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A Study To Investigate The Safety And Efficacy Of CP- 690,550 In Patients With Moderate And Severe Ulcerative Colitis.

A Randomized, Placebo Controlled, Double Blind, Parallel Group Multi-Center Study In Order To Investigate Safety And Efficacy Of CP- 690 550 In Subjects With Moderate To Severe Ulcerative Colitis.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00787202
Enrollment
195
Registered
2008-11-07
Start date
2008-12-31
Completion date
2010-09-30
Last updated
2013-04-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ulcerative Colitis

Keywords

treatment of ulcerative colitis; CP 690 550

Brief summary

The hypothesis of the study is that at least one dose of CP 690 550 is superior to placebo (inactive drug) in inducing remission in patients with moderate to severe ulcerative colitis.

Interventions

DRUGCP- 690 550

Administration via oral route twice daily for the duration of treatment

OTHERplacebo

Administration via oral route twice daily for the duration of treatment

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients must be at least 18 years of age at screening * Males and female patients with clinical diagnosis of ulcerative colitis ≥3 months prior to entry into the study. * Male and female patients with active currently moderate to severe ulcerative colitis defined by Mayo score of ≥6 * Patients with endoscopic sub-score of ≥2 on the Mayo score determined within 7 days of baseline.

Exclusion criteria

* Diagnosis of Crohn's disease or diagnosis of indeterminate colitis * Treatment naive subjects who have not had previous exposure to treatment for ulcerative colitis * Patients that are currently receiving immunosuppressants, anti-TNFα therapy or interferon

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Clinical ResponseWeek 8Clinical response was defined as a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with accompanying decrease in subscore for rectal bleeding of at least 1 point or absolute subscore for rectal bleeding of 0 or 1. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Secondary

MeasureTime frameDescription
Percentage of Participants With Endoscopic ResponseWeek 8Endoscopic response was defined as decrease from baseline in the findings of the flexible proctosigmoidoscopy subscore of the Mayo score at least 1 point. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Percentage of Participants With Endoscopic RemissionWeek 8Endoscopic remission was defined as the findings of flexible proctosigmoidoscopy subscore of the Mayo score equals 0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Baseline, Week 2, 4, 8, 12Partial Mayo score was ranged from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores: stool frequency, rectal bleeding and physician's global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Percentage of Participants With Clinical RemissionWeek 8Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point. Mayo score:instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).
Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Baseline, Week 4, 8The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.
Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Baseline, Week 2, 4, 8, 12Fecal calprotectin is an inflammatory marker for the gastrointestinal tract and considered as a measurement of neutrophil migration to the gastrointestinal tract. Higher values indicate more serious inflammation.
Plasma Concentration of CP-690,5500.25, 0.5, 1, 2 hours post-dose on Day 1, 0 (pre-dose) and 1 hour post-dose on Week 2, Week 4, 0 (pre-dose), 0.25, 0.5, 1, 2 hours post-dose on Week 8Summary statistics were calculated for each dose group using the nominal collection times and by setting concentration values below the lower limit of quantification (LLOQ) (LLOQ=0.1 nanogram per milliliter \[ng/mL\]) to zero.
Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Baseline, Week 8IBDQ: Psychometrically validated patient reported outcome (PRO) instrument for measuring disease-specific quality of life (QOL) in participants with IBD. IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). Total score is sum of each item score, ranged from 32 to 224 with higher score indicates better QOL. Positive change in total score indicated improvement in QOL.

Countries

Belgium, Brazil, Chile, Czechia, Denmark, France, Hungary, Israel, Italy, Mexico, Netherlands, Poland, Slovakia, South Africa, Spain, Sweden, United Kingdom

Participant flow

Participants by arm

ArmCount
Placebo
Placebo tablet matched to CP-690,550 orally twice daily for 8 weeks.
49
CP-690,550 0.5 mg
CP-690,550 tablets equivalent to CP-690,550 0.5 mg orally twice daily for 8 weeks.
31
CP-690,550 3 mg
CP-690,550 tablets equivalent to CP-690,550 3 mg orally twice daily for 8 weeks.
33
CP-690,550 10 mg
CP-690,550 tablets equivalent to CP-690,550 10 mg orally twice daily for 8 weeks.
33
CP-690,550 15 mg
CP-690,550 tablets equivalent to CP-690,550 15 mg orally twice daily for 8 weeks.
49
Total195

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event32002
Overall StudyLack of Efficacy56521
Overall StudyLost to Follow-up10000
Overall StudyProtocol Violation21001
Overall StudyRandomized, not treated10000
Overall StudyWithdrawal by Subject22200

Baseline characteristics

CharacteristicPlaceboCP-690,550 0.5 mgCP-690,550 3 mgCP-690,550 10 mgCP-690,550 15 mgTotal
Age, Customized
18 to 44 years
28 participants16 participants18 participants17 participants31 participants110 participants
Age, Customized
45 to 64 years
16 participants14 participants13 participants15 participants16 participants74 participants
Age, Customized
Greater than or equal to (>=) 65 years
5 participants1 participants2 participants1 participants2 participants11 participants
Sex: Female, Male
Female
26 Participants14 Participants14 Participants12 Participants23 Participants89 Participants
Sex: Female, Male
Male
23 Participants17 Participants19 Participants21 Participants26 Participants106 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
21 / 4819 / 3110 / 3313 / 3320 / 49
serious
Total, serious adverse events
4 / 481 / 311 / 332 / 332 / 49

Outcome results

Primary

Percentage of Participants With Clinical Response

Clinical response was defined as a decrease from baseline in Mayo score of at least 3 points and at least 30 percent, with accompanying decrease in subscore for rectal bleeding of at least 1 point or absolute subscore for rectal bleeding of 0 or 1. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Time frame: Week 8

Population: Full analysis set (FAS): all participants who withdrew as treatment failure (TF) or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF=non-responders. Missing data due to reason other than TF were excluded. N (number of participants analyzed)=evaluable participants for the measure.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Clinical Response47.5 percentage of participants
CP-690,550 0.5 mgPercentage of Participants With Clinical Response29.6 percentage of participants
CP-690,550 3 mgPercentage of Participants With Clinical Response51.6 percentage of participants
CP-690,550 10 mgPercentage of Participants With Clinical Response63.3 percentage of participants
CP-690,550 15 mgPercentage of Participants With Clinical Response80.0 percentage of participants
Secondary

Change From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8

The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.

Time frame: Baseline, Week 4, 8

Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Missing data were excluded. N=evaluable participants for the measure. n=number of participants at specified time point for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Baseline (n=48, 31, 33, 32, 49)9.70 milligram per liter (mg/L)Standard Deviation 12.84
PlaceboChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 8 (n=37, 21, 27, 28, 44)0.90 milligram per liter (mg/L)Standard Deviation 16.41
PlaceboChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 4 (n=38, 22, 25, 30, 46)-0.70 milligram per liter (mg/L)Standard Deviation 6.75
CP-690,550 0.5 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 4 (n=38, 22, 25, 30, 46)-4.11 milligram per liter (mg/L)Standard Deviation 27.08
CP-690,550 0.5 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Baseline (n=48, 31, 33, 32, 49)18.80 milligram per liter (mg/L)Standard Deviation 29.43
CP-690,550 0.5 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 8 (n=37, 21, 27, 28, 44)-6.84 milligram per liter (mg/L)Standard Deviation 27.32
CP-690,550 3 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 4 (n=38, 22, 25, 30, 46)-1.88 milligram per liter (mg/L)Standard Deviation 12.41
CP-690,550 3 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Baseline (n=48, 31, 33, 32, 49)12.55 milligram per liter (mg/L)Standard Deviation 13.21
CP-690,550 3 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 8 (n=37, 21, 27, 28, 44)-3.85 milligram per liter (mg/L)Standard Deviation 8.74
CP-690,550 10 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Baseline (n=48, 31, 33, 32, 49)11.32 milligram per liter (mg/L)Standard Deviation 16.45
CP-690,550 10 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 8 (n=37, 21, 27, 28, 44)-0.12 milligram per liter (mg/L)Standard Deviation 31.33
CP-690,550 10 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 4 (n=38, 22, 25, 30, 46)-5.68 milligram per liter (mg/L)Standard Deviation 13.09
CP-690,550 15 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 4 (n=38, 22, 25, 30, 46)-9.08 milligram per liter (mg/L)Standard Deviation 15.44
CP-690,550 15 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Baseline (n=48, 31, 33, 32, 49)17.14 milligram per liter (mg/L)Standard Deviation 26.44
CP-690,550 15 mgChange From Baseline in Level of C-Reactive Protein (CRP) at Week 4 and 8Change at Week 8 (n=37, 21, 27, 28, 44)-8.20 milligram per liter (mg/L)Standard Deviation 21.86
Secondary

