Trial Outcomes & Findings for A Six Week Efficacy, Safety and Tolerability Study of V565 in Crohn's Disease (NCT NCT02976129)

NCT ID: NCT02976129

Last Updated: 2021-12-22

Results Overview

Number of responders at Day 42, defined as subjects achieving both CDAI ≥ 70-point reduction from baseline or CDAI score \< 150, and a reduction of ≥ 40% from the baseline value of CRP or FCP. Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Scores generally range from 0 to 600, where clinical remission of Crohn's disease is defined as CDAI \< 150, and very severe disease is defined as CDAI \> 450.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

125 participants

Primary outcome timeframe

Day 42

Results posted on

2021-12-22

Participant Flow

Participant milestones

Participant milestones
Measure
V565
V565 three times daily (TID) PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
Placebo three times daily (TID) PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Overall Study
STARTED
82
43
Overall Study
COMPLETED
77
41
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline faecal calprotectin (FCP) measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline CRP was greater than or equal to 5mg/L

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
V565
n=82 Participants
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=43 Participants
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Total
n=125 Participants
Total of all reporting groups
Age, Continuous
37.7 years
STANDARD_DEVIATION 14.05 • n=82 Participants
37.2 years
STANDARD_DEVIATION 12.08 • n=43 Participants
37.5 years
STANDARD_DEVIATION 13.36 • n=125 Participants
Sex: Female, Male
Female
32 Participants
n=82 Participants
19 Participants
n=43 Participants
51 Participants
n=125 Participants
Sex: Female, Male
Male
50 Participants
n=82 Participants
24 Participants
n=43 Participants
74 Participants
n=125 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=82 Participants
0 Participants
n=43 Participants
0 Participants
n=125 Participants
Race (NIH/OMB)
Asian
0 Participants
n=82 Participants
1 Participants
n=43 Participants
1 Participants
n=125 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=82 Participants
0 Participants
n=43 Participants
0 Participants
n=125 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=82 Participants
1 Participants
n=43 Participants
1 Participants
n=125 Participants
Race (NIH/OMB)
White
82 Participants
n=82 Participants
39 Participants
n=43 Participants
121 Participants
n=125 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=82 Participants
0 Participants
n=43 Participants
0 Participants
n=125 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=82 Participants
2 Participants
n=43 Participants
2 Participants
n=125 Participants
Region of Enrollment
Hungary
4 participants
n=82 Participants
1 participants
n=43 Participants
5 participants
n=125 Participants
Region of Enrollment
United States
4 participants
n=82 Participants
3 participants
n=43 Participants
7 participants
n=125 Participants
Region of Enrollment
Czechia
18 participants
n=82 Participants
11 participants
n=43 Participants
29 participants
n=125 Participants
Region of Enrollment
Ukraine
22 participants
n=82 Participants
12 participants
n=43 Participants
34 participants
n=125 Participants
Region of Enrollment
United Kingdom
4 participants
n=82 Participants
5 participants
n=43 Participants
9 participants
n=125 Participants
Region of Enrollment
Canada
1 participants
n=82 Participants
1 participants
n=43 Participants
2 participants
n=125 Participants
Region of Enrollment
Austria
3 participants
n=82 Participants
0 participants
n=43 Participants
3 participants
n=125 Participants
Region of Enrollment
Netherlands
1 participants
n=82 Participants
0 participants
n=43 Participants
1 participants
n=125 Participants
Region of Enrollment
Norway
1 participants
n=82 Participants
0 participants
n=43 Participants
1 participants
n=125 Participants
Region of Enrollment
Poland
9 participants
n=82 Participants
5 participants
n=43 Participants
14 participants
n=125 Participants
Region of Enrollment
Slovakia
6 participants
n=82 Participants
2 participants
n=43 Participants
8 participants
n=125 Participants
Region of Enrollment
Serbia
5 participants
n=82 Participants
1 participants
n=43 Participants
6 participants
n=125 Participants
Region of Enrollment
Germany
4 participants
n=82 Participants
2 participants
n=43 Participants
6 participants
n=125 Participants
Baseline Crohn's Disease Activity Index
316.34 units on a scale
STANDARD_DEVIATION 71.283 • n=82 Participants
296.69 units on a scale
STANDARD_DEVIATION 64.334 • n=43 Participants
309.69 units on a scale
STANDARD_DEVIATION 69.379 • n=125 Participants
Baseline C-Reactive Protein (CRP)
59 mg/L
STANDARD_DEVIATION 21.9 • n=59 Participants • Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline faecal calprotectin (FCP) measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline CRP was greater than or equal to 5mg/L
18.7 mg/L
STANDARD_DEVIATION 14.56 • n=33 Participants • Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline faecal calprotectin (FCP) measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline CRP was greater than or equal to 5mg/L
20.8 mg/L
STANDARD_DEVIATION 17.13 • n=92 Participants • Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline faecal calprotectin (FCP) measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline CRP was greater than or equal to 5mg/L
Baseline Faecal Calprotectin (FCP)
1082.619 µg/g
STANDARD_DEVIATION 804.2154 • n=23 Participants • Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline FCP measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline FCP was greater than or equal to 250µg/g
1091.217 µg/g
STANDARD_DEVIATION 974.0855 • n=10 Participants • Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline FCP measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline FCP was greater than or equal to 250µg/g
1085.224 µg/g
STANDARD_DEVIATION 843.5207 • n=33 Participants • Subjects were recruited into the study if their baseline CRP value was greater than or equal to 5mg/L OR if their baseline FCP measure was greater than or equal to 250µg/g. Data are reported for only those patients whose baseline FCP was greater than or equal to 250µg/g

PRIMARY outcome

Timeframe: Day 42

Population: Intent-to-treat population.

Number of responders at Day 42, defined as subjects achieving both CDAI ≥ 70-point reduction from baseline or CDAI score \< 150, and a reduction of ≥ 40% from the baseline value of CRP or FCP. Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Scores generally range from 0 to 600, where clinical remission of Crohn's disease is defined as CDAI \< 150, and very severe disease is defined as CDAI \> 450.

Outcome measures

Outcome measures
Measure
V565
n=82 Participants
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=43 Participants
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Number of Subjects Achieving Response to Therapy, Defined as Reduction in the CDAI Score and in Inflammatory Markers CRP or FCP at Day 42.
29 Participants
16 Participants

SECONDARY outcome

Timeframe: Day 42

Number of subjects achieving a ≥ 100-point reduction in CDAI score and a concomitant reduction of at least 50% in CRP or FCP at Day 42 Crohn's Disease Activity Index (CDAI) is used to assess the symptoms of participants with Crohn's Disease. Scores generally range from 0 to 600, where clinical remission of Crohn's disease is defined as CDAI \< 150, and very severe disease is defined as CDAI \> 450.

Outcome measures

Outcome measures
Measure
V565
n=82 Participants
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=43 Participants
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Number of Subjects Achieving Response to Therapy, Defined as Reduction in the CDAI Score and in Inflammatory Markers CRP or FCP at Day 42.
20 Participants
9 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 42

Population: Only those subjects who had a second endoscopy are included in this analysis.

Subjects with a pre-treatment endoscopy Simple Endoscopic Score for Crohn's Disease (SES-CD) of at least 7 (4 if disease was confined to ileum) had a post-treatment endoscopy to evaluate changes in mucosal appearance. The central reader of the endoscopies, blinded to treatment and sequence, was asked to grade if video A was better or worse than video B. Pre- and post-treatment videos were randomly assigned to A and B. The endpoint is the number of subjects whose post-treatment endoscopy was better than their pre-treatment endoscopy.

Outcome measures

Outcome measures
Measure
V565
n=32 Participants
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=10 Participants
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Number of Subjects With Improvement in Endoscopic Mucosal Appearance
18 Participants
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 14 and 42

Population: Patients were enrolled into the study based on either a baseline CRP measurement or a baseline FCP measurement. Only the subjects who entered the study based on their CRP measurement are included here.

The number of subjects who entered the study with an elevated CRP who had a CRP level within normal limits at Days 14 and 42. Normal levels defined as CRP less than or equal to 5mg/L

Outcome measures

Outcome measures
Measure
V565
n=58 Participants
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=31 Participants
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Number of Subjects Achieving CRP Levels Within Normal Limits at Days 14 and 42
11 Participants
4 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 14 and 42

Population: Patients were enrolled into the study based on either a baseline CRP measurement or a baseline FCP measurement. Only the subjects who entered the study based on their FCP measurement are included here.

The number of subjects who entered the study with an elevated FCP who had an FCP level within normal limits at Days 14 and 42. Normal limits of FCP defined as less than or equal to 250µg/g

Outcome measures

Outcome measures
Measure
V565
n=23 Participants
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=10 Participants
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Number of Subjects Achieving FCP Levels Within Normal Limits at Day 14 and 42
7 Participants
3 Participants

Adverse Events

V565

Serious events: 3 serious events
Other events: 30 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
V565
n=82 participants at risk
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=43 participants at risk
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Gastrointestinal disorders
Abdominal pain
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Crohns Disease
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Vomiting
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Infections and infestations
Anal abscess
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)

Other adverse events

Other adverse events
Measure
V565
n=82 participants at risk
V565 TID PO for 6 weeks V565: Daily dosing of V565 three times a day orally for 6 weeks
Placebo
n=43 participants at risk
Placebo TID PO for 6 weeks Placebo: Daily dosing of placebo three times a day orally for 6 weeks
Investigations
Alanine aminotransferase increased
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Investigations
Aspartate aminotransferase increased
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Investigations
Urine analysis abnormal
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Cardiac disorders
Tachycardia
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Blood and lymphatic system disorders
Anaemia
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Blood and lymphatic system disorders
Neutrophilia
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Nervous system disorders
Headache
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Nervous system disorders
Seizure
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
General disorders
Oedema peripheral
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Psychiatric disorders
Insomnia
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Psychiatric disorders
Personality change
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Abdominal pain
4.9%
4/82 • Number of events 6 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
9.3%
4/43 • Number of events 4 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Crohn's Disease
6.1%
5/82 • Number of events 5 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Diarrhoea
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
4.7%
2/43 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Vomiting
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
4.7%
2/43 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Dyspepsia
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Nausea
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Abdominal distension
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Gastrointestinal disorders
Proctalgia
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Renal and urinary disorders
Pollakiuria
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Renal and urinary disorders
Nephrolithiasis
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/82 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Metabolism and nutrition disorders
Hyperglycaemia
1.2%
1/82 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
2.3%
1/43 • Number of events 1 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Infections and infestations
Anal abscess
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Infections and infestations
Gastroenteritis
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Infections and infestations
Influenza
2.4%
2/82 • Number of events 3 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
Infections and infestations
Pulpitis dental
2.4%
2/82 • Number of events 2 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)
0.00%
0/43 • From Day 1 (first day of study medication) to Day 56 (14 days after last dose of study medication)

Additional Information

Chief Medical Officer

VHsquared

Phone: +44 (0)1223 837650

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60