A Randomized Double-Blind, Placebo-Controlled Study of the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of BCD-261 in Subjects With Moderate to Severe Active Ulcerative Colitis

Status: Recruiting
Location: See all (20) locations...
Intervention Type: Biological, Other
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

The aim of the study is to evaluate the efficacy, safety, pharmacokinetics, pharmacodynamics and immunogenicity of study drug (BCD-261) in comparison with placebo and to characterize the dose-response relationship in patients with moderate to severe active ulcerative colitis. The study will be conducted in a population of male and female subjects ≥18 years and ≤75 years with moderate to severe active ulcerative colitis and an inadequate response to prior treatment with glucocorticoids, immunosuppressants, or biologics/targeted immunosuppressants.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:

⁃ 1\. Diagnosis of ulcerative colitis with involvement of the colon proximal to the rectum (≥15 cm from the distal edge of the anal canal), established ≥3 months before signing the ICF and confirmed by endoscopic examination data.

⁃ 2\. Moderate to severe active ulcerative colitis with a modified Mayo score (mMS) of ≥4 and ≤9 points, which includes an endoscopic component of ≥2 points (according to a central independent review) and a stool blood score of ≥1 point.

⁃ 3\. Inadequate response to therapy according to the investigator's assessment, manifested by at least one of the following signs:

• Persistent symptoms of disease activity despite treatment with at least one course of glucocorticoids including prednisolone at a dose of ≥40 mg/day or equivalent or budesonide ≥9 mg/day or equivalent for at least 2 weeks with oral administration (at least 1 week with intravenous administration at a dose equivalent to oral prednisolone ≥40 mg/day).

• Steroid dependence manifested by an increase in disease activity after initial improvement, with a decrease in the dose of glucocorticoids below the dose equivalent to 10 mg of oral prednisolone per day, within 3 months from the beginning of treatment, or a relapse of the disease within 3 months after the end of glucocorticoid use.

• Persistent symptoms of disease activity despite treatment with at least one course of immunosuppressants (azathioprine at a dose of ≥2.0 mg/kg and/or 6-mercaptopurine at a dose of ≥1.0 mg/kg) for ≥12 weeks, or in response to another treatment regimen with these drugs according to a regional standard of care.

• Primary lack of response to therapy with TNFa inhibitors and/or anti-integrins, and/or IL-12/23 inhibitors, and/or Janus kinase inhibitors, and/or sphingosine-1-phosphate receptor modulators, defined as the persistence of symptoms of disease activity despite at least one course of induction of remission according to a treatment scheme approved by the regional standard.

• Loss of response to therapy with TNFa inhibitors and/or anti-integrins, and/or IL-12/23 inhibitors, and/or Janus kinase inhibitors, and/or sphingosine-1-phosphate receptor modulators, defined as the appearance of symptoms of disease activity after initial improvement as a result of treatment with at least one course of induction of remission and at least one course of maintenance of remission according to a treatment scheme approved by the regional standard.

• A history of intolerance to glucocorticoids and/or immunosuppressants (azathioprine, 6-mercaptopurine) and/or biological therapy/targeted immunosuppressants (TNFa inhibitors, anti-integrins, anti-IL-12/23 monoclonal antibodies, Janus kinase inhibitors, sphingosine-1-phosphate receptor modulators) established by the treating physician.

⁃ 4\. Maintaining a stable dose of concomitant medications for ≥2 weeks prior to signing the ICF and in the screening period for glucocorticoids and 5-ASCs and for ≥4 weeks prior to signing the ICF and in the screening period for immunosuppressants (azathioprine, 6-mercaptopurine).

