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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03395184
Other study ID # B7981007
Secondary ID 2017-003359-43PI
Status Completed
Phase Phase 2
First received
Last updated
Start date February 2, 2018
Est. completion date October 19, 2023

Study information

Verified date January 2024
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The objectives of this study are to evaluate the efficacy, safety, tolerability, pharmacokinetics, and pharmacodynamics of PF-06651600 (200 mg for 8 weeks followed by 50 mg for 4 weeks) dosed once daily and PF-06700841 (60 mg for 12 weeks) dosed once daily during an induction period of 12 weeks, followed by an open label extension period at doses of 50 mg and 30 mg of PF 06651600 and PF 06700841, respectively, for 52 weeks.


Recruitment information / eligibility

Status Completed
Enrollment 244
Est. completion date October 19, 2023
Est. primary completion date October 19, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: 1. Male and/or female subjects 18 years to 75 years of age 2. Documented diagnosis of ileal, ileocolonic, or colonic CD with a minimum disease duration of 3 months, as determined by endoscopic and histopathology assessment. 3. Endoscopic confirmation of active disease with total SES CD total score of at least 7. For isolated ileal disease, SES CD total score should be at least 4. 4. An average daily liquid/soft stool frequency (SF) greater than or equal to 2.5 or daily abdominal pain (AP) greater than or equal to 2.0. 5. Must have inadequate response to, loss of response to, or intolerance to at least one conventional therapy for CD: •Steroids; Immunosuppressants (azathioprine [AZA], 6 MP, or methotrexate [MTX]); Anti TNF inhibitors (infliximab, adalimumab,certolizumab); Anti integrin inhibitors (eg, vedolizumab); Anti IL 12/23 inhibitor (ustekinumab). 6. Subjects currently receiving the following treatment for CD are eligible providing they have been on stable doses as described below: - Oral corticosteroids (prednisone or equivalent up to 25 mg/day; budesonide up to 9 mg/day). Stable dose for at least 2 weeks prior to baseline. If oral corticosteroids have been recently discontinued, they must have been stopped at least 2 weeks prior to baseline. Decreases in steroid use due to AEs are allowed. - Oral 5 ASA or sulfasalazine are allowed providing that the dose is stable for at least 4 weeks prior to baseline. - Crohn's disease related antibiotics are allowed providing that the dose is stable for at least 4 weeks prior to baseline. If antibiotics are stopped prior to baseline, they must be discontinued at least 4 days prior to baseline. Exclusion Criteria: 1. Diagnosis of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, diverticular disease, ulcerative colitis (UC), or clinical findings suggestive of UC. 2. Presence of active (draining) fistulae or intra abdominal or perineal abscesses. 3. Strictures with obstructive symptoms. 4. Short bowel syndrome. 5. History of bowel perforation requiring surgical intervention within the past 12 months. 6. Previous bowel surgery resulting in an existing stoma. Subjects who have a j pouch are excluded, as a j pouch can result in a stoma. 7. History of bowel surgery within 6 months prior to baseline. 8. Subjects displaying clinical signs of fulminant colitis or toxic megacolon. 9. Subjects with primary sclerosing cholangitis. 10. Subjects with evidence of colonic adenomas, dysplasia or neoplasia. 11. Abnormal findings on the chest x ray film such as presence of tuberculosis (TB), general infections, heart failure, or malignancy. 12. Any history of either untreated or inadequately treated latent or active TB infection, current treatment for active or latent TB infection or evidence of currently active TB by chest x ray, residing with or frequent close contact with individual(s) with active TB. 13. Subjects receiving the following therapies within the time period described below or expected to receive any of these therapies during the study period: 1. >9 mg/day of oral budesonide or >25 mg/day of prednisone or equivalent oral systemic corticosteroid dose within 2 weeks prior to baseline. 2. IV, IM (parenteral), or topical (rectal) treatment of 5 ASA or corticosteroid enemas/suppositories within 2 weeks prior to baseline. 3. Azathioprine, 6 mercaptopurine, or methotrexate within 2 weeks prior to baseline. 4. Anti TNF inhibitors (or biosimilars thereof) as described below: - Infliximab within 8 weeks prior to baseline; - Adalimumab within 8 weeks prior to baseline; - Certolizumab within 8 weeks prior to baseline; 5. Anti integrin inhibitors (eg, vedolizumab) within 8 weeks prior to baseline. 6. Ustekinumab within 8 weeks prior to baseline. 7. Interferon therapy within 8 weeks prior to baseline. 8. Subjects with prior treatment with lymphocyte depleting agents/therapies within 1 year prior to baseline (eg, CamPath[alemtuzumab], alkylating agents [eg, cyclophosphamide or chlorambucil], total lymphoid irradiation, etc). 9. Subjects who have received rituximab or other selective B lymphocyte depleting agents within 1 year prior to baseline. 10. Subjects previously receiving leukocyte apheresis, including selective lymphocyte, monocyte, or granulocyte apheresis, or plasma exchange within 6 months prior to baseline. 11. Other marketed immunosuppressants or biologics with immunomodulatory properties within 3 months prior to baseline. 12. Subjects who have received other JAK inhibitors within 3 months prior to baseline. 13. Subjects who have not responded to or have been intolerant of other JAK inhibitors. 14. Other investigational procedures(s) or product(s), such as immunosuppressants used in transplantation (eg, mycophenolate mofetil, cyclosporine, rapamycin, or tacrolimus) or live (attenuated) vaccine within 30 days prior to baseline. 14) Subjects with history of thrombotic event(s), including deep venous thrombosis (DVT), and known inherited conditions that predispose to hypercoagulability.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
PF-06651600 Placebo
12 weeks, followed by PF-06651600, 50 mg once daily (QD) for 52 weeks
PF-06651600
200 mg QD for 8 weeks, followed by 50 mg QD up to 56 weeks
Placebo PF-06700841
12 weeks, followed by PF-06700841, 30 mg QD for 52 weeks
PF-06700841
60 mg QD for 12 weeks followed by 30 mg QD for up to 52 weeks

Locations

Country Name City State
Australia Ballarat Base Hospital Ballarat Victoria
Australia Concord Repatriation General Hospital Concord New South Wales
Australia Mater Misericordiae Ltd South Brisbane Queensland
Australia Saint John of God Health Care Inc. Subiaco Western Australia
Austria AKH Wien Universitaetsklinik fuer Innere Medizin III Wien
Belgium University Hospital Brussels Jette
Belgium University Hospitals Leuven Leuven
Belgium CHC MontLégia Liége
Bosnia and Herzegovina Javna zdravstvena ustanova Univerzitetski klinicki centar Republike Srpske, Banja Luka
Canada Winnipeg Regional Health Authority - Health Sciences Centre, Winnipeg Winnipeg Manitoba
Croatia Klinicki Bolnicki centar Split, Zavod za gastroenterologiju Split
Croatia Klinicka bolnica Dubrava Zagreb Zagreb
Croatia Klinicki bolnicki centar Zagreb, Zavod za gastroenterologiju i hepatologiju Zagreb
Czechia Nemocnice Horovice, a.s. Horovice
Czechia Hepato-Gastroenterologie HK s.r.o. Hradec Kralove
Czechia Medialpharma s.r.o. Hradec Kralove
Czechia MUDr. GREGAR s.r.o. Olomouc
Czechia Nemocnice Strakonice, a.s. Strakonice
Czechia Nemocnice Strakonice, a.s., Interni oddeleni Strakonice
Georgia Institute of Clinical Cardiology, Ltd. Tbilisi
Georgia LTD "Acad. F. Todua Medical Center - LTD Research Institute of Clinical Medicine" Tbilisi
Georgia The First University Clinic of TSMU Tbilisi
Germany Krankenhaus Waldfriede e.V., Berlin
Germany Paian MED Research GmbH Berlin
Germany Universitaetsklinikum Schleswig-Holstein Kiel
Hungary Bekes Megyei Kozponti Korhaz, Rethy Pal Tagkorhaz Bekescsaba
Hungary Semmelweis Egyetem, II. Belgyogyaszati Klinika Budapest
Hungary Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak Budapest
Hungary Clinfan Szolgaltato Kft. Szekszard
Italy A.O.Spedali Civili Brescia BS
Italy IRCCS Saverio de Bellis Castellana Grotte Bari
Italy Univ. "Magna Graecia" di Catanzaro Catanzaro CZ
Italy A.O.U. Policlinico G. Martino Messina
Italy ASST Monza Monza MB
Italy Azienda Ospedaliera di Padova Padova
Italy Policlinico Universitario Campus Bio-Medico Roma
Italy Istituto Clinico Humanitas IRCCS - Sez. Autonoma di Malattie, Infiammatorie Croniche Intestinali Rozzano Milan
Korea, Republic of Kyungpook National University Hospital Daegu Korea
Korea, Republic of Kangbuk Samsung Hospital Seoul
Korea, Republic of Kyung Hee University Hospital Seoul
Lebanon Saint George Hospital University Medical Center Achrafieh
Lebanon American University of Beirut Medical Center Beirut
Lebanon Ain Wazein Medical Village El Chouf
Lebanon Hammoud Hospital University Medical Center Saida
Poland Niepubliczny Zaklad Opieki Zdrowotnej All-Medicus Katowice
Poland ETG Kielce Kielce
Poland Indywidualna Specjalistyczna Praktyka Lekarska Maciej Zymla Knurow
Poland Szpital w Knurowie Sp. z o.o. Knurow
Poland Samodzielny Publiczny Zespól Opieki Zdrowotnej, Pracownia Endoskopii Koscian
Poland Centrum Medyczne Szpital Swietej Rodziny Sp z o.o. Lodz
Poland Osrodek Badan Klinicznych Appletreeclinics Lodz
Poland Pracownia Endoskopii Centrum Medyczne Szpital Swietej Rodziny Sp z o.o. Lodz
Poland SALVE Lodz
Poland Gastromed Sp. z o.o. Lublin
Poland IRMED Piotrkow Trybunalski
Poland Samodzielny Szpital Wojewodzki im. M. Kopernika w Piotrkowie Trybunalskim Piotrkow Tryunalski
Poland Ai Centrum Medyczne Sp. Z O.O. Sp.K. Poznan
Poland AM-MEDIC SP. z o.o. Poznan
Poland Gabinety Lekarskie Rivermed Poznan
Poland PRZYCHODNIA SPECJALISTYCZNA MEDIC-R Clinical Research Center Spolka z ograniczona odpowiedzialnoscia Poznan
Poland PRZYCHODNIA SPECJALISTYCZNA MEDIC-R Clinical Research Center Spolka z ograniczona odpowiedzialnoscia Poznan
Poland KO-MED Centra Kliniczne Pulawy
Poland Zaklad Opieki Zdrowotnej Medical Sp. z o.o., (endoscopy) Pulawy
Poland ENDOSKOPIA Sp. z o. o. Sopot
Poland Szpital Sredzki Serca Jezusowego sp. z o.o. Sroda Wielkopolska
Poland Nowe Zdrowie-CK, Kieltucki i Wspólnicy Sp.j. Staszow
Poland STRZEGOMSKIE CENTRUM MEDYCZNO-DIAGNOSTYCZNE Sp. z o.o. Strzegom Dolnoslaskie
Poland DC-MED Sp. z o.o. Sp.k. Swidnica Other
Poland SONOMED Szczecin
Poland Twoja Przychodnia Szczecinskie Centrum Medyczne Szczecin
Poland H-T. Centrum Medyczne-Endoterapia Tychy Silesia
Poland Centrum Zdrowia MDM Warszawa
Poland Endoterapia PFG Sp. z o.o. Warszawa
Poland WIP Warsaw IBD Point Profesor Kierkus Warszawa
Poland Centrum Diagnostyczno-Lecznicze Barska Sp. z o. o. Wloclawek
Poland Centrum Gastrologiczno Hepatologiczne Wroclaw
Poland Futuremeds Wroclaw
Poland Golden Care Wroclaw
Poland Lexmedica Wroclaw
Poland Melita Medical Sp. z o.o. Wroclaw
Russian Federation LLC "Alliance Biomedical-Ural Group" Izhevsk Udmurt Republic
Russian Federation LLC "Alliance Biomedical-Ural Group" Izhevsk
Russian Federation LLC "Olla-Med" Moscow
Russian Federation Sechenov University on the base of Institute of Translational Medicine and Biotechnology Moscow
Russian Federation Limited Liability Company "Medical Center SibNovoMed" Novosibirsk
Russian Federation Novosibirskiy Gastrocenter Novosibirsk
Russian Federation Clinic at FSBEI HE "Omsk State Medical University" MoH RF Omsk
Russian Federation Private Medical Institution "Euromedservice" Pushkin Saint-petersburg
