Clinical trial • Phase III • Gastroenterology

ICOTROKINRA for Ulcerative colitis | Moderately to severely active ulcerative colitis

Phase III trial of ICOTROKINRA for Ulcerative colitis | Moderately to severely active ulcerative colitis.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Ulcerative colitis | Moderately to severely active ulcerative colitis
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
18-08-2025
First CTIS Authorization Date
01-12-2025

Trial design

Randomised, open-label, placebo (jnj-77242113-aac placebo tablet) versus icotrokinra (oral film-coated tablet). dose and schedule not specified in the ctis record.-controlled Phase III trial.

Randomised
Yes
Open Label
Yes
Comparator
Placebo (JNJ-77242113-AAC Placebo tablet) versus Icotrokinra (oral film-coated tablet). Dose and schedule not specified in the CTIS record.
Target Sample Size
491

Eligibility

Recruits 491 paediatric patients.

Vulnerable Population
Adolescents are included (≥12 to <18 years). The submission includes separate assent and consent materials: adolescent assent forms, parent/guardian consent forms, adolescent 'turns 18' documents, and parent information forms, with optional sub-study consent/assent documents. Multiple language versions and country-specific consent/assent/I CF packs are provided; parental/legal guardian consent is required for minors and separate adolescent assent documentation is used.

Inclusion criteria

  • {"criterion_text":"- 1. Adult participants: ≥18 years of age (and at least the legal age of consent in the jurisdiction in which the study is taking place). Adolescent participants: ≥12 to <18 years of age, at the time of signing the informed assent/consent\n- 2. Diagnosis of UC established at least 12 weeks before screening including both endoscopic evidence and a histopathology report consistent with a diagnosis of UC.\n- 3. Moderately to severely active UC, defined as baseline (Week I-0) modified Mayo score of 5 to 9, inclusive, using the endoscopy subscore obtained during the central review of the screening video endoscopy.\n- 4. An endoscopy subscore ≥2 as obtained during central review of the screening video endoscopy.\n- 5.A participant who has had extensive UC for ≥8 years, or disease limited to the left side of the colon for ≥ 10 years before the first dose of study intervention must undergo a complete colonoscopy to assess for the presence of dysplasia within 1 year before the first dose of study intervention. Completion of the colonoscopy with dysplasia assessment is allowed during the screening period prior to the first dose of study intervention."}

Exclusion criteria

  • {"criterion_text":"- 1. Participants with current known complications of UC such as fulminant colitis, toxic megacolon, or any other manifestation that might require colonic surgery while enrolled in the study.\n- 2. Presence of a stoma.\n- 3. Presence or history of fistula.\n- 4. Colonic resection within 24 weeks before baseline or any other intra abdominal or other major surgery performed within 12 weeks before baseline.\n- 5. History or screening colonoscopy finding of high- or low-grade colonic mucosal dysplasia in an area of known colitis (active or historic)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Induction study (adult): Clinical remission at Week I-12\n- Maintenance study (adult): Clinical remission at Week M-40\n- Adolescent study: Clinical remission at Week M-40","definition_or_measurement_approach":"Not specified in the CTIS record. (Endpoint text lists clinical remission at the specified weeks; measurement definition not provided in the extracted fields.)"}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
491
Recruitment Window Months
73
Consent Approach
Adults provide informed consent using adult SIS/ICF documents. Adolescents (≥12 to <18 years) provide assent via adolescent assent forms, and a parent/legal guardian must provide consent using parent/guardian ICFs. Specific provisions exist for adolescents who turn 18 during the study (documents labelled 'Adolescent turns 18'). Optional sub-studies have separate ICF/assent forms. Multiple language versions and country-specific consent packs are included.

Methods

  • Digital Ad Templates / Display Ads — digital recruitment materials are listed (templates) for multiple countries (examples in document list for BE, CZ, DE, FR, NL, SE, etc.); target audience: potential participants and parents of adolescent participants.
  • Recruitment flyers — country-specific recruitment flyers including adolescent-targeted flyers (documents present for BE, CZ, DE, FR, IT, NL, PT, PL, ES, SE etc.).
  • Study Information Brochures — participant information brochures for adults and adolescents provided in multiple languages and countries.
  • Dear Parent Email — email template for parents/guardians (country-specific versions e.g., CZ, PT, DE listed).
  • Subject Wallet Card — wallet card provided to subjects (country-specific).
  • IUS Sub-study Fact Sheets and optional sub-study recruitment material — separate materials for optional imaging/substudy recruitment and adolescent optional sub-study.

Sponsor

Primary sponsor

Full Name
Janssen Cilag International
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Eresearchtechnology Inc.
Responsibilities
eCOA
Name
Labcorp Central Laboratory Services LP
Responsibilities
Central laboratory services (sponsor duty code present)
Name
4g Clinical LLC
Responsibilities
Vendor/CRO duties (sponsor duty code present)
Name
Bioclinica Inc.
Responsibilities
Imaging
Name
Eresearchtechnology Inc.
Responsibilities
Central ECG

Third parties

  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"eCOA","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"(code 4) - specified duty code present in record","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"4g Clinical LLC","duties_or_roles":"(code 3) - specified duty code present in record","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Imaging","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Central ECG","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Icotrokinra
Active Substance
ICOTROKINRA
Modality
Peptide/protein/enzyme
Routes Of Administration
Oral use
Route
ORAL USE
Authorisation Status
Authorised
Investigational Product Name
JNJ-77242113-AAC Placebo tablet
Modality
Other

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