Locations
Other Locations
Russian Federation
LLC Medical Center ASTRA
RECRUITING
Barnaul
South Ural State Medical University of the Ministry of Health of the Russian Federation
RECRUITING
Chelyabinsk
State Autonomous Institution of Healthcare Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan
RECRUITING
Kazan'
Federal Siberian Scientific and Clinical Center of the Federal Medical and Biological Agency
RECRUITING
Krasnoyarsk
Regional State Healthcare Institution Regional Clinical Hospital
RECRUITING
Krasnoyarsk
Branch of the LLC Hadassah Medical LTD
RECRUITING
Moscow
Llc Olla-Med
RECRUITING
Moscow
Moscow Clinical Scientific and Practical Center named after A.S. Loginov of the Moscow City Health Department
RECRUITING
Moscow
State Healthcare Institution of the City of Moscow V.M. Buyanov City Clinical Hospital of the Moscow City Healthcare Department
RECRUITING
Moscow
State Institution of Healthcare of the Moscow Region Moscow Regional Research Clinical Institute named after M.F. Vladimirsky
RECRUITING
Moscow
Llc Novosibirsk Gastrocenter
RECRUITING
Novosibirsk
Federal State Educational Institution of Higher Education Rostov State Medical University of the Ministry of Health of the Russian Federation
RECRUITING
Rostov-on-don
Federal State Educational Institution of Higher Education Rostov State Medical University of the Ministry of Health of the Russian Federation
RECRUITING
Rostov-on-don
Federal State Educational Institution of Higher Education First Saint Petersburg State Medical University named after Academician I.P. Pavlov of the Ministry of Health of the Russian Federation
RECRUITING
Saint Petersburg
Federal State Educational Institution of Higher Education North-West State Medical University named after I.I. Mechnikov of the Ministry of Health of the Russian Federation
RECRUITING
Saint Petersburg
LLC Research Center Eco-Safety
RECRUITING
Saint Petersburg
Saint Petersburg State Healthcare Institution City Hospital of the Holy Martyr Elizabeth
RECRUITING
Saint Petersburg
Republican Clinical Hospital named after G.G. Kuvatov
RECRUITING
Ufa
State Healthcare Institution Ulyanovsk Regional Clinical Hospital
RECRUITING
Ulyanovsk
State Healthcare Institution Primorsky Regional Clinical Hospital No. 1
RECRUITING
Vladivostok
Contact Information
Primary
Anna V Gaponova
gaponova@biocad.ru
+7 (812) 380 49 33
Backup
Aleksey V Manziuk
manziuk@biocad.ru
+7 (812) 380 49 33
Time Frame
Start Date: 2025-08-14
Estimated Completion Date: 2028-10
Participants
Target number of participants: 198
Treatments
Experimental: BCD-261, medium dose induction/ low dose maintenance regimens
Group 1: Subjects in this arm will receive a medium dose of the BCD-261 subcutaneously once every 4 weeks until Week 12 during the induction regimen (Weeks 0-12), followed by a transition to a maintenance regimen with a low dose of the BCD-261 once every 8 weeks from Week 20 to Week 100.
Experimental: BCD-261, medium dose induction/ medium dose maintenance regimens
Group 2: Subjects in this arm will receive a medium dose of the BCD261 subcutaneously once every 4 weeks until Week 12 during the induction regimen (Weeks 0-12), followed by the maintenance regimen with the same dose of the BCD-261 once every 8 weeks from Week 20 to Week 100.
Experimental: BCD-261, high dose induction/ medium dose maintenance regimens
Group 3: Subjects in this arm will receive a high dose of the BCD-261 subcutaneously once every 4 weeks until Week 12 during the induction regimen (Weeks 0-12) , followed by a transition to a maintenance regimen with a medium dose of the BCD-261 once every 8 weeks from Week 20 to Week 100.
Experimental: BCD-261, high dose induction/ high dose maintenance regimens
Group 4: Subjects in this arm will receive a high dose of the BCD261 subcutaneously once every 4 weeks until Week 12 during the induction regimen (Weeks 0-12), followed by maintenance regimen with with the same dose of the BCD-261 once every 8 weeks from Week 20 to Week 100.
Placebo_comparator: Placebo
Group 5: Subjects in this arm will receive placebo subcutaneously at Weeks 0, 4, 8, and 12, followed by a medium dose of the BCD-261 subcutaneously once every 4 weeks until Week 28 , followed by a transition to a low dose of the BCD-261 once every 8 weeks from Week 36 to Week 100.
Sponsors
Leads: Biocad

This content was sourced from clinicaltrials.gov

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