A Study of LY3471851 in Adult Participants With Moderately to Severely Active Ulcerative Colitis (UC) (INSTRUCT-UC)
Colitis, Ulcerative
About this trial
This is an interventional treatment trial for Colitis, Ulcerative focused on measuring T regulatory cells (Tregs), Interleukin 2, Interleukin-2
Eligibility Criteria
Inclusion Criteria:
- Have moderately to severely active ulcerative colitis (UC) as defined by a modified Mayo score (MMS) of 4 to 9 with an endoscopic subscore (ES) ≥2, with endoscopy performed within 14 days before baseline.
- Have evidence of UC extending proximal to the rectum (with ≥15 centimeters (cm) of involved colon).
- Have up-to-date colorectal cancer surveillance performed according to local standard.
- Participants are either one of the following:
- Have failed conventional treatments including inability to tolerate oral or intravenous corticosteroids or immunomodulators (6-mercaptopurine or azathioprine or methotrexate), or history of corticosteroid dependence (an inability to successfully taper corticosteroids without return of UC) and neither failed or demonstrated intolerance to advanced therapy (eg, tumor necrosis factor (TNF) antagonists, anti-integrin therapies, anti-IL12/23p40 therapies, Janus kinase (JAK) inhibitor) OR,
- Have failed advanced therapies such as treatment with 1 or more advance therapies (eg, tumor necrosis factor [TNF] antagonists, anti-integrin therapies, anti-IL12/23p40 therapies, Janus kinase [JAK] inhibitor) at doses approved for the treatment of UC with documented history of failure to respond to or tolerate such treatment.
- Have had an established diagnosis of UC of ≥3 months in duration before baseline which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC. Supportive endoscopy and histopathology reports must be available in the source documents.
- Women of child-bearing potential (WOCBP) must test negative for pregnancy as indicated by a negative serum pregnancy test at the screening visit followed by a negative urine pregnancy test within 24 hours prior to first exposure to study drug.
Exclusion Criteria:
- Have been diagnosed with indeterminant colitis, proctitis (colitis limited to the rectum only; less than 15 centimeter (cm) from the anal verge or Crohn's disease.
- Have received any of the following for treatment of UC: cyclosporine, tacrolimus, mycophenolate mofetil or thalidomide within 2 weeks of screening, rectally administered corticosteroids or 5-aminosalicylic acid treatments within 2 weeks of screening.
- Have had or will need abdominal surgery for UC (for example, subtotal colectomy).
- Have failed 3 or more classes of advanced therapies approved for treatment of UC (eg, tumor necrosis factor [TNF] antagonists, anti-integrin therapies, anti-IL12/23p40 therapies, Janus kinase [JAK] inhibitor).
- Have evidence of toxic megacolon, intra-abdominal abscess, or stricture/stenosis within the small bowel or colon.
- Have any history or evidence of cancer of the gastrointestinal tract
- Have myocardial infarction, unstable ischemic heart disease, stroke or heart failure within 12 months prior to screening.
Sites / Locations
- Dedicated Clinical Research
- I.H.S. Health, LLC
- Gastroenterology Associates of Pensacola, PA
- Atlantic Digestive Health Institute
- Biopharma Informatic, LLC
- Southern Star Research Institute, LLC
- Care Access Research - Ogden
- DOM- Centro de Reumatologia
- Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno" CEMIC
- Mautalen Salud e Investigacion-Centro de Osteopatías Médicas
- Centro Médico Privado de Reumatología
- Concord Repatriation General Hospital
- Paratus Clinical Research Brisbane
- Mater Adult Hospital Brisbane
- St. Vincent's Hospital
- Université Libre de Bruxelles - Hôpital Erasme
- Centre Hospitalier de Wallonie Picarde - Site Notre Dame
- AZ Maria Middelares
- Chronos Pesquisa Clínica
- Nucleo de Pesquisa Clínica do Rio Grande do Sul-NPCRS
- HMCP - Hospital e Maternidade Celso Pierro - PUC-Campinas
- Pesquisare
- Instituto de Assistencia Medica ao Servidor Publico Estudo Estadual
- Upeclin - Unidade de Pesquisa Clínica da Faculdade de Medicina de Botucatu - UNESP
- CEMEC - Centro Multidisciplinar de Estudos Clinicos EPP Ltda
- Hepatogastro
- Gastroenterology and internal medicine research institute
- Gastroenterology Research, Nova Scotia Health Authority
- CISSS de la Montérégie - Centre Hôpital Charles-Le Moyne
- McGill University
- The First Affiliated Hospital of Anhui Medical University
- First affiliated Hospital of Sun Yat-Sen University
- The Sixth Affiliated Hospital, Sun Yat-Sen University
- Tongji Hosp Tongji Med Col Huazhong Univ of Sci & Tech
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
- The First Affiliated Hospital of Nanchang University
- Taian City Central Hospital
- Shanghai Jiaotong University School of Medicine Ruijin Hospital
- Sir Run Run Shaw Hospital
- A-Shine
- MUDr. Gregar, s.r.o.
