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Abrilumab

Phase 2

Ulcerative Colitis | Monoclonal antibody | Immunology |Amgen Inc.|Last Updated: Jun 27, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment359
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01694485Abrilumab (AMG 181) in Adults With Moderate to Severe Ulcerative ColitisPHASE2 COMPLETED 359Nov 16, 2012Apr 10, 2018Jun 27, 2019123 United States, Australia +18
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Study Endpoints
Primary Endpoints
Percentage of Participants With Remission at Week 8
Week 8

Remission was defined as a total Mayo Score ≤ 2 points, with no individual subscore \> 1 point. The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a score of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease. The remission rate (percentage of participants with remission) was calculated based on observed data (unadjusted remission rate) and also after applying a logistic regression model including the factors of treatment group, stratification factors (prior anti-TNF use and pre- versus post-Protocol Amendment 3) and baseline total Mayo Score (adjusted remission rate).

Secondary Endpoints
Percentage of Participants With Response at Week 8
Baseline and week 8
Percentage of Participants With Mucosal Healing at Week 8
Week 8
Percentage of Participants With Sustained Remission at Week 8 and Week 24
Week 8 and week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Placebo Q4W/Abrilumab 210 mg Q3MPLACEBO_COMPARATORParticipants received placebo by subcutaneous injection on day 1, week 2, week 4, and every 4 weeks thereafter until week 24. During the open-label period, participants received abrilumab 210 mg once every 3 months (Q3M) for 108 weeks.
Abrilumab 7 mg Q4W/Abrilumab 210 mg Q3MEXPERIMENTALParticipants received 7 mg abrilumab by subcutaneous injection on day 1, week 2, week 4, and every 4 weeks (Q4W) thereafter until week 24. During the open-label period, participants received abrilumab 210 mg once every 3 months (Q3M) for 108 weeks.
Abrilumab 21 mg Q4W/Abrilumab 210 mg Q3MEXPERIMENTALParticipants received 21 mg abrilumab by subcutaneous injection on day 1, week 2, week 4, and every 4 weeks thereafter until week 24. During the open-label period, participants received abrilumab 210 mg once every 3 months (Q3M) for 108 weeks.
Abrilumab 70 mg Q4W/Abrilumab 210 mg Q3MEXPERIMENTALParticipants received 70 mg abrilumab by subcutaneous injection on day 1, week 2, week 4, and every 4 weeks thereafter until week 24. During the open-label period, participants received abrilumab 210 mg once every 3 months (Q3M) for 108 weeks.
Abrilumab 210 mg/Abrilumab 210 mg Q3MEXPERIMENTALParticipants received a single dose of 210 mg abrilumab by subcutaneous injection on day 1, followed by placebo at week 2, week 4, and every 4 weeks thereafter until week 24. During the open-label period, participants received abrilumab 210 mg once every 3 months (Q3M) for 108 weeks.
Interventions
NameTypeDescription
AbrilumabBIOLOGICALAdministered by subcutaneous injection.
PlaceboDRUGPlacebo matching to abrilumab administered by subcutaneous injection
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites123

Inclusion Criteria: * Diagnosis of ulcerative colitis (UC) established ≥ 3 months before baseline by clinical and endoscopic evidence and corroborated by a histopathology report. * Moderate to severe active UC as defined by a total Mayo score of 6 to 12 with a centrally read rectosigmoidoscopy scor...

Countries:United StatesAustraliaAustriaBelgiumCanadaCzechiaDenmarkEstoniaFranceGermanyGreeceHungaryItalyLatviaNetherlandsNorwayPolandRussiaSwitzerlandUnited Kingdom
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