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
Related trials
Other published trials that may interest you.