A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of UTTR1147A Compared With Placebo and With Vedolizumab in Participants With Moderate to Severe Ulcerative Colitis (UC)
Ulcerative Colitis
About this trial
This is an interventional treatment trial for Ulcerative Colitis
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of UC
- Confirmation of moderately to severely active UC, defined by the Mayo Clinic Score
- Inadequate response, loss of response, or intolerance to prior immunosuppressant treatment (i.e., azathioprine, 6-mercaptopurine, methotrexate, or tumor necrosis factor [TNF] inhibitors [maximum of 2 prior TNF inhibitors]) and/or corticosteroid treatment
- Use of highly effective contraception as defined by the protocol
Exclusion Criteria:
- History of psoriasis or psoriatic arthritis; any other inflammatory skin disorders requiring oral corticosteroids, immunosuppressants, or biological therapy within the previous year; or primary sclerosing cholangitis
- History of cancer as defined by the protocol
- Significant uncontrolled comorbidity, such as cardiac, pulmonary, renal, hepatic, endocrine, or gastrointestinal disorders (excluding UC)
- Prior extensive colonic resection, subtotal or total colectomy, or proctocolectomy, or planned surgery for UC
- Diagnosis of indeterminate colitis or granulomatous (Crohn's) colitis or toxic megacolon within 12 months prior to screening
- Suspicion of ischemic colitis, radiation colitis, or microscopic colitis
- Current fistula or history of fistula, pericolonic abscess and stricture (stenosis) of the colon
- History or current evidence of unresectable colonic mucosal dysplasia or history of high-grade colonic mucosal dysplasia
- Prior treatment with UTTR1147A
- Prior treatment with vedolizumab, etrolizumab, natalizumab, efalizumab, or any other anti-integrin agents
- Prior treatment with rituximab
- Use of prohibited therapies, as defined by the protocol, prior to randomization
- Congenital or acquired immune deficiency
- Evidence or treatment of infections or history of infections, as defined by the protocol
Sites / Locations
- Carolina Digestive Diseases
- University of Utah School of Medicine; Gastroenterology Division
- MHAT Saint Karidad EAD
- Multiprofile Hospital for Active Treatment Hadji Dimitar OOD
- LLC ARENSIA Exploratory Medicine
- Gastroenterologische Spezialpraxis-Berlin-Karlshorst
- Universitaetsklinikum Carl Gustav Carus TU Dresden
- Universitatsklinikum Schleswig-Holstein
- St. Marien Krankenhaus; Med. Klinik
- Universitätsklinikum Ulm; Klinik für Innere Medizin II
- Iatriko Palaiou Falirou; Gastrointestinal Department
- EUROMEDICA General Clinic of Thessaloniki; Gastroenterology Department
- Magyar Honvédség Egészségügyi Központ; Országos Haemophilia Központ
- Portiuncula Hospital, Ballinasloe
- Shaare Zedek Medical Center; Bait Vagan
- Policlinico Universitario Campus Biomedico Di Roma
- Complesso Integrato Columbus
- ASST di Monza - Azienda Ospedaliera San Gerardo; U.O. Farmacia -Settore A - Corpo Posteriore
- Istituto Clinico Humanitas
- Azienda Ospedaliera Di Padova
- ICS ARENSIA Exploratory Medicine
- SPZOZ Uniwersytecki SK nr 1 im N. Barlickiego UM w Lodzi; Oddz. Klin. Gastroenter. Og. i Onk.
- Szpital Uniwersytecki Nr 2 im. Dr Jana Biziela w Bydgoszczy; Centrum Endoskopii Zabiegowej
- Synexus Polska Sp. z o.o. Oddzial w Czestochowie
- Synexus Polska Sp. z o.o. Oddzial w Gdansku
- Synexus - Katowice
- Economicus - NZOZ ALL-MEDICUS; Zaklad Gastroenterologii
- ETG Kielce
- Gastromed SPK Niepubliczny Zaklad Opieki Zdrowotnej
- Klimed Marek Klimkiewicz
- Synexus Polska Sp. z o.o. Oddzial w Poznaniu
- Clinical Research Center Sp. z o.o. MEDIC-R Spó?ka Komandytowa
- Endoskopia Sp. z o.o.
- Gastromed Kopon Zmudzinski i
- Centrum Zdrowia MDM
- Jaroslaw Kierkus Prywatna Prakyka Lekarska
- Przychodnia EuroMediCare
- Synexus Polska Sp. z o.o. Oddzial we Wroclawiu
- Melita Medical
- Saint Martyr Elizabeth City Hospital
- Irkutsk Research Centre Hospital of Siberian department of Russian Academy of Science
- Rostov State Medical University; Cardiorheumatology Department
- Medical University Reaviz
- North-West State Medical University n.a. I.I. Mechnikov
- Clinical Hospital Center Zvezdara
- KBC Dr Dragisa Misovic Dedinje
- University Hospital Medical Center Bezanijska kosa
- Clinical Center Kragujevac; Clinic Of Psychiatry
- General Hospital Vrsac
- Clinical Hospital Centre Zemun
- General Hospital Djordje Joanovic - Zrenjanin
- Hospital de Gran Canaria Dr. Negrin; Servicio de Aparato Digestivo
- Hospital Universitario de Torrejon
- Regional Municipal Institution Chernivtsi Regional Clinical Hospital; Gastroenterology department
- Medical Centre of PE First Private Clinic
- Ternopil University Hospital; Regional Center of Gastroenterology with Hepatology
- City Clinical Hospital #1; Department of Gastroenterology
- Municipal Institution Zaporizhzhia Regional Clinical Hospital of Zaporizhzhia Regional Council
- ME Dnipropetrovsk Regional Clinical Hospital n.a. I.I Mechnykov Dnipropetrovsk Regional Council
- Treatment and Diagnostic Center of LLC MRT Elit
- Medical Center of LLC Medical Clinic Blagomed
- Medical Center of Limited Liability Company ?Harmoniya krasy?
- Medical Center of LLC Medical Center Dopomoga Plus
- Medical Center of Edelweiss Medics LLC
- Synexus Affiliate - MC of LLC Medbud-Clinic
- Med Center of International Institute of Clinical Trials LLC; Medical Center "OK!Clinic+"
- Medical Center of LLC Diaservis
- Clinic of SRI of Invalid Rehab. (ESTC) of VNMU n.a. M.I.Pyrohov
- Medical Center of LLC Medical Center Family Medicine Clinic; Endoscopy & Gastroenterology
- Transcarpathian Regional Clinical Hospital n.a. A. Novak; Rheumatology Department
- Medical Center of Diaservice LLC; Division of clinical trials conduct, Department #3
- Kings College Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Active Comparator
Placebo Comparator
Arm 1a: UTTR1147A Dose Level 1 (Part A) + UTTR1147A (Part B)
Arm 1b: UTTR1147A Dose Level 1 (Part A) + Placebo (Part B)
Arm 2a: UTTR1147A Dose Level 2 (Part A) + UTTR1147A (Part B)
Arm 2b: UTTR1147A Dose Level 2 (Part A) + Placebo (Part B)
Arm 3a: UTTR1147A Dose Level 3 (Part A) + UTTR1147A (Part B)
Arm 3b: UTTR1147A Dose Level 3 (Part A) + Placebo (Part B)
Arm 4: Vedolizumab
Arm 5: Placebo
Part A: UTTR1147A dose level 1 and Vedolizumab Placebo. Part B: UTTR1147A maintenance dose and Vedolizumab Placebo.
Part A: UTTR1147A dose level 1 and Vedolizumab Placebo. Part B: UTTR1147A Placebo and Vedolizumab Placebo.
Part A: UTTR1147A dose level 2 and Vedolizumab Placebo. Part B: UTTR1147A maintenance dose and Vedolizumab Placebo.
Part A: UTTR1147A dose level 2 and Vedolizumab Placebo. Part B: UTTR1147A Placebo and Vedolizumab Placebo.
Part A: UTTR1147A dose level 3 and Vedolizumab Placebo. Part B: UTTR1147A maintenance dose and Vedolizumab Placebo.
Part A: UTTR1147A dose level 3 and Vedolizumab Placebo. Part B: UTTR1147A Placebo and Vedolizumab Placebo.
Parts A and B: Vedolizumab and UTTR1147A Placebo.
Parts A and B: UTTR1147A Placebo and Vedolizumab Placebo.