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The purpose of this study is to evaluate the the efficacy of TA-650 using Clinical activity index (CAI) score and other evaluation indicators in pediatric patients with moderate to severe ulcerative colitis after TA-650 administration of at a dose of 5 mg/kg at weeks 0, 2, and 6, and then every 8 weeks at weeks 14 and 22. The safety and pharmacokinetics are also evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TA-650 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TA-650 | Drug | TA-650 will be intravenously infused at 5 mg/kg as an induction regimen at Weeks 0, 2, 6. For subjects who meet the responder criteria, TA-650 will be administered at 8-week intervals thereafter until week 22. |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of Patients Who Achieved CAI Remission | Clinical activity index (CAI) remission was defined as a case where a CAI score was not more than 4 on the evaluation day. CAI score was an activity index to evaluate disease activity, which is calculated as the sum (0 to 29 points) of subscores for 7 clinical conditions, consisting of the number of stools per week, blood in stools (based on weekly average), investigator's global assessment of the symptomatic state, abdominal pain/cramps, temperature elevation due to ulcerative colitis, extraintestinal manifestations, and laboratory findings (hemoglobin or ESR). A higher score indicates greater disease activity. | Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
| Measure | Description | Time Frame |
|---|---|---|
| CAI Score | CAI score was an activity index to evaluate disease activity, which is calculated as the sum (0 to 29 points) of subscores for 7 clinical conditions, consisting of the number of stools per week, blood in stools (based on weekly average), investigator's global assessment of the symptomatic state, abdominal pain/cramps, temperature elevation due to ulcerative colitis, extraintestinal manifestations, and laboratory findings (hemoglobin or ESR). A higher score indicates greater disease activity. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Toshifumi Hibi, MD | Kitasato University Kitasato Institute Hospital | Study Director |
| Kazuoki Kondo, MD | Mitsubihsi Tanabe Pharma Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational site | Chūbu | Japan | ||||
| Investigational site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31607268 | Result | Tajiri H, Arai K, Kagimoto S, Kunisaki R, Hida N, Sato N, Yamada H, Nagano M, Susuta Y, Ozaki K, Kondo K, Hibi T. Infliximab for pediatric patients with ulcerative colitis: a phase 3, open-label, uncontrolled, multicenter trial in Japan. BMC Pediatr. 2019 Oct 13;19(1):351. doi: 10.1186/s12887-019-1739-5. |
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| ID | Title | Description |
|---|---|---|
| FG000 | TA-650 | Patients received TA-650 5 mg/kg at Weeks 0, 2, and 6; patients with a decreased CAI score at Week 8 were considered to be responders and received further doses at Week 14 and 22. Non-responders (patients with unchanged/increased CAI score) at Week 8 did not receive further study treatment. Assessments were conducted until Week 30 in responders and until Week 14 in non-responders. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | TA-650 | TA-650 is administered at a dose of 5 mg/kg at Weeks 0, 2 and 6, followed by administration at 8-week intervals at Weeks 14 and 22, based on the evaluation index such as CAI score. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percent of Patients Who Achieved CAI Remission | Clinical activity index (CAI) remission was defined as a case where a CAI score was not more than 4 on the evaluation day. CAI score was an activity index to evaluate disease activity, which is calculated as the sum (0 to 29 points) of subscores for 7 clinical conditions, consisting of the number of stools per week, blood in stools (based on weekly average), investigator's global assessment of the symptomatic state, abdominal pain/cramps, temperature elevation due to ulcerative colitis, extraintestinal manifestations, and laboratory findings (hemoglobin or ESR). A higher score indicates greater disease activity. | Five patients were discontinued. The reasons for discontinuation were adverse event in 1 patient, lack of efficacy in 2 patients, and worsening ulcerative colitis in 2 patients. Two non-responders were observed, and both of them completed the efficacy evaluation at Week 8. | Posted | Number | percentage of participants | Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | TA-650 | TA-650 is administered at a dose of 5 mg/kg at Weeks 0, 2 and 6, followed by administration at 8-week intervals at Weeks 14 and 22, based on the evaluation index such as CAI score. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis ulcerative | Gastrointestinal disorders | MedDRA 17.1 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis | Infections and infestations | MedDRA 17.1 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials, Information Desk | Tanabe Pharma Corporation | cti-inq-ml.JP@ml.tanabe-pharma.com |
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| ID | Term |
|---|---|
| C536315 | Pediatric ulcerative colitis |
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| Baseline,Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
| Partial Mayo Score | Mayo score consists of four subscores (stool frequency, rectal bleeding, physician's global assessment and findings of endoscopy), each of which was assessed according to a four-level rating scale (0 to 3 points), and was determined from a total of the four subscores (0 to 12 points). In addition, the sum of the subscores (0 to 9 points) for stool frequency, rectal bleeding and physician's global assessment was used as a partial Mayo score. A higher score indicates greater disease activity. | Baseline,Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
| Pediatric Ulcerative Colitis Activity Index (PUCAI) Score | PUCAI score was determined as a total of the subscores for each of the six evaluation items (0 to 85), including abdominal pain, rectal bleeding, stool consistency of most stools, number of stools per 24 hours, nocturnal stools and activity level. A higher score indicates greater disease activity. | Baseline,Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
| Hokkaido |
| Japan |
| Investigational site | Hokuriku | Japan |
| Investigational site | Kanto | Japan |
| Investigational site | Kinki | Japan |
| Investigational site | Kyusyu | Japan |
| Investigational site | Tōhoku | Japan |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
|
