A PHASE 3B/4, MULTI-CENTER, DOUBLE-BLIND, RANDOMIZED, PARALLEL GROUP STUDY OF TOFACITINIB (CP-690,550) IN SUBJECTS WITH ULCERATIVE COLITIS IN STABLE REMISSION
| Registry | NCT03281304 |
|---|---|
| Status | Terminated - The study terminated early due to business reasons, with the study already meeting its primary objective. The decision to terminate the trial was not based on any safety and/or efficacy concerns. |
| Phase | Phase 4 |
| Study type | Interventional; randomized, parallel, masking: quadruple, treatment |
| Enrollment | 140 (Actual) |
| Sponsor | Pfizer (Industry) |
| Conditions | Ulcerative Colitis |
| Interventions | CP-690,500 5 mg, CP-690,550 10 mg (Drug) |
| Dates | start 2017-11-16, primary completion 2020-02-14, completion 2022-03-18, first posted 2017-09-13, last updated 2023-03-21 |
| Locations | 80 sites in United States, Belgium, Canada, Czechia, France, Germany, Hungary, Italy and 12 more countries |
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All trials for Ulcerative Colitis All trials of CP-690,500 5 mg All trials of CP-690,550 10 mg
This study is a follow up study for subjects with Ulcerative Colitis (UC) in stable remission designed to evaluate flexible dosing of CP-690,550.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| CP-690,550 5 mg | Experimental | Drug: CP-690,500 5 mg | CP-690,550 5 mg tablet by mouth twice a day (BID) |
| CP-690,550 10 mg | Experimental | Drug: CP-690,550 10 mg | CP-690,550 10 mg BID |
Sex: All, ages: 18 Years to any
Inclusion Criteria: * Currently enrolled in Study A3921139 receiving CP-690,550 10 mg BID for at least 2 years consecutively. * In stable remission on CP-690,550 10 mg BID * Agree to use highly effective contraception * Negative pregnancy test * Comply with visits, treatments, lab tests, diary and other study procedures * Signed and dated informed consent document. Exclusion Criteria: * Subjects who were initially assigned to tofacitinib 10 mg BID at baseline of Study A3921139 whose tofacitinib dose was reduced to 5 mg BID due to safety or efficacy. * Presence of indeterminate colitis, microscopic colitis, ischemic colitis, infectious colitis or findings suggestive of Crohn's disease * Likely to require surgery for ulcerative colitis during study * Expected to receive any prohibited medication * Expected to receive live or attenuated virus vaccination during study * Women who are pregnant or breastfeeding or planning to become pregnant during the study * Evidence of colonic malignancy or any dysplasia * Acute or chronic medical or psychiatric condition that may increase risk of participation * Investigator site staff member * Subjects likely to be uncooperative or unable to comply with study procedures * Participation in other studies involving investigational drugs during study * Subjects with any of the following risk factors for pulmonary embolism at baseline as defined by EMA's PRAC: * has heart failure; * has inherited coagulation disorders; * has had venous thromboembolism, either deep venous thrombosis or pulmonary embolism; * is taking combined hormonal contraceptives or hormone replacement therapy; * has malignancy (association is strongest with cancers other than non-melanoma skin cancers); * is undergoing major surgery
| Milestone | Tofacitinib 5 mg BID | Tofacitinib 10 mg BID |
|---|---|---|
| Started | 70 | 70 |
| Completed | 36 | 27 |
| Not completed | 34 | 43 |
Time frame: From baseline up to 4 weeks after last dose (maximum up to 43 months)
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|---|---|---|
| Tofacitinib 5 mg BID | 0/70 (0.0%) | 7/70 (10.0%) | 47/70 (67.1%) |
| Tofacitinib 10 mg BID | 1/70 (1.4%) | 16/70 (22.9%) | 47/70 (67.1%) |
