NCT02574637

Brief Summary

A Phase 2b study to evaluate the efficacy and safety of brazikumab (MEDI2070) in participants with moderate to severe Crohn's disease who have failed or are intolerant to anti-tumor necrosis factor-alpha (anti-TNFα) therapy.

Trial Health

68
Monitor

Trial Health Score

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

Enrollment
29

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Jan 2016

Geographic Reach
12 countries

97 active sites

Status
terminated

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

September 24, 2015

Completed
20 days until next milestone

First Posted

Study publicly available on registry

October 14, 2015

Completed
3 months until next milestone

Study Start

First participant enrolled

January 5, 2016

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 28, 2017

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 29, 2018

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

May 15, 2020

Completed
Last Updated

May 26, 2021

Status Verified

May 1, 2021

Enrollment Period

1.6 years

First QC Date

September 24, 2015

Results QC Date

May 1, 2020

Last Update Submit

May 6, 2021

Conditions

Keywords

MEDI2070inflammatory bowel diseasemoderate to severe Crohn's DiseaseIL-23

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Crohn's Disease Activity Index (CDAI) Remission at Week 8

    CDAI remission was defined as a CDAI score of \<150 at Week 8. CDAI score was calculated by summing weighted scores for subjective items \[number of liquid or very soft stools, abdominal pain (on a scale of 0=none to 3=severe) and general well-being (on a scale of 1=generally well to 4=terrible)\] recorded by a diary during a 1-week period, and objective items \[associated symptoms, taking antidiarrheal agents such as loperamide/opiates, abdominal mass, hematocrit, daily morning temperature, and body weight\]. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Week 8

Secondary Outcomes (16)

  • Percentage of Participants With Loose/Liquid Stool Frequency Response

    Baseline, Weeks 8, 16 and 28

  • Percentage of Participants With Crohn's Disease Activity Index (CDAI) Response

    Baseline, Weeks 8, 16 and 28

  • Percentage of Participants With CDAI Clinical Remission

    Weeks 16 and 28

  • Percentage of Participants With Simple Endoscopic Score for Crohn's Disease (SES-CD) Response

    Baseline, Weeks 16 and 28

  • Percentage of Participants With Loose/Liquid Stool Frequency Remission

    Baseline, Weeks 8, 16 and 28

  • +11 more secondary outcomes

Study Arms (5)

Placebo

PLACEBO COMPARATOR

Placebo-matching brazikumab intravenous (IV) infusion and subcutaneous (SC) injection at Weeks 0 and 4 followed by placebo-matching brazikumab SC injection at Weeks 8 and 12 in the induction phase and at Weeks 16, 20 and 24 in the maintenance phase. Participants received brazikumab 210 mg, SC injection every 4 weeks up to Week 48 in the open-label period.

Drug: Brazikumab IV InfusionDrug: Brazikumab SC InjectionDrug: Placebo

Brazikumab High Dose

EXPERIMENTAL

Brazikumab 700 mg, IV infusion and placebo-matching brazikumab, SC injection at Weeks 0 and 4 followed by brazikumab 210 mg, SC injection at Weeks 8 and 12 in the induction phase. Participants received brazikumab 210 mg, SC injection every 4 weeks in the maintenance phase and open-label period up to Week 48.

Drug: Brazikumab IV InfusionDrug: Brazikumab SC InjectionDrug: Placebo

Brazikumab High-Medium Dose

EXPERIMENTAL

Brazikumab 280 mg, IV infusion and placebo-matching brazikumab, SC injection at Week 0 followed by brazikumab 210 mg, SC injection and placebo-matching brazikumab, IV infusion at Week 4, followed by brazikumab 210 mg, SC injection at Weeks 8 and 12 in the induction phase. Participants received brazikumab 210 mg, SC injection every 4 weeks in the maintenance phase and open-label period up to Week 48.

Drug: Brazikumab IV InfusionDrug: Brazikumab SC InjectionDrug: Placebo

Brazikumab Low-Medium Dose

EXPERIMENTAL

Brazikumab 210 mg, SC injection and placebo-matching brazikumab, IV infusion at Week 0 followed by brazikumab 105 mg, SC injection and placebo-matching brazikumab, IV infusion at Week 4, followed by brazikumab 105 mg, SC injection at Weeks 8 and 12 in the induction phase. Participants received brazikumab 105 mg, SC injection every 4 weeks up to Week 24 in the maintenance phase. Participants received brazikumab 210 mg, SC injection, every 4 weeks up to Week 48 in the open-label period.

Drug: Brazikumab IV InfusionDrug: Brazikumab SC InjectionDrug: Placebo

Brazikumab Low Dose

EXPERIMENTAL

Brazikumab 70 mg, SC injection and placebo-matching brazikumab, IV infusion at Week 0 followed by brazikumab 35 mg, SC injection and placebo-matching brazikumab, IV infusion at Week 4, followed by brazikumab 35 mg, SC injection at Weeks 8 and 12 in the induction phase. Participants received brazikumab 35 mg, SC injection every 4 weeks up to Week 24 in the maintenance phase. Participants received brazikumab 210 mg, SC injection, every 4 weeks up to Week 48 in the open-label period.

Drug: Brazikumab IV InfusionDrug: Brazikumab SC InjectionDrug: Placebo

Interventions

Brazikumab IV infusion as per protocol specified dosing schedule.

Also known as: MEDI2070
Brazikumab High DoseBrazikumab High-Medium DoseBrazikumab Low DoseBrazikumab Low-Medium DosePlacebo

Brazikumab IV infusion as per protocol specified dosing schedule.

Also known as: MEDI2070
Brazikumab High DoseBrazikumab High-Medium DoseBrazikumab Low DoseBrazikumab Low-Medium DosePlacebo

Placebo-matching Brazikumab IV infusion as per protocol specified dosing schedule.

Brazikumab High DoseBrazikumab High-Medium DoseBrazikumab Low DoseBrazikumab Low-Medium DosePlacebo

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of ileal, ileo-colonic, or colonic Crohn's Disease (CD) for \> 3 months prior to screening
  • Men or women age 18 - 80 years at the time of screening
  • Moderate to severely active CD, as defined by Crohn's Disease Activity Index (CDAI) and endoscopic demonstration of inflammation
  • Stable dose of medications for Crohn's disease therapy
  • Prior treatment failure or intolerance with at least one Anti-Tumor Necrosis Factor-Alpha Therapy (anti-TNF α) agent
  • Effective contraception from screening, and for 36 weeks after the last dose of investigational product
  • No known history of active tuberculosis (TB) \& negative assessment for TB/latent TB

You may not qualify if:

  • Severe underlying immunosuppression
  • Severe gastrointestinal complications; e.g., short bowel syndromes, obstructing strictures, recent or planned bowel surgery, Ileostomy and/or colostomy, recent bowel perforation
  • Significant infections at screening; Infected abscess, positive for Clostridium difficile, recent infectious hospitalization
  • Recent treatment with approved or investigational biologic therapy for Crohn's disease
  • Recent or planned live attenuated vaccine
  • History of cancer, except for basal cell carcinoma or carcinoma in situ (CIS) of the cervix with apparent cure ≥ 12 months before screening
  • Pregnancy/breast feeding
  • Drug abuse

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (97)

Arizona Arthritis & Rheumatology Research, PLLC

Phoenix, Arizona, 85037, United States

Location

Research Site

Phoenix, Arizona, 85037, United States

Location

South Denver Gastroenterology, PC

Lone Tree, Colorado, 80124-5520, United States

Location

Research Site

Lone Tree, Colorado, 80124, United States

Location

Clinical Research of West Florida - Corporate

Clearwater, Florida, 33765, United States

Location

Borland-Groover Clinic

Jacksonville, Florida, 32256, United States

Location

Research Site

Jacksonville, Florida, 32256, United States

Location

Advanced Pharma CR, LLC

Miami, Florida, 33147, United States

Location

Research Site

Miami, Florida, 33147, United States

Location

IMIC, Inc.

Palmetto Bay, Florida, 33157, United States

Location

Research Site

Chicago, Illinois, 60637, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

NorthShore University HealthSystem

Evanston, Illinois, 60201, United States

Location

Research Site

Evanston, Illinois, 60201, United States

Location

Indiana University

Indianapolis, Indiana, 46202, United States

Location

Research Site

Indianapolis, Indiana, 46202, United States

Location

Cotton-O'Neil Clinical Research Center, Digestive Health

Topeka, Kansas, 66606, United States

Location

Research Site

Topeka, Kansas, 66606, United States

Location

Graves Gilbert Clinic

Bowling Green, Kentucky, 42101, United States

Location

Research Site

Bowling Green, Kentucky, 42101, United States

Location

Research Site

Louisville, Kentucky, 40202, United States

Location

University of Louisville

Louisville, Kentucky, 40202, United States

Location

Clinical Trials of SW Louisiana, LLC

Lake Charles, Louisiana, 70601, United States

Location

Research Site

Lake Charles, Louisiana, 70601, United States

Location

Clinical Trials Management, LLC

Metairie, Louisiana, 70006, United States

Location

Research Site

Metairie, Louisiana, 70006, United States

Location

Research Site

Ann Arbor, Michigan, 48109, United States

Location

University of Michigan Health System

Ann Arbor, Michigan, 48109, United States

Location

Research Site

Southfield, Michigan, 48034, United States

Location

Revival Research Institute, LLC

Southfield, Michigan, 48034, United States

Location

Mayo Clinic - Rochester

Rochester, Minnesota, 55905, United States

Location

Research Site

Rochester, Minnesota, 55905, United States

Location

Ehrhardt Clinical Research, LLC

Belton, Missouri, 64012, United States

Location

Research Site

Belton, Missouri, 64012, United States

Location

New York University Medical Center

Great Neck, New York, 11021, United States

Location

Premier Medical Group of the Hudson Valley, PC

Poughkeepsie, New York, 12601, United States

Location

Research Site

Poughkeepsie, New York, 12601, United States

Location

Research Site

Charlotte, North Carolina, 28205, United States

Location

Clinical Inquest Center Ltd

Dayton, Ohio, 45409, United States

Location

Research Site

Dayton, Ohio, 45409, United States

Location

Donald Guthrie Foundation

Sayre, Pennsylvania, 18840, United States

Location

Research Site

Sayre, Pennsylvania, 18840, United States

Location

Erlanger Health System

Chattanooga, Tennessee, 37403, United States

Location

Research Site

Chattanooga, Tennessee, 37403, United States

Location

Research Site

Houston, Texas, 77030, United States

Location

University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

Gastroenterology Research of America

Houston, Texas, 77098, United States

Location

Research Site

Houston, Texas, 77098, United States

Location

Baylor Research Institute

Temple, Texas, 76508-0001, United States

Location

Research Site

Temple, Texas, 76508, United States

Location

Allegiance Research Specialists, LLC

Milwaukee, Wisconsin, 53226, United States

Location

Research Site

Wauwatosa, Wisconsin, 53226, United States

Location

Princess Alexandra Hospital

Woolloongabba, Queensland, 4102, Australia

Location

Research Site

Woolloongabba, 4102, Australia

Location

Imeldaziekenhuis

Bonheiden, 2820, Belgium

Location

Research Site

Bonheiden, 2820, Belgium

Location

Research Site

Leuven, 3000, Belgium

Location

UZ Leuven

Leuven, 3000, Belgium

Location

London Health Science Centre

London, Ontario, N6A 5A5, Canada

Location

Research Site

London, Ontario, N6A 5A5, Canada

Location

LHSC - Victoria Hospital

London, Ontario, N6A 5W9, Canada

Location

Research Site

Saskatoon, Saskatchewan, S7N 0W8, Canada

Location

Royal University Hospital

Saskatoon, Saskatchewan, S7N 0W8, Canada

Location

CHU de Toulouse - Hôpital Rangueil

Toulouse, Haute Garonne, 31059, France

Location

CHU Rennes - Hôpital Pontchaillou

Rennes, Ille Et Vilaine, 35033, France

Location

Hôpital de Brabois Adultes

Vandœuvre-lès-Nancy, Meurthe Et Moselle, 54511, France

Location

CHU Saint Etienne - Hôpital Nord

Saint-Étienne-de-Montluc, Pays de la Loire Region, 42055, France

Location

Research Site

Rennes, 35033, France

Location

Research Site

Saint-Priez En Jarez, 42270, France

Location

Research Site

Toulouse, 31059, France

Location

Research Site

Vandœuvre-lès-Nancy, 54511, France

Location

Medizinische Hochschule Hannover

Marburg, Hesse, 30625, Germany

Location

St. Johannes Hospital

Dortmund, North Rhine-Westphalia, 44137, Germany

Location

Research Site

Dortmund, 44137, Germany

Location

Research Site

Hanover, 30625, Germany

Location

Magyar Honvedseg Egeszsegugyi Kozpont

Budapest, 1062, Hungary

Location

Research Site

Budapest, 1062, Hungary

Location

Research Site

Budapest, 1088, Hungary

Location

Semmelweis Egyetem

Budapest, 1088, Hungary

Location

Research Site

Budapest, 1125, Hungary

Location

Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak

Budapest, 1125, Hungary

Location

Kaplan Medical Center

Rehovot, 7610001, Israel

Location

Research Site

Rehovot, 76100, Israel

Location

Istituto Clinico Humanitas

Rozzano, Milano, 20089, Italy

Location

Research Site

Rozzano, 20089, Italy

Location

Maastricht University Medical Center

Maastricht, 6229 HX, Netherlands

Location

Research Site

Maastricht, 6229 HX, Netherlands

Location

Erasmus Medisch Centrum

Rotterdam, 3015 CE, Netherlands

Location

Research Site

Rotterdam, 3015 GD, Netherlands

Location

Research Site

Krasnoyarsk, 660022, Russia

Location

TSBIH "Territorial Clinical Hospital"

Krasnoyarsk, 660022, Russia

Location

Pavlov First Saint Petersburg State Medical University

Saint Petersburg, 197022, Russia

Location

Research Site

Saint Petersburg, 197022, Russia

Location

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, 08916, Spain

Location

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Barcelona, 08907, Spain

Location

Research Site

Barcelona, 08916, Spain

Location

Research Site

L'Hospitalet de Llobregat, 08907, Spain

Location

MeSH Terms

Conditions

Crohn DiseaseInflammatory Bowel Diseases

Interventions

MEDI2070

Condition Hierarchy (Ancestors)

GastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Limitations and Caveats

Due to small number of participants,29 randomized by study termination, only descriptive statistics for limited efficacy endpoints were provided. Enrollment did not achieve target power and was insufficient to produce statistically reliable results.

Results Point of Contact

Title
Clinical Study Information Center
Organization
AstraZeneca

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

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

Study Record Dates

First Submitted

September 24, 2015

First Posted

October 14, 2015

Study Start

January 5, 2016

Primary Completion

July 28, 2017

Study Completion

January 29, 2018

Last Updated

May 26, 2021

Results First Posted

May 15, 2020

Record last verified: 2021-05

Locations