An Open-label, DDI Study to Investigate the Effects of Duvakitug on the PK of Selected Cytochrome P450 Substrates
An Open-label, Single-sequence Drug-drug Interaction Study to Investigate the Effects of Duvakitug on the Pharmacokinetics of Selected Cytochrome P450 Substrates in Adult Participants With Moderately to Severely Active Ulcerative Colitis or Crohn's Disease
This is an open-label, single group, 2-period, Phase 1, single-arm study. The primary purpose of this study is to investigate the effects of duvakitug on the pharmacokinetics of selected cytochrome P450 substrates in adult participants with moderately to severely active ulcerative colitis or Crohn's disease. Approximately 25 participants will be enrolled. The total study duration per participant will be approximately 166 days.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Trial Transparency email recommended (Toll free for US & Canada)
- Telefonnummer: option 6 800-633-1610
- E-mail: Contact-US@sanofi.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
-
Participants aged ≥18 and ≤65 years (both inclusive) of age at Screening.
-
Ulcerative colitis (UC) participants only:
- Confirmed diagnosis of UC for at least 3 months prior to Screening.
- Active UC with a modified Mayo Score of 5 to 9 points and Mayo Endoscopic Subscore of 2 to 3 at Screening (historical endoscopy within 3 months of screening). If no data are available or if available historical endoscopy data are deemed insufficient to determine clinical status, an endoscopy will be performed at Screening.
-
Crohn's Disease (CD) participants only:
-
Confirmed diagnosis of CD for at least 3 months prior to Screening.
-
Participants with moderately to severely active CD, defined as:
- Persistently active disease with a Crohn's Disease Activity Index score of 220 to 450, with endoscopic Simple Endoscopic Score for Crohn's Disease score (excluding the presence of narrowing component) ≥6 (or ≥4 for participants with isolated ileal disease), (historical endoscopy within 3 months of Screening). If no data are available, an endoscopy will be performed at Screening.
- Average daily very soft or liquid stool frequency ≥4.0 and/or average daily abdominal pain score ≥2.0 at Screening.
-
-
Demonstrated inadequate response, loss of response or intolerance to conventional therapies or advanced therapies, in the opinion of the Investigator to at least 1 of following approved treatments:
Conventional therapies
-
Immunomodulators (eg, AZA, 6-MP, MTX, tacrolimus, thioguanine).
-
IV or oral corticosteroids. Advanced therapies
-
Biologics (eg, infliximab, golimumab, adalimumab, certolizumab pegol, natalizumab, vedolizumab, risankizumab, guselkumab, mirikizumab, ustekinumab)
-
JAKi (eg, upadacitinib).
-
S1PRm (eg, ozanimod, etrasimod).
- Participant must weigh >40 kg.
Exclusion Criteria:
-
For ulcerative colitis (UC) participants only:
- Participant with a current diagnosis of CD or indeterminate colitis.
- Participant with a current diagnosis of ulcerative proctitis (disease limited to the rectum) during the screening endoscopy and in the available endoscopic report.
- Participant with surgical bowel resection within the past 3 months prior to Screening, or a history of >3 bowel resections.
-
Crohn's Disease (CD) participants only:
--Participant with a current diagnosis of UC or indeterminate colitis.
-
Participant with the following current complications of UC or CD:
- Abscess (abdominal or peri-anal),
- Impassable or symptomatic bowel strictures,
- Fulminant colitis, or toxic megacolon, or
- Any other manifestation that might require surgery while enrolled in the study.
-
Participant with ostomy or ileoanal pouch.
-
Participant diagnosed with short bowel syndrome.
-
Poor metabolizers for cytochrome P450 (CYP) 2C9, CYP2C19, or CYP2D6 based on genotyping. Participants who do not consent to this required CYP genotype testing will be excluded from the study.
-
Any contraindication to one or more of the following CYP cocktail study interventions, according to the applicable labeling:
- Caffeine.
- Metoprolol.
- Midazolam.
- Omeprazole.
- Warfarin.
- Vitamin K.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Grundvidenskab
- Tildeling: Ikke-randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Duvakitug
Subcutaneous injection of duvakitug as per protocol and oral administration of caffeine, metoprolol, midazolam, omeprazole, warfarin and vitamin K as per protocol |
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous injection
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
AUC for CYP isoform specific substrates midazolam, omeprazole, warfarin, caffeine, and metoprolol
Tidsramme: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
AUC: Area under the plasma concentration versus time curve extrapolated to infinity |
At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
|
AUClast for CYP isoform specific substrates midazolam, omeprazole, warfarin, caffeine, and metoprolol
Tidsramme: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
AUClast: Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast |
At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Duvakitug serum concentrations: Ctrough
Tidsramme: At Treatment Period 2, from Day 1 to Day 85
|
Ctrough: Serum concentration observed just before treatment administration during multiple dosing |
At Treatment Period 2, from Day 1 to Day 85
|
|
tmax of CYP substrates alone and after duvakitug administration
Tidsramme: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
tmax: Time to reach Cmax |
At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
|
t1/2 of CYP substrates alone and after duvakitug administration
Tidsramme: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
Terminal half-life associated with the terminal slope (λz) where λz is the slope of the regression line of the terminal phase of the plasma concentration versus time curve, in semi logarithmic scale. Half-life is calculated by taking the regression of at least 3 points. |
At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
|
tlast of CYP substrates alone and after duvakitug administration
Tidsramme: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
tlast: Time corresponding to the last concentration above the limit of quantification, Clast |
At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
|
Cmax of CYP substrates alone and after duvakitug administration
Tidsramme: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
Cmax: Maximum plasma concentration observed |
At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)
|
|
Number of participants with anti-drug antibodies against duvakitug
Tidsramme: At Treatment Period 2, from Day 1 to Day 85
|
At Treatment Period 2, from Day 1 to Day 85
|
|
|
Number of participants with TEAEs, TESAEs, TEAESIs, and TEAEs leading to permanent study intervention discontinuation
Tidsramme: From Treatment Period 1, Day 1 until the End of Study visit (approximately 130 days)
|
TEAE: treatment-emergent adverse event, TESAE: treatment-emergent serious adverse event, TEAESI: treatment-emergent adverse event of special interest |
From Treatment Period 1, Day 1 until the End of Study visit (approximately 130 days)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
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
- INT20164
- 2026-525939-17 (Registry Identifier: CTIS (EU))
- U1111-1332-7822 (Registry Identifier: ICTRP)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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