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A Study to Evaluate the Safety of PRV-300 in Adult Subjects With Moderately to Severely Active Ulcerative Colitis (PULSE)

Primary Purpose

Ulcerative Colitis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PRV-300
Placebo
Sponsored by
Provention Bio, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis focused on measuring Ulcerative Colitis

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject must be a man or woman aged 18-75 years, inclusive.
  2. Subject has a clinical diagnosis of UC at least 3 months before screening.
  3. Subject has moderately to severely active UC, defined as a Mayo score of 6 to 12, inclusive, at screening.
  4. Subject has a Mayo endoscopic subscore of ≥2 based on central read of the video sigmoidoscopy at screening.
  5. Subject must be willing and able to adhere to the prohibitions and restrictions specified in this protocol.

Exclusion Criteria:

  1. Subject has severe extensive colitis as evidenced by any of the following:

    1. Current hospitalization for the treatment of UC.
    2. Investigator judgment that the subject is likely to require a colectomy within 12 weeks of baseline.
    3. Temperature ≥37.8 ºC (oral or tympanic) and a heart rate >90 bpm.
  2. Subject has UC limited to <15 cm of the colon.
  3. Subject has a diagnosis of CD or the presence or history of fistula or indeterminate colitis.
  4. Presence of a gastrostomy, jejunostomy, ileostomy or colostomy.
  5. Subject has had or is expected to have surgery for active gastrointestinal bleeding, peritonitis, intestinal obstruction, or intra-abdominal or pancreatic abscess requiring surgical drainage, or other conditions that may confound study evaluations from 2 months before screening through the end of this study.
  6. Presence of symptomatic colonic or small bowel obstruction
  7. History of colonic resection
  8. History of colonic mucosal high-grade dysplasia
  9. Subject has chronic or recurrent infectious disease
  10. Subject has positive serology to human immunodeficiency virus (HIV) 1 or 2, hepatitis B virus (HBV) or hepatitis C virus (HCV) at screening.
  11. Subject has any known malignancy or has a history of malignancy (with the exception of basal cell carcinoma; squamous cell carcinoma in situ of the skin; or cervical carcinoma in situ that has been treated with no evidence of recurrence; or squamous cell carcinoma of the skin that has been treated with no evidence of recurrence within 5 years before screening).
  12. Subject has ever received PRV-300 (or CNTO 3157) or has known allergies, hypersensitivity, or intolerance to PRV-300 or its excipients; or known or suspected intolerance or hypersensitivity to any biologic medication or known allergies or clinically significant reactions to murine, chimeric, or human proteins, to monoclonal antibodies or antibody fragments; or a history of severe allergic reactions, angioedema, or anaphylaxis that might suggest risk for a reaction to a biologic agent.
  13. Subject has any condition for which, in the opinion of the Investigator, participation would not be in the best interest of the subject (eg, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments.

Sites / Locations

  • Clinical Site
  • Clinical Site
  • Clinical Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PRV-300

Placebo

Arm Description

Subjects in this arm will receive the study drug, PRV-300, via IV infusion, followed by an 8-week follow-up period.

Subjects in this arm will receive placebo via IV infusion, followed by an 8-week follow-up period.

Outcomes

Primary Outcome Measures

Incidence of Treatment-emergent adverse events (TEAEs),
Assessment of safety and tolerability

Secondary Outcome Measures

Full Information

First Posted
February 17, 2019
Last Updated
February 12, 2020
Sponsor
Provention Bio, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03849599
Brief Title
A Study to Evaluate the Safety of PRV-300 in Adult Subjects With Moderately to Severely Active Ulcerative Colitis
Acronym
PULSE
Official Title
A Phase 1b Study to Evaluate the Safety of PRV-300 Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
February 21, 2018 (Actual)
Primary Completion Date
March 1, 2019 (Actual)
Study Completion Date
March 1, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Provention Bio, Inc.

