Crohn Disease
Conditions
Keywords
Crohn's Disease, Crohn Disease, Oral, Ozanimod, Moderately active, Severely active, RPC01, RPC01-3204
Brief summary
This is an extension study to evaluate safety and efficacy of ozanimod in participants with moderately to severely active Crohn's Disease.
Interventions
Specified dose on specified days
Sponsors
Study design
Eligibility
Inclusion criteria
For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit: www.BMSStudyConnect.com Inclusion Criteria: * Is not in clinical response or clinical remission after completing 12 weeks in the Induction Studies * Experience relapse or who complete the Maintenance Study * Complete a study of ozanimod for Crohn's Disease and meet the criteria for participation
Exclusion criteria
* Has any clinically relevant hepatic, neurological, pulmonary, ophthalmological, endocrine, psychiatric, or other major systemic disease making implementation of the protocol or interpretation of the study difficult or that would put the subject at risk by participating in the study * Has suspected or diagnosed intra-abdominal or perianal abscess that has not been appropriately treated * Is receiving treatment with any of the following drugs or interventions: CYP2C8 inducers; Monoamine oxidase inhibitors Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Clinical Remission | At weeks 48, 96, 144, 192, 240 | Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score of \< 150. The CDAI is a composite score that is used to measure the clinical activity of Crohn's disease (CD). The CDAI uses a questionnaire with 8 disease activity variables: number of soft/liquid stools, severity of abdominal pain, general well-being, presence of complications, need for antidiarrheal drugs, presence of an abdominal mass, hematocrit, and deviation in body weight. The sub scores of number of soft/liquid stool, severity of abdominal pain (0 \\\[none\\\] to 3 \\\[Severe\\\]), general well-being (0 \\\[well\\\] to 4 \\\[terrible\\\] were summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome. |
| Number of Participants With Treatment Emergent Adverse Events (TEAEs) | From first dose to 90 days post last dose (up to approximately an average of 19 months and a maximum of 65 months) | A treatment-emergent adverse event (TEAE) is any AE that emerges or worsens between the day of the first dose of Open-label Extension Study and 90 days after the last dose of Open-label Extension Study. An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Serious Adverse Events (SAEs) is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization; results significant disability; or is a congenital anomaly/birth defect. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | At weeks 48, 96, 144, 192, 240 | Abdominal pain (AP) and stool frequency (SF) clinical remission was defined as average daily abdominal pain score ≤ 1 point, and average daily stool frequency ≤ 3 points with AP and SF no worse than baseline. Participants entered responses in diaries daily. The 7 days entries prior to visit were considered for calculating average AP score and SF. The AP was graded on severity of 0 (none) to 3 (severe) scale and SF was defined number of liquid or soft stools per day. Higher scores indicated worse outcomes. |
| Percentage of Participants With Clinical Response | At weeks 48, 96, 144, 192, 240 | Clinical response is defined as a Crohn's Disease Activity Index (CDAI) reduction from baseline of ≥ 100 points or CDAI score of \< 150. The CDAI is a composite score that is used to measure the clinical activity of Crohn's disease (CD). The CDAI uses a questionnaire with 8 disease activity variables: number of soft/liquid stools, severity of abdominal pain, general well-being, presence of complications, need for antidiarrheal drugs, presence of an abdominal mass, hematocrit, and deviation in body weight. The sub scores of number of soft/liquid stool, severity of abdominal pain (0 \\\[none\\\] to 3 \\\[Severe\\\]), general well-being (0 \\\[well\\\] to 4 \\\[terrible\\\] were summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome. |
Countries
Argentina, Australia, Austria, Belarus, Belgium, Bosnia and Herzegovina, Bulgaria, Canada, Chile, China, Colombia, Croatia, Czechia, Denmark, Finland, France, Georgia, Germany, Greece, Hong Kong, Hungary, India, Ireland, Israel, Italy, Latvia, Lithuania, Mexico, Moldova, Netherlands, Poland, Portugal, Romania, Russia, Saudi Arabia, Senegal, Serbia, Slovakia, Slovenia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Turkey (Türkiye), Ukraine, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| RPC01-3201/3202 Placebo Responders from the induction study entered the maintenance study. Non-responders had the option to enter the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 179 |
| RPC01-3201/3202 Ozanimod 0.92 mg Responders from the induction study entered the maintenance study. Non-responders had the option to enter the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 329 |
| RPC01-3203 Placebo-Placebo Completers Participants who completed the 52 weeks maintenance study entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 66 |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers Participants who completed the 52 weeks maintenance study entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 85 |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers Participants who completed the 52 weeks maintenance study entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 91 |
| RPC01-3203 Placebo-Placebo Relapse Participants who relapsed in the maintenance study entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 38 |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse Participants who relapsed in the maintenance study entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 33 |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse Participants who relapsed in the maintenance study entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 20 |
| RPC01-2201 Ozanimod 0.92 mg Participants who completed at least 1 year of RPC01-2201 entered the open-label extension 3204 study and took Ozanimod 0.92 mg oral daily. | 13 |
| Total | 854 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 |
|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 20 | 32 | 5 | 3 | 3 | 3 | 6 | 5 | 0 |
| Overall Study | Lack of Efficacy | 59 | 120 | 6 | 9 | 8 | 9 | 11 | 9 | 3 |
| Overall Study | Lost to Follow-up | 1 | 2 | 1 | 0 | 4 | 0 | 0 | 0 | 0 |
| Overall Study | Other reasons | 8 | 14 | 2 | 1 | 4 | 0 | 1 | 0 | 1 |
| Overall Study | Pregnancy | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Overall Study | Study terminated by sponsor | 65 | 117 | 45 | 64 | 66 | 17 | 11 | 5 | 5 |
| Overall Study | Withdrawal by Subject | 25 | 44 | 7 | 8 | 6 | 8 | 4 | 1 | 4 |
Baseline characteristics
| Characteristic | RPC01-3201/3202 Placebo | RPC01-3201/3202 Ozanimod 0.92 mg | RPC01-3203 Placebo-Placebo Completers | RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | RPC01-3203 Placebo-Placebo Relapse | RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | RPC01-2201 Ozanimod 0.92 mg | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 37.93 Years STANDARD_DEVIATION 13.147 | 39.21 Years STANDARD_DEVIATION 13.508 | 40.80 Years STANDARD_DEVIATION 13.988 | 38.21 Years STANDARD_DEVIATION 13.819 | 41.98 Years STANDARD_DEVIATION 13.116 | 34.84 Years STANDARD_DEVIATION 11.1 | 38.06 Years STANDARD_DEVIATION 12.686 | 39.30 Years STANDARD_DEVIATION 14.697 | 44.00 Years STANDARD_DEVIATION 10.368 | 39.10 Years STANDARD_DEVIATION 13.36 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 8 Participants | 13 Participants | 4 Participants | 3 Participants | 4 Participants | 2 Participants | 0 Participants | 0 Participants | 1 Participants | 35 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 168 Participants | 309 Participants | 62 Participants | 81 Participants | 86 Participants | 35 Participants | 29 Participants | 20 Participants | 12 Participants | 802 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 3 Participants | 7 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 4 Participants | 0 Participants | 0 Participants | 17 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 16 Participants | 35 Participants | 3 Participants | 5 Participants | 5 Participants | 3 Participants | 2 Participants | 1 Participants | 0 Participants | 70 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants | 2 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 8 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 8 Participants | 17 Participants | 1 Participants | 3 Participants | 2 Participants | 1 Participants | 3 Participants | 0 Participants | 0 Participants | 35 Participants |
| Race (NIH/OMB) White | 153 Participants | 274 Participants | 61 Participants | 77 Participants | 82 Participants | 34 Participants | 27 Participants | 19 Participants | 12 Participants | 739 Participants |
| Sex: Female, Male Female | 78 Participants | 151 Participants | 31 Participants | 36 Participants | 48 Participants | 14 Participants | 12 Participants | 11 Participants | 7 Participants | 388 Participants |
| Sex: Female, Male Male | 101 Participants | 178 Participants | 35 Participants | 49 Participants | 43 Participants | 24 Participants | 21 Participants | 9 Participants | 6 Participants | 466 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 179 | 0 / 329 | 0 / 66 | 0 / 85 | 1 / 91 | 0 / 38 | 0 / 33 | 0 / 20 | 0 / 13 |
| other Total, other adverse events | 104 / 179 | 181 / 329 | 24 / 66 | 44 / 85 | 38 / 91 | 22 / 38 | 15 / 33 | 14 / 20 | 10 / 13 |
| serious Total, serious adverse events | 38 / 179 | 59 / 329 | 9 / 66 | 11 / 85 | 11 / 91 | 6 / 38 | 4 / 33 | 2 / 20 | 2 / 13 |
Outcome results
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
A treatment-emergent adverse event (TEAE) is any AE that emerges or worsens between the day of the first dose of Open-label Extension Study and 90 days after the last dose of Open-label Extension Study. An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. Serious Adverse Events (SAEs) is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization; results significant disability; or is a congenital anomaly/birth defect.
Time frame: From first dose to 90 days post last dose (up to approximately an average of 19 months and a maximum of 65 months)
Population: All treated participants
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| RPC01-3201/3202 Placebo | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 140 Participants |
| RPC01-3201/3202 Placebo | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 30 Participants |
| RPC01-3201/3202 Placebo | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 38 Participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 43 Participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 59 Participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 247 Participants |
| RPC01-3203 Placebo-Placebo Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 9 Participants |
| RPC01-3203 Placebo-Placebo Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 42 Participants |
| RPC01-3203 Placebo-Placebo Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 4 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 5 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 63 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 11 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 11 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 52 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 3 Participants |
| RPC01-3203 Placebo-Placebo Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 6 Participants |
| RPC01-3203 Placebo-Placebo Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 26 Participants |
| RPC01-3203 Placebo-Placebo Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 4 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 7 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 22 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 4 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 2 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 5 Participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 14 Participants |
| RPC01-2201 Ozanimod 0.92 mg | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 2 Participants |
| RPC01-2201 Ozanimod 0.92 mg | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE leading to discontinuation to study drug | 1 Participants |
| RPC01-2201 Ozanimod 0.92 mg | Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE | 11 Participants |
Percentage of Participants With Clinical Remission
Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score of \< 150. The CDAI is a composite score that is used to measure the clinical activity of Crohn's disease (CD). The CDAI uses a questionnaire with 8 disease activity variables: number of soft/liquid stools, severity of abdominal pain, general well-being, presence of complications, need for antidiarrheal drugs, presence of an abdominal mass, hematocrit, and deviation in body weight. The sub scores of number of soft/liquid stool, severity of abdominal pain (0 \\\[none\\\] to 3 \\\[Severe\\\]), general well-being (0 \\\[well\\\] to 4 \\\[terrible\\\] were summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.
Time frame: At weeks 48, 96, 144, 192, 240
Population: All treated participants
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Remission | Week 96 | 12.3 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Remission | Week 240 | 2.8 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Remission | Week 48 | 19.6 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Remission | Week 192 | 4.5 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Remission | Week 144 | 6.1 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 144 | 7.0 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 48 | 21.0 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 240 | 3.6 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 96 | 12.5 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 192 | 4.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Remission | Week 192 | 6.1 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Remission | Week 144 | 22.7 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Remission | Week 48 | 60.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Remission | Week 240 | 1.5 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Remission | Week 96 | 37.9 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Remission | Week 240 | 3.5 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Remission | Week 96 | 41.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Remission | Week 192 | 11.8 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Remission | Week 48 | 58.8 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Remission | Week 144 | 23.5 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Remission | Week 144 | 18.7 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Remission | Week 48 | 56.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Remission | Week 96 | 38.5 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Remission | Week 192 | 9.9 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Remission | Week 240 | 1.1 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 96 | 18.4 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 144 | 13.2 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 192 | 2.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 240 | 2.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 48 | 34.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 144 | 12.1 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 96 | 15.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 48 | 27.3 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 192 | 3.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Remission | Week 240 | 0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Remission | Week 144 | 0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Remission | Week 96 | 15.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Remission | Week 240 | 5.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Remission | Week 192 | 5.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Remission | Week 48 | 20.0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 240 | 38.5 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 48 | 84.6 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 192 | 30.8 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 96 | 84.6 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Remission | Week 144 | 61.5 Percentage of participants |
Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission
Abdominal pain (AP) and stool frequency (SF) clinical remission was defined as average daily abdominal pain score ≤ 1 point, and average daily stool frequency ≤ 3 points with AP and SF no worse than baseline. Participants entered responses in diaries daily. The 7 days entries prior to visit were considered for calculating average AP score and SF. The AP was graded on severity of 0 (none) to 3 (severe) scale and SF was defined number of liquid or soft stools per day. Higher scores indicated worse outcomes.
Time frame: At weeks 48, 96, 144, 192, 240
Population: All treated participants
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RPC01-3201/3202 Placebo | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 11.2 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 3.4 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 16.2 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 2.8 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 5.6 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 7.3 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 21.3 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 3.0 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 11.6 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 4.9 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 6.1 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 21.2 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 53.0 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 1.5 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 37.9 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 1.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 36.5 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 10.6 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 52.9 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 24.7 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 14.3 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 45.1 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 36.3 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 7.7 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 1.1 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 18.4 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 13.2 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 2.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 0 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 34.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 12.1 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 12.1 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 18.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 3.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 15.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 5.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 5.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 20.0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 240 | 0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 48 | 0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 192 | 0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 96 | 0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Abdominal Pain (AP) and Stool Frequency (SF) Clinical Remission | Week 144 | 0 Percentage of participants |
Percentage of Participants With Clinical Response
Clinical response is defined as a Crohn's Disease Activity Index (CDAI) reduction from baseline of ≥ 100 points or CDAI score of \< 150. The CDAI is a composite score that is used to measure the clinical activity of Crohn's disease (CD). The CDAI uses a questionnaire with 8 disease activity variables: number of soft/liquid stools, severity of abdominal pain, general well-being, presence of complications, need for antidiarrheal drugs, presence of an abdominal mass, hematocrit, and deviation in body weight. The sub scores of number of soft/liquid stool, severity of abdominal pain (0 \\\[none\\\] to 3 \\\[Severe\\\]), general well-being (0 \\\[well\\\] to 4 \\\[terrible\\\] were summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.
Time frame: At weeks 48, 96, 144, 192, 240
Population: All treated participants
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Response | Week 96 | 15.1 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Response | Week 240 | 3.9 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Response | Week 48 | 26.8 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Response | Week 192 | 5.0 Percentage of participants |
| RPC01-3201/3202 Placebo | Percentage of Participants With Clinical Response | Week 144 | 8.9 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 144 | 9.4 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 48 | 29.2 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 240 | 4.6 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 96 | 17.3 Percentage of participants |
| RPC01-3201/3202 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 192 | 6.4 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Response | Week 192 | 6.1 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Response | Week 144 | 22.7 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Response | Week 48 | 62.1 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Response | Week 240 | 1.5 Percentage of participants |
| RPC01-3203 Placebo-Placebo Completers | Percentage of Participants With Clinical Response | Week 96 | 43.9 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Response | Week 240 | 3.5 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Response | Week 96 | 44.7 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Response | Week 192 | 12.9 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Response | Week 48 | 64.7 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Completers | Percentage of Participants With Clinical Response | Week 144 | 28.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Response | Week 144 | 19.8 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Response | Week 48 | 61.5 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Response | Week 96 | 45.1 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Response | Week 192 | 11.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Completers | Percentage of Participants With Clinical Response | Week 240 | 2.2 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Response | Week 96 | 18.4 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Response | Week 144 | 13.2 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Response | Week 192 | 2.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Response | Week 240 | 2.6 Percentage of participants |
| RPC01-3203 Placebo-Placebo Relapse | Percentage of Participants With Clinical Response | Week 48 | 36.8 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Response | Week 144 | 12.1 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Response | Week 96 | 15.2 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Response | Week 48 | 30.3 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Response | Week 192 | 3.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Placebo Relapse | Percentage of Participants With Clinical Response | Week 240 | 0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Response | Week 144 | 0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Response | Week 96 | 15.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Response | Week 240 | 5.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Response | Week 192 | 5.0 Percentage of participants |
| RPC01-3203 Ozanimod 0.92 Mg-Ozanimod 0.92 mg Relapse | Percentage of Participants With Clinical Response | Week 48 | 20.0 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 240 | 38.5 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 48 | 84.6 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 192 | 30.8 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 96 | 84.6 Percentage of participants |
| RPC01-2201 Ozanimod 0.92 mg | Percentage of Participants With Clinical Response | Week 144 | 61.5 Percentage of participants |