E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderately to Severely Active Ulcerative Colitis (UC) |
Colite ulcerosa attiva di grado da moderato a severo |
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E.1.1.1 | Medical condition in easily understood language |
Ulcerative Colitis |
Colite ulcerosa |
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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 | 20.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10045365 |
E.1.2 | Term | Ulcerative colitis |
E.1.2 | System Organ Class | 100000004856 |
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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 Cohort A Induction Study is: - To evaluate the efficacy of filgotinib as compared to placebo in establishing endoscopy/bleeding/stool (EBS) remission at Week 10
The primary objective of Cohort B Induction Study is: - To evaluate the efficacy of filgotinib as compared to placebo in establishing EBS remission at Week 10
The primary objective of the Maintenance Study is: - To evaluate the efficacy of filgotinib as compared to placebo in establishing EBS remission at Week 58 |
L'obiettivo primario dello studio di induzione della coorte A è: - Valutare l'efficacia di filgotinib rispetto al placebo nello stabilire la remissione endoscopica/emorragica/evacuativa (EBS, endoscopy/bleeding/stool) alla settimana 10
L'obiettivo primario dello studio di induzione della coorte B è: - Valutare l'efficacia di filgotinib rispetto al placebo nello stabilire la remissione EBS alla settimana 10
L'obiettivo primario dello studio di mantenimento è: - Valutare l'efficacia di filgotinib rispetto al placebo nello stabilire la remissione EBS alla settimana 58 |
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E.2.2 | Secondary objectives of the trial |
The key secondary objectives of both Cohort A and Cohort B Induction Study are to evaluate the efficacy of filgotinib as compared to placebo in establishing: • Mayo Clinic Score (MCS) remission at Week 10 • An endoscopic subscore of 0 at Week 10 • Geboes histologic remission at Week 10 • MCS remission (alternative definition) at Week 10
The key secondary objectives of the Maintenance Study are to evaluate the efficacy of filgotinib as compared to placebo in establishing: • MCS remission at Week 58 • Sustained EBS remission at Week 58, defined as EBS remission at both Weeks 10 and 58 • 6-month corticosteroid-free EBS remission at Week 58 • An endoscopic subscore of 0 at Week 58 • Geboes histologic remission at Week 58 • MCS remission (alternative definition) at Week 58 |
Gli obiettivi secondari chiave dello studio di induzione della coorte A e B sono valutare l'efficacia di filgotinib rispetto al placebo nello stabilire: - la remissione con punteggio della Mayo Clinic (MCS, Mayo Clinic Score) alla settimana 10 - il sottopunteggio endoscopico di 0 alla settimana 10 - la remissione istologica Geboes alla settimana 10 - la remissione MCS (definizione alternativa) alla settimana 10
Gli obiettivi secondari chiave dello studio dimantenimento sono valutare l'efficacia di filgotinib rispetto al placebo nello stabilire: - la remissione MCS alla settimana 58 - la remissione EBS sostenuta alla settimana 58, definita come la remissione EBS alle settimane 10 e 58 -la remissione EBS senza corticosteroidi per 6 mesi alla settimana 58 - il sottopunteggio endoscopico di 0 alla settimana 58 - la remissione istologica Geboes alla settimana 58 - la remissione MCS (definizione alternativa) alla settimana 58
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Pharmacogenomics Version: 2.0 Date: 27/10/2016 Title: Genomic Substudy Objectives: An optional genomic substudy will be performed in all subjects who agree to participate and provide their additional specific consent. The genomic sample should be collected at the Day 1 visit, but may be collected at any time during the study.
Other types of substudies Specify title, date and version of each substudy with relative objectives: Pharmacokinetic (PK) Substudy An optional PK substudy will be performed in a subset of subjects (approximately 30 subjects each in Cohort A and Cohort B) who provide a separate consent. In the PK substudy, the daily dose of study drug should be administered under supervision in the clinic (at one visit between Week 2 and Week 10, inclusive), and additional PK samples should be collected predose and at 0.5, 1, 2, 3, 4, and 6 hours post dose.
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Farmacogenomica Versione: 2.0 Data: 27/10/2016 Titolo: Sottostudio genomico Obiettivi: Un sottostudio genomico opzionale verrà eseguito per tutti i soggetti che accettano di partecipare e fornire il loro consenso specifico aggiuntivo. Il campione genomico dovrebbe essere raccolto alla visita del giorno 1, ma potrebbe essere raccolto in qualsiasi momento durante lo studio.
Altre tipologie di sottostudi specificare il titolo, la data e la versione di ogni sottostudio con i relativi obiettivi: Sottostudio farmacocinetico (PK) Un sottostudio PK opzionale verrà effettuato in un sottoinsieme di soggetti (circa 30 soggetti per ciascuna coorte A e B) che forniscono un consenso informato separato. Nel sottostudio PK, la dose quotidiana del farmaco dello studio deve essere somministrata sotto supervisione in clinica (ad una visita tra la settimana 2 e la settimana 10, incluse) e i campioni PK aggiuntivi devono essere raccolti prima della dose e alle ore 0,5, 1, 2, 3, 4 e 6 dopo la dose.
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E.3 | Principal inclusion criteria |
Subjects must meet all of the following inclusion criteria to be eligible for participation in either the Cohort A or B Induction Study: • Must have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures • Males or non-pregnant, non-lactating females, ages 18 to 75 years, inclusive based on the date of the screening visit • Females of childbearing potential must have a negative pregnancy test at screening and baseline • Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception • Documented diagnosis of UC of at least 6 months AND with a minimum disease extent of 15 cm from the anal verge. • A surveillance colonoscopy is required prior to screening in subjects with a history of UC for 8 or more years, if one was not performed in the prior 24 months • Moderately to severely active UC • Meet one of the protocol specified tuberculosis (TB) screening criteria • Laboratory parameters (subjects who fail to meet the protocol specified reference laboratory tests may be re-tested once at discretion of investigator prior to being considered a screen failure) • May be receiving the following drugs (subjects on these therapies should be willing to remain on stable doses for the times specified in the protocol): - Oral 5-aminosalicylate (5-ASA) compounds - Azathioprine, 6-mercaptopurine (6-MP) or methotrexate (MTX) - Oral corticosteroid therapy • Willingness to refrain from live or attenuated vaccines during the study and for 12 weeks after last dose
Subjects must meet all of the additional following inclusion criteria to be eligible for participation in Cohort A Induction Study: • Previously demonstrated an inadequate clinical response, loss of response to, or intolerance of at least 1 of the following agents (depending on current country treatment recommendations/guidelines): - Corticosteroids - Immunomodulators
Subjects must meet all the additional following inclusion criteria to be eligible for participation in Cohort B Induction Study: • Previously demonstrated an inadequate clinical response, loss of response to, or intolerance of at least one of the following agents (depending on current country treatment recommendations/guidelines): - Tumor necrosis factor-alpha (TNFa) Antagonists - Vedolizumab • Must not have used any TNFa antagonist or vedolizumab = 8 weeks prior to screening or any other biologic agent = 8 weeks prior to screening or within 5 times the half-life of the biologic agent prior to screening, whichever is longer
Subjects must meet all of the following inclusion criteria to be eligible for participation in the Maintenance Study: • Completion of Cohort A or B induction study with MCS response or EBS remission based on Week 10 assessments • Willingness to refrain from live or attenuated vaccines during the study and for 12 weeks after last dose • May be on oral corticosteroid therapy (prednisone prescribed at a stable dose = 30 mg/day or budesonide at a dose of = 9 mg/day); dose must remain stable to Week 14 |
Per un elenco completo dei criteri di inclusione ed esclusione dello studio, fare riferimento alla sezione 4 del protocollo. |
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E.4 | Principal exclusion criteria |
Please refer to the latest protocol |
Per un elenco completo dei criteri di inclusione ed esclusione dello studio, fare riferimento alla sezione 4 del protocollo. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Cohort A Induction Study • The proportion of subjects achieving EBS remission at Week 10 Cohort B Induction Study • The proportion of subjects achieving EBS remission at Week 10 Maintenance Study • The proportion of subjects achieving EBS remission at Week 58 |
Studi di induzione (coorti A e B) • La percentuale di soggetti che ottiene la remissione MCS alla settimana 10
Studio di mantenimento • La percentuale di soggetti che ottiene la remissione MCS alla settimana 58 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Week 10 and Week 58 |
Settimana 10 e settimana 58 |
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E.5.2 | Secondary end point(s) |
Cohort A and B Induction Study • The proportion of subjects achieving MCS remission at Week 10 • The proportion of subjects achieving endoscopic subscore of 0 at Week 10 • The proportion of subjects achieving Geboes histologic remission at Week 10 • The proportion of subjects achieving MCS remission (alternative definition) at Week 10
Maintenance Study • The proportion of subjects achieving MCS remission at Week 58 • The proportion of subjects achieving sustained EBS remission, defined as establishing EBS remission at both Weeks 10 and 58 • The proportion of subjects achieving 6-month corticosteroid-free EBS remission at Week 58 • The proportion of subjects achieving endoscopic subscore of 0 at Week 58 • The proportion of subjects achieving Geboes histologic remission at Week 58 • The proportion of subjects achieving MCS remission (alternative definition) at Week 58 |
Studi di induzione (coorti A e B) • La percentuale di soggetti che ottiene la remissione MCS alla settimana 10 • La percentuale di soggetti che ottiene un sottopunteggio endoscopico di 0 alla settimana 10 • La percentuale di soggetti che ottiene la remissione istologica Geboes alla settimana 10 • La percentuale di soggetti che ottiene la remissione MCS (definizione alternativa) alla settimana 10
Studio di mantenimento • La percentuale di soggetti che ottiene la remissione MCS alla settimana 58 • La percentuale di soggetti che ottiene la remissione MCS sostenuta, definita come la remissione EBS alle settimane 10 e 58 • La percentuale di soggetti che ottiene la remissione EBS senza corticosteroidi per 6 mesi alla settimana 58 • La percentuale di soggetti che ottiene un sottopunteggio endoscopico di 0 alla settimana 58 • La percentuale di soggetti che ottiene la remissione istologica Geboes alla settimana 58 • La percentuale di soggetti che ottiene la remissione MCS (definizione alternativa) alla settimana 58 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Week 10 and Week 58 |
Settimana 10 e settimana 58 |
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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 | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
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 | Yes |
E.8.1.7.1 | Other trial design description |
Diseno dello studio con fase combinata di induzione e mantenimento |
Combined induction and maintenance phase study design |
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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 | 3 |
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 | 200 |
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 | Information not present in EudraCT |
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 |
Argentina |
Australia |
Belarus |
Brazil |
Canada |
Georgia |
Hong Kong |
India |
Israel |
Japan |
Korea, Republic of |
Malaysia |
Mexico |
New Zealand |
Russian Federation |
Serbia |
Singapore |
South Africa |
Taiwan |
Ukraine |
United States |
Austria |
Belgium |
Bulgaria |
Croatia |
France |
Germany |
Greece |
Hungary |
Iceland |
Ireland |
Italy |
Netherlands |
Norway |
Poland |
Portugal |
Romania |
Slovakia |
Spain |
Sweden |
Switzerland |
United Kingdom |
Czechia |
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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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End of Study is defined as when the last subject has completed 58 weeks of treatment plus 30 days follow-up. |
La conclusione dello studio è definita come il completamento dell'ultimo |
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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 | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 29 |