E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Ulcerative Colitis |
Colite Ulcerosa |
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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 |
•To evaluate the efficacy of golimumab in inducing clinical remission as assessed by the Mayo score, in pediatric participants with moderately to severely active UC. •To evaluate the safety profile of golimumab, in pediatric participants with moderately to severely active UC. |
•Valutare l’efficacia di golimumab in termini di induzione della remissione clinica valutata dal punteggio Mayo in partecipanti pediatrici con colite ulcerosa ad attività moderata-severa. •Valutare il profilo di sicurezza di golimumab in pazienti pediatrici con colite ulcerosa ad attività moderata-severa. |
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E.2.2 | Secondary objectives of the trial |
•To evaluate the efficacy of golimumab in inducing clinical response as assessed by the Mayo Score and clinical remission as measured by the PUCAI Score. •To evaluate the efficacy of golimumab on endoscopic healing. •To evaluate the efficacy of golimumab during the long-term phase. •To evaluate the effect of golimumab on additional efficacy and quality of life (QOL) measures •To evaluate the PK and exposure response of golimumab during shortand long-term phases. |
•Valutare l’efficacia di golimumab in termini di induzione della risposta clinica valutata dal punteggio Mayo e della remissione clinica misurata dal punteggio PUCAI (Pediatric Ulcerative Colitis Activity Index). •Valutare l’efficacia di golimumab in termini di guarigione endoscopica. •Valutare l’efficacia di golimumab durante la fase a lungo termine. •Valutare l’effetto di golimumab su altre misure relative all’efficacia e alla qualità di vita. •Valutare la PK e la risposta all’esposizione di golimumab durante le fasi a breve e lungo termine. |
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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 |
Other types of substudies Specify title, date and version of each substudy with relative objectives: Usability Assessment Substudy (see appendix 18 of the CNTO148UCO3003 protocol). The Usability Assessment Substudy will be conducted at US sites only. The objective of the Substudy is to provide supportive data that the prefilled syringe as designed, together with the approriate training and written Instructions for Use, is suitable for at home administration by pediatric participants or their caregivers.
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Altre tipologie di sottostudi specificare il titolo, la data e la versione di ogni sottostudio con i relativi obiettivi: Sottostudio di valutazione dell’usabilità (vedere appendice 18 del Protocollo CNTO148UCO3003) Il sottostudio di valutazione dell’usabilità sarà condotto solo in centri degli Stati Uniti. L'obiettivo del sottostudio è quello di fornire dati a supporto del potenziale utilizzo della siringa preriempita, insieme ad un appropriato training e a delle istruzioni per l'uso scritte, nella somministrazione a casa da parte dei partecipanti pediatrici o dei loro caregivers.
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E.3 | Principal inclusion criteria |
-Must either be currently receiving treatment with, or have a history of having failed to respond to, or have a medical contraindication to at least 1 of the following therapies: oral corticosteroids, 6-mercaptopurine, methotrexate or azathioprine OR must either have or have had a history of corticosteroid dependency OR required more than 3 courses of corticosteroids in the past year -Moderately to severely active UC -If receiving enteral nutrition, must have been on a stable regimen for at least 2 weeks prior to the first administration of study intervention at Week 0. Partecipants who receive parenteral nutrition are not permitted to enroll in the trial. -No history of latent or active tuberculosis prior to screening -Acceptable evidence of immunity to measles, mumps, rubella, and varicella |
- Devono essere in attuale trattamento con, o avere una storia di mancata risposta, o una controindicazione medica ad almeno una delle seguenti terapie: corticosteroidi per via orale, 6 mercaptopurina, metotrexato or azatioprina o avere un attuale o precedente dipendenza da corticosteroidi o devono avere assunto oltre 3 cicli di corticosteroidi nell’ultimo anno -Devono avere una colite ulcerosa ad attività moderata-severa -In caso di nutrizione enterale, devono ricevere un regime stabile da almeno 2 settimane prima della prima somministrazione del farmaco dello studio alla Settimana 0. Partecipanti che ricevono una nutrizione parenterale non possono essere arruolati nello studio. -Nessuna storia di latente o attiva tubercolosi prima dello screening -Evidenza accettabile dell’immunità a morbillo, parotite, rosolia e varicella |
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E.4 | Principal exclusion criteria |
- History of liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric (including suicidality), or metabolic disturbances - History of malignancy or macrophage activation syndrome (MAS) or hemophagocytic lymphohistiocytosis (HLH) - Have UC limited to the rectum only or to <20 percent (%) of the colon - Presence of a stoma - Presence or history of a fistula - Contraindications to the use of golimumab or infliximab or anti-tumor necrosis factor (TNF-alpha) therapy per local prescribing information |
- Storia di insufficienza epatica o renale; significativi disturbi cardiaci, vascolari, polmonari, gastrointestinali, endocrini, neurologici, ematologici, reumatologici, psichiatrici (compresa la suicidalità) o metabolici. - Storia di neoplasia maligna o sindrome da attivazione macrofagica (MAS) o linfoistiocitosi emofagocitica (HLH) - Colite ulcerosa limitata al solo retto o al <20% del colon - Presenza di uno stoma - Presenza o storia di fistola - Controindicazioni all’utilizzo della terapia con golimumab o infliximab o anti-TNFa conformemente alle informazioni di prescrizione locali |
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E.5 End points |
E.5.1 | Primary end point(s) |
Clinical remission as assessed by the Mayo score. |
Remissione clinica misurata dal punteggio Mayo |
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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. Clinical response as assessed by the Mayo score. 2. Clinical remission as assessed by the PUCAI score. 3. Endoscopic healing. 4. Clinical remission as assessed by the PUCAI score. 5. Endoscopic healing. 6. Symptomatic remission 7. Clinical remission as assessed by the Mayo score. |
1. Risposta clinica misurata dal punteggio Mayo 2. Remissione clinica misurata dal punteggio PUCAI 3. Guarigione endoscopica 4. Remissione clinica misurata dal punteggio PUCAI 5. Guarigione endoscopica 6. Remissione sintomatica 7. Remissione clinica misurata dal punteggio Mayo. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. Week 6 2. Week 6 3. Week 6 4. Week 54 5. Week 54 |
1. Settimana 6 2. Settimana 6 3. Settimana 6 4. Settimana 54 5. Settimana 54 6. Settimana 54 7. Settimana 54 |
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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 | 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 | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
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 | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
controllo con placebo storico |
historical placebo control |
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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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 24 |
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 |
Brazil |
Israel |
Korea, Republic of |
Taiwan |
United States |
Belgium |
France |
Italy |
Netherlands |
Poland |
Spain |
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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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The end of study is defined as the date of the Last Subject Last Visit, or the last follow-up contact, whichever is longer.
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La fine dello studio è definita come la data dell'ultima visita dell'ultimo soggetto, o l'ultimo contatto di follow-up, a seconda di quale sia la data più recente |
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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 | 0 |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |