Safety and Efficacy of Andecaliximab in Participants With Moderately to Severely Active Crohn's Disease

NCT ID: NCT02405442

Last Updated: 2019-04-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

187 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2016-12-22

Brief Summary

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This study will primarily evaluate the safety and efficacy of andecaliximab in adults with active Crohn's disease. The study will consist of a Double-Blind Phase of 8 weeks followed by an Open-Label Extension. Participants who complete the Double-Blind Phase will be eligible to enroll in the optional Open-Label Extension for an additional 44 weeks. Participants who complete Week 52 assessments will be eligible to enter the Extended Treatment Phase to continue treatment with andecaliximab for an additional 156 weeks.

Detailed Description

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Conditions

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Crohn's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Andecaliximab 150 mg Every 2 Weeks

Double-Blind Phase: Participants will receive 1 single-use prefilled syringe (PFS) of andecaliximab 150 mg and matching placebo coadministered at Weeks 0, 2, 4, and 6 and 2 single-use PFS of placebo coadministered at Weeks 1, 3, 5, and 7. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.

Group Type EXPERIMENTAL

Andecaliximab

Intervention Type DRUG

Andecaliximab administered via subcutaneous (SC) injection

Placebo

Intervention Type DRUG

Placebo to match andecaliximab administered via SC injection

Andecaliximab 150 mg Weekly

Double-Blind Phase: Participants will receive 1 single-use PFS of andecaliximab 150 mg and matching placebo coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.

Group Type EXPERIMENTAL

Andecaliximab

Intervention Type DRUG

Andecaliximab administered via subcutaneous (SC) injection

Placebo

Intervention Type DRUG

Placebo to match andecaliximab administered via SC injection

Andecaliximab 300 mg Weekly

Double-Blind Phase: Participants will receive 2 single-use PFS of andecaliximab 150 mg coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for an additional 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.

Group Type EXPERIMENTAL

Andecaliximab

Intervention Type DRUG

Andecaliximab administered via subcutaneous (SC) injection

Placebo

Double-Blind Phase: Participants will receive 2 single-use PFS of placebo coadministered weekly for 8 weeks. Open-Label Phase: Participants will be eligible to enroll in the Open-Label Phase to receive andecaliximab 150 mg weekly for 44 weeks. Extended Treatment Phase: Participants who complete Week 52 assessments will be eligible to enter into the Extended Treatment Phase to continue treatment with andecaliximab 150 mg for an additional 156 weeks.

Group Type PLACEBO_COMPARATOR

Andecaliximab

Intervention Type DRUG

Andecaliximab administered via subcutaneous (SC) injection

Placebo

Intervention Type DRUG

Placebo to match andecaliximab administered via SC injection

Interventions

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Andecaliximab

Andecaliximab administered via subcutaneous (SC) injection

Intervention Type DRUG

Placebo

Placebo to match andecaliximab administered via SC injection

Intervention Type DRUG

Other Intervention Names

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GS-5745

Eligibility Criteria

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Inclusion Criteria

* Ability to provide a written informed consent
* Females of childbearing potential must have a negative pregnancy test at screening and baseline
* Documented diagnosis of Crohn's disease with a minimum disease duration of 6 months with involvement of the ileum and/or colon at a minimum
* Moderately to severely active Crohn's disease as defined by a Crohn's Disease Activity Index (CDAI) total score between 220-450 (inclusive) AND with evidence of active disease as measured by ileocolonoscopy
* Within the previous 5 years, demonstrated an inadequate clinical response or intolerance of at least one of the following agents:

* Corticosteroids
* Immunomodulators
* Tumor necrosis factor-alpha (TNFα) antagonists
* Vedolizumab
* May be receiving the following drugs:

* Oral 5-aminosalicylate (5-ASA)
* Oral corticosteroid therapy
* Antidiarrheals for chronic diarrhea
* Azathioprine or 6-mercaptopurine (6-MP) or methotrexate
* Antibiotics for the treatment of Crohn's disease
* Able to comply with the dosing instructions for study drug and able to comply with the study visits and requirements

Exclusion Criteria

* Evidence of abscess at screening
* Extensive colonic resection (subtotal or total colectomy) or history of \> 2 small bowel resections
* Ileostomy, colostomy, or symptomatic stenosis of the intestine
* Current use of oral corticosteroids at a dose equivalent to \> 30 mg/day of prednisone
* Ulcerative colitis or indeterminate colitis
* Short bowel syndrome
* Stool sample positive for Clostridium difficile (C. difficile) toxin, E. coli, Salmonella, Shigella, Campylobacter or Yersinia
* Treatment with any monoclonal antibody within 4 weeks of screening
* History or evidence of colonic mucosal dysplasia
* HIV, hepatitis B, hepatitis C, or tuberculosis (TB) infection
* Participated in a clinical study with an investigational drug or biologic within the last 30 days
* Any chronic medical condition (including, but not limited to, cardiac or pulmonary disease) that, in the opinion of the investigator, would make the individual unsuitable for the study or would prevent compliance with the study protocol
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Team

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Digestive Health Specialists of The Southeast

Dothan, Alabama, United States

Site Status

Mayo Clinic

Scottsdale, Arizona, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

South Denver Gastroenterology

Lone Tree, Colorado, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Gastroenterology Group Of Naples

Naples, Florida, United States

Site Status

Gastroenterology Associates Of Central Georgia, LLC

Macon, Georgia, United States

Site Status

Medical Diagnostic Center (MDC)-Indiana University (IU) Health University Hospital

Indianapolis, Indiana, United States

Site Status

Iowa Digestive Disease Center

Clive, Iowa, United States

Site Status

Cotton-O'Neil Clinical Research Center, Digestive Health

Topeka, Kansas, United States

Site Status

Delta Research Partners

Monroe, Louisiana, United States

Site Status

Louisiana Research Center

Shreveport, Louisiana, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute of Michigan, LLC

Chesterfield, Michigan, United States

Site Status

Mayo Clinic Rochester

Rochester, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

AGA Clinical Research Associates, LLC

Egg Harbor, New Jersey, United States

Site Status

Columbia University Medical Center/ New York Presbyterian

New York, New York, United States

Site Status

Premier Medical Group Of The Hudson Valley

Poughkeepsie, New York, United States

Site Status

Mayo Clinic Rochester

Rochester, New York, United States

Site Status

Asheville Gastroenterology Associates

Asheville, North Carolina, United States

Site Status

Consultants For Clinical Research

Cincinnati, Ohio, United States

Site Status

Great Lakes Gastroenterology

Mentor, Ohio, United States

Site Status

Gastro One

Germantown, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Texas Clinical Research Institute

Arlington, Texas, United States

Site Status

Ertan Digestive Disease Center of Excellence, UTH/MH-TMC

Houston, Texas, United States

Site Status

Gastroenterology Research of San Antonio

San Antonio, Texas, United States

Site Status

Gastroenterology Associates Of Tidewater

Chesapeake, Virginia, United States

Site Status

Digestive and Liver Disease Specialists

Norfolk, Virginia, United States

Site Status

Mcguire Dvamc

Richmond, Virginia, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Concord Repatriation General Hospital

Concord, New South Wales, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

Footscray Hospital

Footscray, Victoria, Australia

Site Status

Gastroenterology/Colorectal Medicine & Genetics

Melbourne, Victoria, Australia

Site Status

Percuro Clinical Research Ltd.

Victoria, British Columbia, Canada

Site Status

Percuro Clinical Research Ltd.

Victoria, , Canada

Site Status

Hepato-Gastroenterologie Hk S.R.O.

Hradec Králové, , Czechia

Site Status

Ibd Clinical And Research Centre-Iscare Ivf

Prague, , Czechia

Site Status

Hopital Beaujon

Clichy, , France

Site Status

CHRU de Lille

Lille, , France

Site Status

Chu Hotel Dieu-Chu De Nantes

Nantes, , France

Site Status

CHU de Saint Etienne - Hopital Nord

Saint-Priest-en-Jarez, , France

Site Status

Universitatsklinikum Schleswig-Holstein

Kiel, , Germany

Site Status

Eugastro Gmbh

Leipzig, , Germany

Site Status

Klinikum der Universitat Munchen

München, , Germany

Site Status

Tolna Megye Balassa Janos Korhaz

Beri Balogh Adam, , Hungary

Site Status

Rethy Pal Hospital-Clinic Bekescsaba

Békéscsaba, , Hungary

Site Status

Pannonia Maganorvosi Centrum Kft

Budapest, , Hungary

Site Status

Debreceni Egyeterm Orvos es Egeszsegtudomanyi Centrum

Debrecen, , Hungary

Site Status

Universita Campus Biomedico

Roma, , Italy

Site Status

Humanitas Research Hospital

Rozzano, , Italy

Site Status

Christchurch Hospital

Christchurch, , New Zealand

Site Status

Southern District Health Board

Dunedin, , New Zealand

Site Status

Capital and Coast District Health board-Wellington hospital

Wellington, , New Zealand

Site Status

The Medical University of Bialystok Clinical

Bialystok, , Poland

Site Status

Gastromed

Lublin, , Poland

Site Status

Ai Centrum Medyczne

Poznan, , Poland

Site Status

CRC Sp. z o.o.

Poznan, , Poland

Site Status

Endoskopia SP. z.o.o.

Sopot, , Poland

Site Status

Centralny Szpital Kliniczny MSWiA

Warsaw, , Poland

Site Status

Lexmedica

Wroclaw, , Poland

Site Status

Panorama Mediclinic Pvt Hospital

Panorama, Cape Town, South Africa

Site Status

Parklands Medical Centre

Durban, , South Africa

Site Status

Hospital Universitari de Bellvitge

Barcelona, , Spain

Site Status

Hospital Universitario de Fuenlabrada

Fuenlabrada, , Spain

Site Status

Hospital Ramon y Cajal

Madrid, , Spain

Site Status

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, , Spain

Site Status

Norfolk and Norwich University Hospital Nhs Foundation Trust

Norwich, Norfolk, United Kingdom

Site Status

Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Oxford University Hospitals NHS Trust

Oxford, , United Kingdom

Site Status

Countries

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United States Australia Canada Czechia France Germany Hungary Italy New Zealand Poland South Africa Spain United Kingdom

References

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Schreiber S, Siegel CA, Friedenberg KA, Younes ZH, Seidler U, Bhandari BR, Wang K, Wendt E, McKevitt M, Zhao S, Sundy JS, Lee SD, Loftus EV. A Phase 2, Randomized, Placebo-Controlled Study Evaluating Matrix Metalloproteinase-9 Inhibitor, Andecaliximab, in Patients With Moderately to Severely Active Crohn's Disease. J Crohns Colitis. 2018 Aug 29;12(9):1014-1020. doi: 10.1093/ecco-jcc/jjy070.

Reference Type RESULT
PMID: 29846530 (View on PubMed)

Other Identifiers

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2015-001249-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-395-1663

Identifier Type: -

Identifier Source: org_study_id

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