Efficacy, Safety and Tolerability of PF-06687234 as Add-on Therapy to Infliximab in Active UC Subjects Not in Remission.

NCT ID: NCT03269695

Last Updated: 2021-12-28

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-20

Study Completion Date

2021-01-07

Brief Summary

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The purpose of this study is to determine if PF-06687234 is effective and safe as add-on therapy to infliximab in subjects with active ulcerative colitis who are not in remission.

Detailed Description

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This is a Phase 2a, double-blind, placebo-controlled, parallel group study in subjects with active ulcerative colitis and a non-remission (partial) response to infliximab. All enrolled subjects must have been on infliximab for a minimum of 14 weeks with last dose 8 weeks prior to the date of randomization. Subjects will be randomly assigned to 1 of 2 treatment arms (PF-06687234 or placebo) administered subcutaneously every week for a total of 12 doses. Blood, stool and tissue samples will be collected at various time points throughout the study to evaluate efficacy, safety, tolerability, pharmacokinetics and immunogenicity. Duration of participation for subjects will be approximately 6 months.

Conditions

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Ulcerative Colitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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PF-06687234

PF-06687234 subcutaneous (SC) weekly (QW) x 12 doses

Group Type EXPERIMENTAL

PF-06687234

Intervention Type DRUG

SC QW

Placebo

PF-06687234 matched Placebo SC QW x 12 doses

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

SC QW

Interventions

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PF-06687234

SC QW

Intervention Type DRUG

Placebo

SC QW

Intervention Type DRUG

Other Intervention Names

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Investigational product PF-06687234 matched placebo

Eligibility Criteria

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Inclusion Criteria

* Male and/or female subjects 18 years to 75 years of age and weight \> 40 kg at the time of informed consent.
* A diagnosis of active UC (histologic) for 4 months.
* Subjects with active UC as defined by (via screening endoscopy) a total Mayo Score of 4 or more but 9 or less and an endoscopic subscore of 2.or more.
* UC extending at least 15 cm proximal to the anal verge at the time of the screening endoscopy.
* Must be on a stable dose 5-10 mg/kg of Remicade, Inflectra, or Remsima for a minimum of 14 weeks with no anticipation of need for change in infliximab treatment regimen throughout the study
* Male subjects able to father children and female subjects of childbearing potential and at risk for pregnancy must agree to use two methods of contraception (at least one of which is considered as highly effective) throughout the study and until the Week 16 visit

Exclusion Criteria

* Subjects with a diagnosis or documented history of total colectomy and/or pouchitis, indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis, radiation colitis, and diverticular disease associated with colitis, or clinical findings suggestive of Crohn's disease.
* Subjects need for surgery or with major elective surgery scheduled during the study.
* Subjects with extensive colitis for at least 8 years who have not had a colonoscopy with surveillance biopsies within 2 years prior to baseline.
* Subjects with history of or at screening endoscopy, biopsy documented colonic dysplasia or neoplasia.
* Subjects who require infliximab dosing interval other than every 6 weeks or every 8 weeks.
* Subjects displaying clinical signs of fulminant colitis or toxic megacolon, with primary sclerosing cholangitis, known colonic stricture, history of colonic, small bowel obstruction or resection, with history of or current colonic or small bowel stoma.
* Cyclic neutropenia, thrombocytopenia, lymphopenia, leukopenia or history of chronic anemia.
* Presence of active enteric infection.
* Known history of human immunodeficiency virus (HIV) based on documented history with positive serological test, or positive HIV serologic test.
* Presence of transplanted organ.
* Anticipated need for any live vaccine.
* Class III or Class IV heart failure.
* Acute coronary syndrome and any history of cerebrovascular disease.
* Subjects with current, or a history of QT prolongation.
* Subjects receiving the following therapies within the designated time period:

* \>9 mg/day of oral budesonide or \>20 mg/day of prednisone or equivalent within 2 weeks prior to baseline.
* IV, IM or topical (rectal) treatment of 5-ASA or corticosteroid enemas within 2 weeks prior to baseline.
* Anti integrin inhibitors within 14 weeks prior to baseline.
* Any use of natalizumab.
* Interferon therapy within 8 weeks prior to baseline.
* Prior treatment with lymphocyte depleting therapies and alkylating agents.
* Received selective B lymphocyte depleting agents within 1 year prior to baseline.
* Receiving leukocyte apheresis, granulocyte apheresis, or plasma exchange within 6 months of baseline.
* JAK inhibitors within 3 months prior to baseline.
* Any investigational procedures(s) or product(s)30 days prior to baseline.
* History of sensitivity to heparin or heparin induced thrombocytopenia
* Known history of hypersensitivity, intolerance, or allergic reaction to PF-06687234 or any constituent of the IP.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Dothan Surgery Center

Dothan, Alabama, United States

Site Status

Gut PC, dba Digestive Health Specialists of the Southeast

Dothan, Alabama, United States

Site Status

Emory Investigational Drug Services

Atlanta, Georgia, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

The Emory Clinic

Atlanta, Georgia, United States

Site Status

Chevy Chase Endoscopy Center

Chevy Chase, Maryland, United States

Site Status

MGG Group Co., Inc., Chevy Chase Clinical Research

Chevy Chase, Maryland, United States

Site Status

Clinical Research Institute of Michigan, LLC

Chesterfield, Michigan, United States

Site Status

East Valley Endoscopy

Grand Rapids, Michigan, United States

Site Status

Eastside Endoscopy Center

Macomb, Michigan, United States

Site Status

Eastside Endoscopy Center

Saint Clair Shores, Michigan, United States

Site Status

Gastroenterology Associates of Western Michigan, PLC d.b.a. West Michigan Clinical Research Center

Wyoming, Michigan, United States

Site Status

Allegiance Research Specialists

Wauwatosa, Wisconsin, United States

Site Status

Concord Repatriation General Hospital

Concord, New South Wales, Australia

Site Status

Eastern Health-Box Hill Hospital

Box Hill, Victoria, Australia

Site Status

St. Vincent's Hospital, Melbourne

Fitzroy, Victoria, Australia

Site Status

The Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status

St John Of God Health Care Inc. Trading as St. John of God Subiaco Hospital

Subiaco, Western Australia, Australia

Site Status

CHC Montlegia

Liège, , Belgium

Site Status

Universitaetsklinikum Schleswig-Holstein Campus Kiel

Kiel, , Germany

Site Status

The Chaim Sheba Medical Center

Ramat Gan, , Israel

Site Status

ASST Rhodense - Ospedale di Circolo di Rho

Rho, Milano, Italy

Site Status

Azienda Ospedaliera di Padova

Padua, , Italy

Site Status

Fondazione Policlinico Universitario A. Gemelli IRCCS

Roma, , Italy

Site Status

King Abdulaziz University Hospital

Jeddah, , Saudi Arabia

Site Status

King Abdullah International Medical Research Center

Riyadh, , Saudi Arabia

Site Status

King Khalid University Hospital

Riyadh, , Saudi Arabia

Site Status

CHC "Dr Dragisa Misovic-Dedinje"

Belgrade, , Serbia

Site Status

Clinical Hospital Center Zvezdara - Clinic for Gastroenterology and Hepatology

Belgrade, , Serbia

Site Status

The Catholic University of Korea, St. Vincent's Hospital

Gyeonggi-do, , South Korea

Site Status

Kangbuk Samsung Hospital

Seoul, , South Korea

Site Status

Mersin Universitesi Tip Fakultesi Hastanesi

Mersin, , Turkey (Türkiye)

Site Status

Countries

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Spain United States Australia Belgium Germany Israel Italy Saudi Arabia Serbia South Korea Turkey (Türkiye)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=B7581002

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Other Identifiers

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2017-002108-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BUILD UC

Identifier Type: OTHER

Identifier Source: secondary_id

B7581002

Identifier Type: -

Identifier Source: org_study_id