A Study of Mirikizumab (LY3074828) in Participants With Moderately to Severely Active Ulcerative Colitis (LUCENT-URGE)
A Multicenter, Phase 3b, Open-Label, Single-Arm Study to Investigate Bowel Urgency and Its Relationship With Other Outcome Measures in Adults With Moderately to Severely Active Ulcerative Colitis Treated With Mirikizumab
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
- Phone Number: 1-317-615-4559
- Email: ClinicalTrials.gov@lilly.com
Study Locations
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Ghent, Belgium, 9000
- Universitair Ziekenhuis Gent - Gastro IBD
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Leuven, Belgium, 3000
- UZ Leuven - E507 Studies IBD tav Tine Hermans
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Brno, Czechia, 602 00
- SurGal Clinic s.r.o.
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Olomouc, Czechia, 779 00
- PreventaMed, s.r.o.
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Czech Republic
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Brno, Czech Republic, Czechia, 63600
- Vojenska nemocnice Brno, Interni oddeleni
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Klatovy, Czech Republic, Czechia, 33901
- GastroJeka s.r.o
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Ostrava, Czech Republic, Czechia, 708 52
- FN Ostrava, Interní Klinika
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Hradec Králové
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Hradec Králové, Hradec Králové, Czechia, 50012
- Hepato-gastroenterologie HK, s.r.o.
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Olomouc Region
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Olomouc, Olomouc Region, Czechia, 779 00
- MUDr. Gregar, s.r.o.
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Besançon, France, 25000
- CHU Besançon
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Lille, France, 59037
- CHU de LILLE - Bureau des ARCs Gastro - HPDD
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Montpellier, France, 34295
- Hôpital Saint-Eloi Pôle Digestif ,APEMAD - Recherche clinique
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Nantes, France, 44093
- CHU Nantes
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Nantes, France, 44300
- Clinique Jules Verne
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Nice, France, 06-202
- Unité de Recherche Clinique (4èmeB)
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Reims, France, 51092
- CHU de Reims - Hôpital Robert Debré
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Saint-Etienne, France, 42055
- CHU de Saint-Etienne
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Vandœuvre-lès-Nancy, France, 54511
- CHRU Nancy Brabois
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France
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Lyon - Pierre Benite, France, France, 69495
- Hospices Civils de Lyon - Hôpital Lyon Sud - ARC HGE bâtiment 3I
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Gironde
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Pessac, Gironde, France, 33604
- CHU Bordeaux - Hôpital Haut-Lévêque
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Ille Et Vilaine
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Rennes, Ille Et Vilaine, France, 35000
- CHU Rennes - Hôpital Pontchaillou
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Pyrénées-Atlantiques
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Pau, Pyrénées-Atlantiques, France, 64046
- Centre Hospitalier de Pau
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Berlin, Germany, 10118
- Praxis Dr. M. Mross - Gastroenterologie
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Berlin, Germany, 14050
- DRK Kliniken Berlin Westend, Gastroenterologie, Studienbüro
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Leipzig, Germany, 04 103
- Universitätsklinikum Leipzig, Med. Klinik II
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Budapest, Hungary, 1136
- Pannonia Maganorvosi Centrum
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Budapest, Hungary, 1088
- Semmelweis Egyetem, Belgyogyaszati es Hematologiai Klinika
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Budapest, Hungary, 1033
- Clinepert kft
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Szekszárd, Hungary, 7100
- Clinfan Ltd. Gastroenterology Clinic
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Heves County
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Gyöngyös, Heves County, Hungary, 3200
- Bugat Pal Korhaz
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Brescia, Italy, 25123
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)
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Castellana Grotte, Italy, 70013
- IRCCS Saverio de Bellis, National Institute of Gastroenterology
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Milan, Italy, 20122
- Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico
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Milan, Italy, 20132
- Irccs Ospedale San Raffaele, Gastroenterologia/Ibd Unit, Settore G Piano -1
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Roma, Italy, 00 168
- Fondazione Policlinico Agostino Gemelli IRCCS_ CEMAD
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Roma, Italy, 00133
- Uoc Gastroenterologia - Policlinico Tor Vergata
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Rozzano, Italy, 20089
- IRCCS Istituto Clinico Humanitas- Centro Malattie Infiammatorie Intestinali
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Torino, Italy, 10128
- A.O.Ordine Mauriziano, SC Gastroenterologia, ambulatorio endoscopia digestiva
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Bydgoszcz, Poland, 85 231
- NZOZ Centrum Medyczne KERmed
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Bydgoszcz, Poland, 85-079
- Vitamed Galaj i Cichomski sp.j.
