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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02118584
Registration number
NCT02118584
Ethics application status
Date submitted
16/04/2014
Date registered
21/04/2014
Date last updated
1/11/2023
Titles & IDs
Public title
Study for Participants With Ulcerative Colitis Previously Enrolled in Etrolizumab Phase II/III Studies
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Scientific title
An Open-Label Extension and Safety Monitoring Study of Moderate to Severe Ulcerative Colitis Patients Previously Enrolled in Etrolizumab Phase II/III Studies
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Secondary ID [1]
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0
2013-004435-72
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Secondary ID [2]
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0
GA28951
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Universal Trial Number (UTN)
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Trial acronym
COTTONWOOD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ulcerative Colitis
0
0
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Condition category
Condition code
Oral and Gastrointestinal
0
0
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
0
0
0
0
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
0
0
0
0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Etrolizumab
Experimental: Part 1: Open-label Extension - Participants with moderate to severe UC who were enrolled in the Phase II OLE study or the Phase III studies, and who meet the eligibility criteria for enrollment will receive open-label etrolizumab in Part 1 (OLE).
No intervention: Part 2: Safety Monitoring - All participants from Part 1 (OLE), participants whose PML follow-up is not completed within the Phase II OLE study, and participants transferring from the Phase III double-blind studies after the 12-week safety follow-up will be monitored for PML (92 weeks).
Treatment: Drugs: Etrolizumab
Participants will receive etrolizumab 105 milligrams (mg), administered subcutaneously (SC) every 4 weeks for up to 9 years or until either commercial availability or the Sponsor's decision to terminate the study.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants With Clinical Remission as Determined by the Partial Mayo Clinic Score (pMCS) - Part 1
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Assessment method [1]
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Timepoint [1]
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Baseline up to 9 years (assessed at Baseline, Week 4, 8, 12 thereafter every 12 weeks up to 9 years after the first participant is enrolled or until commercial availability, whichever is earlier, or until sponsor's decision to terminate the study)
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Primary outcome [2]
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Percentage of Participants With Remission as Determined by the Mayo Clinic Score (MCS) - Part 1
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Assessment method [2]
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Timepoint [2]
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Week 108
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Primary outcome [3]
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Percentage of Participants With Endoscopic Remission
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Assessment method [3]
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0
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Timepoint [3]
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Week 108
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Primary outcome [4]
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Percentage of Participants With Anti-therapeutic Antibodies to Etrolizumab - Part 1
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Assessment method [4]
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0
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Timepoint [4]
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Baseline, Week 12, every 48 weeks, week 108, at early withdrawal from treatment up to 9 years after first participant enrolled or until commercial availability, whichever is earlier, or until sponsor's decision to terminate the study)
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Primary outcome [5]
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Percentage of Participants With Adverse Events - Part 1
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Assessment method [5]
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0
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Timepoint [5]
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Baseline up to 9 years after the first participant is enrolled or until commercial availability, whichever is earlier, or until the Sponsor's decision to terminate the study
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Primary outcome [6]
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Percentage of Participants With Progressive Multifocal Leukoencephalopathy (PML) - Part 2
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Assessment method [6]
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0
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Timepoint [6]
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104 weeks
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Primary outcome [7]
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Change From Baseline in pMCS at Year 9
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Assessment method [7]
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0
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Timepoint [7]
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Baseline, Year 9
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Eligibility
Key inclusion criteria
Part 1 (Open-label Extension)
- Participants previously enrolled in the Phase II OLE study or Phase III controlled studies who meet the eligibility criteria for open-label etrolizumab for those studies as described in the protocol
Part 2 (Safety Monitoring)
* Participants whose safety follow-up or PML follow-up is not completed within Study GA27927 and participants who had their last dose of etrolizumab in July 2016 in Study GA27927 and are not eligible or willing to enroll in Part 1 (OLE)
* Participants who participated in one of the etrolizumab Phase III studies and are not eligible or willing to enter Part 1 (OLE)
* Participants who transfer from Part 1 (OLE)
* Completion of the 12-week safety follow-up prior to entering.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Part 1 (Open-label Extension)
* Withdrawal of consent from and participant not compliant in the Phase II OLE study or any of the Phase III studies
* Participant who discontinued etrolizumab/etrolizumab placebo prior to Week 10 or did not perform the Week 10 visit of the Phase III Studies GA28948, GA28949, GA29102, and GA29103
* Participant who discontinued etrolizumab/etrolizumab placebo prior to Week 14 or did not perform the Week 14 visit of the Phase III Study GA28950
* Any new, significant, uncontrolled condition
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/09/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
5/10/2023
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Sample size
Target
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Accrual to date
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Final
1822
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Bankstown-Lidcombe Hospital - Bankstown
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Concord Repatriation General Hospital - Concord
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Royal Brisbane and Women's Hospital - Herston
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Mater Adult Hospital - Mackay
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Princess Alexandra Hospital - Woolloongabba
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Royal Adelaide Hospital - Adelaide
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Flinders Medical Centre - Bedford Park
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Launceston General Hospital; Gastroenterology Research - Launceston
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Monash Medical Centre - Clayton
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St Vincent's Hospital Melbourne - Fitzroy
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Footscray Hospital - Footscray
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St Frances Xavier Cabrini Hospital - Malvern
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Royal Melbourne Hospital; Department of Colorectal Medicine and Genetics - Parkville
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Fiona Stanley Hospital - Murdoch
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2200 - Bankstown
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2139 - Concord
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4029 - Herston
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4740 - Mackay
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4102 - Woolloongabba
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5000 - Adelaide
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5042 - Bedford Park
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7250 - Launceston
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3168 - Clayton
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3065 - Fitzroy
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3011 - Footscray
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3144 - Malvern
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3050 - Parkville
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6150 - Murdoch
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Recruitment outside Australia
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Funding & Sponsors
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Commercial sector/industry
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Name
Hoffmann-La Roche
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Summary
Brief summary
This two-part, part 1: open-label extension (OLE) and part 2: safety monitoring (SM) study will examine the efficacy and safety of continued etrolizumab treatment in moderate to severe ulcerative colitis (UC) participants previously enrolled in etrolizumab Phase II/III studies. Participants with moderate to severe UC who were enrolled in the Phase II OLE study (GA27927 \[NCT01461317\]) or the Phase III studies (GA28948 \[NCT02163759\], GA28949 \[NCT02171429\], GA28950 \[NCT02100696\], GA29102 \[NCT02165215\], and GA29103 \[NCT02136069\]) were included. Participants from the Phase II OLE study or the Phase III studies who are not eligible or willing to receive etrolizumab in the OLE-SM study, and who have completed the 12-week safety follow-up period will be enrolled in Part 2. Part 1 of OLE-SM will continue for up to 9 years after the first participant is enrolled into the study. Following Part 1, participants will enter Part 2 for a period of 92 weeks.
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Trial website
https://clinicaltrials.gov/study/NCT02118584
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Trial related presentations / publications
Sandborn WJ, Vermeire S, Tyrrell H, Hassanali A, Lacey S, Tole S, Tatro AR; Etrolizumab Global Steering Committee. Etrolizumab for the Treatment of Ulcerative Colitis and Crohn's Disease: An Overview of the Phase 3 Clinical Program. Adv Ther. 2020 Jul;37(7):3417-3431. doi: 10.1007/s12325-020-01366-2. Epub 2020 May 22.
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Public notes
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Contacts
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Hoffmann-La Roche
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No information has been provided regarding IPD availability
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https://clinicaltrials.gov/study/NCT02118584
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