A Study to Assess Adverse Events and Change in Disease Activity From Intravenous (IV) and Subcutaneous (SC) Lutikizumab in Adult Participants With Active Ulcerative Colitis
Purpose
Ulcerative colitis (UC) is a type of inflammatory bowel disease that causes inflammation and bleeding from the lining of the rectum and colon (large intestine). The purpose of this study is to assess how safe and effective lutikizumab is in adult participants with moderate to severe UC and how lutikizumab compares to adalimumab in the treatment of UC. Adverse events and changes in disease activity will be assessed. Lutikizumab is an investigational product being developed for the treatment of moderate to severe UC. Participants are placed in groups called treatment arms. Each group receives a different treatment. In the Induction Period, participants will be randomized into 1 of 3 arms receiving lutikizumab Dose 1, lutikizumab Dose 2, or adalimumab. In the Maintenance Period, participants who responded to lutikizumab will be randomized into 1 of 2 arms of lutikizumab maintenance and participants who responded to adalimumab will continue to receive adalimumab. All participants who did not achieve clinical response per modified Mayo Score at the end of the Induction period will receive open label lutikizumab. Around 200 adult participants with UC will be enrolled at approximately 280 sites worldwide. During the 12 week Induction Period, participants will be randomized to receive intravenous (IV) and subcutaneous (SC) lutikizumab or SC adalimumab. At the 12 week mark, participants who are on lutikizumab who have responded to treatment will be re-randomized to receive SC lutikizumab at different intervals until Week 52. Participants who are on adalimumab who are responding to treatment will continue to receive adalimumab. Participants who do not respond to treatment will receive open-label SC lutikizumab. Participants who complete the Week 52 visit and in whom therapeutic benefit to study drug is confirmed by the investigator may roll over into an optional, blinded 52-week long-term extension (LTE). There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Condition
- Ulcerative Colitis
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Participant has had a diagnosis of Ulcerative Colitis (UC) for at least 90 days prior to Baseline. Appropriate documentation of biopsy results consistent with the diagnosis of UC in the assessment of the investigator, must be available. - Active UC with a Modified Mayo Score (mMS) of 5 to 9 points and Mayo Endoscopic Subscore (ESS) of 2 to 3 (confirmed by central review). - Demonstrated inadequate response to, loss of response to, or intolerance to at least one of the following: oral aminosalicylates, corticosteroids, immunomodulators, and/or advanced therapies.
Exclusion Criteria
- Current diagnosis of Crohn's Disease (CD) or inflammatory bowel disease-unclassified. - Extent of inflammatory disease limited to the rectum as assessed by screening endoscopy. - Prior inadequate response, intolerance or loss of response to adalimumab (including biosimilars). Note: Participant may be enrolled if he/she discontinued adalimumab for reasons other than those listed above (e.g., loss of insurance) or he/she has been exposed to other advanced therapies, including anti-TNFs other than adalimumab.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Induction Group 1 |
Participants will receive Dose 1 of IV lutikizumab at Baseline followed by SC lutikizumab throughout induction. Adalimumab placebo will be utilized to maintain the blind. |
|
Experimental Induction Group 2 |
Participants will receive Dose 2 of IV lutikizumab at Baseline followed by SC lutikizumab throughout induction. Lutikizumab placebo and adalimumab placebo will be utilized to maintain the blind. |
|
Experimental Induction Group 3 |
Participants will receive adalimumab per label throughout induction. Lutikizumab placebo will be utilized to maintain the blind. |
|
Experimental Maintenance Group 1 |
Participants who responded to lutikizumab induction group 1 or 2 will be re-randomized. Participants in this group will receive SC lutikizumab throughout the maintenance period. Adalimumab placebo will be utilized to maintain the blind. |
|
Experimental Maintenance Group 2 |
Participants who responded to lutikizumab induction group 1 or 2 will be re-randomized. Participants in this group will receive SC lutikizumab throughout the maintenance period. Lutikizumab placebo and adalimumab placebo will be utilized to maintain the blind. |
|
Experimental Maintenance Adalimumab |
Participants who respond to adalimumab induction group 3 will continue to receive adalimumab per label in the maintenance period. Lutikizumab placebo will be utilized to maintain the blind. |
|
Experimental Maintenance Non-Responders |
Participants who do not respond to study drug at the end of induction period will receive open label SC lutikizumab in the maintenance period. |
|
Experimental Optional Long-Term Extension (LTE) |
Participants who complete the maintenance period, are willing/able to inject study drug at home, and in whom therapeutic benefit to study drug is confirmed by the investigator may participate in the optional 52-week blinded LTE. |
|
Recruiting Locations
Chula Vista, California 91910-5619
Coronado, California 92118-1408
Site Coordinator
619-522-0330
Huntington Beach, California 92648-5994
Lancaster, California 93534
Orange, California 92868-3201
Aurora, Colorado 80045
Coral Gables, Florida 33134-2442
Gainesville, Florida 32610
Lakeland, Florida 33813-4924
Site Coordinator
863-450-2580
Margate, Florida 33063-5737
Miami, Florida 33136
Site Coordinator
305-243-6405
Miami, Florida 33176-2302
Naples, Florida 34102
Site Coordinator
239-649-1336
Orlando, Florida 32804-5505
Tampa, Florida 33609
Site Coordinator
813-240-9734
Decatur, Georgia 30033
Macon, Georgia 31201
Site Coordinator
478-464-2600 ext.115
Roswell, Georgia 30076-4913
Site Coordinator
404-596-4480
Chicago, Illinois 60637
Indianapolis, Indiana 46202-5149
Kansas City, Kansas 66160
Shreveport, Louisiana 71105-6800
Chesterfield, Michigan 48047
Chesterfield, Michigan 48047
Site Coordinator
586-598-3329
Wyoming, Michigan 49519
Rochester, Minnesota 55905-0001
Site Coordinator
507-266-4728
Albuquerque, New Mexico 87131
Site Coordinator
505-272-6042
Brooklyn, New York 11235-3919
Site Coordinator
347-547-6972
Lake Success, New York 11042
New York, New York 10032-3729
Site Coordinator
212-342-4102
Charlotte, North Carolina 28204-2963
Site Coordinator
704-355-0282
Charlotte, North Carolina 28211
Winston-Salem, North Carolina 27157-0001
Fargo, North Dakota 58104-5925
Oklahoma City, Oklahoma 73112
Garland, Texas 75044
Houston, Texas 77030
Houston, Texas 77084
Site Coordinator
281-975-2895
San Antonio, Texas 78212
San Antonio, Texas 78229-5390
Tyler, Texas 75701
Webster, Texas 77598
Huntington, West Virginia 25701
Milwaukee, Wisconsin 53215
Bayamon, Puerto Rico 00960
San Juan, Puerto Rico 00918-3501
Site Coordinator
787-679-3324
San Juan, Puerto Rico 00935
Site Coordinator
787-754-0101
More Details
- NCT ID
- NCT06257875
- Status
- Recruiting
- Sponsor
- AbbVie