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    Clinical Trial Results:
    A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Efficacy of BMS -986165 in Subjects with Moderate to Severe Ulcerative Colitis

    Summary
    EudraCT number
    2018-004694-27
    Trial protocol
    GB   HU   PL   DE   BE   CZ   FR   IT  
    Global end of trial date
    04 Apr 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Mar 2024
    First version publication date
    06 Mar 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IM011-024
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03934216
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Bristol-Myers Squibb
    Sponsor organisation address
    Chaussée de la Hulpe 185, Brussels, Belgium, 1170
    Public contact
    EU Study Start-Up Unit, Bristol-Myers Squibb International Corporation, Clinical.Trials@bms.com
    Scientific contact
    Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.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
    02 May 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Apr 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the effect of BMS-986165 on clinical remission at the end of the induction period
    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 Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    12 Mar 2019
    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
    Australia: 5
    Country: Number of subjects enrolled
    Belgium: 2
    Country: Number of subjects enrolled
    Germany: 1
    Country: Number of subjects enrolled
    Hungary: 4
    Country: Number of subjects enrolled
    Italy: 13
    Country: Number of subjects enrolled
    Japan: 6
    Country: Number of subjects enrolled
    Korea, Republic of: 3
    Country: Number of subjects enrolled
    Poland: 61
    Country: Number of subjects enrolled
    Russian Federation: 8
    Country: Number of subjects enrolled
    United Kingdom: 4
    Country: Number of subjects enrolled
    United States: 24
    Worldwide total number of subjects
    131
    EEA total number of subjects
    81
    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)
    120
    From 65 to 84 years
    11
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    131 Participants Randomized and 129 Treated

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

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Treatment
    Arm description
    BMS-986-165 6mg BID
    Arm type
    Experimental

    Investigational medicinal product name
    BMS-986165
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    6mg BID

    Arm title
    Placebo
    Arm description
    Placebo
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    placebo BID

    Number of subjects in period 1
    Treatment Placebo
    Started
    88
    43
    Completed
    30
    12
    Not completed
    58
    31
         Consent withdrawn by subject
    18
    6
         Non-Compliance with Study Drug
    1
    1
         Other Reasons
    5
    5
         Adverse event, non-fatal
    22
    11
         Randomized but not treated
    1
    1
         Pregnancy
    1
    -
         Lost to follow-up
    2
    -
         Lack of efficacy
    8
    7

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment
    Reporting group description
    BMS-986-165 6mg BID

    Reporting group title
    Placebo
    Reporting group description
    Placebo

    Reporting group values
    Treatment Placebo Total
    Number of subjects
    88 43 131
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    81 39 120
        From 65-84 years
    7 4 11
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    41.6 ± 14.81 40.3 ± 13.91 -
    Sex: Female, Male
    Units: Participants
        Female
    40 14 54
        Male
    48 29 77
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0
        Asian
    3 7 10
        Native Hawaiian or Other Pacific Islander
    0 0 0
        Black or African American
    5 2 7
        White
    80 34 114
        More than one race
    0 0 0
        Unknown or Not Reported
    0 0 0
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    3 2 5
        Not Hispanic or Latino
    83 41 124
        Unknown or Not Reported
    2 0 2

    End points

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    End points reporting groups
    Reporting group title
    Treatment
    Reporting group description
    BMS-986-165 6mg BID

    Reporting group title
    Placebo
    Reporting group description
    Placebo

    Primary: Clinical Remission Response Rate at Week 12

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    End point title
    Clinical Remission Response Rate at Week 12
    End point description
    Clinical remission response rate is the percentage of participants achieving clinical remission, defined as absolute total Mayo Score and absolute Mayo endoscopy, stool frequency, rectal bleeding. Will be calculated using a modified Mayo score with the following: Stool Frequency (SF) subscore ≤ 1, with ≥ 1 point decrease from baseline, and Rectal Bleeding (RB) subscore = 0, and Endoscopic (ES) subscoreb ≤ 1 (modified, excludes friability) The modified Mayo score (0 to 9 points) is the sum of 3 components: the SF, RB, and ES subscores Modified Mayo Score: The modified Mayo score is a 9-point scale; a score of 5 to 9 points (inclusive), which is required for randomization, denotes moderate to severe disease (by protocol definition). considered in clinical remission if a Mayo Score of less than or equal to 2 with no individual subscore greater than 1
    End point type
    Primary
    End point timeframe
    From first dose to 12 weeks.
    End point values
    Treatment Placebo
    Number of subjects analysed
    88
    43
    Units: Percentage of Participants
        number (confidence interval 95%)
    14.8 (7.4 to 22.2)
    16.3 (5.2 to 27.3)
    Statistical analysis title
    Statistical Analysis for Clinical Remission
    Comparison groups
    Treatment v Placebo
    Number of subjects included in analysis
    131
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.5935
    Method
    Stratified Cochran-Mantel-Haenszel
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.3
         upper limit
    2.4

