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Completed

NCT Number: NCT01647516

Efficacy and Safety Study of Ozanimod in Ulcerative Colitis

The purpose of this study is to determine whether RPC1063 is effective in the treatment of ulcerative colitis (UC).

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Key information

Age range

18 year–73 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The Alfred Hospital, Melbourne, Victoria, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Ulcerative colitis (UC) confirmed on endoscopy
  • Moderately to severely active UC (Mayo score 6-12)

Exclusion criteria

  • Current use of anti-TNF agents

Treatment and study plan

Ozanimod

Drug

Ozanimod capsules by mouth daily.

Other names: Zeposia, RPC 1063

Placebo

Drug

Primary outcomes

  1. Percentage of Participants Who Achieved Clinical Remission Based on the Central Read of the Mayo Score (MS), at Week 8

    Time frame: Week 8

    Clinical Remission was defined as: Mayo score of <2 points and with no individual subscore of > 1 point.

    The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a scale of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease.

    • Stool Frequency Subscore (SFS)
    • Rectal bleeding Subscore (RBS)
    • Endoscopy Subscore
    • Physician's Global Assessment (PGA)

    Clinical Remission was based on the 4-component Mayo definition.

Secondary outcomes

  1. Percentage of Participants Who Achieved a Clinical Response in the Mayo Score (MS) at Week 8

    Time frame: Week 8

    Clinical response was defined as a reduction from baseline in Mayo score ≥3 points and ≥30%, and a decrease from baseline in the rectal bleeding subscore of ≥ 1 point or an absolute rectal bleeding subscore of ≤ 1 point.

    The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a scale of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease.

    Clinical Respone was based on the 4-component Mayo definition.

  2. Change From Baseline in Mayo Score at Week 8

    Time frame: Baseline to Week 8

    The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a scale of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease.

    • Stool Frequency Subscore (SFS)
    • Rectal bleeding Subscore (RBS)
    • Endoscopy Subscore
    • Physician's Global Assessment (PGA)
  3. Percentage of Participants With Mucosal Healing at Week 8

    Time frame: Week 8

    Mucosal healing is defined as an endoscopy subscore ≤ 1 point. Endoscopy subscores were calculated based on central endoscopy reading.

    The endoscopy scale:

    0 = Normal or inactive disease

    • = Mild disease (erythema, decreased vascular pattern, mild friability)
    • = Moderate disease (marked erythema, lack of vascular pattern, friability, erosions)
    • = Severe disease (spontaneous bleeding, ulceration)
  4. Percentage of Participants Who Achieved Clinical Remission in the Mayo Score at Week 32

    Time frame: Week 32

    Clinical Remission was defined as: Mayo score of <2 points and with no individual subscore of > 1 point.

    The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a score of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease.

    • Stool Frequency Subscore (SFS)
    • Rectal bleeding Subscore (RBS)
    • Endoscopy Subscore
    • Physician's Global Assessment (PGA)
  5. Percentage of Participants Who Achieved Clinical Response at Week 32

    Time frame: Week 32

    Clinical response was defined as a reduction from baseline in Mayo score ≥3 points and ≥30%, and a decrease from baseline in the rectal bleeding subscore of ≥ 1 point or an absolute rectal bleeding subscore of ≤ 1 point.

    The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a scale of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease.

    • Stool Frequency Subscore (SFS)
    • Rectal bleeding Subscore (RBS)
    • Endoscopy Subscore
    • Physician's Global Assessment (PGA)
  6. Percentage of Participants With Mucosal Healing at Week 32

    Time frame: Week 32

    Mucosal healing is defined as an endoscopy subscore ≤ 1 point. Endoscopy subscores were calculated based on central endoscopy reading.

    The endoscopy scale:

    0 = Normal or inactive disease

    • = Mild disease (erythema, decreased vascular pattern, mild friability)
    • = Moderate disease (marked erythema, lack of vascular pattern, friability, erosions)
    • = Severe disease (spontaneous bleeding, ulceration)
  7. Number of Participants With Treatment Emergent Adverse Events (TEAE) During the Induction Period

    Time frame: From the first dose of investigational product (IP) up to 90 days after the last dose of IP or at follow-up visit; the mean total duration of IP exposure was 52.8 days, 56.1 days and 50.8 days respectively for 0.5 mg, 1 mg ozanimod and placebo

    A TEAE was defined as any event with an onset date on or after first dose date or any ongoing event on the first dose date that worsens in severity after first dose date and until 90 days following the last dose of treatment with the study drug. earlier. A serious AE = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs was assessed by the investigator and based on the following scale: Mild = an AE usually transient in nature and generally not interfering with normal activities; Moderate = an AE that is sufficiently discomforting to interfere with normal activities; Severe = an AE that is incapacitating and prevents normal activities.

  8. Number of Participants With Treatment Emergent Adverse Events (TEAE) During the Maintenance Period

    Time frame: From the first dose of IP up to 90 days after the last dose of IP or at follow-up visit; the mean total duration of IP exposure was 156.3 days, 171.1 days and 154.5 days respectively for 0.5 mg, 1 mg ozanimod and placebo.

    A TEAE was defined as any event with an onset date on or after first dose date or any ongoing event on the first dose date that worsens in severity after first dose date and until 90 days following the last dose of treatment with the study drug. earlier. A serious AE = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs was assessed by the investigator and based on the following scale: Mild = an AE usually transient in nature and generally not interfering with normal activities; Moderate = an AE that is sufficiently discomforting to interfere with normal activities; Severe = an AE that is incapacitating and prevents normal activities.

  9. Number of Participants With TEAE During the Open-Label Treatment Period (OLP)

    Time frame: From the first dose of IP until 90 days after the last dose of IP or at follow-up visit; the mean total duration of study drug exposure in the OLP was 2.42 years

    A TEAE was defined as any event with an onset date on or after first dose date or any ongoing event on the first dose date that worsens in severity after first dose date and until 90 days following the last dose of treatment with the study drug. earlier. A serious AE = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs was assessed by the investigator and based on the following scale: Mild = an AE usually transient in nature and generally not interfering with normal activities; Moderate = an AE that is sufficiently discomforting to interfere with normal activities; Severe = an AE that is incapacitating and prevents normal activities.

Sponsors and collaborators

Lead sponsor

Celgene

Industry

Registry information

Official study title

A Phase 2, Multi-Center, Randomized, Double-Blind, Placebo Controlled Parallel-Group Study to Evaluate the Clinical Efficacy and Safety of Induction Therapy With RPC1063 in Patients With Moderately to Severely Active Ulcerative Colitis

Acronym: Touchstone

Important dates

Study start
2012
Primary completion
2015
Study completion
2019
First posted
Jul 23, 2012
Registry last updated
May 19, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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