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出境医 / 临床实验 / 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)

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)

Study Description
Brief Summary:
This study is designed to evaluate the efficacy, safety, and pharmacokinetics of UTTR1147A compared with vedolizumab and with placebo in the treatment of participants with moderate to severe UC. This study will consist of two parts, Part A and Part B. Part A will test the induction of clinical remission and Part B will test the durability of clinical remission.

Condition or disease Intervention/treatment Phase
Ulcerative Colitis Drug: UTTR1147A Drug: UTTR1147A Placebo Drug: Vedolizumab Drug: Vedolizumab Placebo Phase 2

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 270 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase II, Randomized, Parallel-Group, Double-Blind, Double-Dummy, Placebo-Controlled, Multicenter Study To Evaluate the Efficacy, Safety, and Pharmacokinetics of UTTR1147A Compared With Placebo and Compared With Vedolizumab in Patients With Moderate to Severe Ulcerative Colitis
Actual Study Start Date : October 26, 2018
Estimated Primary Completion Date : July 28, 2022
Estimated Study Completion Date : December 29, 2022
Arms and Interventions
Arm Intervention/treatment
Experimental: Arm 1a: UTTR1147A Dose Level 1 (Part A) + UTTR1147A (Part B)

Part A: UTTR1147A dose level 1 and Vedolizumab Placebo.

Part B: UTTR1147A maintenance dose and Vedolizumab Placebo.

Drug: UTTR1147A
UTTR1147A will be administered intravenously (IV) at dose levels 1, 2, or 3 in Part A, and at the maintenance dose level in Part B, per the respective arm descriptions.
Other Names:
  • Efmarodocokin alfa
  • RO7021610
  • RG7880
  • IL-22Fc

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Experimental: Arm 1b: UTTR1147A Dose Level 1 (Part A) + Placebo (Part B)

Part A: UTTR1147A dose level 1 and Vedolizumab Placebo.

Part B: UTTR1147A Placebo and Vedolizumab Placebo.

Drug: UTTR1147A
UTTR1147A will be administered intravenously (IV) at dose levels 1, 2, or 3 in Part A, and at the maintenance dose level in Part B, per the respective arm descriptions.
Other Names:
  • Efmarodocokin alfa
  • RO7021610
  • RG7880
  • IL-22Fc

Drug: UTTR1147A Placebo
The matching placebo to UTTR1147A (UTTR1147A Placebo) will be administered IV.

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Experimental: Arm 2a: UTTR1147A Dose Level 2 (Part A) + UTTR1147A (Part B)

Part A: UTTR1147A dose level 2 and Vedolizumab Placebo.

Part B: UTTR1147A maintenance dose and Vedolizumab Placebo.

Drug: UTTR1147A
UTTR1147A will be administered intravenously (IV) at dose levels 1, 2, or 3 in Part A, and at the maintenance dose level in Part B, per the respective arm descriptions.
Other Names:
  • Efmarodocokin alfa
  • RO7021610
  • RG7880
  • IL-22Fc

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Experimental: Arm 2b: UTTR1147A Dose Level 2 (Part A) + Placebo (Part B)

Part A: UTTR1147A dose level 2 and Vedolizumab Placebo.

Part B: UTTR1147A Placebo and Vedolizumab Placebo.

Drug: UTTR1147A
UTTR1147A will be administered intravenously (IV) at dose levels 1, 2, or 3 in Part A, and at the maintenance dose level in Part B, per the respective arm descriptions.
Other Names:
  • Efmarodocokin alfa
  • RO7021610
  • RG7880
  • IL-22Fc

Drug: UTTR1147A Placebo
The matching placebo to UTTR1147A (UTTR1147A Placebo) will be administered IV.

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Experimental: Arm 3a: UTTR1147A Dose Level 3 (Part A) + UTTR1147A (Part B)

Part A: UTTR1147A dose level 3 and Vedolizumab Placebo.

Part B: UTTR1147A maintenance dose and Vedolizumab Placebo.

Drug: UTTR1147A
UTTR1147A will be administered intravenously (IV) at dose levels 1, 2, or 3 in Part A, and at the maintenance dose level in Part B, per the respective arm descriptions.
Other Names:
  • Efmarodocokin alfa
  • RO7021610
  • RG7880
  • IL-22Fc

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Experimental: Arm 3b: UTTR1147A Dose Level 3 (Part A) + Placebo (Part B)

Part A: UTTR1147A dose level 3 and Vedolizumab Placebo.

