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.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 1
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Trial Transparency email recommended (Toll free for US & Canada)
- Numero di telefono: option 6 800-633-1610
- Email: Contact-US@sanofi.com
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
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Participants aged ≥18 and ≤65 years (both inclusive) of age at Screening.
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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.
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Crohn's Disease (CD) participants only:
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Confirmed diagnosis of CD for at least 3 months prior to Screening.
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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.
-
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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
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Immunomodulators (eg, AZA, 6-MP, MTX, tacrolimus, thioguanine).
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IV or oral corticosteroids. Advanced therapies
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Biologics (eg, infliximab, golimumab, adalimumab, certolizumab pegol, natalizumab, vedolizumab, risankizumab, guselkumab, mirikizumab, ustekinumab)
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JAKi (eg, upadacitinib).
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S1PRm (eg, ozanimod, etrasimod).
- Participant must weigh >40 kg.
Exclusion Criteria:
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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.
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Crohn's Disease (CD) participants only:
--Participant with a current diagnosis of UC or indeterminate colitis.
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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.
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Participant with ostomy or ileoanal pouch.
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Participant diagnosed with short bowel syndrome.
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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.
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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.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Scienza basilare
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: 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
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
AUC for CYP isoform specific substrates midazolam, omeprazole, warfarin, caffeine, and metoprolol
Lasso di tempo: 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
Lasso di tempo: 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)
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Duvakitug serum concentrations: Ctrough
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: At Treatment Period 2, from Day 1 to Day 85
|
At Treatment Period 2, from Day 1 to Day 85
|
|
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Number of participants with TEAEs, TESAEs, TEAESIs, and TEAEs leading to permanent study intervention discontinuation
Lasso di tempo: 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)
|
Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- INT20164
- 2026-525939-17 (Identificatore di registro: CTIS (EU))
- U1111-1332-7822 (Identificatore di registro: ICTRP)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
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
Informazioni su farmaci e dispositivi, documenti di studio
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