Russian Federation LLC "New Clinic" Pyatigorsk
Russian Federation Polyclinic Ultrasound 4D LLC Pyatigorsk Stavropol Region
Russian Federation LLC "Research center Eco-Safety" Saint Petersburg
Russian Federation Limited Liability Company "Medical Center "Reavita Med SPb" (OOO "MC "RM SPb") Saint-Petersburg
Russian Federation Limited Liability Company "RIAT SPb" Saint-Petersburg
Russian Federation Limited Liability Company "RIAT" Saint-Petersburg
Russian Federation SPb SBIH "City Hospital #40 of the Kurortnyi region" Saint-Petersburg Sestroretsk
Russian Federation Limited Liability Company Medical Company "Hepatolog" Samara
Russian Federation Non-state Healthcare Institution 'Railway Clinical Hospital at Samara Station of Open Joint Stock Samara
Russian Federation Private Institution Educational Organization of Higher Education Samara
Russian Federation Saint-Petersburg State Budgetary Healthcare Institution "City Clinical Hospital of the Righteous St. Petersburg
Russian Federation State Budgetary Healthcare Institution of the Stavropol Region Stavropol
Saudi Arabia King AbdulAziz Medical City Riyadh
Saudi Arabia King Khalid University Hospital Riyadh
Serbia KBC "Dr Dragisa Misovic-Dedinje" Beograd
Serbia Klinicki Centar Kragujevac Kragujevac Srbija
Serbia Opsta bolnica Subotica Subotica Srbija
Serbia Klinicko Bolnicki Centar "Bezanijska Kosa" Zemun Beograd
Serbia Opsta Bolnica "Djordje Joanovic", Odeljenje Interno, Odsek Gastroenterologija Zrenjanin Srbija
Slovakia Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica Banska Bystrica
Slovakia ENDOMED, s.r.o. Vranov nad Toplou
South Africa Dr Wright Private Practice Claremont Western CAPE
South Africa Wits Clinical Research Trial Site Parktown Gauteng
Spain Hospital Universitario Fundacion Alcorcon Alcorcon Madrid
Spain Hospital Universitario Ramon y Cajal Madrid
Spain Hospital Universitario Marques de Valdecilla Santander Cantabria
Spain Hospital Universitario Virgen del Rocio Sevilla
Spain Hospital Universitari i Politecnic La Fe Valencia
Switzerland Universitätsspital Zürich Zürich
Tunisia Habib Thameur Hospital Tunis
Tunisia La Rabta Hospital Tunis
Turkey Hacettepe Universitesi Tip Fakultesi Ankara
Turkey Kocaeli Universitesi Tip Fakultesi Kocaeli
Turkey Mersin Universitesi Tip Fakultesi Hastanesi Mersin
Turkey Mersin Universitesi Tip Fakultesi Hastanesi, Ic Hastaliklari Mersin
Turkey Bulent Ecevit Universitesi Tip Fakultesi Zonguldak
Ukraine Regional Municipal Non-profit Enterprise "Chernivtsi Regional Clinical Hospital", Surgery Departm Chernivtsi
Ukraine Municipal Healthcare Institution Kharkiv City Clinical Hospital #2 n.a. prof. O.O. Shalimov Kharkiv
Ukraine Medical Center "OK Clinic+" of International Institute of Clinical Trials Kyiv
Ukraine Medical Center "Universal clinic Oberig" of "Kapital" LLC, Gastro center Kyiv
Ukraine Medical Centre Medical Clinic Blagomed LLC Kyiv
Ukraine Municipal non-profit enterprise of Kyiv regional council "Kyiv regional clinical hospital" Kyiv
Ukraine Municipal Non-profit enterprise of Kyiv Regional Council "Kyiv regional hospital" Kyiv
Ukraine Lviv clinical hospital on Railway Transport of Health Care Center branch of PJSC Ukrainian Railway Lviv
Ukraine Private Small-Scale Enterprise Medical Center "Pulse" Vinnytsia
Ukraine Vinnytsia City Clinical Hospital No.1 Vinnytsia
Ukraine Vinnytsia Regional Clinical Hospital for War Veterans Vinnytsia
Ukraine Vinnytsia Regional Clinical Hospital n.a. M.I.Pyrohov Vinnytsia
Ukraine Medical Center "DIACENTER"LLC Zaporizhzhia
United Arab Emirates Emirates Specialty Hospital Dubai
United States First Street Hospital Bellaire Texas
United States First Street Surgical Center Bellaire Texas
United States Brighton Surgical Center Beverly Hills California
United States Treasure Valley Medical Research Boise Idaho
