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A Study to Investigate the Safety and Efficacy of LT-02 in Patients With Mesalamine Refractory Ulcerative Colitis (UC) (PROTECT-3)

Primary Purpose

Ulcerative Colitis

Status
Terminated
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
LT-02
LT-02 Placebo
Sponsored by
Prometheus Laboratories
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis focused on measuring Colitis, Colitis, Ulcerative, Ulcer, Colonic Diseases, Digestive System Diseases, Gastroenteritis, Gastrointestinal Diseases, Inflammatory Bowel Diseases, Intestinal Diseases, Pathologic Processes, Mesalamine

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Established diagnosis of ulcerative colitis (UC), based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings.
  2. Active UC with disease confirmed by endoscopy findings and confirmed by central reader.
  3. A modified Mayo Score 4-10, and with a centrally read endoscopy score activity of ≥ 2 points.
  4. Mesalamine (5-ASA) refractory.

Exclusion Criteria:

  1. Diagnosis of Crohn's disease, indeterminate colitis, ischemic colitis, radiation colitis, microscopic colitis (i.e., collagenous colitis and lymphocytic colitis), diverticular disease associated colitis,
  2. Toxic megacolon or fulminant colitis,
  3. Prior colon resection,
  4. Evidence of infectious colitis (e.g., pathogenic bacteria or Clostridium difficile infection) at screening,
  5. Known celiac disease
  6. Other inflammatory or bleeding disorders of the colon and intestine, or diseases what may cause diarrhea or gastrointestinal bleeding
  7. History or presence of ischemic heart disease, myocardial infarction, peripheral arterial disease, ischemic stroke, or transient ischemic attack,
  8. Subjects with known hypersensitivity to soy,
  9. Treatment with methotrexate, azathioprine, 6-mercaptopurine TNF-alpha-antagonists, vedolizumab or certolizumab pegol, tacrolimus, or anti-integrin therapy within last 8 weeks prior to screening,
  10. Treatment with any (topical or systemic) corticosteroid formulation for the treatment of IBD within last 7 days prior to endoscopy,
  11. Treatment with other investigational drug within last 8 weeks prior to screening,

Sites / Locations

  • Prometheus Site 24
  • Prometheus Site 10
  • Prometheus Site 15
  • Prometheus Site 42
  • Prometheus Site 30
  • Prometheus Site 28
  • Prometheus Site 2
  • Prometheus Site 27
  • Prometheus Site 45
  • Prometheus Site 35
  • Prometheus Site 17
  • Prometheus Site 55
  • Prometheus Site 8
  • Prometheus Site 13
  • Prometheus Site 36
  • Prometheus Site 44
  • Prometheus Site 37
  • Prometheus Site 11
  • Prometheus Site 53
  • Prometheus Site 54
  • Prometheus Site 20
  • Prometheus Site 4
  • Prometheus Site 5
  • Prometheus Research Site 1
  • Prometheus Site 6
  • Prometheus Site 51
  • Prometheus Site 48
  • Prometheus Site 31
  • Prometheus Site 40
  • Prometheus Site 21
  • Prometheus Site 22
  • Prometheus Site 33
  • Prometheus Site 26
  • Prometheus Site 41
  • Prometheus Site 32
  • Prometheus Site 43
  • Prometheus Site 7
  • Prometheus Site 49
  • Prometheus Site 39
  • Prometheus Site 47
  • Prometheus Site 9
  • Prometheus Site 23
  • Prometheus Site 25
  • Prometheus Site 34
  • Prometheus Site 12

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LT-02

LT-02 Placebo

Arm Description

1.6 g PC in LT-02 BID

0 g PC in LT-02 Placebo BID

Outcomes

Primary Outcome Measures

Rate of clinical remission
The percentage of subjects in clinical remission using the abbreviated modified Mayo score

Secondary Outcome Measures

Clinical response
Percentage of subjects with clinical response using the abbreviated modified Mayo score
Endoscopic response
Percentage of subjects with endoscopic response
Histological improvement
Percentage of subjects with histological improvement
Endoscopic remission
Percentage of subjects with endoscopic remission
Mucosal healing
Percentage of subjects with mucosal healing
Quality of life
Change in the subjects quality of life, using Inflammatory Bowel Disease Quality of Life Questionnaire (IBDQ)

