中等症から重症の活動性潰瘍性大腸炎患者を対象としたMK-8690の有効性および安全性を評価する研究(MK-8690-002)
中等症から重症の活動性潰瘍性大腸炎を有する成人参加者を対象としたMK-8690の有効性と安全性を評価する第2a相無作為化二重盲検プラセボ対照試験
The purpose of this protocol is to evaluate the efficacy of MK-8690 in participants with moderately to severely active ulcerative colitis. The primary hypothesis is that MK-8690 is superior to placebo with respect to the proportion of participants achieving clinical remission per Modified Mayo Score at Week 12.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
研究の種類
研究の種類
入学 (推定)
入学
段階
段階
- フェーズ2
連絡先と場所
研究連絡先
研究連絡先
- 名前:Toll Free Number
- 電話番号:1-888-577-8839
- メール:Trialsites@msd.com
研究場所
-
-
California
-
Anaheim、California、アメリカ、92805
- 募集
- Clinnova Research ( Site 1042)
-
コンタクト:
- Study Coordinator
- 電話番号:949-889-0249
-
Coronado、California、アメリカ、92118
- 募集
- Southern California Research Center ( Site 1044)
-
コンタクト:
- Study Coordinator
- 電話番号:619-522-0330
-
-
Colorado
-
Colorado Springs、Colorado、アメリカ、80907
- 募集
- Peak Gastroenterology Associates ( Site 1052)
-
コンタクト:
- Study Coordinator
- 電話番号:719-636-1201
-
Englewood、Colorado、アメリカ、80113
- 募集
- South Denver Gastroenterology, PC ( Site 1068)
-
コンタクト:
- Study Coordinator
- 電話番号:303-406-4288
-
-
Florida
-
Inverness、Florida、アメリカ、34452
- 募集
- Nature Coast Clinical Research ( Site 1045)
-
コンタクト:
- Study Coordinator
- 電話番号:352-341-2100
-
Miami、Florida、アメリカ、33134
- 募集
- Research Associates of South Florida - Miami - Southwest 8th Street ( Site 1072)
-
コンタクト:
- Study Coordinator
- 電話番号:786-476-8790
-
Orlando、Florida、アメリカ、32803
- 募集
- AdventHealth Orlando ( Site 1074)
-
コンタクト:
- Study Coordinator
- 電話番号:407-303-9921
-
-
Georgia
-
Macon、Georgia、アメリカ、31201
- 募集
- Gastroenterology Associates of Central Georgia ( Site 1060)
-
コンタクト:
- Study Coordinator
- 電話番号:478-464-2600
-
-
Kansas
-
Kansas City、Kansas、アメリカ、66160
- 募集
- University of Kansas Medical Center ( Site 1077)
-
コンタクト:
- Study Coordinator
- 電話番号:913-588-6019
-
-
Louisiana
-
New Orleans、Louisiana、アメリカ、70112
- 募集
- Tulane University School of Medicine-Gastroenterology and Hepatology ( Site 1073)
-
コンタクト:
- Study Coordinator
- 電話番号:504-988-5110
-
-
Missouri
-
Liberty、Missouri、アメリカ、64068
- 募集
- BVL Research - Kansas ( Site 1054)
-
コンタクト:
- Study Coordinator
- 電話番号:816-222-4241
-
-
-
-
Cambridgeshire
-
Cambridge、Cambridgeshire、イギリス、CB2 0QQ
- 募集
- Addenbrooke's Hospital ( Site 1525)
-
コンタクト:
- Study Coordinator
- 電話番号:+4401223596461
-
-
Lancashire
-
Bury、Lancashire、イギリス、BL9 7TD
- 募集
- Fairfield General Hospital ( Site 1524)
-
コンタクト:
- Study Coordinator
- 電話番号:+4401617783879
-
-
London, City of
-
London、London, City of、イギリス、SE1 9RT
- 募集
- Guys and St Thomas NHS Foundation Trust ( Site 1523)
-
コンタクト:
- Study Coordinator
- 電話番号:020 7188 8315
-
-
York
-
Huddersfield、York、イギリス、HD3 3EA
- 募集
- Huddersfield Royal Infirmary ( Site 1522)
-
コンタクト:
- Study Coordinator
- 電話番号:+4401484355434
-
-
-
-
Emilia-Romagna
-
Bologna、Emilia-Romagna、イタリア、40138
- 募集
- IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola ( Site 1404)
-
コンタクト:
- Study Coordinator
- 電話番号:+39 0512144134
-
-
-
-
Gelderland
-
Nijmegen、Gelderland、オランダ、6525 GA
- 募集
- Radboudumc ( Site 1650)
-
コンタクト:
- Study Coordinator
- 電話番号:0031 24-3619190
-
-
North Holland
-
Amsterdam、North Holland、オランダ、1081 HZ
- 募集
- Amsterdam UMC, locatie VUmc ( Site 1651)
-
コンタクト:
- Study Coordinator
- 電話番号:020-4446630
-
-
-
-
Alberta
-
Lethbridge、Alberta、カナダ、T1J 4G9
- 募集
- Prairie Institute of Liver and Luminal Advanced Research ( Site 1008)
-
コンタクト:
- Study Coordinator
- 電話番号:(587) 691 3756
-
-
Ontario
-
Toronto、Ontario、カナダ、M5T 2S8
- 募集
- Toronto Western Hospital ( Site 1006)
-
コンタクト:
- Study Coordinator
- 電話番号:416-603-5949
-
-
Quebec
-
Montreal、Quebec、カナダ、H2X 0C1
- 募集
- Centre Hospitalier de l Universite de Montreal - CHUM ( Site 1001)
-
コンタクト:
- Study Coordinator
- 電話番号:514-890-8000
-
-
-
-
Attica
-
Athens、Attica、ギリシャ、10676
- 募集
- Evangelismos General Hospital of Athens ( Site 1362)
-
コンタクト:
- Study Coordinator
- 電話番号:+306977617000
-
Athens、Attica、ギリシャ、115 27
- 募集
- THORACIC GENERAL HOSPITAL OF ATHENS "I SOTIRIA" ( Site 1361)
-
コンタクト:
- Study Coordinator
- 電話番号:+302107763359
-
-
-
-
Antioquia
-
Medellín、Antioquia、コロンビア、050001
- 募集
- Servicios de Salud IPS Suramericana S.A.S. - IPS Sura Industriales Medellín ( Site 1163)
-
コンタクト:
- Study Coordinator
- 電話番号:+57 3134673355
-
-
Atlántico
-
Barranquilla、Atlántico、コロンビア、080020
- 募集
- Clinica de la Costa S.A.S. ( Site 1161)
-
コンタクト:
- Study Coordinator
- 電話番号:+573006528529
-
-
Cundinamarca
-
Bogota、Cundinamarca、コロンビア、110111
- 募集
- Fundacion Santa Fe de Bogota ( Site 1165)
-
コンタクト:
- Study Coordinator
- 電話番号:+57 3165243088
-
-
Valle del Cauca Department
-
Cali、Valle del Cauca Department、コロンビア、760032
- 募集
- Fundación Valle del Lili ( Site 1162)
-
コンタクト:
- Study Coordinator
- 電話番号:+573146824542
-
-
-
-
-
Brandenburg、ドイツ、14770
- 募集
- Universitätsklinikum Brandenburg an der Havel ( Site 1323)
-
コンタクト:
- Study Coordinator
- 電話番号:+493381412679
-
-
Baden-Wurttemberg
-
Ulm、Baden-Wurttemberg、ドイツ、89081
- 募集
- Universitaetsklinikum Ulm. ( Site 1324)
-
コンタクト:
- Study Coordinator
- 電話番号:+4973150044727
-
-
-
-
Pas-de-Calais
-
Lens、Pas-de-Calais、フランス、62300
- 募集
- Centre Hospitalier Dr Schaffner ( Site 1288)
-
コンタクト:
- Study Coordinator
- 電話番号:+33321691306
-
-
Pays de la Loire Region
-
Nantes、Pays de la Loire Region、フランス、44300
- 募集
- Clinique Jules Verne ( Site 1284)
-
コンタクト:
- Study Coordinator
- 電話番号:+33251171652
-
-
-
-
Lesser Poland Voivodeship
-
Krakow、Lesser Poland Voivodeship、ポーランド、31-513
- 募集
- PROMED P. LACH R. GLOWACKI SP. J. ( Site 1447)
-
コンタクト:
- Study Coordinator
- 電話番号:+48124111398
-
-
Lower Silesian Voivodeship
-
Wroclaw、Lower Silesian Voivodeship、ポーランド、53-611
- 募集
- Melita Medical Sp Zoo ( Site 1442)
-
コンタクト:
- Study Coordinator
- 電話番号:+48717072111
-
-
Masovian Voivodeship
-
Warsaw、Masovian Voivodeship、ポーランド、00-189
- 募集
- EB Group Sp. Z o.o. Centrum Zdrowia MDM ( Site 1449)
-
コンタクト:
- Study Coordinator
- 電話番号:+48783959687
-
Warsaw、Masovian Voivodeship、ポーランド、04-501
- 募集
- Medical Network Spółka z o.o. WIP Warsaw IBD Point Profesor Kierkuś ( Site 1448)
-
コンタクト:
- Study Coordinator
- 電話番号:+48507091469
-
-
West Pomeranian Voivodeship
-
Szczecin、West Pomeranian Voivodeship、ポーランド、71-434
- 募集
- Twoja Przychodnia - Szczeciskie Centrum Medyczne ( Site 1450)
-
コンタクト:
- Study Coordinator
- 電話番号:+48914332919
-
-
-
-
-
Seoul、韓国、03181
- 募集
- Kangbuk Samsung Hospital ( Site 1601)
-
コンタクト:
- Study Coordinator
- 電話番号:+82-2-2001-8556
-
-
Kang-won-do
-
Wŏnju、Kang-won-do、韓国、26426
- 募集
- Wonju Severance Christian Hospital ( Site 1602)
-
コンタクト:
- Study Coordinator
- 電話番号:+82 33 741 0505
-
-
Kyonggi-do
-
Ansan-si、Kyonggi-do、韓国、15355
- 募集
- Korea University Ansan Hospital ( Site 1603)
-
コンタクト:
- Study Coordinator
- 電話番号:+82314127674
-
-