| OG000 | TA-650 | TA-650 is administered at a dose of 5 mg/kg at Weeks 0, 2 and 6, followed by administration at 8-week intervals at Weeks 14 and 22, based on the evaluation index such as CAI score. |
|
|
| Secondary | CAI Score | CAI score was an activity index to evaluate disease activity, which is calculated as the sum (0 to 29 points) of subscores for 7 clinical conditions, consisting of the number of stools per week, blood in stools (based on weekly average), investigator's global assessment of the symptomatic state, abdominal pain/cramps, temperature elevation due to ulcerative colitis, extraintestinal manifestations, and laboratory findings (hemoglobin or ESR). A higher score indicates greater disease activity. | Five patients were discontinued. The reasons for discontinuation were adverse event in 1 patient, lack of efficacy in 2 patients, and worsening ulcerative colitis in 2 patients. Two non-responders were observed, and both of them completed the efficacy evaluation at Week 8. | Posted | Mean | Standard Deviation | units on a scale | Baseline,Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
|
|
|
| Secondary | Partial Mayo Score | Mayo score consists of four subscores (stool frequency, rectal bleeding, physician's global assessment and findings of endoscopy), each of which was assessed according to a four-level rating scale (0 to 3 points), and was determined from a total of the four subscores (0 to 12 points). In addition, the sum of the subscores (0 to 9 points) for stool frequency, rectal bleeding and physician's global assessment was used as a partial Mayo score. A higher score indicates greater disease activity. | Five patients were discontinued. The reasons for discontinuation were adverse event in 1 patient, lack of efficacy in 2 patients, and worsening ulcerative colitis in 2 patients. Two non-responders were observed, and both of them completed the efficacy evaluation at Week 8. | Posted | Mean | Standard Deviation | units on a scale | Baseline,Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
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| Secondary | Pediatric Ulcerative Colitis Activity Index (PUCAI) Score | PUCAI score was determined as a total of the subscores for each of the six evaluation items (0 to 85), including abdominal pain, rectal bleeding, stool consistency of most stools, number of stools per 24 hours, nocturnal stools and activity level. A higher score indicates greater disease activity. | Five patients were discontinued. The reasons for discontinuation were adverse event in 1 patient, lack of efficacy in 2 patients, and worsening ulcerative colitis in 2 patients. Two non-responders were observed, and both of them completed the efficacy evaluation at Week 8. | Posted | Mean | Standard Deviation | units on a scale | Baseline,Weeks 2, 6, 8, 10, 14, 18, 22, 26, 30, and the last time point during the period from administration of the study drug to Week 30 |
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| 3 |
| 21 |
| 19 |
| 21 |
| Enterocolitis | Gastrointestinal disorders | MedDRA 17.1 |
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| Enteritis infectious | Infections and infestations | MedDRA 17.1 |
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| Gastroenteritis | Infections and infestations | MedDRA 17.1 |
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| Nasopharyngitis | Infections and infestations | MedDRA 17.1 |
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| Sinusitis | Infections and infestations | MedDRA 17.1 |
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| Subcutaneous abscess | Infections and infestations | MedDRA 17.1 |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 17.1 |
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| Anaemia | Blood and lymphatic system disorders | MedDRA 17.1 |
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| Iron deficiency anaemia | Blood and lymphatic system disorders | MedDRA 17.1 |
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| Headache | Nervous system disorders | MedDRA 17.1 |
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| Scleritis | Eye disorders | MedDRA 17.1 |
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| Vasculitis | Vascular disorders | MedDRA 17.1 |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 17.1 |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 17.1 |
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| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA 17.1 |
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| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA 17.1 |
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| Abdominal pain lower | Gastrointestinal disorders | MedDRA 17.1 |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 17.1 |
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| Autoimmune pancreatitis | Gastrointestinal disorders | MedDRA 17.1 |
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| Cheilitis | Gastrointestinal disorders | MedDRA 17.1 |
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| Constipation | Gastrointestinal disorders | MedDRA 17.1 |
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| Nausea | Gastrointestinal disorders | MedDRA 17.1 |
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| Pancreatitis | Gastrointestinal disorders | MedDRA 17.1 |
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| Vomiting | Gastrointestinal disorders | MedDRA 17.1 |
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| Acne | Skin and subcutaneous tissue disorders | MedDRA 17.1 |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 17.1 |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 17.1 |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 17.1 |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 17.1 |
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| Chest discomfort | General disorders | MedDRA 17.1 |
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| Infusion site pain | General disorders | MedDRA 17.1 |
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| Antinuclear antibody increased | Investigations | MedDRA 17.1 |
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| Blood pressure decreased | Investigations | MedDRA 17.1 |
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| Double stranded DNA antibody positive | Investigations | MedDRA 17.1 |
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| Protein urine present | Investigations | MedDRA 17.1 |
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| Thermal burn | Injury, poisoning and procedural complications | MedDRA 17.1 |
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