NCT03759288

Brief Summary

This study seeks to evaluate the safety and efficacy of brazikumab versus placebo (Stage I) and versus an active comparator (Stage 2) in participants with moderately to severely active CD and will include assessments of clinical response as demonstrated by improvement of symptoms and colonic mucosal appearance as observed on endoscopy

Trial Health

68
Monitor

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
89

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Dec 2018

Longer than P75 for phase_2

Geographic Reach
17 countries

101 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

November 20, 2018

Completed
9 days until next milestone

First Posted

Study publicly available on registry

November 29, 2018

Completed
8 days until next milestone

Study Start

First participant enrolled

December 7, 2018

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 18, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 18, 2023

Completed
Last Updated

November 21, 2023

Status Verified

October 1, 2023

Enrollment Period

4.9 years

First QC Date

November 20, 2018

Last Update Submit

November 20, 2023

Conditions

Keywords

Crohn's DiseaseInflammatory bowel diseaseBrazikumabIL23 receptorIBDCD

Outcome Measures

Primary Outcomes (3)

  • Stage 1. Percentage of patients with CDAI remission

    CDAI remission is defined as achieving the CDAI score below 150 (measured by PRO questionnaire and objective items (i.e. weight, hematocrit)).

    at Week 12

  • Stage 2. Percentage of patients with endoscopic response

    Endoscopic response is described as minimum of 50% decrease from Baseline in SES-CD total score.

    at Week 52

  • Stage 2. Percentage of patients with clinical remission

    Clinical remission is defined for a participant to satisfy the following two response thresholds simultaneously: average daily LSF subscore of ≤ 3 as assessed on the CDAI LSF item AND average daily AP subscore of ≤ 1 as assessed on the CDAI AP item (measured by PRO questionnaire).

    at Week 52

Secondary Outcomes (45)

  • Stage 1. Percentage of patients with endoscopic response

    at Week 12

  • Stage 1. Percentage of patients with clinical remission

    at Week 12

  • Stage 1. Percentage of patients with CDAI response

    at Week 12

  • Stage 1. Percentage of patients with CDAI remission

    at both Week 12 and Week 52

  • Stage 1. Percentage of patients with CDAI response

    at both Week 12 and Week 52

  • +40 more secondary outcomes

Study Arms (6)

(Stage 1) Brazikumab high dose

EXPERIMENTAL

Intravenous Brazikumab on Days 1, 29, and 57, followed by subcutaneous Brazikumab on Day 85 and every 4 weeks through Week 48

Drug: Brazikumab high dose

(Stage 1) Brazikumab low dose

EXPERIMENTAL

Intravenous Brazikumab on Days 1, 29, and 57, followed by subcutaneous Brazikumab on Day 85 and every 4 weeks through Week 48

Drug: Brazikumab low dose

(Stage 1) Placebo

PLACEBO COMPARATOR

Intravenous placebo on Days 1, 29, and 57, followed by subcutaneous placebo on Day 85 and every 4 weeks through Week 48

Drug: Placebo

(Stage 2) Brazikumab high dose

EXPERIMENTAL

Intravenous Brazikumab on Days 1, 29, and 57, followed by subcutaneous Brazikumab on Day 85 and every 4 weeks through Week 48

Drug: Brazikumab high dose

(Stage 2) Brazikumab low dose

EXPERIMENTAL

Intravenous Brazikumab on Days 1, 29, and 57, followed by subcutaneous on Day 85 and every 4 weeks through Week 48

Drug: Brazikumab low dose

(Stage 2) Humira®

ACTIVE COMPARATOR

Administered subcutaneously on Day 1, Day 15, and Day 29 and every 2 weeks through Week 50

Drug: Humira®

Interventions

Intravenous Brazikumab on Days 1, 29, and 57, followed by subcutaneous Brazikumab on Day 85 and every 4 weeks through Week 48

(Stage 1) Brazikumab low dose(Stage 2) Brazikumab low dose

Intravenous Brazikumab on Days 1, 29, and 57, followed by subcutaneous Brazikumab on Day 85 and every 4 weeks through Week 48

(Stage 1) Brazikumab high dose(Stage 2) Brazikumab high dose

Administered subcutaneously on Day 1, Day 15, and Day 29 and every 2 weeks through Week 50.

(Stage 2) Humira®

Intravenous placebo on Days 1, 29, 57 followed by subcutaneous placebo on Day 85 and every 4 weeks through Week 48

(Stage 1) Placebo

Eligibility Criteria

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

You may not qualify if:

  • At the time of signing the informed consent, the participant must be 18 to 80 years of age, inclusive.
  • Moderately to severely active CD defined by a CDAI score of 220 to 450 AND; CDAI LSF score ≥ 5 OR CDAI AP score ≥ 2; AND SES-CD of at least 6
  • Participant had an inadequate response or intolerance to intervention with conventional treatment \[oral aminosalicylates, oral CS, azathioprine, methotrexate, or 6-mercaptopurine\], or prior biological treatment, or demonstrated CS dependence for the treatment of CD. For participants who have previously used biological treatment, a participant may have failed up to 3 biologics that include up to 2 different mechanisms of action.
  • Participants taking 5-aminosalicylates, Oral prednisone (or equivalent), Budesonide, Immunomodulators, Oral antibiotics, Immunomodulators, Probiotics must be at a stable dose.
  • Participant must have the QFT-TB test performed and meet the following TB criteria.
  • A TB worksheet must also be completed:
  • Participant has no known history of active TB.
  • Participant has no known history of latent TB without completion of an appropriate course of intervention.
  • Meets 1 of the following acceptable TB test results:
  • i. Negative QFT-TB obtained from central laboratory during Screening, OR ii. For a positive QFT-TB test obtained during Screening from the central laboratory, active TB must be ruled out or treated and negative QFT-TB confirmed by central laboratory OR iii. Indeterminate QFT-TB test obtained during the Screening Period from the central laboratory with ongoing QFT-TB testing as outlined in Appendix G. Participants with an indeterminate QFT-TB test can continue with Screening if they have all of the following:
  • no symptoms/risk factors per TB worksheet provided by the sponsor
  • no known recent exposure to a case of active TB
  • no evidence of active TB on chest x-ray within 8 weeks prior to Screening or during Screening
  • confirmed QFT-TB negative by central laboratory
  • Female participants of childbearing potential must have a negative urine pregnancy test prior to administration of study intervention and must agree to use a highly effective method of birth control (confirmed by the investigator) from randomization throughout the study duration and for at least 18 weeks after last dose of study intervention.
  • +36 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (101)

