A Study to Investigate the Efficacy and Safety of Dupilumab Therapy Compared With Placebo in Participants Aged ≥18 Years With Moderately to Severely Active Ulcerative Colitis With an Eosinophilic Phenotype (LIBERTY-UC SUCCEED (Study in UC for Clinical Efficacy Evaluation of Dupilumab))

Purpose

The protocol of this Phase 2 clinical trial consists of a double-blind, placebo-controlled, parallel-group, multicenter study to evaluate the efficacy and safety of dupilumab in participants with moderately to severely active Ulcerative Colitis (UC) with an eosinophilic phenotype. Screening period: 2 to up to 4 weeks Treatment period: 52-week investigational medicinal product (IMP) intervention (dupilumab or matching placebo) from Week 0 to Week 52 Open-label arm (optional): administration of open-label dupilumab therapy for study participants who qualify. Follow-up period: 12 weeks The maximum duration of study per participant is up to 68 weeks.

Condition

  • Colitis Ulcerative

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Participants must be ≥18 years of age at the time of signing the informed consent. - Evidence of biomarker enrichment at time of screening. - Moderately to severely active UC, defined as a baseline modified Mayo score of 5 to 9, inclusive, using the Mayo endoscopic subscore assigned during the concurrent local and central reading of the video endoscopy. - Has a screening endoscopy with ≥2 endoscopic subscore in the Mayo score component assessment as determined by concurrent local and central reading of the video endoscopy. - Has a baseline rectal bleeding subscore of ≥1 and baseline a stool frequency score of ≥1 as determined by the Mayo score component assessment. - Participants with inadequate response/non-response, loss of response, or are intolerant of standard biologic therapy for their UC AND/OR Inadequate or non-responders, have shown loss of response, or are intolerant to at least 1 of the following treatments: oral corticosteroids (≤20 mg/day), 5-aminosalicylic acid (ASA) compounds, immunomodulators, small molecules.

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply: - Severe extensive colitis as evidenced by: - Current hospitalization - Likely to require surgery for the treatment of UC within 12 weeks of Screening Visit - UC limited to the rectum only or to <20 cm of the colon as determined by central reading. - Presence of an ileal pouch, ostomy, stoma or fistula or history of a fistula. - Require, or required within the 2 months before screening, surgery for active gastrointestinal bleeding, peritonitis, intestinal obstruction, or intra-abdominal or pancreatic abscess requiring surgical drainage, or other conditions possibly confounding the evaluation of benefit from study agent treatment. - Has a prior medical history of eosinophilic colitis. - Participants with abdominal abscess, fulminant disease, or toxic megacolon. - Participants with intestinal failure or short bowel syndrome. - Presence of symptomatic colonic or small bowel obstruction, confirmed by objective radiographic or endoscopic evidence of a stricture with resulting obstruction (dilation of the colon or small bowel proximal to the stricture on barium radiograph or an inability to traverse the stricture at endoscopy). - History of extensive colonic resection (eg, less than 30 cm of colon remaining) that would prevent adequate evaluation of the effect of study agent on clinical disease activity. - History of colonic mucosal dysplasia or presence of adenomatous colonic polyps not removed OR presence of colonic mucosal dysplasia or adenomatous colonic polyps not removed during colonoscopy at screening visit. - If the participant has extensive colitis for ≥8 years or disease limited to left side of colon (ie, distal to splenic flexure) for >10 years, regardless of age, a colonoscopy within 1 year of the screening visit is required to survey for dysplasia. Participants with dysplasia or cancer identified on biopsies will be excluded. - Diagnosis of indeterminate colitis, microscopic colitis, ischemic colitis, or Crohn's disease or clinical findings suggestive of Crohn's disease. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Dupilumab
Initial loading dose followed by regular administration for the duration of the treatment period.
  • Drug: Dupilumab
    injection solution subcutaneous
    Other names:
    • Dupixent
Placebo Comparator
Placebo
Initial loading dose followed by regular administration for the duration of the treatment period.
  • Drug: Placebo
    injection solution subcutaneous
Other
Open-label arm (optional)
Regular administration of open label dupilumab
  • Drug: Dupilumab
    injection solution subcutaneous
    Other names:
    • Dupixent

Recruiting Locations

Om Research- Site Number : 8400029
Apple Valley, California 92307

TLC Clinical Research- Site Number : 8400020
Beverly Hills, California 90211

Ventura County Gastroenterology Medical Group- Site Number : 8400028
Camarillo, California 93012

Palmtree Clinical Research- Site Number : 8400048
Palm Springs, California 92262

Clinical Trials Management Services - Thousand Oaks- Site Number : 8400034
Thousand Oaks, California 91360

Homestead Associates in Research- Site Number : 8400004
Homestead, Florida 33033

Wellness Clinical Research - Miami Lakes - 8181 Northwest 154th Street- Site Number : 8400009
Miami Lakes, Florida 33016

GI PROS Research- Site Number : 8400046
Naples, Florida 34102

Advanced Research Institute - New Port Richey- Site Number : 8400026
New Port Richey, Florida 34653

Digestive Disease Consultants - Orange Park- Site Number : 8400042
Orange Park, Florida 32073

Tellabio International Research Services- Site Number : 8400041
Pembroke Pines, Florida 33025

GCP Clinical Research- Site Number : 8400014
Tampa, Florida 33609

Gastroenterology Consultants - Roswell- Site Number : 8400022
Roswell, Georgia 30076

Sanmora Bespoke Clinical Research Solutions- Site Number : 8400043
East Orange, New Jersey 07018

Smart Medical Research Inc- Site Number : 8400037
Jackson Heights, New York 11372

DiGiovanna Family Care- Site Number : 8400006
Massapequa, New York 11758

Tryon Medical Partners - Charlotte - Piedmont Row Drive South- Site Number : 8400008
Charlotte, North Carolina 28287

UPMC Presbyterian- Site Number : 8400038
Pittsburgh, Pennsylvania 15213

Advanced Gastroenterology Associates, PA- Site Number : 8400047
Decatur, Texas 76234

Katy Integrative Gastroenterology- Site Number : 8400027
Katy, Texas 77494

Medrasa Clinical Research - Medrasa Sherman- Site Number : 8400039
Sherman, Texas 75092

Texas Digestive Disease Consultants - Southlake- Site Number : 8400013
Southlake, Texas 76092

Digestive Health Specialists of Tyler- Site Number : 8400031
Tyler, Texas 75701

Victoria Gastroenterology- Site Number : 8400019
Victoria, Texas 77904

Washington Gastroenterology - Bellevue- Site Number : 8400025
Bellevue, Washington 98004

Washington Gastroenterology - Tacoma- Site Number : 8400030
Tacoma, Washington 98405

University of Puerto Rico - Medical Sciences Campus- Site Number : 6300002
San Juan, Puerto Rico 00936

More Details

NCT ID
NCT05731128
Status
Recruiting
Sponsor
Sanofi

Study Contact

Trial Transparency email recommended (Toll free number for US & Canada)
800-633-1610
contact-us@sanofi.com