring IL-23 antibody
Eligibility Criteria
Inclusion Criteria:
- Have moderate to severe active UC as defined by a Mayo score of 6 to 12 with an endoscopic subscore ≥2 within 14 days before the first dose of study treatment (note: a partial Mayo score of at least 4 and other eligibility criteria must have been met before endoscopy is performed as a study procedure)
- Have evidence of UC extending proximal to the rectum (≥15 centimeters [cm] of involved colon)
- Up-to-date colorectal cancer surveillance (performed according to local standard), for subjects with family history of colorectal cancer, personal history of increased colorectal cancer risk, age >50 years, or other known risk factor
- Participants must either: be naive to biologic therapy (eg, tumor necrosis factor [TNF] antagonists or vedolizumab) and have at least 1 of the following: inadequate response or failure to tolerate current treatment with oral or intravenous corticosteroids or immunomodulators (6-mercaptopurine or azathioprine) or history of corticosteroid dependence (an inability to successfully taper corticosteroids without return of UC) OR have received treatment with 1 or more biologic agents (eg, TNF antagonists or vedolizumab) at doses approved for the treatment of UC with documented history of failure to respond to or tolerate such treatment
Exclusion Criteria:
- Have been diagnosed with indeterminate colitis, proctitis (distal disease involving the rectum only; less than 15 cm from the anal verge) or Crohn's Disease
- Have had surgery for treatment of UC or are likely to require surgery for UC during the study
- Have received any of the following for treatment of UC: cyclosporine or thalidomide within 30 days of screening, corticosteroid enemas, corticosteroid suppositories, or topical treatment with 5-aminosalicyclic acid within 30 days of screening
Sites / Locations
- Precision Research Institute, LLC
- University of California - San Diego
- Inland Empire Liver Foundation
- Borland Groover Clinic
- University of Chicago Medical Center
- Delta Research Partners LLC
- University of Michigan
- Minnesota Gastroenterology, P.A.
- Columbia University Medical Center
- Carolinas Healthcare System
- Care Access Research - Salt Lake City
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Experimental
50 mg Mirikizumab IV Q4W (Induction)
200 mg Mirikizumab IV Q4W (induction)
600 mg Mirikizumab IV Q4W (Induction)
Placebo IV Q4W (Induction)
200 mg Mirikizumab SC Q4W (Maintenance)
200 mg Mirikizumab SC Q12W (Maintenance)
Placebo SC Q4W (Maintenance)
600mg Mirikizumab IV Q4W Extension Open-Label
1000mg Mirikizumab IV Q4W Extension Open-Label
200mg Mirikizumab SC Q4W Extension Open-Label
50 mg mirikizumab administered every 4 weeks (Q4W) intravenously (IV) during the induction period. Participants who do not have a clinical response may choose to participate in the unblinded study extension period.
200 mg mirikizumab administered every 4 weeks (Q4W) intravenously (IV) during the induction period. Participants who do not have a clinical response may choose to participate in the unblinded study extension period.
600 mg mirikizumab administered every 4 weeks (Q4W) intravenously (IV) during the induction period. Participants who do not have a clinical response may choose to participate in the unblinded study extension period.
Placebo administered every 4 weeks (Q4W) intravenously (IV) during the induction period.
Induction mirikizumab responders were re-randomized: 200 mg mirikizumab administered subcutaneously (SC) Q4W during the maintenance period.
Induction mirikizumab responders were re-randomized: 200 mg mirikizumab administered subcutaneously (SC) once every 12 weeks (Q12W) during the maintenance period.
Induction placebo responders: Placebo administered subcutaneously (SC) Q4W during the maintenance period.
Induction non-responders: 600 mg mirikizumab administered intravenously (IV) once every 4 weeks (Q4W) during the Extension Open-Label.
Induction non-responders: 1000 mg mirikizumab administered intravenously (IV) once every 4 weeks (Q4W) during the Extension Open-Label.
Extension Induction responders: 200 mg mirikizumab administered subcutaneously (SC) once every 4 weeks (Q4W) during the Extension Open-Label