Clinical Trial Results:
A Phase 2a, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Trial of IBD98-M Delayed-release Capsules to Induce Remission in Patients with Active, Mild to Moderate Ulcerative Colitis
Summary
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EudraCT number |
2015-001022-42 |
Trial protocol |
IT |
Global end of trial date |
02 Jul 2018
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Results information
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Results version number |
v1(current) |
This version publication date |
04 Aug 2021
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First version publication date |
04 Aug 2021
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Other versions |
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Summary report(s) |
holystone-ibd98-m-2002-synopsis |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
IBD98-M-2002
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT02196662 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Holy Stone Healthcare Co., Ltd
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Sponsor organisation address |
Neihu road, Taipei, Taiwan,
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Public contact |
Clinical Trials Information, Holy Stone Biotech Co., Ltd., +41 22 704 0545, info@hsbiotech.co.uk
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Scientific contact |
Clinical Trials Information, Holy Stone Biotech Co., Ltd., +41 22 704 0545, info@hsbiotech.co.uk
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
27 Feb 2019
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
02 Jul 2018
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Global end of trial reached? |
Yes
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Global end of trial date |
02 Jul 2018
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To compare the percentage of patients in UC remission at Week 6 for each of the 2 IBD98-M dose groups versus placebo (remission defined as the modified Ulcerative Colitis Disease Activity Index [UCDAI] score of ≤1, with a score of 0 for rectal bleeding and stool frequency, no mucosal friability, and sigmoidoscopy score not exceeding 1)
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Protection of trial subjects |
In case of injury or disease further to your participation in this study, you will receive appropriate medical care. The Holy Stone Healthcare is committed to cover all medical costs not covered by the provincial health plan or your private medical insurance (if any).
If you suffer a serious or lasting injury as a result of participation in this study, it may affect your ability to obtain private health insurance, your employability, and/or quality of life. No compensation other than that mentioned in this Informed Consent Form will routinely be offered.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
15 Dec 2015
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Italy: 51
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Worldwide total number of subjects |
51
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EEA total number of subjects |
51
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
41
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From 65 to 84 years |
10
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85 years and over |
0
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Recruitment
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Recruitment details |
The patients having a score of ≥ 4 and ≤ 10 on the modified UCDAI and a score of ≥ 1 on the endoscopy mucosal appearance subscore were enrolled in the study. | ||||||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
During the screening period, patients will be evaluated by conducting laboratory tests, physical examination, and sigmoidoscopy. To be eligible, patients are to have a score of ≥4 and ≤10 on the modified UCDAI, and a score of ≥1 on the modified UCDAI endoscopy subscore. In addition, the diagnosis of UC must be confirmed by endoscopic and histolog | ||||||||||||||||||||||||||||||||||||
Pre-assignment period milestones
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Number of subjects started |
51 | ||||||||||||||||||||||||||||||||||||
Number of subjects completed |
51 | ||||||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Monitor, Carer | ||||||||||||||||||||||||||||||||||||
Blinding implementation details |
double dummy techniques
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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High dose arm of IBD98-M | ||||||||||||||||||||||||||||||||||||
Arm description |
1.2 g/day | ||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
IBD98-M
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
1.2 g/day, 6 capsules/day
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Arm title
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Lower dose arm of IBD98-M | ||||||||||||||||||||||||||||||||||||
Arm description |
0.8 g/day | ||||||||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
IBD98-M low dose
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
0.8 g/day, total 4 capsules/day
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Arm title
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Placebo | ||||||||||||||||||||||||||||||||||||
Arm description |
No HA and mesalamine enteric coated pellets filled in a capsule | ||||||||||||||||||||||||||||||||||||
Arm type |
Placebo | ||||||||||||||||||||||||||||||||||||
Investigational medicinal product name |
IBD Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
6 capsules/day
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Baseline characteristics reporting groups
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Reporting group title |
High dose arm of IBD98-M
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Reporting group description |
1.2 g/day | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Lower dose arm of IBD98-M
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Reporting group description |
0.8 g/day | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
No HA and mesalamine enteric coated pellets filled in a capsule | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
Subject enroll_ITT
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Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
The safety population will include all randomized patients who receive at least 1 dose of study drug. The treatment group assignment in this population will be defined by the treatment actually received. This population will be used for the analysis of safety.
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End points reporting groups
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Reporting group title |
High dose arm of IBD98-M
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Reporting group description |
1.2 g/day | ||
Reporting group title |
Lower dose arm of IBD98-M
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Reporting group description |
0.8 g/day | ||
Reporting group title |
Placebo
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Reporting group description |
No HA and mesalamine enteric coated pellets filled in a capsule | ||
Subject analysis set title |
Subject enroll_ITT
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
The safety population will include all randomized patients who receive at least 1 dose of study drug. The treatment group assignment in this population will be defined by the treatment actually received. This population will be used for the analysis of safety.
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End point title |
The percentage of patients in remission at Week 6. | ||||||||||||
End point description |
To compare the percentage of patients in ulcerative colitis (UC) remission at Week 6 for each of the 2 IBD98-M dose groups versus placebo (remission defined as the modified Ulcerative Colitis Disease Activity Index [UCDAI] score of ≤1, with a score of 0 for rectal bleeding and stool frequency, no mucosal friability, and sigmoidoscopy score not exceeding 1)
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End point type |
Primary
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End point timeframe |
6 weeks
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Statistical analysis title |
Primary Efficacy Analysis: | ||||||||||||
Statistical analysis description |
The percentage of patients in remission at Week 6 is summarized for the ITT population
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Comparison groups |
Lower dose arm of IBD98-M v High dose arm of IBD98-M v Placebo
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Number of subjects included in analysis |
51
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
< 0.05 | ||||||||||||
Method |
Fisher exact | ||||||||||||
Confidence interval |
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Adverse events information [1]
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Timeframe for reporting adverse events |
6 weeks
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Adverse event reporting additional description |
The safety endpoints include:
Treatment-Emergent Adverse Events (TEAEs)
Serious Adverse Events (SAEs)
Physical examination findings
Vital signs
Clinical laboratory parameters (including chemistry, hematology, coagulation, and urinalysis)
Electrocardiograms (ECGs).
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Assessment type |
Systematic | ||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||
Dictionary version |
21
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Reporting groups
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Reporting group title |
IBD98-M 1.2 g/day
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Reporting group description |
1.2 g/day | ||||||||||||||||||||
Reporting group title |
IBD98-M 0.8 g/day
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Reporting group description |
0.8 g/day | ||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
No HA and Mesalamine enteric coated pellets filled in a capsule | ||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||
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Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: There are no non-serious adverse events recorded for these results as the disease of patient is not considered as severe. |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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09 May 2017 |
the Substantial Amendment to the IBD98-M-2002 Protocol Amendment 3 dated 09 May 2017 (Amendment Code 201500102242-003), according to the Law Decree n. 211 dated 24 June 2003, the Law Decree n. 200 dated 6 November 2007 and the Law n. 189 dated 8 November 2012. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |