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MultiStem low dose

Phase 2

Colitis, Ulcerative | Small molecule | Other |Pfizer, Inc.|Last Updated: Feb 23, 2016

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-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment105
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01240915A Study To Investigate The Safety And Possible Clinical Benefit Of Multistem(r) In Patients With Moderate To Severe Ulcerative ColitisPHASE2 COMPLETED 105Feb 1, 2011Nov 1, 2014Feb 23, 201658 United States, Belgium +6
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Study Endpoints
Primary Endpoints
Change From Baseline in Endoscopic Score (as Measured by Modified Baron Score) at Week 8
Baseline and Week 8

Modified Baron Score is an instrument designed to measure endoscopic activity of ulcerative colitis. It classifies the mucosal inflammation in 4 grades (0=normal, 1=granular mucosa with an abnormal vascular pattern, 2=friable mucosa, 3=microulceration with spontaneous bleeding, 4=gross ulceration with spontaneous bleeding).

Change From Baseline in Rectal Bleeding Mayo Subscore at Week 4
Baseline and Week 4

Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.

Change From Baseline in Rectal Bleeding Mayo Subscore at Week 8
Baseline and Week 8

Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to Week 52

An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.

Number of Participants With Treatment-Emergent AEs by System Organ Class (SOC)
Baseline up to Week 52
Number of Treatment-Emergent AEs by Severity
Baseline up to Week 52

The intensity grades were defined as follows: mild=does not interfere with participant's usual function; moderate=interferes to some extent with participant's usual function; severe=interferes significantly with participant's usual function.

Secondary Endpoints
Change From Baseline in Rectal Bleeding Mayo Subscore at Week 12 and Week 16
Baseline, Week 12, Week 16
Number of Participants With Laboratory Test Abnormalities
Baseline up to Week 24
Number of Participants With Potentially Clinically Significant Vital Signs Findings
Baseline up to Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1EXPERIMENTALThe first 9 subjects will be recruited into Cohort 1 and will receive either placebo (n=3) or MultiStem low dose (n=6) as an intravenous infusion on Day 1. The first five patients enrolled constitute a subgroup of Cohort 1 and these patients will receive multiple doses, once every day for 7 days for 3 doses (Day 1 and Weeks 1 \& 2).
Cohort 2EXPERIMENTALThis group will receive either placebo (n=3) or MultiStem high dose (n=6) as an intravenous infusion on Day 1. The subjects then receive the opposite dose of study medication at Week 8.
Cohort 3EXPERIMENTALThese subjects (total n=88 evaluable patients) will receive either Placebo or MultiStem (1:1 randomization) as an intravenous infusion on Day 1. In addition all subjects in Cohort 3 will receive a single infusion of either MultiStem or Placebo at Week 8, depending on their randomization schedule. A total of \~22 patients will receive an additional infusion of MultiStem, \~44 patients will receive the alternative blinded therapy to that which they received for Day 1 infusion, and \~22 patients will receive an additional infusion of placebo.
Interventions
NameTypeDescription
placeboDRUGonce every 7 days for 1- 3 doses
MultiStem low doseDRUG1-3 doses
MultiStem high doseDRUGSingle dose Day 1
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites58

Inclusion Criteria: * Subjects must have a documented diagnosis of ulcerative colitis at least 6 months prior to screening. * Subjects must have active moderate-to-severe ulcerative colitis based on Mayo score. * Subjects must have Modified Baron endoscopic score of at least 2 determined within 7 d...

Countries:United StatesBelgiumCanadaGermanyHungaryItalySlovakiaSweden
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