E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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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 | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10011401 |
E.1.2 | Term | Crohn's disease |
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 |
The primary objective of this study is to evaluate the efficacy of MEDI2070 versus placebo to induce clinical remission based on the CDAI score at Week 8 in subjects with moderate to severe CD who have failed or are intolerant to anti-TNFα therapy. |
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E.2.2 | Secondary objectives of the trial |
To evaluate the efficacy of MEDI2070 to induce remission based on the SES-CD
To evaluate the efficacy of MEDI2070 to induce response based on the SES-CD
To evaluate the efficacy of MEDI2070 to induce remission based on the PRO2
To evaluate the efficacy of MEDI2070 to induce response based on the PRO2
To assess the safety and tolerability of MEDI2070
To evaluate the PK and IM of MEDI2070
To characterize MEDI2070’s dose-exposure & exposure-response relationships
To evaluate the efficacy of MEDI2070 to induce clinical response based on the CDAI
To evaluate the efficacy of MEDI2070 to induce clinical remission based on the CDAI
To evaluate the efficacy of MEDI2070 on modified sustained remission, based on the SES-CD
To evaluate the efficacy of MEDI2070 on modified sustained remission based on the PRO2
To evaluate the efficacy of MEDI2070 on modified sustained remission based on the CDAI
To assess the relationship of biomarker 1 & biomarker 2 to CDAI remission |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Diagnosis of ileal, ileo-colonic, or colonic CD for > 3 months prior to screening
- Men or women age 18 - 80 years at the time of screening
- Moderate to severely active CD, as defined by CDAI AND endoscopic demonstration of inflammation
- Stable dose of medications for Crohn’s disease therapy
- Prior treatment failure or intolerance with at least one anti-TNFα agent
-Effective contraception from screening, and for 26 weeks after the last dose of investigational product
-No known history of active tuberculosis (TB) & negative assessment for TB/latent TB |
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E.4 | Principal exclusion criteria |
-Severe underlying immunosuppression
- Severe gastrointestinal complications; e.g., short bowel syndromes, obstructing strictures, recent or planned bowel surgery, Ileostomy and/or colostomy, recent bowel perforation
- Significant infections at screening; Infected abscess, positive for Clostridium difficile, recent infectious hospitalization,
-Recent treatment with approved or investigational biologic therapy for Crohn’s disease
- Recent or planned live attenuated vaccine
- History of cancer, except for basal cell carcinoma or CIS of the cervix with apparent cure ≥ 12 months before screening
- Pregnancy/breast feeding
- Drug abuse |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary endpoint is CDAI remission at Week 8 |
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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) |
Key secondary endpoints (Induction period):
SES-CD Remission
SES-CD Response
PRO2 Remission
PRO2 Response
Key secondary endpoints (Maintenance period):
CDAI remission
SES-CD Remission
PRO2 Remission
CDAI Modified sustained remission
SES-CD Modified sustained remission
PRO2 Modified sustained remission
Safety Endpoints
Incidence and severity of treatment-emergent adverse events (AEs)
Incidence of treatment-emergent serious AEs (SAEs)
Incidence and severity of treatment-emergent AEs of special interest, including:
Incidence and severity of infection-related AEs and SAEs
Incidence and severity of infusion/injection-site reactions
Incidence and severity of hypersensitivity reactions
Incidence of AEs leading to study drug discontinuation
Incidence of specific laboratory abnormalities
Incidence of malignancies
Presence of antidrug antibodies in serum to MEDI2070
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Week 8, Week 16 Week 28 and Last study visit - Follow up 28 weeks post last study treatment |
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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 | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
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 | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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 | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 5 |
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 | 16 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 75 |
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 |
Brazil |
Bulgaria |
Canada |
Czech Republic |
France |
Germany |
Hungary |
Israel |
Italy |
Korea, Republic of |
Netherlands |
Poland |
Russian Federation |
Slovakia |
Slovenia |
Spain |
Switzerland |
Turkey |
Ukraine |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
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
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Last visit of the last subject undergoing the trial |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |