Исследование фазы IIa по оценке AZD7798 при болезни Крона (AMALTHEA)
Двойное слепое плацебо-контролируемое исследование фазы IIa для оценки эффективности и безопасности AZD7798 у пациентов с болезнью Крона от умеренной до тяжелой степени
This is a randomised, double-blind, parallel group, placebo-controlled Phase IIa study designed to evaluate the efficacy and safety of AZD7798 in participants with moderate to severe Crohn's disease.
Обзор исследования
Статус
Статус
Условия
Условия
Вмешательство/лечение
Вмешательство/лечение
Тип исследования
Тип исследования
Регистрация (Действительный)
Регистрация
Фаза
Фаза
- Фаза 2
Контакты и местонахождение
Места учебы
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Adelaide, Австралия, 5000
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Box Hill, Австралия, 3128
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Fitzroy, Австралия, 3065
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Melbourne, Австралия, 3004
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Wollongong, Австралия, 2500
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CABA, Аргентина, C1025ABI
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CABA, Аргентина, 1125
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Ciudad Autonoma de Bs As, Аргентина, C1013AAB
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Ciudad de Buenos Aires, Аргентина, 1128
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San Miguel de Tucumán, Аргентина, 4000
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Leuven, Бельгия, 3000
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Gorna Oryahovitsa, Болгария, 5100
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Sofia, Болгария, 1784
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Sofia, Болгария, 1680
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Campinas, Бразилия, 13092133
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Jaú, Бразилия, 17201-130
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Porto Alegre, Бразилия, 90035-903
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Santo André, Бразилия, 09080-110
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São José do Rio Preto, Бразилия, 15090-000
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São Paulo, Бразилия, 04077020
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Békéscsaba, Венгрия, 5600
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Gyöngyös, Венгрия, 3200
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Hanoi, Вьетнам, 100000
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Ho Chi Minh City, Вьетнам, 700000
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Hà Nội, Вьетнам, 100000
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Hồ Chí Minh, Вьетнам, 700000
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Berlin, Германия, 14163
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Potsdam, Германия, 14467
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Ulm, Германия, 89081
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Barcelona, Испания, 08022
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Seville, Испания, 41013
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Milan, Италия, 20132
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Milan, Италия, 20157
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Roma, Италия, 00152
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Rome, Италия, 00168
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Alberta
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Lethbridge, Alberta, Канада, T1J4G9
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Beijing, Китай, CN-100730
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Chengdu, Китай, 610041
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Guangzhou, Китай, 510080
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Guangzhou, Китай, 510655
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Hangzhou, Китай, 310016
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Nanchang, Китай, 330006
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Nanjing, Китай, 210029
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Wuhan, Китай, 430030
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Johor Bahru, Малайзия, 80100
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Kota Bharu, Малайзия, 15586
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Kota Kinabalu, Малайзия, 88200
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Kuala Lumpur, Малайзия, 59100
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Kuching, Малайзия, 93586
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Amsterdam, Нидерланды, 1081 HZ
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Bydgoszcz, Польша, 85-229
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Chojnice, Польша, 89-600
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Krakow, Польша, 30-363
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Lublin, Польша, 20-582
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Poznan, Польша, 60-529
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Poznan, Польша, 61-731
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Sopot, Польша, 81-756
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Warsaw, Польша, 00-189
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Warsaw, Польша, 04-501
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Wroclaw, Польша, 53-149
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Bucharest, Румыния, 020125
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Cluj-Napoca, Румыния, 400380
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Timișoara, Румыния, 300002
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Košice, Словакия, 04013
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Nitra, Словакия, 94901
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Prešov, Словакия, 08001
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Trnava, Словакия, 91702
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Arizona
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Phoenix, Arizona, Соединенные Штаты, 85054
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California
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Escondido, California, Соединенные Штаты, 92025
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La Jolla, California, Соединенные Штаты, 92037
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Florida