| Term | Organ system | Tofacitinib 5 mg BID | Tofacitinib 10 mg BID |
|---|---|---|---|
| Angina pectoris | Cardiac disorders | 0/70 | 1/70 |
| Cellulitis | Infections and infestations | 1/70 | 0/70 |
| Urinary tract infection | Infections and infestations | 1/70 | 0/70 |
| Limb injury | Injury, poisoning and procedural complications | 0/70 | 1/70 |
| Back pain | Musculoskeletal and connective tissue disorders | 0/70 | 1/70 |
| Squamous cell carcinoma of the vulva | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/70 | 0/70 |
| Cerebrovascular accident | Nervous system disorders | 1/70 | 0/70 |
| Breast disorder | Reproductive system and breast disorders | 1/70 | 0/70 |
| Endometrial hyperplasia | Reproductive system and breast disorders | 1/70 | 0/70 |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | 0/70 | 1/70 |
| Colon dysplasia | Gastrointestinal disorders | 1/70 | 0/70 |
| Haemorrhoids | Gastrointestinal disorders | 0/70 | 1/70 |
| Large intestine polyp | Gastrointestinal disorders | 0/70 | 1/70 |
| Pancreatitis | Gastrointestinal disorders | 1/70 | 0/70 |
| Appendicitis | Infections and infestations | 1/70 | 0/70 |
| COVID-19 | Infections and infestations | 0/70 | 2/70 |
| COVID-19 pneumonia | Infections and infestations | 0/70 | 2/70 |
| Herpes zoster oticus | Infections and infestations | 0/70 | 1/70 |
| Pneumonia | Infections and infestations | 0/70 | 1/70 |
| Ankle fracture | Injury, poisoning and procedural complications | 0/70 | 1/70 |
| Spinal stenosis | Musculoskeletal and connective tissue disorders | 0/70 | 1/70 |
| Adenocarcinoma of colon | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/70 | 0/70 |
| Diffuse large B-cell lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/70 | 1/70 |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/70 | 1/70 |
| Term | Organ system | Tofacitinib 5 mg BID | Tofacitinib 10 mg BID |
|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | 5/70 | 3/70 |
| Colitis ulcerative | Gastrointestinal disorders | 16/70 | 14/70 |
| Large intestine polyp | Gastrointestinal disorders | 1/70 | 3/70 |
| Nausea | Gastrointestinal disorders | 3/70 | 3/70 |
| Oedema peripheral | General disorders | 2/70 | 2/70 |
| Bronchitis | Infections and infestations | 1/70 | 5/70 |
| Herpes zoster | Infections and infestations | 2/70 | 5/70 |
| Influenza | Infections and infestations | 1/70 | 3/70 |
| Nasopharyngitis | Infections and infestations | 7/70 | 8/70 |
| Oral herpes | Infections and infestations | 5/70 | 0/70 |
| Upper respiratory tract infection | Infections and infestations | 3/70 | 4/70 |
| Aspartate aminotransferase increased | Investigations | 0/70 | 3/70 |
| Blood creatine phosphokinase increased | Investigations | 2/70 | 5/70 |
| Faecal calprotectin increased | Investigations | 1/70 | 3/70 |
| Lymphocyte count decreased | Investigations | 1/70 | 3/70 |
| Myalgia | Musculoskeletal and connective tissue disorders | 4/70 | 2/70 |
| Headache | Nervous system disorders | 4/70 | 3/70 |
| Hypertension | Vascular disorders | 4/70 | 5/70 |
| Anaemia | Blood and lymphatic system disorders | 0/70 | 3/70 |
| Lymphopenia | Blood and lymphatic system disorders | 2/70 | 5/70 |
| Atrial fibrillation | Cardiac disorders | 0/70 | 2/70 |
| Abdominal pain upper | Gastrointestinal disorders | 2/70 | 2/70 |
| Diarrhoea | Gastrointestinal disorders | 4/70 | 2/70 |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | 1/70 | 2/70 |
| Haemorrhoids | Gastrointestinal disorders | 0/70 | 2/70 |
| Mouth ulceration | Gastrointestinal disorders | 2/70 | 0/70 |
| Rectal haemorrhage | Gastrointestinal disorders | 3/70 | 0/70 |
| Chest pain | General disorders | 2/70 | 0/70 |
| Fatigue | General disorders | 2/70 | 0/70 |
| Pyrexia | General disorders | 5/70 | 2/70 |
| COVID-19 | Infections and infestations | 2/70 | 0/70 |
| Clostridium difficile infection | Infections and infestations | 2/70 | 0/70 |
| Sinusitis | Infections and infestations | 2/70 | 1/70 |
| Urinary tract infection | Infections and infestations | 2/70 | 1/70 |
| SARS-CoV-2 test positive | Investigations | 2/70 | 7/70 |
| Hypercholesterolaemia | Metabolism and nutrition disorders | 2/70 | 1/70 |
| Arthralgia | Musculoskeletal and connective tissue disorders | 4/70 | 5/70 |
| Arthritis | Musculoskeletal and connective tissue disorders | 1/70 | 2/70 |
| Back pain | Musculoskeletal and connective tissue disorders | 3/70 | 2/70 |
| Neck pain | Musculoskeletal and connective tissue disorders | 0/70 | 2/70 |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | 1/70 | 2/70 |
| Colon adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/70 | 2/70 |
| Nephrolithiasis | Renal and urinary disorders | 0/70 | 2/70 |
| Cough | Respiratory, thoracic and mediastinal disorders | 3/70 | 1/70 |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | 1/70 | 2/70 |
| Respiratory disorder | Respiratory, thoracic and mediastinal disorders | 2/70 | 0/70 |
| Pruritus | Skin and subcutaneous tissue disorders | 1/70 | 2/70 |
| Rash | Skin and subcutaneous tissue disorders | 2/70 | 0/70 |
| Rash pruritic | Skin and subcutaneous tissue disorders | 2/70 | 0/70 |
| Facility | City | Country | Status |
|---|---|---|---|
| Surgicare of Mobile | Mobile, Alabama | United States | |
| Alabama Medical Group, P.C. | Mobile, Alabama | United States | |
| Clinical Applications Laboratories, Inc. | San Diego, California | United States | |
| Bristol Hospital | Bristol, Connecticut | United States | |
| Connecticut Clinical Research Institute | Bristol, Connecticut | United States | |
| Central Connecticut Endoscopy Center | Plainville, Connecticut | United States | |
| Advanced Medical Research Center | Port Orange, Florida | United States | |
| Florida Medical Clinic, P.A. | Zephyrhills, Florida | United States | |
| Cotton-O'Neil Clinical Research Center, Digestive Health | Topeka, Kansas | United States | |
| Chevy Chase Endoscopy Center | Chevy Chase, Maryland | United States | |
| MGG Group Co., Inc., Chevy Chase Clinical Research | Chevy Chase, Maryland | United States | |
| Clinical Research Institute of Michigan, LLC | Chesterfield, Michigan | United States | |
| Eastside Endoscopy Center | Macomb, Michigan | United States | |
| Clinical Research Institute of Michigan, LLC | Troy, Michigan | United States | |
| NYU Langone Long Island Clinical Research Associates | Lake Success, New York | United States | |
| Columbia University Irving Medical Center | New York, New York | United States | |
| Columbia University Medical Center Research Pharmacy/ Milstein Hospital | New York, New York | United States | |
| Great Lakes Gastroenterology Research, LLC | Mentor, Ohio | United States | |
| Memorial Hermann Hospital | Houston, Texas | United States | |
| The University of Texas Health Science Center at Houston (UTHealth)- McGovern Medical School | Houston, Texas | United States | |
| Christus Trinity Mother Frances Endoscopy Center | Tyler, Texas | United States | |
| Tyler Research Institute, LLC | Tyler, Texas | United States | |
| Alpine Medical Group | Salt Lake City, Utah | United States | |
| Wasatch Clinical Research, LLC | Salt Lake City, Utah | United States | |
| UZ Leuven (University Hospital Leuven), Campus Gasthuisberg | Leuven | Belgium | |
| London Health Sciences Centre - University Hospital | London, Ontario | Canada | |
| Royal University Hospital | Saskatoon, Saskatchewan | Canada | |
| Nemocnice Strakonice a.s. | Strakonice | Czechia | |
| CHU Hotel Dieu | Nantes | France | |
| CHU de Bordeaux Hopital Haut Leveque | Pessac | France | |
| Universitaetsklinikum Schleswig-Holstein | Kiel | Germany | |
| Szent Janos Korhaz és Eszak-budai Egyesitett Korhazak | Budapest | Hungary | |
| Pannonia Maganorvosi Centrum Kft. | Budapest | Hungary | |
| Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz Endoszkopos Laboratorium | Gyula | Hungary | |
| Università "Magna Graecia" di Catanzaro | Catanzaro, CZ | Italy | |
| Aichi Medical University Hospital | Nagakute, Aichi-ken | Japan | |
| Fukuoka University Chikushi Hospital | Chikushino-shi, Fukuoka | Japan | |
| Kurume University Hospital | Kurume, Fukuoka | Japan | |
| Hokkaido P.W.F.A.C Sapporo-Kosei General Hospital | Sapporo, Hokkaido | Japan | |
| Osaka Medical and Pharmaceutical University Hospital | Takatsuki-shi, Osaka | Japan | |
| Shiga University of Medical Science Hospital | Ōtsu, Shiga | Japan | |
| Tokyo Medical And Dental University Hospital, Faculty of Medicine | Bunkyo-ku, Tokyo | Japan | |
| Tokai University Hachioji Hospital | Hachiōji, Tokyo | Japan | |
| Kitasato University Kitasato Institute Hospital | Minato-ku, Tokyo | Japan | |
| Showa University Hospital | Shinagawa-ku, Tokyo | Japan | |
| Toho University Sakura Medical Center | Chiba | Japan | |
| Hiroshima University Hospital | Hiroshima | Japan | |
| Osaka Metropolitan University Hospital | Osaka | Japan | |
| Keio University Hospital | Tokyo | Japan | |
| Academic Medical Centre | Amsterdam | Netherlands | |
| North Shore Hospital (Waitemata District Health Board) | Takapuna, Auckland | New Zealand | |
| Christchurch Hospital (Canterbury District Health Board) | Christchurch | New Zealand | |
| Southern District Health Board | Dunedin | New Zealand | |
| Endoskopia Sp. z o.o. | Sopot | Poland | |
| Lexmedica | Wroclaw | Poland | |
| Federal State Budgetary Institution "State Scientific Centre of Coloproctology | Moscow | Russia | |
| LLC Novosibirskiy Gastrocenter | Novosibirsk | Russia | |
| Federal State Budgetary Scientific Institution "Scientific Research Institute of Physiology | Novosibirsk | Russia | |
| Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology | Belgrade | Serbia | |
| Clinical Hospital Centre Zvezdara | Belgrade | Serbia | |
| Military Medical Academy, Clinic for Gastroenterology and Hepatology | Belgrade | Serbia | |
| Clinical Center Kragujevac | Kragujevac | Serbia | |
| General Hospital "Djordje Joanovic" | Zrenjanin | Serbia | |
| Medak s.r.o. | Bratislava | Slovakia | |
| KM Management spol. s.r.o. | Nitra | Slovakia | |
| Gastro I., s.r.o., Gastroenterologicka ambulancia | Prešov | Slovakia | |
| Kingsbury Hospital | Claremont, CAPE TOWN | South Africa | |
| Wits Clinical Research (WCR) Bara Site, Chris Hani Baragwanath Academic Hospital | Soweto, Johannesburg, Gauteng | South Africa | |
| Chris Hani Baragwanath Academic Hospital | Soweto, Johannesburg | South Africa | |
| Endocare Research Centre | Paarl, Western Cape | South Africa | |
| Panorama Mediclinic | Panorama, Western Cape | South Africa | |
| Hanyang University Guri Hospital | Gyeonggi-do | South Korea | |
| Kyung Hee University Hospital | Seoul | South Korea | |
| Severance Hospital, Yonsei University Health System | Seoul | South Korea | |
| Hospital Clinic de Barcelona | Barcelona | Spain | |
| Regional Municipal Non-Profit Enterprise "Chernivtsi Regional Clinical Hospital" Surgery Departm | Chernivtsi | Ukraine | |
| Kyiv Municipal Clinical Hospital #18 | Kyiv | Ukraine | |
| MI Uzhgorod Regional Hospital | Uzhhorod | Ukraine | |
| Vinnytsia Regional Clinical Hospital for War Veterans, Therapeutics Dept. No. 2 | Vinnytsia | Ukraine | |
| University Hospitals Bristol NHS Foundation Trust | Bristol, AVON | United Kingdom |
NIH grants: 2017