Trial Outcomes & Findings for Long-Term Safety Of PF-00547659 In Ulcerative Colitis (NCT NCT01771809)

NCT ID: NCT01771809

Last Updated: 2021-06-03

Results Overview

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant who was administered a product or medical device; the event did not need to necessarily have a causal relationship with the treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death, was life threatening (immediate risk of death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect. Number of participants with TEAEs, STEAEs, and those withdrew from treatment due to TEAEs were reported.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

330 participants

Primary outcome timeframe

From start of study drug administration up to 168 weeks

Results posted on

2021-06-03

Participant Flow

The study was conducted at 101 centers in 21 countries between 18 Mar 2013 (first participant first visit) and 13 Dec 2017 (last participant last visit).

A total of 331 participants were randomized and 330 participants received treatment in the study. One participant discontinued due to adverse event prior to receiving treatment.

Participant milestones

Participant milestones
Measure
SHP647 75 mg
Participants received 75 milligrams (mg) of SHP647 subcutaneous (SC) injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Overall Study
STARTED
164
166
Overall Study
COMPLETED
93
83
Overall Study
NOT COMPLETED
71
83

Reasons for withdrawal

Reasons for withdrawal
Measure
SHP647 75 mg
Participants received 75 milligrams (mg) of SHP647 subcutaneous (SC) injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Overall Study
Adverse Event
4
12
Overall Study
Protocol Violation
0
1
Overall Study
Withdrawal by Subject
34
42
Overall Study
Lost to Follow-up
1
3
Overall Study
Other (Insufficient clinical response)
22
20
Overall Study
Death
1
0
Overall Study
Other (other)
9
5

Baseline Characteristics

Long-Term Safety Of PF-00547659 In Ulcerative Colitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SHP647 75 mg
n=164 Participants
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=166 Participants
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Total
n=330 Participants
Total of all reporting groups
Age, Continuous
40.5 Years
STANDARD_DEVIATION 12.75 • n=5 Participants
41.1 Years
STANDARD_DEVIATION 13.68 • n=7 Participants
40.8 Years
STANDARD_DEVIATION 13.21 • n=5 Participants
Sex: Female, Male
Female
62 Participants
n=5 Participants
70 Participants
n=7 Participants
132 Participants
n=5 Participants
Sex: Female, Male
Male
102 Participants
n=5 Participants
96 Participants
n=7 Participants
198 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
160 Participants
n=5 Participants
160 Participants
n=7 Participants
320 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Asian
11 Participants
n=5 Participants
15 Participants
n=7 Participants
26 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black or African American
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
148 Participants
n=5 Participants
143 Participants
n=7 Participants
291 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From start of study drug administration up to 168 weeks

Population: SAS consisted of all enrolled participants who had received at least 1 dose of SHP647.

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant who was administered a product or medical device; the event did not need to necessarily have a causal relationship with the treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death, was life threatening (immediate risk of death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect. Number of participants with TEAEs, STEAEs, and those withdrew from treatment due to TEAEs were reported.

Outcome measures

Outcome measures
Measure
SHP647 75 mg
n=164 Participants
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=166 Participants
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), and Who Withdrew From Treatment Due to Treatment-Emergent Adverse Events (TEAEs)
Participants with any TEAE
146 Participants
147 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), and Who Withdrew From Treatment Due to Treatment-Emergent Adverse Events (TEAEs)
Participants with any TESAE
34 Participants
40 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), and Who Withdrew From Treatment Due to Treatment-Emergent Adverse Events (TEAEs)
Participants who withdrew treatment due to TEAE
12 Participants
23 Participants

SECONDARY outcome

Timeframe: Week 16

Population: SAS consisted of all enrolled participants who had received at least 1 dose of SHP647.

Mucosal healing was defined as an absolute Mayo subscore for endoscopy of 0 or 1 (based on centrally read score) as assessed by flexible sigmoidoscopy or colonoscopy. The Mayo score is a tool designed to measure disease activity for ulcerative colitis (UC). The Mayo scoring system ranges from 0 to 12 points and consists of 4 subscores (stool frequency, rectal bleeding, findings on flexible sigmoidoscopy, and physician's global assessment \[PGA\]) each graded 0 to 3 with the higher score indicating more severe disease activity. The percentage of participants with mucosal healing at week 16 was reported.

Outcome measures

Outcome measures
Measure
SHP647 75 mg
n=164 Participants
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=166 Participants
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Percentage of Participants With Mucosal Healing at Week 16
27.4 Percentage of participants
29.5 Percentage of participants

SECONDARY outcome

Timeframe: Baseline, Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72 and 156

Population: The pharmacokinetic (PK) set consisted of all participants who received at least 1 dose of SHP647 and for whom at least 1 postdose PK sample was collected. Here 'Number of Participants Analyzed' refers to the number of participants evaluable for specific timepoint.

Serum trough concentrations of SHP647 versus time was reported.

Outcome measures

Outcome measures
Measure
SHP647 75 mg
n=163 Participants
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=164 Participants
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Serum Trough Concentrations of SHP647 Versus Time
Week 156
983.49 Micrograms/liter (ug/L)
Standard Deviation 1485.708
1893.88 Micrograms/liter (ug/L)
Standard Deviation 4530.680
Serum Trough Concentrations of SHP647 Versus Time
Baseline
6398.62 Micrograms/liter (ug/L)
Standard Deviation 8584.412
8064.41 Micrograms/liter (ug/L)
Standard Deviation 10629.768
Serum Trough Concentrations of SHP647 Versus Time
Week 4
5496.56 Micrograms/liter (ug/L)
Standard Deviation 4026.759
16787.31 Micrograms/liter (ug/L)
Standard Deviation 7807.292
Serum Trough Concentrations of SHP647 Versus Time
Week 8
6245.79 Micrograms/liter (ug/L)
Standard Deviation 3371.708
20345.29 Micrograms/liter (ug/L)
Standard Deviation 9286.956
Serum Trough Concentrations of SHP647 Versus Time
Week 12
9038.72 Micrograms/liter (ug/L)
Standard Deviation 5540.836
23915.87 Micrograms/liter (ug/L)
Standard Deviation 10434.073
Serum Trough Concentrations of SHP647 Versus Time
Week 16
10445.24 Micrograms/liter (ug/L)
Standard Deviation 6387.004
24772.35 Micrograms/liter (ug/L)
Standard Deviation 11970.153
Serum Trough Concentrations of SHP647 Versus Time
Week 20
10928.76 Micrograms/liter (ug/L)
Standard Deviation 7900.859
25582.98 Micrograms/liter (ug/L)
Standard Deviation 11767.775
Serum Trough Concentrations of SHP647 Versus Time
Week 24
11145.54 Micrograms/liter (ug/L)
Standard Deviation 8019.864
27832.20 Micrograms/liter (ug/L)
Standard Deviation 12469.086
Serum Trough Concentrations of SHP647 Versus Time
Week 28
12978.11 Micrograms/liter (ug/L)
Standard Deviation 8772.285
27797.77 Micrograms/liter (ug/L)
Standard Deviation 13070.361
Serum Trough Concentrations of SHP647 Versus Time
Week 32
12926.04 Micrograms/liter (ug/L)
Standard Deviation 8798.671
28381.93 Micrograms/liter (ug/L)
Standard Deviation 11748.573
Serum Trough Concentrations of SHP647 Versus Time
Week 36
12785.55 Micrograms/liter (ug/L)
Standard Deviation 9182.501
29666.64 Micrograms/liter (ug/L)
Standard Deviation 13997.231
Serum Trough Concentrations of SHP647 Versus Time
Week 40
13004.90 Micrograms/liter (ug/L)
Standard Deviation 9544.675
28947.34 Micrograms/liter (ug/L)
Standard Deviation 12151.971
Serum Trough Concentrations of SHP647 Versus Time
Week 44
13337.50 Micrograms/liter (ug/L)
Standard Deviation 8620.549
29855.69 Micrograms/liter (ug/L)
Standard Deviation 13605.897
Serum Trough Concentrations of SHP647 Versus Time
Week 48
14061.44 Micrograms/liter (ug/L)
Standard Deviation 9257.991
30010.61 Micrograms/liter (ug/L)
Standard Deviation 14014.183
Serum Trough Concentrations of SHP647 Versus Time
Week 52
14192.83 Micrograms/liter (ug/L)
Standard Deviation 9326.176
28917.76 Micrograms/liter (ug/L)
Standard Deviation 14545.617
Serum Trough Concentrations of SHP647 Versus Time
Week 56
15179.77 Micrograms/liter (ug/L)
Standard Deviation 10405.996
29985.88 Micrograms/liter (ug/L)
Standard Deviation 14122.172
Serum Trough Concentrations of SHP647 Versus Time
Week 60
15133.54 Micrograms/liter (ug/L)
Standard Deviation 9673.602
29086.78 Micrograms/liter (ug/L)
Standard Deviation 12606.888
Serum Trough Concentrations of SHP647 Versus Time
Week 64
15354.29 Micrograms/liter (ug/L)
Standard Deviation 10112.098
31613.08 Micrograms/liter (ug/L)
Standard Deviation 13712.478
Serum Trough Concentrations of SHP647 Versus Time
Week 68
15584.38 Micrograms/liter (ug/L)
Standard Deviation 10407.781
30609.08 Micrograms/liter (ug/L)
Standard Deviation 14331.857
Serum Trough Concentrations of SHP647 Versus Time
Week 72
15006.48 Micrograms/liter (ug/L)
Standard Deviation 9390.020
31342.89 Micrograms/liter (ug/L)
Standard Deviation 14012.311