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Orlando, Florida, Соединенные Штаты, 32825
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Idaho
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Idaho Falls, Idaho, Соединенные Штаты, 83404
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Kansas
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Kansas City, Kansas, Соединенные Штаты, 66160
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Michigan
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Clinton Township, Michigan, Соединенные Штаты, 48038
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Missouri
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St Louis, Missouri, Соединенные Штаты, 63156
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North Carolina
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Asheville, North Carolina, Соединенные Штаты, 28803
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Charlotte, North Carolina, Соединенные Штаты, 28204
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Pennsylvania
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Uniontown, Pennsylvania, Соединенные Штаты, 15401
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Texas
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Garland, Texas, Соединенные Штаты, 75044
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San Antonio, Texas, Соединенные Штаты, 78229
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New Taipei City, Тайвань, 24352
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Taichung, Тайвань, 40447
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Taipei, Тайвань, 10002
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Taoyuan, Тайвань, 333
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Ankara, Турция (Туркие), 6500
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Ankara, Турция (Туркие), 06800
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Antalya, Турция (Туркие), 07100
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Izmir, Турция (Туркие), 35100
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Malatya, Турция (Туркие), 44280
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İzmit, Турция (Туркие), 41000
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Chernivtsі, Украина, 58022
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Kiev, Украина, 02000
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Kyiv, Украина, 03680
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Kyiv, Украина, 04210
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Ternopil, Украина, 46000
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Vinnytsia, Украина, 21009
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Vinnytsia, Украина, 21001
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Montpellier, Франция, 34090
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Pierre-Bénite, Франция, 69495
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Santiago, Чили, 8330034
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Santiago, Чили, 7500010
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Santiago, Чили, 7691236
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Viña del Mar, Чили, 2540488
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Linköping, Швеция, 58185
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Stockholm, Швеция, 11630
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Assagay, Южная Африка, 3610
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Plumstead, Южная Африка, 7800
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Hiroshima, Япония, 734-8551
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Kashiwa-shi, Япония, 277-0871
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Kure-shi, Япония, 737-8505
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Minatoku, Япония, 108-8642
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Nagasaki, Япония, 852-8501
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Nagoya, Япония, 466-8560
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Sakura-shi, Япония, 285-8741
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Sapporo, Япония, 060-8543
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Sendai, Япония, 980-8574
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Критерии участия
Критерии приемлемости
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
Inclusion Criteria:
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18 to 80 years of age.
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Diagnosis of Crohn's disease established with verifiable clinical, AND at least one of imaging, endoscopic and/or histopathologic evidence.
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Moderate to severe active Crohn's disease.
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Ileal/ileocecal (L1), colonic (L2), or ileocolonic (L3) disease, as classified based on the localisation of active inflammation.
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Capable of giving signed informed consent.
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A history of at least one of:
- Intolerance or inadequate response to conventional treatment (oral corticosteroid, azathioprine, 6-mercaptopurine, or methotrexate), biologics, or other approved advanced therapy (eg, JAK inhibitors) OR
- Corticosteroid dependency (defined as inability to taper below budesonide 6 mg/day or prednisolone 10 mg/day equivalent dosing without recurrent active disease) for the treatment of Crohn's disease.
Exclusion Criteria:
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Evidence, or clinical suspicion, of other forms of IBD or concomitant additional active gastrointestinal luminal inflammatory diseases.
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Symptomatic strictures or bowel stenoses, or strictures preventing passage of endoscope throughout the colon (including at screening endoscopy).
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Any complications of Crohn's disease where surgery is anticipated or planned prior to end of study treatment.
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Evidence of extensive prior gastrointestinal surgical interventions.
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Within 3 months prior to screening endoscopy visit:
- History of toxic megacolon
- Diagnosis of peritonitis or need for treatment of peritonitis
- Bowel perforation or evidence of obstruction.
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All intrabdominal abscesses are excluded. Cutaneous and perianal/perirectal abscesses and fistulae are excluded unless adequately drained at least 4 weeks prior to screening endoscopy visit with no anticipation for surgery prior to end of study treatment.
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Ongoing or expected nutritional dependency on total enteral or parenteral nutrition during study.
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Evidence of an increased risk of colorectal cancer.
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Symptomatic oral Crohn's disease within one year.
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Any of the following treatments within the specified time period prior to screening endoscopy visit
- An anti-TNF biologic within 8 weeks prior to screening endoscopy visit
- Any biologic targeting immune response other than an anti-TNF within 12 weeks prior to screening endoscopy visit
- Other advanced small molecule treatments for Crohn's disease within 4 weeks prior to screening endoscopy visit
- Cyclosporine, mycophenolate mofetil, sirolimus (rapamycin), thalidomide, or tacrolimus (FK-506) within 4 weeks prior to screening endoscopy visit
- Treatment with apheresis within 4 weeks prior to screening endoscopy visit
- Administration of any live vaccine within 4 weeks prior to screening endoscopy visit to end of study
- Faecal microbiota transplantation within 4 weeks prior to screening endoscopy visit
- Lymphocyte-depleting treatment within 12 months prior to screening endoscopy visit
- Any previous exposure to AZD7798.
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Any initiation or changes in dosing of the following medications prior to screening endoscopy visit as outlined: (a) 5-aminosalicylates within 2 weeks (b) Oral corticosteroids within 2 weeks or stable doses of steroids exceeding the following dose equivalents: (i) Systemic steroids > 20 mg/day or prednisolone equivalent (ii) Steroids with limited systemic effects (eg, budesonide and beclomethasone), exceeding maximum budesonide dose equivalent (9 mg/day) (c) Immunomodulators within 4 weeks (d) Antibiotic therapy for the treatment of Crohn's disease (e) Probiotics within 2 weeks.
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Chronic use of nonsteroidal anti-inflammatory drugs.
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Evidence of recent or currently active infection, including use of IV or oral antibiotics for documented infection within 30 days prior to screening endoscopy visit.
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Evidence of chronic HBV or HCV.
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History of TB (active or latent) unless an appropriate course of treatment has been completed.
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Positive diagnostic TB test at screening.
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History of serious opportunistic infection within 12 months prior to screening endoscopy visit.
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CMV colitis within previous 12 months prior to screening endoscopy visit.
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Positive C. difficile toxin stool test at screening.
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Symptomatic herpes zoster infection within 3 months prior to screening endoscopy.
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Any identified immunodeficiency.
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Abnormal laboratory results at screening suggesting participation may be unsafe, which will prevent the patient from completing the study, or will interfere with the interpretation of the study results.
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Reproduction:
- Pregnant and breastfeeding patients, or those planning to breastfeed during the study
- FOCBP unless completely abstinent or using a highly effective contraception and barrier method of contraception.
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Prolonged QTcF interval.
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Clinically significant cardiovascular conditions.
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Current malignancy or history of malignancy.
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Current significant major or unstable respiratory disease, heart disease, cerebrovascular disease, haematological disease, hepatic disease, renal disease, gastrointestinal disease or other major disease other than active Crohn's disease.
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Current enrolment in another interventional study or treatment with any investigational drug within 4 months prior to screening endoscopy visit.
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Unstable lifestyle factors.
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Patients committed to an institution by virtue of an order issued either by the judicial or the administrative authorities.
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Investigator concerns regarding patient's willingness and ability to attend all study visits, comply with the study procedures, read in order to complete questionnaires, or to complete the study period
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Четырехместный
Количество рук
Оружие и интервенции
Группа участников / АрмияГруппа участников / Армия |
Вмешательство/лечениеВмешательство/лечение |
|---|---|
|
Плацебо Компаратор: Placebo
Placebo |
Placebo |
|
Экспериментальный: AZD7798
AZD7798 |
AZD7798 |
Что измеряет исследование?
