En fortsættelsesundersøgelse af TAK-279 hos voksne med colitis ulcerosa (UC) og Crohns sygdom (CD)
Et fase 2, open-label forlængelsesforsøg til evaluering af den langsigtede sikkerhed og tolerabilitet af oral zasocitinib (TAK-279) hos deltagere med moderat til svær aktiv colitis ulcerosa og moderat til svært aktiv Crohns sygdom
Crohns sygdom og colitis ulcerosa er to typer af inflammatorisk tarmsygdom (IBD), som er en alvorlig, langvarig tilstand i tarmen (tarmen), der kan forårsage smerte og hævelse (betændelse) i tarmen. TAK-279 er et lægemiddel, der hjælper med at blokere betændelse.
Denne undersøgelse er en forlængelse af forældreundersøgelserne, TAK-279-CD-2001 (NCT06233461) og TAK-279-UC-2001 (NCT06254950). Det betyder, at deltagere, der reagerede på behandling med TAK-279 i en af forældreundersøgelserne, muligvis fortsat kan drage fordel af behandlingen i denne undersøgelse.
Hovedformålet med denne undersøgelse er at finde ud af, hvor sikkert TAK-279 er til langtidsbrug og at kontrollere, om det reducerer tarmbetændelse og symptomer, når det bruges i længere tid hos voksne med moderat til svært aktiv UC eller CD.
Deltagerne vil blive behandlet med TAK-279 i op til 2 år (108 uger).
I løbet af undersøgelsen vil deltagerne besøge deres studieklinik 11 gange.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Takeda Contact
- Telefonnummer: +1-877-825-3327
- E-mail: medinfoUS@takeda.com
Studiesteder
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Maryland
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Glen Burnie, Maryland, Forenede Stater, 21061
- Rekruttering
- Woodholme Gastroenterology Associates
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Ledende efterforsker:
- Kenolisa Onwueme
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Kontakt:
- Site Contact
- Telefonnummer: 410-863-4899
- E-mail: konwueme@woodholmegi.com
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Texas
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Tyler, Texas, Forenede Stater, 75701
- Rekruttering
- Tyler Research Institute, LLC
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Ledende efterforsker:
- George Aaron DuVall
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Kontakt:
- Site Contact
- Telefonnummer: 903-630-6211
- E-mail: aarond@tylerri.com
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North Brabant
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Tilburg, North Brabant, Holland, 5022GC
- Rekruttering
- St. Antonius Ziekenhuis
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Ledende efterforsker:
- Robert Laheij
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Kontakt:
- Site Contact
- Telefonnummer: 0031(0)132218466
- E-mail: r.laheij@elisabeth.nl
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Chongqing Municipality
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Chongqing, Chongqing Municipality, Kina, 400013
- Rekruttering
- Chongqing General Hospital
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Kontakt:
- Site Contact
- Telefonnummer: 8613508389768
- E-mail: 542162214@qq.com
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Ledende efterforsker:
- Hong Guo
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Guangdong
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Guangdong, Guangdong, Kina, 510080
- Rekruttering
- The First Affiliated Hospital of Sun Yat-sen University
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Ledende efterforsker:
- Baili Chen
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Kontakt:
- Site Contact
- Telefonnummer: 0086-13302298302
- E-mail: Chenbaili05@163.com
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Guangzhou, Guangdong, Kina, 510655
- Rekruttering
- The Sixth Affiliated Hospital of Sun Yat-sen University
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Ledende efterforsker:
- Xiang Gao
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Kontakt:
- Site Contact
- Telefonnummer: 0086-13502405878
- E-mail: helen_gao818@163.com
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Kina, 2000127
- Rekruttering
- Renji Hospital Shanghai Jiaotong University School of Medicine
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Ledende efterforsker:
- Zhi-jun Cao
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Kontakt:
- Site Contact
- Telefonnummer: 0086-13641788722
- E-mail: caozj_renji@163.com
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Lublin, Polen, 35-326
- Rekruttering
- Centrum Medyczne MedykSp. z o.o. Sp. K.
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Ledende efterforsker:
- Rafal Filip
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Kontakt:
- Site Contact
- Telefonnummer: 48 509 130 097
- E-mail: r.s.filip@wp.pl
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Szczecin, Polen, 71-434
- Rekruttering
- Twoja Przychodnia - Szczecinskie Centrum Medyczne
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Kontakt:
- Site Contact
- Telefonnummer: 48664929399
- E-mail: gawdis@twojaprzychodnia.com
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Ledende efterforsker:
- Beata Gawdis Wojnarska
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Warsaw, Polen, 04-730
- Rekruttering
- WIP Warsaw IBD Point Profesor Kierkus
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Ledende efterforsker:
- Jaroslaw Kierkus
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Kontakt:
- Site Contact
- Telefonnummer: 48 500 111 648
- E-mail: j.kierkus@med-net.pl; j.kierkus@czd.pl
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Kuyavian-Pomeranian Voivodeship
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Torun, Kuyavian-Pomeranian Voivodeship, Polen, 87-100
- Rekruttering
- Gastromed Kopon Zmudzinski i Wspolnicy Sp.j.Specjalistyczne Centrum Gastrologii i Endoskopii Specj
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Ledende efterforsker:
- Adam Kopon
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Kontakt:
- Site Contact
- Telefonnummer: 48 501 028 551
- E-mail: adamkopon@interia.pl
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Košice, Slovakiet, 4013
- Rekruttering
- ENDOMED
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Ledende efterforsker:
- Miroslav Fedurco
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Kontakt:
- Site Contact
- E-mail: fedurco@endomed.sk
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Busan Gwangyeogsi
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Haeundae, Busan Gwangyeogsi, Sydkorea, 48108
- Rekruttering
- Inje University Haeundae Paik Hospital
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Ledende efterforsker:
- Tae-Oh Kim
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Kontakt:
- Site Contact
- Telefonnummer: 0 93330 2333
- E-mail: kto0440@paik.ac.kr
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Gangwon-do
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Wŏnju, Gangwon-do, Sydkorea, 220-701
- Rekruttering
- Yonsei University Wonju Severance Christian Hospital
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Ledende efterforsker:
- Hyun-Soo Kim
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Kontakt:
- Site Contact
- Telefonnummer: 82337410505
- E-mail: hyskim@yonsei.ac.kr
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Hradec Králové, Tjekkiet, 500 12
- Rekruttering
- Hepato-Gastroenterologie HK s.r.o.
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Ledende efterforsker:
- Tomas Vanasek
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Kontakt:
- Site Contact
- Telefonnummer: 420603545009
- E-mail: tomas.vanasek@hepato-gastro.com
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Budapest, Ungarn, 1136
- Rekruttering
- Pannonia Maganorvosi Centrum
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Ledende efterforsker:
- Robert Schnabel
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Kontakt:
- Site Contact
- Telefonnummer: 36304202991
- E-mail: schnabelrobert@hotmail.com
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
Deltageren er villig til og i stand til at forstå og fuldt ud efterleve forsøgsprocedurer og krav (inklusive digitale værktøjer og applikationer), efter investigators mening.
Deltageren har givet informeret samtykke (det vil sige skriftligt, dokumenteret via en underskrevet og dateret informeret samtykkeformular [ICF]) og enhver påkrævet privatlivsautorisation forud for påbegyndelsen af eventuelle prøveprocedurer.
Sygdomsspecifikke inklusionskriterier:
- Afslutning af uge 52 i moderfase 2 CD og UC forsøg med gyldige elektroniske (e) Dagbogsdata for uge 52 (TAK-279-CD-2001 og TAK-279-UC-2001).
Klinisk eller symptomatisk responder ved forældreundersøgelse uge 52 som defineret nedenfor:
- TAK-279-CD-2001: Klinisk respons i PRO2 ved forældreforsøg uge 52, vurderet som >=30 % fald i gennemsnitlig daglig meget blød eller flydende afføring og/eller >=30 % fald i gennemsnitlig AP fra forældreforsøgets baseline.
- TAK-279-UC-2001: Symptomatisk respons ved forældreforsøg Uge 52, vurderet som en reduktion i partiel modificeret Mayo-score (pmMS) på >=1 point og >=30 % fra forældreforsøgets baseline; og et fald fra forælderforsøgets baseline i sub-score for rektal blødning på >=1 point eller en absolut subscore for rektal blødning på <=1 point.
Andre generelle inklusionskriterier:
- Deltagerne skal overholde præventionsanbefalingerne.
Ekskluderingskriterier:
- Deltager, der af investigator anses for at være uegnet til OLE-forsøget på grund af deres forsøgsoverholdelse og bekymringer om overholdelse af medicin.
Deltagere med malignitet eller dysplasi pr. endoskopi når som helst under forældreforsøget eller i begyndelsen af OLE.
Eksklusionskriterier relateret til laboratorieundersøgelser:
Deltagere, der opfylder eksklusionskriterierne i forbindelse med laboratorieundersøgelser som defineret i protokollen.
Eksklusionskriterier relateret til anden forbudt samtidig medicin:
- Deltagere, der tager orale kortikosteroider til CD eller UC under forældreforsøg i eller efter uge 48.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Cohort 1: Zasocitinib
Participants with CD who completed Week 52 of the parent study, TAK-279-CD-2001 (NCT06233461) will be enrolled in this open-label extension trial to receive Zasocitinib, orally for up to 156 weeks.
