NCT00787202

Brief Summary

The hypothesis of the study is that at least one dose of CP 690 550 is superior to placebo (inactive drug) in inducing remission in patients with moderate to severe ulcerative colitis.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
195

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2008

Geographic Reach
17 countries

59 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 6, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 7, 2008

Completed
24 days until next milestone

Study Start

First participant enrolled

December 1, 2008

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2010

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

April 16, 2013

Completed
Last Updated

April 16, 2013

Status Verified

March 1, 2013

Enrollment Period

1.8 years

First QC Date

November 6, 2008

Results QC Date

December 4, 2012

Last Update Submit

March 6, 2013

Conditions

Keywords

treatment of ulcerative colitis; CP 690 550

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Clinical Response

    Clinical response was defined as a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with accompanying decrease in subscore for rectal bleeding of at least 1 point or absolute subscore for rectal bleeding of 0 or 1. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

    Week 8

Secondary Outcomes (8)

  • Percentage of Participants With Clinical Remission

    Week 8

  • Percentage of Participants With Endoscopic Response

    Week 8

  • Percentage of Participants With Endoscopic Remission

    Week 8

  • Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12

    Baseline, Week 2, 4, 8, 12

  • Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8

    Baseline, Week 8

  • +3 more secondary outcomes

Study Arms (5)

15 mg BID

EXPERIMENTAL
Drug: CP- 690 550

10 mg BID

EXPERIMENTAL
Drug: CP- 690 550

3 mg BID

EXPERIMENTAL
Drug: CP- 690 550

0.5 mg BID

EXPERIMENTAL
Drug: CP- 690 550

Placebo

PLACEBO COMPARATOR
Other: placebo

Interventions

Administration via oral route twice daily for the duration of treatment

15 mg BID
placeboOTHER

Administration via oral route twice daily for the duration of treatment

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients must be at least 18 years of age at screening
  • Males and female patients with clinical diagnosis of ulcerative colitis ≥3 months prior to entry into the study.
  • Male and female patients with active currently moderate to severe ulcerative colitis defined by Mayo score of ≥6
  • Patients with endoscopic sub-score of ≥2 on the Mayo score determined within 7 days of baseline.

You may not qualify if:

  • Diagnosis of Crohn's disease or diagnosis of indeterminate colitis
  • Treatment naive subjects who have not had previous exposure to treatment for ulcerative colitis
  • Patients that are currently receiving immunosuppressants, anti-TNFα therapy or interferon

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (59)

Pfizer Investigational Site

Antwerp, 2020, Belgium

Location

Pfizer Investigational Site

Ghent, 9000, Belgium

Location

Pfizer Investigational Site

Leuven, 3000, Belgium

Location

Pfizer Investigational Site

Porto Alegre, Rio Grande do Sul, 90610-000, Brazil

Location

Pfizer Investigational Site

São Paulo, São Paulo, 01244-030, Brazil

Location

Pfizer Investigational Site

São Paulo, São Paulo, 05651-901, Brazil

Location

Pfizer Investigational Site

Independencia, Santiago Metropolitan, 8380418, Chile

Location

Pfizer Investigational Site

Independencia, Santiago RM, 8380456, Chile

Location

Pfizer Investigational Site

Viña del Mar, 2570017, Chile

Location

Pfizer Investigational Site

Hradec Králové, 50012, Czechia

Location

Pfizer Investigational Site

Olomouc, 775 20, Czechia

Location

Pfizer Investigational Site

Usti N. Labem, 401 13, Czechia

Location

Pfizer Investigational Site

Ústí nad Labem, 401 13, Czechia

Location

Pfizer Investigational Site

Aalborg, 9100, Denmark

Location

Pfizer Investigational Site

Aarhus C, 8000, Denmark

Location

Pfizer Investigational Site

Lille, France, 59037, France

Location

Pfizer Investigational Site

Bordeaux, 33075, France

Location

Pfizer Investigational Site

Marseille, 13915, France

Location

Pfizer Investigational Site

Nantes, 44093, France

Location

Pfizer Investigational Site

Békéscsaba, 5600, Hungary

Location

Pfizer Investigational Site

Budapest, 1125, Hungary

Location

Pfizer Investigational Site

Budapest, 1135, Hungary

Location

Pfizer Investigational Site

Debrecen, 4004, Hungary

Location

Pfizer Investigational Site

Győr, 9023, Hungary

Location

Pfizer Investigational Site

Gyula, 5701, Hungary

Location

Pfizer Investigational Site

Kaposvár, 7400, Hungary

Location

Pfizer Investigational Site

Miskolc, 3529, Hungary

Location

Pfizer Investigational Site

Mosonmagyaróvár, 9200, Hungary

Location

Pfizer Investigational Site

Szeged, 6720, Hungary

Location

Pfizer Investigational Site

Szekszárd, 7100, Hungary

Location

Pfizer Investigational Site

Szentes, 6600, Hungary

Location

Pfizer Investigational Site

Haifa, 31096, Israel

Location

Pfizer Investigational Site

Petah Tikva, 49100, Israel

Location

Pfizer Investigational Site

Tel Aviv, 64239, Israel

Location

Pfizer Investigational Site

Bologna, 40138, Italy

Location

Pfizer Investigational Site

Roma, 00152, Italy

Location

Pfizer Investigational Site

Delegacion Benito Juarez, Mexico DF, 03300, Mexico

Location

Pfizer Investigational Site

Tlalpan, Mexico DF, 14000, Mexico

Location

Pfizer Investigational Site

Amsterdam, North Holland, 1081 HV, Netherlands

Location

Pfizer Investigational Site

Bydgoszcz, 85-168, Poland

Location

Pfizer Investigational Site

Lodz, 90-153, Poland

Location

Pfizer Investigational Site

Wroclaw, 50-556, Poland

Location

Pfizer Investigational Site

Bratislava, Slovakia, 826 06, Slovakia

Location

Pfizer Investigational Site

Bratislava, 811 07, Slovakia

Location

Pfizer Investigational Site

Nitra, 94901, Slovakia

Location

Pfizer Investigational Site

Overport, Durban, 4091, South Africa

Location

Pfizer Investigational Site

Johannesburg, Gauteng, 2193, South Africa

Location

Pfizer Investigational Site

Durban, KwaZulu-Natal, 4001, South Africa

Location

Pfizer Investigational Site

Claremont, Western Cape, 7708, South Africa

Location

Pfizer Investigational Site

Durbanville, Western Cape, 7550, South Africa

Location

Pfizer Investigational Site

Barcelona, Barcelona, 08036, Spain

Location

Pfizer Investigational Site

L'Hospitalet de Llobregat, Barcelona, 08907, Spain

Location

Pfizer Investigational Site

Majadahonda, Madrid, 28222, Spain

Location

Pfizer Investigational Site

Umeå, 901 85, Sweden

Location

Pfizer Investigational Site

Vaxjo, 351 85, Sweden

Location

Pfizer Investigational Site

Bristol, BS2 8HW, United Kingdom

Location

Pfizer Investigational Site

Glasgow, G11 6NT, United Kingdom

Location

Pfizer Investigational Site

Glasgow, G4 0SS, United Kingdom

Location

Pfizer Investigational Site

Manchester, M13 9WL, United Kingdom

Location

Related Publications (19)

  • Kristensen LE, Danese S, Yndestad A, Wang C, Nagy E, Modesto I, Rivas J, Benda B. Identification of two tofacitinib subpopulations with different relative risk versus TNF inhibitors: an analysis of the open label, randomised controlled study ORAL Surveillance. Ann Rheum Dis. 2023 Jul;82(7):901-910. doi: 10.1136/ard-2022-223715. Epub 2023 Mar 17.

  • Winthrop KL, Yndestad A, Henrohn D, Danese S, Marsal S, Galindo M, Woolcott JC, Jo H, Kwok K, Shapiro AB, Jones TV, Diehl A, Su C, Panes J, Cohen SB. Influenza Adverse Events in Patients with Rheumatoid Arthritis, Ulcerative Colitis, or Psoriatic Arthritis in the Tofacitinib Clinical Development Programs. Rheumatol Ther. 2023 Apr;10(2):357-373. doi: 10.1007/s40744-022-00507-z. Epub 2022 Dec 17.

  • Lichtenstein GR, Bressler B, Francisconi C, Vermeire S, Lawendy N, Salese L, Sawyerr G, Shi H, Su C, Judd DT, Jones T, Loftus EV. Assessment of Safety and Efficacy of Tofacitinib, Stratified by Age, in Patients from the Ulcerative Colitis Clinical Program. Inflamm Bowel Dis. 2023 Jan 5;29(1):27-41. doi: 10.1093/ibd/izac084.

  • Sandborn WJ, D'Haens GR, Sands BE, Panaccione R, Ng SC, Lawendy N, Kulisek N, Modesto I, Guo X, Mundayat R, Su C, Vranic I, Panes J. Tofacitinib for the Treatment of Ulcerative Colitis: An Integrated Summary of up to 7.8 Years of Safety Data from the Global Clinical Programme. J Crohns Colitis. 2023 Apr 3;17(3):338-351. doi: 10.1093/ecco-jcc/jjac141.

  • Loftus EV, Baumgart DC, Gecse K, Kinnucan JA, Connelly SB, Salese L, Su C, Kwok KK, Woolcott JC, Armuzzi A. Clostridium difficile Infection in Patients with Ulcerative Colitis Treated with Tofacitinib in the Ulcerative Colitis Program. Inflamm Bowel Dis. 2023 May 2;29(5):744-751. doi: 10.1093/ibd/izac139.

  • Winthrop KL, Vermeire S, Long MD, Panes J, Ng SC, Kulisek N, Mundayat R, Lawendy N, Vranic I, Modesto I, Su C, Melmed GY. Long-term Risk of Herpes Zoster Infection in Patients With Ulcerative Colitis Receiving Tofacitinib. Inflamm Bowel Dis. 2023 Jan 5;29(1):85-96. doi: 10.1093/ibd/izac063.

  • Mukherjee A, Tsuchiwata S, Nicholas T, Cook JA, Modesto I, Su C, D'Haens GR, Sandborn WJ. Exposure-Response Characterization of Tofacitinib Efficacy in Moderate to Severe Ulcerative Colitis: Results From Phase II and Phase III Induction and Maintenance Studies. Clin Pharmacol Ther. 2022 Jul;112(1):90-100. doi: 10.1002/cpt.2601. Epub 2022 Apr 27.

  • Dubinsky MC, Magro F, Steinwurz F, Hudesman DP, Kinnucan JA, Ungaro RC, Neurath MF, Kulisek N, Paulissen J, Su C, Ponce de Leon D, Regueiro M. Association of C-reactive Protein and Partial Mayo Score With Response to Tofacitinib Induction Therapy: Results From the Ulcerative Colitis Clinical Program. Inflamm Bowel Dis. 2023 Jan 5;29(1):51-61. doi: 10.1093/ibd/izac061.

  • Sandborn WJ, Peyrin-Biroulet L, Sharara AI, Su C, Modesto I, Mundayat R, Gunay LM, Salese L, Sands BE. Efficacy and Safety of Tofacitinib in Ulcerative Colitis Based on Prior Tumor Necrosis Factor Inhibitor Failure Status. Clin Gastroenterol Hepatol. 2022 Mar;20(3):591-601.e8. doi: 10.1016/j.cgh.2021.02.043. Epub 2021 Mar 6.

  • Vong C, Martin SW, Deng C, Xie R, Ito K, Su C, Sandborn WJ, Mukherjee A. Population Pharmacokinetics of Tofacitinib in Patients With Moderate to Severe Ulcerative Colitis. Clin Pharmacol Drug Dev. 2021 Mar;10(3):229-240. doi: 10.1002/cpdd.899. Epub 2021 Jan 29.

  • Sandborn WJ, Peyrin-Biroulet L, Quirk D, Wang W, Nduaka CI, Mukherjee A, Su C, Sands BE. Efficacy and Safety of Extended Induction With Tofacitinib for the Treatment of Ulcerative Colitis. Clin Gastroenterol Hepatol. 2022 Aug;20(8):1821-1830.e3. doi: 10.1016/j.cgh.2020.10.038. Epub 2020 Oct 27.

  • Panaccione R, Isaacs JD, Chen LA, Wang W, Marren A, Kwok K, Wang L, Chan G, Su C. Characterization of Creatine Kinase Levels in Tofacitinib-Treated Patients with Ulcerative Colitis: Results from Clinical Trials. Dig Dis Sci. 2021 Aug;66(8):2732-2743. doi: 10.1007/s10620-020-06560-4. Epub 2020 Aug 20.

  • Sandborn WJ, Panes J, Sands BE, Reinisch W, Su C, Lawendy N, Koram N, Fan H, Jones TV, Modesto I, Quirk D, Danese S. Venous thromboembolic events in the tofacitinib ulcerative colitis clinical development programme. Aliment Pharmacol Ther. 2019 Nov;50(10):1068-1076. doi: 10.1111/apt.15514. Epub 2019 Oct 9.

  • Sands BE, Taub PR, Armuzzi A, Friedman GS, Moscariello M, Lawendy N, Pedersen RD, Chan G, Nduaka CI, Quirk D, Salese L, Su C, Feagan BG. Tofacitinib Treatment Is Associated With Modest and Reversible Increases in Serum Lipids in Patients With Ulcerative Colitis. Clin Gastroenterol Hepatol. 2020 Jan;18(1):123-132.e3. doi: 10.1016/j.cgh.2019.04.059. Epub 2019 May 8.

  • Sandborn WJ, Panes J, D'Haens GR, Sands BE, Su C, Moscariello M, Jones T, Pedersen R, Friedman GS, Lawendy N, Chan G. Safety of Tofacitinib for Treatment of Ulcerative Colitis, Based on 4.4 Years of Data From Global Clinical Trials. Clin Gastroenterol Hepatol. 2019 Jul;17(8):1541-1550. doi: 10.1016/j.cgh.2018.11.035. Epub 2018 Nov 23.

  • Winthrop KL, Melmed GY, Vermeire S, Long MD, Chan G, Pedersen RD, Lawendy N, Thorpe AJ, Nduaka CI, Su C. Herpes Zoster Infection in Patients With Ulcerative Colitis Receiving Tofacitinib. Inflamm Bowel Dis. 2018 Sep 15;24(10):2258-2265. doi: 10.1093/ibd/izy131.

  • Sandborn WJ, Panes J, Zhang H, Yu D, Niezychowski W, Su C. Correlation Between Concentrations of Fecal Calprotectin and Outcomes of Patients With Ulcerative Colitis in a Phase 2 Trial. Gastroenterology. 2016 Jan;150(1):96-102. doi: 10.1053/j.gastro.2015.09.001. Epub 2015 Sep 12.

  • Panes J, Su C, Bushmakin AG, Cappelleri JC, Mamolo C, Healey P. Randomized trial of tofacitinib in active ulcerative colitis: analysis of efficacy based on patient-reported outcomes. BMC Gastroenterol. 2015 Feb 5;15:14. doi: 10.1186/s12876-015-0239-9.

  • Sandborn WJ, Ghosh S, Panes J, Vranic I, Su C, Rousell S, Niezychowski W; Study A3921063 Investigators. Tofacitinib, an oral Janus kinase inhibitor, in active ulcerative colitis. N Engl J Med. 2012 Aug 16;367(7):616-24. doi: 10.1056/NEJMoa1112168.

Related Links

MeSH Terms

Conditions

Colitis, Ulcerative

Condition Hierarchy (Ancestors)

ColitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesInflammatory Bowel DiseasesColonic DiseasesIntestinal Diseases

Limitations and Caveats

Pharmacokinetic (PK) parameters and their correlation with clinical response and inflammatory biomarkers were not reported as data from future studies were to be pooled for analysis.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 6, 2008

First Posted

November 7, 2008

Study Start

December 1, 2008

Primary Completion

September 1, 2010

Study Completion

September 1, 2010

Last Updated

April 16, 2013

Results First Posted

April 16, 2013

Record last verified: 2013-03

Locations