Crohn's Disease
Conditions
Brief summary
This is a phase 2 randomized, placebo-controlled, double-blind, parallel-group multicenter induction study.
Interventions
Oral once daily tablet
Oral once daily tablet
Sponsors
Study design
Intervention model description
This is a phase 2 randomized, placebo-controlled, double-blind, parallel-group multicenter induction study. The purpose of this study is to evaluate the efficacy and safety of oral BT-11 induction compared to placebo in subjects with moderate to severe CD. Approximately 100 sites will participate from Europe and the USA. A total of 150 subjects with moderate to severe CD (CDAI Score 220-450 and a Simplified Endoscopic Index of Severity of Crohn's Disease (SES-CD) SCORED ≥ 6 (≥ 4 for isolated ileitis) will be randomized in a 1:1 ratio to receive BT-11 1,000 mg or placebo. Each of the treatment arms will comprise 75 subjects. The randomization will be stratified by prior exposure to biologic therapy for CD (yes/no) and corticosteroid use at baseline (yes/no). The study consists of a 28-day screening period, a 12-week induction phase, and a 2-week post-treatment safety follow-up period.
Eligibility
Inclusion criteria
Key Inclusion Criteria: 1. Subjects aged 18 to 75 years with a diagnosis of CD for at least 3 months; 2. Moderately to severely active CD as defined by: a CDAI score of 220 450, and an SES-CD scored ≥ 6 ( ≥ 4 for isolated ileitis) (centrally read); Key
Exclusion criteria
1. Ulcerative colitis; 2. Known current bacterial or parasitic pathogenic enteric infection; live virus vaccination within 12 weeks of screening.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Remission Rate | 12 weeks | Clinical remission defined by CDAI score \<150. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| BT-11 880 mg Oral once daily tablet
BT-11 880 mg: Oral once daily tablet | 12 |
| Placebo Oral once daily tablet
Placebo: Oral once daily tablet | 11 |
| Total | 23 |
Baseline characteristics
| Characteristic | BT-11 880 mg | Placebo | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 12 Participants | 11 Participants | 23 Participants |
| Age, Continuous | 37.1 years STANDARD_DEVIATION 9.7 | 39.9 years STANDARD_DEVIATION 13.7 | 38.4 years STANDARD_DEVIATION 11.9 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 3 Participants | 0 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 8 Participants | 10 Participants | 18 Participants |
| Sex: Female, Male Female | 1 Participants | 3 Participants | 4 Participants |
| Sex: Female, Male Male | 11 Participants | 8 Participants | 19 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 12 | 0 / 11 |
| other Total, other adverse events | 7 / 12 | 7 / 11 |
| serious Total, serious adverse events | 0 / 12 | 0 / 11 |
Outcome results
Clinical Remission Rate
Clinical remission defined by CDAI score \<150.
Time frame: 12 weeks
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| BT-11 880 mg | Clinical Remission Rate | 3 Participants |
| Placebo | Clinical Remission Rate | 1 Participants |