    Secondary: Clinical Response Rate at 12 weeks

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    End point title
    Clinical Response Rate at 12 weeks
    End point description
    Clinical response is defined as percentage of participants with a reduction in total Mayo Score and reduction in rectal bleeding subscore Will be defined as the following: A decrease from baseline in the modified Mayo score of ≥ 2 points, and A decrease from baseline in the modified Mayo score ≥ 30%, and A decrease in rectal bleeding(RB) subscore of ≥ 1 point or absolute RB subscore ≤ 1
    End point type
    Secondary
    End point timeframe
    From first dose to 12 weeks
    End point values
    Treatment Placebo
    Number of subjects analysed
    88
    43
    Units: Percentage of participants
        number (confidence interval 95%)
    37.5 (27.4 to 47.6)
    32.6 (18.6 to 46.6)
    Statistical analysis title
    Statistical Analysis for Clinical Response
    Comparison groups
    Treatment v Placebo
    Number of subjects included in analysis
    131
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.3051
    Method
    Stratified Cochran-Mantel-Haenszel
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.6
         upper limit
    2.7

    Secondary: Endoscopic Response at Week 12

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    End point title
    Endoscopic Response at Week 12
    End point description
    Endoscopic response will be defined as percentage of participants with a reduction in the total Ulcerative Colitis Endoscopic Index of Severity score. The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) scale: Vascular Pattern: -Normal (score 0) -patchy obliteration (score 1) -Obliterated (score 2) Bleeding -None (score 0) -Mucosal (score 1) -Luminal mild (score 2) -Luminal Moderate or severe (score 3) Erosions and Ulcers -None (score 0) -Erosions ( score 1) -Superficial Ulcer (2) -Deep Ulcer (score 3) A total score represents the following: remission (0–1); mild (2–4); moderate (5–6); and severe (7–8).
    End point type
    Secondary
    End point timeframe
    up to 12 Weeks
    End point values
    Treatment Placebo
    Number of subjects analysed
    88
    43
    Units: Percentage of Participants
        number (confidence interval 95%)
    19.3 (11.1 to 27.6)
    27.9 (14.5 to 41.3)
    Statistical analysis title
    Statistical Analysis for Endoscopic Response
    Comparison groups
    Treatment v Placebo
    Number of subjects included in analysis
    131
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.8764
    Method
    Stratified Cochran-Mantel-Haenszel
    Parameter type
    Odds ratio (OR)
    Point estimate
    0.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.3
         upper limit
    1.4

    Secondary: Histological Improvement Response Rate at 12 Weeks

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    End point title
    Histological Improvement Response Rate at 12 Weeks
    End point description
    Histologic improvement is defined as percentage of participants with a Geboes score of ≤ 3.1 Neutrophils <5% of crypts, with no crypt destruction, erosions, ulcerations, and granulation tissue. Achieving the following scores for the corresponding grades of the Geboes score: • Score of 0 or 1 for Grade 3 (neutrophils in the epithelium: none or < 5% crypts involved), and • Score of 0 for Grade 4 (crypt destruction: none), and • Score of 0 Grade 5 (erosion or ulceration: no erosions, ulcerations, or granulation tissue) grade 1 = chronic inflammatory infiltrate; grade 2 = lamina propria neutrophils and eosinophils; grade 3 = neutrophils in the epithelium; grade 4 = crypt destruction; grade 5 = erosions or ulceration. A higher score indicates more severe disease
    End point type
    Secondary
    End point timeframe
    up to 12 Weeks
    End point values
    Treatment Placebo
    Number of subjects analysed
    88
    43
    Units: Percentage of Participants
        number (confidence interval 95%)
    21.6 (13.0 to 30.2)
    16.3 (5.2 to 27.3)
    Statistical analysis title
    Statistical Analysis for Histological Response
    Comparison groups
    Treatment v Placebo
    Number of subjects included in analysis
    131
    Analysis specification
    Pre-specified
    Analysis type
    P-value
    = 0.2235
    Method
    Stratified Cochran-Mantel-Haenszel
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.5
         upper limit
    3.8

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events and Serious Adverse Events: (From first dose to last dose + 100 days): Approximately 104 Weeks All-Cause mortality (From randomization to end of study): Approximately 104 Weeks
    Adverse event reporting additional description
    The number at Risk for All-Cause Mortality represents all treated participants. The number at Risk for Serious Adverse Events and Other (Not Including Serious) Adverse Events represents all participants that received at least 1 dose of study medication
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.1
    Reporting groups
    Reporting group title
    Treatment
    Reporting group description
    BMS-986165 6mg BID

    Reporting group title
    BMS-986165 6mg BID during OL period
    Reporting group description
    BMS-986165 6mg BID during OL period after receiving Placebo in Induction period

    Reporting group title
    Placebo
    Reporting group description
    Placebo BID

    Serious adverse events
    Treatment BMS-986165 6mg BID during OL period Placebo
    Total subjects affected by serious adverse events
         subjects affected / exposed
    19 / 87 (21.84%)
    4 / 32 (12.50%)
    2 / 10 (20.00%)
         number of deaths (all causes)
    2
    0
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    Road traffic accident
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Congenital aural fistula
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 32 (3.13%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Colitis ulcerative
         subjects affected / exposed
    3 / 87 (3.45%)
    2 / 32 (6.25%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Impaired gastric emptying
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Nasal septum deviation
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    0 / 87 (0.00%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Suicide attempt
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Cervical spinal stenosis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Anal abscess
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19 pneumonia
         subjects affected / exposed
    8 / 87 (9.20%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 8
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    0 / 0
    Enterocolitis infectious
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 32 (3.13%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Metabolic acidosis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Treatment BMS-986165 6mg BID during OL period Placebo
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    64 / 87 (73.56%)
    22 / 32 (68.75%)
    6 / 10 (60.00%)
    Investigations
    Blood alkaline phosphatase increased
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    1
    0
    1
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    1
    0
    1
    Haemoglobin decreased
         subjects affected / exposed
    0 / 87 (0.00%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    0
    2
    0
    Hepatitis B DNA assay positive
         subjects affected / exposed
    0 / 87 (0.00%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    0
    1
    SARS-CoV-2 test positive
         subjects affected / exposed
    0 / 87 (0.00%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    0
    2
    0
    Injury, poisoning and procedural complications
    Vaccination complication
         subjects affected / exposed
    1 / 87 (1.15%)
    1 / 32 (3.13%)
    1 / 10 (10.00%)
         occurrences all number
    1
    2
    1
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 87 (1.15%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    1
    2
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    4 / 87 (4.60%)
    2 / 32 (6.25%)
    1 / 10 (10.00%)
         occurrences all number
    4
    3
    1
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    3 / 87 (3.45%)
    5 / 32 (15.63%)
    0 / 10 (0.00%)
         occurrences all number
    4
    8
    0
    Feeling cold
         subjects affected / exposed
    0 / 87 (0.00%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    0
    2
    0
    Fatigue
         subjects affected / exposed
    1 / 87 (1.15%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    1
    2
    0
    Immune system disorders
    Seasonal allergy
         subjects affected / exposed
    0 / 87 (0.00%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    0
    1
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    7 / 87 (8.05%)
    1 / 32 (3.13%)
    0 / 10 (0.00%)
         occurrences all number
    7
    1
    0
    Constipation
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    1
    0
    1
    Colitis ulcerative
         subjects affected / exposed
    17 / 87 (19.54%)
    8 / 32 (25.00%)
    2 / 10 (20.00%)
         occurrences all number
    21
    11
    2
    Aphthous ulcer
         subjects affected / exposed
    5 / 87 (5.75%)
    2 / 32 (6.25%)
    1 / 10 (10.00%)
         occurrences all number
    9
    3
    1
    Abdominal distension
         subjects affected / exposed
    0 / 87 (0.00%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    0
    1
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 87 (0.00%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    0
    3
    0
    Food poisoning
         subjects affected / exposed
    0 / 87 (0.00%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    0
    2
    0
    Diarrhoea
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 32 (3.13%)
    0 / 10 (0.00%)
         occurrences all number
    5
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    3 / 87 (3.45%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    3
    2
    0
    Skin and subcutaneous tissue disorders
    Rash papular
         subjects affected / exposed
    0 / 87 (0.00%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    0
    1
    Rash
         subjects affected / exposed
    13 / 87 (14.94%)
    3 / 32 (9.38%)
    0 / 10 (0.00%)
         occurrences all number
    19
    4
    0
    Alopecia
         subjects affected / exposed
    0 / 87 (0.00%)
    0 / 32 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    0
    1
    Acne
         subjects affected / exposed
    9 / 87 (10.34%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    9
    3
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    5 / 87 (5.75%)
    4 / 32 (12.50%)
    0 / 10 (0.00%)
         occurrences all number
    6
    6
    0
    Spinal pain
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 32 (3.13%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    1
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 87 (1.15%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    1
    2
    0
    Nasopharyngitis
         subjects affected / exposed
    6 / 87 (6.90%)
    4 / 32 (12.50%)
    0 / 10 (0.00%)
         occurrences all number
    8
    5
    0
    Influenza
         subjects affected / exposed
    3 / 87 (3.45%)
    2 / 32 (6.25%)
    1 / 10 (10.00%)
         occurrences all number
    3
    2
    1
    COVID-19
         subjects affected / exposed
    13 / 87 (14.94%)
    6 / 32 (18.75%)
    0 / 10 (0.00%)
         occurrences all number
    13
    6
    0
    Oral herpes
         subjects affected / exposed
    2 / 87 (2.30%)
    1 / 32 (3.13%)
    1 / 10 (10.00%)
         occurrences all number
    3
    1
    3
    Upper respiratory tract infection
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 32 (3.13%)
    0 / 10 (0.00%)
         occurrences all number
    7
    2
    0
    Tonsillitis
         subjects affected / exposed
    1 / 87 (1.15%)
    2 / 32 (6.25%)
    0 / 10 (0.00%)
         occurrences all number
    2
    4
    0
    Sinusitis
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 32 (3.13%)
    0 / 10 (0.00%)
         occurrences all number
    5
    3
    0

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    26 Mar 2019
    Includes modifications to the Schedule of Activities and Biomarker sections to provide clarity; added new Section 8.1.1 and language throughout protocol regarding central read versus local read of endoscopy; clarified corticosteroid use as a rescue medication; and added discontinuation criteria and study stopping rules to align with recent FDA communications
    09 Apr 2019
    This country-specific amendment applies to all subjects enrolled in Japan. The purpose of this Amendment is to incorporate local regulatory requirements for Japanese sites.
    31 Jul 2019
    Adding “or age of majority” to inclusion criterion to align with local regulatory requirements for South Korean sites
    01 Aug 2019
    This country-specific amendment applies to all subjects enrolled in the Czech Republic. The purpose of this Amendment is to adjust the maximum age of subjects from 80 to 70 years of age, and to align Section 8.2.5 Pregnancy with local regulatory requirements for Czech Republic sites.
    29 Aug 2019
    This country-specific amendment applies to all subjects enrolled in Germany. Modifications include: • Exclusion Criterion 7)a) has been revised to exclude prisoners or subjects who are involuntarily incarcerated from trial participation. • Section 7.1.1 (Post-Study Treatment Follow-up) has been revised to state that participants who discontinue study treatment will be followed for 28 days or longer, as required, and in line with Section 8.2.3. • Section 8.2.1 and APPENDIX 3 have been revised to state that serious adverse events (AEs) need to be reported ‘immediately’ to Sponsor or designee but no later than 24 hours after awareness of the event. • Section 8.2.5 (Pregnancy) has been revised to state that study drug treatment must be discontinued immediately in case of pregnancy and that the pregnancy must be reported within 24 hours of awareness of the pregnancy. • APPENDIX 3 has been revised to state that nonserious AEs that cause interruption or discontinuation of study treatment must be followed to resolution or stabilization.
    28 Oct 2019
    Includes the following modifications: • add a 52-week open-label extension period to provide the option of additional treatment to subjects deriving clinical benefit at Week 52; • modify the type and/or frequency of various study assessments to improve subject safety and minimize subject burden; provide additional detail for each of the study periods, including clear guidance for management of Week 12 responders and nonresponders in the maintenance period and additional hepatitis B Virus (HBV) and hepatitis C Virus (HCV) screening and monitoring information; • modify several inclusion and exclusion criteria to increase subject eligibility, and add specific randomization criteria to aid in final determination of eligibility; • incorporate several elements from the South Korea and Germany specific v2.0 amendments regarding age of majority, and follow-up after discontinuation and adverse events; • revise or clarify the definitions of key study terms and endpoints; add several exploratory endpoints; • revise or clarify the following study elements: prohibited and restricted treatments; use and tapering of corticosteroids during all study periods; criteria defining treatment failure; criteria leading to discontinuation; and criteria defining inadequate response, loss of response, and intolerance to previous biologic therapy; • clarify sample size calculation, planned exploratory analyses, and other analyses including quality of life and healthcare resource utilization; • remove or modify several contraception requirements to reflect recent toxicology data consistent with these changes; • implement other revisions including modification of text regarding safety reporting requirements; and addition of several new appendices to evaluate UC disease activity, patient-reported outcomes, and healthcare resource utilization.

    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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