Efficacy and Safety Study of Ontamalimab as Maintenance Treatment in Participants With Moderate to Severe Crohn's Disease (CARMEN CD 307) (CARMEN CD 307)
Crohn's Disease
About this trial
This is an interventional treatment trial for Crohn's Disease focused on measuring Crohn's disease
Eligibility Criteria
Inclusion Criteria:
- Participants and/or their parent or legally authorized representative (LAR) must have an understanding, ability, and willingness to fully comply with study procedures and restrictions.
- Participants must be able to voluntarily provide written, signed, and dated (personally or via a LAR) informed consent and/or assent, as applicable, to participate in the study.
Participants must have completed the 16-week induction treatment period from study SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) and met the following criteria at baseline in maintenance study SHP647-307:
- Meet endoscopic response criteria of a reduction in SES-CD from induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) baseline by greater than or equal to >=25% at Week 16 of induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) or
- Meet at least 1 of the following 4 criteria at baseline in maintenance study SHP647-307, in addition to no worsening of endoscopic score as measured by SES-CD relative to induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) baseline:
- Achieving clinical remission as determined by meeting the criteria for clinical remission using the 2-item PRO, that is, 2-item PRO sub scores of average worst daily abdominal pain <=3 (based on 11-point NRS) over the 7 most recent days* and average daily stool type frequency <=2 of type 6/7 (very soft stools/liquid stools) as shown in the Bristol Stool Form Scale (BSFS) over the 7 most recent days*.
- A decrease of at least 100 points in CDAI score (CDAI-100) from induction studies baseline.
- A decrease of >=30% and at least 2 points from induction studies baseline in the average daily worst abdominal pain over the 7 most recent days*, with the average daily stool frequency of type 6/7 (very soft stools/liquid stools) either: (i) not worsening from induction studies baseline and/or (ii) meeting the criteria for clinical remission, that is, 2-item PRO subscore of average daily stool frequency <=2 of type 6/7 (very soft stools/liquid stools) as shown in the BSFS over the 7 most recent days*.
A decrease of >=30% from induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) baseline in the average daily stool frequency of type 6/7 (very soft stools/liquid stools) as shown in the BSFS over the 7 most recent days*, with the average daily worst abdominal pain either: (i) not worsening from induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) baseline and/or (ii) meeting the criteria for clinical remission, that is, 2-item PRO sub score of average worst daily abdominal pain <=3 (based on 11-point NRS) over the 7 most recent days*.
*Note: The 7 days may or may not be contiguous during the 10 days of data collection before colonoscopy preparation, depending on days to be excluded because of missing data. If fewer than 7 days are available, the criterion will be calculated on all available most recent 6 or 5 days. If fewer than 5 days are available, the criterion will be treated as missing.
- Participants receiving any treatments for CD are eligible provided they have been, and are anticipated to be, on a stable dose for the designated period of time.
Exclusion Criteria:
- Participants who had major protocol deviations (as determined by the sponsor) in induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823).
- Participants who permanently discontinued investigational product because of an AE, regardless of relatedness to investigational product, in induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823).
- Participants who are likely to require surgery for CD during the study period, except minor interventions (eg, seton placement for anal fistulas).
- Participants are females who became pregnant during induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823), females who are lactating, females who are planning to become pregnant during the study period, or males or females of childbearing potential not agreeing to continue acceptable contraception methods (ie, highly effective methods for female participants and medically appropriate methods for male participants) through the conclusion of study participation.
- Participants who do not agree to postpone donation of any organ or tissue, including male participants who are planning to bank or donate sperm and female participants who are planning to harvest or donate eggs, for the duration of the study and through 16 weeks after last dose of investigational product.
- Participants who, in the opinion of the investigator or the sponsor, will be uncooperative or unable to comply with study procedures.
- Participants who have developed obstructive colonic stricture, or enterovesical or enterovaginal fistulae during the induction study SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823).
- Participants who have a newly diagnosed malignancy or recurrence of malignancy (other than resected cutaneous basal cell carcinoma, squamous cell carcinoma, or carcinoma in situ of the uterine cervix that has been treated with no evidence of recurrence).
