Clinical Study of the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of BCD-261 in Subjects With Moderate to Severe Active Crohn's Disease

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorBiocad

About this trial

The aim of the study is to evaluate the efficacy, safety, pharmacokinetics, pharmacodynamics and immunogenicity of study drug (BCD-261) in comparison with placebo and to characterize the dose-response relationship in patients with moderate to severe active Crohn's Disease. The study will be conducted in a population of male and female subjects ≥18 years and ≤75 years with moderate to severe active Crohn's Disease and an inadequate response to prior treatment with glucocorticoids, immunosuppressants, or biologics/targeted immunosuppressants.

Eligibility criteria

Qualifiers

The diagnosis of Crohn's disease involving the terminal ileum or colon (types L1-L3 according to the Montreal classification), established ≥3 months prior to signing the informed consent form and confirmed by endoscopic findings.

Persistent symptoms of disease activity despite treatment with at least one course of glucocorticoids including prednisolone at a dose of ≥40 mg/day or equivalent or budesonide ≥9 mg/day or equivalent for at least 2 weeks with oral administration (at least 1 week with intravenous administration at a dose equivalent to oral prednisolone ≥40 mg/day).

Steroid dependence manifested by an increase in disease activity after initial improvement, with a decrease in the dose of glucocorticoids below the dose equivalent to 10 mg of oral prednisolone per day, within 3 months from the beginning of treatment, or a relapse of the disease within 3 months after the end of glucocorticoid use.

Persistent symptoms of disease activity despite treatment with at least one course of immunosuppressants (azathioprine at a dose of ≥2.0 mg/kg and/or 6-mercaptopurine at a dose of ≥1.0 mg/kg and/or methotrexate at a dose of ≥15.0 mg/week) for ≥12 weeks, or in response to another treatment regimen with these drugs according to a regional standard of care.

Disqualifiers

A history of or current at the time of signing the ICF ulcerative colitis, unspecified colitis, ischemic colitis, radiation colitis, microscopic colitis, complicated form of diverticular disease.

A history of primary sclerosing cholangitis.

Presence of active intra-abdominal or perianal abscess at the time of signing the ICF.

Presence of an endoscopically obstructed stricture/stenosis of the intestine at the time of signing the ICF.

Trial design

Treatments tested in this trial

  • anti-TL1A monoclonal antibody, low dose
  • anti-TL1A monoclonal antibody, medium dose
  • anti-TL1A monoclonal antibody, high dose
  • Placebo

Treatment groups

204 Participants
are divided into 5 treatment groups

Locations

20
LLC Medical Center "ASTRA"656049, BarnaulAltayskiy Kray, Russia
Republican Clinical Hospital named after G.G. Kuvatov450005, UfaBashkortostan Republic, Russia
State Institution of Healthcare of the Moscow Region "Moscow Regional Research Clinical Institute named after M.F. Vladimirsky"129110, MoscowMoscow, Russia
Llc "Novosibirsk Gastrocenter"630007, NovosibirskNovosibirsk Oblast, Russia

Sponsors and collaborators

Biocad

Lead sponsor