A Study of Safety and Effectiveness of JNJ-54781532 in Patients With Moderately to Severely Active Ulcerative Colitis

NCT ID: NCT01959282

Last Updated: 2019-01-04

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

219 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-15

Study Completion Date

2015-12-05

Brief Summary

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The purpose of the study is to evaluate dose response of JNJ-54781532 in participants with moderately to severely active ulcerative colitis (UC).

Detailed Description

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This is a Phase 2b, multicenter, randomized (the study medication is assigned by chance), double-blind (neither physician nor participant knows the treatment that the participant receives), placebo-controlled (an inactive substance that is compared with a medication to test whether the medication has a real effect in a clinical study), parallel-group (each group of participants will be treated at the same time), dose-response study (a study to evaluate response to different dosages of study medication) of oral tablets of JNJ-54781532 in adult participants with moderately to severely active UC. Approximately 220 participants will be randomized in a 1:1:1:1:1 ratio to 1 of 5 treatment groups at Week 0 (placebo; JNJ-54781532 25 mg once daily; JNJ-54781532 75 mg once daily; JNJ-54781532 150 mg once daily; and JNJ-54781532 75 mg twice daily) to receive their randomized dosage of study medication through Week 8 and will be assessed for clinical response at Week 8. Participants who achieve clinical response at Week 8 will continue to receive their original randomized dosage of study medication through Week 32. Participants who do not achieve clinical response at Week 8 will be treated as follows: participants originally randomized to placebo will receive JNJ-54781532 150 mg once daily through Week 16; participants originally randomized to JNJ-54781532 will continue to receive their original randomized dosage of JNJ-54781532 through Week 16. Participants who were not in clinical response at Week 8 and do not achieve a partial Mayo score response (a decrease from baseline in the partial Mayo score by ≥3 points) at Week 16 will be discontinued from study medication; and those who achieve a partial Mayo score response at Week 16 can continue receiving JNJ 54781532 through Week 32. Participants will be evaluated for safety (adverse events) up to Week 36 (ie, 4 weeks after the last dose of study medication). The maximum study duration for each participant will be approximately 44 weeks (including maximum screening period).

Conditions

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Colitis, Ulcerative

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

Participants will receive placebo once daily from Week 0 to Week 8. Participants in clinical response at Week 8 will continue to receive placebo through Week 32. Participants not in clinical response at Week 8 will receive treatment with 150 mg JNJ-54781532 orally once daily from Week 8 to Week 16. Participants who achieve a partial Mayo score response (ie, a change from baseline of ≥3 in the partial Mayo score) at Week 16 can continue receiving 150 mg JNJ-54781532 orally once daily through Week 32

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive placebo once daily

JNJ-54781532 150 mg once daily

Intervention Type DRUG

Participants will receive 150 mg of JNJ-54781532 once daily

JNJ-54781532 25 mg once daily

Participants will receive 25 mg of JNJ-54781532 once daily from Week 0 to Week 8. Participants in clinical response at Week 8 will continue to receive the same dosage through Week 32 and participants not in clinical response at Week 8 will continue to receive the same dosage through Week 16. At Week 16, participants who do not achieve a partial Mayo score response (ie, a change from baseline of ≥3 in the partial Mayo score) will be discontinued from study medication, and participants who achieve a partial Mayo score response at Week 16 can continue receiving JNJ 54781532 25 mg once daily through Week 32

Group Type EXPERIMENTAL

JNJ-54781532 25 mg once daily

Intervention Type DRUG

Participants will receive 25 mg of JNJ-54781532 once daily

JNJ-54781532 75 mg once daily

Participants will receive 75 mg of JNJ-54781532 once daily from Week 0 to Week 8. Participants in clinical response at Week 8 will continue to receive the same dosage through Week 32 and participants not in clinical response at Week 8 will continue to receive the same dosage through Week 16. At Week 16, participants who do not achieve a partial Mayo score response (ie, a change from baseline of ≥3 in the partial Mayo score) will be discontinued from study medication, and participants who achieve a partial Mayo score response at Week 16 can continue receiving JNJ 54781532 75 mg once daily through Week 32

