Pharmacokinetics and Pharmacodynamic Biomarkers of Janus Kinase Inhibitor Therapy in Patients with Ulcerative Colitis (PROPHETIC Study)

Overview

Información sobre este estudio

This study seeks to identify predictive fecal, blood, and tissue biomarkers, in which biomarkers can be used to identify responders that will be reflective of disease severity or predict response to Janus Kinase Inhibitor Therapy. The benefits to the sub-study are to develop a population PK/PD model to characterize the relationships between local and systemic drug exposure and clinical, endoscopic, histologic, or biologic response to therapy.  Study also seeks to collect safety data from these subjects on Janus Kinase Inhibitor Therapy.

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:

  • 18 years of age or older.
  • Male or nonpregnant, nonlactating females.
  • Diagnosis of ulcerative colitis (UC) for at least 3 months prior to screening.
  • Moderately to severely active ulcerative colitis (UC) (total MCS ≥ 6), with objective evidence of inflammation defined by a Mayo endoscopic subscore (MES) ≥ 2 and disease extending > 15 cm from the anal verge.
  • Physician plans to administer Janus Kinase Inhibitor Therapy for at least 8 weeks as part of standard of care (SOC).
  • Documentation of a negative test result for latent tuberculosis within the last 12 months, or according to routine clinical practice.
  • Able to participate fully in all aspects of this clinical trial, including collection of tissue biopsies.
  • Written informed consent must be obtained and documented.

Exclusion Criteria:

  • Diagnosis of Crohn’s disease or indeterminate colitis.
  • An active, serious infection, including localized infections.
  • Concomitant administration of biological therapies for UC or potent immunosuppressants, such as azathioprine and cyclosporine. Subjects with previous exposure to these treatments should undergo an appropriate washout period according to local practice prior to starting tofacitinib, in keeping with routine clinical practice.
  • Hematology laboratory results that meet the following:
    • absolute lymphocyte count < 500 cells/mm3.
    • absolute neutrophil count < 1000 cells/mm3.
    • hemoglobin < 9 g/dL.
  • Interval between live vaccinations and initiation of tofacitinib therapy should be in accordance with current vaccination guidelines regarding immunosuppressive agents.
  • Serious underlying disease other than UC that in the opinion of the investigator may interfere with the subject’s ability to participate fully in the study.
  • Prior enrollment in the current study and having received tofacitinib.

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

William Faubion, M.D.

Cerrado para la inscripción

More information

Publicaciones

Publications are currently not available
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CLS-20502314

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