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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04987307
Other study ID # 20170104
Secondary ID 2021-002537-41
Status Recruiting
Phase Phase 2
First received
Last updated
Start date January 31, 2022
Est. completion date December 26, 2025

Study information

Verified date June 2024
Source Amgen
Contact Amgen Call Center
Phone 866-572-6436
Email medinfo@amgen.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main purpose of this study is to evaluate the effect of efavaleukin alfa on induction of clinical remission in participants with moderately to severely active ulcerative colitis (UC). Participants will be randomized to receive 1 of 3 efavaleukin alfa doses or placebo during a 12-week induction period. Participants who complete the 12-week induction period will have the option to enter an exploratory long-term treatment period for up to 40 weeks (total of up to 52 weeks of treatment) if, in the opinion of the investigator, they may benefit from continued treatment. During the long-term period, participants randomized to efavaleukin alfa will remain on the same efavaleukin alfa blinded dose; participants randomized to placebo who achieved clinical response at week 12 will remain on placebo; and placebo non-responders (ie, participants randomized to placebo who did not achieve clinical response at week 12) will receive efavaleukin alfa in a blinded manner during continued treatment. All participants will complete a safety follow-up visit 6 weeks after their last dose of investigational product.


Recruitment information / eligibility

Status Recruiting
Enrollment 320
Est. completion date December 26, 2025
Est. primary completion date February 21, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Key Inclusion Criteria: - Participant has provided informed consent prior to initiation of any study specific activities or procedures. - Men and women aged = 18 to < 80 years at screening visit (= 19 to < 80 in South Korea). - Diagnosis of UC established = 3 months prior to enrollment by clinical and endoscopic evidence and corroborated by a histopathology report. If a histopathology report is not available at screening, then additional biopsies may be taken during the screening period for local histopathology analysis to corroborate. - Moderately to severely active UC as defined by a modified Mayo score of 5 to 9, with a centrally read endoscopy subscore = 2. - Has documentation of: - A surveillance colonoscopy (performed according to local standard) within 12 months of day 1 visit for participants with pancolitis of > 8 years duration, or participants with left-sided colitis of > 12 years duration, or participants with primary sclerosing cholangitis. - At the discretion of the investigator, a colonoscopy (instead of a rectosigmoidoscopy) may be performed as the screening endoscopy for this study. - For all other participants, up-to-date colorectal cancer surveillance (performed according to local standard). Participants who do not have a colonoscopy report available in source documentation will have a colonoscopy instead of rectosigmoidoscopy performed as the screening endoscopy for the study. - Participants must have demonstrated inadequate response, loss of response, or intolerance to at least 1 conventional therapy, biologic therapy, or targeted small molecule therapy (ie, Janus kinase [JAK]-inhibitor or or S1P modulators), as follows: 1. Conventional therapy failed participants: - Corticosteroids (corticosteroid-refractory colitis, defined as signs and/or symptoms of active UC despite oral prednisone [or equivalent] at doses of at least 30 mg/day for a minimum of 2 weeks; or corticosteroid-dependent colitis, defined as: an inability to reduce corticosteroids below the equivalent of prednisone 10 mg/day within 3 months of starting corticosteroids without a return of signs and/or symptoms of active UC; or a relapse within 3 months of completing a course of corticosteroids). - History of intolerance of corticosteroids (including, but not limited to, Cushing's syndrome, osteopenia/ osteoporosis, hyperglycemia, or neuropsychiatric side-effects, including insomnia, associated with corticosteroid treatment). - Immunomodulators: signs and/or symptoms of persistently active disease despite at least 3 months treatment with one of the following at locally approved doses: oral azathioprine (eg, = 1.5 mg/kg/day) or 6-mercaptopurine (eg, = 0.75 mg/kg/day), or oral azathioprine or 6-mercatopurine within a therapeutic range as judged by thioguanine metabolite testing, or