A Multicenter, Randomized, Double-Blind, Parallel-Group Study to Assess the Efficacy and Safety of Oral Etrasimod as Induction and Maintenance Therapy for Moderately to Severely Active Crohn's Disease
A Multicenter, Randomized, Double-Blind, Parallel-Group Study to Assess the Efficacy and Safety of Oral Etrasimod as Induction and Maintenance Therapy for Moderately to Severely Active Crohn's Disease
This is a Phase 2/3 study that comprises 5 substudies designed to evaluate the efficacy, safety, and tolerability of oral etrasimod as therapy in adult participants with moderately to severely active Crohn's disease (CD) who are refractory or intolerant to at least 1 of the current therapies for CD (ie, corticosteroids, immunosuppressants, or biologics). The overall duration of this study is up to 282 weeks, inclusive of the Screening Period, Treatment Period of up to 274 weeks (Induction, Extension or Maintenance, and Long-term Extension Periods), and the 4-Week Follow-Up Period for safety assessment.
This study includes 5 substudies:
Substudy A - Phase 2: A Phase 2, randomized, double-blind, substudy to assess the safety, tolerability, and efficacy of oral etrasimod therapy in participants with moderate to severe CD that supports the selection of an induction and maintenance dose(s) for Phase 3.
Substudy 1 - Phase 2: A Phase 2b randomized, double-blind, placebo-controlled, dose-ranging induction substudy to evaluate etrasimod as induction therapy and select an induction and maintenance dose(s) for continued evaluation in Phase 3.
Substudy 2 - Induction: A Phase 3 randomized, double-blind, placebo-controlled substudy to evaluate etrasimod as induction therapy.
Substudy 3 - Maintenance: A Phase 3 randomized, double-blind, placebo-controlled substudy to evaluate etrasimod as maintenance therapy. Participants from Substudy 1 and Substudy 2 will be enrolled in Substudy 3.
Substudy 4 - Long-Term Extension: A long-term extension substudy for participants who complete at least 52 weeks of treatment. Participants from Substudy 3 and Substudy A are planned to be enrolled in Substudy 4.
Eligibility criteria applicable to all substudies:
Inclusion Criteria:
Men or women 18 to 80 years of age,
Ability to provide written informed consent or assent and to be compliant with the schedule of protocol assessments
Diagnosed with Crohn's disease (CD) ≥ 3 months
Have moderately to severely active CD at Screening
Demonstrated inadequate response (ie, primary non-response), loss of response to, or intolerance to ≥ 1 of the following therapies for the treatment of CD:
Females of childbearing potential must be nonpregnant
Females of childbearing potential and males must use contraception
Exclusion Criteria:
Inclusion Criteria for Substudy 3:
- Participants who entered the Extended Induction Period of Substudy 1 and Substudy 2 must have completed the Extended Induction -Week 6 Visit
Inclusion Criteria for Substudy 4:
- Participant must have completed the Week 52 Visit of Substudy 3 or the Week 66 Visit of Substudy A
Colorado Springs, Colorado 80919, United States
Brandon, Florida 33511, United States
Jacksonville, Florida 32209, United States
Jacksonville, Florida 32209, United States
St. Petersburg, Florida 33707, United States
Gurnee, Illinois 60031, United States
Hanover, Maryland 21076, United States
Jackson, Mississippi 39216, United States
Creve Coeur, Missouri 63141, United States
Freehold, New Jersey 07728, United States
New York, New York 10016, United States
Charlotte, North Carolina 28204, United States
Cincinnati, Ohio 45219, United States
Houston, Texas 77030, United States
Houston, Texas 77204, United States
Tyler, Texas 75701, United States
Ciudadela, Prov. de Buenos Aires B1702GIK, Argentina
Ciudadela, Prov. de Buenos Aires B1702GIK, Argentina
Rosario, Santa Fe Province S2000KZD, Argentina
San Miguel de Tucumán, Tucumán Province T4000AXL, Argentina
Macquarie University, New South Wales 2109, Australia
Macquarie University, New South Wales 2109, Australia
Macquarie University, New South Wales 2109, Australia
Macquarie University, New South Wales 2109, Australia
Macquarie University, New South Wales 2109, Australia
O'Connor, Western Australia 6163, Australia
Sofia, 1606, Bulgaria
Montreal, Quebec H3G 1A4, Canada
Montreal, Quebec H3G 1A4, Canada
Montreal, Quebec H3G 1A4, Canada
Montreal, Quebec H3G 1A4, Canada
Montreal, Quebec H3G 1A4, Canada
Montreal, Quebec H4A 3J1, Canada
Aalborg, 9000, Denmark
Alexandria, 21131, Egypt
Dakahlia, Egypt
Menofeya, 32511, Egypt
Lille, 59037, France
Hamburg, 20251, Germany
Békéscsaba, 5600, Hungary
Budapest, 1033, Hungary
San Giovanni Rotondo, Foggia 71013, Italy
Catanzaro, 88100, Italy
Pavia, 27100, Italy
Kashiwa-shi, Chiba 277-0871, Japan
Nagareyama-shi, Chiba 270-0116, Japan
Kitakyushu-shi, Fukuoka 807-8555, Japan
Kitakyusyu-shi, Fukuoka 802-8561, Japan
Toride-shi, Ibaraki 302-0014, Japan
Shinjuku-ku, Tokyo 169-0073, Japan
Chisinau, 2005, Moldova
Chisinau, MD2025, Moldova
Chisinau, MD2025, Moldova
Chisinau, MD2025, Moldova
Karkow, 31-156, Poland
Lodz, 93-513, Poland
Piotrkow Trybunalski, 97-300, Poland
Piotrkow Trybunalski, 97-300, Poland
Piotrokow Trybunalski, 97-300, Poland
Rzeszów, 35-055, Poland
Constanța, Jud.constanta 900591, Romania
Saint Petersburg, 191015, Russia
Saint Petersburg, 195067, Russia
Centurion, Gauteng 0157, South Africa
Tomellso, Ciudad REAL 13700, Spain
Kharkiv, 61037, Ukraine
Kharkiv, 61103, Ukraine
Kharkiv, 61124, Ukraine
Kyiv, 02091, Ukraine
Lutsk, 43005, Ukraine
Vinnytsia, 21009, Ukraine
Vinnytsia, 21018, Ukraine
Vinnytsia, 21029, Ukraine