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Also known as Ontamalimab, PF-00547659, TAK-647
SHP647 · 6 trials · 2 indications
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).
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.
Serious infections were defined as any infections that were life-threatening or those requiring hospitalization or intravenous antibiotics based on the investigator's assessment.
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.
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.
Vital sign assessments included blood pressure, pulse, respiratory rate, and temperature. Any discernible changes in vital signs over time per investigator interpretation were reported.
An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant who was administered a product or medical device; the event did not need to necessarily have a causal relationship with the treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death, was life threatening (immediate risk of death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect. Number of participants with TEAEs, STEAEs, and those withdrew from treatment due to TEAEs were reported.
Clinical remission was defined as a Total Mayo Score of less than or equal (\<=) 2 points with no individual subscore exceeding 1 point and rectal bleed subscore of 0 or 1. The Mayo Score is a tool designed to measure disease activity for ulcerative colitis (UC). Scoring ranges from 0 to 12 points and consists of 4 subscores, each graded 0 to 3 with higher score indicating more severe disease activity. Endoscopic readings from the local and the central reader were considered for analysis. The central reading was used as the primary analysis and the local readings were used for the sensitivity analyses.
AEs included adverse drug reactions, illnesses with onset during the study, exacerbation of previous illnesses, clinically significant changes in physical examination findings and abnormal objective test findings (ECG, laboratory). An SAE was defined as any AE at any dose that resulted in death; was life threatening (immediate risk of death); required in-subject hospitalization or prolongation of existing hospitalization; resulted in a persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); or resulted in congenital anomaly/birth defect.
Crohn's Disease Activity Index (CDAI) is a number which consists of information collected from a 7-day diary from the participants regarding symptoms. Remission is considered a score of 150 or less. Active disease is considered 200 or greater. A response to therapy is considered a decline in CDAI score of 70-points from baseline. CDAI response rate at week 8 and week 12 was measured between the investigational product group and the placebo group.
| Arm | Type | Description |
|---|---|---|
| Ontamalimab 25 mg | EXPERIMENTAL | Participants 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 mg | EXPERIMENTAL | Participants 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. |
| Placebo | PLACEBO_COMPARATOR | Participants 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 mg | EXPERIMENTAL | Participants 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 mg | EXPERIMENTAL | Participants 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 mg | EXPERIMENTAL | Participants received 75 mg of ontamalimab solution for injection SC, Q4W, for up to 5.79 years. |
| Crohn's disease (CD): Ontamalimab 25 mg | EXPERIMENTAL | Participants received 25 mg of ontamalimab solution for injection SC, Q4W, for up to 3 years. |
| CD: Ontamalimab 25mg then 75 mg | EXPERIMENTAL | Participants 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 mg | EXPERIMENTAL | Participants received 75 mg of ontamalimab solution for injection SC, Q4W, for up to 5.79 years. |
| SHP647 75 mg | EXPERIMENTAL | Participants will receive 75 milligrams (mg) of SHP647 subcutaneous (SC) injection every 4 weeks for 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. During the first 72 weeks, a one time dose escalation to 225 mg of SHP647 SC injection every 4 weeks is allowed after 8 weeks of the study for participants who experience clinical deterioration or unacceptably low level of response to the investigational product. The decision to escalate will be guided by the response and relapse criteria tempered by clinical judgment. Following the first 72 weeks, participants will receive 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. |
| SHP647 225 mg | EXPERIMENTAL | Participants will receive 225 mg of SHP647 SC injection every 4 weeks for 72 weeks followed by 75 mg of SHP647 SC injection every 4 weeks for an additional 72 weeks in the anterolateral right/left thigh or the deltoid area or the abdomen. |
| Drug Dose Level 1 | EXPERIMENTAL | - |
| Drug Dose Level 2 | EXPERIMENTAL | - |
| Drug Dose Level 3 | EXPERIMENTAL | - |
| Drug Dose Level 4 | EXPERIMENTAL | - |
| Open-Label Treatment | EXPERIMENTAL | Subjects eligible for this study will have completed the 12 week double blind induction period in study A7281006 and will be stratified by responders or non responders based on change in CDAI in that study, without unblinding treatment assignment from study A7281006. Additionally, subjects who have completed study A7281008 |
| Placebo-SC Injection | PLACEBO_COMPARATOR | Placebo delivered SC, 3 doses separated by 4 weeks. |
| Drug Dose level 1- SC injection | EXPERIMENTAL | Drug dose level 1 delivered SC, 3 doses separated by 4 weeks. |
| Drug Dose level 2-SC injection | EXPERIMENTAL | Drug dose level 2 delievered SC, 3 doses separated by 4 weeks. |
| Drug Dose level 3- SC injection | EXPERIMENTAL | Drug dose level 3 delivered SC, 3 doses separated by 4 weeks. |
| Name | Type | Description |
|---|---|---|
| Ontamalimab | DRUG | Participants 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). |
| Placebo | OTHER | Participants will receive 1 mL of sterile aqueous buffered solution. |
| 25 mg Ontamalimab | DRUG | Ontamalimab SC solution for injection |
| 75 mg Ontamalimab | DRUG | Ontamalimab SC solution for injection |
| 75mg SHP647 (PF-00547659) | DRUG | 75 mg sterile liquid injected subcutaneously every 4 weeks. |
| 225mg SHP647 (PF-00547659) | DRUG | 225 mg sterile liquid injected subcutaneously every 4 weeks. |
| PF-00547659 SC Injection | DRUG | Drug Dose Level 1 delivered subcutaneous injection, 3 doses separated by 4 weeks |
| PF-00547659 | DRUG | 75 mg SC once monthly for 72 weeks. Subjects may escalate to 225 mg or de-escalate to 22.5 mg one time. |
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...
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SHP647 is being developed for the treatment of ulcerative colitis, a chronic inflammatory condition of the colon. It is an investigational small molecule studied in adults 18 years and older. Its clinical program has focused on long-term safety in patients with ulcerative colitis.
SHP647 is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The compound was studied in a Phase 2 clinical program in ulcerative colitis, including a long-term safety trial conducted across North America, Europe, Asia, and other regions.
SHP647 is in Phase 2 clinical development for ulcerative colitis. It is an investigational small molecule and has not been established as an approved therapy. The Phase 2 program includes one completed trial, and no trials are currently listed as active.
SHP647 has been evaluated in the Phase 2 trial NCT01771809, titled Long-Term Safety Of PF-00547659 In Ulcerative Colitis. That completed study enrolled 330 adults with ulcerative colitis across the United States, Australia, Austria, Belgium, Bulgaria, Canada, Czechia, France, Germany, Hungary, Israel, Italy, the Netherlands, New Zealand, Poland, Russia, Serbia, Slovakia, South Africa, South Korea, and Spain.
Yes, SHP647 is also known as PF-00547659, and the 75mg SHP647 (PF-00547659) name has been used for the same compound. Both names refer to the same investigational small molecule studied in ulcerative colitis, so searches using either name point to the same drug asset.
The SHP647 clinical program enrolled 330 patients in total, all in the completed Phase 2 long-term safety study NCT01771809 in ulcerative colitis. That trial was randomized and controlled, enrolled adults 18 years and older of any sex, and did not include healthy volunteers.