Ulcerative Colitis
Conditions
Keywords
biomarkers, ozanimod, somascan
Brief summary
A diagnostic tool that identifies biomarkers that predict response prior to and during induction of ozanimod will have a major impact on improving outcomes in UC patients. Using SOMAscan from SomaLogic (Boulder, CO), our study aims to discover serum protein biomarkers in UC patients that predict response to ozanimod and to gain insight into the pathophysiological mechanisms underlying ozanimod response.
Interventions
Patients with established diagnosis of UC starting ozanimod therapy as part of their clinical care
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients ≥18 years of age with established diagnosis of UC starting ozanimod therapy as part of their clinical care 2. Patients with moderate to severe UC, determined by a 3-component Mayo score of 5-9 with an endoscopic subscore ≥ 2.Endoscopy must be performed within 90 days of ozanimod initiation 3. Elevated CRP (greater than upper limit of normal on assay) and/or fecal calprotectin (\>250 mcg/g) within 90 days of drug initiation
Exclusion criteria
1. Diagnosis of Crohn's disease or indeterminate colitis 2. Total (procto)colectomy 3. Ileoanal pouch anastomosis 4. Current ileostomy or colostomy 5. Untreated Clostridium difficile infection 6. Known pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical response | 10 weeks | The primary endpoint measure is clinical response defined as a decrease of at least 50% in PRO2 at week 10 (end of induction) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical response | 22 weeks | Clinical response defined as a decrease of at least 50% in PRO2 at week 22 |
| Clinical remission | 10 weeks | Symptomatic/PRO2 remission defined as stool frequency subscore of 0 or 1 and rectal bleeding subscore of 0 at weeks 10 and 22. |
| Fecal calprotectin | 2, 10, 22 weeks | Change from baseline in level of fecal calprotectin at weeks 2, 10, and 22 |
| CRP | 2, 10, 22 weeks | Change from baseline in level of CRP at weeks 2, 10, 22 |
| Corticosteroid free remission | 22 weeks | Corticosteroid free remission at week 22 |
Countries
United States