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Krakow, Poland, 30 363
- Centrum Medyczne Plejady
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Krakow, Poland, 31 501
- Krakowskie Centrum Medyczne Sp. z o.o
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Krakow, Poland, 31-506
- Topolowa Medicenter Ryszawa & Wspólnicy Sp.j.
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Lodz, Poland, 90-752
- IP Clinic
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Lodz, Poland, 91 034
- Med-GASTR SP. Z O.O., SP.K.
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Lodz, Poland, 91 495
- AmiCare Sp. z o.o. Sp. k.
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Lodz, Poland, 93-357
- Bonifraterskie Centrum Medyczne sp. z o.o
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Nowy Targ, Poland, 34-400
- Allmedica Badania Kliniczne Sp. z o.o. Sp. k.
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Opole, Poland, 45 819
- Twoja Przychodnia Opolskie Centrum Medyczne
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Staszów, Poland, 28 200
- Nowe Zdrowie-Ck, Kiełtucki I Wspólnicy Sp. J.
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Swidnica, Poland, 58 100
- DC-MED Sp. z o.o. s.k.
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Szczecin, Poland, 71-434
- Twoja Przychodnia - Szczecinskie Centrum Medyczne
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Szczecin, Poland, 71-685
- Sonomed Sp. z o.o.
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Wadowice, Poland, 34-100
- NZOZ FOR MED sp. z o.o.
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Wroclaw, Poland, 52416
- Centrum Medyczne Oporow
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Wroclaw, Poland, 52-210
- PlanetMed Sp.z o.o.
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Wroclaw, Poland, 50088
- FutureMeds sp. z o. o.
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Zamość, Poland, 22 400
- Centrum Medyczne Kuba Med 2 Sp. z o.o. ETG Zamosc
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, Poland, 60-529
- SOLUMED Centrum Medyczne
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Silesian Voivodeship
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Knurów, Silesian Voivodeship, Poland, 44 190
- MZ Badania Słowik Zymła Sp.j.
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Subcarpathian
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Rzeszów, Subcarpathian, Poland, 35-326
- Centrum Medyczne Medyk
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Slovak Republic
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Banská Bystrica, Slovak Republic, Slovakia, 975 17
- Fakultná nemocnica s poliklinikou F. D. Roosevelta Banská Bystrica gastroenterologická ambulancia, II. Interná klinika SZU
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Bardejov, Slovak Republic, Slovakia, 08501
- Alian s.r.o.
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Bratislava, Slovak Republic, Slovakia, 81109
- CLINIQ, s.r.o
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Košice, Slovak Republic, Slovakia, 040 13
- GASTRO AMBULANCIA, poliklinika Ťahanovce
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Nitra, Slovak Republic, Slovakia, 950 01
- Fakultna nemocnica Nitra, Interna klinika
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Nitra Stare Mesto, Slovak Republic, Slovakia, 949 01
- KM Management, spol. s.r.o
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Šahy, Slovak Republic, Slovakia, 93601
- Accout Center s.r.o.
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London, United Kingdom, SE5 9RS
- King's College Hospital NHS Foundation Trust
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Great Britain
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Bury, Great Britain, United Kingdom, BL9 7TD
- Fairfield General Hospital
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Waltham Forest
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Waltham, Waltham Forest, United Kingdom, E11 1NR
- Clinical Research Unit, Royal Liverpool University Hospital
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Arizona
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Litchfield Park, Arizona, United States, 85340
- Dedicated Clinical Research
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Sun City, Arizona, United States, 85351
- Arizona Digestive Health - Sun City
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California
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Lancaster, California, United States, 93534
- Om Research, LLC
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Northridge, California, United States, 91324
- California Medical Research Associates, Inc.
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San Diego, California, United States, 92103
- Clinical Applications Laboratories, Inc.
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Connecticut
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Hamden, Connecticut, United States, 06518
- Medical Research Center of Connecticut, LLC
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Florida
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Clearwater, Florida, United States, 33762
- Central Florida Gastro Research
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Jacksonville, Florida, United States, 32256
- Encore Borland-Groover Clinical Research
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Miami, Florida, United States, 33134
- Research Associates of South Florida
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Miami, Florida, United States, 33176
- Advanced Research Associates, LLC
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Tampa, Florida, United States, 33609
- GCP Clinical Research, LLC
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Tampa, Florida, United States, 33614
- International Center for Research LLC
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Georgia
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Atlanta, Georgia, United States, 30309
- Digestive Healthcare of Georgia
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Decatur, Georgia, United States, 30033
- Atlanta Center for Gastroenterology, P.C.
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Idaho
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Idaho Falls, Idaho, United States, 83404
- Grand Teton Research Group, PLLC
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Indiana
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Indianapolis, Indiana, United States, 46202
- IU Health University Hospital
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New Albany, Indiana, United States, 47150
- Gastroenterology Health Partners
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Kansas
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Topeka, Kansas, United States, 66606
- Cotton-O'Neil Clinical Research Center, Digestive Health
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Louisiana
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Metairie, Louisiana, United States, 70006
- GI Alliance/ Metairie
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Monroe, Louisiana, United States, 71201
- Delta Research Partners
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Maryland
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Chevy Chase, Maryland, United States, 20815
- Chevy Chase Clinical Research
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Michigan
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Chesterfield, Michigan, United States, 48038
- Clinical Research Institute of Michigan, LLC
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Wyoming, Michigan, United States, 49529
- West Michigan Clinical Research Center
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New York
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Brooklyn, New York, United States, 11235
- NY Scientific
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North Carolina
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Asheville, North Carolina, United States, 28801
- Digestive Health Partners - Research Department
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Charlotte, North Carolina, United States, 28207
- Charlotte Gastroenterolgy & Hepatology
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Wilmington, North Carolina, United States, 28401
- Innovo Research:Wilmington Health
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Ohio
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Columbus, Ohio, United States, 43235
- Optimed Research, LTD
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Middleburg Heights, Ohio, United States, 44130
- Paramount Medical Research & Consulting, LLC
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Oklahoma
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Norman, Oklahoma, United States, 73071
- Central Sooner Research
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Rhode Island
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Providence, Rhode Island, United States, 02904
- University Gastroenterology
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Tennessee
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Cordova, Tennessee, United States, 38018
- Gastro One
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Kingsport, Tennessee, United States, 37663
- Tri-Cities Gastroenterology
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Texas
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Houston, Texas, United States, 77074
- Clinical Trial Network
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Houston, Texas, United States, 77084
- Biopharma Informatic, LLC
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Houston, Texas, United States, 77079
- Houston Endoscopy And Research Center, LLC
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Katy, Texas, United States, 77494
- Citrine Institute for Research and Wellness
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McAllen, Texas, United States, 78503
- AngioCardiac Care of Texas, PA
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Pasadena, Texas, United States, 77505
- Digestive System Healthcare
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Pearland, Texas, United States, 77584
- LinQ Research, LLC
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San Antonio, Texas, United States, 78229
- Southern Star Research Institute, LLC
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San Antonio, Texas, United States, 78229
- Gastroenterology Research of San Antonio
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Sugar Land, Texas, United States, 77479
- Gastroenterology Associates of Texas - Denise Rodriguez
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Tyler, Texas, United States, 75701
- Tyler Research Institute, LLC
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Webster, Texas, United States, 77598
- GI Alliance Research Webster
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Utah
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Ogden, Utah, United States, 84403
- Care Access Research - Ogden
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Virginia
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Charlottesville, Virginia, United States, 22911
- Charlottesville Medical Research
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Washington
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Bellevue, Washington, United States, 98004
- Washington Gastroenterology
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Tacoma, Washington, United States, 98405
- Washington Gastroenterology dba GI Alliance
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Have an established diagnosis of UC for ≥3 months
- Have confirmed diagnosis of moderately for severely active UC
- Have current bowel urgency
- Have demonstrated an inadequate response to, a loss of response to, or an intolerance to conventional or to biologic/Janus Kinase (JAK) inhibitor/sphingosine-1-phosphate (S1P) receptor modulator therapy for UC.
Exclusion Criteria:
- Have Crohn's disease (CD)
- Have inflammatory bowel disease-unclassified, formerly known as indeterminate colitis, or
- Have ulcerative proctitis, disease limited to the rectum, that is, distal to the recto-sigmoid junction, which lies approximately 10 to 15 centimeter (cm) from anal verge.
- Have an inherited immunodeficiency syndrome or a monogenic cause of UC-like colonic inflammation
- Have any history or current evidence of cancer of the gastrointestinal tract
- Have active tuberculosis
- Have HIV infection.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: 300 mg Mirikizumab
Participants received 300 milligram (mg) mirikizumab every 4 weeks (Q4W) at week 0, 4, and 8 administered intravenously (IV).
