CALDOSE - 1

  • Research type

    Research Study

  • Full title

    A phase 2, multicenter, randomized, double-blind, placebo-controlled, dose-finding study to evaluate the efficacy and safety of IMU-838 for induction and maintenance therapy in moderate-to-severe ulcerative colitis

  • IRAS ID

    241283

  • Contact name

    Sami Hoque

  • Contact email

    Sami.Hoque@bartshealth.nhs.uk

  • Sponsor organisation

    Immunic AG

  • Eudract number

    2017-003703-22

  • Clinicaltrials.gov Identifier

    NCT03341962

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Ulcerative colitis (UC) is a chronic, relapsing inflammatory bowel disease (IBD) affecting the rectum and colon. The prevalence of IBD continues to increase steadily in Western countries, and newly industrialized countries have a rapidly increasing incidence.

    Symptoms of an UC flare-up generally involve diarrhoea, abdominal pain and cramping, rectal pain and bleeding, fatigue, and urgent bowel movements.

    Several treatment options are currently available including anti-inflammatory drugs and other drugs to manage specific symptoms.

    However, some patients respond only poorly to established treatment options or, after an initial response, experience flare-ups, and/or develop intolerable side effects. Thus, new treatment options are needed.

    The investigational medicinal product (IMP) IMU-838 (vidofludimus calcium) is a new compound that selectively inhibits the human enzyme dihydroorotate dehydrogenase (DHODH) and may represent a novel and efficacious oral treatment option for IBD patients.

    Study P2-IMU-838-UC will further evaluate the dose response, as well as efficacy and safety of vidofludimus, using the novel formulation IMU-838, in patients with active, moderate-to-severe UC.

    This is a phase 2, multicenter, randomized, double-blind, and placebo-controlled trial in patients with moderate-to-severe UC with an option for open-label treatment extension. The study comprises a blinded induction phase to establish the optimal dose of IMU-838 to induce response and remission, a blinded maintenance phase to evaluate the potential of IMU-838 to maintain remission until Week 50, and an open-label treatment extension arm for all patients who discontinue the blinded phase as scheduled or prematurely, subject to certain restrictions. A subset of patients will undergo a PK period at the start of the open-label period to establish a full single-dose PK profile.

    The study is funded by Immunic AG and it is planned to include about 90 study centers in a variety of countries of the European Union, Serbia, Russia, Ukraine, and the United States of America.

  • REC name

    London - Westminster Research Ethics Committee

  • REC reference

    18/LO/0448

  • Date of REC Opinion

    3 May 2018

  • REC opinion

    Further Information Favourable Opinion