E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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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 | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10009900 |
E.1.2 | Term | Colitis ulcerative |
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 |
SS1:To evaluate efficacy and safety of risankizumab versus placebo as maintenance therapy in subjects with moderately to severely active ulcerative colitis (UC) responded to IV risankizumab induction treatment in Study M16-067. SS2: To evaluate efficacy and safety of two different dosing regimens for risankizumab (therapeutic drug monitoring vs clinical assessment for dose escalation) as maintenance therapy in subjects with moderately to severely active UC responded to induction treatment in Study M16-067. SS3: To evaluate long term extension to evaluate long-term safety of risankizumab in subjects completed SS1 or 2 or subjects responded to induction treatment in study M16-067 with no final endoscopy due to COVID-19 pandemic or geo-political conflict in Ukraine and surrounding impacted regions. Additional objectives are to further investigate long-term efficacy and tolerability of risankizumab. CTE: Investigate and evaluate long-term safety data for risankizumab. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Entry and completion of Study M16-067. Completion includes the final endoscopy of Study M16-067. If the final endoscopy for Study M16-067 is missing during the COVID-19 pandemic due to local regulation prohibiting endoscopy, or due to geo-political conflict in Ukraine and surrounding impacted regions, subjects may be allowed to enroll in Sub-study 3 should they meet clinical response per Partial Adapted Mayo Score.
Achieved clinical response at the last visit of Study M16-067. |
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E.4 | Principal exclusion criteria |
Subject is considered by the Investigator, for any reason, to be an unsuitable candidate for the study.
Subject who has a known hypersensitivity to risankizumab or the excipients of any of the study drugs or the ingredients of CHO, or had an AE during Study M16-067 that in the Investigator's judgment makes the subject unsuitable for this study.
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E.5 End points |
E.5.1 | Primary end point(s) |
Sub-study 1 and 2 : The achievement of clinical remission per adapted Mayo score at week 52. Sub-study 2: Selected efficacy endpoints as those listed in Sub-study 1 but comparing the Therapeutic Monitoring vs Clinical Assessment arms as exploratory purpose. Sub-study 3: Evaluation of long-term safety. There are no efficacy endpoints for CTE. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1. The achievement of endoscopic improvement at Week 52. 2. The achievement of histologic endoscopic improvement of the mucosa at Week 52. 3. The achievement of endoscopic remission at Week 52. 4. The achievement of clinical remission per Adapted Mayo score at Week 52 with no corticosteroid use for 90 days. 5. The achievement of clinical remission per Adapted Mayo score at Week 52 in subjects with clinical remission at Week 0. 6. The achievement of no bowel urgency at Week 52 7. The achievement of no abdominal pain at Week 52 8. The achievement of histologic endoscopic mucosal remission at Week 52. 9. The achievement of endoscopic improvement at Week 52 in subjects with endoscopic improvement at Week 0. 10. The achievement of clinical response per Adapted Mayo score at Week 52. 11. Change from Baseline (of induction) to Week 52 in FACIT-Fatigue. 12. Change from Baseline (of induction) to Week 52 in Inflammatory Bowel Disease Questionnaire (IBDQ) total score. 13. The achievement of no nocturnal bowel movements at Week 52. 14. The achievement of no tenesmus at Week 52. 15. Change from Baseline (of induction) to Week 52 in number of fecal incontinence episodes per week 16. Change from Baseline (of induction) to Week 52 in number of days over a week with sleep interrupted due to UC symptoms. 17. Exposure adjusted Occurrence of UC-related hospitalizations through Week 52 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
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 | 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 | 6 |
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 | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 138 |
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 |
Argentina |
Chile |
Colombia |
Egypt |
Malaysia |
New Zealand |
Switzerland |
Ukraine |
Taiwan |
Brazil |
Canada |
China |
Israel |
Japan |
Korea, Republic of |
Mexico |
Russian Federation |
Serbia |
South Africa |
United Kingdom |
United States |
Austria |
Belgium |
Bulgaria |
Croatia |
Czechia |
Denmark |
France |
Germany |
Greece |
Italy |
Latvia |
Lithuania |
Netherlands |
Poland |
Portugal |
Romania |
Slovakia |
Spain |
Sweden |
Türkiye |
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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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | 25 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
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 | 25 |