Change From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12

Fecal calprotectin is an inflammatory marker for the gastrointestinal tract and considered as a measurement of neutrophil migration to the gastrointestinal tract. Higher values indicate more serious inflammation.

Time frame: Baseline, Week 2, 4, 8, 12

Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Missing data were excluded. N=evaluable participants for the measure. n=number of participants at specified time point for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 8 (n=40, 25, 28, 31, 43)-400 milligram per kilogram (mg/kg)Standard Deviation 2814
PlaceboChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Baseline (n=46, 29, 31, 32, 49)1733 milligram per kilogram (mg/kg)Standard Deviation 2596
PlaceboChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 12 (n=33, 19, 24, 28, 42)-791 milligram per kilogram (mg/kg)Standard Deviation 2290
PlaceboChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 2 (n=39, 24, 28, 31, 47)-225 milligram per kilogram (mg/kg)Standard Deviation 2990
PlaceboChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 4 (n=37, 22, 27, 28, 45)-512 milligram per kilogram (mg/kg)Standard Deviation 2602
CP-690,550 0.5 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 8 (n=40, 25, 28, 31, 43)-292 milligram per kilogram (mg/kg)Standard Deviation 1650
CP-690,550 0.5 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 4 (n=37, 22, 27, 28, 45)-401 milligram per kilogram (mg/kg)Standard Deviation 1789
CP-690,550 0.5 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 2 (n=39, 24, 28, 31, 47)1465 milligram per kilogram (mg/kg)Standard Deviation 5399
CP-690,550 0.5 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 12 (n=33, 19, 24, 28, 42)565.7 milligram per kilogram (mg/kg)Standard Deviation 2808
CP-690,550 0.5 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Baseline (n=46, 29, 31, 32, 49)1440 milligram per kilogram (mg/kg)Standard Deviation 1623
CP-690,550 3 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 4 (n=37, 22, 27, 28, 45)-369 milligram per kilogram (mg/kg)Standard Deviation 3211
CP-690,550 3 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Baseline (n=46, 29, 31, 32, 49)1474 milligram per kilogram (mg/kg)Standard Deviation 2182
CP-690,550 3 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 2 (n=39, 24, 28, 31, 47)-65 milligram per kilogram (mg/kg)Standard Deviation 3823
CP-690,550 3 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 8 (n=40, 25, 28, 31, 43)-570 milligram per kilogram (mg/kg)Standard Deviation 1797
CP-690,550 3 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 12 (n=33, 19, 24, 28, 42)-414 milligram per kilogram (mg/kg)Standard Deviation 2245
CP-690,550 10 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 12 (n=33, 19, 24, 28, 42)-721 milligram per kilogram (mg/kg)Standard Deviation 2099
CP-690,550 10 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Baseline (n=46, 29, 31, 32, 49)1145 milligram per kilogram (mg/kg)Standard Deviation 2001
CP-690,550 10 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 8 (n=40, 25, 28, 31, 43)-636 milligram per kilogram (mg/kg)Standard Deviation 2221
CP-690,550 10 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 4 (n=37, 22, 27, 28, 45)-681 milligram per kilogram (mg/kg)Standard Deviation 1981
CP-690,550 10 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 2 (n=39, 24, 28, 31, 47)-127 milligram per kilogram (mg/kg)Standard Deviation 2212
CP-690,550 15 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 4 (n=37, 22, 27, 28, 45)-687 milligram per kilogram (mg/kg)Standard Deviation 1941
CP-690,550 15 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 8 (n=40, 25, 28, 31, 43)-596 milligram per kilogram (mg/kg)Standard Deviation 4152
CP-690,550 15 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Baseline (n=46, 29, 31, 32, 49)1523 milligram per kilogram (mg/kg)Standard Deviation 2575
CP-690,550 15 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 12 (n=33, 19, 24, 28, 42)-753 milligram per kilogram (mg/kg)Standard Deviation 1917
CP-690,550 15 mgChange From Baseline in Level of Fecal Calprotectin at Week 2, 4, 8 and 12Change at Week 2 (n=39, 24, 28, 31, 47)-598 milligram per kilogram (mg/kg)Standard Deviation 2378
Secondary

Change From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12

Partial Mayo score was ranged from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores: stool frequency, rectal bleeding and physician's global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Time frame: Baseline, Week 2, 4, 8, 12

Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Baseline-observation-carried-forward (BOCF) was used for participants who withdrew as TF. Missing data due to reasons other than treatment failure were excluded. N=evaluable participants for the measure.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 8 (n=41, 28, 32, 31, 46)-1.59 units on a scaleStandard Deviation 1.53
PlaceboChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Baseline (n=46, 31, 33, 33, 49)5.74 units on a scaleStandard Deviation 1.39
PlaceboChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 12 (n=38, 27, 30, 29, 45)-2.26 units on a scaleStandard Deviation 2.15
PlaceboChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 2 (n=41, 31, 29, 28, 47)-0.63 units on a scaleStandard Deviation 1.39
PlaceboChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 4 (n=42, 28, 30, 29, 48)-1.26 units on a scaleStandard Deviation 1.67
CP-690,550 0.5 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 8 (n=41, 28, 32, 31, 46)-1.46 units on a scaleStandard Deviation 2.01
CP-690,550 0.5 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 4 (n=42, 28, 30, 29, 48)-1.32 units on a scaleStandard Deviation 1.76
CP-690,550 0.5 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 2 (n=41, 31, 29, 28, 47)-1.06 units on a scaleStandard Deviation 1.46
CP-690,550 0.5 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 12 (n=38, 27, 30, 29, 45)-1.56 units on a scaleStandard Deviation 2.24
CP-690,550 0.5 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Baseline (n=46, 31, 33, 33, 49)6.10 units on a scaleStandard Deviation 1.35
CP-690,550 3 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 4 (n=42, 28, 30, 29, 48)-2.17 units on a scaleStandard Deviation 2.68
CP-690,550 3 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Baseline (n=46, 31, 33, 33, 49)5.82 units on a scaleStandard Deviation 1.4
CP-690,550 3 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 2 (n=41, 31, 29, 28, 47)-1.66 units on a scaleStandard Deviation 2.18
CP-690,550 3 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 8 (n=41, 28, 32, 31, 46)-2.50 units on a scaleStandard Deviation 2.38
CP-690,550 3 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 12 (n=38, 27, 30, 29, 45)-2.60 units on a scaleStandard Deviation 2.44
CP-690,550 10 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 12 (n=38, 27, 30, 29, 45)-3.03 units on a scaleStandard Deviation 2.08
CP-690,550 10 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Baseline (n=46, 31, 33, 33, 49)5.55 units on a scaleStandard Deviation 1.48
CP-690,550 10 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 8 (n=41, 28, 32, 31, 46)-2.77 units on a scaleStandard Deviation 2.45
CP-690,550 10 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 4 (n=42, 28, 30, 29, 48)-2.62 units on a scaleStandard Deviation 2.14
CP-690,550 10 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 2 (n=41, 31, 29, 28, 47)-2.11 units on a scaleStandard Deviation 2.23
CP-690,550 15 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 4 (n=42, 28, 30, 29, 48)-2.75 units on a scaleStandard Deviation 2.09
CP-690,550 15 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 8 (n=41, 28, 32, 31, 46)-3.28 units on a scaleStandard Deviation 2.02
CP-690,550 15 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Baseline (n=46, 31, 33, 33, 49)5.53 units on a scaleStandard Deviation 1.19
CP-690,550 15 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 12 (n=38, 27, 30, 29, 45)-3.22 units on a scaleStandard Deviation 2.31
CP-690,550 15 mgChange From Baseline in Partial Mayo Score at Week 2, 4, 8 and 12Change at Week 2 (n=41, 31, 29, 28, 47)-2.19 units on a scaleStandard Deviation 1.94
Secondary

Change From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8

IBDQ: Psychometrically validated patient reported outcome (PRO) instrument for measuring disease-specific quality of life (QOL) in participants with IBD. IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). Total score is sum of each item score, ranged from 32 to 224 with higher score indicates better QOL. Positive change in total score indicated improvement in QOL.

Time frame: Baseline, Week 8

Population: FAS: all participants who either withdrew as TF or completed \>=1 week of dosing, had \>=1 valid Mayo score during active double-blind phase. Missing data were excluded. N=evaluable participants for the measure. n=number of participants at specified time point for each arm group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Baseline (n=47, 31, 30, 31, 48)123.15 units on a scaleStandard Deviation 29.46
PlaceboChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Change at Week 8 (n=34, 18, 24, 26, 42)27.75 units on a scaleStandard Deviation 29.75
CP-690,550 0.5 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Baseline (n=47, 31, 30, 31, 48)123.81 units on a scaleStandard Deviation 34.48
CP-690,550 0.5 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Change at Week 8 (n=34, 18, 24, 26, 42)27.72 units on a scaleStandard Deviation 33.37
CP-690,550 3 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Baseline (n=47, 31, 30, 31, 48)132.30 units on a scaleStandard Deviation 33.57
CP-690,550 3 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Change at Week 8 (n=34, 18, 24, 26, 42)30.29 units on a scaleStandard Deviation 27.29
CP-690,550 10 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Change at Week 8 (n=34, 18, 24, 26, 42)30.38 units on a scaleStandard Deviation 39.76
CP-690,550 10 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Baseline (n=47, 31, 30, 31, 48)134.46 units on a scaleStandard Deviation 32.5
CP-690,550 15 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Baseline (n=47, 31, 30, 31, 48)123.95 units on a scaleStandard Deviation 34.86
CP-690,550 15 mgChange From Baseline in Total Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 8Change at Week 8 (n=34, 18, 24, 26, 42)50.71 units on a scaleStandard Deviation 35.55
Secondary

Percentage of Participants With Clinical Remission

Clinical remission was defined as a total Mayo score of 2 points or lower, with no individual subscore exceeding 1 point. Mayo score:instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Time frame: Week 8

Population: FAS: all participants who either withdrew as treatment failure TF or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF were treated as non-responders. Missing data due to reason other than TF were excluded. N=evaluable participants for the measure.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Clinical Remission12.2 percentage of participants
CP-690,550 0.5 mgPercentage of Participants With Clinical Remission7.4 percentage of participants
CP-690,550 3 mgPercentage of Participants With Clinical Remission35.5 percentage of participants
CP-690,550 10 mgPercentage of Participants With Clinical Remission50.0 percentage of participants
CP-690,550 15 mgPercentage of Participants With Clinical Remission42.2 percentage of participants
Secondary

Percentage of Participants With Endoscopic Remission

Endoscopic remission was defined as the findings of flexible proctosigmoidoscopy subscore of the Mayo score equals 0. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Time frame: Week 8

Population: FAS: all participants who either withdrew as treatment failure TF or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF were treated as non-responders. Missing data due to reason other than TF were excluded. N=evaluable participants for the measure.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Endoscopic Remission2.4 percentage of participants
CP-690,550 0.5 mgPercentage of Participants With Endoscopic Remission7.4 percentage of participants
CP-690,550 3 mgPercentage of Participants With Endoscopic Remission19.4 percentage of participants
CP-690,550 10 mgPercentage of Participants With Endoscopic Remission30.0 percentage of participants
CP-690,550 15 mgPercentage of Participants With Endoscopic Remission26.7 percentage of participants
Secondary

Percentage of Participants With Endoscopic Response

Endoscopic response was defined as decrease from baseline in the findings of the flexible proctosigmoidoscopy subscore of the Mayo score at least 1 point. Mayo score: instrument designed to measure disease activity of ulcerative colitis. Total score range: 0 to 12; higher score=more severe disease. It consisted of 4 subscores: stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy and physician global assessment, each ranged from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe).

Time frame: Week 8

Population: FAS: all participants who either withdrew as treatment failure TF or completed \>=1 week dosing, had \>=1 valid Mayo score during active double-blind phase. Participants who withdrew as TF were treated as non-responders. Missing data due to reason other than TF were excluded. N=evaluable participants for the measure.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Endoscopic Response55.0 percentage of participants
CP-690,550 0.5 mgPercentage of Participants With Endoscopic Response51.9 percentage of participants
CP-690,550 3 mgPercentage of Participants With Endoscopic Response61.3 percentage of participants
CP-690,550 10 mgPercentage of Participants With Endoscopic Response70.0 percentage of participants
CP-690,550 15 mgPercentage of Participants With Endoscopic Response82.2 percentage of participants
Secondary

Plasma Concentration of CP-690,550

Summary statistics were calculated for each dose group using the nominal collection times and by setting concentration values below the lower limit of quantification (LLOQ) (LLOQ=0.1 nanogram per milliliter \[ng/mL\]) to zero.

Time frame: 0.25, 0.5, 1, 2 hours post-dose on Day 1, 0 (pre-dose) and 1 hour post-dose on Week 2, Week 4, 0 (pre-dose), 0.25, 0.5, 1, 2 hours post-dose on Week 8

Population: Analysis population included all participants who had at least 1 plasma concentration. N=evaluable participants for this measure.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPlasma Concentration of CP-690,550Week 8: 0 hours0.59 ng/mLStandard Deviation 0.864
PlaceboPlasma Concentration of CP-690,550Day 1: 2 hours3.82 ng/mLStandard Deviation 1.58
PlaceboPlasma Concentration of CP-690,550Day 1: 0.25 hours1.27 ng/mLStandard Deviation 1.91
PlaceboPlasma Concentration of CP-690,550Week 8: 0.5 hours4.07 ng/mLStandard Deviation 2.69
PlaceboPlasma Concentration of CP-690,550Week 8: 1 hour4.41 ng/mLStandard Deviation 2.51
PlaceboPlasma Concentration of CP-690,550Week 2: 0 hours2.16 ng/mLStandard Deviation 2.19
PlaceboPlasma Concentration of CP-690,550Week 8: 2 hours6.48 ng/mLStandard Deviation 15
PlaceboPlasma Concentration of CP-690,550Day 1: 1 hour4.34 ng/mLStandard Deviation 1.88
PlaceboPlasma Concentration of CP-690,550Week 8: 0.25 hours1.6 ng/mLStandard Deviation 1.85
PlaceboPlasma Concentration of CP-690,550Week 2: 1 hour3.37 ng/mLStandard Deviation 3
PlaceboPlasma Concentration of CP-690,550Week 4: 1 hour3.4 ng/mLStandard Deviation 2.45
PlaceboPlasma Concentration of CP-690,550Day 1: 0.5 hours3.5 ng/mLStandard Deviation 2.45
PlaceboPlasma Concentration of CP-690,550Week 4: 0 hours2.28 ng/mLStandard Deviation 2.61
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 8: 0.25 hours11.9 ng/mLStandard Deviation 14.2
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 4: 0 hours31.1 ng/mLStandard Deviation 110
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Day 1: 0.5 hours23.1 ng/mLStandard Deviation 15.2
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 4: 1 hour23.5 ng/mLStandard Deviation 18.2
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 8: 0 hours3.74 ng/mLStandard Deviation 7.19
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Day 1: 1 hour27.6 ng/mLStandard Deviation 11.6
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Day 1: 0.25 hours13.3 ng/mLStandard Deviation 18.4
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 8: 1 hour25.4 ng/mLStandard Deviation 10.8
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Day 1: 2 hours19.5 ng/mLStandard Deviation 7.72
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 2: 0 hours11.3 ng/mLStandard Deviation 14.5
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 8: 2 hours19.6 ng/mLStandard Deviation 10.1
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 8: 0.5 hours20.3 ng/mLStandard Deviation 12.7
CP-690,550 0.5 mgPlasma Concentration of CP-690,550Week 2: 1 hour21.3 ng/mLStandard Deviation 14.1
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 4: 1 hour75.9 ng/mLStandard Deviation 55.3
CP-690,550 3 mgPlasma Concentration of CP-690,550Day 1: 0.25 hours45.5 ng/mLStandard Deviation 53.8
CP-690,550 3 mgPlasma Concentration of CP-690,550Day 1: 0.5 hours70.1 ng/mLStandard Deviation 51.5
CP-690,550 3 mgPlasma Concentration of CP-690,550Day 1: 1 hour87.1 ng/mLStandard Deviation 38.7
CP-690,550 3 mgPlasma Concentration of CP-690,550Day 1: 2 hours62.6 ng/mLStandard Deviation 27.8
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 2: 0 hours39.9 ng/mLStandard Deviation 34.7
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 2: 1 hour64.8 ng/mLStandard Deviation 41.4
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 4: 0 hours26.4 ng/mLStandard Deviation 32.9
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 8: 0 hours15.9 ng/mLStandard Deviation 31.5
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 8: 0.25 hours50.1 ng/mLStandard Deviation 54.1
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 8: 0.5 hours78.8 ng/mLStandard Deviation 61.8
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 8: 1 hour78.4 ng/mLStandard Deviation 51.9
CP-690,550 3 mgPlasma Concentration of CP-690,550Week 8: 2 hours60.6 ng/mLStandard Deviation 35.2
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 2: 1 hour102.0 ng/mLStandard Deviation 60.1
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 8: 1 hour110.0 ng/mLStandard Deviation 62.3
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 8: 0.25 hours51.8 ng/mLStandard Deviation 64.4
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 2: 0 hours35.4 ng/mLStandard Deviation 50.2
CP-690,550 10 mgPlasma Concentration of CP-690,550Day 1: 0.5 hours122.0 ng/mLStandard Deviation 80.3
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 8: 0.5 hours99.5 ng/mLStandard Deviation 88.1
CP-690,550 10 mgPlasma Concentration of CP-690,550Day 1: 2 hours96.9 ng/mLStandard Deviation 30.8
CP-690,550 10 mgPlasma Concentration of CP-690,550Day 1: 1 hour131.0 ng/mLStandard Deviation 54.4
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 4: 1 hour109.0 ng/mLStandard Deviation 57.6
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 8: 2 hours92.0 ng/mLStandard Deviation 50.1
CP-690,550 10 mgPlasma Concentration of CP-690,550Day 1: 0.25 hours44.5 ng/mLStandard Deviation 48.3
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 8: 0 hours12.3 ng/mLStandard Deviation 13
CP-690,550 10 mgPlasma Concentration of CP-690,550Week 4: 0 hours40.5 ng/mLStandard Deviation 61.4

Source: ClinicalTrials.gov · Data processed: Mar 25, 2026