Study to Evaluate the Safety and Efficacy of Two Adalimumab Dosing Regimens in Subjects With Moderate to Severe Ulcerative Colitis
Ulcerative Colitis (UC)
About this trial
This is an interventional treatment trial for Ulcerative Colitis (UC) focused on measuring Ulcerative Colitis
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of Ulcerative Colitis (UC) for at least 90 days, confirmed by endoscopy during Screening period.
- Active UC with Mayo Score of 6 to 12 points and endoscopy subscore of 2 to 3 despite concurrent or prior treatment with a full and adequate course, in the opinion of the Investigator, with oral corticosteroids or immunosuppressants or both. Mayo Score is confirmed by central reader.
Exclusion Criteria:
- Subject with Crohn's disease (CD) or indeterminate colitis (IC).
- Current diagnosis of fulminant colitis and/or toxic megacolon.
- Subjects with disease limited to the rectum (ulcerative proctitis) during the screening endoscopy.
- Chronic recurring infections or active tuberculosis (TB).
Sites / Locations
- Digestive Health Specialists of the Southeast /ID# 127844
- Ucsd /Id# 122313
- Rocky Mountain Clinical Resear /ID# 122180
- Medical Research Ctr CT /ID# 122179
- Gastro Florida /ID# 170619
- Research Associates of South Florida,LLC /ID# 170309
- Gastroenterology Group Naples /ID# 127806
- Shafran Gastroenterology Ctr /ID# 122320
- Atlanta Gastro Assoc /ID# 122336
- Gastro Assoc of Central GA /ID# 122318
- Northwestern University Feinberg School of Medicine /ID# 122183
- University of Chicago /ID# 122302
- Carle Foundation Hospital /ID# 135955
- Louisiana Research Ctr. LLC /ID# 141655
- University of Maryland Med Ctr /ID# 169734
- MGG Group, Inc.Chevy Chase Clinical Research /ID# 122238
- University of Michigan Hospitals /ID# 122240
- Mayo Clinic - Rochester /ID# 122244
- Ctr for Digest and Liver Dis /ID# 122182
- NYU Langone Long Island CRA /ID# 122177
- Icahn School of Med Mt. Sinai /ID# 127047
- Charlotte Gastro Hepatology /ID# 122235
- Wake Research Associates, LLC /ID# 122157
- Consultants for Clinical Res /ID# 122304
- Dayton Gastroenterology, Inc. /ID# 127804
- Gastro United of Tulsa /ID# 125436
- The Oregon Clinic- Gastro West /ID# 135273
- University of Pittsburgh MC /ID# 122331
- Erlanger Institute for Clinica /ID# 129009
- Gastro One /ID# 122339
- Vanderbilt Univ Med Ctr /ID# 125496
- DHAT Research Institute /ID# 170616
- Biopharma Informatic Research /ID# 171150
- Austin Center for Clinical Research /ID# 125396
- Texas Digestive Disease Consul /ID# 141677
- Texas Digestive Disease Consul /ID# 141678
- Advanced Research Institute /ID# 126147
- University of Utah /ID# 122333
- New River Valley Research Inst /ID# 127801
- University of Washington /ID# 169721
- WI Center for Advanced Res /ID# 122178
- Froedtert & the Medical College of Wisconsin /ID# 122261
- KH der Elisabethinen Linz GmbH /ID# 127184
- Medizinische Universitat Wien /ID# 127186
- Ordination Hainburg an der Don /ID# 127185
- Universitaetsklinik fuer Innere Medizin 1 /ID# 125944
- KH der Barmherzigen Brueder /ID# 127183
- AZ Sint-Lucas /ID# 127187
- UZ Leuven /ID# 126739
- CHU de Liege /ID# 126740
- University of Calgary /ID# 125715
- Zeidler Ledcor Centre /ID# 125713