- PreventaMed, s.r.o.
- I. Interni klinika FN Plzen
- Nemocnice Slaný
- CHU De Grenoble Hopital Albert Michallon
- Centre Hospitalier de Mont de Marsan
- Acad. F. Todua Medical Center - Research Institute of Clinical Medicine
- Medical Center: Medinvestment
- Clinexpert SMO
- Óbudai Egészségügyi Centrum
- Bugát Pál Kórház
- CLINFAN Szolgáltató Kft
- Shree Giriraj Multispeciality Hospital
- Gujarat Hospital - Gastro and Vascular Centre
- Kingsway Hospital
- Midas Multispeciality Hospital Pvt.Ltd.
- SR Kalla Memorial Gastro & General Hospital
- Apollo Speciality Hospital - Teynampet
- Postgraduate Institute of Medical Education & Research
- Gandhi Hospital
- Soroka Medical Center
- Galilee Medical Center - Internal A
- Kaplan Medical Center
- Fukuoka University Chikushi Hospital
- Tokushukai Sapporo Tokushukai Hospital
- Sapporo Medical University Hospital
- Infusion Clinic
- Sai Gastroenterologist Proctology
- Matsuda Hospital
- Center Hospital of the National Center for Global Health and Medicine
- Showa University Koto Toyosu Hospital
- Kyorin University Hospital
- Fukuoka University Hospital
- Sameshima Hospital
- Toyama Prefectural Central Hospital
- Yamagata University Hospital
- Ajou University Hospital
- Samsung Medical Center
- Seoul St. Mary's Hospital
- Inje University Haeundae Paik Hospital
- Yonsei University Wonju Severance Christian Hospital
- Pauls Stradins Clinical Univeristy Hospital
- NZOZ Vivamed
- Szpital Miejski Sw. Jana Pawla II
- WIP Warsaw IBD Point Profesor Kierkus
- ETG Zamość
- SC Pelican SRL
- SC Med Life SA
- SC Centrul Medical Sana SRL
- Spital Clinic Colentina
- Spitalul Clinic Judetean de Urgenta Cluj
- S.C. Materna Care S.R.L.
- Olla-Med
- Novosibirski Gastrocenter
- Rostov State Medical University
- Open Joint Stock Company Clinical and Diagnostic Center Euromedservice
- The University Clinic of OSMU
- SPb SBIH "City Mariinskaya Hospital"
- GOU VPO St-Petersburg SMA n/a Mechnikov Fed. Agen of Health
- FNsP FDRoosevelta Banska Bystrica
- ENDOMED s.r.o.
- Medical Center of Limited Liability Company "Medical Center "Consilium Medical"
- Lviv Railway Clinical Hospital
- Lviv Regional Endocrinology Dispensary
- Medical Center of LLC Medical Center Clinic of Family Medicine
- International Institute of Clinical Trials LLC
- Communal Enterprise "Odesa Regional Clinical Hospital"
- A. Novak Transcarpathian Regional Clinical Hospital
- CCH #1 Vinnytsia M.I. Pyrogov NMU Ch of Propaedeutics of IM
- Vinnytsia War Veterans Regional Clinical Hospital
- Diacenter LLC
- Royal Derby Hospital
- Whipps Cross University Hospital
- Guys/St. Thomas Hospital
- St. George's Hospital
- York Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
High dose LY3471851
Low dose LY3471851
Placebo
Participants received a subcutaneous injection of high dose LY3471851 every 2 weeks from weeks 0 to 12. Week 12 responders entered the maintenance period and continued with the same treatment. Week 12 non-responders entered the extension period where they received subcutaneous injection of high dose LY3471851 every 2 weeks up to week 50. At week 26, extension period non-responders were discontinued from treatment. Post-treatment, participants entered follow-up period and were observed for 6 weeks for safety.
Participants received a subcutaneous injection of low dose LY3471851 every 2 weeks from weeks 0 to 12. Week 12 responders entered the maintenance period and continued with the same treatment. Week 12 non-responders entered the extension period where they received subcutaneous injection of high dose LY3471851 every 2 weeks up to week 50. At week 26, extension period non-responders were discontinued from treatment. Post-treatment, participants entered follow-up period and were observed for 6 weeks for safety.
Participants received a subcutaneous injection of placebo every 2 weeks from weeks 0 to 12. Week 12 responders entered the maintenance period and continued with the same treatment. Week 12 non-responders entered the extension period where they received subcutaneous injection of high dose LY3471851 every 2 weeks up to week 50. At week 26, extension period non-responders were discontinued from treatment. Post-treatment, participants entered follow-up period and were observed for 6 weeks for safety.