Efficacy and Safety of BBT-401-1S in Ulcerative Colitis
Primary Purpose
Ulcerative Colitis
Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
BBT-401-1S first and then Placebo
Placebo first and then BBT-401-1S
Sponsored by
About this trial
This is an interventional treatment trial for Ulcerative Colitis focused on measuring Pellino-1
Eligibility Criteria
Inclusion Criteria:
- Provision of signed and dated informed consent form (ICF)
- Stated willingness to comply with all study procedures and availability for the duration of the study
- Male or female, aged >=18 years
- Diagnosed with active UC for at least 3 months prior to screening
- Total Mayo score >=5 and Endoscopic sub-score >=1
- Stable dosing regimens of oral drugs (if currently administered) as follows: 5-ASA or sulfasalazine at a stable dose for at least 4 weeks, purine analogues (azathioprine, mercaptopurine, thiopurines) or methotrexate at a stable dose for at least 12 weeks, and low-dose oral corticosteroid (up to 20 mg prednisone/day or equivalent) for at least 4 weeks prior to the first dose of study treatment. Doses of oral drugs must remain stable until the end of study treatment (with possible exception for tapering steroid dose after 8 weeks)
- For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 3 months after the last dose
- For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner during study participation and for an additional 3 months after the last dose
Exclusion Criteria:
- Use of anti-TNF-a biologics or any other biologics for treatment of UC within 60 days prior to randomization.
- Any rectal therapy for treatment of UC or intravenous corticosteroids within 2 weeks prior to randomization.
- Presence of Crohn's disease, indeterminate colitis, ischemic colitis, fulminant colitis, ulcerative proctitis, or toxic mega-colon
- Previous extensive colonic resection (subtotal or total colectomy)
- Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine
- Evidence of or treatment for Clostridium difficile infection or other pathogenic bowel infection within 60 days or for another intestinal pathogen within 30 days prior to randomization
- Active infection with the HIV or Hepatitis B or C viruses
- Clinically significant active extra-intestinal infection (e.g., pneumonia, pyelonephritis)
- Clinically significant abnormal vital signs, physical examination or 12-lead electrocardiogram (ECG) at screening or baseline
- Clinically significant abnormal results of liver function tests (ALT/AST, bilirubin and alkaline phosphatase) > 2X the upper limit of normal (ULN) at screening
- Other clinically significant abnormal laboratory results at screening in the investigator's opinion
- History of any clinically significant medical condition that, in the investigator's opinion, would preclude participation in the study
- Pregnancy or lactation
- Treatment with another investigational drug or other intervention within 30 days prior to screening
Sites / Locations
- Site 03
- Site 01
- Site 11
- Site 12
- Site 04
- Site 10
- Site 02
- Site 08
- Site 05
- Site 13
- Site 09
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
BBT-401-1S
Placebo
Arm Description
BBT-401-1S, Oral capsule, QD
Placebo, Oral capsule, QD
Outcomes
Primary Outcome Measures
Change From Baseline in Total Mayo Score
The Total Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 12 points. The Total Mayo score consists of 4 subscores( Stool frequency, Rectal bleeding, Findings of endoscopy, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.
Secondary Outcome Measures
Change From Baseline in Partial Mayo Score
The Partial Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 9 points. The Partial Mayo score consists of 3 subscores( Stool frequency, Rectal bleeding, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.
Change From Baseline in Histologic Assessment of Endoscopic Biopsy
Histological assessment of endoscopic biopsy is an appropriate method for evaluating mucosal healing (Carbonnel et al, 1994).
Change From Baseline in Ulcerative Colitis Endoscopic Index of Severity (0-8)
The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) is the first validated index for the assessment of overall endoscopic activity. The model incorporates the vascular pattern score(0-2), the presence of bleeding score(0-3) and the presence of erosions and ulcers score (0-3). Higher score of the sum of these subscore indicates more severe disease.
Number and Severity of TEAEs
Treatment Emergent Adverse Event (TEAE) is defined as an adverse event that occurs or worsens on or after the first dose of study drug.
Plasma Concentration of BBT- 401-1S
Analysis of Plasma Pharmacokinetics for BBT- 401 -1S
Change From Baseline in Concentration of Serum CRP
Widely used serum indicator of inflammation in Ulcerative Colitis(UC).
Change From Baseline in Concentration of Fecal Calprotectin
Reliable surrogate marker for disease activity in Ulcerative Colitis (UC).
Change From Baseline in Concentration of Fecal Lactoferrin
A stool (fecal) test that is used to detect inflammation in the intestines.
Full Information
NCT ID
NCT03800420
First Posted
January 7, 2019
Last Updated
February 23, 2022
Sponsor
Bridge Biotherapeutics, Inc.
Collaborators
KCRN Research, LLC
1. Study Identification
Unique Protocol Identification Number
NCT03800420
Brief Title
Efficacy and Safety of BBT-401-1S in Ulcerative Colitis
Official Title
A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 2a Study to Evaluate the Efficacy and Safety of BBT-401-1S in Patients With Active Ulcerative Colitis
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Terminated
Why Stopped
to carry out the rest of the study with new CRO and modified protocol as a multi-regional study.
Study Start Date
April 22, 2019 (Actual)
Primary Completion Date
May 18, 2020 (Actual)
Study Completion Date
July 31, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bridge Biotherapeutics, Inc.
Collaborators
KCRN Research, LLC
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This is randomized, placebo-controlled, dose-escalation, multicenter, Phase 2 study to evaluate the efficacy and safety of BBT-401-1S in patients with active ulcerative colitis.
This study consists of three cohorts with 16-week treatment period per cohort that will be conducted sequentially.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis
Keywords
Pellino-1
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
BBT-401-1S
Arm Type
Experimental
Arm Description
BBT-401-1S, Oral capsule, QD
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo, Oral capsule, QD
Intervention Type
Drug
Intervention Name(s)
BBT-401-1S first and then Placebo
Intervention Description
Total 16 week treatment period: The subject takes BBT-401-1S, QD for the first 12 weeks, then placebo for the last 4 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo first and then BBT-401-1S
Intervention Description
Total 16 week treatment period: The subject takes the placebo, QD for the first 8 weeks, then BBT-401-1S for the last 8 weeks.
Primary Outcome Measure Information:
Title
Change From Baseline in Total Mayo Score
Description
The Total Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 12 points. The Total Mayo score consists of 4 subscores( Stool frequency, Rectal bleeding, Findings of endoscopy, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.
Time Frame
Week 8
Secondary Outcome Measure Information:
Title
Change From Baseline in Partial Mayo Score
Description
The Partial Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 9 points. The Partial Mayo score consists of 3 subscores( Stool frequency, Rectal bleeding, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.
Time Frame
Week 8
Title
Change From Baseline in Histologic Assessment of Endoscopic Biopsy
Description
Histological assessment of endoscopic biopsy is an appropriate method for evaluating mucosal healing (Carbonnel et al, 1994).
Time Frame
Week 8
Title
Change From Baseline in Ulcerative Colitis Endoscopic Index of Severity (0-8)
Description
The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) is the first validated index for the assessment of overall endoscopic activity. The model incorporates the vascular pattern score(0-2), the presence of bleeding score(0-3) and the presence of erosions and ulcers score (0-3). Higher score of the sum of these subscore indicates more severe disease.
Time Frame
Week 8
Title
Number and Severity of TEAEs
Description
Treatment Emergent Adverse Event (TEAE) is defined as an adverse event that occurs or worsens on or after the first dose of study drug.
Time Frame
up to 8 weeks after the last dose
Title
Plasma Concentration of BBT- 401-1S
Description
Analysis of Plasma Pharmacokinetics for BBT- 401 -1S
Time Frame
Day 1, Week 4, Week 8
Title
Change From Baseline in Concentration of Serum CRP
Description
Widely used serum indicator of inflammation in Ulcerative Colitis(UC).
Time Frame
Week 8
Title
Change From Baseline in Concentration of Fecal Calprotectin
Description
Reliable surrogate marker for disease activity in Ulcerative Colitis (UC).
Time Frame
Week 8
Title
Change From Baseline in Concentration of Fecal Lactoferrin
Description
A stool (fecal) test that is used to detect inflammation in the intestines.
Time Frame
Week 8
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Provision of signed and dated informed consent form (ICF)
Stated willingness to comply with all study procedures and availability for the duration of the study
Male or female, aged >=18 years
Diagnosed with active UC for at least 3 months prior to screening
Total Mayo score >=5 and Endoscopic sub-score >=1
Stable dosing regimens of oral drugs (if currently administered) as follows: 5-ASA or sulfasalazine at a stable dose for at least 4 weeks, purine analogues (azathioprine, mercaptopurine, thiopurines) or methotrexate at a stable dose for at least 12 weeks, and low-dose oral corticosteroid (up to 20 mg prednisone/day or equivalent) for at least 4 weeks prior to the first dose of study treatment. Doses of oral drugs must remain stable until the end of study treatment (with possible exception for tapering steroid dose after 8 weeks)
For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 3 months after the last dose
For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner during study participation and for an additional 3 months after the last dose
Exclusion Criteria:
Use of anti-TNF-a biologics or any other biologics for treatment of UC within 60 days prior to randomization.
Any rectal therapy for treatment of UC or intravenous corticosteroids within 2 weeks prior to randomization.
Presence of Crohn's disease, indeterminate colitis, ischemic colitis, fulminant colitis, ulcerative proctitis, or toxic mega-colon
Previous extensive colonic resection (subtotal or total colectomy)
Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine
Evidence of or treatment for Clostridium difficile infection or other pathogenic bowel infection within 60 days or for another intestinal pathogen within 30 days prior to randomization
Active infection with the HIV or Hepatitis B or C viruses
Clinically significant active extra-intestinal infection (e.g., pneumonia, pyelonephritis)
Clinically significant abnormal vital signs, physical examination or 12-lead electrocardiogram (ECG) at screening or baseline
Clinically significant abnormal results of liver function tests (ALT/AST, bilirubin and alkaline phosphatase) > 2X the upper limit of normal (ULN) at screening
Other clinically significant abnormal laboratory results at screening in the investigator's opinion
History of any clinically significant medical condition that, in the investigator's opinion, would preclude participation in the study
Pregnancy or lactation
Treatment with another investigational drug or other intervention within 30 days prior to screening
Facility Information:
Facility Name
Site 03
City
Sacramento
State/Province
California
ZIP/Postal Code
95821
Country
United States
Facility Name
Site 01
City
Ventura
State/Province
California
ZIP/Postal Code
93003
Country
United States
Facility Name
Site 11
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33487
Country
United States
Facility Name
Site 12
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33029
Country
United States
Facility Name
Site 04
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
Facility Name
Site 10
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Site 02
City
Monroe
State/Province
North Carolina
ZIP/Postal Code
28112
Country
United States
Facility Name
Site 08
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
Site 05
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Site 13
City
McAllen
State/Province
Texas
ZIP/Postal Code
78503
Country
United States
Facility Name
Site 09
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195
Country
United States
12. IPD Sharing Statement
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Efficacy and Safety of BBT-401-1S in Ulcerative Colitis
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