- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07923383
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.
Przegląd badań
Status
Interwencja / Leczenie
Typ studiów
Zapisy (Szacowany)
Faza
- Faza 1
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Trial Transparency email recommended (Toll free for US & Canada)
- Numer telefonu: option 6 800-633-1610
- E-mail: Contact-US@sanofi.com
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Podstawowa nauka
- Przydział: Nielosowe
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: 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
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
AUC for CYP isoform specific substrates midazolam, omeprazole, warfarin, caffeine, and metoprolol
Ramy czasowe: 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
Ramy czasowe: 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)
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Duvakitug serum concentrations: Ctrough
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
|
Współpracownicy i badacze
Sponsor
Współpracownicy
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- INT20164
- 2026-525939-17 (Identyfikator rejestru: CTIS (EU))
- U1111-1332-7822 (Identyfikator rejestru: ICTRP)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu 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
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
produkt wyprodukowany i wyeksportowany z USA
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