Part B: UTTR1147A Placebo and Vedolizumab Placebo.

Drug: UTTR1147A
UTTR1147A will be administered intravenously (IV) at dose levels 1, 2, or 3 in Part A, and at the maintenance dose level in Part B, per the respective arm descriptions.
Other Names:
  • Efmarodocokin alfa
  • RO7021610
  • RG7880
  • IL-22Fc

Drug: UTTR1147A Placebo
The matching placebo to UTTR1147A (UTTR1147A Placebo) will be administered IV.

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Active Comparator: Arm 4: Vedolizumab
Parts A and B: Vedolizumab and UTTR1147A Placebo.
Drug: UTTR1147A Placebo
The matching placebo to UTTR1147A (UTTR1147A Placebo) will be administered IV.

Drug: Vedolizumab
Vedolizumab will be administered IV, as specified in the prescribing information.
Other Name: Entyvio

Placebo Comparator: Arm 5: Placebo
Parts A and B: UTTR1147A Placebo and Vedolizumab Placebo.
Drug: UTTR1147A Placebo
The matching placebo to UTTR1147A (UTTR1147A Placebo) will be administered IV.

Drug: Vedolizumab Placebo
The matching placebo to vedolizumab (Vedolizumab Placebo) will be administered IV.

Outcome Measures
Primary Outcome Measures :
  1. Percentage of Participants with Clinical Remission at Week 8 [ Time Frame: 8 weeks ]

Secondary Outcome Measures :
  1. Percentage of Participants with Sustained Remission [ Time Frame: At Weeks 8 and 30 ]
  2. Percentage of Participants with Clinical Response at Weeks 8 and 30 [ Time Frame: At Weeks 8 and 30 ]
  3. Percentage of Participants with Endoscopic Healing at Weeks 8 and 30 [ Time Frame: At Weeks 8 and 30 ]
  4. Percentage of Participants with Endoscopic Remission at Weeks 8 and 30 [ Time Frame: At Weeks 8 and 30 ]
  5. Change From Baseline in UC Bowel Movement Signs and Symptoms at Weeks 8 and 30, as Assessed by Ulcerative Colitis Patient-Reported Outcome Signs and Symptoms (UC-PRO/SS) Score [ Time Frame: Baseline to Weeks 8 and 30 ]
    The UC-PRO/SS is a 9-item questionnaire containing two domains: bowel movement signs and symptoms (6 items) and abdominal symptoms (3 items). An average score is calculated for each domain; a higher score indicates worse symptoms.

  6. Change From Baseline in UC Abdominal Signs and Symptoms at Weeks 8 and 30, as Assessed by Ulcerative Colitis Patient-Reported Outcome Signs and Symptoms (UC-PRO/SS) Score [ Time Frame: Baseline to Weeks 8 and 30 ]
    The UC-PRO/SS is a 9-item questionnaire containing two domains: bowel movement signs and symptoms (6 items) and abdominal symptoms (3 items). An average score is calculated for each domain; a higher score indicates worse symptoms.

  7. Change From Baseline in Patient-Reported Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Weeks 8 and 30 [ Time Frame: Baseline to Weeks 8 and 30 ]
    The IBDQ is a 32-item questionnaire containing four domains: bowel symptoms (10 items), systemic symptoms (5 items), emotional function (12 items), and social function (5 items). The items are scored on a 7-point Likert scale; a higher score indicating better health-related quality of life.

  8. Percentage of Participants with Adverse Events [ Time Frame: Up to 30 weeks ]
  9. Percentage of Participants with Presence of Anti-Drug Antibodies (ADA) at Baseline and After Drug Administration [ Time Frame: At Baseline, Weeks 2, 4, 8, 14, 22, and 30 (up to 30 weeks) ]
  10. Maximum Serum Concentration (Cmax) of UTTR1147A [ Time Frame: Postdose at Baseline and Week 8 ]
  11. Minimum Serum Concentration (Cmin) of UTTR1147A [ Time Frame: Predose in Part A: at Weeks 4 and 8; in Part B: Weeks 14 and 22; and at Week 26 (up to 26 weeks) ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
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
Contacts and Locations

Contacts
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Contact: Reference Study ID: GA39925 www.roche.com/about_roche/roche_worldwide.htm 888-662-6728 (U.S. Only) global-roche-genentech-trials@gene.com

Locations
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