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    Clinical Trial Results:
    A Multicentre Open-label Extension Study to Asses the Safety and Tolerability of LYC-30937-EC in Subjects with Active Ulcerative Colitis

    Summary
    EudraCT number
    2016-003633-26
    Trial protocol
    NL   HU   CZ   PL  
    Global end of trial date
    18 Jul 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Apr 2020
    First version publication date
    08 Apr 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    LYC-30937-2002
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02764229
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Lycera Corp.
    Sponsor organisation address
    620 W. Germantown Pike, Plymouth Meeting, PA, United States, 19462
    Public contact
    Lycera Clinical Department, Lycera Corp., 001 6104575095, 30937_Clinical_Operations@Lycera.com
    Scientific contact
    Lycera Clinical Department, Lycera Corp., 001 6104575095, 30937_Clinical_Operations@Lycera.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
    Final
    Date of interim/final analysis
    28 Dec 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    18 Jul 2018
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    The primary objective was to assess the safety and tolerability of LYC-30937-EC in participants with ulcerative colitis (UC).
    Protection of trial subjects
    The study was conducted in full compliance with the principles of the “Declaration of Helsinki” (as amended in Tokyo, Venice, Hong Kong, and South Africa), International Council for Harmonisation (ICH) guidelines, and all of the applicable United States Code of Federal Regulations (CFR), 21 CFR Parts 50 & 312.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    18 Oct 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 3
    Country: Number of subjects enrolled
    Poland: 76
    Country: Number of subjects enrolled
    Czech Republic: 4
    Country: Number of subjects enrolled
    Hungary: 2
    Country: Number of subjects enrolled
    United States: 22
    Country: Number of subjects enrolled
    Serbia: 5
    Worldwide total number of subjects
    112
    EEA total number of subjects
    85
    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)
    106
    From 65 to 84 years
    6
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants were enrolled at 40 study centres in the United States, the Czech Republic, Hungary, Netherlands, Poland, and Serbia. Study centers included academic medical centres and non-academic medical clinics.

    Pre-assignment
    Screening details
    Participant eligibility was determined at Week 8 of the double-blind study LYC-30937-2001 upon completion of the Week 8 study procedures. Eligible participants could immediately start their participation in this open-label extension study upon completion of the double-blind study.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    LYC-30937-EC 25 mg
    Arm description
    LYC-30937-EC was administered orally, once daily from Day 1 up to a total of 308 days of treatment (Week 44).
    Arm type
    Experimental

    Investigational medicinal product name
    LYC-30937-EC
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Modified-release capsule, soft
    Routes of administration
    Oral use
    Dosage and administration details
    LYC 30937-EC 25 mg was administered once daily as a single delayed release, enteric coated hydroxylpropyl methyl cellulose capsule. Administration occurred in the morning upon awaking after fasting overnight. Participants should not have eaten for approximately 1 hour (or more) after taking study drug.

    Number of subjects in period 1
    LYC-30937-EC 25 mg
    Started
    112
    Completed
    10
    Not completed
    102
         Physician decision
    5
         Consent withdrawn by subject
    15
         Adverse event, non-fatal
    9
         Study terminated by sponsor
    69
         Lost to follow-up
    3
         Lack of efficacy
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    LYC-30937-EC 25 mg
    Reporting group description
    LYC-30937-EC was administered orally, once daily from Day 1 up to a total of 308 days of treatment (Week 44).

    Reporting group values
    LYC-30937-EC 25 mg Total
    Number of subjects
    112 112
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (full range (min-max))
    41.5 (19 to 74) -
    Gender categorical
    Units: Subjects
        Female
    47 47
        Male
    65 65
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    4 4
        Not Hispanic or Latino
    108 108
    Race
    Units: Subjects
        Asian
    1 1
        Black or African American
    2 2
        White
    109 109

    End points

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    End points reporting groups
    Reporting group title
    LYC-30937-EC 25 mg
    Reporting group description
    LYC-30937-EC was administered orally, once daily from Day 1 up to a total of 308 days of treatment (Week 44).

    Primary: Summary of Treatment-Emergent Adverse Events (TEAEs)

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    End point title
    Summary of Treatment-Emergent Adverse Events (TEAEs) [1]
    End point description
    Defined by 21 CFR 312.32(a) and consistent with ICH E2A guidance, an AE was any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. TEAEs were AEs that first occurred, or worsened, after the first dose of study drug and within 14 days after the permanent discontinuation of study drug. Related TEAE had a causality of suspected (possible or probable) or missing . Severe TEAE were Grade 3 TEAEs according to the National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) version 4.03. Serious TEAEs were AEs that at any dose resulted in death, was life threatening, required inpatient hospitalisation or prolongation of existing hospitalisation, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or other medically significant events that may have jeopardized the participant or may have required medical or surgical intervention to prevent one of the outcomes listed above.
    End point type
    Primary
    End point timeframe
    TEAEs were collected from the time a participant received the first dose of study drug and within 14 days after the permanent discontinuation of study drug.
    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: No statistical analysis was planned for this safety data.
    End point values
    LYC-30937-EC 25 mg
    Number of subjects analysed
    111
    Units: Number of participants
        ≥ 1 TEAE
    56
        ≥ 1 related TEAE
    12
        ≥ 1 severe TEAE
    9
        ≥ 1 serious TEAE
    6
        ≥ 1 related serious TEAE
    1
        ≥ 1 serious TEAE leading to death
    0
        ≥ 1 TEAE leading to study drug withdrawn
    9
        ≥ 1 TEAE leading to discontinuation from study
    9
        ≥ 1 TEAE leading to dose interruption
    3
        ≥ 1 serious TEAE leading to study drug withdrawn
    1
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events (AEs) were collected from the time a participant signed the informed consent and completed participation in the preceding double-blind trial LYC-3097-2001, up to 46 weeks.
    Adverse event reporting additional description
    Treatment-emergent AEs are AEs occurring or worsening after the first dose of study drug. AE severity was assessed by the Investigator using the NCI CTCAE v4.03. 'Subjects affected by non-serious adverse events' is the number of participants affected by non-serious AEs occurring at >5%.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    LYC-30937-EC 25 mg
    Reporting group description
    LYC-30937-EC was administered orally, once daily from Day 1 up to a total of 308 days of treatment (Week 44).

    Serious adverse events
    LYC-30937-EC 25 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    6 / 111 (5.41%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Ulcerative colitis
         subjects affected / exposed
    2 / 111 (1.80%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Pancreatitis acute
         subjects affected / exposed
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Anal abscess
         subjects affected / exposed
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 111 (0.90%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    LYC-30937-EC 25 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    14 / 111 (12.61%)
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    7 / 111 (6.31%)
         occurrences all number
    9
    Gastrointestinal disorders
    Colitis ulcerative
         subjects affected / exposed
    11 / 111 (9.91%)
         occurrences all number
    15

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Aug 2016
    Section 2.3.3: Information consolidated; Section 2.4: added Phase 1b study data and consolidated information; Section 4.4.1: Inclusion criterion 4 revised to require that women of child bearing potential use two highly effective forms of contraception; Section 6.2: added activity for site to telephone participants to remind them to complete diary; Sections 6.2 and 6.3: revised to define days at which participants should record stool frequency and rectal bleeding in their diary; Section 6.3.6: revised to state that study drug will be withheld in participants who exhibit any of the listed clinical laboratory elevations; Section 7.4: AE severity assessment revised to use NCI CTCAE grading; Section 7.5: revised to add sponsor medical monitor contact information and SAE reporting email and fax numbers; Section 7.11: revised to add individual stopping criteria based on abnormal echocardiogram findings of prolonged QT/QTc interval; Section 11.1: revised to remove statement that participants will be identified by their initials. Participant's initials are not being collected and therefore won’t be used for participant identification.
    22 Nov 2016
    Section 1.0, 2.1, 2.2, 2.4: updated to include information on the Phase 1 study in patients with US who received LYC-30937-EC at single doses of 25 mg and 100 mg; Sections 1.0, 3.1.2, 3.2.2, 4.1, 4.5, 5.2, 6.1- 6.2.4, 7.6 and 8.4: revised due to extension of the open-label extension treatment period to up to 44 weeks, including the addition of study visits at Weeks 8, 20, 32, 44, and 46; Section 1.0: revised to add participating countries and to include the approximate last participant last visit timing date; Section 2.3.3: updated to include chronic toxicology information from rat and monkey studies; Section 4.4.1: Inclusion Criterion #2 revised to clarify that highly effective forms of contraception include hormonal contraceptives, which include the following forms oral, patch, long-acting injectable and implants; Section 4.5: revised to clarify that participants who withdraw should complete Visits 8 and 9; Section 5.3.3: revised to clarify that drug receipt is to be acknowledged in Interactive Web Response System upon receipt of drug; Sections 6.2 (Table 1 footnote), 6.2.1, 6.4.5,: updated to include body temperature log; Section 6.4.6: direction added to understand underlying baseline UC symptoms of abdominal pain and vomiting; Appendix A: revised the approximate blood volume collected.

    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.
    None reported
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