Safety and Efficacy of TJ301 IV in Participants With Active Ulcerative Colitis

Last updated: January 3, 2021
Sponsor: I-Mab Biopharma HongKong Limited
Overall Status: Completed

Phase

2

Condition

Crohn's Disease

Inflammatory Bowel Disease

Treatment

N/A

Clinical Study ID

NCT03235752
CTJ301UC201
  • Ages 18-70
  • All Genders

Study Summary

This is a multicenter, randomized, double-blind, placebo-controlled phase II study.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male and female patients 18-70 (inclusive) years of age.
  2. Hisory of active UC of more than 3 months. Active UC confirmed by colonoscopy withbiopsy or flexible sigmoidoscopy with biopsy at Screening, with extending > 15-cm pastthe anal verge from endoscopy. Biopsy sample is not necessary if UC is alreadyconfirmed.
  3. Active UC with a full Mayo score≥5 and a rectal bleeding subscore ≥1 at screening.
  4. During Day -28 to Day -6 prior to Randomisation, an endoscopy subscore ≥2.
  5. Treated with conventional non-biological UC therapy: with corticosteroids stable forat least 2 weeks prior to Randomization at no more than 20 mg prednisone per day (orequivalent), and/or with medications containing 5-aminosalicylates (5-ASA) at no lessthan 2 g 5-ASA per day for at least 3 months and stable for at least 4 weeks prior toRandomization, and/or with azathioprine (AZA) at no less than 0.75 mg/kg/day ormercaptopurine (6-MP) at no less than 0.5 mg/kg/day for at least 6 months and stablefor at least 6 weeks prior to Randomization, or MTX no less than 12.5 mg/week andstable for at least 12 weeks prior to Randomization.
  6. Male subjects and female subjects of child bearing potential must have been willing topractice effective contraception during the study and been willing and able tocontinue contraception for 1 month after their last dose of the study treatment.
  7. The patient is able and willing to comply with the requirements of this trialprotocol.
  8. The subject should be able to read and write to understand and fill out Patient Diary.
  9. Voluntarily signed Informed Consent obtained before any trial-related procedures areperformed.
  10. The subject have not received any biologic therapies OR have received 1 biologic drugfor the treatment of UC or immune diseases and the last dose must be longer than 8-week or a 5 half-life (whichever is longer) period prior to the first dose of studydrug.

Exclusion

Exclusion Criteria:

  1. Pregnant or breastfeeding women.
  2. Contraindication to colonoscopy or sigmoidoscopy.
  3. Allergies to any component of TJ301.
  4. Subject who is likely to receive surgery for UC treatment within 1 month based oninvestigator's evaluation.
  5. History of colostomy, colectomy or partial colectomy.
  6. Current diagnosis of inflammatory bowel disease unclassified, Crohn's disease,ischemic colitis, fulminant colitis and/or toxic megacolon, patients with ulcerativecolitis limited to the rectum (ulcerative proctitis), infective enteritis, amebicbowel disease or intestinal schistosomiasis.
  7. History of malignancy other than a successfully treated non-metastatic cutaneoussquamous cell or basal cell carcinoma and/or localized carcinoma in situ of thecervix. If the Screening colonoscopy shows evidence of dysplasia or a malignancy, thepatient is not eligible.
  8. Primary or secondary immunodeficiency including neutropenia (absolute neutrophil count <1500/μL); or lymphopenia (absolute lymphocyte count <500/μL).
  9. Moderate to severe anaemia (haemoglobin <9 g/dL), or thrombocytopenia (platelet count <75 000/μL), or serum creatinine >2 mg/dL.
  10. Autoimmune disease besides UC, with the exceptions of Sjogren's syndrome orhypothyroidism.
  11. Clostridium (C.) difficile positive at screening visit or treated for C. difficilewithin the 4 weeks prior to Randomization.
  12. serum transaminases >2.5 x upper limit of normal [ULN], alkaline phosphatase >2.5 xULN.
  13. Serious underlying disease other than UC in the opinion of the investigator.
  14. History of drug addiction within the last 1 year or current drug addiction or use ofillicit drugs.
  15. Any indication of the regular use of more than 40 grams of alcohol every day.
  16. Smokers who smoke more than 10 cigarettes per day.
  17. Known concurrent acute or chronic viral hepatitis B or C infection or humanimmunodeficiency virus (HIV) infection.
  18. Presence or history of active tuberculosis (TB) or latent TB infection, defined as 1)a positive QuantiFERON-TB Gold test at Screening; or 2) a T-spot test within 4 weeksof Randomisation and evidence of current or previous pulmonary tuberculosis bylow-dose CT or chest X-ray within 12 weeks of Randomisation. Patients with old TB willalso be excluded.
  19. Positive immunoglobulin M antibody titres to Epstein-Barr virus (EBV).
  20. Subjects with positive results for cytomegalovirus at screening are to be excluded.
  21. Receiving any investigational therapy or any approved therapy for investigational usewithin 30 days or 5 half-lives prior to Randomization (whichever is longer).
  22. Currently taking any medications other than those allowed per protocol guidelines.
  23. Infections (including diverticulitis) requiring treatment with antibiotics,antivirals, or antifungals within 14 days prior to Randomisation.
  24. Received any live (attenuated) vaccines within 30 days prior to Randomisation.
  25. Recent treatment with medium-to-high-dose intravenous corticosteroids (methylprednisolone 60 mg/day or hydrocortisone 300 mg/day) within 8 weeks prior toRandomisation or oral corticosteroids of more than 20 mg prednisone per day (orequivalent).
  26. Receipt of cyclosporine, tacrolimus, sirolimus, thalidomide, or mycophenolate mofetilwithin 30 days prior to Randomisation.
  27. Treatment with therapeutic enema or suppository, other than required for endoscopypreparation, within 14 days prior to the screening endoscopy and during the remainderof the trial.