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Administered IV
Other Names:
Administered Subcutaneously (SC)
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in Bowel Urgency Severity Urgency Numeric Rating Scale (UNRS)
Time Frame: Baseline, Week 12
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The UNRS is a single participant reported item that measures the severity for the urgency (sudden or immediate need) to have a bowel movement in the past 24 hours using an 11-point NRS ranging from 0 (no urgency) to 10 (worst possible urgency). Higher scores indicate more severe urgency. Baseline Observation Carried Forward (BOCF) endpoint was defined as the baseline value for participants discontinued during acute phase and defined as the last non-missing observation in the treatment phase for all other randomized participants. |
Baseline, Week 12
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change From Baseline in Bowel Urgency Frequency (BUF)
Time Frame: Baseline, Week 12
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BUF is participant reported single item measure of the number of urgent bowel movements reported in the past 24 hours.
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Baseline, Week 12
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Percentage of Participants Achieving Clinically Meaningful Improvement in BUF
Time Frame: Baseline to Week 12
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This outcome measures the percentage of participants who experience a clinically meaningful reduction in the frequency of bowel urgency episodes from baseline to the 12 week treatment period.
Results for this outcome will be reported during final results posting.
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Baseline to Week 12
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Percentage of Participants With Stool Deferral Time (SDT) Intervals at Week 12
Time Frame: Week 12
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The SDT is a participant-reported single item measure of the average duration a patient could delay defecation in the past 24 hours.
The shortest weekly SDT is used for analysis of SDT in minutes by taking the shortest response (i.e.
minimum value) available over the past 7 days, where no urgency is treated as the largest value.
The SDT categories were:<1 min, ≥1 min to <2 min, ≥2 min to <5 min, ≥5 min to <15 min, and ≥15 min or no urgency.
No urgency indicates participant's selected "Did not feel urge to have a bowel movement in the past 24 hours" for all available days in 7-day period.
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Week 12
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Percentage of Participants Achieving Clinically Meaningful Improvement of SDT
Time Frame: Week 12
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This outcome measures the percentage of participants who demonstrate a clinically meaningful improvement in SDT.
Results for this outcome will be reported during final results posting.
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Week 12
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Percentage of Participants Achieving Both Clinical Remission, Based on the Modified Mayo Score (MMS) and a Rounded Urgency Numeric Rating Scale (UNRS) Score of ≤1
Time Frame: Week 12
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Clinical remission based on MMS is defined as Stool Frequency (SF) sub score (range 0-3, higher is worse) = 0, or SF = 1 with a ≥1- point decrease from baseline, and
UNRS measures bowel urgency severity (range 0 to 10; Higher scores indicate more severe urgency) This outcome assesses the proportion of participants who achieved both a clinical response, as defined by an MMS, and an improvement of ≥3 points from baseline in a UNRS score at Week 12. |
Week 12
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Percentage of Participants Achieving Both Clinical Response, Based on the Modified Mayo Score (MMS) and a Rounded Urgency Numeric Rating Scale (UNRS) Score ≥3 Points of Improvement From Baseline
Time Frame: Week 12
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Clinical response based on MMS is defined as:
UNRS measures bowel urgency severity (range 0 to 10; Higher scores indicate more severe urgency) This outcome measures the percentage of participants achieving both, clinical response, based on the MMS, and a UNRS score of ≥3 points of improvement from baseline at 12 weeks. |
Week 12
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Pairwise Correlations Between the Urgency Numeric Rating Scale (UNRS), Baseline in Bowel Urgency Frequency (BUF), Stool Deferral Time (SDT) and Absorbent Product Use (APU) Measures
Time Frame: Baseline to Week 12
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UNRS measures bowel urgency severity (range 0 to 10; Higher scores indicate more severe urgency). BUF measures the number of urgent bowel movements reported in the past 24 hours. SDT measures the average duration a patient could delay defecation in the past 24 hours. APU is a single item to assess participant's need to wear an adult diaper, pad or protection because of bowel urgency. This outcome evaluates the pairwise correlations among four bowel urgency-related measures above. |
Baseline to Week 12
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Pairwise Correlations Between Change From Baseline in Urgency Numeric Rating Scale (UNRS), Baseline in Bowel Urgency Frequency (BUF), Stool Deferral Time (SDT) and Absorbent Product Use (APU) Measures
Time Frame: Baseline, Week 12
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UNRS measures bowel urgency severity (range 0 to 10; Higher scores indicate more severe urgency). BUF measures the number of urgent bowel movements reported in the past 24 hours. SDT measures the average duration a patient could delay defecation in the past 24 hours. APU is a single item to assess participant's need to wear an adult diaper, pad or protection because of bowel urgency. This outcome evaluates the pairwise correlations between the change in correlations among four bowel urgency-related measures above. |
Baseline, Week 12
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Correlation Between Urgency Numeric Rating Scale (UNRS), Baseline in Bowel Urgency Frequency (BUF),Stool Deferral Time (SDT) and Absorbent Product Use (APU) Measures,With Quality of Life (QoL)/Functional Outcome Measures and UC Symptom Measures
Time Frame: Baseline to Week 12 UC symptom measures:Patient Global Rating of Severity (PGR-S)(1-6),Patient Global Impression of Change (PGI-C)(1-7),Mayo SF/RB (0-3),Abdominal pain/fatigue NRS (0-10),nocturnal stool frequency;higher=worse severity for all measures.