a combination of a thiopurine and allopurinol within a therapeutic range as judged by thioguanine metabolite testing. - History of intolerance to at least 1 immunomodulator (including but not limited to nausea/vomiting, abdominal pain, pancreatitis, liver function test abnormalities, and lymphopenia) and have neither failed nor demonstrated an intolerance to a biological medication (anti-tumor necrosis factor [TNF] antibody, anti-integrin antibody, or interleukin [IL]-12/23 antagonists) that is indicated for the treatment of UC. 2. Biologic or targeted small molecule therapy failed participants: those who demonstrated inadequate response or loss of response or intolerance to biologic therapy for UC (eg, anti-TNF antibodies or IL-12/23 antagonists, anti-integrin antibodies) or targeted small molecules (eg, JAK inhibitors or S1P modulators). The therapy used to qualify the participant for entry into this category must be approved for the treatment of UC in the country of use, at the time of use. Participants must fulfil one of the following criteria: - Inadequate response: signs and symptoms of persistently active disease despite induction treatment at the approved induction dosing that was indicated in the product label at the time of use. - Loss of response: recurrence of signs and symptoms of active disease during approved maintenance dosing following prior clinical benefit (discontinuation despite clinical benefit does not quality as having failed or being intolerant to UC biological therapy, JAK inhibitor, or S1P modulators). - Intolerance: history of intolerance to infliximab, adalimumab, golimumab, vedolizumab, ustekinumab, tofacitinib or other approved biologicals, JAK inhibitors or S1P modulators (including but not limited to infusion-related event, demyelination, congestive heart failure, or any other drug-related adverse event that led to a reduction in dose or discontinuation of the medication). - If receiving any of the following therapies, participants must have stable dosage for the specified duration: - 5-aminosalicylates (ASAs), stable dosage for = 2 weeks prior to screening endoscopy. - Oral corticosteroids: prednisone = 20 mg/day or its equivalent, stable dose for = 2 weeks prior to screening endoscopy. - Budesonide: extended release tablets 9 mg/day [budensonide MMX], stable dose for = 2 weeks prior to screening endoscopy. - Beclomethasone dipropionate: gastro-resistant prolonged-release tablet 5 mg/day, stable dose for >= 2 weeks prior to screening endoscopy. - Conventional immunomodulators: azathioprine, 6-mercaptopurine, methotrexate, stable dosage for = 12 weeks prior to screening endoscopy. Key Exclusion Criteria: - Diagnosis of Crohn's disease, inflammatory bowel disease unclassified (indeterminate colitis), microscopic colitis, ischemic colitis, or clinical findings suggestive of Crohn's disease. - Evidence of toxic megacolon, fulminant colitis, intra-abdominal abscess, or stricture/stenosis within the small bowel or colon. - Participant has had extensive surgery for UC (for example, subtotal colectomy), or is likely to require surgery for the treatment of UC during the study. - Currently receiving or had treatment within 12 months prior to screening with T cell depleting agents (eg, antithymocyte globulin, Campath). - Participant has received any of the following prescribed medication or therapy within the specified time period: - Anti TNF antibodies (eg, infliximab, adalimumab, golimumab) < 8 weeks prior to screening rectosigmoidoscopy. - Anti integrin antibodies (eg, vedolizumab) < 8 weeks prior to screening rectosigmoidoscopy. - IL 12/23 antagonist (eg, ustekinumab) < 8 weeks prior to screening rectosigmoidoscopy. - JAK inhibitors (eg, tofacitinib) < 4 weeks prior to screening rectosigmoidoscopy. - Any other commercially approved biologic agent or targeted small molecule < 8 weeks prior to screening rectosigmoidoscopy or < 5 half lives prior to screening rectosigmoidoscopy, whichever is longer - Immunomodulatory medications, including oral cyclosporine, intravenous cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil, thalidomide < 4 weeks prior to screening rectosigmoidoscopy. - Any investigational biologic therapy within 8 weeks prior to screening rectosigmoidoscopy or < 5 half-lives prior to screening rectosigmoidoscopy, whichever is longer. - Has used apheresis (eg, Adacolumnâ apheresis) < 2 weeks prior to screening rectosigmoidoscopy.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Efavaleukin alfa
Efavaleukin alfa will be administered by subcutaneous (SC) injection.
Placebo
Placebo will be administered by SC injection.

Locations

Country Name City State
Argentina Hospital Privado Centro Medico de Cordoba SA Cordoba Córdoba
Argentina Centro de Investigaciones Medicas Mar del Plata Mar del Plata Buenos Aires
Argentina Clinica Independencia Munro Buenos Aires
Argentina Cer Instituto Medico Quilmes Buenos Aires
Argentina Fundacion Estudios Clinicos Rosario Santa Fe
Argentina CardioAlem Investigaciones San Isidro Buenos Aires
Austria Medizinische Universitaet Innsbruck Innsbruck
Austria Landeskrankenhaus Salzburg Salzburg
Austria Universitaetsklinikum Allgemeines Krankenhaus Wien Wien
Belgium Universitair Ziekenhuis Antwerpen Edegem
Belgium Universitair Ziekenhuis Leuven - Campus Gasthuisberg Leuven
Belgium Centre Hospitalier Universitaire de Liege - Sart Tilman Liège
Bulgaria Acibadem City Clinic University Multiprofile Hospital for Active Treatment Mladost EOOD Sofia
Bulgaria Diagnostic-Consultative Center Convex EOOD Sofia
Bulgaria Second Multiprofile Hospital for Active Treatment - Sofia EAD Sofia
Canada South Edmonton Gastroenterology Edmonton Alberta
Canada London Health Sciences Centre, University Hospital London Ontario
Canada TIDHI Innovation Incorporated Toronto Ontario
Czechia Hepato-Gastroenterologie HK sro Hradec Kralove
Czechia Nemocnice Pardubickeho kraje as, Pardubicka nemocnice Pardubice
Czechia Axon Clinical sro Praha
Czechia Nemocnice Milosrdnych sester sv Karla Boromejskeho v Praze Praha
Czechia Krajska zdravotni as - Masarykova nemocnice Usti nad Labem oz Usti nad Labem
Denmark Aalborg Universitetshospital Aalborg
Denmark Herlev Hospital Herlev
Denmark Hvidovre Hospital Hvidovre
Denmark Bispebjerg Hospital Kobenhavn NV
Finland Helsinki University Central Hospital Helsinki
France Centre Hospitalier Universitaire Amiens Picardie Amiens cedex 1
France Centre Hospitalier Universitaire de Montpellier - Hopital Saint Eloi Montpellier cedex 5
France Centres Medicaux Chirurgicaux Ambroise Pare Hartmann Neuilly sur seine
France Centre Hospitalier Universitaire Archet 2 Nice cedex 3
France Centre Hospitalier Universitaire Nord de Saint Etienne - Hôpital Nord Saint Priest en Jarez
France Centre Hospitalier Universitaire de Nancy - Hôpital de Brabois Vandoeuvre les Nancy Cedex
Germany Gastro-Studien GbR Studienzentrum Berlin
Germany Universitaetsklinikum Essen Essen
Germany Universitaetsklinikum Frankfurt Frankfurt am Main
Germany Universitaetsklinikum Schleswig-Holstein Kiel
Germany Universitaetsklinikum Tuebingen Tuebingen
Germany Universitaetsklinikum Ulm Ulm
Greece University General Hospital of Alexandroupolis Alexandroupoli
Greece General Hospital Evangelismos Athens
Greece Laiko General Hospital of Athens Athens
Greece University Hospital Attikon Haidari
Greece University Hospital of Heraklion Heraklion
Greece Venizeleio General Hospital Heraklion
Greece University General Hospital of Ioannina Ioannina
Greece General University Hospital of Patras Panagia i Voithia Patras
Hungary Bekes Varmegyei Kozponti Korhaz Dr Rethy Pal Tagkorhaz Bekescsaba
Hungary Clinexpert Kft Budapest
Hungary MIND Klinika Kft Budapest
Hungary Obudai Egeszsegugyi Centrum Kft Budapest
Hungary Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont Altalanos Orvostudomanyi Kar Szeged
Hungary Clinfan Kft Szekszard
Hungary Komarom-Esztergom Varmegyei Szent Borbala Korhaz Tatabanya
