Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43866   clinical trials with a EudraCT protocol, of which   7287   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A PHASE 2B RANDOMISED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL ADAPTIVE 2-STAGE, MULTI-CENTRE STUDY TO EVALUATE THE SAFETY AND EFFICACY OF ORAL PTG-100 INDUCTION IN SUBJECTS WITH MODERATE TO SEVERE ACTIVE ULCERATIVE COLITIS

    Summary
    EudraCT number
    2016-003452-75
    Trial protocol
    LV   HU   BE   CZ   NL   PL   HR  
    Global end of trial date
    26 Mar 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    11 Apr 2019
    First version publication date
    11 Apr 2019
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    PTG-100-02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02895100
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Protagonist Therapeutics, Inc
    Sponsor organisation address
    7707 Gateway Boulevard, Suite 140, Newark, United States, CA 94560-1160
    Public contact
    Clinical trials information, Protagonist Therapeutics, Inc, clinical@protagonist-inc.com
    Scientific contact
    Clinical trials information, Protagonist Therapeutics, Inc, clinical@protagonist-inc.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Interim
    Date of interim/final analysis
    23 Mar 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    23 Mar 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Mar 2018
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    1. To evaluate the safety and tolerability of PTG-100 2. To evaluate the efficacy of PTG-100 in the induction treatment of subjects with moderate to severe active UC compared to placebo.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Council for Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trials subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    10 Jan 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 3
    Country: Number of subjects enrolled
    Poland: 5
    Country: Number of subjects enrolled
    Czech Republic: 3
    Country: Number of subjects enrolled
    Germany: 2
    Country: Number of subjects enrolled
    Hungary: 7
    Country: Number of subjects enrolled
    Latvia: 2
    Country: Number of subjects enrolled
    Australia: 2
    Country: Number of subjects enrolled
    Bosnia and Herzegovina: 2
    Country: Number of subjects enrolled
    Canada: 2
    Country: Number of subjects enrolled
    New Zealand: 2
    Country: Number of subjects enrolled
    Serbia: 17
    Country: Number of subjects enrolled
    Korea, Republic of: 3
    Country: Number of subjects enrolled
    Russian Federation: 14
    Country: Number of subjects enrolled
    Ukraine: 13
    Country: Number of subjects enrolled
    United States: 21
    Worldwide total number of subjects
    98
    EEA total number of subjects
    22
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    90
    From 65 to 84 years
    8
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Subjects were screened for eligibility according to the inclusion/ exclusion criteria within 42 days of dosing. Eligible subjects returned for sigmoidoscopy/ biopsy and baseline Mayo Score within 14 days of randomization. A total of 183 subjects were screened. A total of 103 subjects were randomized and 98 subjects received study drug.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    PTG-100 150 mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    PTG-100
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Subject was administered 1 × 150mg PTG-100 capsule and 2 × placebo capsules QD

    Arm title
    PTG-100 300 mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    PTG-100
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Subject was administered 2 × 150mg PTG-100 capsules and 1 × placebo capsule QD

    Arm title
    PTG-100 900 mg
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    PTG-100
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Subject was administered 3 × 300mg PTG-100 capsules QD

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Subject administered 3 x placebo capsules QD

    Number of subjects in period 1
    PTG-100 150 mg PTG-100 300 mg PTG-100 900 mg Placebo
    Started
    25
    25
    23
    25
    Completed
    14
    14
    15
    15
    Not completed
    11
    11
    8
    10
         Physician decision
    2
    -
    -
    1
         Study terminated by Sponsor
    6
    5
    5
    7
         Adverse event, non-fatal
    1
    -
    1
    -
         Other
    -
    2
    1
    -
         Lost to follow-up
    1
    -
    -
    -
         Withdrawal by subject
    1
    4
    1
    2

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    PTG-100 150 mg
    Reporting group description
    -

    Reporting group title
    PTG-100 300 mg
    Reporting group description
    -

    Reporting group title
    PTG-100 900 mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Reporting group values
    PTG-100 150 mg PTG-100 300 mg PTG-100 900 mg Placebo Total
    Number of subjects
    25 25 23 25 98
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    45.2 ± 13.8 43.8 ± 17.0 40.6 ± 14.1 42.2 ± 14.9 -
    Gender categorical
    Units: Subjects
        Female
    7 15 14 10 46
        Male
    18 10 9 15 52
    Race
    Units: Subjects
        White
    19 23 22 23 87
        Asian
    4 1 0 0 5
        Black or African American
    2 0 1 2 5
        Other
    0 1 0 0 1
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    0 2 1 1 4
        Not Hispanic or Latino
    25 23 22 24 94
    Weight
    Units: kg
        arithmetic mean (standard deviation)
    77.8 ± 16.3 70.7 ± 15.4 72.3 ± 19.1 69.5 ± 16.1 -
    Height
    Units: cm
        arithmetic mean (standard deviation)
    173.2 ± 7.3 169.8 ± 9.7 173.0 ± 9.1 171.1 ± 8.3 -
    BMI
    Units: kg/m2
        arithmetic mean (standard deviation)
    25.7 ± 4.7 24.5 ± 5.2 23.9 ± 4.5 23.7 ± 4.7 -

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    PTG-100 150 mg
    Reporting group description
    -

    Reporting group title
    PTG-100 300 mg
    Reporting group description
    -

    Reporting group title
    PTG-100 900 mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Primary: Efficacy: proportion of subjects receiving PTG-100 with clinical remission at Week 12

    Close Top of page
    End point title
    Efficacy: proportion of subjects receiving PTG-100 with clinical remission at Week 12 [1]
    End point description
    The primary efficacy endpoint for this study was the proportion of subjects receiving PTG-100 with clinical remission at Week 12. Clinical remission was defined using the Mayo subscores of stool frequency, rectal bleeding, and endoscopy.
    End point type
    Primary
    End point timeframe
    Week 12
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This trial was discontinued due to a futile outcome from the unblinded interim analysis by the independent DMC, therefore statistical analyses are not reported.
    End point values
    PTG-100 150 mg PTG-100 300 mg PTG-100 900 mg Placebo
    Number of subjects analysed
    16
    16
    16
    17
    Units: Subjects
        Clinical Remission
    1
    2
    3
    4
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Day 0 to week 12
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21
    Reporting groups
    Reporting group title
    PTG-100 150 mg
    Reporting group description
    -

    Reporting group title
    PTG-100 300 mg
    Reporting group description
    -

    Reporting group title
    PTG-100 900 mg
    Reporting group description
    -

    Reporting group title
    Placebo
    Reporting group description
    -

    Serious adverse events
    PTG-100 150 mg PTG-100 300 mg PTG-100 900 mg Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 25 (8.00%)
    2 / 25 (8.00%)
    1 / 23 (4.35%)
    1 / 25 (4.00%)
         number of deaths (all causes)
    0
    0
    0
    1
         number of deaths resulting from adverse events
    0
    0
    0
    1
    Pregnancy, puerperium and perinatal conditions
    Pregnancy
         subjects affected / exposed
    0 / 25 (0.00%)
    1 / 25 (4.00%)
    0 / 23 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Ulcerative colitis flare
         subjects affected / exposed
    1 / 25 (4.00%)
    0 / 25 (0.00%)
    0 / 23 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colitis ulcerative
         subjects affected / exposed
    0 / 25 (0.00%)
    0 / 25 (0.00%)
    1 / 23 (4.35%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Exacerbation of ulcerative colitis
         subjects affected / exposed
    0 / 25 (0.00%)
    1 / 25 (4.00%)
    0 / 23 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intestinal ischaemia
         subjects affected / exposed
    0 / 25 (0.00%)
    0 / 25 (0.00%)
    0 / 23 (0.00%)
    1 / 25 (4.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    Infections and infestations
    Perirectal abscess
         subjects affected / exposed
    1 / 25 (4.00%)
    0 / 25 (0.00%)
    0 / 23 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    PTG-100 150 mg PTG-100 300 mg PTG-100 900 mg Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    7 / 25 (28.00%)
    11 / 25 (44.00%)
    14 / 23 (60.87%)
    11 / 25 (44.00%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    0 / 25 (0.00%)
    0 / 25 (0.00%)
    4 / 23 (17.39%)
    2 / 25 (8.00%)
         occurrences all number
    0
    0
    4
    2
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    0 / 25 (0.00%)
    0 / 25 (0.00%)
    2 / 23 (8.70%)
    1 / 25 (4.00%)
         occurrences all number
    0
    0
    3
    1
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 25 (0.00%)
    2 / 25 (8.00%)
    1 / 23 (4.35%)
    1 / 25 (4.00%)
         occurrences all number
    0
    2
    1
    1
    Gastrointestinal disorders
    Colitis ulcerative
         subjects affected / exposed
    0 / 25 (0.00%)
    2 / 25 (8.00%)
    3 / 23 (13.04%)
    0 / 25 (0.00%)
         occurrences all number
    0
    2
    3
    0
    Abdominal pain
         subjects affected / exposed
    0 / 25 (0.00%)
    2 / 25 (8.00%)
    0 / 23 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 25 (0.00%)
    0 / 25 (0.00%)
    2 / 23 (8.70%)
    0 / 25 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Arthritis
         subjects affected / exposed
    0 / 25 (0.00%)
    2 / 25 (8.00%)
    0 / 23 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    0
    2
    0
    0
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    0 / 25 (0.00%)
    3 / 25 (12.00%)
    0 / 23 (0.00%)
    1 / 25 (4.00%)
         occurrences all number
    0
    3
    0
    1

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    01 Nov 2016
    The Protocol (Protocol Amendment 1, dated 26 September 2016) was revised to Protocol Amendment 2, dated 01 November 2016 in response to a Food and Drug Administration (FDA) request to add measures pertinent to the progressive multifocal encephalopathy (PML) monitoring plan in the trial following review of the PTG-100 Investigational New Drug application. The revisions included: 1. Clarification that a complete neurological examination would be conducted at Screening and subjects with abnormal neurological findings would be excluded. 2. Addition of a phone follow-up 6 months after the end of study treatment to assess signs and symptoms of PML, and incorporation of features to enhance the completeness of follow up. 3. Modification of the protocol’s monitoring program for PML such that it included education of site personnel and subjects about the signs and symptoms of PML and advised subjects to report to designated personnel if they experienced any of these signs or symptoms. Clarification of the conditions in which a neurologist would be consulted for the follow-up PML assessments. 4. Creation of a specific algorithm/action plan for all subjects suspected of having PML and referencing of this plan in the protocol, including details indicating which portions of the algorithm could be conducted by the Investigator or a consulting neurologist, and the conditions whereby a case would be referred to an outside panel of PML experts (with at least one neurologist) for final determination of whether or not the subject had PML. 5. Modification of Appendix D to include both a subjective and objective PML assessment checklist for screening and evaluation of suspected PML, to add further information regarding PML assessment.
    16 Nov 2017
    The Protocol Amendment 2 was revised to Protocol Amendment 3, dated 16 November 2017 in order to include the following changes: 1. Extension of the Screening window by 1 week, although sites were still encouraged to complete Screening as soon as possible. 2. Allowing for the option to have a combined Screening visit that included endoscopy. 3. Clarification of Inclusion Criteria #5d and addition of #5e, regarding contraception requirements that applied to sexual activity with a non-sterile male partner. 4. Clarification of the Exclusion Criteria #4 for Clostridium difficile to be based on the toxin result and not the PCR result. In addition, clarified that subjects with prior HCV infection who were successfully treated could be enrolled. 5. Clarification added to the synopsis that PD samples were to be collected at selected sites only (in line with the main body of the protocol). 6. Removal of the statement that all visit procedures needed to be performed prior to the final dose on Day 84. 7. Clarification of the resting time needed prior to ECG assessments. 8. Inclusion of a statement to clarify that if there was a delay to the IP shipment for Day 0 dosing, that would not be considered a protocol deviation. 9. Updating of the Sponsor’s Medical Director’s name and title. 10. Clarification that the 6-month phone call could occur before this date if the subject terminated early from the study. 11. Clarification for which subjects would be considered in the Interim Analysis. 12. Removal of references to dipstick in the protocol as all subjects had a macro analysis performed instead. 13. Clarification that subject numbering would be assigned by an Interactive Web Response System and not by the clinical site staff. 14. Inclusion of language to clarify how Mayo scores for rectal bleeding and stool frequency were to be calculated if the Screening visit was combined. 15. Removal of text regarding the addition of an additional dose arm (not tested in Stage 1

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Unblinded IA was performed by the DMC on 65 subjects who had completed 12 weeks dosing/terminated early. Futility was based on failure to achieve 10% conditional power for the primary efficacy endpoint. The trial was declared futile and terminated.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Tue Apr 30 07:29:14 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA