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    Clinical Trial Results:
    Randomized, double-blind, Phase 2 study to evaluate the efficacy and the safety of OSE-127 versus placebo in subjects with moderate to severe active ulcerative colitis who have failed or are intolerant to previous treatment(s)

    Summary
    EudraCT number
    2020-001398-59
    Trial protocol
    LV   BG   BE   HR   PT  
    Global end of trial date
    28 Jan 2025

    Results information
    Results version number
    v1(current)
    This version publication date
    20 Feb 2026
    First version publication date
    20 Feb 2026
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    OSE-127-C201
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04882007
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    OSE Immunotherapeutics
    Sponsor organisation address
    22, boulevard Benoni Goullin, Nantes, France, 44200
    Public contact
    OSE Contact, OSE Immunotherapeutics, contact@ose-immuno.com
    Scientific contact
    OSE Contact, OSE Immunotherapeutics, contact@ose-immuno.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 Jan 2025
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Apr 2024
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Jan 2025
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the efficacy of OSE-127 versus placebo on the reduction of the modified Mayo Score in moderate-to-severe UC patients who have previously failed or lost response or are intolerant to previous treatment(s)
    Protection of trial subjects
    This study was conducted in compliance with Good Clinical Practice, with the Declaration of Helsinki, and with other applicable regulatory requirements. All participants were required to read and sign an informed consent form prior to participation in the study.
    Background therapy
    Concomitant therapy with oral aminosalicylates and/or corticosteroids authorized, provided patient had been receiving such treatment for at least 4 weeks and with no change in dose or frequency in the 2 weeks prior to screening.
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Oct 2020
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    4 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 47
    Country: Number of subjects enrolled
    Portugal: 5
    Country: Number of subjects enrolled
    Croatia: 11
    Country: Number of subjects enrolled
    Belgium: 2
    Country: Number of subjects enrolled
    Bulgaria: 14
    Country: Number of subjects enrolled
    Hungary: 4
    Country: Number of subjects enrolled
    Latvia: 10
    Country: Number of subjects enrolled
    Spain: 1
    Country: Number of subjects enrolled
    Belarus: 10
    Country: Number of subjects enrolled
    Georgia: 15
    Country: Number of subjects enrolled
    Serbia: 7
    Country: Number of subjects enrolled
    South Africa: 14
    Country: Number of subjects enrolled
    Russian Federation: 35
    Country: Number of subjects enrolled
    Ukraine: 36
    Worldwide total number of subjects
    211
    EEA total number of subjects
    94
    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)
    193
    From 65 to 84 years
    18
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Overall, 211 patients were screened, 136 were randomized and were the safety population, and 134 formed the FAS population (2 patients excluded for Crohn’s Disease).

    Period 1
    Period 1 title
    Induction 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
    Lusvertikimab 850 mg, Induction Period
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Lusvertikimab
    Investigational medicinal product code
    OSE-127
    Other name
    Pharmaceutical forms
    Concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants received Lusvertikimab 850 mg intravenous infusion at Week 0, Week 2, and Week 6

    Arm title
    Lusvertikimab 450 mg, Induction Period
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Lusvertikimab
    Investigational medicinal product code
    OSE-127
    Other name
    Pharmaceutical forms
    Concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants received Lusvertikimab 450 mg intravenous infusion at Week 0, Week 2, and Week 6

    Arm title
    Placebo, Induction Period
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants received Placebo intravenous infusion at Week 0, Week 2, and Week 6

    Number of subjects in period 1 [1]
    Lusvertikimab 850 mg, Induction Period Lusvertikimab 450 mg, Induction Period Placebo, Induction Period
    Started
    50
    35
    49
    Completed
    47
    32
    42
    Not completed
    3
    3
    7
         Adverse event, serious fatal
    -
    -
    1
         Consent withdrawn by subject
    2
    -
    1
         Physician decision
    -
    -
    1
         Adverse event, non-fatal
    -
    1
    2
         Other
    -
    -
    1
         Disease worsening
    1
    2
    1
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: 211 patients were screened, 136 were randomized (safety population) and 134 formed the FAS population (2 patients excluded for Crohn’s Disease).
    Period 2
    Period 2 title
    Open-Label Extension Period
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Lusvertikimab 850 mg, Open-Label Extension Period
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Lusvertikimab
    Investigational medicinal product code
    OSE-127
    Other name
    Pharmaceutical forms
    Concentrate for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Participants received Lusvertikimab 850 mg intravenous infusion at Weeks 10, 14, 18, 22, 26, 30 and 34.

