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TD-1473 for Active Ulcerative Colitis (UC)

Primary Purpose

Ulcerative Colitis, Active Moderate, Ulcerative Colitis, Active Severe

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
TD-1473
Placebo
Sponsored by
Theravance Biopharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis, Active Moderate focused on measuring Ulcerative Colitis, Active Moderate and Severe

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Has a history of ulcerative colitis diagnosis at least 3 months prior to screening
  • Is intolerant, refractory, or only partially responsive to aminosalicylates, corticosteroids, immunomodulators, or biologics. If subject is currently receiving an oral aminosalicylate, he or she is eligible and can stay on that dose of aminosalicylate provided the dose has been stable for at least 2 weeks prior to screening. If the subject is currently receiving an oral corticosteroid, he or she is eligible if the dose is equivalent to or less than prednisone 20 mg/day or budesonide 9 mg/day and stable for at least 2 weeks prior to screening sigmoidoscopy if the subject has been on corticosteroids for more than 2 weeks.
  • Has a rectal bleeding score ≥ 1 and a bowel frequency score ≥ 1 on the patient-reported outcome 2 (PRO2) on screening sigmoidoscopy day and on Day 1 in addition to a modified Mayo endoscopic subscore of ≥ 2 during screening
  • Women of childbearing potential must have a negative pregnancy test and either abstain from sexual intercourse or use a highly effective method of birth control
  • Willing and able to give informed consent
  • Additional inclusion criteria apply

Exclusion Criteria:

  • Has fulminant colitis, toxic megacolon, primary sclerosing cholangitis, Crohn's disease, history of colitis-associated colonic dysplasia, active peptic ulcer disease
  • Medications of exclusion: a) azathioprine, 6-mercaptopurine, or methotrexate within the 28 days prior to Day 1, b) adalimumab, infliximab, golimumab, etanercept, or certolizumab within the 60 days prior to Day 1, c) intravenous corticosteroids within the 14 days prior to Day 1, d) topical mesalamine or steroid (i.e., enemas or suppositories) within the 14 days prior to Day 1, e) any prior exposure to mycophenolic acid, tacrolimus, sirolimus, cyclosporine, natalizumab, rituximab, efalizumab, ustekinumab, fingolimod, or thalidomide, f) NSAIDs on a daily basis, g) tofacitinib within the 60 days prior to Day 1; h) vedolizumab within 120 days prior to Day 1
  • Has a current bacterial, parasitic, fungal, or viral infection
  • Is positive for hepatitis A, B or C, HIV or tuberculosis
  • Has clinically significant abnormalities in laboratory evaluations
  • Participated in another clinical trial of an investigational drug (or medical device) within 30 days prior to screening (or within 60 days prior to screening if investigational drug was a biologic or another Janus kinase (JAK) inhibitor, or is currently participating in another trial of an investigational drug (or medical device)
  • Use of prescription medications started or with a dose adjustment within 4 weeks prior to study enrollment, or over-the-counter medications or supplements started or with a dose adjustment within 2 weeks prior study enrollment. Anti-diarrheal medications are allowed only if dose has been stable at least 2 weeks prior to study enrollment
  • Additional exclusion criteria apply

Sites / Locations

  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

TD-1473 low dose

TD-1473 mid dose

TD-1473 high dose

Placebo

Arm Description

10 subjects will be randomized to receive low-dose TD-1473 orally daily for 28 days

10 subjects will be randomized to receive mid-dose TD-1473 orally daily for 28 days

10 subjects will be randomized to receive high-dose TD-1473 orally daily for 28 days

10 subjects will be randomized to receive placebo orally daily for 28 days

Outcomes

Primary Outcome Measures

Treatment-emergent Adverse Events (TEAE)
Number of participants who experience one or more treatment-emergent Adverse Events (TEAE)
Moderate or Severe Treatment-emergent Adverse Events (TEAE)
Number of participants who experience one or more moderate or severe treatment-emergent Adverse Events (TEAE)
Serious Treatment-emergent Adverse Events (TEAE)
Number of participants who experience one or more serious treatment-emergent Adverse Events (TEAE)
Clinical Laboratory Measurements
Number of participants who experienced a Clinically Significant Clinical Laboratory Measurements
Electrocardiogram
Number of participants who experienced a Clinically Significant Electrocardiogram (ECG) Result
Vital Signs
Number of participants who experienced a Clinically Significant Vital Sign Measurement
Cmax in plasma
Maximum Observed Plasma Concentration of TD-1473
Tmax in plasma
Time to Reach Maximum Observed Plasma Concentration (Cmax) of TD-1473
Tlast in plasma
Time to Last Quantifiable Concentration of TD-1473
Ctrough in plasma
Trough Concentration of TD-1473
AUC0-4 in plasma
Area Under the Concentration-time Curve from Time Zero to 4 hours Post-Dose of TD-1473
Ctissue in plasma
Tissue Concentration of TD-1473

Secondary Outcome Measures

C-reactive protein (CRP)
Mean Change in Serum C-reactive Protein (CRP)
Fecal Calprotectin
Mean Change in Fecal Calprotectin
Partial Mayo score
Mean Change in Partial Mayo Score

Full Information

First Posted
June 23, 2016
Last Updated
September 28, 2021
Sponsor
Theravance Biopharma
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1. Study Identification

Unique Protocol Identification Number
NCT02818686
Brief Title
TD-1473 for Active Ulcerative Colitis (UC)
Official Title
A Phase 1b Multi-Center, Randomized, Double-Blind, Multi-Dose, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacodynamics, and Plasma Exposure of TD-1473 in Subjects With Moderately-to-Severely Active Ulcerative Colitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
October 3, 2016 (Actual)
Primary Completion Date
March 29, 2018 (Actual)
Study Completion Date
March 29, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Theravance Biopharma

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of TD-1473 in subjects with moderately-to-severely active UC over 28 days. This exploratory study will also serve as a signal seeking endeavor to demonstrate biologic effect associated with TD-1473 through biomarker analysis and clinical, endoscopic, and histologic assessments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis, Active Moderate, Ulcerative Colitis, Active Severe
Keywords
Ulcerative Colitis, Active Moderate and Severe

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TD-1473 low dose
Arm Type
Experimental
Arm Description
10 subjects will be randomized to receive low-dose TD-1473 orally daily for 28 days
Arm Title
TD-1473 mid dose
Arm Type
Experimental
Arm Description
10 subjects will be randomized to receive mid-dose TD-1473 orally daily for 28 days
Arm Title
TD-1473 high dose
Arm Type
Experimental
Arm Description
10 subjects will be randomized to receive high-dose TD-1473 orally daily for 28 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
10 subjects will be randomized to receive placebo orally daily for 28 days
Intervention Type
Drug
Intervention Name(s)
TD-1473
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Treatment-emergent Adverse Events (TEAE)
Description
Number of participants who experience one or more treatment-emergent Adverse Events (TEAE)
Time Frame
Baseline to end of follow-up (a maximum of 42 days)
Title
Moderate or Severe Treatment-emergent Adverse Events (TEAE)
Description
Number of participants who experience one or more moderate or severe treatment-emergent Adverse Events (TEAE)
Time Frame
Baseline to end of follow-up (a maximum of 42 days)
Title
Serious Treatment-emergent Adverse Events (TEAE)
Description
Number of participants who experience one or more serious treatment-emergent Adverse Events (TEAE)
Time Frame
Baseline to end of follow-up (a maximum of 42 days)
Title
Clinical Laboratory Measurements
Description
Number of participants who experienced a Clinically Significant Clinical Laboratory Measurements
Time Frame
Baseline to end of follow-up (a maximum of 42 days)
Title
Electrocardiogram
Description
Number of participants who experienced a Clinically Significant Electrocardiogram (ECG) Result
Time Frame
Baseline to Day 14
Title
Vital Signs
Description
Number of participants who experienced a Clinically Significant Vital Sign Measurement
Time Frame
Baseline to end of follow-up (a maximum of 42 days)
Title
Cmax in plasma
Description
Maximum Observed Plasma Concentration of TD-1473
Time Frame
Day 1 and Day 14
Title
Tmax in plasma
Description
Time to Reach Maximum Observed Plasma Concentration (Cmax) of TD-1473
Time Frame
Day 1 and Day 14
Title
Tlast in plasma
Description
Time to Last Quantifiable Concentration of TD-1473
Time Frame
Day 1 and Day 14
Title
Ctrough in plasma
Description
Trough Concentration of TD-1473
Time Frame
Day 14 (Pre-dose)
Title
AUC0-4 in plasma
Description
Area Under the Concentration-time Curve from Time Zero to 4 hours Post-Dose of TD-1473
Time Frame
Day 1 and Day 14
Title
Ctissue in plasma
Description
Tissue Concentration of TD-1473
Time Frame
Day 28
Secondary Outcome Measure Information:
Title
C-reactive protein (CRP)
Description
Mean Change in Serum C-reactive Protein (CRP)
Time Frame
Baseline, Day 14 and Day 28
Title
Fecal Calprotectin
Description
Mean Change in Fecal Calprotectin
Time Frame
Baseline and Day 28
Title
Partial Mayo score
Description
Mean Change in Partial Mayo Score
Time Frame
