Clinical trial • Phase II • Gastroenterology

ADALIMUMAB for Ulcerative colitis

Phase II trial of ADALIMUMAB for Ulcerative colitis. 200 participants.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Ulcerative colitis
Trial Stage
Phase II
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
02-12-2024
First CTIS Authorization Date
19-06-2025

Trial design

Phase II trial across 1 site in Norway.

Biomarker Stratified
True: mucosal TNF transcript (threshold ≥14100 copies/µg RNA) and RHI (threshold ≥9)
Target Sample Size
200
Trial Duration For Participant
365

Eligibility

Recruits 200 Vulnerable population not selected (isVulnerablePopulationSelected: false). Participants must be capable of giving signed informed consent as described in Appendix 1. Only adults (18-65) are eligible; subject information and informed consent forms for adults are provided..

Pregnancy Exclusion
Pregnant or planned pregnancy during the study period.
Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected: false). Participants must be capable of giving signed informed consent as described in Appendix 1. Only adults (18-65) are eligible; subject information and informed consent forms for adults are provided.

Inclusion criteria

  • {"criterion_text":"- Participant must be 18 to 65 years of age inclusive, at the time of signing the informed consent.\n- Participants who are newly diagnosed with ulcerative colitis (colonscopy and biopsy that confirm the diagnosis)\n- Capable of giving signed informed consent as described in Appendix 1 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol\n- Women with childbearing potential must use highly efficient contraception during and 5 months after the last adalimumab administration"}

Exclusion criteria

  • {"criterion_text":"- Any condition that by standard clinical practice preclude the use of biologic therapy as per local guidelines, including but not exclusive: a.\tMalignancies declared healed less than 5 years earlier b.\tEvidence of ongoing or latent tuberculosis according to IGRA test, TB-SPOT or similar local testing practice c.\tEvidence of ongoing or latent untreated HBV or HCV infection\n- Fulminant colitis\n- Severe infections such as sepsis, abscesses or opportunistic infections\n- Moderate to severe heart failure (NYHA class III/IV)\n- Alternative diagnosis like C difficile or enteropathogenic infection likely to affect the clinical presentation\n- Pregnant or planned pregnancy during the study period.\n- Participation in other clinical trials or research studies that may interfere with the current study.\n- Participants who are required to recive live vaccines during the study period"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Primary outcome Main Study: Percentage of patients in deep remission 1 year after debut (defined as Mayo score ≤2, endoscopic Mayo score =0, and RHI <3.","definition_or_measurement_approach":"Defined as Mayo score ≤2, endoscopic Mayo score =0, and RHI <3 (percentage of patients in deep remission 1 year after debut)."}
  • {"endpoint_text":"- Sub-study: Percentage of patients who starts with biological medication or undergo surgical intervention during det first year after debut of disease","definition_or_measurement_approach":"As stated: percentage of patients who starts with biological medication or undergo surgical intervention during det first year after debut of disease."}

Secondary endpoints

  • {"endpoint_text":"- Secondary outcomes: Patient reported outcomes (IBD-QoL, SCCAI), evaluate change in scores from baseline. Medical expenditures based on retrospective questionnaire and medical records review.","definition_or_measurement_approach":"Evaluate change in patient-reported scores (IBD-QoL, SCCAI) from baseline; medical expenditures assessed by retrospective questionnaire and medical records review."}
  • {"endpoint_text":"- Secondary endpoint: Patient reported outcomes (IBD-QoL, SCCAI), evaluate change in scores from baseline. Medical expenditures based on retrospective questionnaire and medical records review after 3 years.","definition_or_measurement_approach":"Evaluate change in patient-reported scores (IBD-QoL, SCCAI) from baseline; medical expenditures assessed by retrospective questionnaire and medical records review after 3 years."}
  • {"endpoint_text":"- Exploratory outcomes: Improvement of the proposed biosignature based on data from all 200 included subjects.","definition_or_measurement_approach":"Improvement of the proposed biosignature measured using data collected from all 200 included subjects."}

Recruitment

Planned Sample Size
200
Recruitment Window Months
83
Consent Approach
Adults (18-65) must provide signed informed consent as described in Appendix 1. Subject information and informed consent forms for adults (L1_SIS and ICF adults) are provided. No assent procedures; vulnerable population not selected.

Geography

Total Number Of Sites
1
Total Number Of Participants
200

Norway

Earliest CTIS Part Ii Submission Date
26-05-2025
Latest Decision Or Authorization Date
19-06-2025
Processing Time Days
24
Number Of Sites
1
Number Of Participants
200

Sites

Site Name
Universitetssykehuset Nord-Norge HF
Department Name
Medisinsk klinikk
Contact Person Name
Åshild Hana
Contact Person Email
ashild.hana@unn.no

Sponsor

Primary sponsor

Full Name
Universitetssykehuset Nord-Norge HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Investigational products

Investigational Product Name
AMGEVITA 40 mg solution for injection in pre-filled pen
Active Substance
ADALIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
Authorised (marketing authorisation EU/1/16/1164/014)
Maximum Dose
160 mg

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