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Zasocitinib kapsler.
Andre navne:
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Eksperimentel: Cohort 2: Zasocitinib
Participants with UC who completed Week 52 of the parent study, TAK-279-UC-2001 (NCT06254950) will be enrolled in this open-label extension trial to receive Zasocitinib, orally for up to 156 weeks.
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Zasocitinib kapsler.
Andre navne:
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Eksperimentel: Cohort 3: Zasocitinib
Participants with CD who completed Week 12 of the parent study, TAK-279-CD-2003 (NCT07403968) will be enrolled in this open-label extension trial to receive Zasocitinib, orally for up to 156 weeks.
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Zasocitinib kapsler.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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All Cohorts: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Adverse Events of Special Interest (AESIs)
Tidsramme: From start of study drug administration up to Week 160 (current study)
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TEAE is defined as any event emerging or manifesting at or after the initiation of treatment with a study intervention or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the study intervention or medicinal product.
An AESI is an adverse event of scientific and medical concern specific to the compound or program, for which ongoing monitoring and rapid communication by the investigator may be appropriate.
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From start of study drug administration up to Week 160 (current study)
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All Cohorts: Number of Participants With Clinically Significant Changes in Vital Sign Values
Tidsramme: From start of study drug administration up to Week 160 (current study)
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Vital sign values include body temperature, respiratory rate, sitting blood pressure (systolic and diastolic, resting more than 5 minutes), pulse (beats per minute).
Clinical significance of vital signs will be determined at the investigator's discretion.
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From start of study drug administration up to Week 160 (current study)
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All Cohorts: Number of Participants With Clinically Significant Changes in Clinical Laboratory Values
Tidsramme: From start of study drug administration up to Week 160 (current study)
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Laboratory parameters include hematology, clinical chemistry and urinalysis.
Clinical significance of laboratory values will be determined at the investigator's discretion.
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From start of study drug administration up to Week 160 (current study)
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Cohorts 1 and 2: Number of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Values
Tidsramme: At Day 1 and Week 156 (current study)
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ECGs will be performed with the participant in the supine or semi-supine position and after resting comfortably for at least 5 minutes.
Clinical significance of 12-lead ECG values will be determined at the investigator's discretion.
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At Day 1 and Week 156 (current study)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Cohort 1: Percentage of CD Participants Achieving Clinical Remission Based on the Crohn's Disease Activity Index (CDAI)
Tidsramme: Up to Week 156 (current study)
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Clinical remission is defined as a CDAI score of less than (<) 150 points.
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Up to Week 156 (current study)
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Cohort 1: Percentage of CD Participants Achieving Clinical Response Based on the CDAI
Tidsramme: Up to Week 156 (current study)
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Clinical response is defined as greater than (>) 100-point decrease from parent study baseline in CDAI score.
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Up to Week 156 (current study)
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Cohort 1: Percentage of CD Participants Achieving Decrease in Endoscopic Response Based on Simple Endoscopic Score for Crohn's Disease (SES-CD)
Tidsramme: At Weeks 48, 108, and 156 (current study)
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Endoscopic response is defined by decrease in SES-CD >50 percent (%) from baseline (defined as % baseline in parent study TAK-279-CD-2001 [NCT06233461]) (or for participants with isolated ileal disease, SES-CD less than or equal to (=<) 4 or at least a 2-point reduction from baseline).
The SES-CD score ranges from 0 to 56 which includes 4 endoscopic variables (intestinal surface affected by ulcers, intestinal surface affected by other inflammatory lesions, presence of ulcers, and presence of narrowing).
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At Weeks 48, 108, and 156 (current study)
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Cohort 1: Percentage of CD Participants Achieving Endoscopic Remission Based on SES-CD
Tidsramme: At Weeks 48, 108, and 156 (current study)
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Endoscopic remission is defined as SES-CD score =< 4 or =< 2 for ileal disease, no sub-score >1.
The SES-CD score ranges from 0 to 56 which includes 4 endoscopic variables (the intestinal surface affected by ulcers, the intestinal surface affected by other inflammatory lesions, the presence of ulcers, and the presence of narrowing).
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At Weeks 48, 108, and 156 (current study)
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Cohort 1: Percentage of CD Participants With Clinical Remission in 2-item Patient-reported Outcome Measure (PRO2)
Tidsramme: Up to Week 156 (current study)
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Clinical remission based on PRO2 is defined as average daily liquid or very soft stool frequency (SF) score less than or equal to (<=) 2.8 and not worse than parent study baseline and average daily abdominal pain (AP) score <=1 and not worse than baseline.
