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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-003113-34 | EudraCT Number |
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Sponsor decision due to strategic considerations
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The purpose of the study was to assess preliminary efficacy, safety, and tolerability of LYS006 in adult patients with mild to moderate ulcerative colitis and to determine if LYS006 has an adequate clinical profile for further development in this indication.
This was a randomized, placebo-controlled, subject and investigator blinded, multicenter, non-confirmatory, parallel group, proof of concept study in patients with mild to moderate ulcerative colitis. This study consisted of a screening period of up to 4 weeks, and a 8 week treatment period followed by a 30 day post treatment period safety follow up. The maximum study duration for each participant including the 4 week screening period was 16 weeks.
At the beginning of the treatment period, subjects were randomized to one of the two following treatment groups in 2:1 ratio
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LYS006 | Experimental | Experimental drug |
|
| Placebo | Placebo Comparator | Placebo comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LYS006 | Drug | capsule for oral use |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Remission Rate at the End of the Study Treatment | The Mayo score is an instrument designed to measure activity of ulcerative colitis. The Mayo score comprises of four sub scores: stool frequency, rectal bleeding, endoscopic findings and the Physician's Global Assessment (PhGA). Each sub score is graded from 0 to 3 with higher scores indicating more severe disease. The full Mayo score is the sum of four sub scores, ranging from 0 to 12. Clinical remission is defined as a full Mayo score of 2 points or lower, with no individual subscore exceeding one point. The clinical remission rate is expressed as percentage of participants. The binary endpoint of clinical remission rate (Yes/No) at the EoT visit was modelled with binomial distribution and analyzed via the Bayesian approach with baseline total Mayo score and treatment group as explanatory variables, to compare the remission rates between the LYS006 and placebo groups. | Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Number of participants with treatment emergent AEs, AEs led to study treatment discontinuation, SAEs and SAEs led to study treatment discontinuation. | Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment, up to a maximum duration of approximately 86 days. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Sofia | 1612 | Bulgaria | |||
| Novartis Investigative Site |
Not provided
| Label | URL |
|---|---|
| Patient Lay Trial Summary | View source |
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Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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After signing informed consent, screening evaluations took place from Day -28 to Day -1. During that period all safety and other assessments were performed to evaluate eligibility. Eligible patients returned for the Baseline visit on Day 1. Eligibility was confirmed prior to randomization and required baseline assessments were completed prior to dosing on Day 1.
Participants took part in 9 investigative sites in 6 countries.
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| ID | Title | Description |
|---|---|---|
| FG000 | LYS006 20mg | LYS006 20mg oral dose, twice daily |
| FG001 | Placebo | Placebo oral dose, twice daily |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | LYS006 20mg | LYS006 20mg oral dose, twice daily |
| BG001 | Placebo | Placebo oral dose, twice daily |
| Units | Counts |
|---|---|
| Participants |
|
| 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 | Clinical Remission Rate at the End of the Study Treatment | The Mayo score is an instrument designed to measure activity of ulcerative colitis. The Mayo score comprises of four sub scores: stool frequency, rectal bleeding, endoscopic findings and the Physician's Global Assessment (PhGA). Each sub score is graded from 0 to 3 with higher scores indicating more severe disease. The full Mayo score is the sum of four sub scores, ranging from 0 to 12. Clinical remission is defined as a full Mayo score of 2 points or lower, with no individual subscore exceeding one point. The clinical remission rate is expressed as percentage of participants. The binary endpoint of clinical remission rate (Yes/No) at the EoT visit was modelled with binomial distribution and analyzed via the Bayesian approach with baseline total Mayo score and treatment group as explanatory variables, to compare the remission rates between the LYS006 and placebo groups. | The PD analysis set included all participants who received any study drug and had no protocol deviations with relevant impact on PD data. | Posted | Number | 90% Confidence Interval | Percentage of participants | Week 8 |
|
Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment, up to a maximum duration of approximately 86 days
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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 | LYS006 20 mg | LYS006 20 mg oral dose, twice daily | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrioventricular block first degree | Cardiac disorders | MedDRA (25.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | + 1 862 778 8300 | novartis.email@novartis.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 23, 2021 | Oct 18, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 6, 2023 | Oct 18, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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This is a randomized, placebo-controlled, subject and investigator blinded, multicenter, non-confirmatory, parallel group, proof of concept study in patients with mild to moderate ulcerative colitis. This study consists of a screening period of up to 4 weeks, and a 8 week treatment period followed by a 30 day post treatment period safety follow up. The maximum study duration for each such including the 4 week screening period is 16 weeks.
At the beginning of the treatment period, subjects will be randomized to one of the two following treatment groups in 2:1 ratio:
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Subject and investigator blinded via randomization
| Drug |
capsule for oral use |
|
| Prague |
| Czech Republic |
| 19000 |
| Czechia |
| Novartis Investigative Site | ZlÃn | Czech Republic | 762 75 | Czechia |
| Novartis Investigative Site | Berlin | 10629 | Germany |
| Novartis Investigative Site | Nowy Targ | Lesser Poland Voivodeship | 34-400 | Poland |
| Novartis Investigative Site | Warsaw | Masovian Voivodeship | 00-728 | Poland |
| Novartis Investigative Site | Poznan | 60 529 | Poland |
| Novartis Investigative Site | Novosibirsk | 630007 | Russia |
| Novartis Investigative Site | Košice | 04013 | Slovakia |
| Withdrawal by Subject |
|
| BG002 |
| Total |
Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Title |
|---|
| Description |
|---|
| OG000 | LYS006 20mg | LYS006 20mg oral dose, twice daily |
| OG001 | Placebo | Placebo oral dose, twice daily |
|
|
|
| Secondary | Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Number of participants with treatment emergent AEs, AEs led to study treatment discontinuation, SAEs and SAEs led to study treatment discontinuation. | The safety analysis set included all participants that received any study drug. | Posted | Count of Participants | Participants | Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment, up to a maximum duration of approximately 86 days. |
|
|
|
| 16 |
| 0 |
| 16 |
| 7 |
| 16 |
| EG001 | Placebo | Placebo oral dose, twice daily | 0 | 7 | 0 | 7 | 5 | 7 |
| EG002 | Total | Total | 0 | 23 | 0 | 23 | 12 | 23 |
| Colitis ulcerative | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (25.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (25.1) | Systematic Assessment |
|
| Drug-induced liver injury | Hepatobiliary disorders | MedDRA (25.1) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (25.1) | Systematic Assessment |
|
| Faecal calprotectin increased | Investigations | MedDRA (25.1) | Systematic Assessment |
|
| Urine protein/creatinine ratio increased | Investigations | MedDRA (25.1) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (25.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (25.1) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
| D015212 |
| Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| AE leading to discontinuation |
|
| SAE leading to discontinuation |
|