United States Brigham and Women's Hospital Boston Massachusetts
United States Mass Eye and Ear, Longwood Boston Massachusetts
United States UNC Hospitals Chapel Hill North Carolina
United States UNC Hospitals Endoscopy Center at Meadowmont Chapel Hill North Carolina
United States University of North Carolina at Chapel Hill Chapel Hill North Carolina
United States Clinical Research Institute of Michigan, LLC Chesterfield Michigan
United States Brigham and Women's Hospital Chestnut Hill Massachusetts
United States Chevy Chase Endoscopy Center Chevy Chase Maryland
United States MGG Group Co., Inc., Chevy Chase Clinical Research Chevy Chase Maryland
United States Gastro Florida Clearwater Florida
United States Gastro Florida Clearwater Florida
United States Gastro Florida Clearwater Florida
United States West Coast Endoscopy Center Clearwater Florida
United States Front Range Endoscopy Center Colorado Springs Colorado
United States Peak Gastroenterology Associates Colorado Springs Colorado
United States Dothan Surgery Center Dothan Alabama
United States Gut P.C., dba Digestive Health Specialists of the Southeast Dothan Alabama
United States Gastroenterology Associates of Northern VA Fairfax Virginia
United States Gastroenterology Associates of Northern Virginia Fairfax Virginia
United States Verity Research, Inc. Fairfax Virginia
United States UNC GI Procedures Hillsborough Hillsborough North Carolina
United States Hermann Drive Surgical Hospital Houston Texas
United States Pearland Surgery Center Houston Texas
United States UF Health Jacksonville - Gastroenterology Emerson Jacksonville Florida
United States Holston Medical Group Kingsport Tennessee
United States Holston Valley Surgery Center Kingsport Tennessee
United States Entertainment Medical Group Los Angeles California
United States Gastrointestinal Biosciences Clinical Trials, LLC Los Angeles California
United States Blue Ridge Medical Research Lynchburg Virginia
United States Eastside Endoscopy Center Macomb Michigan
United States Vanderbilt GI Endoscopy Lab at One Hundred Oaks Nashville Tennessee
United States Vanderbilt Inflammatory Bowel Disease Clinic Nashville Tennessee
United States Vanderbilt Inflammatory Bowel Disease Clinic Nashville Tennessee
United States Vanderbilt University Medical Center Nashville Tennessee
United States Vanderbilt University Medical Center Nashville Tennessee
United States Vanderbilt University Medical Center Nashville Tennessee
United States New York Presbyterian Hospital - Weill Cornell Medical College (Colonoscopy) New York New York
United States New York Presbyterian Hospital - Weill Cornell Medical College Investigational Pharmacy New York New York
United States Weill Cornell Medical College New York New York
United States Weill Cornell Medical College - New York Presbyterian Hospital New York New York
United States Weill Cornell Medical College - New York Presbyterian Hospital New York New York
United States Weill Cornell Medical College - New York Presbyterian Hospital (Endoscopy Suite) New York New York
United States DiGiovanna Institute for Medical Education And Research North Massapequa New York
United States HMD Research LLC Orlando Florida
United States Millenia Surgery Center Orlando Florida
United States Stanford Medicine Outpatient Center - Digestive Health Center Redwood City California
United States Capitol Research Rockville Maryland
United States WestGlen Gastrointestinal Consultants, P.A. Shawnee Mission Kansas
United States GI Alliance Southlake Texas
United States Lonestar Endoscopy, LLP Southlake Texas
United States Texas Digestive Disease Consultants (Administrative, Regulatory) Southlake Texas
United States Gastroenterology Associates of the Piedmont, PA Winston-Salem North Carolina
United States PMG Research of Winston-Salem, LLC Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Australia,  Austria,  Belgium,  Bosnia and Herzegovina,  Canada,  Croatia,  Czechia,  Georgia,  Germany,  Hungary,  Italy,  Korea, Republic of,  Lebanon,  Poland,  Russian Federation,  Saudi Arabia,  Serbia,  Slovakia,  South Africa,  Spain,  Switzerland,  Tunisia,  Turkey,  Ukraine,  United Arab Emirates, 

Outcome

Type Measure Description Time frame Safety issue
Primary Proportion of subjects achieving SES CD 50 (>50% reduction in SES CD from baseline) at Week 12. 12 weeks
Primary Number of subjects with adverse events Baseline of extension period (Week 12) to week 68
Primary Number of subjects with serious adverse events Baseline of extension period (Week 12) to week 68
Primary Number of subjects with electrocardiogram findings of potential clinical importance Baseline of extension period (Week 12) to week 68
Primary Number of subjects with laboratory tests findings of potential clinical importance Baseline of extension period (Week 12) to week 68
Primary Number of subjects withdrawal due to adverse events Baseline of extension period (Week 12) to week 68
Primary Number of subjects with vital signs findings of potential clinical importance Baseline of extension period (Week 12) to week 68
Secondary Number of participants with potentially clinically important serious infections findings 64 weeks
Secondary Mean change from baseline in SES-CD score at Week 12. Baseline, week 12
Secondary Proportion of subjects achieving SES-CD 25 at Week 12. Number of subjects achieving SES-CD 25 at Week 12. Baseline, week 12
Secondary Proportion of subjects achieving endoscopic remission (SES-CD less than or equal to 2) at Week 12. Number of subjects achieving endoscopic remission (SES-CD less than or equal to 2) at Week 12. Week 12
Secondary Proportion of subjects achieving mucosal healing at Week 12. Number of subjects achieving mucosal healing at Week 12. Week 12
Secondary Number of subjects with adverse events Number of participants with reported adverse events Baseline of induction period to week 12
Secondary Number of subjects with serious adverse events Number of participants with reported serious adverse events Baseline of induction period to week 12
Secondary Number of subjects with electrocardiogram findings of potential clinical importance. Number of participants with potentially clinically important electrocardiogram findings. Baseline of induction period to week 12
Secondary Number of subjects withdrawal due to adverse events Number of subjects withdrawal due to adverse events. Baseline of induction period to week 12
Secondary Number of subjects with vital signs findings of potential clinical importance. Number of participants with potentially clinically important vital signs findings. Baseline of induction period to week 12
Secondary Number of subjects with laboratory tests findings of potential clinical importance. Number of participants with potentially clinically important laboratory findings. Baseline of induction period to week 12
Secondary Proportion of subjects achieving SES CD 25 and SES CD 50 at Week 64 among subjects who achieved SES CD 25 and SES CD 50 at week 12 respectively. Number of subjects achieving SES-CD 25 and SES-CD 50 at Week 64 among subjects who achieved SES CD 25 and SES CD 50 at week 12 week 64
Secondary Proportion of subjects achieving clinically meaningful endoscopic improvement (CMEI response) at week 64 among subjects who achieved CMEI response at Week 12. Number of subject achieving clinically meaningful endoscopic improvement (CMEI response) at week 64 among subjects who achieved CMEI response at week 12. week 64
Secondary Proportion of subjects achieving clinically meaningful endoscopic improvement (reduction of > or equal 3 points from baseline in SES CD score) at Week 12. Week 12
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