A Phase 2a Safety and Efficacy Open-Label Study of PRA023 in Subjects With Moderately to Severely Active Crohn's Disease

NCT ID: NCT05013905

Last Updated: 2025-07-04

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-28

Study Completion Date

2025-05-27

Brief Summary

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The purpose of this study is to assess the safety and efficacy of PRA023 in participants with moderately to severely active Crohn's Disease.

After the completion of the 12-week induction period, all participants have the option to continue in the open-label extension for another 38 weeks.

Detailed Description

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Conditions

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Crohn Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PRA023

Participants to receive PRA023 administered by intravenous (IV) infusion.

Group Type EXPERIMENTAL

PRA023 IV

Intervention Type DRUG

PRA023 administered at timepoints as directed by the protocol

Companion diagnostic (CDx)

Intervention Type DEVICE

CDx+ or CDx-

Interventions

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PRA023 IV

PRA023 administered at timepoints as directed by the protocol

Intervention Type DRUG

Companion diagnostic (CDx)

CDx+ or CDx-

Intervention Type DEVICE

Other Intervention Names

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PRA023 administered by IV Infusion

Eligibility Criteria

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Inclusion Criteria

* Confirmed diagnosis of Crohn's disease
* Moderately to severely active CD as defined by Crohn's disease activity index (CDAI) score and centrally read endoscopy
* Must have corticosteroid dependence or have had no response, insufficient response, loss of response and/or intolerance to at least one of the following therapies: corticosteroid, immunosuppressants, or an approved anti-tumor necrosis factor (TNF), anti-integrin, or anti-interleukin (IL)12/23
* Able to provide written informed consent and understand and comply with the requirements of the study

Exclusion Criteria

* Women of child bearing potential (WOCBP) and men with female partner of childbearing potential who are unwilling to use two highly effective methods of contraception to avoid pregnancy for the entire study period and up to 12 weeks after the last dose of study drug
* Diagnosis of ulcerative colitis (UC) or indeterminate colitis
* CD isolated to the stomach, duodenum, jejunum, or perianal region, without colonic and/or illeal involvement
* Suspected or diagnosed intra-abdominal or perianal abscess at screening
* Current stoma or need for colostomy or ileostomy
* Previous small bowel resection with a combined resected length of \>100 cm or previous colonic resection of \> 2 segments
* Surgical bowel resection within 3 months before screening
* Past or current evidence of definite low-grade or high-grade colonic dysplasia not completely removed
* Subjects in the opinion of the investigator are at an unacceptable risk for participation in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prometheus Biosciences, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prometheus Biosciences

Role: STUDY_DIRECTOR

Clinicaltrials Call Center

Locations

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Prometheus Biosciences Selected Site

Los Angeles, California, United States

Site Status

Prometheus Biosciences Selected Site

Los Angeles, California, United States

Site Status

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Liberty, Kansas, United States

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Chesterfield, Michigan, United States

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Ypsilanti, Michigan, United States

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St Louis, Missouri, United States

Site Status

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Lebanon, New Hampshire, United States

Site Status

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New York, New York, United States

Site Status

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Garland, Texas, United States

Site Status

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Lubbock, Texas, United States

Site Status

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Lubbock, Texas, United States

Site Status

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San Antonio, Texas, United States

Site Status

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Southlake, Texas, United States

Site Status

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Tyler, Texas, United States

Site Status

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Bellevue, Washington, United States

Site Status

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Tacoma, Washington, United States

Site Status

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Bankstown, New South Wales, Australia

Site Status

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Woolloongabba, Queensland, Australia

Site Status

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Adelaide, South Australia, Australia

Site Status

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Leuven, , Belgium

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Liège, , Belgium

Site Status

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London, Ontario, Canada

Site Status

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Brno, , Czechia

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Slaný, , Czechia

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Clichy, , France

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Nice, , France

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Saint-Priest-en-Jarez, , France

Site Status

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Vandœuvre-lès-Nancy, , France

Site Status

Prometheus Biosciences Selected Site

Tbilisi, , Georgia

Site Status

Prometheus Biosciences Selected Center

Krakow, , Poland

Site Status

Prometheus Biosciences Selected Site

Rzeszów, , Poland

Site Status

Prometheus Biosciences Selected Site

Sopot, , Poland

Site Status

Prometheus Biosciences Selected Site

Torun, , Poland

Site Status

Prometheus Biosciences Selected Center

Warsaw, , Poland

Site Status

Prometheus Biosciences Selected Site

Warsaw, , Poland

Site Status

Prometheus Biosciences Selected Center

Warsaw, , Poland

Site Status

Prometheus Biosciences Selected Site

Wroclaw, , Poland

Site Status

Countries

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United States Australia Belgium Canada Czechia France Georgia Poland

References

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Feagan BG, Sands BE, Siegel CA, Dubinsky MC, Longman RS, Sabino J, Laurent O, Luo A, Lu J, Nguyen DD, Munoz-Elias EJ, Llewellyn H, Wang Y, Jang I, Bilsborough J, Marchelletta R, Towfic F, Yen M, Anderson JK, DuVall A, Kierkus J, Woynarowski M, Al Kharrat H, Targan SR, McGovern DPB. Safety and efficacy of the anti-TL1A monoclonal antibody tulisokibart for Crohn's disease: a phase 2a induction trial. Lancet Gastroenterol Hepatol. 2025 Aug;10(8):715-725. doi: 10.1016/S2468-1253(25)00071-8. Epub 2025 May 30.

Reference Type DERIVED
PMID: 40456235 (View on PubMed)

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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Other Identifiers

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7240-006

Identifier Type: OTHER

Identifier Source: secondary_id

2023-509742-35-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1309-6108

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-000092-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PR200-103

Identifier Type: -

Identifier Source: org_study_id

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