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Ontamalimab

Phase 3

Crohn's Disease | Small molecule | Gastrointestinal |Takeda Pharmaceutical Company Limited|Last Updated: Jun 21, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment557

FDA Designations

No designations recorded

Clinical trial landscape

Ontamalimab · 2 trials · 2 indications

Phase 3 2
NCT03290781An Efficacy and Safety Study of Ontamalimab as Maintenance Therapy in Participants With Moderate to Severe Ulcerative ColitisUlcerative Colitis
COMPLETED366 Analytics
NCT03283085A Safety Extension Study of Ontamalimab in Participants With Moderate to Severe Ulcerative Colitis or Crohn's Disease (AIDA)Crohn's Disease
COMPLETED557 Analytics
PHASE3COMPLETED
An Efficacy and Safety Study of Ontamalimab as Maintenance Therapy in Participants With Moderate to Severe Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
A Safety Extension Study of Ontamalimab in Participants With Moderate to Severe Ulcerative Colitis or Crohn's Disease (AIDA)
Crohn's DiseaseUnlock trial analytics

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).

Number of Participants With Treatment Emergent Adverse Events (TEAEs)
From first dose of study drug up to end of study [EOS] (up to 5.79 years)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs (TEAEs) were defined as AEs with start dates or worsening dates at the time of or following the first exposure to investigational product.

Number of Participants With Serious Infections
From first dose of study drug up to EOS (up to 5.79 years)

Serious infections were defined as any infections that were life-threatening or those requiring hospitalization or intravenous antibiotics based on the investigator's assessment.

Number of Participants With Notable Changes in Clinical Laboratory Parameters Over Time
From first dose of study drug up to EOS (up to 5.79 years)

Clinical laboratory assessments included hematology, serum chemistry and urinalysis. Any notable changes in the clinical laboratory value over time based on the investigator interpretation were reported.

Number of Participants With Discernible Changes in Electrocardiogram (ECG) Over Time
From first dose of study drug up to EOS (up to 5.79 years)

ECG included heart rhythm, heart rate, QRS intervals, QT intervals, RR intervals and corrected QT (QTc) intervals parameters measurement. Any discernible changes in the ECG value over time based on investigator interpretation were reported.

Number of Participants With Discernible Changes in Vital Signs Over Time
From first dose of study drug up to EOS (up to 5.79 years)

Vital sign assessments included blood pressure, pulse, respiratory rate, and temperature. Any discernible changes in vital signs over time per investigator interpretation were reported.

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.
Ulcerative Colitis (UC): Ontamalimab 25 mgEXPERIMENTALParticipants received 25 milligrams (mg) of ontamalimab solution for injection subcutaneously (SC), every 4 weeks (Q4W), for up to 3 years.
UC: Ontamalimab 25mg then 75 mgEXPERIMENTALParticipants received 25 mg of ontamalimab solution for injection SC, Q4W, and later progressed to receive 75 mg in a similar manner for up to 5.79 years.
UC: Ontamalimab 75 mgEXPERIMENTALParticipants received 75 mg of ontamalimab solution for injection SC, Q4W, for up to 5.79 years.
Crohn's disease (CD): Ontamalimab 25 mgEXPERIMENTALParticipants received 25 mg of ontamalimab solution for injection SC, Q4W, for up to 3 years.
CD: Ontamalimab 25mg then 75 mgEXPERIMENTALParticipants received 25 mg of ontamalimab solution for injection SC, Q4W, and later progressed to receive 75 mg in a similar manner for up to 5.79 years.
CD: Ontamalimab 75 mgEXPERIMENTALParticipants received 75 mg of ontamalimab solution for injection SC, Q4W, for up to 5.79 years.

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.
25 mg OntamalimabDRUGOntamalimab SC solution for injection
75 mg OntamalimabDRUGOntamalimab SC solution for injection
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Eligibility Criteria

Age Range16 Years to 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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Frequently asked questions about Ontamalimab

What is Ontamalimab used for?

Ontamalimab is an investigational drug being studied for the treatment of moderate to severe ulcerative colitis and Crohn's disease, both of which are inflammatory bowel diseases. It is currently in Phase 3 clinical development and is not yet approved by regulatory authorities.

Who makes Ontamalimab?

Ontamalimab is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker symbol TAK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with ulcerative colitis and Crohn's disease.

What phase is Ontamalimab in?

Ontamalimab is in Phase 3 clinical development. It has completed two Phase 3 trials, including a safety extension study and a maintenance therapy study, both in patients with moderate to severe ulcerative colitis or Crohn's disease. The drug remains investigational and is not yet approved.

What clinical trials is Ontamalimab in?

Ontamalimab has been studied in two completed Phase 3 trials. The first, NCT03283085, was a safety extension study in patients with moderate to severe ulcerative colitis or Crohn's disease, enrolling 557 participants. The second, NCT03290781, evaluated the drug as maintenance therapy in 366 patients with moderate to severe ulcerative colitis.

Is Ontamalimab the same as any other drug?

Ontamalimab is not known to have alternative names. It is a distinct investigational compound being developed by Takeda for the treatment of inflammatory bowel diseases, including ulcerative colitis and Crohn's disease.