A Study to Evaluate the Safety and Effectiveness of Ustekinumab Induction and Maintenance Therapy in Participants with Moderately to Severely Active Ulcerative Colitis

Overview

Información sobre este estudio

The purpose of this study is to evaluate the effectiveness and safety of continuing ustekinumab as a subcutaneous (injection) maintenance therapy in patients with moderately to severely active ulcerative colitis (UC) who have demonstrated a clinical response to an induction treatment with IV ustekinumab.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

  • Has a clinical diagnosis of Ulcerative Colitis (UC) at least 3 months before Screening
  • Has moderately to severely active UC, defined as a baseline (Week 0) Mayo score of 6 to 12, including a screening endoscopy subscore of the Mayo score ≥ 2 as determined by a central reading of the video endoscopy
  • Has received treatment with 1 or more tumour necrosis factor (TNF) antagonists or vedolizumab at a dose approved for the treatment of UC, and has a documented history of failure to respond to or tolerate such treatment
  • OR has not had biologic therapy (TNF antagonists or vedolizumab)
  • Has received biologic therapy but has not demonstrated a history of failure to respond to, or tolerate, a biologic therapy and has a prior or current UC medication history that includes at least 1 of the following
    • Inadequate response to or failure to tolerate current treatment with oral corticosteroids or immunomodulators (6-mercaptopurine [6-MP] or azathioprine [AZA]) 
    • History of failure to respond to, or tolerate either oral or IV corticosteroids or immunomodulators (6-MP or AZA)
    • History of corticosteroid dependence (an inability to successfully taper corticosteroids without a return of the symptoms of UC)
  • Before the first administration of study agent vedolizumab must have been discontinued for at least 4 months and anti-tumor necrosis factors (TNFs) for at least 8 weeks

 

Exclusion Criteria

  • Has severe extensive colitis and is at imminent risk of colectomy
  • Has UC limited to the rectum only or to < 20 centimeters (cm) of the colon
  • Presence of a stoma or history of a fistula
  • History of extensive colonic resection (for example, less than 30 cm of colon remaining) that would prevent adequate evaluation of the effect of study agent on clinical disease activity
  • History of colonic mucosal dysplasia.
    • Participants will not be excluded from the study because of a pathology finding of "indefinite dysplasia with reactive atypia"

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus

Rochester, Minn.

Investigador principal de Mayo Clinic

Edward Loftus, M.D.

Cerrado para la inscripción

More information

Publicaciones

Publications are currently not available
.
CLS-20205993

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