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Efficacy and Safety of Rectally Administered BBT-401-1S in Subjects With Ulcerative Colitis

Primary Purpose

Ulcerative Colitis

Status
Terminated
Phase
Phase 1
Locations
New Zealand
Study Type
Interventional
Intervention
BBT-401-1S
Sponsored by
Bridge Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female, of any race, ≥18 and ≤60 years of age on Day 1.
  • Have been diagnosed with active distal UC for ≥3 months prior to Day 1, as determined by clinical and endoscopic evidence and documented in a histopathology evaluation.
  • Have UC that is restricted to between the descending colon and the rectum (ie, left sided distal colitis), with demarcation of the lesion confirmed by endoscopy.
  • Have a total Mayo score ≥6, an endoscopic subscore ≥2, rectal bleeding subscore ≥1, and a stool frequency subscore ≥1.

Exclusion Criteria:

  • Have used any biologics or Janus kinase (JAK) inhibitors including, but not limited to, anti TNF α biologics or tofacitinib for the treatment of UC.
  • Have used any purine analogues (azathioprine, mercaptopurine, or thiopurines) or immunosuppressants (methotrexate or cyclosporine) for the treatment of UC within 12 weeks or have any history of nonresponse to these medications.
  • Have used any rectal therapy for the treatment of UC with exception of rectal suppository of 5-aminosalicylic acid, or any intravenous corticosteroids within 2 weeks prior to Day 1.
  • Have received oral and/or rectal suppository 5-aminosalicylic acid, oral sulphasalazine, or low-dose oral corticosteroids that have been stable for <4 weeks. Doses of the drugs must remain stable until the last dose of study drug.
  • Have received any other concomitant medications for UC that have been stable (ie, have not started dosing with a new drug or had a change to their dosing regimen) for <7 days or 5 half lives, whichever is longer, prior to Day 1.
  • Have Crohn's disease, indeterminate colitis, ischaemic colitis, fulminant colitis, toxic megacolon, chronic pancolitis, or symptomatic intestinal stenosis.
  • Have a history of extensive colonic resection (subtotal or total colectomy) or are anticipated to require surgical intervention for UC.
  • Have an ileostomy or colostomy.
  • Have evidence of treatment for Clostridium difficile infection or other pathogenic bowel infection within 60 days or for another intestinal pathogen within 30 days prior to Day 1.

Sites / Locations

  • P3 Research
  • P3 Research

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BBT-401-1S

Arm Description

BBT-401-1S, rectal administration

Outcomes

Primary Outcome Measures

Endoscopic remission rate
measured by a Mayo endoscopic subscore of 0 or 1

Secondary Outcome Measures

Endoscopic response rate
defined by a ≥2-point reduction from baseline in Ulcerative Colitis Endoscopic Index of Severity (UCEIS) score

Full Information

First Posted
July 16, 2020
Last Updated
September 27, 2021
Sponsor
Bridge Biotherapeutics, Inc.
Collaborators
Covance
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1. Study Identification

Unique Protocol Identification Number
NCT04478825
Brief Title
Efficacy and Safety of Rectally Administered BBT-401-1S in Subjects With Ulcerative Colitis
Official Title
An Open Label, Proof of Mechanism Study to Explore the Efficacy and Safety of Rectally Administered BBT-401-1S in Subjects With Ulcerative Colitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Terminated
Why Stopped
Internal Company Decision
Study Start Date
June 1, 2021 (Actual)
Primary Completion Date
August 4, 2021 (Actual)
Study Completion Date
August 24, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bridge Biotherapeutics, Inc.
Collaborators
Covance

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
This is an open label, single-arm, proof of mechanism study to explore the efficacy and safety of rectally administered BBT-401-1S in subjects with 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
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
2 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BBT-401-1S
Arm Type
Experimental
Arm Description
BBT-401-1S, rectal administration
Intervention Type
Drug
Intervention Name(s)
BBT-401-1S
Intervention Description
BBT-401-1S, 8 weeks, once a day
Primary Outcome Measure Information:
Title
Endoscopic remission rate
Description
measured by a Mayo endoscopic subscore of 0 or 1
Time Frame
Day 57
Secondary Outcome Measure Information:
Title
Endoscopic response rate
Description
defined by a ≥2-point reduction from baseline in Ulcerative Colitis Endoscopic Index of Severity (UCEIS) score
Time Frame
Day 57
Other Pre-specified Outcome Measures:
Title
Clinical remission rate
Description
measured by a total Mayo score of ≤2 points, with no individual subscore exceeding 1 point
Time Frame
Day 57
Title
Clinical response rate
Description
measured by a reduction of ≥3 points and ≥30% improvement from baseline of total Mayo score, which includes a decrease in rectal bleeding subscore of ≥1 point or an absolute rectal bleeding subscore ≤1
Time Frame
Day 57
Title
Inflammatory Bowel Disease Questionnaire total score
Description
measured by change from baseline. Scores for each question range between 1 and 7, reflecting poor to good health-related quality-of-life, for a range of possible total scores from 32 to 224.
Time Frame
Day 57

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, of any race, ≥18 and ≤60 years of age on Day 1. Have been diagnosed with active distal UC for ≥3 months prior to Day 1, as determined by clinical and endoscopic evidence and documented in a histopathology evaluation. Have UC that is restricted to between the descending colon and the rectum (ie, left sided distal colitis), with demarcation of the lesion confirmed by endoscopy. Have a total Mayo score ≥6, an endoscopic subscore ≥2, rectal bleeding subscore ≥1, and a stool frequency subscore ≥1. Exclusion Criteria: Have used any biologics or Janus kinase (JAK) inhibitors including, but not limited to, anti TNF α biologics or tofacitinib for the treatment of UC. Have used any purine analogues (azathioprine, mercaptopurine, or thiopurines) or immunosuppressants (methotrexate or cyclosporine) for the treatment of UC within 12 weeks or have any history of nonresponse to these medications. Have used any rectal therapy for the treatment of UC with exception of rectal suppository of 5-aminosalicylic acid, or any intravenous corticosteroids within 2 weeks prior to Day 1. Have received oral and/or rectal suppository 5-aminosalicylic acid, oral sulphasalazine, or low-dose oral corticosteroids that have been stable for <4 weeks. Doses of the drugs must remain stable until the last dose of study drug. Have received any other concomitant medications for UC that have been stable (ie, have not started dosing with a new drug or had a change to their dosing regimen) for <7 days or 5 half lives, whichever is longer, prior to Day 1. Have Crohn's disease, indeterminate colitis, ischaemic colitis, fulminant colitis, toxic megacolon, chronic pancolitis, or symptomatic intestinal stenosis. Have a history of extensive colonic resection (subtotal or total colectomy) or are anticipated to require surgical intervention for UC. Have an ileostomy or colostomy. Have evidence of treatment for Clostridium difficile infection or other pathogenic bowel infection within 60 days or for another intestinal pathogen within 30 days prior to Day 1.
Facility Information:
Facility Name
P3 Research
City
Tauranga
Country
New Zealand
Facility Name
P3 Research
City
Wellington
Country
New Zealand

12. IPD Sharing Statement

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Efficacy and Safety of Rectally Administered BBT-401-1S in Subjects With Ulcerative Colitis

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