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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03281304
Other study ID # A3921288
Secondary ID RIVETING STUDY20
Status Terminated
Phase Phase 4
First received
Last updated
Start date November 16, 2017
Est. completion date March 18, 2022

Study information

Verified date February 2023
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study is a follow up study for subjects with Ulcerative Colitis (UC) in stable remission designed to evaluate flexible dosing of CP-690,550.


Recruitment information / eligibility

Status Terminated
Enrollment 140
Est. completion date March 18, 2022
Est. primary completion date February 14, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Currently enrolled in Study A3921139 receiving CP-690,550 10 mg BID for at least 2 years consecutively. - In stable remission on CP-690,550 10 mg BID - Agree to use highly effective contraception - Negative pregnancy test - Comply with visits, treatments, lab tests, diary and other study procedures - Signed and dated informed consent document. Exclusion Criteria: - Subjects who were initially assigned to tofacitinib 10 mg BID at baseline of Study A3921139 whose tofacitinib dose was reduced to 5 mg BID due to safety or efficacy. - Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis or findings suggestive of Crohn's disease - Likely to require surgery for ulcerative colitis during study - Expected to receive any prohibited medication - Expected to receive live or attenuated virus vaccination during study - Women who are pregnant or breastfeeding or planning to become pregnant during the study - Evidence of colonic malignancy or any dysplasia - Acute or chronic medical or psychiatric condition that may increase risk of participation - Investigator site staff member - Subjects likely to be uncooperative or unable to comply with study procedures - Participation in other studies involving investigational drugs during study - Subjects with any of the following risk factors for pulmonary embolism at baseline as defined by EMA's PRAC: - has heart failure; - has inherited coagulation disorders; - has had venous thromboembolism, either deep venous thrombosis or pulmonary embolism; - is taking combined hormonal contraceptives or hormone replacement therapy; - has malignancy (association is strongest with cancers other than non-melanoma skin cancers); - is undergoing major surgery

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
CP-690,500 5 mg
CP-690,550 5 mg tablet BID
CP-690,550 10 mg
CP-690,550 10 mg tablet BID

Locations

Country Name City State
Belgium UZ Leuven (University Hospital Leuven), Campus Gasthuisberg Leuven
Canada London Health Sciences Centre - University Hospital London Ontario
Canada Royal University Hospital Saskatoon Saskatchewan
Czechia Nemocnice Strakonice a.s. Strakonice
France CHU Hotel Dieu Nantes
France CHU de Bordeaux Hopital Haut Leveque Pessac
Germany Universitaetsklinikum Schleswig-Holstein Kiel
Hungary Pannonia Maganorvosi Centrum Kft. Budapest
Hungary Szent Janos Korhaz és Eszak-budai Egyesitett Korhazak Budapest
Hungary Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz Endoszkopos Laboratorium Gyula
Italy Università "Magna Graecia" di Catanzaro Catanzaro CZ
Japan Tokyo Medical And Dental University Hospital, Faculty of Medicine Bunkyo-ku Tokyo
Japan Toho University Sakura Medical Center Chiba
Japan Fukuoka University Chikushi Hospital Chikushino Fukuoka
Japan Tokai University Hachioji Hospital Hachioji Tokyo
Japan Hiroshima University Hospital Hiroshima
Japan Kurume University Hospital Kurume Fukuoka
Japan Kitasato University Kitasato Institute Hospital Minato-ku Tokyo
Japan Aichi Medical University Hospital Nagakute Aichi
Japan Osaka Metropolitan University Hospital Osaka
Japan Shiga University of Medical Science Hospital Otsu Shiga
Japan Hokkaido P.W.F.A.C Sapporo-Kosei General Hospital Sapporo Hokkaido
Japan Showa University Hospital Shinagawa-ku Tokyo
Japan Osaka Medical and Pharmaceutical University Hospital Takatsuki-shi Osaka
Japan Keio University Hospital Tokyo
Korea, Republic of Hanyang University Guri Hospital Gyeonggi-do
Korea, Republic of Kyung Hee University Hospital Seoul
Korea, Republic of Severance Hospital, Yonsei University Health System Seoul
Netherlands Academic Medical Centre Amsterdam
New Zealand Christchurch Hospital (Canterbury District Health Board) Christchurch
New Zealand Southern District Health Board Dunedin
New Zealand North Shore Hospital (Waitemata District Health Board) Takapuna Auckland
Poland Endoskopia Sp. z o.o. Sopot
Poland Lexmedica Wroclaw
Russian Federation Federal State Budgetary Institution "State Scientific Centre of Coloproctology Moscow
Russian Federation Federal State Budgetary Scientific Institution "Scientific Research Institute of Physiology Novosibirsk
Russian Federation LLC Novosibirskiy Gastrocenter Novosibirsk
Serbia Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology Belgrade
Serbia Clinical Hospital Centre Zvezdara Belgrade
Serbia Military Medical Academy, Clinic for Gastroenterology and Hepatology Belgrade
Serbia Clinical Center Kragujevac Kragujevac
Serbia General Hospital "Djordje Joanovic" Zrenjanin
Slovakia Medak s.r.o. Bratislava
Slovakia KM Management spol. s.r.o. Nitra
Slovakia Gastro I., s.r.o., Gastroenterologicka ambulancia Presov
South Africa Kingsbury Hospital Claremont Cape Town
South Africa Endocare Research Centre Paarl Western CAPE
South Africa Panorama Mediclinic Panorama Western CAPE
South Africa Chris Hani Baragwanath Academic Hospital Soweto Johannesburg
South Africa Wits Clinical Research (WCR) Bara Site, Chris Hani Baragwanath Academic Hospital Soweto Johannesburg, Gauteng
Spain Hospital Clinic de Barcelona Barcelona
Ukraine Regional Municipal Non-Profit Enterprise "Chernivtsi Regional Clinical Hospital" Surgery Departm Chernivtsi
Ukraine Kyiv Municipal Clinical Hospital #18 Kyiv
Ukraine MI Uzhgorod Regional Hospital Uzhgorod
Ukraine Vinnytsia Regional Clinical Hospital for War Veterans, Therapeutics Dept. No. 2 Vinnytsia
United Kingdom University Hospitals Bristol NHS Foundation Trust Bristol Avon
United States Bristol Hospital Bristol Connecticut
United States Connecticut Clinical Research Institute Bristol Connecticut
United States Clinical Research Institute of Michigan, LLC Chesterfield Michigan
United States Chevy Chase Endoscopy Center Chevy Chase Maryland
United States MGG Group Co., Inc., Chevy Chase Clinical Research Chevy Chase Maryland
United States Memorial Hermann Hospital Houston Texas
United States The University of Texas Health Science Center at Houston (UTHealth)- McGovern Medical School Houston Texas
United States NYU Langone Long Island Clinical Research Associates Lake Success New York
United States Eastside Endoscopy Center Macomb Michigan
United States Great Lakes Gastroenterology Research, LLC Mentor Ohio
United States Alabama Medical Group, P.C. Mobile Alabama
United States Surgicare of Mobile Mobile Alabama
United States Columbia University Irving Medical Center New York New York
United States Columbia University Medical Center Research Pharmacy/ Milstein Hospital New York New York
United States Central Connecticut Endoscopy Center Plainville Connecticut
United States Advanced Medical Research Center Port Orange Florida
United States Alpine Medical Group Salt Lake City Utah
United States Wasatch Clinical Research, LLC Salt Lake City Utah
United States Clinical Applications Laboratories, Inc. San Diego California
United States Cotton-O'Neil Clinical Research Center, Digestive Health Topeka Kansas
United States Clinical Research Institute of Michigan, LLC Troy Michigan
United States Christus Trinity Mother Frances Endoscopy Center Tyler Texas
United States Tyler Research Institute, LLC Tyler Texas
United States Florida Medical Clinic, P.A. Zephyrhills Florida

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Belgium,  Canada,  Czechia,  France,  Germany,  Hungary,  Italy,  Japan,  Korea, Republic of,  Netherlands,  New Zealand,  Poland,  Russian Federation,  Serbia,  Slovakia,  South Africa,  Spain,  Ukraine,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Remission Based on Modified Mayo Score at Month 6 Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0 at Month 6. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease. Month 6
Secondary Time to Loss of Remission Based on Modified Mayo Score Using Kaplan-Meier Method Time to loss of remission(flare): time from first drug administration until time of meeting loss of remission criteria based on modified mayo score. Loss of remission: meeting at least (>=)1 criteria: increase from Baseline in rectal bleeding subscore by >=1 point and increase in endoscopic subscore by >=1 point; increase from Baseline in rectal bleeding subscore by >=2 points and endoscopic subscore >0; increase in stool frequency subscore by >=2 points and increase in endoscopic subscore by >=1 point; increase in endoscopic subscore by >=2 points. Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores: Modified mayo score included 3 components: stool frequency, rectal bleeding and endoscopic subscores, each subscore graded from 0 to 3 with higher scores for each score=more severe disease. All scores summed up to give total modified mayo score range from 0 to 9; higher scores=more severe disease. Up to Month 42
Secondary Number of Participants With Remission Based on Modified Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 Remission as per modified partial mayo score was defined as stool frequency subscore of 0 or 1, and rectal bleeding sub score of 0 at the specified time points. Modified partial mayo scores consisted of 2 components: stool frequency and rectal bleeding: each subscore graded from 0 to 3 with higher scores for each score = more severe disease. These scores were summed up to give a total modified partial mayo score range of 0 to 6; where higher scores indicating more severe disease. Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Secondary Number of Participants With Remission Based on Total Mayo Score at Months 6, 18, 30 and 42 Remission as per total mayo score was defined by a total mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and physician global assessment (PGA), each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease. Months 6, 18, 30 and 42
Secondary Number of Participants With Remission Based on Partial Mayo Score at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 Remission as per partial mayo score was defined as partial mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease. Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Secondary Number of Participants With Remission Based on Modified Mayo Score at Months 18, 30 and 42 Remission as per modified mayo score was defined as an endoscopic subscore of 0 or 1, stool frequency subscore of 0 or 1, and rectal bleeding subscore of 0. Modified mayo score consisted of 3 components: stool frequency subscore, rectal bleeding subscore and endoscopic subscore: higher scores for each score = more severe disease. These scores were summed up to give a total modified mayo score range of 0 to 9; where higher scores indicating more severe disease. Months 18, 30 and 42
Secondary Change From Baseline in Modified Mayo Score at Month 6 Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease. Baseline, Month 6
Secondary Change From Baseline in Modified Mayo Score at Months 18, 30 and 42 Modified mayo score is an instrument designed to measure disease activity of UC. Modified mayo scores consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore, each subscore graded from 0 to 3 with higher scores indicating more severe disease. These individual scores were summed up to give a total modified mayo score range of 0 to 9, where higher scores indicated more severe disease. Baseline, Months 18, 30 and 42
Secondary Change From Baseline in Modified Partial Mayo Score at Months 1, 3 and 6 Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total Modified partial mayo score ranges from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease. Baseline, Months 1, 3 and 6
Secondary Change From Baseline in Modified Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 Modified partial mayo scores consisted of 2 subscores: stool frequency and rectal bleeding with each subscore graded from 0 to 3 with higher scores indicating more severe disease. Individual subscores were summed up to give a total modified partial mayo score range from 0 (normal or inactive disease) to 6 (severe disease) with higher scores indicating more severe disease. Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Secondary Change From Baseline in Total Mayo Score at Month 6 Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease. Baseline, Month 6
Secondary Change From Baseline in Total Mayo Score at Months 18, 30 and 42 Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total mayo score range of 0 to 12, where higher scores indicating more severe disease. Baseline, Months 18, 30 and 42
Secondary Change From Baseline in Partial Mayo Score at Months 1, 3 and 6 Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score range from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease. Baseline, Months 1, 3 and 6
Secondary Change From Baseline in Partial Mayo Score at Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 Partial mayo score was an instrument designed to measure disease activity of UC without endoscopy. It consisted of 3 subscores: stool frequency, rectal bleeding and PGA with each subscore graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a total partial mayo score ranges from 0 (normal or inactive disease) to 9 (severe disease) with higher scores indicating more severe disease. Baseline, Months 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Secondary Number of Participants With Mucosal Healing at Months 6, 18, 30 and 42 Mucosal healing in participants was defined as the mayo endoscopic subscore of 0 or 1. The Mayo endoscopic subscore consisted of the findings of centrally read flexible sigmoidoscopy, graded from 0 to 3 with higher scores indicated more severe disease. Months 6, 18, 30 and 42
Secondary Number of Participants With Clinical Response Based on Mayo Score at Months 6, 18, 30 and 42 Clinical response was defined as a decrease from baseline in mayo score of at least 3 points and at least 30 percent, with an accompanying decrease in the rectal bleeding subscore of at least 1 point or an absolute rectal bleeding subscore of 0 or 1. Mayo score is an instrument designed to measure disease activity of UC. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible sigmoidoscopy and PGA, each sub score graded from 0 to 3 with higher scores indicating more severe disease. PGA included 3 criteria: participant's recollection of abdominal discomfort, general sense of wellbeing and other observations such as physical findings and performance status. Individual subscores were summed up to give a mayo score range of 0 to 12, where higher scores indicating more severe disease. Months 6, 18, 30 and 42
Secondary Change From Baseline in Fecal Calprotectin at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 Change from baseline in fecal calprotectin (in micrograms per gram [mcg/g]) was reported. Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Secondary Change From Baseline in High Sensitivity C-Reactive Protein (Hs-CRP) Level at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42 Change From baseline in hs-CRP level (in milligrams per liter [mg/L]) is reported. Baseline, Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39 and 42
Secondary Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment or worsened during the treatment period relative to the pretreatment state. AEs included both serious and all non-serious adverse events (irrespective of frequency threshold used to report other AEs in safety section). Baseline up to 43 months
Secondary Number of Participants With Serious Infections Serious infections were defined as any infections (viral, bacterial, and fungal) requiring parenteral antimicrobial therapy, hospitalization for treatment, or meeting other criteria that require the infection to be classified as serious adverse event. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. Baseline up to 43 months
Secondary Number of Participants With Clinical Laboratory Abnormalities Abnormality criteria: Hematology: hemoglobin(Hg): <0.8* lower limit of normal (LLN); hematocrit: <0.8*LLN; lymphocytes: <0.8* LLN; lymphocytes/leukocytes: <0.8*LLN; erythrocytes: <0.8*LLN; erythrocytes mean corpuscular volume: <0.9*LLN; erythrocytes mean corpuscular Hg: <0.9*LLN; reticulocytes, reticulocytes/erythrocytes:>1.5* upper limit of normal (ULN); neutrophils, neutrophils/leukocytes: >1.2*ULN; basophils/leukocytes, eosinophils, eosinophils/leukocytes, monocytes/leukocytes: >1.2*ULN; leukocyte esterase: >=1; Clinical chemistry: bicarbonate:<0.9*LLN, bilirubin: >1.5*ULN; indirect bilirubin: >1.5* ULN; aspartate aminotransferase(AT): >3.0*ULN; alanine AT: >3.0*ULN; gamma glutamyl transferase: >3.0* ULN; creatine kinase: >2.0*ULN; potassium: >1.1*ULN; blood urea nitrogen: >1.3*ULN; creatinine: >1.3*ULN; urate: >1.2*ULN; cholesterol: >1.3*ULN; HDL-cholesterol: <0.8* LLN; LDL-cholesterol: >1.2*ULN; triglycerides: >1.3*ULN; glucose: >1.5*ULN; and urine Hg >=1. Baseline up to 27 months
Secondary Number of Participants With Clinically Significant Laboratory Abnormalities Leading to Study Treatment Discontinuation Laboratory abnormalities leading to study treatment discontinuation: 2 sequential neutrophil counts <750 neutrophils per cubic millimeter (mm^3); 2 sequential lymphocyte counts <500 lymphocytes/mm^3; 2 sequential hemoglobin <8.0 grams per deciliter; 2 sequential platelet counts <75000 platelets/mm^3; 2 sequential AST or ALT elevations >=3*ULN with at least one total bilirubin value >=2*ULN; 2 sequential AST or ALT elevations >=3*ULN accompanied by signs or symptoms consistent with hepatic injury; 2 sequential AST or ALT elevations >=5*ULN; 2 sequential increases in creatinine >50% and >0.5 milligrams per deciliter over A3921139 baseline; 2 sequential CK elevations >10*ULN unless the causality is known not to be medically serious (eg, exercise induced). Baseline up to 43 months
Secondary Number of Participants With Vital Sign Abnormalities Vital signs abnormality criteria included: 1) a) diastolic blood pressure (DBP) of (less than) <50 millimeter of mercury (mmHg), b) change greater than equal to (>=) 20 mmHg increase, c) change >=20 mmHg decrease; 2) a) systolic blood pressure (SBP) of <90 mmHg, b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate >120 bpm. Only those categories in which at least 1 participant had data were reported. Baseline up to 43 months
Secondary Number of Participants With Clinically Significant Physical Examinations Abnormalities Physical examination included assessment of the weight, general appearance, eyes, mouth, lungs, heart, abdomen, musculoskeletal, extremities, skin and lymph nodes. Clinical significance was assessed by the Investigator. Baseline up to 43 months
Secondary Number of Participants With Opportunistic Infections, All Malignancy, Gastrointestinal Perforation and Cardiovascular Events Adjudicated by Adjudication Committee Number of participants with adjudicated opportunistic infections including herpes zoster (non-adjacent or >2 adjacent dermatomes); all malignancies including non-melanoma skin cancer; gastrointestinal perforation and cardiovascular events including pulmonary embolism and cerebrovascular accident, adjudicated by adjudication committee were reported. Baseline up to 43 months
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