Phase 2
Completed N=28
A Phase 1/2 Study of Repeated Intravenous E6011 Administration in Japanese Subjects With Crohn's Disease
Source: ClinicalTrials.gov NCT02039063 ↗Enrolled (actual)
28
Serious AEs
25.0%
Results posted
Jan 2023
Primary outcomePrimary: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) — 6; 6; 7; 3 Participants
Summary
This study is a multicenter, open-label, uncontrolled, multiple ascending dose (MAD) study to evaluate mainly the safety and tolerability of 12-week repeated intravenous administration of E6011. A total of 24 subjects will enroll into four cohorts. Six subjects per cohort will receive repeated intravenous administration of E6011.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
6; 6; 7; 3; 1; 1 | — |
| PRIMARY Number of Participants With Clinically Significant Change in Laboratory Parameters |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Change in Vital Sign Measurements |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Treatment-emergent Clinically Significant Abnormal Electrocardiogram (ECG) Findings |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Chest X-ray Findings |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Neurological Findings |
0; 0; 0; 0 | — |
| SECONDARY Mean Trough Serum Concentration of E6011 at Week 12 and 52 |
3.40; 26.1; 96.8; 146; 10.8; 17.3 | — |
| SECONDARY Number of Participants With Serum Anti-E6011 Antibody at Week 12 and 52 |
4; 3; 2; 1; 4; 3 | — |
Eligibility Criteria
Inclusion Criteria
Subjects must meet all of the following criteria to be included in this study:
- Japanese patients aged 20 to 64 years old at the time of informed consent.
- Diagnosed with Crohn's disease based on the diagnostic criteria for Crohn's disease of the Health and Labor Sciences Research Grants "Research on Measures against Intractable Diseases (Inflammatory Bowel Disease)" Group (2012).
- Mild to moderate severity at Observation Phase (CDAI between 150 and 450, based on the above diagnosis criteria for Crohn's disease).
- History of aminosalycylic acid (5-ASA), salazosulfapyridine, cortical steroid, immunomodulators, infliximab or adalimumab treatment with no apparent effect, or unable to continue the treatment due to AEs (except for infliximab and adalimumab).
- Consent to use contraception (both the subject and the subject's partner), if the subject is a a man capable of reproduction or a woman of childbearing potential.
- Has voluntarily consented, in writing, to participate in this study.
- Has been thoroughly briefed on the conditions for participation in the study, and is willing and able to comply with the conditions.
Exclusion Criteria
Subjects who meet any of the following criteria will be excluded from this study:
- Abscess or suspected abscess found at Screening or Observation Phase (not applicable to perianal abscess).
- Diagnosed with gastrointestinal epithelia dysplasia at Screening or Observation Phase.
- Suspected of colitis other than Crohn's disease at Screening or Observation Phase (such as pseudomembranous colitis).
- Symptomatic obstruction at Screening or Observation Phase.
- Underwent intestinal resection within 24 weeks before the start of the study treatment, or planning to undergo intestinal resection in the next 52 weeks.
- Newly started with Seaton drainage within 12 weeks before Observation Phase.
- Diagnosed with short bowel syndrome at Screening or Observation Phase.
- Positive C.Difficile toxin test at Screening.
- Prior history or current complication of malignant tumor, lymphoma, leukemia, or lymphoproliferative disease.
- Immunodeficiency or history of HIV infection.
- Infection requiring hospitalization or intravenous administration of antibiotics within 4 weeks before the start of the study treatment; or an infection requiring oral antibiotics within 2 weeks before the start of the study treatment.
- History of tuberculosis or current complication of active tuberculosis.
- History of serious allergy (shock, or anaphylactoid symptoms).
- History of clinically important vascular edema, hematemesis, or hemoptysis.
- History of acute myocardial infarction, cerebral infarction, cerebral hemorrhage, or arteriosclerosis obliterans.
- History of clinically important vasculitis (such as mononeuritis multiplex).
- In tests conducted at Screening, a positive finding for any of the following: human immunodeficiency virus (HIV), hepatitis B virus surface antigen (HBs antigen), hepatitis B virus surface antibody (HBs antibody), hepatitis B virus core antibody (HBc antibody), hepatitis B virus DNA (HBV DNA), hepatitis C virus antibody (HCV antibody), human T-lymphotrophic virus Type I antibody (HTLV-1 antibody), or syphilis screening. Except for the subject, if HBs antibody is only positive and is clear due to vaccination of Hepatitis B.
- Any result other than negative in tuberculosis test (T-SPOT TB Test or QuantiFERON TB Gold Test) at Screening.
- Findings indicating a history of tuberculosis on chest x-ray during screening.
- Received a live vaccine within 12 weeks before starting the study treatment, or planning to receive a live vaccine before Week 52.
- Planning to have surgery before Week 52.
- Currently participating in another clinical trial, or used an investigational drug or investigational device, or participated in another clinical study, within 24 weeks of the start of the study treatment.
- Judged to be ineligible to participa
Data sourced from ClinicalTrials.gov (NCT02039063). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.