Baseline, Day 14 and Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has a history of ulcerative colitis diagnosis at least 3 months prior to screening Is intolerant, refractory, or only partially responsive to aminosalicylates, corticosteroids, immunomodulators, or biologics. If subject is currently receiving an oral aminosalicylate, he or she is eligible and can stay on that dose of aminosalicylate provided the dose has been stable for at least 2 weeks prior to screening. If the subject is currently receiving an oral corticosteroid, he or she is eligible if the dose is equivalent to or less than prednisone 20 mg/day or budesonide 9 mg/day and stable for at least 2 weeks prior to screening sigmoidoscopy if the subject has been on corticosteroids for more than 2 weeks. Has a rectal bleeding score ≥ 1 and a bowel frequency score ≥ 1 on the patient-reported outcome 2 (PRO2) on screening sigmoidoscopy day and on Day 1 in addition to a modified Mayo endoscopic subscore of ≥ 2 during screening Women of childbearing potential must have a negative pregnancy test and either abstain from sexual intercourse or use a highly effective method of birth control Willing and able to give informed consent Additional inclusion criteria apply Exclusion Criteria: Has fulminant colitis, toxic megacolon, primary sclerosing cholangitis, Crohn's disease, history of colitis-associated colonic dysplasia, active peptic ulcer disease Medications of exclusion: a) azathioprine, 6-mercaptopurine, or methotrexate within the 28 days prior to Day 1, b) adalimumab, infliximab, golimumab, etanercept, or certolizumab within the 60 days prior to Day 1, c) intravenous corticosteroids within the 14 days prior to Day 1, d) topical mesalamine or steroid (i.e., enemas or suppositories) within the 14 days prior to Day 1, e) any prior exposure to mycophenolic acid, tacrolimus, sirolimus, cyclosporine, natalizumab, rituximab, efalizumab, ustekinumab, fingolimod, or thalidomide, f) NSAIDs on a daily basis, g) tofacitinib within the 60 days prior to Day 1; h) vedolizumab within 120 days prior to Day 1 Has a current bacterial, parasitic, fungal, or viral infection Is positive for hepatitis A, B or C, HIV or tuberculosis Has clinically significant abnormalities in laboratory evaluations Participated in another clinical trial of an investigational drug (or medical device) within 30 days prior to screening (or within 60 days prior to screening if investigational drug was a biologic or another Janus kinase (JAK) inhibitor, or is currently participating in another trial of an investigational drug (or medical device) Use of prescription medications started or with a dose adjustment within 4 weeks prior to study enrollment, or over-the-counter medications or supplements started or with a dose adjustment within 2 weeks prior study enrollment. Anti-diarrheal medications are allowed only if dose has been stable at least 2 weeks prior to study enrollment Additional exclusion criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Theravance Biopharma
Official's Role
Study Director
Facility Information:
Facility Name
Theravance Biopharma Investigational Site
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Facility Name
Theravance Biopharma Investigational Site
City
Monroe
State/Province
Louisiana
ZIP/Postal Code
71201
Country
United States
Facility Name
Theravance Biopharma Investigational Site
City
Hermitage
State/Province
Tennessee
ZIP/Postal Code
37076
Country
United States
Facility Name
Theravance Biopharma Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
Facility Name
Theravance Biopharma Investigational Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Facility Name
Theravance Biopharma Investigational Site
City
Tbilisi
ZIP/Postal Code
0141
Country
Georgia
Facility Name
Theravance Biopharma Investigational Site
City
Chisinau
ZIP/Postal Code
MD-2025
Country
Moldova, Republic of
Facility Name
Theravance Biopharma Investigational Site
City
Bucharest
ZIP/Postal Code
50152
Country
Romania

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Theravance Biopharma, Inc. will not be sharing individual de-identified participant data or other relevant study documents.
Citations:
PubMed Identifier
32161949
Citation
Sandborn WJ, Nguyen DD, Beattie DT, Brassil P, Krey W, Woo J, Situ E, Sana R, Sandvik E, Pulido-Rios MT, Bhandari R, Leighton JA, Ganeshappa R, Boyle DL, Abhyankar B, Kleinschek MA, Graham RA, Panes J. Development of Gut-Selective Pan-Janus Kinase Inhibitor TD-1473 for Ulcerative Colitis: A Translational Medicine Programme. J Crohns Colitis. 2020 Sep 16;14(9):1202-1213. doi: 10.1093/ecco-jcc/jjaa049.
Results Reference
derived
Links:
URL
https://academic.oup.com/ecco-jcc/advance-article/doi/10.1093/ecco-jcc/jjaa049/5803305
Description
"Development of Gut-Selective Pan-Janus Kinase Inhibitor TD-1473 for Ulcerative Colitis: A Translational Medicine Programme" in the Journal of Crohn's and Colitis

Learn more about this trial

TD-1473 for Active Ulcerative Colitis (UC)

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