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Completed

NCT Number: NCT02818686

TD-1473 for Active Ulcerative Colitis (UC)

This study is designed to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of TD-1473 in subjects with moderately-to-severely active UC over 28 days. This exploratory study will also serve as a signal seeking endeavor to demonstrate biologic effect associated with TD-1473 through biomarker analysis and clinical, endoscopic, and histologic assessments.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Theravance Biopharma Investigational Site, Tbilisi, Georgia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Has a history of ulcerative colitis diagnosis at least 3 months prior to screening
  • Is intolerant, refractory, or only partially responsive to aminosalicylates, corticosteroids, immunomodulators, or biologics. If subject is currently receiving an oral aminosalicylate, he or she is eligible and can stay on that dose of aminosalicylate provided the dose has been stable for at least 2 weeks prior to screening. If the subject is currently receiving an oral corticosteroid, he or she is eligible if the dose is equivalent to or less than prednisone 20 mg/day or budesonide 9 mg/day and stable for at least 2 weeks prior to screening sigmoidoscopy if the subject has been on corticosteroids for more than 2 weeks.
  • Has a rectal bleeding score ≥ 1 and a bowel frequency score ≥ 1 on the patient-reported outcome 2 (PRO2) on screening sigmoidoscopy day and on Day 1 in addition to a modified Mayo endoscopic subscore of ≥ 2 during screening
  • Women of childbearing potential must have a negative pregnancy test and either abstain from sexual intercourse or use a highly effective method of birth control
  • Willing and able to give informed consent
  • Additional inclusion criteria apply

Exclusion criteria

  • Has fulminant colitis, toxic megacolon, primary sclerosing cholangitis, Crohn's disease, history of colitis-associated colonic dysplasia, active peptic ulcer disease
  • Medications of exclusion: a) azathioprine, 6-mercaptopurine, or methotrexate within the 28 days prior to Day 1, b) adalimumab, infliximab, golimumab, etanercept, or certolizumab within the 60 days prior to Day 1, c) intravenous corticosteroids within the 14 days prior to Day 1, d) topical mesalamine or steroid (i.e., enemas or suppositories) within the 14 days prior to Day 1, e) any prior exposure to mycophenolic acid, tacrolimus, sirolimus, cyclosporine, natalizumab, rituximab, efalizumab, ustekinumab, fingolimod, or thalidomide, f) NSAIDs on a daily basis, g) tofacitinib within the 60 days prior to Day 1; h) vedolizumab within 120 days prior to Day 1
  • Has a current bacterial, parasitic, fungal, or viral infection
  • Is positive for hepatitis A, B or C, HIV or tuberculosis
  • Has clinically significant abnormalities in laboratory evaluations
  • Participated in another clinical trial of an investigational drug (or medical device) within 30 days prior to screening (or within 60 days prior to screening if investigational drug was a biologic or another Janus kinase (JAK) inhibitor, or is currently participating in another trial of an investigational drug (or medical device)
  • Use of prescription medications started or with a dose adjustment within 4 weeks prior to study enrollment, or over-the-counter medications or supplements started or with a dose adjustment within 2 weeks prior study enrollment. Anti-diarrheal medications are allowed only if dose has been stable at least 2 weeks prior to study enrollment
  • Additional exclusion criteria apply

Treatment and study plan

TD-1473

Drug

Placebo

Drug

Primary outcomes

  1. Treatment-emergent Adverse Events (TEAE)

    Time frame: Baseline to end of follow-up (a maximum of 42 days)

    Number of participants who experience one or more treatment-emergent Adverse Events (TEAE)

  2. Moderate or Severe Treatment-emergent Adverse Events (TEAE)

    Time frame: Baseline to end of follow-up (a maximum of 42 days)

    Number of participants who experience one or more moderate or severe treatment-emergent Adverse Events (TEAE)

  3. Serious Treatment-emergent Adverse Events (TEAE)

    Time frame: Baseline to end of follow-up (a maximum of 42 days)

    Number of participants who experience one or more serious treatment-emergent Adverse Events (TEAE)

  4. Clinical Laboratory Measurements

    Time frame: Baseline to end of follow-up (a maximum of 42 days)

    Number of participants who experienced a Clinically Significant Clinical Laboratory Measurements

  5. Electrocardiogram

    Time frame: Baseline to Day 14

    Number of participants who experienced a Clinically Significant Electrocardiogram (ECG) Result

  6. Vital Signs

    Time frame: Baseline to end of follow-up (a maximum of 42 days)

    Number of participants who experienced a Clinically Significant Vital Sign Measurement

  7. Cmax in plasma

    Time frame: Day 1 and Day 14

    Maximum Observed Plasma Concentration of TD-1473

  8. Tmax in plasma

    Time frame: Day 1 and Day 14

    Time to Reach Maximum Observed Plasma Concentration (Cmax) of TD-1473

  9. Tlast in plasma

    Time frame: Day 1 and Day 14

    Time to Last Quantifiable Concentration of TD-1473

  10. Ctrough in plasma

    Time frame: Day 14 (Pre-dose)

    Trough Concentration of TD-1473

  11. AUC0-4 in plasma

    Time frame: Day 1 and Day 14

    Area Under the Concentration-time Curve from Time Zero to 4 hours Post-Dose of TD-1473

  12. Ctissue in plasma

    Time frame: Day 28

    Tissue Concentration of TD-1473

Secondary outcomes

  1. C-reactive protein (CRP)

    Time frame: Baseline, Day 14 and Day 28

    Mean Change in Serum C-reactive Protein (CRP)

  2. Fecal Calprotectin

    Time frame: Baseline and Day 28

    Mean Change in Fecal Calprotectin

  3. Partial Mayo score

    Time frame: Baseline, Day 14 and Day 28

    Mean Change in Partial Mayo Score

Sponsors and collaborators

Lead sponsor

Theravance Biopharma

Industry

Registry information

Official study title

A Phase 1b Multi-Center, Randomized, Double-Blind, Multi-Dose, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacodynamics, and Plasma Exposure of TD-1473 in Subjects With Moderately-to-Severely Active Ulcerative Colitis

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Jun 30, 2016
Registry last updated
Sep 30, 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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