Research Site

Phoenix, Arizona, 85037, United States

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Little Rock, Arkansas, 72212, United States

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Lancaster, California, 93534, United States

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Lincoln, California, 95648, United States

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Poway, California, 92064, United States

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San Diego, California, 92103, United States

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Colorado Springs, Colorado, 80907, United States

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Boca Raton, Florida, 33487, United States

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Clearwater, Florida, 33756, United States

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Kissimmee, Florida, 34741, United States

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Lakeland, Florida, 33813, United States

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Miami, Florida, 33157, United States

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Miami, Florida, 33165, United States

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Miami, Florida, 33189, United States

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Miami Lakes, Florida, 33016, United States

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Naples, Florida, 34102, United States

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St. Petersburg, Florida, 33710, United States

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Tampa, Florida, 33626, United States

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Atlanta, Georgia, 30328, United States

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Atlanta, Georgia, 30342, United States

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Decatur, Georgia, 30033, United States

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Oak Lawn, Illinois, 60453, United States

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Brownsburg, Indiana, 46112, United States

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Chesterfield, Michigan, 48047, United States

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Las Vegas, Nevada, 89123, United States

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Albuquerque, New Mexico, 87108, United States

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Morehead City, North Carolina, 28557, United States

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Beachwood, Ohio, 44122, United States

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Oklahoma City, Oklahoma, 73102, United States

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Uniontown, Pennsylvania, 15401, United States

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Carrollton, Texas, 75007, United States

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Houston, Texas, 77017, United States

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Houston, Texas, 77058, United States

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McAllen, Texas, 78503, United States

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Pflugerville, Texas, 78660, United States

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Stafford, Texas, 77477, United States

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North Chesterfield, Virginia, 23236, United States

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Spokane, Washington, 99204, United States

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New Westminster, British Columbia, V3L 3W4, Canada

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Chicoutimi, Quebec, G7H 5H6, Canada

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České Budějovice, 370 01, Czechia

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Hořovice, 268 31, Czechia

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Hradec Králové, 500 12, Czechia

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Olomouc, 772 00, Czechia

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Augsburg, 86156, Germany

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Berlin, 10825, Germany

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Hamburg, 20251, Germany

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Kiel, 24105, Germany

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Minden, 32423, Germany

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Remscheid, 42859, Germany

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Ulm, 89081, Germany

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Budapest, 1082, Hungary

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Bangalore, 560054, India

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Hyderabad, 500032, India

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Jaipur, 302001, India

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Surat, 395002, India

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Haifa, 3109601, Israel

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Jerusalem, 9103102, Israel

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Petah Tikva, 4941492, Israel

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Milan, 20132, Italy

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Milan, 20154, Italy

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Padua, 35128, Italy

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Bydgoszcz, 85 168, Poland

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Chojnice, 89-600, Poland

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Krakow, 31-513, Poland

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Poznan, 61-731, Poland

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Rzeszów, 35-302, Poland

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Sopot, 81-756, Poland

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Torun, 87-100, Poland

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Warsaw, 00-635, Poland

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Warsaw, 00-728, Poland

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Warsaw, 03-580, Poland

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Wroclaw, 52-210, Poland

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Zamość, 22-400, Poland

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Aramil, 624002, Russia

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Moscow, 115419, Russia

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Perm, 614000, Russia

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Banská Bystrica, 97401, Slovakia

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Košice, 04013, Slovakia

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Nitra, 94901, Slovakia

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Cape Town, 7500, South Africa

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Cape Town, 7708, South Africa

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Johannesburg, 1827, South Africa

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Plumstead, 7800, South Africa

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Busan, 48108, South Korea

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Daegu, 42415, South Korea

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Seoul, 06351, South Korea

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Seoul, 156-755, South Korea

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Madrid, 28046, Spain

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Pontevedra, 36071, Spain

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Valencia, 46010, Spain

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Kaohsiung City, 80756, Taiwan

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Taichung, 40447, Taiwan

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Taipei, 100, Taiwan

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Taipei, 114, Taiwan

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Kharkiv, 61037, Ukraine

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Kyiv, 03680, Ukraine

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Kyiv, 04050, Ukraine

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Kyiv, 04078, Ukraine

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Coventry, CV2 2DX, United Kingdom

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West Bromwich, B71 4HJ, United Kingdom

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MeSH Terms

Conditions

Crohn DiseaseInflammatory Bowel Diseases

Interventions

Adalimumab

Condition Hierarchy (Ancestors)

GastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • Kathy Bohannon

    AstraZeneca

    STUDY DIRECTOR

Study Design

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

Study Record Dates

First Submitted

November 20, 2018

First Posted

November 29, 2018

Study Start

December 7, 2018

Primary Completion

October 18, 2023

Study Completion

October 18, 2023

Last Updated

November 21, 2023

Record last verified: 2023-10

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
More information

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