SECONDARY outcome

Timeframe: Baseline, Week 8, 16, 24, 40, 48, 64 and 156

Population: The SAS consisted of all enrolled participants who had received at least 1 dose of SHP647. Here, "number of participants analyzed" refers to the number of participants evaluable for this outcome at specific time points.

The anti-drug antibodies (ADA) positive was defined as ADA log base 2 titer greater than or equal to (\>=) 4.64. The number of participants with positive ADA was reported.

Outcome measures

Outcome measures
Measure
SHP647 75 mg
n=164 Participants
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=166 Participants
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 64
1 Participants
0 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Baseline
9 Participants
10 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 8
3 Participants
1 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 16
1 Participants
1 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 24
1 Participants
1 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 40
1 Participants
2 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 48
1 Participants
0 Participants
Number of Participants With Positive Anti-drug (SHP647) Antibodies (ADA)
Week 156
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline, Week 8, 16, 24, 40, 48, 64 and 156

Population: Here, "number of participants analyzed" refers to the number of participants evaluable for this outcome at specific time points with non-missing ADA sample.

The positive Neutralizing Antibodies (NAb) was defined as NAb titer greater than or equal to (\>=) 0.903. The number of participants with NAb was reported. Here "inconclusive" refers to participants who were neither reported as positive nor negative for NAb and anti-drug antibodies (ADA) positive was defined as ADA log base 2 titer greater than or equal to (\>=) 4.64.

Outcome measures

Outcome measures
Measure
SHP647 75 mg
n=148 Participants
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=153 Participants
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Number of Participants With Positive Neutralizing Antibodies (NAb)
Baseline: With +ADA, missing NAb
1 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 8: With +ADA, without +NAb
2 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 16: With +ADA, with +NAb
0 Participants
1 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 16: With +ADA, without +NAb
1 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 24: Without +ADA
105 Participants
118 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 24: With +ADA, with +NAb
0 Participants
1 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 24: With +ADA, without +NAb
1 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 40: Without +ADA
93 Participants
102 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 40: With +ADA, with +NAb
1 Participants
2 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 40: With +ADA, without +NAb
0 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 48: Without +ADA
96 Participants
92 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 48: With +ADA, with +NAb
1 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 48: With +ADA, without +NAb
0 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 64: Without +ADA
82 Participants
86 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 64: With +ADA, with +NAb
0 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 64: With +ADA, without +NAb
1 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 156: Without +ADA
73 Participants
80 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 156: With +ADA, with +NAb
0 Participants
0 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Baseline: Without +ADA
139 Participants
143 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Baseline: With +ADA, with +NAb
0 Participants
4 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Baseline: With +ADA, without +NAb
0 Participants
1 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Baseline: With +ADA, with inconclusive NAb
8 Participants
5 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 8: Without +ADA
140 Participants
150 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 8: With +ADA, with +NAb
1 Participants
1 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 16: Without +ADA
139 Participants
143 Participants
Number of Participants With Positive Neutralizing Antibodies (NAb)
Week 156: With +ADA, without +NAb
0 Participants
1 Participants

Adverse Events

SHP647 75 mg

Serious events: 34 serious events
Other events: 116 other events
Deaths: 1 deaths

SHP647 225 mg

Serious events: 40 serious events
Other events: 119 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SHP647 75 mg
n=164 participants at risk
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=166 participants at risk
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Blood and lymphatic system disorders
Anaemia
1.2%
2/164 • Number of events 2 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 3 • From start of study drug administration up to 168 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Serous cystadenocarcinoma ovary
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Eye disorders
Retinal detachment
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Abdominal pain
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Anal fissure
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Colitis ulcerative
9.1%
15/164 • Number of events 19 • From start of study drug administration up to 168 weeks
10.8%
18/166 • Number of events 19 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Diarrhoea
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Duodenal ulcer
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Enteritis
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Large intestinal stenosis
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Nausea
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Vomiting
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
General disorders
Non-Cardiac chest pain
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
General disorders
Pyrexia
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Congenital, familial and genetic disorders
Arrhythmogenic right ventricular dysplasia
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Cardiac disorders
Angina pectoris
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Cardiac disorders
Arrhythmia
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Cardiac disorders
Atrial fibrillation
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Cardiac disorders
Atrial flutter
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Cardiac disorders
Myocardial infarction
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Cardiac disorders
Supraventricular tachycardia
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Immune system disorders
Drug hypersensitivity
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Immune system disorders
Serum sickness
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Infections and infestations
Anal abscess
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Appendicitis
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Cellulitis
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Infections and infestations
Chronic sinusitis
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Infections and infestations
Clostridium difficile infection
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Infections and infestations
Gastroenteritis
1.2%
2/164 • Number of events 2 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Gastroenteritis viral
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Meningitis listeria
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Meningitis viral
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Infections and infestations
Pelvic abscess
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Pharyngitis
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Pneumonia
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Upper respiratory tract infection
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Infections and infestations
Viral infection
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Anastomotic fistula
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Anastomotic stenosis
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Clavicle fracture
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Rib fracture
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Injury, poisoning and procedural complications
Stoma complication
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Investigations
Blood creatine phosphokinase increased
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Investigations
Blood iron decreased
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Renal and urinary disorders
Calculus urinary
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Renal and urinary disorders
Nephrolithiasis
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Renal and urinary disorders
Renal colic
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Metabolism and nutrition disorders
Dehydration
0.00%
0/164 • From start of study drug administration up to 168 weeks
1.2%
2/166 • Number of events 2 • From start of study drug administration up to 168 weeks
Nervous system disorders
Basilar migraine
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Nervous system disorders
Epilepsy
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Nervous system disorders
Headache
0.00%
0/164 • From start of study drug administration up to 168 weeks
1.2%
2/166 • Number of events 2 • From start of study drug administration up to 168 weeks
Nervous system disorders
Syncope
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Nervous system disorders
Typical aura without headache
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Psychiatric disorders
Depression
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Psychiatric disorders
Suicide attempt
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Reproductive system and breast disorders
Gynaecomastia
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/164 • From start of study drug administration up to 168 weeks
0.60%
1/166 • Number of events 1 • From start of study drug administration up to 168 weeks
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.61%
1/164 • Number of events 1 • From start of study drug administration up to 168 weeks
0.00%
0/166 • From start of study drug administration up to 168 weeks

Other adverse events

Other adverse events
Measure
SHP647 75 mg
n=164 participants at risk
Participants received 75 mg of SHP647 SC injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks was allowed after 8 weeks of the study for participants who experienced clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate was guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants received 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
SHP647 225 mg
n=166 participants at risk
Participants received 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen.
Musculoskeletal and connective tissue disorders
Arthralgia
16.5%
27/164 • Number of events 41 • From start of study drug administration up to 168 weeks
17.5%
29/166 • Number of events 42 • From start of study drug administration up to 168 weeks
Musculoskeletal and connective tissue disorders
Back pain
7.3%
12/164 • Number of events 15 • From start of study drug administration up to 168 weeks
10.8%
18/166 • Number of events 20 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Abdominal pain
5.5%
9/164 • Number of events 14 • From start of study drug administration up to 168 weeks
12.0%
20/166 • Number of events 33 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Colitis ulcerative
25.0%
41/164 • Number of events 52 • From start of study drug administration up to 168 weeks
21.7%
36/166 • Number of events 50 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Diarrhoea
6.7%
11/164 • Number of events 13 • From start of study drug administration up to 168 weeks
4.2%
7/166 • Number of events 11 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Nausea
4.9%
8/164 • Number of events 10 • From start of study drug administration up to 168 weeks
11.4%
19/166 • Number of events 20 • From start of study drug administration up to 168 weeks
Gastrointestinal disorders
Vomiting
6.1%
10/164 • Number of events 10 • From start of study drug administration up to 168 weeks
4.2%
7/166 • Number of events 7 • From start of study drug administration up to 168 weeks
General disorders
Influenza like illness
4.9%
8/164 • Number of events 11 • From start of study drug administration up to 168 weeks
5.4%
9/166 • Number of events 10 • From start of study drug administration up to 168 weeks
General disorders
Pyrexia
8.5%
14/164 • Number of events 20 • From start of study drug administration up to 168 weeks
4.2%
7/166 • Number of events 10 • From start of study drug administration up to 168 weeks
Infections and infestations
Bronchitis
6.1%
10/164 • Number of events 12 • From start of study drug administration up to 168 weeks
4.8%
8/166 • Number of events 12 • From start of study drug administration up to 168 weeks
Infections and infestations
Clostridium difficile infection
6.7%
11/164 • Number of events 12 • From start of study drug administration up to 168 weeks
2.4%
4/166 • Number of events 4 • From start of study drug administration up to 168 weeks
Infections and infestations
Gastroenteritis
11.0%
18/164 • Number of events 25 • From start of study drug administration up to 168 weeks
7.8%
13/166 • Number of events 17 • From start of study drug administration up to 168 weeks
Infections and infestations
Influenza
4.9%
8/164 • Number of events 9 • From start of study drug administration up to 168 weeks
9.0%
15/166 • Number of events 19 • From start of study drug administration up to 168 weeks
Infections and infestations
Nasopharyngitis
12.2%
20/164 • Number of events 27 • From start of study drug administration up to 168 weeks
16.9%
28/166 • Number of events 44 • From start of study drug administration up to 168 weeks
Infections and infestations
Pharyngitis
1.2%
2/164 • Number of events 2 • From start of study drug administration up to 168 weeks
10.2%
17/166 • Number of events 20 • From start of study drug administration up to 168 weeks
Infections and infestations
Sinusitis
4.3%
7/164 • Number of events 11 • From start of study drug administration up to 168 weeks
6.0%
10/166 • Number of events 14 • From start of study drug administration up to 168 weeks
Infections and infestations
Upper respiratory tract infection
14.0%
23/164 • Number of events 34 • From start of study drug administration up to 168 weeks
12.0%
20/166 • Number of events 35 • From start of study drug administration up to 168 weeks
Infections and infestations
Urinary tract infection
6.7%
11/164 • Number of events 15 • From start of study drug administration up to 168 weeks
6.0%
10/166 • Number of events 12 • From start of study drug administration up to 168 weeks
Nervous system disorders
Headache
10.4%
17/164 • Number of events 23 • From start of study drug administration up to 168 weeks
12.7%
21/166 • Number of events 56 • From start of study drug administration up to 168 weeks
Respiratory, thoracic and mediastinal disorders
Cough
12.2%
20/164 • Number of events 20 • From start of study drug administration up to 168 weeks
6.6%
11/166 • Number of events 12 • From start of study drug administration up to 168 weeks
Skin and subcutaneous tissue disorders
Rash
4.9%
8/164 • Number of events 9 • From start of study drug administration up to 168 weeks
7.8%
13/166 • Number of events 13 • From start of study drug administration up to 168 weeks

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
  • Publication restrictions are in place

Restriction type: OTHER