- Participants who have developed any major illness/condition or evidence of an unstable clinical condition (example [eg,] renal, hepatic, hematologic, gastrointestinal (except disease under study), endocrine, cardiovascular, pulmonary, immunologic [eg, Felty's syndrome], or local active infection/infectious illness) that, in the investigator's judgment, will substantially increase the risk to the participant if he or she participates in the study.
- Participants with any other severe acute or chronic medical or psychiatric condition or laboratory or ECG abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Participants with known exposure to Mycobacterium tuberculosis (TB) since testing at screening in induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823) and who have been advised to require treatment for latent or active disease but who are without a generally accepted course of treatment.
Participants with any of the following abnormalities in hematology and/or serum chemistry profiles during the evaluation of the last visit in the induction studies SHP647-305 (NCT03559517) or SHP647-306 (NCT03566823). If the results are considered by the investigator to be transient and inconsistent with the participant's clinical condition, may be repeated once prior to enrollment in Study SHP647-307.
- Alanine aminotransferase (ALT) and aspartate aminotransferase levels >= 3.0 × the upper limit of normal (ULN).
- Total bilirubin level >=1.5 × ULN or >2.0 × ULN if the participant has a known documented history of Gilbert's syndrome.
- Hemoglobin level <=80 gram per liter (g/L) (8.0 gram per deciliter [g/dL]).
- Platelet count <=100 × 10^9/L (100,000 cells per cubic millimeter [mm^3]) or >=1000 × 10^9/L (1,000,000 cells/mm^3).
- White blood cell count <=3.5 × 10^9/L (3500 cells/mm^3).
- Absolute neutrophil count<2 × 10^9/L (<2000 cells/mm^3)
Serum creatinine level >1.5 × ULN or estimated glomerular filtration rate <30 milliliter per minute (mL/min)/1.73 m^2 based on the abbreviated Modification of Diet in Renal Disease Study Equation.
- Note: If platelet count is <150,000 cells/mm^3, a further evaluation should be performed to rule out cirrhosis, unless another etiology has already been identified.
- Participants who are investigational site staff members or relatives of those site staff members or participants who are sponsor employees directly involved in the conduct of the study.
- Participants who are participating in other investigational studies (other than induction studies SHP647-305 [NCT03559517] or SHP647-306 [NCT03566823]) or plan to participate in other investigational studies during this study.
Sites / Locations
- Arizona Digestive Health Mesa - East
- Elite Clinical Studies - Phoenix - Clinedge - PPDS
- CATS Research Center - University of Arizona
- Atria Clinical Research - Clinedge - PPDS
- Advanced Research Center
- Kindred Medical Institute for Clinical Trials, LLC
- OM Research LLC - Lancaster - ClinEdge - PPDS
- Alliance Clinical Research-(Vestavia Hills)
- Inland Empire Liver Foundation
- Care Access Research, San Pablo
- Peak Gastroenterology Associates
- Asthma and Allergy Associates PC - CRN - PPDS
- Renaissance Research Medical Group, INC
- Gastro Florida
- Advanced Clinical Research Network
- Alliance Medical Research LLC
- SIH Research
- Crystal Biomedical Research
- Hi Tech and Global Research, LLc
- Sanchez Clinical Research, Inc
- Gastroenterology Group of Naples
- Pharma Research International Inc
- Omega Research Consultants LLC - Clinedge - PPDS
- Accel Research Sites - St. Petersburg - ERN - PPDS
- East Coast Institute for Research, LLC
- DBC Research
- Bayside Clinical Research - New Port Richey
- Atlanta Gastroenterology Specialists, PC
- Infinite Clinical Trials
- Atlanta Center For Gastroenterology PC
- Loretto Hospital
- IL Gastroenterology Group
- Laporte County Institute For Clinical Research
- Cotton O'Neil Clinical Research Center
- Gastroenterology Associates of Hazard
- CroNOLA, LLC.
- Clinical Trials of SWLA, LLC
- DelRicht Clinical Research, LLC - ClinEdge - PPDS
- Louisiana Research Center LLC
- Commonwealth Clinical Studies LLC
- Winchester Gastroenterology Associates
- UMass Memorial Medical Center
- University of Michigan
- Clinical Research Institute of Michigan
- National Clinical, LLC
- Gastroenterology Associates of Western Michigan, PLC
- Mayo Clinic Health System - PPDS
- Minnesota Gastroenterology PA
- Washington University in St. Louis
- Advanced Biomedical Research of America
- Encompass Care
- New York Total Medical Care PC
- NYU Langone Long Island Clinical Research Associates
- Southtowns Gastroenterology, PLLC
- Piedmont Healthcare
- Consultants For Clinical Research Inc
- Consultants For Clinical Research Inc
- Consultants For Clinical Research Inc
- Penn State Hershey Medical Group
- Digestive Disease Associates
- Gastro One
- Vanderbilt University Medical Center
- Advanced Gastroenterology-Union City
- Northside Gastroenterology
- Digestive Health Associates of Texas, P.A.dba DHAT Research Institute
- Precision Research Institute, LLC
- Biopharma Informatic Inc.
- Southwest Clinical Trials
- BI Research Center
- Southern Star Research Institute LLC
- Inquest Clinical Research/Coastal Gastroenterology Associates, PA - TDDC - PPDS
- HP Clinical Research
- Mid Atlantic Health Specialists
- Fundación Favaloro
- Hospital Privado Centro Médico de Córdoba
- Concord Repatriation General Hospital
- Liverpool Hospital
- Mater Hospital Brisbane
- Royal Adelaide Hospital
- St Vincents Hospital Melbourne - PPDS
- The Alfred Hospital
- LKH-Universitätsklinikum Klinikum Graz
- Klinikum Wels-Grieskirchen GmbH
- Salzburger Landeskliniken
- Medizinische Universitat Wien (Medical University of Vienna)
- Academisch Medisch Centrum Amsterdam
- UZ Gent
- AZ Groeninge
- CHU Mouscron
- Clinical Center Banja Luka
- Acibadem City Clinic University Multiprofile Hospital for Active Treatment EOOD
- Multiprofile Hospital for Active Treatment Eurohospital
- Second Multiprofile Hospital for Active Treatment Sofia
- Diagnostic and Consulting Center Aleksandrovska EOOD
- University Multiprofile Hospital for Active Treatment Sv Ivan Rilski EAD
- University Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD
- Medical Center Excelsior OOD - PPDS
- Medical Center Convex EOOD
- Diagnostic Consultative Centre Mladost - M OOD
- Fundación Valle Del Lili
- IPS Centro Médico Julián Coronel S.A.S. - PPDS
- University Hospital Center Zagreb
- Opca bolnica Bjelovar
- Clinical Hospital Centre Osijek
- General Hospital Virovitica
- OÜ LV Venter
- West Tallinn Central Hospital
- Klinikum rechts der Isa der Technischen Universitaet Muenchen
- Universitätsklinikum der RWTH Aachen
- Uniklinik Köln
- Gastro Campus Research GbR
- Universitatsklinikum Schleswig-Holstein
- Universitatsklinikum Jena
- Gastroenterologische Facharztpraxis am Mexikoplatz
- Charité - Universitätsmedizin Berlin
- Sana Klinikum Biberach
- Universitätsklinikum Frankfurt
- Ippokrateio General Hospital of Athens
- University General Hospital of Heraklion
- Iatriko Palaiou Falirou
- University General Hospital of Patras
- Euromedica - PPDS
- Bekes Megyei Kozponti Korhaz
- Magyar Honvédség Egészségügyi Központ
- Pannónia Magánorvosi Centrum Kft
- ENDOMEDIX Kft.
- Debreceni Egyetem Klinikai Kozpont
- Mohacsi Korhaz
- Tolna Megyei Balassa János Kórház
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
- St Vincent's University Hospital
- Shaare Zedek Medical Center
- Hadassah Medical Center - PPDS
- Galilee Medical Center
- Baruch Padeh Poriya Medical Center
- Azienda Ospedaliera Mater Domini Di Catanzaro
- Azienda Ospedaliero Universitaria Di Modena Policlinico
- Fondazione Policlinico Universitario A Gemelli
- Azienda Ospedaliera Universitaria Careggi
- IRCCS Ospedale Sacro Cuore Don Calabria
- A.O.U. Maggiore della Carità
- Fondazione IRCCS Policlinico San Matteo di Pavia
- La Sapienza-Università di Roma-Policlinico Umberto I
- Istituto Clinico Humanitas
- Ospedale Casa Sollievo Della Sofferenza IRCCS
- Azienda Ospedaliera Città della Salute e della Scienza di Torino
- Sapporo Medical University Hospital
- Medical Corporation Aoyama Clinic
- Hyogo College of Medicine
- Jikei University Hospital
- Ome Municipal General Hospital
- Kunimoto Hospital
- Hidaka Coloproctology Clinic
- Aichi Medical University Hospital
- Nishinomiya Municipal Central Hospital
- Onomichi General Hospital
- Kinshukai Infusion Clinic
- Chiinkai Dojima General & Gastroenterology Clinic
- Yodogawa Christian Hospital
- Shiga University of Medical Science Hospital
- Toho University Sakura Medical Center
- Sapporo Tokushukai Hospital
- Sapporo Higashi Tokushukai Hospital
- Dokkyo Medical University Hospital
- Nihonbashi Egawa Clinic
- Colo-Proctology Center Matsushima Clinic
- Ishida Clinic of IBD and Gastroenterology
- Yonsei University Wonju Severance Christian Hospital
- CHA Bundang Medical Center, CHA University
- The Catholic University of Korea, St. Vincent's Hospital
- Inje University Haeundae Paik Hospital
- Pusan National University Hospital
- Kyungpook National University Hospital
- Kyungpook National University Chilgok Hospital
- Gachon University Gil Medical Center
- Seoul National University Hospital
- Kangbuk Samsung Hospital
- Inje University Seoul Paik Hospital
- Al Zahraa University Hospital
- Hammoud Hospital University Medical Center
- Vilnius University Hospital Santaros Klinikos
- Vilnius City Clinical Hospital
- Investigacion Biomedica para el Desarrollo de Farmacos S.A. de C.V.
- Clinica de Higado y Gastroenterologia Integral, S.C.
- JM Research S.C
- Accelerium, S. de R.L. de C.V.
- Unidad de Atencion Medica e Investigacion en Salud
- Centro de Investigacion Clinica Acelerada, S.C.
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
- ETZ-Elisabeth
- NWZ, location Alkmaar
- Dunedin Hospital
- Wellington Hospital
- Waikato Hospital
- Melita Medical
- Lexmedica
- Vitamed Galaj i Cichomski sp.j.
- Gastromed Kopon Zmudzinski i Wspolnicy Sp.j.Specjalistyczne Centrum Gastrologii i Endoskopii Specj
- Centrum Diagnostyczno - Lecznicze Barska sp. z o.o.
- Niepubliczny Zaklad Opieki Zdrowotnej CENTRUM MEDYCZNE Szpital Swietej Rodziny
- Centrum Opieki Zdrowotnej Orkan-Med Stec-Michalska Sp. J.
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy
- Niepubliczny Zakład Opieki Zdrowotnej VIVAMED
- Miedzyleski Szpital Specjalistyczny w Warszawie
- Uniwersytecki Szpital Kliniczny w Bialymstoku
- Endoskopia Sp. z o.o.
- Szpital Specjalistyczny sw Lukasza - Oddzial Gastroenterologii
- Twoja Przychodnia - Szczecinskie Centrum Medyczne
- Szpital Uniwersytecki Nr 2 im. Dr Jana Biziela w Bydgoszczy
- Centrum Medyczne Czestochowa - PRATIA - PPDS
- Centrum Medyczne Gdynia - PRATIA - PPDS
- NZOZ All Medicus
- Med Gastr Sp.z.o.o Sp.k
- Instytut Centrum Zdrowia Matki Polki
- Twoja Przychodnia - Centrum Medyczne Nowa Sol
- Clinical Research Center Spółka z Ograniczoną Odpowiedzialnością, Medic-R Spółka Komandytowa
- Centrum Medyczne Warszawa - PRATIA - PPDS
- Korczowski Bartosz, Gabinet Lekarski
- Sonomed Sp. z o.o.