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Up to Week 156 (current study)
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Cohort 1: Percentage of CD Participants With a Clinical Response in PRO2
Tidsramme: Up to Week 156 (current study)
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Clinical response based on PRO2 is defined as greater than or equal to (>=) 30% decrease in average daily very soft or liquid stools and/ or >=30% decrease in average AP from parent study baseline.
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Up to Week 156 (current study)
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Cohort 2: Percentage of UC Participants Achieving Clinical Remission Based on Modified Mayo Score (mMS)
Tidsramme: At Weeks 48, 108, and 156 (current study)
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The mMS is a composite score of 3 assessments consisting of stool frequency (SF), rectal bleeding (RB), and endoscopic score (ES).
Each component sub-score ranges from 0 to 3 and total score range of the mMS is from 0 to 9, with higher scores indicating more severe disease.
Clinical remission is defined as Mayo RB sub-score of 0, Mayo SF sub-score of 0 or 1, and ES sub-score 1 or 0 (score of 1 modified to exclude friability).
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At Weeks 48, 108, and 156 (current study)
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Cohort 2: Percentage of UC Participants Achieving Clinical Response Based on mMS
Tidsramme: At Weeks 48, 108, and 156 (current study)
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Clinical response is defined as reduction from parent study baseline in mMS of >=2 points and >=30% from parent study baseline and a decrease from parent study baseline in the RB sub-score of >=1 point or an absolute RB sub-score of <=1 point.
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At Weeks 48, 108, and 156 (current study)
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Cohort 2: Percentage of UC Participants Achieving a Symptomatic Remission
Tidsramme: Up to Week 156 (current study)
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Symptomatic remission is defined as RB sub-score of 0 and SF sub-score of Mayo score <=1.
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Up to Week 156 (current study)
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Cohort 2: Percentage of UC Participants Achieving Endoscopic Improvement Based on Modified Mayo Endoscopic Sub-score (ES)
Tidsramme: At Weeks 48, 108, and 156 (current study)
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Endoscopic improvement is defined as a modified Mayo ES of <=1 (score of 1 modified to exclude friability).
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At Weeks 48, 108, and 156 (current study)
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Cohort 2: Percentage of UC Participants Achieving Endoscopic Remission Based on Modified Mayo (ES)
Tidsramme: At Weeks 48, 108, and 156 (current study)
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Endoscopic remission is defined as a modified Mayo ES of 0.
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At Weeks 48, 108, and 156 (current study)
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Cohorts 1 and 2: Percentage of CD or UC Participants With no Bowel Urgency
Tidsramme: Up to Week 156 (current study)
|
Bowel urgency is measured by the bowel urgency electronic diary (eDiary) item.
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Up to Week 156 (current study)
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Cohorts 1 and 2: Percentage of UC or CD Participants With no Abdominal Pain
Tidsramme: Up to Week 156 (current study)
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Abdominal pain is measured by abdominal pain eDiary item.
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Up to Week 156 (current study)
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Cohorts 1 and 2: Change From Baseline in Fatigue in UC or CD Participants as Measured by the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) Score
Tidsramme: Up to Week 156 (current study)
|
The FACIT-Fatigue is a reliable and valid instrument for measuring fatigue.
The responses to the 13 items on the FACIT-Fatigue questionnaire are each measured on a 5-point Likert scale, where 0=Not at all, 1=A little bit, 2=Somewhat, 3=Quite a bit and 4=Very much.
The total score ranges from 0 to 52.
High scores represent less fatigue.
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Up to Week 156 (current study)
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Cohorts 1 and 2: Percentage of UC or CD Participants With Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score >=170
Tidsramme: Up to Week 156 (current study)
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The IBDQ is a 32-item questionnaire that measures 4 dimensions: bowel systems (10 items), emotional function (12 items), systemic function (5 items), and social function (5 items).
The total score ranges from 32 to 224, with higher scores representing better quality of life.
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Up to Week 156 (current study)
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Cohorts 1 and 2: Change From Baseline in Disease-Specific Health-related Quality of Life (HRQoL) in UC or CD Participants as Measured by IBDQ Total Score
Tidsramme: Up to Week 156 (current study)
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The IBDQ is a 32-item questionnaire that measures 4 dimensions: bowel systems (10 items), emotional functional (12 items), systemic function (5 items), and social function (5 items).
The total score ranges from 32 to 224, with higher scores representing better quality of life.
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Up to Week 156 (current study)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Study Director, Takeda
Publikationer og nyttige links
Hjælpsomme links
- Click here for more information about this trial in easy-to-understand language, including a Plain Language Summary of the results if the trial has been completed.
- Click here to ask Takeda's chatbot for comprehensive and easy-to-understand information about clinical trials - even across products and indications - in your local language.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TAK-279-IBD-2001
- 2024-518914-18-00 (Ctis: EU CTR Number)
- jRCT2041250166 (Registry Identifier: jRCT)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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