Group Type EXPERIMENTAL

JNJ-54781532 75 mg once daily

Intervention Type DRUG

Participants will receive 75 mg of JNJ-54781532 once daily

JNJ-54781532 150 mg once daily

Participants will receive 150 mg of JNJ-54781532 once daily from Week 0 to Week 8. Participants in clinical response at Week 8 will continue to receive the same dosage through Week 32 and participants not in clinical response at Week 8 will continue to receive the same dosage through Week 16. At Week 16, participants who do not achieve a partial Mayo score response (ie, a change from baseline of ≥3 in the partial Mayo score) will be discontinued from study medication, and participants who achieve a partial Mayo score response at Week 16 can continue receiving JNJ 54781532 150 mg once daily through Week 32

Group Type EXPERIMENTAL

JNJ-54781532 150 mg once daily

Intervention Type DRUG

Participants will receive 150 mg of JNJ-54781532 once daily

JNJ-54781532 75 mg twice daily

Participants will receive 75 mg of JNJ-54781532 twice daily from Week 0 to Week 8. Participants in clinical response at Week 8 will continue to receive the same dosage through Week 32 and participants not in clinical response at Week 8 will continue to receive the same dosage through Week 16. At Week 16, participants who do not achieve a partial Mayo score response (ie, a change from baseline of ≥3 in the partial Mayo score) will be discontinued from study medication, and participants who achieve a partial Mayo score response at Week 16 can continue receiving JNJ 54781532 75 mg twice daily through Week 32

Group Type EXPERIMENTAL

JNJ-54781532 75 mg twice daily

Intervention Type DRUG

Participants will receive 75 mg of JNJ-54781532 twice daily

Interventions

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Placebo

Participants will receive placebo once daily

Intervention Type DRUG

JNJ-54781532 25 mg once daily

Participants will receive 25 mg of JNJ-54781532 once daily

Intervention Type DRUG

JNJ-54781532 75 mg once daily

Participants will receive 75 mg of JNJ-54781532 once daily

Intervention Type DRUG

JNJ-54781532 150 mg once daily

Participants will receive 150 mg of JNJ-54781532 once daily

Intervention Type DRUG

JNJ-54781532 75 mg twice daily

Participants will receive 75 mg of JNJ-54781532 twice daily

Intervention Type DRUG

Other Intervention Names

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ASP015K ASP015K ASP015K ASP015K

Eligibility Criteria

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Inclusion Criteria

* Have a clinical diagnosis of ulcerative colitis (UC) at least 3 months prior to screening
* Have moderately to severely active UC, defined as a baseline (Week 0) Mayo score of 6 to 12; including an endoscopy sub score greater than or equal to 2 as determined by a central read of the video endoscopy
* Current treatment with oral corticosteroids or have a history of failure to respond to, or tolerate, at least 1 of the following therapies oral corticosteroids (including budesonide), 6-mercaptopurine (6-MP), azathioprine (AZA), or anti- tumor necrosis factor therapy or be corticosteroid dependent (ie, an inability to successfully taper corticosteroids without a return of the symptoms of UC)
* Must discontinue 6-MP/AZA for at least 1 week before the first dose of study medication

Exclusion Criteria

* At imminent risk for colectomy
* Have ulcerative colitis limited to the rectum only or to less than 20 centimeter of the colon
* Presence of a stoma
* Presence or history of a fistula
* History or current diagnosis of active or latent tuberculosis; human immunodeficiency virus; hepatitis C virus or hepatitis B virus infection; have had more than 1 herpes zoster infection or have had any diagnosis of disseminated herpes zoster
* Previous treatment with a janus kinase inhibitor (eg, tofacitinib)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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La Jolla, California, United States

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Thornton, Colorado, United States

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Ann Arbor, Michigan, United States

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Tupelo, Mississippi, United States

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Egg Harbor, New Jersey, United States

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Salisbury, North Carolina, United States

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Cleveland, Ohio, United States

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Lima, Ohio, United States

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Norman, Oklahoma, United States

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Germantown, Tennessee, United States

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Nashville, Tennessee, United States

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San Antonio, Texas, United States

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Chesapeake, Virginia, United States

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Fairfax, Virginia, United States

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Seattle, Washington, United States

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Bankstown, , Australia

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Bedford, , Australia

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Concord, , Australia

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Herston, , Australia

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Launceston, , Australia

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Melbourne, , Australia

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Penrith, , Australia

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South Brisbane, , Australia

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Brussels, , Belgium

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Ghent, , Belgium

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Kortrijk, , Belgium

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Leuven, , Belgium

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Pleven, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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Greater Sudbury, Ontario, Canada

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London, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Lille, , France

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Paris, , France

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Pessac, , France

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Berlin, , Germany

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Essen, , Germany

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Frankfurt A. M., , Germany

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Hanover, , Germany

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Heidelberg, , Germany

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Herne, , Germany

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Jena, , Germany

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Kiel, , Germany

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Magdeburg, , Germany

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Münster, , Germany

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Neustadt, , Germany

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Stade, , Germany

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Békéscsaba, , Hungary

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Budapest, , Hungary

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Mosonmagyaróvár, , Hungary

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Szekszárd, , Hungary

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Hadera, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Nazareth, , Israel

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Ramat Gan, , Israel

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Rehovot, , Israel

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Amsterdam, , Netherlands

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Amsterdam-Zuidoost, , Netherlands

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Maastricht, , Netherlands

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Rotterdam, , Netherlands

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Elblag, , Poland

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Lodz, , Poland

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Sopot, , Poland

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Warsaw, , Poland

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Bucharest, , Romania

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Constanța, , Romania

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Iași, , Romania

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Timișoara, , Romania

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Kazan’, , Russia

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Nizny Novgorod, , Russia

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Novosibirsk, , Russia

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Omsk, , Russia

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Rostov-on-Don, , Russia

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Ryazan, , Russia

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Saint Petersburg, , Russia

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Stavropol, , Russia

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Ufa, , Russia

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Yaroslavl, , Russia

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Donetsk, , Ukraine

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Ivano-Frankivsk, , Ukraine

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Kharkiv, , Ukraine

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Kiev, , Ukraine

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Kyiv, , Ukraine

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Lviv, , Ukraine

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Odesa, , Ukraine

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Ternopil, , Ukraine

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Uzhhorod, , Ukraine

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Vinnitsa, , Ukraine

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Zaporizhzhia, , Ukraine

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Zhaporozhia 69104, , Ukraine

Site Status

Countries

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United States Australia Belgium Bulgaria Canada France Germany Hungary Israel Netherlands Poland Romania Russia Ukraine

References

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Li K, Strauss R, Marano C, Greenbaum LE, Friedman JR, Peyrin-Biroulet L, Brodmerkel C, De Hertogh G. A Simplified Definition of Histologic Improvement in Ulcerative Colitis and its Association With Disease Outcomes up to 30 Weeks from Initiation of Therapy: Post Hoc Analysis of Three Clinical Trials. J Crohns Colitis. 2019 Aug 14;13(8):1025-1035. doi: 10.1093/ecco-jcc/jjz022.

Reference Type DERIVED
PMID: 30721964 (View on PubMed)

Sands BE, Sandborn WJ, Feagan BG, Lichtenstein GR, Zhang H, Strauss R, Szapary P, Johanns J, Panes J, Vermeire S, O'Brien CD, Yang Z, Bertelsen K, Marano C; Peficitinib-UC Study Group. Peficitinib, an Oral Janus Kinase Inhibitor, in Moderate-to-severe Ulcerative Colitis: Results From a Randomised, Phase 2 Study. J Crohns Colitis. 2018 Nov 9;12(10):1158-1169. doi: 10.1093/ecco-jcc/jjy085.

Reference Type DERIVED
PMID: 29917064 (View on PubMed)

Related Links

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Other Identifiers

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54781532UCO2001

Identifier Type: OTHER

Identifier Source: secondary_id

2013-000263-88

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR102640

Identifier Type: -

Identifier Source: org_study_id

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