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and tolerability of PRV-300 for 12 weeks in subjects with active ulcerative colitis. Subjects will receive either PRV-300 or placebo treatment. Each group will receive study drug over a total of 12 weeks, followed by an 8-week safety follow-up period.
Detailed Description
This is a Phase 1b, randomized, double-blind, placebo-controlled, parallel-group, multicenter study in adult subjects with moderately to severely active UC. Randomization will be stratified by Mayo score. Subjects will receive either PRV-300 or placebo treatment. Each group will receive study drug over a total of 12 weeks, followed by an 8-week safety follow-up period. The total duration of the study will be 20 weeks, excluding the screening period. The primary objective is to evaluate the safety and tolerability of PRV-300 for 12 weeks in subjects with active UC. The secondary objectives are to evaluate the effect of PRV-300 for 12 weeks in subjects with active UC on: Pharmacodynamics: Changes in gene scores in colonic biopsies over the course of treatment. Pharmacokinetics: Peak (Cmax) and trough (Cmin) serum concentrations of PRV-300 in subjects with active UC. Immunogenicity: Immunogenicity of PRV-300 in subjects with active UC Endoscopic: Trends in endoscopic disease activity in subjects with active UC.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Randomized, double-blind, placebo-controlled, parallel-group, multicenter study in adult subjects with moderately to severely active UC. Randomization will be stratified by Mayo score.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PRV-300
Arm Type
Experimental
Arm Description
Subjects in this arm will receive the study drug, PRV-300, via IV infusion, followed by an 8-week follow-up period.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects in this arm will receive placebo via IV infusion, followed by an 8-week follow-up period.
Intervention Type
Biological
Intervention Name(s)
PRV-300
Intervention Description
Treatment
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Control
Primary Outcome Measure Information:
Title
Incidence of Treatment-emergent adverse events (TEAEs),
Description
Assessment of safety and tolerability
Time Frame
12 weeks

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: Subject must be a man or woman aged 18-75 years, inclusive. Subject has a clinical diagnosis of UC at least 3 months before screening. Subject has moderately to severely active UC, defined as a Mayo score of 6 to 12, inclusive, at screening. Subject has a Mayo endoscopic subscore of ≥2 based on central read of the video sigmoidoscopy at screening. Subject must be willing and able to adhere to the prohibitions and restrictions specified in this protocol. Exclusion Criteria: Subject has severe extensive colitis as evidenced by any of the following: Current hospitalization for the treatment of UC. Investigator judgment that the subject is likely to require a colectomy within 12 weeks of baseline. Temperature ≥37.8 ºC (oral or tympanic) and a heart rate >90 bpm. Subject has UC limited to <15 cm of the colon. Subject has a diagnosis of CD or the presence or history of fistula or indeterminate colitis. Presence of a gastrostomy, jejunostomy, ileostomy or colostomy. Subject has had or is expected to have surgery for active gastrointestinal bleeding, peritonitis, intestinal obstruction, or intra-abdominal or pancreatic abscess requiring surgical drainage, or other conditions that may confound study evaluations from 2 months before screening through the end of this study. Presence of symptomatic colonic or small bowel obstruction History of colonic resection History of colonic mucosal high-grade dysplasia Subject has chronic or recurrent infectious disease Subject has positive serology to human immunodeficiency virus (HIV) 1 or 2, hepatitis B virus (HBV) or hepatitis C virus (HCV) at screening. Subject has any known malignancy or has a history of malignancy (with the exception of basal cell carcinoma; squamous cell carcinoma in situ of the skin; or cervical carcinoma in situ that has been treated with no evidence of recurrence; or squamous cell carcinoma of the skin that has been treated with no evidence of recurrence within 5 years before screening). Subject has ever received PRV-300 (or CNTO 3157) or has known allergies, hypersensitivity, or intolerance to PRV-300 or its excipients; or known or suspected intolerance or hypersensitivity to any biologic medication or known allergies or clinically significant reactions to murine, chimeric, or human proteins, to monoclonal antibodies or antibody fragments; or a history of severe allergic reactions, angioedema, or anaphylaxis that might suggest risk for a reaction to a biologic agent. Subject has any condition for which, in the opinion of the Investigator, participation would not be in the best interest of the subject (eg, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Provention Bio, MD
Organizational Affiliation
Provention Bio
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Site
City
Tbilisi
Country
Georgia
Facility Name
Clinical Site
City
Chisinau
Country
Moldova, Republic of
Facility Name
Clinical Site
City
Kapitanivka
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Safety of PRV-300 in Adult Subjects With Moderately to Severely Active Ulcerative Colitis

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