Study Design

Total Participants: 91
Study Start date:
February 06, 2018
Estimated Completion Date:
December 21, 2020

Study Description

is a multicenter, randomized, double-blind, placebo-controlled phase II study. The trial includes a Run-in Period (if stable conventional treatment needed), a 4-week Screening Period, a 12-week Treatment Period, and a 3-week Safety Follow-up Period to Day 105.

90 patients will be centrally, dynamically, randomly assigned to 3 groups (1:1:1) to receive 600mg TJ301 Q2W, 300mg TJ301 Q2W or placebo Q2W.

Connect with a study center

  • Linear clinical Research

    Nedlands,
    Australia

    Site Not Available

  • Beijing Friendship Hospital Affiliated to the Capital University of Medical Sciences

    Beijing, Beijing
    China

    Site Not Available

  • Peking University First Hospital

    Beijing, Beijing 100034
    China

    Site Not Available

  • The Seventh Medical Center of PLA Army General Hospital

    Beijing, Beijing
    China

    Site Not Available

  • West China Hospital of Sichuan University

    Sichuan, Chengdu 610000
    China

    Site Not Available

  • Guangdong Provincial People's Hospital

    Guangzhou, Guangzhou
    China

    Site Not Available

  • Nanfang Hospital of SMU

    Guangzhou, Guangzhou
    China

    Site Not Available

  • The Sixth Affiliated Hospital of Sun Yat-sen University

    Guangzhou, Guangzhou 510655
    China

    Site Not Available

  • The First Affiliated Hospital, Sun Yat-sen University

    Guanzhou, Guangzhou 510080
    China

    Site Not Available

  • Hainan General Hospital

    Hainan, Hainan
    China

    Site Not Available

  • Sir Run Run Shaw Hospital Zhejiang University, School of Medicine

    Zhejiang, Hangzhou
    China

    Site Not Available

  • The First Affiliated Hospital of Harbin Medical University

    Harbin, Harbin
    China

    Site Not Available

  • The first Bethune hospital of Jilin university

    Jilin, Jilin
    China

    Site Not Available

  • The first affiliated hospital of Nanchang Univesity

    Nanchang, Nanchang
    China

    Site Not Available

  • Jiangsu Province Hospital

    Nanjing, Nanjing
    China

    Site Not Available

  • The Affiliated Hospital of Nanjing University Medical School

    Nanjing, Nanjing
    China

    Site Not Available

  • Zhongda Hospital Southeast University

    Nanjing, Nanjing
    China

    Site Not Available

  • Renji Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai
    China

    Site Not Available

  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai
    China

    Site Not Available

  • Xin Hua Hospital affiliated to Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai
    China

    Site Not Available

  • Shengjing hospital of China medical university

    Shenyang, Shenyang
    China

    Site Not Available

  • Hebei General Hospital

    Heibei, Shijiazhuang 050051
    China

    Site Not Available

  • E-Da Hospital

    Taiwan, Taiwan
    China

    Site Not Available

  • Second Hospital of Shanxi Medical University

    Shanxi, Taiyuan
    China

    Site Not Available

  • Tianjin Medical University General Hospital

    Tianjin, Tianjin
    China

    Site Not Available

  • Inje University Haeundae Paik Hospital

    Busan,
    Korea, Republic of

    Site Not Available

  • Yeungnam University Medical Center

    Daegu,
    Korea, Republic of

    Site Not Available

  • CHA Bundang Medical Center, CHA University

    Seoul,
    Korea, Republic of

    Site Not Available

  • National Taiwan University Hospital

    Kaohsiung,
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital

    Taipei,
    Taiwan

    Site Not Available

  • Chang Gung Memorial Hospital

    Taoyuan,
    Taiwan

    Site Not Available

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.