Full Information

First Posted
July 26, 2016
Last Updated
June 13, 2017
Sponsor
Prometheus Laboratories
Collaborators
Nestlé Health Science Spain, Syneos Health
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1. Study Identification

Unique Protocol Identification Number
NCT02849951
Brief Title
A Study to Investigate the Safety and Efficacy of LT-02 in Patients With Mesalamine Refractory Ulcerative Colitis (UC)
Acronym
PROTECT-3
Official Title
A Randomized, Double-blind, Placebo-controlled Study of the Efficacy and Safety of a 12-week Add-on Treatment With LT-02 vs. Placebo in Subjects With Ulcerative Colitis Refractory to Standard Treatment With Mesalamine
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Terminated
Why Stopped
LT-02 did not appear to help induce remission of UC
Study Start Date
July 2016 (undefined)
Primary Completion Date
March 2019 (Anticipated)
Study Completion Date
August 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prometheus Laboratories
Collaborators
Nestlé Health Science Spain, Syneos Health

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether Phosphatidylcholine (LT-02) add on treatment is effective and safe for the induction of remission in ulcerative colitis patients refractory to standard treatment with mesalamine
Detailed Description
A randomized, double-blind, placebo-controlled study to assess the efficacy and safety of LT-02 (delayed release phosphatidylcholine granules; administered orally via 1.6 g BID for up to 12 weeks) in subjects with active ulcerative colitis who are refractory to a standard dose of oral mesalamine therapy. Refractory to mesalamine is defined as active disease despite receiving at least ≥ 2.4g mesalamine (or equivalent dose) for at least 8 weeks with or without rectal 5-ASA.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis
Keywords
Colitis, Colitis, Ulcerative, Ulcer, Colonic Diseases, Digestive System Diseases, Gastroenteritis, Gastrointestinal Diseases, Inflammatory Bowel Diseases, Intestinal Diseases, Pathologic Processes, Mesalamine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LT-02
Arm Type
Experimental
Arm Description
1.6 g PC in LT-02 BID
Arm Title
LT-02 Placebo
Arm Type
Placebo Comparator
Arm Description
0 g PC in LT-02 Placebo BID
Intervention Type
Drug
Intervention Name(s)
LT-02
Intervention Description
12-weeks of 1.6 g BID delayed-release phosphatidylcholine (LT-02)
Intervention Type
Drug
Intervention Name(s)
LT-02 Placebo
Intervention Description
12-weeks of 0 g BID delayed-release phosphatidylcholine (LT-02) placebo
Primary Outcome Measure Information:
Title
Rate of clinical remission
Description
The percentage of subjects in clinical remission using the abbreviated modified Mayo score
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Clinical response
Description
Percentage of subjects with clinical response using the abbreviated modified Mayo score
Time Frame
12 weeks
Title
Endoscopic response
Description
Percentage of subjects with endoscopic response
Time Frame
12 weeks
Title
Histological improvement
Description
Percentage of subjects with histological improvement
Time Frame
12 weeks
Title
Endoscopic remission
Description
Percentage of subjects with endoscopic remission
Time Frame
12 weeks
Title
Mucosal healing
Description
Percentage of subjects with mucosal healing
Time Frame
12 weeks
Title
Quality of life
Description
Change in the subjects quality of life, using Inflammatory Bowel Disease Quality of Life Questionnaire (IBDQ)
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Established diagnosis of ulcerative colitis (UC), based on clinical history, exclusion of infectious causes, and characteristic endoscopic and histologic findings. Active UC with disease confirmed by endoscopy findings and confirmed by central reader. A modified Mayo Score 4-10, and with a centrally read endoscopy score activity of ≥ 2 points. Mesalamine (5-ASA) refractory. Exclusion Criteria: Diagnosis of Crohn's disease, indeterminate colitis, ischemic colitis, radiation colitis, microscopic colitis (i.e., collagenous colitis and lymphocytic colitis), diverticular disease associated colitis, Toxic megacolon or fulminant colitis, Prior colon resection, Evidence of infectious colitis (e.g., pathogenic bacteria or Clostridium difficile infection) at screening, Known celiac disease Other inflammatory or bleeding disorders of the colon and intestine, or diseases what may cause diarrhea or gastrointestinal bleeding History or presence of ischemic heart disease, myocardial infarction, peripheral arterial disease, ischemic stroke, or transient ischemic attack, Subjects with known hypersensitivity to soy, Treatment with methotrexate, azathioprine, 6-mercaptopurine TNF-alpha-antagonists, vedolizumab or certolizumab pegol, tacrolimus, or anti-integrin therapy within last 8 weeks prior to screening, Treatment with any (topical or systemic) corticosteroid formulation for the treatment of IBD within last 7 days prior to endoscopy, Treatment with other investigational drug within last 8 weeks prior to screening,
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gregory Gordon, M.D., J.D.
Organizational Affiliation
Nestle Health Science, Medical Director
Official's Role
Study Director
Facility Information:
Facility Name
Prometheus Site 24
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Prometheus Site 10
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Prometheus Site 15
City
Chula Vista
State/Province
California
ZIP/Postal Code
91910
Country
United States
Facility Name
Prometheus Site 42
City
Lancaster
State/Province
California
ZIP/Postal Code
93534
Country
United States
Facility Name
Prometheus Site 30
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Prometheus Site 28
City
Rialto
State/Province
California
ZIP/Postal Code
92377
Country
United States
Facility Name
Prometheus Site 2
City
Ventura
State/Province
California
ZIP/Postal Code
93003
Country
United States
Facility Name
Prometheus Site 27
City
Lafayette
State/Province
Colorado
ZIP/Postal Code
80026
Country
United States
Facility Name
Prometheus Site 45
City
Lone Tree
State/Province
Colorado
ZIP/Postal Code
80124
Country
United States
Facility Name
Prometheus Site 35
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Prometheus Site 17
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33319
Country
United States
Facility Name
Prometheus Site 55
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Prometheus Site 8
City
Naples
State/Province
Florida
ZIP/Postal Code
34102
Country
United States
Facility Name
Prometheus Site 13
City
Naples
State/Province
Florida
ZIP/Postal Code
34110
Country
United States
Facility Name
Prometheus Site 36
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Prometheus Site 44
City
Orlando
State/Province
Florida
ZIP/Postal Code
32807
Country
United States
Facility Name
Prometheus Site 37
City
Athens
State/Province
Georgia
ZIP/Postal Code
30607
Country
United States
Facility Name
Prometheus Site 11
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
Facility Name
Prometheus Site 53
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60624
Country
United States
Facility Name
Prometheus Site 54
City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60169
Country
United States
Facility Name
Prometheus Site 20
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66606
Country
United States
Facility Name
Prometheus Site 4
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71105
Country
United States
Facility Name
Prometheus Site 5
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Facility Name
Prometheus Research Site 1
City
Brockton
State/Province
Massachusetts
ZIP/Postal Code
02379
Country
United States
Facility Name
Prometheus Site 6
City
Chesterfield
State/Province
Michigan
ZIP/Postal Code
48047
Country
United States
Facility Name
Prometheus Site 51
City
Southfield
State/Province
Michigan
ZIP/Postal Code
48034
Country
United States
Facility Name
Prometheus Site 48
City
Wyoming
State/Province
Michigan
ZIP/Postal Code
49519
Country
United States
Facility Name
Prometheus Site 31
City
Plymouth
State/Province
Minnesota
ZIP/Postal Code
55446
Country
United States
Facility Name
Prometheus Site 40
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63128
Country
United States
Facility Name
Prometheus Site 21
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Facility Name
Prometheus Site 22
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Prometheus Site 33
City
Poughkeepsie
State/Province
New York
ZIP/Postal Code
12601
Country
United States
Facility Name
Prometheus Site 26
City
The Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Prometheus Site 41
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States
Facility Name
Prometheus Site 32
City
Kinston
State/Province
North Carolina
ZIP/Postal Code
28501
Country
United States
Facility Name
Prometheus Site 43
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29203
Country
United States
Facility Name
Prometheus Site 7
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
Facility Name
Prometheus Site 49
City
Houston
State/Province
Texas
ZIP/Postal Code
77090
Country
United States
Facility Name
Prometheus Site 39
City
Humble
State/Province
Texas
ZIP/Postal Code
77338
Country
United States
Facility Name
Prometheus Site 47
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Prometheus Site 9
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Prometheus Site 23
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
Country
United States
Facility Name
Prometheus Site 25
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
Prometheus Site 34
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22911
Country
United States
Facility Name
Prometheus Site 12
City
Richland
State/Province
Washington
ZIP/Postal Code
99352
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Investigate the Safety and Efficacy of LT-02 in Patients With Mesalamine Refractory Ulcerative Colitis (UC)

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