Italy Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia Brescia
Italy Azienda Ospedaliera Universitaria Renato Dulbecco Catanzaro
Italy Azienda Ospedaliero Universitaria Careggi Firenze
Italy Ospedale Policlinico San Martino IRCCS Genoa
Italy Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milano
Italy IRCCS Ospedale San Raffaele Milano
Italy Ospedale Sacro Cuore Don Calabria Negrar VR
Italy Ospedale Sandro Pertini Roma
Japan Tokyo Medical and Dental University Hospital Bunkyo-ku Tokyo
Japan Gifu University Hospital Gifu-shi Gifu
Japan Hakodate Central General Hospital Hakodate-shi Hokkaido
Japan Matsunami General Hospital Hashima-gun Gifu
Japan Gokeikai Ofuna Chuo Hospital Kamakura-shi Kanagawa
Japan Nara Medical University Hospital Kashihara-shi Nara
Japan Tsujinaka Hospital Kashiwanoha Kashiwa-shi Chiba
Japan Kitakyushu Municipal Medical Center Kitakyushu-shi Fukuoka
Japan Aoyama Clinic GI Endoscopy and IBD Center Kobe-shi Hyogo
Japan Yamanashi Prefectural Central Hospital Kofu-shi Yamanashi
Japan Kitasato University Kitasato Institute Hospital Minato-ku Tokyo
Japan Kyorin University Hospital Mitaka-shi Tokyo
Japan Miyazaki Prefectural Miyazaki Hospital Miyazaki-shi Miyazaki
Japan Nagasaki University Hospital Nagasaki-shi Nagasaki
Japan National Hospital Organization Okayama Medical Center Okayama-shi Okayama
Japan Ome Medical Center Ome-shi Tokyo
Japan Osaka Metropolitan University Hospital Osaka-shi Osaka
Japan Toho University Sakura Medical Center Sakura-shi Chiba
Japan Sapporo Tokushukai Hospital Sapporo-shi Hokkaido
Japan Takagi Clinic Sendai-shi Miyagi
Japan Medical Corporation ENEXT Ikebukuro West Gate Hospital Toshima-ku Tokyo
Korea, Republic of Inje University Haeundae Paik Hospital Busan
Korea, Republic of Yeungnam University Hospital Daegu
Korea, Republic of Samsung Medical Center Seoul
Korea, Republic of The Catholic University of Korea Seoul St Marys Hospital Seoul
Korea, Republic of Wonju Severance Christian Hospital Wonju-si, Gangwon-do
Latvia Gastro Centrs Riga
Latvia Pauls Stradins Clinical University Hospital Riga
Mexico Clinicos Asociados BOCM SC Ciudad de Mexico Distrito Federal
Mexico Centro para el Desarrollo de la Medicina y de Asistencia Medica Especializada SC Culiacan Sinaloa
Mexico Clinica de Investigacion en Reumatologia y Obesidad SC Guadalajra Jalisco
Mexico CRI Centro Regiomontano de Investigacion SC Monterrey Nuevo León
Mexico Hospital San Jose Tec Salud Fundacion Santos y de la Garza Evia IBP Monterrey Nuevo León
Mexico Investigacion Biomedica para el Desarrollo de Farmacos SA de CV Zapopan Jalisco
Netherlands Leids Universitair Medisch Centrum Leiden
Netherlands Elisabeth TweeSteden Ziekenhuis Tilburg
Netherlands Universitair Medisch Centrum Utrecht Utrecht
Poland NZOZ Twoje Zdrowie EL Spzoo Elblag
Poland Centrum Medyczne Med-Gastr Sp zoo Lodz
Poland Centrum Badawcze Panaceum Agnieszka Brzezicka Magdalena Lenkiewicz Spzoo Malbork
Poland Oleg Tyszkiwski Centrum Gastrologiczne Gorczyn Oleg Tyszkiwski Poznan
Poland Centrum Medyczne Pratia Poznan Skorzewo
Poland BodyClinic spolka z ograniczona odpowiedzialnoscia Warszawa
Poland EuroMediCare Przychodnia Specjalistyczna we Wroclawiu Wroclaw
Poland Centrum Medyczne Melita Medical Wroclaw-Krzyki
Romania Institutul Clinic Fundeni Bucharest
Romania Clinica Medicum Bucuresti
Romania Spitalul Clinic Colentina Bucuresti
Romania Spitalul de Oncologie Monza SRL Bucuresti
Romania Spitalul Universitar de Urgenta Militar Central Dr Carol Davila Bucuresti
Romania Spitalul Clinic Pelican Oradea
Slovakia Fakultna Nemocnica s poliklinikou FD Roosevelta Banska Bystrica Banska Bystrica
Slovakia Endomed, sro Kosice
Slovakia Gastro I, sro Presov
Spain Hospital de la Santa Creu i Sant Pau Barcelona Cataluña
Spain Hospital General Universitario Gregorio Marañon Madrid
Spain Hospital Universitario de La Princesa Madrid
Spain Hospital Universitario La Paz Madrid
Switzerland Inselspital Bern Bern
Switzerland Intesto BE Bern
Switzerland Kantonsspital St Gallen Sankt Gallen
Switzerland Universitaetsspital Zuerich Zurich
Taiwan China Medical University Hospital Taichung
Taiwan National Taiwan University Hospital Taipei
Taiwan Taipei Veterans General Hospital Taipei
Turkey Antalya Egitim ve Arastirma Hastanesi Antalya
Turkey Uludag Universitesi Tip Fakultesi Hastanesi Bursa
Turkey Gaziantep Universitesi Tip Fakultesi Hastanesi Gaziantep
Turkey Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi Istanbul
Turkey Dokuz Eylul Universitesi Tip Fakultesi Hastanesi Izmir
Turkey Ege Universitesi Tip Fakultesi Hastanesi Izmir
Turkey Kocaeli Universitesi Tip Fakultesi Hastanesi Kocaeli
Turkey Mersin Universitesi Tip Fakultesi Hastanesi Mersin
United States University of New Mexico Albuquerque New Mexico
United States University of Michigan Health System Ann Arbor Michigan
United States Atlanta Gastroenterology Associates Atlanta Georgia
United States Harvard Medical School - Brigham and Womens Hospital Boston Massachusetts
United States Medical University of South Carolina Charleston South Carolina
United States Wake Research-ClinSearch, LLC Chattanooga Tennessee
United States Rush University Medical Center Chicago Illinois
United States Consultants for Clinical Research Cincinnati Ohio
United States West Central Gastroenterology Clearwater Florida
United States Columbia Digestive Health Research LLC Columbia South Carolina
United States Gastrointestinal Associates Research, LLC Columbia Missouri
United States Columbus Regional Research Institute, LLC Columbus Georgia
United States Southern California Research Center Coronado California
United States Digestive Health Specialists of the Southeast Dothan Alabama
United States Sanmora Bespoke Clinical Research Solutions East Orange New Jersey
United States Aga Clinical Research Associates LLC Egg Harbor Township New Jersey
United States Great Lakes Research Insititute El Paso Research El Paso Texas
United States Affiliates in Gastroenterology Digestive Disease Research Florham Park New Jersey
United States Mid-Atlantic GI Research, LLC Greenbelt Maryland
United States Gastroenterology Center of Connecticut, PC Hamden Connecticut
United States Digestive Health Research, LLC Hermitage Tennessee
United States Homestead Associates In Research Inc Homestead Florida
United States Birmingham Digestive Health Research, LLC Homewood Alabama
United States Digestive Health Associates Houston Texas
United States Grand Teton Research Group Idaho Falls Idaho
United States Southern Therapy and Advanced Research LLC - Jackson Jackson Mississippi
United States University of Kansas Medical Center Kansas City Kansas
United States Indian Health Service Health Research Kissimmee Florida
United States Lake Center for Clinical Research Lady Lake Florida
United States New York University Langone Medical Center Lake Success New York
United States Auzmer Research Lakeland Florida
United States Emeritas Research Group Lansdowne Town Center Virginia
United States Interspond - Las Vegas Medical Research Las Vegas Nevada
United States bvl Clinical Research Liberty Missouri
United States United Medical Doctors Los Alamitos California
United States Biopharma Informatic Inc Los Angeles California
United States Blue Ridge Medical Research Lynchburg Virginia
United States Arizona Health Research Mesa Arizona
United States University of Miami Hospital and Clinic Miami Florida
United States Wisconsin Center for Advanced Research Milwaukee Wisconsin
United States Atlantic Digestive Health Institute Morristown New Jersey
United States Ocala Gastrointestinal Research, LLC Ocala Florida
United States Hightower Clinical Oklahoma City Oklahoma
United States University of California Irvine Orange California
United States AdventHealth Medical Group Gastroenterology and Hepatology Orlando Florida
United States Arizona Arthritis and Rheumatology Research, PLLC Phoenix Arizona
United States GI Select Health Research LLC Richmond Virginia
United States Hunter Holmes McGuire Veterans Medical Center Richmond Virginia
United States North Richmond Health Research Richmond Virginia
United States Infigo Clinical Research Sanford Florida
United States Santa Maria Gastroenterology Medical Group Santa Maria California
United States Guthrie Robert Packer Hospital Sayre Pennsylvania
United States Digestive Research Alliance of Michiana South Bend Indiana
United States Premier Health Research LLC Sparta New Jersey
United States Digestive Specialists Inc Research, LLC Springboro Ohio
United States Clinical Trials Management Services LLC Thousand Oaks California
United States Clinical Research Institute of Michigan Troy Michigan
United States Options Health Research, LLC Tulsa Oklahoma
United States Digestive Research of Central Texas, LLC Waco Texas
United States Digestive Health Research of North Texas LLC Wichita Falls Texas
United States University of Massachusetts Memorial Medical Center Worcester Massachusetts
United States West Michigan Clinical Research Center Wyoming Michigan

Sponsors (1)

Lead Sponsor Collaborator
Amgen

Countries where clinical trial is conducted

United States,  Argentina,  Austria,  Belgium,  Bulgaria,  Canada,  Czechia,  Denmark,  Finland,  France,  Germany,  Greece,  Hungary,  Italy,  Japan,  Korea, Republic of,  Latvia,  Mexico,  Netherlands,  Poland,  Romania,  Slovakia,  Spain,  Switzerland,  Taiwan,  Turkey, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants with Clinical Remission at Week 12 Week 12
Secondary Number of Participants with Clinical Response at Week 12 Week 12
Secondary Number of Participants with Endoscopic Remission at Week 12 Week 12
Secondary Number of Participants with Symptomatic Remission at Week 12 Week 12
Secondary Number of Participants with Combined Endoscopic Remission and Histologic Remission of the Colon Tissue at Week 12 Week 12
Secondary Number of Participants with a Clinically Significant Change from Baseline in Histological Score at Week 12 as Measured by Geboes Score Baseline to Week 12
Secondary Number of Participants who Experience One or More Treatment-emergent Adverse Events Up to 56 weeks
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