Double-Blinded, Placebo-Controlled Phase 1b Study for Safety, PK, Efficacy, PD of RO7049665 in Patients With Ulcerative Colitis (UC)
Primary Purpose
Ulcerative Colitis
Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
RO7049665
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Ulcerative Colitis
Eligibility Criteria
Inclusion Criteria:
- Diagnosed with Ulcerative Colitis (UC) for at least 12 weeks prior to screening
- Screening colonoscopy for colorectal cancer conducted within the prior two years if a history of pancolitis with disease duration ≥ 8 years or history of left-sided colitis and disease duration ≥12 years
- Evidence of disease activity at time of screening
- Insufficient clinical response to standard of care (SOC) therapy or intolerance to SOC
Exclusion Criteria:
- Diagnosis of Crohn's disease or indeterminate colitis
- History of infection with hepatitis B, human immunodeficiency virus (HIV), active hepatitis C virus (HCV) infection, or other chronic infection
- Active infections requiring systemic therapy with antibiotic, antiviral or antifungal or febrile illness within 7 days before Day -1
- History of primary or acquired immunodeficiency
- Abnormal hematologic values
- Abnormal hepatic enzyme or hepatic function values
Sites / Locations
- Jacksonville Center for Clinical Research
- The Research Institute of Clinical Medicine
- Drug Research Centre Gyogyszervizsgalo Kozpontot Kft.
- SE ÁOK I. sz. Belgyógyászati Klinika
- ARENSIA Phase 1 Unit- Spitalul Clinic Republican Location
- Medical Center "Adonis" LLC
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
RO7049665
Placebo
Arm Description
Participants will receive a subcutaneous (SC) dose of RO7049665 every 2 weeks for 4 doses.
Participants will receive a SC dose of matching placebo every 2 weeks for 4 doses.
Outcomes
Primary Outcome Measures
Percentage of Participants with Adverse Events
Secondary Outcome Measures
Time to Maximum Concentration (Tmax) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum and the time from SC injection to maximum concentration of RO7049665 will be determined.
Maximum Serum Concentration Observed (Cmax) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum and the maximum concentration of RO7049665 will be determined.
AUC from Time 0 to infinity (AUCinf) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. AUC from time of drug administration extrapolated to infinity (AUCinf) will be determined in a plot of RO7049665 serum concentration versus time.
AUC from Time 0 to Time tau (AUC0-t) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. AUC from time of drug administration to time tau (AUC0-t), which is defined as the time of last measurable serum concentration, will be determined in a plot of RO7049665 serum concentration versus time.
Apparent Clearance (CL/F) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. Clearance, which is a measure of the rate at which a drug is metabolized or eliminated, will be determined.
Apparent Volume of Distribution (V/F) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. Volume of distribution of RO7049665 will be determined.
Half-life (t1/2) of RO7049665
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. t1/2 is the time required for the serum concentration of RO7049665 to be reduced to half.
Change from Baseline in the Endoscopy Subscore of the Mayo Clinic Score (MCS-ES)
Change from Baseline in the Ulcerative Colitis Endoscopic Index of Severity (UCEIS)
Change from Baseline in Histology Score of Sigmoid Colon Biopsies
Change from Baseline in the Mayo Clinic Score (MCS)
Percentage of Participants with Anti-Drug Antibodies
Anti-drug antibody assays will be used to detect anti-drug antibodies against RO7049665. Samples which are positive for anti-drug antibodies will be further assessed using a neutralizing antibody assay.
Change from Baseline in White Blood Cells
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03943550
Brief Title
Double-Blinded, Placebo-Controlled Phase 1b Study for Safety, PK, Efficacy, PD of RO7049665 in Patients With Ulcerative Colitis (UC)
Official Title
A Multicenter, Randomized, Double-Blind, Placebo Controlled Phase Ib Study to Investigate the Safety, Tolerability, Pharmacokinetics, Preliminary Efficacy, and Pharmacodynamics of Subcutaneously Administered RO7049665 in Participants With Active Ulcerative Colitis
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Terminated
Why Stopped
The decision to terminate study WP40161 is based on the lack of robust clinical improvement in the underlying condition after 8 weeks of treatment with RO7049665.
Study Start Date
May 14, 2019 (Actual)
Primary Completion Date
July 22, 2021 (Actual)
Study Completion Date
July 22, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The principal aim of this study is to evaluate the safety and tolerability of RO7049665 in participants with active ulcerative colitis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
45 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RO7049665
Arm Type
Experimental
Arm Description
Participants will receive a subcutaneous (SC) dose of RO7049665 every 2 weeks for 4 doses.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive a SC dose of matching placebo every 2 weeks for 4 doses.
Intervention Type
Drug
Intervention Name(s)
RO7049665
Intervention Description
Multiple ascending doses of RO7049665 will be administered SC.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo will be administered SC.
Primary Outcome Measure Information:
Title
Percentage of Participants with Adverse Events
Time Frame
From baseline up to Day 99
Secondary Outcome Measure Information:
Title
Time to Maximum Concentration (Tmax) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum and the time from SC injection to maximum concentration of RO7049665 will be determined.
Time Frame
From Day 1 to Day 99
Title
Maximum Serum Concentration Observed (Cmax) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum and the maximum concentration of RO7049665 will be determined.
Time Frame
From Day 1 to Day 99
Title
AUC from Time 0 to infinity (AUCinf) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. AUC from time of drug administration extrapolated to infinity (AUCinf) will be determined in a plot of RO7049665 serum concentration versus time.
Time Frame
From Day 1 to Day 99
Title
AUC from Time 0 to Time tau (AUC0-t) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. AUC from time of drug administration to time tau (AUC0-t), which is defined as the time of last measurable serum concentration, will be determined in a plot of RO7049665 serum concentration versus time.
Time Frame
From Day 1 to Day 99
Title
Apparent Clearance (CL/F) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. Clearance, which is a measure of the rate at which a drug is metabolized or eliminated, will be determined.
Time Frame
From Day 1 to Day 99
Title
Apparent Volume of Distribution (V/F) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. Volume of distribution of RO7049665 will be determined.
Time Frame
From Day 1 to Day 99
Title
Half-life (t1/2) of RO7049665
Description
Blood samples will be taken pre-dose and at multiple time points after dose administration. RO7049665 concentration will be analyzed in serum. t1/2 is the time required for the serum concentration of RO7049665 to be reduced to half.
Time Frame
From Day 1 to Day 99
Title
Change from Baseline in the Endoscopy Subscore of the Mayo Clinic Score (MCS-ES)
Time Frame
Day 29 and 57
Title
Change from Baseline in the Ulcerative Colitis Endoscopic Index of Severity (UCEIS)
Time Frame
Day 29 and 57
Title
Change from Baseline in Histology Score of Sigmoid Colon Biopsies
Time Frame
Day 29 and 57
Title
Change from Baseline in the Mayo Clinic Score (MCS)
Time Frame
Day 29 and 57
Title
Percentage of Participants with Anti-Drug Antibodies
Description
Anti-drug antibody assays will be used to detect anti-drug antibodies against RO7049665. Samples which are positive for anti-drug antibodies will be further assessed using a neutralizing antibody assay.
Time Frame
From Day -1 to Day 99
Title
Change from Baseline in White Blood Cells
Time Frame
Pre-dose and Post-dose from Day 1 to Day 71
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosed with Ulcerative Colitis (UC) for at least 12 weeks prior to screening
Screening colonoscopy for colorectal cancer conducted within the prior two years if a history of pancolitis with disease duration ≥ 8 years or history of left-sided colitis and disease duration ≥12 years
Evidence of disease activity at time of screening
Insufficient clinical response to standard of care (SOC) therapy or intolerance to SOC
Exclusion Criteria:
Diagnosis of Crohn's disease or indeterminate colitis
History of infection with hepatitis B, human immunodeficiency virus (HIV), active hepatitis C virus (HCV) infection, or other chronic infection
Active infections requiring systemic therapy with antibiotic, antiviral or antifungal or febrile illness within 7 days before Day -1
History of primary or acquired immunodeficiency
Abnormal hematologic values
Abnormal hepatic enzyme or hepatic function values
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Jacksonville Center for Clinical Research
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Facility Name
The Research Institute of Clinical Medicine
City
Tbilisi
ZIP/Postal Code
112
Country
Georgia
Facility Name
Drug Research Centre Gyogyszervizsgalo Kozpontot Kft.
City
Balatonfüred
ZIP/Postal Code
8230
Country
Hungary
Facility Name
SE ÁOK I. sz. Belgyógyászati Klinika
City
Budapest
ZIP/Postal Code
1083
Country
Hungary
Facility Name
ARENSIA Phase 1 Unit- Spitalul Clinic Republican Location
City
Chisinau
ZIP/Postal Code
MD-2025
Country
Moldova, Republic of
Facility Name
Medical Center "Adonis" LLC
City
Kapitanovka Village
State/Province
KIEV Governorate
ZIP/Postal Code
08112
Country
Ukraine
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
Learn more about this trial
Double-Blinded, Placebo-Controlled Phase 1b Study for Safety, PK, Efficacy, PD of RO7049665 in Patients With Ulcerative Colitis (UC)
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