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A Phase 2a Safety and Efficacy Open-Label Study of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease (APOLLO-CD)

Primary Purpose

Crohn Disease

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
PRA023 IV
Companion diagnostic (CDx)
Sponsored by
Prometheus Biosciences, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Crohn Disease focused on measuring APOLLO-CD, APOLLO, Crohn's Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Confirmed diagnosis of Crohn's disease
  • Moderately to severely active CD as defined by Crohn's disease activity index (CDAI) score and centrally read endoscopy
  • Must have corticosteroid dependence or have had no response, insufficient response, loss of response and/or intolerance to at least one of the following therapies: corticosteroid, immunosuppressants, or an approved anti-tumor necrosis factor (TNF), anti-integrin, or anti-interleukin (IL)12/23
  • Able to provide written informed consent and understand and comply with the requirements of the study

Exclusion Criteria:

  • Women of child bearing potential (WOCBP) and men with female partner of childbearing potential who are unwilling to use two highly effective methods of contraception to avoid pregnancy for the entire study period and up to 12 weeks after the last dose of study drug
  • Diagnosis of ulcerative colitis (UC) or indeterminate colitis
  • CD isolated to the stomach, duodenum, jejunum, or perianal region, without colonic and/or illeal involvement
  • Suspected or diagnosed intra-abdominal or perianal abscess at screening
  • Current stoma or need for colostomy or ileostomy
  • Previous small bowel resection with a combined resected length of >100 cm or previous colonic resection of > 2 segments
  • Surgical bowel resection within 3 months before screening
  • Past or current evidence of definite low-grade or high-grade colonic dysplasia not completely removed
  • Subjects in the opinion of the investigator are at an unacceptable risk for participation in the study
  • Subjects who meet the protocol criteria for important laboratory exclusion criteria

Sites / Locations

  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Center
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Center
  • Prometheus Biosciences Selected Site
  • Prometheus Biosciences Selected Center
  • Prometheus Biosciences Selected Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PRA023

Arm Description

Participants to receive PRA023 administered by intravenous (IV) infusion.

Outcomes

Primary Outcome Measures

Safety and tolerability
Incidence of adverse events (AE), serious adverse events (SAE), AE leading to discontinuation
Endoscopic improvement
Proportion of participants achieving induction of endoscopic improvement

Secondary Outcome Measures

Induction of clinical remission
Proportion of participants achieving clinical remission
Induction of endoscopic and clinical improvement
Proportion of participants with endoscopic and clinical improvement
Biomarker and clinical improvement
Proportion of participants with biomarker and clinical improvement
Normalization of C-reactive protein
Proportion of participants with normalization of C-reactive protein
Normalization of fecal calprotectin
Proportion of participants with normalization of fecal calprotectin
Clinical improvement
Proportion of participants with clinical improvement
Two component patient-reported outcome (PRO-2) remission
Proportion of participants achieving PRO-2 remission
Simple endoscopy score for Crohn's Disease (SES-CD)
Assessment of change in SES-CD

Full Information

First Posted
August 13, 2021
Last Updated
July 27, 2023
Sponsor
Prometheus Biosciences, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05013905
Brief Title
A Phase 2a Safety and Efficacy Open-Label Study of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease
Acronym
APOLLO-CD
Official Title
A Phase 2a, Multi-Center, Open-Label Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 28, 2021 (Actual)
Primary Completion Date
September 23, 2022 (Actual)
Study Completion Date
January 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prometheus Biosciences, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and efficacy of PRA023 in participants with moderately to severely active Crohn's Disease. After the completion of the 12-week induction period, all participants have the option to continue in the open-label extension for another 38 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Crohn Disease
Keywords
APOLLO-CD, APOLLO, Crohn's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PRA023
Arm Type
Experimental
Arm Description
Participants to receive PRA023 administered by intravenous (IV) infusion.
Intervention Type
Drug
Intervention Name(s)
PRA023 IV
Other Intervention Name(s)
PRA023 administered by IV Infusion
Intervention Description
PRA023 administered at timepoints as directed by the protocol
Intervention Type
Device
Intervention Name(s)
Companion diagnostic (CDx)
Intervention Description
CDx+ or CDx-
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Incidence of adverse events (AE), serious adverse events (SAE), AE leading to discontinuation
Time Frame
Week 12
Title
Endoscopic improvement
Description
Proportion of participants achieving induction of endoscopic improvement
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Induction of clinical remission
Description
Proportion of participants achieving clinical remission
Time Frame
Week 12
Title
Induction of endoscopic and clinical improvement
Description
Proportion of participants with endoscopic and clinical improvement
Time Frame
Week 12
Title
Biomarker and clinical improvement
Description
Proportion of participants with biomarker and clinical improvement
Time Frame
Week 12
Title
Normalization of C-reactive protein
Description
Proportion of participants with normalization of C-reactive protein
Time Frame
Week 12
Title
Normalization of fecal calprotectin
Description
Proportion of participants with normalization of fecal calprotectin
Time Frame
Week 12
Title
Clinical improvement
Description
Proportion of participants with clinical improvement
Time Frame
Week 12
Title
Two component patient-reported outcome (PRO-2) remission
Description
Proportion of participants achieving PRO-2 remission
Time Frame
Week 12
Title
Simple endoscopy score for Crohn's Disease (SES-CD)
Description
Assessment of change in SES-CD
Time Frame
Week 12
Other Pre-specified Outcome Measures:
Title
Endoscopic Improvement and clinical remission by companion diagnostic (CDx) status
Description
Proportion of CDx+ participants achieving primary and key secondary efficacy outcome measures
Time Frame
Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed diagnosis of Crohn's disease Moderately to severely active CD as defined by Crohn's disease activity index (CDAI) score and centrally read endoscopy Must have corticosteroid dependence or have had no response, insufficient response, loss of response and/or intolerance to at least one of the following therapies: corticosteroid, immunosuppressants, or an approved anti-tumor necrosis factor (TNF), anti-integrin, or anti-interleukin (IL)12/23 Able to provide written informed consent and understand and comply with the requirements of the study Exclusion Criteria: Women of child bearing potential (WOCBP) and men with female partner of childbearing potential who are unwilling to use two highly effective methods of contraception to avoid pregnancy for the entire study period and up to 12 weeks after the last dose of study drug Diagnosis of ulcerative colitis (UC) or indeterminate colitis CD isolated to the stomach, duodenum, jejunum, or perianal region, without colonic and/or illeal involvement Suspected or diagnosed intra-abdominal or perianal abscess at screening Current stoma or need for colostomy or ileostomy Previous small bowel resection with a combined resected length of >100 cm or previous colonic resection of > 2 segments Surgical bowel resection within 3 months before screening Past or current evidence of definite low-grade or high-grade colonic dysplasia not completely removed Subjects in the opinion of the investigator are at an unacceptable risk for participation in the study Subjects who meet the protocol criteria for important laboratory exclusion criteria
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prometheus Biosciences
Organizational Affiliation
Clinicaltrials Call Center
Official's Role
Study Director
Facility Information:
Facility Name
Prometheus Biosciences Selected Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Liberty
State/Province
Kansas
ZIP/Postal Code
64098
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Chesterfield
State/Province
Michigan
ZIP/Postal Code
48047
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Ypsilanti
State/Province
Michigan
ZIP/Postal Code
48197
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Garland
State/Province
Texas
ZIP/Postal Code
75044
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Lubbock
State/Province
Texas
ZIP/Postal Code
79410
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Lubbock
State/Province
Texas
ZIP/Postal Code
79424
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Southlake
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Bellevue
State/Province
Washington
ZIP/Postal Code
98004
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Facility Name
Prometheus Biosciences Selected Site
City
Bankstown
State/Province
New South Wales
ZIP/Postal Code
2146
Country
Australia
Facility Name
Prometheus Biosciences Selected Site
City
Woolloongabba
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
Facility Name
Prometheus Biosciences Selected Site
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Facility Name
Prometheus Biosciences Selected Site
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Prometheus Biosciences Selected Site
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Prometheus Biosciences Selected Site
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5W9
Country
Canada
Facility Name
Prometheus Biosciences Selected Site
City
Brno
Country
Czechia
Facility Name
Prometheus Biosciences Selected Site
City
Slaný
ZIP/Postal Code
274 01
Country
Czechia
Facility Name
Prometheus Biosciences Selected Site
City
Clichy
ZIP/Postal Code
92110
Country
France
Facility Name
Prometheus Biosciences Selected Site
City
Nice
ZIP/Postal Code
06202
Country
France
Facility Name
Prometheus Biosciences Selected Site
City
Saint-Priest-en-Jarez
ZIP/Postal Code
42270
Country
France
Facility Name
Prometheus Biosciences Selected Site
City
Vandœuvre-lès-Nancy
ZIP/Postal Code
54511
Country
France
Facility Name
Prometheus Biosciences Selected Site
City
Tbilisi
Country
Georgia
Facility Name
Prometheus Biosciences Selected Center
City
Kraków
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Prometheus Biosciences Selected Site
City
Rzeszów
ZIP/Postal Code
35-326
Country
Poland
Facility Name
Prometheus Biosciences Selected Site
City
Sopot
ZIP/Postal Code
81-756
Country
Poland
Facility Name
Prometheus Biosciences Selected Site
City
Toruń
ZIP/Postal Code
87-100
Country
Poland
Facility Name
Prometheus Biosciences Selected Center
City
Warsaw
ZIP/Postal Code
00-635
Country
Poland
Facility Name
Prometheus Biosciences Selected Site
City
Warsaw
ZIP/Postal Code
03-580
Country
Poland
Facility Name
Prometheus Biosciences Selected Center
City
Warsaw
ZIP/Postal Code
52-416
Country
Poland
Facility Name
Prometheus Biosciences Selected Site
City
Wrocław
ZIP/Postal Code
52-416
Country
Poland

12. IPD Sharing Statement

Learn more about this trial

A Phase 2a Safety and Efficacy Open-Label Study of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease

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