- Centrum Zdrowia M D M
- Centralny Szpital Kliniczny MSW
- BioVirtus Centrum Medyczne
- Samodzielny Publiczny Szpital Wojewodzki im. Papieza Jana Pawla II
- Hospital Senhora da Oliveira - Guimaraes, E.P.E
- Hospital da Luz
- Centro Hospitalar do Algarve - Hospital de Portimao
- Sana Monitoring SRL
- Cluj-Napoca Emergency Clinical County Hospital
- Dr.Carol Davila Emergency University Central Military Hospital
- Colentina Clinical Hospital
- Prof. Dr. Matei Bals Institute of Infectious Diseases
- Fundeni Clinical Institute
- Emergency University Hospital
- Centrul Medical Hifu Terramed Conformal S.R.L.
- Affidea Romania SRL
- Gastromedica SRL
- Dr. Tirnaveanu Amelita Private Practice
- Dr. Goldis Gastroenterology Center SRL
- Rostov State Medical University
- Russian Medical Military Academy n.a. S.M. Kirov
- Medical University Reaviz
- Private Healthcare Institution Clinical Hospital RZD-Medicina of Samara city
- SHI Regional Clinical Hospital
- St. Elizabeth Municipal Clinical Hospital
- Clinical Hospital Center Bezanijska Kosa
- University Clinical Center Nis
- General Hospital Vrsac
- Clinical Hospital Center Zemun
- University Clinical Center Kragujevac
- KM Management, spol. s r.o.
- Gastro LM, s.r.o.
- CLINRESCO, ARWYP Medical Suites
- Dr. J Breedt
- Dr JP Wright
- C.H. Regional Reina Sofia - PPDS
- Hospital General Universitario Gregorio Maranon
- Hospital Universitario de Fuenlabrada
- CHUVI - H.U. Alvaro Cunqueiro
- Centro Medico Teknon - Grupo Quironsalud
- Hospital Universitario Juan Ramon Jimenez
- Hospital Universitario Fundacion Jimenez Diaz
- Hospital Universitario La Paz - PPDS
- Hospital Universitario Virgen del Rocio - PPDS
- Mersin University Medical Faculty
- Regional Municipal Non-profit Enterprise "Chernivtsi Regional Clinical Hospital"
- Municipal Nonprofit Enterprise CCH #2 n.a. prof. O.O. Shalimov of Kharkiv City Council
- Municipal Non-profit Enterprise of Kyiv Regional Council Kyiv Regional Clinical Hospital
- LLC Medical Center Family Medicine Clinic
- Communal Non-Commercial Enterprize of Kharkiv Regional Council Regional Clinical Hospital
- Municipal Non-profit Enterprise Kherson City Clinical Hospital named after Ye.Ye. Karabelesh
- Medical Center of LLC Medical Clinic Blagomed
- Medical Center OK!Clinic+LLC International Institute of Clinical Research
- Medical Center of LLC Medical Center Dopomoga-Plus
- Municipal Institution of KRC Kyiv Regional Hospital #2
- Municipal Nonprofit Enterprise Lviv Clinical Emergency Care Hospital
- Communal Non-Commercial Enterprise Vinnytsia City Clinical Hospital 1
- MNPE City Hospital No. 6 of Zaporizhzhia City Council
- North Tyneside General Hospital
- Aberdeen Royal Infirmary - PPDS
- Royal Gwent Hospital - PPDS
- New Cross Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Ontamalimab 25 mg
Ontamalimab 75 mg
Placebo
Participants will receive 25 mg of ontamalimab subcutaneous (SC) injection using a prefilled syringe once every 4 weeks for 52 weeks; starting at Day/Week 1 Baseline Visit (Week 16 of the SHP647-305 [NCT03559517] or SHP647-306 [NCT03566823]).
Participants will receive 75 mg of ontamalimab SC injection using a prefilled syringe once every 4 weeks for 52 weeks; starting at Day/Week 1 Baseline Visit (Week 16 of the SHP647-305 [NCT03559517] or SHP647-306 [NCT03566823]).
Participants will receive placebo matched with ontamalimab SC injection using prefilled syringe once every 4 weeks for 52 weeks; starting at Day/Week 1 Baseline Visit (Week 16 of the SHP647-305 [NCT03559517] or SHP647-306 [NCT03566823]).