E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Ulcerative Colitis |
Colitis Ulcerosa |
|
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 | 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 |
|
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 test the hypothesis that mirikizumab is superior to placebo in inducing clinical remission at Week 12 in patients with moderately to severely active ulcerative colitis. |
Comprobar la hipótesis de que mirikizumab es superior a placebo en la inducción de remisión clínica en la semana 12 en pacientes con colitis ulcerosa (CU) activa de moderada a grave |
|
E.2.2 | Secondary objectives of the trial |
1. To evaluate the efficacy of treatment with mirikizumab compared to placebo in achieving clinical response at Week 12. 2. To evaluate the efficacy of treatment with mirikizumab compared to placebo in achieving endoscopic remission at Week 12. 3. To evaluate the efficacy of treatment with mirikizumab compared to placebo in achieving symptomatic remission at Week 12. |
1. Evaluar la eficacia del tratamiento con mirikizumab en comparación con placebo para inducir una respuesta clínica en la semana 12 2. Evaluar la eficacia del tratamiento con mirikizumab en comparación con placebo para inducir la remisión endoscópica en la semana 12 3. Evaluar la eficacia del tratamiento con mirikizumab en comparación con placebo para inducir la remisión sintomática en la semana 12 |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Principal Inclusion Criteria are as follows: 1. Male or female patients ≥18 and ≤80 years of age at the time of initial screening 2. Diagnosis of UC for at least 3 months prior to baseline. 3. Confirmed diagnosis of moderately or severely active UC, as assessed by the modified Mayo score (MMS). 4. Demonstrated an inadequate response to, a loss of response to, or an intolerance to conventional or to biologic therapy for UC. 5. If female, must meet the contraception requirements. |
Los criterios de inclusión principales son los siguientes: 1. Pacientes hombres o mujeres con una edad comprendida entre ≥18 y ≤80 años en el momento de la selección inicial 2. Diagnóstico de CU durante al menos los 3 meses previos al inicio. 3. Diagnóstico confirmado de CU activa de moderada a grave, según la evaluación de la puntuación de Mayo modificada (modified Mayo score, MMS). 4. Haber demostrado una respuesta inadecuada, pérdida de respuesta, o intolerancia al tratamiento convencional o biológico para la CU. 5. Si es mujer, debe cumplir los requisitos de métodos anticonceptivos. |
|
E.4 | Principal exclusion criteria |
Principal Exclusion Criteria are as follows: 1. Patients with a current diagnosis of Crohn’s disease or inflammatory bowel disease-unclassified (indeterminate colitis). 2. Patients with a previous colectomy. 3. Patients with current evidence of toxic megacolon. 4. Prior exposure to anti-IL12p40 antibodies (e.g. ustekinumab) or anti-IL-23p19 antibodies (e.g. risankizumab, brazikumab, guselkumab or tildrakizumab). |
Los criterios de exclusión principales son los siguientes: 1. Pacientes con diagnóstico actual de enfermedad de Crohn o enfermedad inflamatoria intestinal no clasificada (colitis indeterminada). 2. Pacientes con colectomía previa. 3. Pacientes con indicios actuales de megacolon tóxico. 4. Antes de la exposición a anticuerpos anti-IL12p40 (p. ej., ustekinumab) o anticuerpos anti-IL-23p19 (p. ej., risankizumab, brazikumab, guselkumab o tildrakizumab). |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Percentage of participants in clinical remission at Week 12, based on the Modified Mayo Score (MMS) |
Porcentaje de participantes en remisión clínica en la semana 12, en función de la puntuación de Mayo modificada (MMS) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
1. Percentage of participants achieving clinical response at Week 12 based on the MMS. 2. Percentage of participants achieving endoscopic remission at Week 12 based on the MMS . 3. Percentage of participants achieving symptomatic remission at Week 12 based on the MMS . |
1. Porcentaje de participantes que logran la respuesta clínica en la semana 12 en función de la MMS. 2. Porcentaje de participantes que logran la remisión endoscópica en la semana 12 en función de la MMS. 3. Porcentaje de participantes que logran la remisión sintomática en la semana 12 en función de la MMS. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
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 | 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 | 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 | 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 | 16 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 179 |
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 |
Australia |
Austria |
Belgium |
Brazil |
Canada |
China |
Croatia |
Czech Republic |
Denmark |
France |
Germany |
Hungary |
India |
Ireland |
Israel |
Italy |
Japan |
Korea, Republic of |
Latvia |
Lithuania |
Malaysia |
Mexico |
Netherlands |
Poland |
Romania |
Russian Federation |
Saudi Arabia |
Serbia |
Slovakia |
Spain |
Switzerland |
Taiwan |
Turkey |
Ukraine |
United Kingdom |
United States |
|
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
|
End of the study is the date of the last visit or last scheduled procedure shown in the Schedule of Activities for the last patient |
El final del estudio es la fecha de la última visita o el último procedimiento programado que se muestra en el calendario de actividades para el último paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
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 |