    Number of subjects in period 2 [2]
    Lusvertikimab 850 mg, Open-Label Extension Period
    Started
    119
    Completed
    104
    Not completed
    15
         Consent withdrawn by subject
    3
         Physician decision
    1
         Adverse event, non-fatal
    2
         Other
    4
         Disease worsening
    4
         Lost to follow-up
    1
    Notes
    [2] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: At Week 10, all patients from Induction period were proposed to participate in the (optional) Open-Label Extension period.
    Period 3
    Period 3 title
    Safety Follow-up
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Safety Follow-up
    Arm description
    Safety Follow-up: Week 10 to Week 22 (for patients not participating in the Open-Label Extension period) or Week 34 to Week 50 (for patients participating in the Open-Label Extension period).
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 3
    Safety Follow-up
    Started
    104
    Completed
    94
    Not completed
    10
         Consent withdrawn by subject
    3
         Other
    6
         Disease worsening
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Lusvertikimab 850 mg, Induction Period
    Reporting group description
    -

    Reporting group title
    Lusvertikimab 450 mg, Induction Period
    Reporting group description
    -

    Reporting group title
    Placebo, Induction Period
    Reporting group description
    -

    Reporting group values
    Lusvertikimab 850 mg, Induction Period Lusvertikimab 450 mg, Induction Period Placebo, Induction Period Total
    Number of subjects
    50 35 49 134
    Age categorical
    Units: Subjects
        In utero
    0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0
        Newborns (0-27 days)
    0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0
        Children (2-11 years)
    0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0
        Adults (18-64 years)
    45 34 44 123
        From 65-84 years
    5 1 5 11
        85 years and over
    0 0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    42.5 ( 15.1 ) 38.8 ( 10.5 ) 42.7 ( 15.9 ) -
    Gender categorical
    Units: Subjects
        Female
    23 13 21 57
        Male
    27 22 28 77
    Modified Mayo Score (MMS)
    The Modified Mayo Score measures stool frequency, rectal bleeding and mucosal appearance at endoscopy. Each domain is graded from 0 to 3 (total score for modified Mayo Score ranges from 0 to 9).
    Units: points
        arithmetic mean (standard deviation)
    6.5 ( 1.0 ) 6.0 ( 1.4 ) 6.6 ( 1.2 ) -
    Subject analysis sets

    Subject analysis set title
    FAS
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All randomized patients with Ulcerative Colitis who received at least one dose of study treatment (2 patients excluded for Crohn’s Disease).

    Subject analysis sets values
    FAS
    Number of subjects
    134
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    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)
    123
        From 65-84 years
    11
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    41.6 ( 14.4 )
    Gender categorical
    Units: Subjects
        Female
    57
        Male
    77
    Modified Mayo Score (MMS)
    The Modified Mayo Score measures stool frequency, rectal bleeding and mucosal appearance at endoscopy. Each domain is graded from 0 to 3 (total score for modified Mayo Score ranges from 0 to 9).
    Units: points
        arithmetic mean (standard deviation)
    6.4 ( 1.2 )

    End points

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    End points reporting groups
    Reporting group title
    Lusvertikimab 850 mg, Induction Period
    Reporting group description
    -

    Reporting group title
    Lusvertikimab 450 mg, Induction Period
    Reporting group description
    -

    Reporting group title
    Placebo, Induction Period
    Reporting group description
    -
    Reporting group title
    Lusvertikimab 850 mg, Open-Label Extension Period
    Reporting group description
    -
    Reporting group title
    Safety Follow-up
    Reporting group description
    Safety Follow-up: Week 10 to Week 22 (for patients not participating in the Open-Label Extension period) or Week 34 to Week 50 (for patients participating in the Open-Label Extension period).

    Subject analysis set title
    FAS
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All randomized patients with Ulcerative Colitis who received at least one dose of study treatment (2 patients excluded for Crohn’s Disease).

    Primary: Change from baseline in the modified Mayo Score (MMS) at Week 10

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    End point title
    Change from baseline in the modified Mayo Score (MMS) at Week 10
    End point description
    End point type
    Primary
    End point timeframe
    From Baseline to Week 10
    End point values
    Lusvertikimab 850 mg, Induction Period Lusvertikimab 450 mg, Induction Period Placebo, Induction Period
    Number of subjects analysed
    50
    35
    49
    Units: points
        least squares mean (confidence interval 95%)
    -2.41 (-2.99 to -1.83)
    -2.68 (-3.44 to -1.91)
    -1.52 (-2.14 to -0.90)
    Statistical analysis title
    Treatment difference at Week 10
    Comparison groups
    Lusvertikimab 850 mg, Induction Period v Placebo, Induction Period
    Number of subjects included in analysis
    99
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.036
    Method
    ANCOVA
    Parameter type
    Least Square Mean Difference
    Point estimate
    -0.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.73
         upper limit
    -0.06
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.426
    Statistical analysis title
    Treatment difference at Week 10
    Comparison groups
    Lusvertikimab 450 mg, Induction Period v Placebo, Induction Period
    Number of subjects included in analysis
    84
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.019
    Method
    ANCOVA
    Parameter type
    Least Square Mean Difference
    Point estimate
    -1.16
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.12
         upper limit
    -0.19
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.492

    Secondary: Clinical remission rate at Week 10

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    End point title
    Clinical remission rate at Week 10
    End point description
    Clinical remission rate defined as MMS ≤ 2 points and no individual sub-score of > 1 point and a rectal bleeding at 0
    End point type
    Secondary
    End point timeframe
    From Baseline to Week 10
    End point values
    Lusvertikimab 850 mg, Induction Period Lusvertikimab 450 mg, Induction Period Placebo, Induction Period
    Number of subjects analysed
    50
    35
    49
    Units: Percentage of participants
        number (not applicable)
    12.9
    23.8
    4.4
    Statistical analysis title
    Odds Ratio
    Comparison groups
    Lusvertikimab 850 mg, Induction Period v Placebo, Induction Period
    Number of subjects included in analysis
    99
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.161
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    3.27
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.62
         upper limit
    17.12
    Statistical analysis title
    Odds Ratio
    Comparison groups
    Lusvertikimab 450 mg, Induction Period v Placebo, Induction Period
    Number of subjects included in analysis
    84
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.03
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    6.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.19
         upper limit
    32.29

    Secondary: Endoscopic remission rate at Week 10

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    End point title
    Endoscopic remission rate at Week 10
    End point description
    Endoscopic remission rate defined as an endoscopic Mayo sub-score = 0
    End point type
    Secondary
    End point timeframe
    From Baseline to Week 10
    End point values
    Lusvertikimab 850 mg, Induction Period Lusvertikimab 450 mg, Induction Period Placebo, Induction Period
    Number of subjects analysed
    50
    35
    49
    Units: Percentage of participants
        number (not applicable)
    19.3
    36.7
    12.5
    Statistical analysis title
    Odds Ratio
    Comparison groups
    Lusvertikimab 850 mg, Induction Period v Placebo, Induction Period
    Number of subjects included in analysis
    99
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.385
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    1.69
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.52
         upper limit
    5.47
    Statistical analysis title
    Odds Ratio
    Comparison groups
    Lusvertikimab 450 mg, Induction Period v Placebo, Induction Period
    Number of subjects included in analysis
    84
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    = 0.032
    Method
    Regression, Logistic
    Parameter type
    Odds ratio (OR)
    Point estimate
    3.71
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    1.12
         upper limit
    12.33

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Induction Period (from Week 0 to Week 10) and Open-Label Extension Period (from Week 10 to Week 34)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0
    Reporting groups
    Reporting group title
    Lusvertikimab 850 mg Induction Period
    Reporting group description
    -

    Reporting group title
    Lusvertikimab 450 mg Induction Period
    Reporting group description
    -

    Reporting group title
    Placebo Induction Period
    Reporting group description
    -

    Reporting group title
    Lusvertikimab Open-Label Extension Period
    Reporting group description
    -

    Serious adverse events
    Lusvertikimab 850 mg Induction Period Lusvertikimab 450 mg Induction Period Placebo Induction Period Lusvertikimab Open-Label Extension Period
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 51 (5.88%)
    3 / 36 (8.33%)
    3 / 49 (6.12%)
    10 / 120 (8.33%)
         number of deaths (all causes)
    0
    0
    1
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Uterine Leiomyoma
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Benign Neoplasm
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Embolism Venous
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Atheroembolism
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Chest Pain
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    1 / 49 (2.04%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Colitis Ulcerative
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 36 (2.78%)
    1 / 49 (2.04%)
    3 / 120 (2.50%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Anal Ulcer
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 36 (2.78%)
    0 / 49 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary Embolism
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Calculus Urinary
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Asymptomatic Covid-19
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 36 (2.78%)
    0 / 49 (0.00%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Covid-19 Pneumonia
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    1 / 49 (2.04%)
    0 / 120 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    2 / 120 (1.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Complicated Appendicitis
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    1 / 120 (0.83%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 2%
    Non-serious adverse events
    Lusvertikimab 850 mg Induction Period Lusvertikimab 450 mg Induction Period Placebo Induction Period Lusvertikimab Open-Label Extension Period
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    7 / 51 (13.73%)
    9 / 36 (25.00%)
    12 / 49 (24.49%)
    49 / 120 (40.83%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 36 (0.00%)
    2 / 49 (4.08%)
    0 / 120 (0.00%)
         occurrences all number
    1
    0
    2
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    3 / 120 (2.50%)
         occurrences all number
    0
    0
    0
    5
    Blood and lymphatic system disorders
    Lymphopenia
         subjects affected / exposed
    2 / 51 (3.92%)
    4 / 36 (11.11%)
    1 / 49 (2.04%)
    7 / 120 (5.83%)
         occurrences all number
    2
    5
    1
    9
    Anaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 36 (2.78%)
    2 / 49 (4.08%)
    7 / 120 (5.83%)
         occurrences all number
    0
    1
    2
    110
    Thrombocytopenia
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    3 / 120 (2.50%)
         occurrences all number
    0
    0
    0
    3
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    0 / 51 (0.00%)
    2 / 36 (5.56%)
    1 / 49 (2.04%)
    0 / 120 (0.00%)
         occurrences all number
    0
    2
    1
    0
    Gastrointestinal disorders
    Colitis Ulcerative
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 36 (2.78%)
    3 / 49 (6.12%)
    10 / 120 (8.33%)
         occurrences all number
    2
    2
    4
    12
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    3 / 120 (2.50%)
         occurrences all number
    0
    0
    0
    5
    Infections and infestations
    Covid-19
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 36 (2.78%)
    2 / 49 (4.08%)
    12 / 120 (10.00%)
         occurrences all number
    0
    1
    2
    12
    Upper Respiratory Tract Infection
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 36 (0.00%)
    1 / 49 (2.04%)
    0 / 120 (0.00%)
         occurrences all number
    2
    0
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 36 (0.00%)
    0 / 49 (0.00%)
    4 / 120 (3.33%)
         occurrences all number
    0
    0
    0
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    07 Mar 2022
    Global protocol version 2.0 changes: - The study design was changed to discontinue the low dose arm (Lusvertikimab 450mg) based on the IDMC's recommendation from futility analysis results. - The study protocol's inclusion criteria were adapted to achieve the targeted proportion of biologics non-naïve patients in the initial randomization plan. - The revision of the sample size calculation to take into account the above 2 types of modifications.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    01 Dec 2021
    As per protocol, a Futility Analysis was scheduled after 50 patients (33% of the 150 planned patients) have completed the Induction Phase (availability of the primary endpoint at Week 10). To be consistent with the main purpose of a futility analysis (i.e. to unnecessarily expose patients to an investigational drug in a study that will not be able to show a treatment effect in its end), enrollment has been placed on hold starting 01 Dec 2021. Following the futility analysis, OSE accepted the IDMC recommendation to continue the study with modifications to the design (including testing one OSE-127 dose instead of 2). This recommendation automatically prolonged the enrollment hold period pending the regulatory acceptance of the protocol amendment. The induced additional delays in enrollment ended up in return in a foreseen lack of availability of vials with acceptable expiration period and had, as a consequence, the need for production of a new study medication batch, which also induced a prolongation of the enrollment hold period including for the regulatory part. Those unexpected circumstances did not affect the benefit/risk ratio nor the continuation of clinical trial activities for patients already enrolled. Enrollment resumed on 19 Sep 2022.
    19 Sep 2022

    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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