E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Ulcerative colitis |
colitis ulcerosa |
|
E.1.1.1 | Medical condition in easily understood language |
A form of inflammatory bowel disease |
Un tipo de enfermedad intestinal inflamatoria |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10045365 |
E.1.2 | Term | Ulcerative colitis |
E.1.2 | System Organ Class | 10017947 - Gastrointestinal disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the long-term safety and tolerability of rhuMAb Beta7, as measured by adverse events, immunogenicity and safety laboratory parameters, over an extended 2 year treatment period |
Evaluar la seguridad y la tolerabilidad a largo plazo de rhuMAb Beta7, en base a acontecimientos adversos, inmunogenicidad y parámetros de seguridad de laboratorio durante un período de tratamiento ampliado de 2 años |
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E.2.2 | Secondary objectives of the trial |
To obtain long-term data on the effectiveness, immunogenicity and exposure of rhMAb Beta7 |
Obtener datos a largo plazo sobre la eficacia, la inmunogenicidad y la exposición de rhuMAb Beta7 |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
? All patients (placebo or active) who were previously enrolled in the Phase II study (ABS4986g) and who have completed this study or who fulfill any of the criteria specified in the protocol regarding clinical response. ? Ability and willingness to provide written informed consent and comply with the requirements of the OLE protocol ? Males and females with reproductive potential must be willing to use a highly effective method of contraception (e.g., hormonal contraceptive [oral or patch], vaginal ring, intrauterine device, physical barrier, or vasectomized partner) from study start to a minimum of 4 months (approximately 5 half lives) |
? Todos los pacientes (del grupo placebo o de tratamiento activo) que fueron incluidos previamente en el estudio de fase II (ABS4986g) y que cumplan alguno de los criterios especificados en el protocolo con relación a la respuesta clínica. ? Disposición y capacidad para otorgar el consentimiento informado por escrito y cumplir los requisitos del protocolo de la ERA. ? Los varones y las mujeres en edad fértil deben estar dispuestos a utilizar un método anticonceptivo muy eficaz (por ejemplo, anticonceptivos hormonales [orales o en parche], anillo vaginal, dispositivo intrauterino, barrera física o pareja vasectomizada) desde el comienzo del estudio y durante un mínimo de 4 meses (aproximadamente 5 semividas) después de la última dosis. |
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E.4 | Principal exclusion criteria |
? Pregnancy or lactation ? Any new malignancy within the past 6 months ? Any new, significant, uncontrolled co morbidity, such as neurological, cardiac, pulmonary, renal, hepatic, endocrine, or GI disorders (since enrolling in the Phase II study [ABS4986g]) ? Any new clinically significant signs or symptoms of infection as judged by the investigator ? Any abnormal lab values recorded at the last visit completed in the Phase II study (ABS4986g) as follows: Moderate to severe anemia (hemoglobin less than 9 g/dL) Impaired renal function (serum creatinine greater than 1.5 x upper limit of normal [ULN]) Impaired hepatic function in the absence of a diagnosis of primary sclerosing cholangitis (serum transaminases greater than 2.5 x ULN, alkaline phosphatase greater than 2.5 x ULN, total bilirubin greater than 1.5 x ULN, or abnormalities in synthetic liver function tests judged by the investigator to be clinically significant). If the patient has a diagnosis of primary sclerosing cholangitis, serum transaminases grater than 3 x ULN, alkaline phosphatase greater than 3 x ULN, total bilirubin greater than 2.5 x ULN, or abnormalities in synthetic liver function tests judged by the investigator to be clinically significant. Thrombocytopenia (platelet count less than 75,000/microL) Neutropenia (absolute neutrophil count less than 1500/microL) Lymphopenia (absolute lymphocyte count less than 500/microL) |
Embarazo o lactancia ? Cualquier neoplasia maligna nueva en los últimos 6 meses ? Cualquier enfermedad concomitante nueva (desde la inclusión en el estudio de fase II [ABS4986g]) importante y no controlada, como trastornos neurológicos (por ejemplo, anomalías en el Mini-Mental Scale Examination [MMSE] y en la evaluación de la LMP), cardíacos, pulmonares, renales, hepáticos, endocrinos o digestivos ? Cualquier signo o síntoma nuevo de infección clínicamente significativo, según el criterio del investigador ? Cualquier valor analítico anormal registrado en la última visita completada en el estudio de fase II (ABS4986g), es decir: ? Anemia moderada o grave (hemoglobina < 9 g/dl) ? Insuficiencia renal (creatinina sérica > 1,5 veces el límite superior de la normalidad [LSN]) ? Insuficiencia hepática en ausencia de un diagnóstico de colangitis esclerosante primaria (transaminasas séricas > 2,5 veces el LSN, fosfatasa alcalina > 2,5 veces el LSN, bilirrubina total > 1,5 veces el LSN o anomalías en las pruebas de función hepática que el investigador considere con importancia clínica). Si el paciente tiene un diagnóstico de colangitis esclerosante primaria, transaminasas séricas > 3 veces el LSN, fosfatasa alcalina > 3 veces el LSN, bilirrubina total > 2,5 veces el LSN o anomalías en las pruebas de función hepática que el investigador considere con importancia clínica. ? Trombocitopenia (recuento de plaquetas < 75.000/µl). ? Neutropenia (recuento absoluto de neutrófilos < 1.500/µl). ? Linfopenia (recuento absoluto de linfocitos < 500/µl). |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoints are safety endpoints, including the adverse event incidence, serious adverse event incidence, changes in safety laboratory tests, analytes (ie, serum chemistry), physical examination and vital signs, and specific evaluations for immunogenicity, allergic reaction, injection site reactions and progressive multifocal leukoencephalopathy (PML). |
Las variables principales son variables de seguridad, incluyendo Incidencia de AA y AAG, cambios en parámetros de seguridad de laboratorio, analos (bioquímica seríca9, examen físico, constantes vitales, y evaluaciones específicas para inmunogenicidad, reacciones alérgicas, reacciones en el lugar de inyección y leucoencefalopatía multifocal progresiva (LMP) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability |
Tolerabilidad |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 27 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Belgium |
Canada |
Czech Republic |
Germany |
Hungary |
Israel |
New Zealand |
Spain |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LVLS |
Ultima visita del último paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |