A Protocol of Icotrokinra Therapy in Adult and Adolescent Participants With Moderately to Severely Active Ulcerative Colitis

NCT ID: NCT07196748

Last Updated: 2025-11-10

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

882 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-01

Study Completion Date

2032-01-13

Brief Summary

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The purpose of this protocol is to evaluate the efficacy (how well it works), safety and tolerability of oral icotrokinra as therapy in adult and adolescent participants with moderately to severely active ulcerative colitis (UC, a chronic disease of the large intestine in which the lining of the colon becomes inflamed and develops tiny open ulcers).

Detailed Description

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Conditions

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Colitis, Ulcerative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel assignment applies to adult participants only.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
This study is double-blind for adults and open-label for adolescent participants.

Study Groups

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Open-label (OL) Induction Phase: Icotrokinra

Adolescent participants will enter the Induction phase and receive icotrokinra daily, orally. At Week I-12 all participants will be evaluated for clinical response and will enter the Maintenance phase.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra tablet will be administered orally.

Double-blind (DB) Induction Study: Icotrokinra

Adult participants will be randomized to receive icotrokinra daily, orally starting at induction Week 0 (Week I-0). At Week I-12, all participants will be evaluated for clinical response and will enter the Maintenance study.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra tablet will be administered orally.

DB Induction Study: Placebo

Adult participants will be randomized to receive placebo daily, orally starting at Week I-0. At Week I-12, all participants will be evaluated for clinical response and will enter the Maintenance study.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablet will be administered orally.

DB Maintenance Study: Icotrokinra

Adult participants who are in clinical response to icotrokinra at the end of the Induction study will enter the Maintenance study and be randomized to receive icotrokinra daily, orally starting at maintenance Week 0 (Week M-0) through Week M-40. Participants who are clinical nonresponders to icotrokinra or placebo will also enter the Maintenance study directly and receive icotrokinra daily. After completion of the Maintenance study through Week M-40, eligible participants can participate in a long-term extension (LTE).

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra tablet will be administered orally.

DB Maintenance Study: Placebo

Adult participants who are in clinical response to icotrokinra at the end of the Induction study will enter the Maintenance study and be randomized to receive placebo daily, orally starting at Week M-0 through Week M-40. Participants who are clinical responders to placebo will also enter the Maintenance study directly and continue to receive placebo daily. After completion of the Maintenance study through Week M-40, eligible participants can participate in a LTE.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablet will be administered orally.

OL Maintenance Phase: Icotrokinra

Adolescent participants who are in clinical response to icotrokinra will enter the Maintenance phase at Week M-0 and continue to receive icotrokinra daily, orally up to Week M-40. Participants who are nonresponders to icotrokinra will also enter the Maintenance phase to receive icotrokinra daily. After completion of the Maintenance phase through Week M-40, eligible participants can participate in a LTE.

Group Type EXPERIMENTAL

Icotrokinra

Intervention Type DRUG

Icotrokinra tablet will be administered orally.

Interventions

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Icotrokinra

Icotrokinra tablet will be administered orally.

Intervention Type DRUG

Placebo

Placebo tablet will be administered orally.

Intervention Type DRUG

Other Intervention Names

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JNJ-77242113

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of ulcerative colitis (UC) established at least 12 weeks before screening including both endoscopic evidence and a histopathology report consistent with a diagnosis of UC
* Moderately to severely active UC, defined as a baseline (Week I-0) modified Mayo score of 5 to 9, inclusive, using the endoscopy subscore obtained during the central review of the screening video endoscopy
* An endoscopy subscore greater than or equal to (\>=) 2 as obtained during central review of the screening video endoscopy
* For adolescent participants \>=12 to less than (\<) 18 years of age, body weight must be \>=40 kilograms (kg) at baseline (Week I-0)
* A female participant of childbearing potential must have a negative highly sensitive serum pregnancy test (beta-human chorionic gonadotropin \[β-hCG\]) at screening and a negative urine pregnancy test at Week I-0 prior to administration of study intervention and agree to further pregnancy tests
* Demonstrated an inadequate response, loss of response, or failure to tolerate previous conventional therapy (advanced drug therapy \[ADT\]-naïve) or advanced therapy defined as biologics and/or advanced oral agents for the treatment of UC (ADT-inadequate responder \[IR\]) as defined in the protocol

Exclusion Criteria

* Participants with current known complications of UC such as fulminant colitis, toxic megacolon, or any other manifestation that might require colonic surgery while enrolled in the study
* Presence of a stoma
* Presence or history of a fistula
* Colonic resection within 24 weeks before baseline or any other intra-abdominal or other major surgery performed within 12 weeks before baseline
* History of extensive colonic resection (that is, less than \[\<\] 30 centimeter \[cm\] of colon remaining) or colonic resection that could impair the use of disease severity assessments (for example Mayo Score) to assess response to study intervention
Minimum Eligible Age

12 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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Nature Coast Clinical Research

Inverness, Florida, United States

Site Status RECRUITING

GCP Clinical Research

Tampa, Florida, United States

Site Status RECRUITING

Children's Center for Digestive Health Care

Atlanta, Georgia, United States

Site Status RECRUITING

Clinnova Research

Anaheim, California, United States

Site Status RECRUITING

Om Research LLC

Lancaster, California, United States

Site Status RECRUITING

TLC Clinical Research Inc

Los Angeles, California, United States

Site Status RECRUITING

GastroIntestinal Bioscience

Los Angeles, California, United States

Site Status RECRUITING

Om Research LLC

Oxnard, California, United States

Site Status RECRUITING

Medical Associates Research Group, Inc.

San Diego, California, United States

Site Status RECRUITING

Peak Gastroenterology Associates

Colorado Springs, Colorado, United States

Site Status RECRUITING

American Institute of Research

Cutler Bay, Florida, United States

Site Status RECRUITING

Gastroenterolgy Associates of Central GA

Macon, Georgia, United States

Site Status RECRUITING

Cotton O'Neil Digestive Health Center

Topeka, Kansas, United States

Site Status RECRUITING

Tri-State Gastroenterology Assoc

Crestview Hills, Kentucky, United States

Site Status RECRUITING

Delta Research Partners, LLC

West Monroe, Louisiana, United States

Site Status RECRUITING

Westchester Putnam Gastroenterology

Carmel, New York, United States

Site Status RECRUITING

New York Gastroenterology Associates

New York, New York, United States

Site Status RECRUITING

Gastro Intestinal Research Institute of Northern Ohio LLC

Westlake, Ohio, United States

Site Status SUSPENDED

The Oregon Clinic

Portland, Oregon, United States

Site Status RECRUITING

Susquehanna Research Group

Harrisburg, Pennsylvania, United States

Site Status RECRUITING

University Gastroenterology

Providence, Rhode Island, United States

Site Status SUSPENDED

DFW Clinical Trials

Carrollton, Texas, United States

Site Status RECRUITING

Southern Star Research Institute, LLC

San Antonio, Texas, United States

Site Status RECRUITING

Tyler Research Institute, LLC

Tyler, Texas, United States

Site Status SUSPENDED

Gastroenterology Associates of Tidewater

Chesapeake, Virginia, United States

Site Status SUSPENDED

Mater Hospital Brisbane

South Brisbane, , Australia

Site Status RECRUITING

Barrie GI Associates

Barrie, Ontario, Canada

Site Status RECRUITING

West GTA Research Inc

Mississauga, Ontario, Canada

Site Status RECRUITING

ABP Research Services Corp.

Oakville, Ontario, Canada

Site Status RECRUITING

Toronto Immune and Digestive Health Institute Inc

Toronto, Ontario, Canada

Site Status RECRUITING

Ginza central clinic

Chūōku, , Japan

Site Status RECRUITING

Sai Gastroenterology Proctology

Fujiidera-shi, , Japan

Site Status RECRUITING

Kagoshima IBD Gastroenterology Clinic

Kagoshima, , Japan

Site Status RECRUITING

National Hospital Organization Kanazawa Medical Center

Kanazawa, , Japan

Site Status RECRUITING

Tsujinaka Hospital Kashiwanoha

Kashiwa, , Japan

Site Status RECRUITING

Aoyama Naika Clinic

Kobe, , Japan

Site Status RECRUITING

Kumamoto University Hospital

Kumamoto, , Japan

Site Status RECRUITING

Japanese Red Cross Kumamoto Hospital

Kumamoto, , Japan

Site Status RECRUITING

Takagi Clinic

Miyagi, , Japan

Site Status RECRUITING

Nakagami Hospital

Okinawa, , Japan

Site Status RECRUITING

Japanese Red Cross Osaka Hospital

Osaka, , Japan

Site Status RECRUITING

Oita Red Cross Hospital

Ōita, , Japan

Site Status RECRUITING

Sapporo Tokushukai Hospital

Sapporo, , Japan

Site Status RECRUITING

Matsuda Hospital

Shizuoka, , Japan

Site Status RECRUITING

Tokyo Metropolitan Bokutoh Hospital

Sumida Ku, , Japan

Site Status RECRUITING

National Hospital Organization Shizuoka Medical Center

Sunto-gun, , Japan

Site Status RECRUITING

Hospital Sultanah Bahiyah

Alor Star, , Malaysia

Site Status RECRUITING

Hospital Sultanah Aminah

Johor Bahru, , Malaysia

Site Status RECRUITING

Sultan Idris Shah Hospital

Kajang, , Malaysia

Site Status RECRUITING

Hospital Kuala Lumpur

Kuala Lumpur, , Malaysia

Site Status RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Countries

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United States Australia Canada Japan Malaysia Taiwan

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

Other Identifiers

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77242113UCO3001

Identifier Type: OTHER

Identifier Source: secondary_id

2025-521381-10-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

77242113UCO3001

Identifier Type: -

Identifier Source: org_study_id