参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
The main inclusion criteria include but are not limited to the following:
- Has had ulcerative colitis (UC) (from onset of symptoms) for at least 3 months before Randomization
- Has moderately to severely active UC
- Has a weight ≥40 kg
- Satisfies at least 1 of the criteria: Has had an inadequate response or loss of response to 1 or more protocol-specified treatments; protocol specified corticosteroid dependence; has been intolerant to 1 or more protocol-specified UC treatments
- Is on treatment with any protocol-specified drugs during the study and meets drug stabilization requirements, as applicable
The main exclusion criteria include but are not limited to the following:
- Has a diagnosis of Crohn's Disease (CD) or indeterminate colitis (inflammatory bowel disease (IBD)-undefined) or other types of colitis or enteritis that may confound efficacy assessment
- Has a current diagnosis of fulminant colitis and/or toxic megacolon
- Has UC limited to the rectum
- Has a current or impending need for colostomy or ileostomy
- Has had a total proctocolectomy or partial colectomy
- Has UC exacerbation requiring hospitalization within 2 weeks before Screening
- Has any active infection as specified in the protocol
- Is known to be infected with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV)
- Has evidence of active tuberculosis (TB) or meets TB exclusionary parameters
- Has a history of cancer (except fully treated nonmelanoma skin cell cancers or cervical carcinoma in situ after complete surgical removal) and is disease free for <5 years before Randomization or has a history of colorectal cancer at any time
- Has prior or current evidence of definite colonic dysplasia except for low-grade dysplasia that has been completely removed
- Has had major surgery within 3 months before Screening or has a major surgery (ie, surgical procedure requiring general anesthesia) planned during the study
- Has received protocol-specified prohibited medications
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:トリプル
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Period 1: MK-8690
Participants will receive MK-8690 via subcutaneous injection for 12 weeks. |
Solution for subcutaneous injection
他の名前:
|
|
プラセボコンパレーター:Period 1: Placebo
Participants will receive placebo via subcutaneous injection for 12 weeks. |
Solution for subcutaneous injection |
|
実験的:Period 2: MK-8690
Participants who do not respond to treatment in Period 1 (regardless of treatment assignment in Period 1) will receive MK-8690 via subcutaneous injection for 12 weeks. |
Solution for subcutaneous injection
他の名前:
|
|
実験的:Period 3: MK-8690
Participants who respond to treatment in either Period 1 or Period 2 will receive additional MK-8690 via subcutaneous injection for up to approximately 42 weeks. |
Solution for subcutaneous injection
他の名前:
|
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Percentage of Participants Achieving Clinical Remission Per Modified Mayo Score (MMS) at Week 12
時間枠:Week 12
|
The MMS is a composite score of UC disease activity on a scale of increasing severity from 0-9, calculated by summing three subscores: Endoscopic subscore (ES), scored on a scale of increasing severity from 0 (normal or inactive disease) to 3 (severe disease, such as spontaneous bleeding or ulceration); Stool frequency subscore (SFS), scored on a scale of increasing frequency from 0 (normal number of stools) to 3 (≥5 stools more than normal per day for the participant); and rectal bleeding subscore (RBS), scored on a scale of increasing severity from 0 (no blood seen) to 3 (blood alone passed). Clinical Remission is defined as an ES of 0 or 1 with no friability, RBS of 0, and SFS of 0 or 1 and not greater than the baseline SFS. |
Week 12
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Percentage of Participants With One or More Adverse Events (AEs)
時間枠:Up to approximately 12 months
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who experience an AE will be reported. |
Up to approximately 12 months
|
|
Percentage of Participants Who Discontinued Study Intervention Due to an AE
時間枠:Up to approximately 12 months
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who discontinue study treatment due to an AE will be reported. |
Up to approximately 12 months
|
|
Percentage of Participants Achieving Clinical Response Per MMS at Week 12
時間枠:Week 12
|
The MMS is a composite score of UC disease activity on a scale of increasing severity from 0-9, calculated by summing three subscores: ES, scored on a scale of increasing severity from 0 (normal or inactive disease) to 3 (severe disease, such as spontaneous bleeding or ulceration); SFS, scored on a scale of increasing frequency from 0 (normal number of stools) to 3 (≥5 stools more than normal per day for the participant); and RBS, scored on a scale of increasing severity from 0 (no blood seen) to 3 (blood alone passed). Clinical response is defined as an MMS reduction of 2 or more points and 30% or more from baseline, plus a reduction of 1 or more points in RBS or an absolute RBS of 0 or 1. |
Week 12
|
|
Percentage of Participants With Endoscopic Improvement at Week 12
時間枠:Week 12
|
Endoscopic improvement is defined as ES of 0 or 1 with no friability. The ES measures UC severity based on endoscopy on a 0-3 scale of increasing severity. |
Week 12
|
|
Percentage of Participants Achieving Clinical Remission Per Partial Modified Mayo Score (pMMS) at Week 12
時間枠:Week 12
|
pMMS is a composite score of UC disease activity on a scale of increasing severity from 0-6, calculated by summing two subscores: SFS, scored from 0 (normal number of stools) to 3 (≥5 stools more than normal per day for the participant) and RBS, scored from 0 (no blood seen) to 3 (blood alone passed). Clinical remission per pMMS is defined as an RBS of 0 and SFS of less than or equal to 1. |
Week 12
|
|
Percentage of Participants Achieving Histologic-Endoscopic Mucosal Improvement (HEMI) at Week 12
時間枠:Week 12
|
HEMI is defined as a Geboes score of 3.1 or less and ES of 0 or 1 with no friability. The Geboes score is a histologic grading system for inflammation in UC with scores ranging from 0 to 5.4, with higher scores indicating more severe inflammation. ES measures UC severity based on endoscopy, scored from 0 (normal or inactive disease) to 3 (severe disease, such as spontaneous bleeding or ulceration). |
Week 12
|
協力者と研究者
捜査官
捜査官
- スタディディレクター:Medical Director、Merck Sharp & Dohme LLC
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
その他の研究ID番号
- 8690-002
- MK-8690-002 (その他の識別子:MSD)
- U1111-1326-7763 (レジストリ識別子:UTN)
- 2025-523479-49-00 (レジストリ識別子:EU CT)
- 2025 (米国 NIH グラント/契約)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。