Clinical Trials in the UK / NCT07747480
Recruiting
Phase 1
A Sub Study to Investigate the Safety and Tolerability of Aletekitug in Participants With Moderate To Severe Ulcerative Colitis
NCT07747480 · tracked via the Priya Life Science UK tracker
Condition(s) studied
Colitis, Ulcerative
Study summary
This goal of this sub-study is to learn how safe and tolerable the study drug, aletekitug (anti-IL-18), in participants with moderately to severely active ulcerative colitis (UC). This study is the sub-study of the platform trial.
Eligibility
Inclusion Criteria:
* Diagnosis of UC for greater than or equal (\>=) 3 months before screening. Appropriate documentation of endoscopy and biopsy results consistent with the diagnosis of UC must be available.
* Active UC with a modified Mayo score (mMS) of 5 to 9 points and endoscopy sub score of 2 to 3 within 14 days before baseline biopsy collection.
* Active disease beyond the rectum (greater than \[\>\]15 centimeter \[cm\] of active disease from the anal verge at the screening colonoscopy).
* Documentation of a surveillance colonoscopy (performed according to local standard) within 12 months before screening (may be performed during screening) for participants with pancolitis of \>8 years duration or left-sided colitis of \>12 years duration, or primary sclerosing cholangitis
* Demonstrated an inadequate response to, loss of response to, or intolerance to conventional therapy (e.g., oral 5- aminosalicyclic acid \[5-ASA\] compounds, corticosteroids, thiopurines).
* May have been receiving a conventional therapy if the prescribed dose has been stable for the required time period before the screening endoscopy.
* Must meet contraception requirements if a female participant is a woman of childbearing potential (WOCBP)
Exclusion Criteria:
* Participants with current diagnosis of Crohn's disease (CD) or Inflammatory bowel disease-unclassified (IBD-U) or a history of radiation colitis, microscopic colitis or ischemic colitis. Have currently known complications of UC such as fulminant colitis, or toxic megacolon, stoma, or stricture/stenosis within the small bowel or colon.
* Have prior history of dysplasia of the gastrointestinal tract or found to have dysplasia, other than completely removed low-grade dysplastic lesions, in any biopsy performed during the screening endoscopy.
* Have a history of malignant neoplasm within the last 5 years.
* Have history of lymphoproliferative disorder, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease
* Have any active, chronic, or recurrent infections based on the investigator's assessment.
* Have history of opportunistic infections within 1 year of screening
* Have history or presence of significant medical illness including but not limited to cardiovascular, respiratory, gastrointestinal (excluding UC), hepatic, renal, endocrine, hematologic, neurological, and psychiatric disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention or interfering with the interpretation of the data.
* Have evidence of active or latent Tuberculosis (TB) as documented by medical history, examination, and TB testing at Screening:
* Have significant allergies to humanized monoclonal antibodies.
* Have clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions
* Have had previous colectomy (total or subtotal), or any other manifestation that might require surgery while enrolled in the trial.
* Have ostomy or ileoanal pouch.
* Have received any of the following for treatments of UC:
* Immunomodulatory medications, including cyclosporine, tacrolimus, mycophenolate mofetil, thalidomide, within 4 weeks before screening endoscopy.
* Topical (rectal) treatment of 5-ASA or corticosteroid enemas/suppositories within 2 weeks of screening endoscopy.
* Have received approved or investigational advanced therapy (Ats) (i.e., biologics or small molecules including biosimilars).
* Interferon therapy within 8 weeks before screening endoscopy.
* Agents that deplete B- or T-cells (e.g., rituximab) within 12 months of baseline. Participants remain excluded if there is evidence of persistent targeted lymphocyte depletion at the time of screening endoscopy.
* Had Clostridium difficile infection within 30 days of screening endoscopy or have a positive test result at screening, or other intestinal pathogen within 30 days before screening endoscopy.
* Participant must not have signs of an ongoing infection related to an intestinal pathogen.
* In the investigator's opinion, any clinically significant abnormalities of laboratory results from chemistry, hematology or urinalysis tests obtained at the screening visit that cannot be attributed to the underlying moderate-to-severe UC.
* Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study.
* Positive for hepatitis B or C, HIV (Human Immunodeficiency Virus), as assessed by method available at each site;
* Uncontrolled hypertension (i.e., blood pressure consistently measures \>=140/90 millimeters of mercury (mmHg) while actively taking 1 or more antihypertensive medications).
Primary outcome measure(s)
- Number of Participants with Adverse events (AEs) — Up to 34 weeks [End of sub-study (EOSS)]
Adverse events will be collected. - Number of Participants with Serious AEs (SAEs) — Up to 34 weeks (EOSS)
Serious AEs will be collected. - Number of Participants who Discontinue Study Intervention due to AEs — Up to 34 weeks (EOSS)
Participants who discontinue study intervention due to AEs will be reported. - Number of Participants with Clinically Significant Changes in Laboratory Readings — Up to 34 weeks (EOSS)
Hematology, clinical chemistry, and urinalysis will be collected. - Number of Participants with Clinically Significant Changes in Vital Signs — Up to 34 weeks (EOSS)
Blood pressure, temperature and pulse rate readings will be collected. - Number of Participants with Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Readings — Up to 34 weeks (EOSS)
ECGs readings will be collected.
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| GSK Investigational Site | Oxford | United Kingdom | Recruiting |
More GlaxoSmithKline trials in the UK
First-in-Human Dose-escalation of GSK4425689A: Safety, Tolerability, and PK in Healthy Adults
Recruiting
First-Time-in-Human Study of GSK4381562 in Participants With Advanced Solid Tumors
Active, not recruiting
Linerixibat Long-term Safety, and Tolerability Study
Active, not recruiting
Depemokimab in Participants With Hypereosinophilic Syndrome, Efficacy, and Safety Trial
Active, not recruiting
Other trials for the same condition
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT07747480 on ClinicalTrials.gov ↗ ← All trials in the UK