E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
SEVERE ACTIVE ULCERATIVE COLITIS |
COLITIS ULCEROSA ACTIVA DE GRADO MODERADO A SEVERO |
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E.1.1.1 | Medical condition in easily understood language |
Ulcerative colitis |
COLITIS ULCEROSA |
|
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 | 19.0 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10017947 |
E.1.2 | Term | Gastrointestinal disorders |
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 efficacy of bimekizumab in adults with active ulcerative colitis who have not responded to standard therapy. |
Evaluar la eficacia de bimekizumab en adultos con colitis ulcerosa activa de grado moderado a severo que no hayan respondido a terapia convencional. |
|
E.2.2 | Secondary objectives of the trial |
To assess the safety and PK of bimekizumab in adults with active ulcerative colitis who have not responded to standard therapy. |
Evaluar la seguridad y farmacocinética de bimekizumab en adultos con colitis ulcerosa activa de grado moderado a severo que no hayan respondido a terapia convencional. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Subject has a diagnosis of Ulcerative Colitis (UC) confirmed (at least 90 days prior to Visit 1a) by clinical, endoscopic, and histologic evidence - Subject has a Mayo endoscopy subscore >=2 - Subject has a Mayo rectal bleeding subscore >=1 - Subject has moderate to severe active UC - Total Mayo score 6 to 12 within 11 (±3) days prior to Visit 2 (Week 0) - Subject has responded inadequately to convention therapy for UC - Subjets may have received treamtment with 1 biological therapy or a calcineurin inhibitor - Woman with childbearing potential must be either postmenopausal, permanently sterilized or willing to use at least 1 highly effective method of contraception in addition to a barrier method |
- El sujeto tiene un diagnóstico de CU confirmado (90 días antes de la Visita 1a como mínimo) clínica, endoscópica e histológicamente. - El sujeto tiene una subpuntuación de Mayo endoscópica ≥2 - El sujeto tiene una sub-puntuación de Mayo de rectorragia ≥1 - El sujeto presenta una CU activa de grado moderado a severo: puntuación total de Mayo entre 6 y 12 dentro de los 11 (±3) días previos a la Visita 2 (Semana 0). - El sujeto no ha respondido de forma adecuada (y/o es intolerante) a la terapia convencional para la CU. - Los sujetos podrán haber recibido tratamiento previo con una terapia biológica (distinta a un fármaco anti-IL17) o con un inhibidor de la calcineurina. - Las pacientes mujeres deberán: Ser posmenopáusicas, haberse sometido a esterilización permanente deberán estar de acuerdo en utilizar como mínimo un método anticonceptivo de elevada eficacia, además de un método de barrera. |
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E.4 | Principal exclusion criteria |
- Subject who has had a resective colonic surgery, or has an ostomy or ileoanal pouch or is planning any resection while enrolled in the study - Subject with current diagnosis of Crohn´s Disease (CD) or indeterminant colitis or acute diverticulitis based on medical history - Subject has an extension of disease limited to ulcerative proctitis (disease extension) <15cm from the anal verge - Subject requiring immediate surgical, endoscopic or radiological intervention due to toxic megacolo intraabdominal or perianal abscess |
- Sujetos que se hayan sometido a cirugía con resección colónica o sean portadores de una ostomía o un reservorio ileoanal, o bien para los que esté prevista una resección durante su participación en el estudio - Sujetos con diagnóstico actual de enfermedad de Crohn, colitis indeterminada o diverticulitis aguda, basándose en sus antecedentes médicos. - Sujetos con una extensión de la enfermedad limitada a proctitis ulcerosa (extensión de la enfermedad) <15 cm desde el margen anal. - Sujetos que requieran un procedimiento quirúrgico, endoscópico o radiológico inmediato debido a megacolon tóxico o a un absceso intraabdominal o perianal |
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E.5 End points |
E.5.1 | Primary end point(s) |
Proportion of Participants with Clinical Response (Per Mayo Score) at week 8 |
Tasa de respuesta clínica en la Semana 8, evaluada mediante la puntuación total de Mayo |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
-Proportion of Participants in Clinical Remission at Week 8 -Proportion of Participants with Mucosal Healing at Week 8 -Proportion of Participants With Stool Frequency Subscore Indicative of Mild Disease (a Score of 0 or 1) at Week 8 -Proportion of Participants With Physician's Global Assessment Subscore Indicative of Mild Disease (a Score of 0 or 1) at Week 8 -Proportion of Participants With Rectal Bleeding Subscore Indicative of Mild Disease (a Score of 0 or 1) at Week 8 -Change from Baseline in CRP plasma levels at Week 8 -Incidence of Adverse Events throughout the study conduct up to Week 20 |
- Tasa de remisión clínica en la Semana 8, evaluada mediante la puntuación total de Mayo - Tasa de curación de la mucosa en la Semana 8, indicada por la subpuntuación de Mayo endoscópica - Proporción de sujetos con subpuntuaciones de Mayo no endoscópicas individuales (frecuencia de las deposiciones, evaluación global del médico, rectorragias) indicativas de enfermedad de grado leve (puntuación de 0 o 1) en la Semana 8 - Proporción de sujetos con evaluación global de la actividad de la enfermedad por parte del médico indicativas de enfermedad de grado leve (puntuación de 0 o 1) en la Semana 8 - Proporción de sujetos con sangrado rectal indicativas de enfermedad de grado leve (puntuación de 0 o 1) en la Semana 8 - Cambios de los valores de proteína C-reactiva (PCR) en la Semana 8 respecto a los valores basales - Incidencia de efectos adversos a lo largo del estudio hasta la semana 20. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Week 8 up to Week 20 |
Semana 8 a semana 20. |
|
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 | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
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 | 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 | 2 |
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 | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 30 |
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 |
Czech Republic |
France |
Georgia |
Italy |
Moldova, Republic of |
Poland |
Romania |
South Africa |
Spain |
United Kingdom |
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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
|
Last Subject Last Visit (LSLV) |
Ultima visita del ultimo paciente. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 0 |