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Ontamalimab

Phase 3

Ulcerative Colitis | Small molecule | Immunology |Takeda Pharmaceutical Company Limited|Last Updated: Jan 14, 2022

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 Enrollment366
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03290781An Efficacy and Safety Study of Ontamalimab as Maintenance Therapy in Participants With Moderate to Severe Ulcerative ColitisPHASE3 COMPLETED 366Apr 4, 2018Jul 1, 2021Jan 14, 2022401 United States, Argentina +35
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Study Endpoints
Primary Endpoints
Number of Participants With Remission Based on Composite Score at Week 52
At Week 52

Remission: a composite score of participant reported symptoms using daily e-diary and centrally read endoscopy as follows: stool frequency sub-score 0 or 1 with at least a 1-point change from induction study baseline; and rectal bleeding sub-score of 0; and endoscopic sub-score 0 or 1 (modified, excludes friability). The composite score was a recommended measure consisted of Mayo score without the Physician global assessment (PGA) sub-score and ranges from 0-9 points. The Mayo score was a measure of UC disease activity ranged from 0-12 points and consisted of 4 sub-scores, each graded from 0-3 with higher scores indicating more severe disease. Sub-scores were rectal bleeding (range: 0-3, where 0= no blood \& 3=blood alone passes), stool frequency (range: 0-3, where 0= normal number of stools and 3=at least 5 stools more than normal), PGA sub-score (range: 0-3- higher score= severe disease), and an endoscopic sub-score (range: 0-3, where 0= normal/inactive disease; 3= severe disease).

Secondary Endpoints
Number of Participants With Endoscopic Remission at Week 52
At Week 52
Number of Participants With Clinical Remission at Week 52
At Week 52
Number of Participants With Sustained Remission at Week 52
At Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ontamalimab 25 mgEXPERIMENTALParticipants will receive 25 milligram (mg) of ontamalimab or placebo and achieved a clinical response in one of the induction studies (SHP647-301 \[NCT03259334\] and SHP647-302 \[NCT03259308\]) will receive 25 mg of ontamalimab as maintenance treatment subcutaneously using a prefilled syringe once in every 4 weeks (Q4W) up to Week 52.
Ontamalimab 75 mgEXPERIMENTALParticipants will receive 75 mg of ontamalimab or placebo and achieved a clinical response in one of the induction studies (SHP647-301 \[NCT03259334\] and SHP647-302 \[NCT03259308\]) will receive 75 mg of ontamalimab as maintenance treatment subcutaneously using a prefilled syringe Q4W up to Week 52.
PlaceboPLACEBO_COMPARATORParticipants will receive 25 mg or 75 mg ontamalimab or placebo matched to ontamalimab in the induction studies (SHP647-301 \[NCT03259334\] and SHP647-302 \[NCT03259308\]) will receive placebo matched to ontamalimab as maintenance treatment subcutaneously using a prefilled syringe Q4W up to Week 52.
Interventions
NameTypeDescription
OntamalimabDRUGParticipants will receive 1 milliliter (mL) of ontamalimab sterile aqueous buffered solution at an appropriate oncentration to provide an intended dose of drug (25 or 75 mg).
PlaceboOTHERParticipants will receive 1 mL of sterile aqueous buffered solution.
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Eligibility Criteria
Age Range16 Years — 81 Years
SexALL
Healthy VolunteersNo
Study Sites401

Inclusion Criteria: * Participants and/or their parent or legally authorized representative must have an understanding, ability, and willingness to fully comply with study procedures and restrictions. * Participants must be able to voluntarily provide written, signed, and dated (personally or via a...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBosnia and HerzegovinaBulgariaCanadaColombiaCroatiaCzechiaEstoniaGermanyGreeceHungaryIrelandIsraelItalyJapanLebanonLithuaniaMexicoNetherlandsNew ZealandPolandPortugalRomaniaRussiaSerbiaSlovakiaSouth AfricaSouth KoreaSpainSwitzerlandTurkey (Türkiye)UkraineUnited Kingdom
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