A Study to Assess the Efficacy and Safety of Golimumab in Pediatric Participants With Moderately to Severely Active Ulcerative Colitis (PURSUIT 2)
Colitis, Ulcerative
About this trial
This is an interventional treatment trial for Colitis, Ulcerative
Eligibility Criteria
Inclusion Criteria:
- Must either be currently receiving treatment with, or have a history of having failed to respond to, or have a medical contraindication to at least 1 of the following therapies: oral or intravenous corticosteroids, 6-mercaptopurine, methotrexate or azathioprine OR must either have or have had a history of corticosteroid dependency (that is an inability to successfully taper corticosteroids without a return of the symptoms of ulcerative colitis [UC]) OR required more than 3 courses of corticosteroids in the past year
- Moderately to severely active UC (as defined by baseline Mayo score of 6 through 12 [endoscopy {sigmoidoscopy or colonoscopy} sub score assigned by local endoscopist], inclusive), including a (sigmoidoscopy or colonoscopy) sub score greater than or equal to (>=2)
- If receiving enteral nutrition, must have been on a stable regimen for at least 2 weeks prior to the first administration of study intervention at Week 0. Participants who receive parenteral nutrition are not permitted to enroll in the trial
- No history of latent or active tuberculosis prior to screening
- Must be up to date with all immunizations (that is, measles, mumps, rubella, and varicella) in agreement with current local immunization guidelines for immunosuppressed participants before Week 0
Exclusion Criteria:
- History of liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric (including suicidality), or metabolic disturbances
- History of malignancy or macrophage activation syndrome or hemophagocytic lymphohistiocytosis
- Have UC limited to the rectum only or to <20 percent (%) of the colon
- Presence of a stoma
- Presence or history of a fistula
- Contraindications to the use of golimumab or infliximab or anti-tumor necrosis factor (TNF-alpha) therapy per local prescribing information
Sites / Locations
- University of California San Francisco
- Children's Hospital Colorado and University of Colorado
- Rocky Mountain Pediatric Gastroenterology
- Connecticut Children's Medical Center
- Nemours DuPont Hospital for Children
- Children's Center for Digestive Health Care
- Mayo Clinic
- Columbia University Medical Center
- GI For Kids
- Children's Medical Center of Dallas
- Cook Childrens Medical Center
- DHAT Research Institute
- Universitair Kinderziekenhuis Koningin Fabiola
- Cliniques Universitaires Saint-Luc
- UZ Brussel
- MK Blumenau Pesquisa Clínica
- Hospital Pequeno Principe
- Irmandade Santa Casa de Misericordia de Porto Alegre
- BR Trials
- Hopital Pellegrin CHU Bordeaux
- Hôpital Necker
- Rambam Medical Center
- Shaare Zedek Medical Center
- Schneider Children's Medical Center
- Sheba Medical Center
- Assaf Harofeh Medical Center
- Sourasky Medical Center
- Azienda USL di Bologna - Ospedale Maggiore
- AOU Meyer
- AOU Policlinico G.Martino
- AOU Policlinico Umberto I
- IRCCS Ospedale Pediatrico Bambino Gesu
- Casa Sollievo della Sofferenza, IRCCS
- IRCCS Materno Infantile Burlo Garofolo
- Kyungpook National University Chilgok Hospital
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Asan Medical Center
- Samsung Medical Center
- Emma Children's Hospital Academic Medical Center
- Isala Kliniek
- Szpital Uniwersytecki NR 1 IM. Dr. Antoniego Jurasza
- Szpital im. M. Kopernika
- Uniwersytecki Szpital Dzieciecy w Krakowie
- Wojewodzki Specjalistyczny Szpital Dziecięcy im. Prof. Stanislawa Popowskiego
- Korczowski Bartosz, Gabinet Lekarski
- Centrum Zdrowia Matki, Dziecka i Młodzieży
- Szpital Pomnik Centrum Zdrowia Dziecka
- Hosp. Univ. de Cruces
- Hosp. Sant Joan de Deu
- Hosp. Infantil Univ. Niño Jesus
- Hosp. Gral. Univ. Gregorio Maranon
- Hosp. Univ. 12 de Octubre
- Hosp. Regional Univ. de Malaga
- Hosp. Virgen Del Rocio
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital- Linkou
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Group 1: Golimumab
Group 2: Infliximab
Participants will receive subcutaneous (SC) golimumab through Week 50. Doses will be based on body surface area. After the Week 54 evaluations, at the discretion of investigator, participants benefiting from continued SC golimumab will continue to receive SC golimumab in the extension until end of study.
Participants will receive infliximab intravenous (IV) through Week 46. Doses will be based on body weight. After the Week 54 evaluations, participants receiving infliximab will be withdrawn from study participation and transition to local standard of care which may include continued commercially available infliximab at the discretion of their physician.