A Study of Visilizumab in Subjects With Intravenous Steroid-Refractory Ulcerative Colitis

NCT ID: NCT00279422

Last Updated: 2012-03-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

127 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2007-08-31

Brief Summary

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The purpose of this study is to compare the efficacy of visilizumab to placebo in subjects with intravenous steroid-refractory ulcerative colitis.

Detailed Description

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PDL BioPharma, Inc. was formerly known as Protein Design Labs, Inc.

Conditions

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Ulcerative Colitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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placebo

Group Type PLACEBO_COMPARATOR

visilizumab

Intervention Type DRUG

visilizumab

Group Type EXPERIMENTAL

visilizumab

Intervention Type DRUG

Interventions

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visilizumab

Intervention Type DRUG

visilizumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males and females, 18 years of age or older.
* Diagnosis of ulcerative colitis (UC) verified by endoscopy within 60 months prior to consent.
* Severe active disease, as defined by a Modified Truelove \& Witts Severity Index (MTWSI; also known as Lichtiger score) ≥ 11 at consent, with a confirmatory MTWSI ≥ 10 on or after the fifth consecutive day of intravenous (IV)steroids and within 1 day prior to randomization.
* Mayo score ≥ 10 and Mayo mucosal subscore ≥ 2 after a minimum of 3 consecutive days (ie, on or after the fourth consecutive day) of IV steroids.
* Adequate contraception from the day of consent through 3 months after the last dose of study drug.
* Negative serum pregnancy test.
* Negative Clostridium difficile test.
* Signed and dated informed consent and Health Insurance Portability and Accountability Act (HIPAA) if applicable.

Exclusion Criteria

* UC requiring immediate intervention or toxic megacolon requiring imminent intervention.
* History of total proctocolectomy, or subtotal colectomy with ileorectal anastomosis.
* Presence of Ileostomy.
* White blood cell count less than 2.5 x 10\^3/mcL; platelet count less than 150 x 10\^3/mcL; or hemoglobin level less than 8 g/dL.
* Active medically significant infections, particularly those of viral etiology, eg, known cytomegalovirus (CMV) colitis. This includes any incidence of medically significant opportunistic infections within the past 12 months.
* Live vaccination within 6 weeks prior to randomization.
* Significant organ dysfunction, including cardiac, renal, liver, central nervous system (CNS), pulmonary, vascular, gastrointestinal, endocrine, or laboratory abnormality.
* History of myocardial infarction, coronary artery disease, congestive heart failure, or arrythmias within 6 months prior to consent.
* History or treatment of lymphoproliferative disorder (LPD) or malignancy within the past 5 years (excluding nonmelanoma skin cancer or carcinoma in situ of the cervix).
* Seropositivity for infection with human immunodeficiency virus (HIV-1), hepatitis B virus (HBV) surface antigen, or hepatitis C virus (HCV).
* Pregnancy or nursing.
* Treatment with a first dose of infliximab or another anti-tumor necrosis factor (TNF)-α drug within 4 weeks of randomization, or treatment with a subsequent dose of an anti-TNF-α drug within 2 weeks of randomization.
* Treatment with cyclosporine or tacrolimus (FK506) within 2 weeks prior to randomization.
* Unable or willing to discontinue any UC drug (including, but not limited to 6-mercaptopurine, azathioprine, or methotrexate), except glucocorticoids or 5-ASA, immediately prior to randomization.
* Nontherapeutic levels of chronic antiseizure medications in subjects with a prior history of seizures.
* Any condition that, in the investigator's opinion, makes the subject unsuitable for study participation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PDL BioPharma, Inc.

INDUSTRY

Sponsor Role collaborator

Facet Biotech

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Los Angeles, California, United States

Site Status

San Francisco, California, United States

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Gainesville, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Macon, Georgia, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Lexington, Kentucky, United States

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Louisville, Kentucky, United States

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Boston, Massachusetts, United States

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Rochester, Minnesota, United States

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New York, New York, United States

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New York, New York, United States

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Pittsburgh, Pennsylvania, United States

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Charleston, South Carolina, United States

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Nashville, Tennessee, United States

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Galveston, Texas, United States

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Camperdown, New South Wales, Australia

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Liverpool, New South Wales, Australia

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Herston, Queensland, Australia

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South Brisbane, Queensland, Australia

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Box Hill, Victoria, Australia

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Bedford Park, , Australia

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Fitzroy, , Australia

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Fremantle, , Australia

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Parkville, , Australia

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Vienna, , Austria

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Ghent, , Belgium

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Leuven, , Belgium

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Roeselare, , Belgium

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Calgary, Alberta, Canada

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London, Ontario, Canada

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Brno, , Czechia

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Prague, , Czechia

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Amiens, Cedex, France

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Clichy, , France

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Lille, , France

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Marseille, , France

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Nantes, , France

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Nice, , France

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Paris, , France

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Berlin, , Germany

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Frankfurt, , Germany

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Freiburg im Breisgau, , Germany

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Hanover, , Germany

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Kiel, , Germany

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München, , Germany

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Rostock, , Germany

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Stuttgart, , Germany

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Argenti Döme, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Csabai Kapu, , Hungary

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Debrecen, , Hungary

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Győr, Vasvári Pál, , Hungary

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Szekszárd, , Hungary

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Veszprém, , Hungary

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Haifa, , Israel

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Tel Aviv, , Israel

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Tel Litwinsky, , Israel

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Amsterdam, , Netherlands

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Rotterdam, , Netherlands

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Oslo, , Norway

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Prinsens, , Norway

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Tromsø, , Norway

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Mickieviczova, , Slovakia

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Kharkiv, , Ukraine

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Kyiv, , Ukraine

Site Status

Odesa, , Ukraine

Site Status

Countries

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United States Australia Austria Belgium Canada Czechia France Germany Hungary Israel Netherlands Norway Slovakia Ukraine

References

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Sandborn WJ, Colombel JF, Frankel M, Hommes D, Lowder JN, Mayer L, Plevy S, Stokkers P, Travis S, Van Assche G, Baumgart DC, Targan SR. Anti-CD3 antibody visilizumab is not effective in patients with intravenous corticosteroid-refractory ulcerative colitis. Gut. 2010 Nov;59(11):1485-92. doi: 10.1136/gut.2009.205443.

Reference Type DERIVED
PMID: 20947884 (View on PubMed)

Other Identifiers

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291-415

Identifier Type: -

Identifier Source: org_study_id

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