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This outcome evaluates correlations between UNRS, BUF, SDT, APU, and patient-reported outcomes (PROs) related to quality of life (QoL), functional outcomes, and UC symptoms.
QoL is assessed using the Inflammatory Bowel Disease Questionnaire (IBDQ), a 32-item patient-completed tool with four domains: bowel (score range 10-70), systemic (5-35), emotional (12-84), and social (5-35).
Each item is rated on a 7-point Likert scale (1 = very severe problem,7 = not a problem at all); The total IBDQ score is calculated by summing the scores from all four domains and total score range is 32-224 (Higher = better QoL).
Functional outcomes measures: Work Productivity and Activity Impairment (WPAI) questionnaire (four scores derived: absenteeism, presenteeism, productivity loss, activity impairment; each score 0-100%, higher = greater impairment) and Generalized Anxiety Disorder-7 (GAD-7; total score range 0-21, higher = more severe anxiety)... (Continued below due to character constraint)
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Baseline to Week 12 UC symptom measures:Patient Global Rating of Severity (PGR-S)(1-6),Patient Global Impression of Change (PGI-C)(1-7),Mayo SF/RB (0-3),Abdominal pain/fatigue NRS (0-10),nocturnal stool frequency;higher=worse severity for all measures.
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Correlation Between Change From Baseline in Urgency Numeric Rating Scale (UNRS), Baseline in Bowel Urgency Frequency (BUF), Stool Deferral Time (SDT) and Absorbent Product Use (APU) Measures, With QoL/Functional Outcome Measures and UC Symptom Measures
Time Frame: Baseline, Week 12 UC symptom measures:Patient Global Rating of Severity (PGR-S)(1-6),Patient Global Impression of Change (PGI-C)(1-7),Mayo SF/RB (0-3),Abdominal pain/fatigue NRS (0-10),nocturnal stool frequency; higher=worse severity for all measures.
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This outcome evaluates correlations between change from baseline in UNRS, BUF, SDT, APU, and PROs related to quality of life (QoL), functional outcomes, and UC symptoms.
QoL is assessed using the Inflammatory Bowel Disease Questionnaire (IBDQ), a 32-item patient-completed tool with four domains: bowel (score range 10-70), systemic (5-35), emotional (12-84), and social (5-35).
Each item is rated on a 7-point Likert scale (1 = very severe problem, 7 = not a problem at all); The total IBDQ score is calculated by summing the scores from all four domains and total score range is 32-224 (Higher = better QoL).
Functional outcomes measures: Work Productivity and Activity Impairment (WPAI) questionnaire (four scores derived: absenteeism, presenteeism, productivity loss, activity impairment; each score 0-100%, higher = greater impairment) and Generalized Anxiety Disorder-7 (GAD-7;total score range 0-21, higher = more severe anxiety)... (Continued below due to character constraint)
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Baseline, Week 12 UC symptom measures:Patient Global Rating of Severity (PGR-S)(1-6),Patient Global Impression of Change (PGI-C)(1-7),Mayo SF/RB (0-3),Abdominal pain/fatigue NRS (0-10),nocturnal stool frequency; higher=worse severity for all measures.
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Intestinal Diseases
- Digestive System Diseases
- Gastrointestinal Diseases
- Colonic Diseases
- Gastroenteritis
- Inflammatory Bowel Diseases
- Colitis
- Colitis, Ulcerative
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Peripheral Nervous System Agents
- Gastrointestinal Agents
- Antirheumatic Agents
- Sensory System Agents
- Analgesics, Non-Narcotic
- Analgesics
- Anti-Inflammatory Agents, Non-Steroidal
- Anti-Ulcer Agents
- mirikizumab
Other Study ID Numbers
Other Study ID Numbers
- 18551
- I6T-MC-AMBZ (Other Identifier: Eli Lilly and Company)
- 2022-502393-16-00 (Other Identifier: EU Clinical Trial Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
Time Frame:
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.