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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02403323
Registration number
NCT02403323
Ethics application status
Date submitted
26/03/2015
Date registered
31/03/2015
Date last updated
1/11/2023
Titles & IDs
Public title
Open-Label Extension and Safety Study for Participants With Crohn's Disease Previously Enrolled in the Etrolizumab Phase III Study GA29144
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Scientific title
An Open-Label Extension and Safety Monitoring Study of Patients With Moderately to Severely Active Crohn's Disease Previously Enrolled in the Etrolizumab Phase III Protocol GA29144
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Secondary ID [1]
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2014-003855-76
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Secondary ID [2]
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GA29145
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Universal Trial Number (UTN)
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Trial acronym
JUNIPER
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Crohn Disease
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Condition category
Condition code
Oral and Gastrointestinal
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0
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Inflammatory bowel disease
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Inflammatory and Immune System
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0
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0
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
0
0
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0
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Crohn's 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: Etrolizumab Open-Label Extension - Participants will receive open-label treatment with etrolizumab once every 4 weeks until commercial availability in their country or sponsor's decision to terminate the study, whichever is earlier (up to approximately 10 years after the first patient is enrolled).
No intervention: Part 2: Safety Monitoring - Participants who have stopped etrolizumab treatment (either by exiting Part 1 of this study or by entering directly from Study GA29144 \[NCT02394028\]) will be monitored for 92 weeks for progressive multifocal leukoencephalopathy (PML) and other safety events.
Treatment: Drugs: Etrolizumab
105 mg etrolizumab subcutaneous administration once every 4 weeks
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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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Part 1: Number of Participants with Crohn's Disease Activity Index (CDAI) Remission Over Time
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Assessment method [1]
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Timepoint [1]
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Weeks 0, 12, 24, and every 12 weeks thereafter until study completion or early withdrawal, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [2]
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Part 1: Number of Participants with Clinical Remission Over Time
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Assessment method [2]
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Clinical remission is defined by a loose/soft stool frequency (SF) mean daily score =3 and an abdominal pain mean daily score =1 with no worsening in either subscore compared to baseline, averaged over 7 days prior to visit.
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Timepoint [2]
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Weeks 0, 12, 24, and every 12 weeks thereafter until study completion or early withdrawal, commercial availability of etrolizumab, or study termination, whichever is earlier (up to approximately 10 years)
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Primary outcome [3]
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Part 1: Simple Endoscopic Score for Crohn's Disease (SES-CD) Score at Week 108
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Assessment method [3]
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Timepoint [3]
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Week 108 (or at early withdrawal, if prior to Week 108)
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Primary outcome [4]
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Part 1: Overall Number of Participants who Experienced at Least One Adverse Event by Severity, According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI-CTCAE v4.0)
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Assessment method [4]
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Timepoint [4]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [5]
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Part 1: Overall Number of Participants with Adverse Events Leading to Etrolizumab Discontinuation
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Assessment method [5]
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Timepoint [5]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [6]
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Part 1: Overall Number of Participants who Experienced at Least One Infection-Related Adverse Event by Severity, According to NCI-CTCAE v4.0
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Assessment method [6]
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Timepoint [6]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [7]
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Part 1: Number of Infection-Related Adverse Events per Patient-Year
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Assessment method [7]
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Timepoint [7]
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From Week 0 until study completion or early withdrawal, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [8]
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Part 1: Overall Number of Participants who Experienced at Least One Infection-Related Serious Adverse Event
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Assessment method [8]
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Timepoint [8]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [9]
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Part 1: Overall Number of Participants who Experienced at Least One Injection-Site Reaction by Severity, According to NCI-CTCAE v4.0
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Assessment method [9]
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Timepoint [9]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [10]
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Part 1: Overall Number of Participants who Develop Malignancies
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Assessment method [10]
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Timepoint [10]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [11]
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Part 1: Number of Malignancies per Patient-Year
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Assessment method [11]
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Timepoint [11]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [12]
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Part 1: Overall Number of Participants who Experienced at Least One Hypersensitivity Reaction by Severity, According to NCI-CTCAE v4.0
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Assessment method [12]
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Timepoint [12]
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From Week 0 until completion of safety follow-up, commercial availability of etrolizumab, or study termination, whichever is earliest (up to approximately 10 years)
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Primary outcome [13]
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Part 1: Number of Participants with Anti-Therapeutic Antibodies (ATAs) to Etrolizumab
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Assessment method [13]
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Timepoint [13]
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Weeks 0 and 12, and every 48 weeks thereafter until study completion or early withdrawal (up to approximately 10 years)
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Primary outcome [14]
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Part 2: Number of Participants who Experienced at Least One Suspected or Confirmed Event of Progressive Multifocal Leukoencephalopathy (PML)
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Assessment method [14]
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Timepoint [14]
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From end of safety follow-up until completion of 92-week safety monitoring in Part 2 (up to 92 weeks)
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Eligibility
Key inclusion criteria
Part 1 Open-Label Extension:
* Patients previously enrolled in etrolizumab Phase III study GA29144 (NCT02394028) who meet the eligibility criteria for open-label etrolizumab as described in the protocol
Part 2 Safety Monitoring:
* Patients who participated in etrolizumab Phase III study GA29144 (NCT02394028) and are not eligible or choose not to enter Part 1
* Patients who transfer from Part 1
* Completion of the 12-week safety follow-up period 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:
* Any new, significant, uncontrolled condition
Part 2 Safety Monitoring:
* No exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
8/06/2015
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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
9/10/2023
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Sample size
Target
900
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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The Canberra Hospital - Garran
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Concord Repatriation General Hospital - Concord
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Royal Brisbane and Women's Hospital - Herston
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University of the Sunshine Coast - Sippy Downs
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Mater Adult Hospital - South Brisbane
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Princess Alexandra Hospital - Woolloongabba
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Flinders Medical Centre - Bedford Park
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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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The Alfred Hospital - Prahan
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
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2065 - Garran
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Recruitment postcode(s) [2]
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2139 - Concord
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Recruitment postcode(s) [3]
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4029 - Herston
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Recruitment postcode(s) [4]
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4556 - Sippy Downs
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Recruitment postcode(s) [5]
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4101 - South Brisbane
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Recruitment postcode(s) [6]
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4102 - Woolloongabba
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Recruitment postcode(s) [7]
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5042 - Bedford Park
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Recruitment postcode(s) [8]
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3065 - Fitzroy
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Recruitment postcode(s) [9]
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3011 - Footscray
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Recruitment postcode(s) [10]
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3144 - Malvern
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Recruitment postcode(s) [11]
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3050 - Parkville
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Recruitment postcode(s) [12]
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3181 - Prahan
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Recruitment postcode(s) [13]
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6150 - Murdoch
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Recruitment outside Australia
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Toru?
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Nitra
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Kharkiv
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Reading
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Southampton
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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 open-label extension and safety monitoring study is composed of two parts: Part 1 will evaluate the long-term safety and efficacy of continued etrolizumab treatment in participants with moderately to severely active Crohn's disease who were previously enrolled in the etrolizumab Phase III Study GA29144 (NCT02394028) and who meet eligibility criteria for enrollment into Part 1. In Part 2, participants who have stopped etrolizumab treatment (either by exiting Part 1 of this study or by entering directly from Study GA29144 \[NCT02394028\]) will be monitored for 92 weeks for progressive multifocal leukoencephalopathy (PML) and other safety events.
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Trial website
https://clinicaltrials.gov/study/NCT02403323
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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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Clinical Trials
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Hoffmann-La Roche
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
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https://clinicaltrials.gov/study/NCT02403323
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