- Winnipeg Regional Health Autho /ID# 125712
- Qe Ii Hsc /Id# 127045
- London Health Sciences Centre /ID# 127055
- Mount Sinai Hosp.-Toronto /ID# 126590
- Toronto Digestive Disease Asso /ID# 127075
- McGill Univ HC /ID# 127046
- Hepato-Gastroenterologie HK s.r.o. /ID# 127188
- ISCARE a.s. /ID# 127837
- Herlev Hospital /ID# 127191
- Regionhospital Silkeborg /ID# 127190
- CHRU Lille - Hôpital Claude Huriez /ID# 127197
- CHU NANCY - Hôpital Brabois Adultes /ID# 127196
- CHU Amiens Picardie /ID# 127194
- CHU Estaing /ID# 127848
- CHU Dijon /ID# 127861
- CHU de Grenoble - Albet Michal /ID# 127195
- CHU Saint ELOI /ID# 169007
- CHU de Nice /ID# 127193
- CHU de Saint-Etienne, Hopital Nord /ID# 134490
- Hopital Rangueil /ID# 127192
- Universitatsklinik Regensburg /ID# 201265
- Universitatsklinikum Frankfurt /ID# 170300
- Univ Hosp Schleswig-Holstein, Campus Kiel, Klinik furer Innere Medizin /ID# 127199
- Charite Universitatsmedizin Berlin Campus Virchow Klinikum /ID# 127203
- Mross, Berlin, DE /ID# 127201
- Gastrostudien GbR /ID# 169246
- Asklepios Westklinikum Hamburg /ID# 127198
- Universitaetsklinikum Jena /ID# 127205
- EUGASTRO GmbH /ID# 127202
- Universitatsklinikum Magdeburg /ID# 127200
- Gastro Campus Research GbR /ID# 126743
- Pecsi Tudomanyegyetem Klinikai Kozpont I. sz. Belgyogyaszati Klinika /ID# 127209
- Magyar Elhizastudomanyi KKft. /ID# 126589
- Pannonia Maganorvosi Centrum Kft. /ID# 127207
- Szegedi Tudomanyegyetem /ID# 127208
- Rabin Medical Center /ID# 127212
- Tel Aviv Sourasky Medical Center /ID# 201365
- Soroka University Medical Center /ID# 127213
- Hadassah University Hospital /ID# 127211
- Kaplan Medical Center /ID# 127210
- A.O.U. Policlinico S.Orsola-Malpighi /ID# 129322
- Azienda Ospedaliera San Camillo Forlanini /ID# 127216
- Policlinico Agostino Gemelli /ID# 127217
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 127138
- IBD Center - IRCCS Istituto Clinico Humanitas /ID# 127215
- Azienda Ospedaliera Spedali Civili /ID# 127236
- Universita di Padova /ID# 127214
- Ospedali Riuniti Villa Sofia-C /ID# 129323
- Policlinico Univ Tor Vergata /ID# 129321
- IRCCS Casa Sollievo /ID# 127811
- Nagoya City University Hospital /ID# 124517
- Yokoyama IBD Clinic /ID# 151560
- Toho University Sakura Medical Center /ID# 124497
- Fukuoka University Chikushi Hospital /ID# 124155
- Kyushu University Hospital /ID# 124495
- Kurume University Hospital /ID# 125275
- Hidaka Clinic of Coloproctology /ID# 125477
- Hiroshima University Hospital /ID# 124496
- Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 124480
- Aoyama Clinic /ID# 127836
- Hyogo College of Medicine College Hospital /Id# 127539
- Kitasato University Hospital /ID# 137694
- COLO-PROCTOLOGY CENTER Matsushima Clinic /ID# 148423
- Susaki Kuroshio Hospital /ID# 125202
- Japanese Red Cross Kyoto Daiichi Hos /ID# 127540
- Osaka Medical College Hospital /ID# 126451
- Saitama Medical Center /ID# 128875
- Shiga University of Medical Science Hospital /ID# 127675
- Hamamatsu South Hospital /ID# 124481
- Medical Hospital of Tokyo Medical and Dental University /ID# 128315
- Kitasato Univ Kitasato Inst Ho /ID# 127001
- Kyorin University Hospital /ID# 148184
- Wakayama Medical University /ID# 124635
- Tokyo Yamate Medical Center /ID# 125201
- Academisch Medisch Centrum /ID# 126741
- Szpital Uniwersytecki Nr 2 im. dr J.Biziela w Bydgoszczy /ID# 127141
- C.M. Szpital Swietej Rodziny /ID# 127838
- Centrum Zdrowia MDM /ID# 170303
- Endoterapia PFG Sp. z.o.o. /ID# 126513
- Centrum Medyczne Pratia Gdynia /ID# 170301
- NZOZ All-Medicus /ID# 128740
- H-T.Centrum Medyczne-Endoterapia /ID# 170305
- Centrum Medyczne LukaMed Joanna Luka /ID# 170302
- Centrum Medyczne Sw. Lukaza /ID# 126515
- Centrum Diagnostyczno Lecznicze Barska /ID# 170304
- KO-Med Centra Kliniczne Pulawy /ID# 127219
- NZOZ Vivamed /ID# 127218
- Institutul Clinic Fundeni /ID# 127839
- CMDTA Neomed SRL /ID# 127142
- Spitalul Clinic Judetean de Urgenta /ID# 125418
- Tvm Med Serv Srl /Id# 127221
- Cabinet Medical Dr. Fratila SRL, Specialitatea Medicina Interna /ID# 127002
- Salvo-San-Ciobanca SRL /ID# 127140
- Gastroenterologicke centrum ASSIDUO a IBD centrum /ID# 127222
- Gastroenterologicka Ambulancia /ID# 125632
- Vseobecna Nemocnica s poliklinikou Lucenec /ID# 127322
- Hospital General Universitario de Alicante /ID# 129261
- Hospital Clinic de Barcelona /ID# 138147
- Complejo Hospitalario Universitario de Ferrol /ID# 127840
- Hospital Univ Dr. Negrin /ID# 127841
- Hospital Univ de la Princesa /ID# 135828
- Hospital General Universitario Gregorio Maranon /ID# 127224
- Hosp Univ 12 de Octubre /ID# 129257
- Hospital Universitario La Paz /ID# 127223
- Hosp Clin Univ de Valencia /ID# 170306
- Hosp Clin Univ Lozano Blesa /ID# 129255
- Kantonsspital St. Gallen /ID# 127843
- University Hospital Zurich /ID# 127842
- GI National Institute of Therapy named by L.T. Malaya /ID# 127231
- Public Institution Kherson City Clinical Hospital named after le.le. Karabelesh /ID# 127233
- Municipal Clinical Hospital #8 /ID# 127235
- Lviv City Clinical Hospital NO.4 /ID# 127232
- CNPE City Hospital No.6 of Zaporizhzhia City Counsil /ID# 127137
- Royal Hampshire County Hosp /ID# 169250
- Norfolk and Norwich Univ Hosp /ID# 127139
- Western General Hospital /ID# 204801
- St. Mark's Hospital /ID# 127226
- Hull and East Yorkshire Hospitals NHS Trust /ID# 127225
- Oxford University Hospitals NHS Foundation Trust The John Radcliffe Hospital /ID# 129324
- Southampton General Hospital /ID# 127228
- The Royal Wolverhampton NHS Tr /ID# 127227
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Induction (Main Study + Japan Sub-study): I-SD
Induction (Main Study + Japan Sub-study): I-HD
Maintenance (Main Study + Japan Sub-study): M-SD
Maintenance (Main Study + Japan Sub-study): M-HD
Maintenance (Main Study): TDM Regimen
Induction Standard Dose: Double-blind adalimumab regimen of 160 mg at Week 0 followed by 80 mg at Week 2, 40 mg at Week 4, and 40 mg at Week 6.
Induction Higher Dose: Double-blind adalimumab regimen of 160 mg at Weeks 0, 1, 2, and 3 followed by 40 mg at Week 4, and 40 mg at Week 6.
Maintenance Standard Dose: Double-blind adalimumab 40 mg every other week (eow), for 44 weeks.
Maintenance Higher Dose: Double-blind adalimumab 40 mg every week (ew) for 44 weeks.
Double-blind adalimumab 40 mg eow at Week 8 and Week 10, with possible dose adjustments at Weeks 12, 24, and 37 based on criteria assessing blinded adalimumab serum concentration and rectal bleeding subscore (RBS) assessments.