Первичные показатели результатов
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
CDAI remission
Временное ограничение: Week 12
|
Crohn's Disease Activity Index (CDAI) is a research tool used to quantify the symptoms of patients with Crohn's disease. It is based on: number of loose stools, abdominal pain, general well-being, extraintestinal complications, antidiarrheal agents used in the previous 7 days, abdominal mass felt on palpation, hematocrit and body weight |
Week 12
|
Вторичные показатели результатов
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Endoscopic response
Временное ограничение: Week 12
|
Simple Endoscopic Score for Crohn's Disease (SES-CD) is based on the evaluation of five defined bowel segments (rectum, sigmoid + descending colon, transverse colon, ascending colon, and terminal ileum), and in these segments the presence and size of ulcerations and the extent of the inflammatory area and stenosis are assessed |
Week 12
|
|
Endoscopic remission
Временное ограничение: Week 12
|
Simple Endoscopic Score for Crohn's Disease (SES-CD) is based on the evaluation of five defined bowel segments (rectum, sigmoid + descending colon, transverse colon, ascending colon, and terminal ileum), and in these segments the presence and size of ulcerations and the extent of the inflammatory area and stenosis are assessed |
Week 12
|
|
Endoscopic score change from baseline
Временное ограничение: Week 12
|
Simple Endoscopic Score for Crohn's Disease (SES-CD) is based on the evaluation of five defined bowel segments (rectum, sigmoid + descending colon, transverse colon, ascending colon, and terminal ileum), and in these segments the presence and size of ulcerations and the extent of the inflammatory area and stenosis are assessed |
Week 12
|
|
CDAI response
Временное ограничение: Week 12
|
Crohn's Disease Activity Index (CDAI) is a research tool used to quantify the symptoms of patients with Crohn's disease. It is based on: number of loose stools, abdominal pain, general well-being, extraintestinal complications, antidiarrheal agents used in the previous 7 days, abdominal mass felt on palpation, hematocrit and body weight |
Week 12
|
|
CDAI score change from baseline
Временное ограничение: Week 12
|
Crohn's Disease Activity Index (CDAI) is a research tool used to quantify the symptoms of patients with Crohn's disease. It is based on: number of loose stools, abdominal pain, general well-being, extraintestinal complications, antidiarrheal agents used in the previous 7 days, abdominal mass felt on palpation, hematocrit and body weight |
Week 12
|
|
Symptomatic remission
Временное ограничение: Week 12
|
Decrease of average daily stool frequency and average daily abdominal pain |
Week 12
|
|
Serum AZD7798 concentration
Временное ограничение: Up to 85 days
|
Serum AZD7798 concentration (PK) |
Up to 85 days
|
|
Incidence of anti-drug antibody response
Временное ограничение: Up to 36 weeks
|
Incidence of anti-drug antibody (ADA) response - number and percentages with a positive ADA result |
Up to 36 weeks
|
|
Titre of anti-drug antibody response
Временное ограничение: Up to 36 weeks
|
Titre of anti-drug antibody (ADA) response - immunogenicity titre will be summarized descriptively as a continuous variable, only for ADA positive tests |
Up to 36 weeks
|
Соавторы и исследователи
Спонсор
Спонсор
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Начало исследования
Первичное завершение (Действительный)
Первичное завершение
Завершение исследования (Оцененный)
Завершение исследования
Даты регистрации исследования
Первый отправленный
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Первый опубликованный
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее опубликованное обновление
Последнее отправленное обновление, отвечающее критериям контроля качества
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
Другие идентификационные номера исследования
- D9690C00005
Планирование данных отдельных участников (IPD)
Планируете делиться данными об отдельных участниках (IPD)?
Описание плана IPD
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Сроки обмена IPD
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Критерии совместного доступа к IPD
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
Совместное использование IPD Поддерживающий тип информации
- STUDY_PROTOCOL
- САП
Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .