A Study to Evaluate the Efficacy and Safety of Tulisokibart (MK-7240) in Participants With Moderate to Severe Crohn's Disease (MK-7240-008)
Purpose
The purpose of this protocol is to evaluate the efficacy and safety of tulisokibart in participants with moderately to severely active Crohn's disease. Study 1's primary hypotheses are that at least 1 tulisokibart dose level is superior to placebo in the proportion of participants achieving clinical remission per Crohn's Disease Activity Index score (<150, US/FDA) or per stool frequency and abdominal pain score (EU/EMA) and in the proportion of participants achieving endoscopic response at Week 52 (US/FDA and EU/EMA), and that at least 1 tulisokibart dose level is superior to placebo in the proportion of participants achieving clinical remission per Crohn's Disease Activity Index score (<150, US/FDA) or per stool frequency and abdominal pain score (EU/EMA) and in the proportion of participants achieving endoscopic response at Week 12 (US/FDA and EU/EMA). Study 2's primary hypothesis is that at least 1 tulisokibart dose level is superior to placebo in the proportion of participants achieving clinical remission per Crohn's Disease Activity Index score (<150, US/FDA) or stool frequency and abdominal pain score (EU/EMA) and in the proportion of participants achieving endoscopic response at Week 12 (US/FDA and EU/EMA).
Condition
- Crohn's Disease
Eligibility
- Eligible Ages
- Between 16 Years and 80 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Has had a diagnosis of CD at least 3 months before study. - Has moderately to severely active CD. - Demonstrated inadequate response, loss of response, or intolerance to one or more of the following categories of drugs: oral locally acting steroids, systemic steroids, immunomodulators, biologic and/or small molecule advanced therapies. - Adolescent participants ≥16 and <18 years of age can participate if approved by the country or regulatory/health authority.
Exclusion Criteria
- Has diagnosis of ulcerative colitis (UC) or indeterminate colitis. - Has CD isolated to the stomach, duodenum, jejunum, or perianal region, without colonic and/or ileal involvement. - Currently has any of the following complications of CD: suspected or diagnosed with intra-abdominal or perianal abscess, known symptomatic stricture or colonic stenosis not passable in endoscopy, fulminant colitis, toxic megacolon, or any other manifestation that might require surgery while enrolled in the study. - Has current stoma or need for colostomy or ileostomy. - Is missing >2 segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum. - Has been diagnosed with short gut or short bowel syndrome, or any other uncontrolled chronic diarrhea besides Crohn's disease. - Has surgical bowel resection within 3 months of study. - Has prior or current gastrointestinal dysplasia. - Has chronic infection requiring ongoing antimicrobial treatment. - Has a history of cancer (except fully treated non-melanoma skin cell cancers or cervical carcinoma in situ after complete surgical removal) and is disease free for <5 years. - Is infected with Hepatitis B virus (HBV), Hepatitis C virus (HCV), or human immunodeficiency virus (HIV). - Has active tuberculosis. - Has confirmed or suspected coronavirus disease of 2019 (COVID-19) infection. - Prior exposure to tulisokibart (MK-7240, PRA023) or another anti-TL1A antibody.
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Study 1: High Dose Induction, High Dose Maintenance |
Participants receive high dose intravenous (IV) tulisokibart, followed by a high dose subcutaneous (SC) tulisokibart regimen. |
|
|
Experimental Study 1: High Dose Induction, Low Dose Maintenance |
Participants receive high dose IV tulisokibart, followed by a low dose SC tulisokibart regimen. |
|
|
Experimental Study 1: Low Dose Induction, Low Dose Maintenance |
Participants receive low dose IV tulisokibart, followed by a low dose SC tulisokibart regimen. |
|
|
Placebo Comparator Study 1: Placebo |
Participants receive IV placebo, followed by an SC placebo regimen. |
|
|
Experimental Study 1: High Dose Extension |
Participants receive a high dose SC tulisokibart regimen. Participants may continue in this arm after completing participation in their original arm, if they meet protocol-specific prerequisites. |
|
|
Experimental Study 1: Low Dose Extension |
Participants receive a low dose SC tulisokibart and placebo regimen. Participants may continue in this arm after completing participation in their original arm, if they meet protocol-specific prerequisites. |
|
|
Experimental Study 2: High Dose Induction |
Participants receive high dose IV tulisokibart. |
|
|
Experimental Study 2: Low Dose Induction |
Participants receive low dose IV tulisokibart. |
|
|
Placebo Comparator Study 2: Placebo |
Participants receive IV placebo. |
|
|
Experimental Study 2: High Dose Extension |
Participants receive a high dose SC tulisokibart regimen. Participants may continue in this arm only after completing participation in their original arm, if they meet protocol-specific prerequisites. |
|
|
Experimental Study 2: Low Dose Extension |
Participants receive a low dose SC tulisokibart regimen. Participants may continue in this arm only after completing participation in their original arm, if they meet protocol-specific prerequisites. |
|
Recruiting Locations
Dothan 4059102, Alabama 4829764 36301
Study Coordinator
334-836-1212
Phoenix 5308655, Arizona 5551752 85032
Study Coordinator
480-443-8400
Sun City 5316201, Arizona 5551752 85351
Study Coordinator
623-972-2116
Tucson 5318313, Arizona 5551752 85724
Study Coordinator
520-626-8000
Anaheim 5323810, California 5332921 92805
Study Coordinator
949-889-0249
Coronado 5339663, California 5332921 92118
Study Coordinator
619-522-0330
Lancaster 5364940, California 5332921 93534
Study Coordinator
661-388-2239
Los Angeles 5368361, California 5332921 90048
Study Coordinator
310-423-0035
Los Angeles 5368361, California 5332921 90095
Study Coordinator
310-206-3778
Orange 5379513, California 5332921 92868
Study Coordinator
714-456-7890
Oxnard 5380184, California 5332921 93030
Study Coordinator
661-388-2239
San Diego 5391811, California 5332921 92103
Study Coordinator
619-260-1012
Valencia 5405288, California 5332921 91355
Study Coordinator
818-924-4708
Aurora 5412347, Colorado 5417618 80045
Study Coordinator
720-848-2777
Colorado Springs 5417598, Colorado 5417618 80907
Study Coordinator
719-310-6719
Englewood 5421250, Colorado 5417618 80113
Study Coordinator
303-406-4288
Lakewood 5427946, Colorado 5417618 80228
Study Coordinator
303-463-3900
New Haven 4839366, Connecticut 4831725 06510
Study Coordinator
203-785-4138
Washington D.C. 4140963, District of Columbia 4138106 20009
Study Coordinator
202-239-0777
Clearwater 4151316, Florida 4155751 33756
Study Coordinator
727-476-5746
Inverness 4159786, Florida 4155751 34452
Study Coordinator
352-341-2100
Margate 4163407, Florida 4155751 33063
Study Coordinator
954-850-0589
Miami 4164138, Florida 4155751 33157
Study Coordinator
305-590-8555
Orlando 4167147, Florida 4155751 32803
Study Coordinator
407-896-1726 ext 314
Tampa 4174757, Florida 4155751 33612
Study Coordinator
813-396-2254
University Park 4176217, Florida 4155751 34201
Study Coordinator
941-500-3200
Atlanta 4180439, Georgia 4197000 30310
Study Coordinator
404-616-1000
Decatur 4191124, Georgia 4197000 30033
Study Coordinator
404-296-1986
Macon 4207400, Georgia 4197000 31201
Study Coordinator
888-577-8839
Chicago 4887398, Illinois 4896861 60621
Study Coordinator
773-657-8993
Chicago 4887398, Illinois 4896861 60637
Study Coordinator
773-834-2193
Evanston 4891382, Illinois 4896861 60201
Study Coordinator
847-971-9992
Gurnee 4894861, Illinois 4896861 60031
Study Coordinator
224-441-2217
Indianapolis 4259418, Indiana 4921868 46202
Study Coordinator
317-944-3332
Clive 4852065, Iowa 4862182 50325
Study Coordinator
515-225-6050
Kansas City 4273837, Kansas 4273857 66160
Study Coordinator
913-588-6158
Topeka 4280539, Kansas 4273857 66606
Study Coordinator
888-577-8839
Louisville 4299276, Kentucky 6254925 40202
Study Coordinator
502-852-1958
Bethesda 4348599, Maryland 4361885 20889
Study Coordinator
301-295-6814
Boston 4930956, Massachusetts 6254926 02114
Study Coordinator
334-836-3341
Ann Arbor 4984247, Michigan 5001836 48109
Study Coordinator
734-615-4843
Clinton Township 4989133, Michigan 5001836 48038
Study Coordinator
586-598-3329
Rochester 5043473, Minnesota 5037779 55905
Study Coordinator
507-284-2511
Kansas City 4393217, Missouri 4398678 64111
Study Coordinator
816-561-2000
Liberty 4395052, Missouri 4398678 64068
Study Coordinator
785-217-6559
St Louis 4407066, Missouri 4398678 63110
Study Coordinator
314-273-0301
Hackensack 5098706, New Jersey 5101760 07601
Study Coordinator
888-577-8839
Great Neck 5119218, New York 5128638 11021
Study Coordinator
888-577-8839
New York 5128581, New York 5128638 10016
Study Coordinator
888-577-8839
New York 5128581, New York 5128638 10065
Study Coordinator
888-577-8839
New York 5128581, New York 5128638 10075
Study Coordinator
888-577-8839
Chapel Hill 4460162, North Carolina 4482348 27514
Study Coordinator
888-577-8839
Charlotte 4460243, North Carolina 4482348 28204
Study Coordinator
888-577-8839
Mentor 5162645, Ohio 5165418 44060
Study Coordinator
440-205-1225
Oklahoma City 4544349, Oklahoma 4544379 73114
Study Coordinator
405-702-1300
Philadelphia 4560349, Pennsylvania 6254927 19107
Study Coordinator
609-472-1549
Uniontown 4561859, Pennsylvania 6254927 15401
Study Coordinator
724-550-4099
Providence 5224151, Rhode Island 5224323 02904
Study Coordinator
401-821-6306
Sioux Falls 5231851, South Dakota 5769223 57105
Study Coordinator
605-333-1000
Nashville 4644585, Tennessee 4662168 37204
Study Coordinator
615-322-2312
Nashville 4644585, Tennessee 4662168 37211
Study Coordinator
615-835-4750
Dallas 4684888, Texas 4736286 75246
Study Coordinator
888-577-8839
Dallas 4684888, Texas 4736286 75246
Study Coordinator
214-323-8500
Houston 4699066, Texas 4736286 77030
Study Coordinator
713-798-5765
Houston 4699066, Texas 4736286 77030
Study Coordinator
713-798-5765
Lubbock 5525577, Texas 4736286 79410
Study Coordinator
888-577-8839
Lubbock 5525577, Texas 4736286 79424
Study Coordinator
808-239-1823
Mansfield 4709013, Texas 4736286 76063
Study Coordinator
817-415-9664
San Antonio 4726206, Texas 4736286 78229
Study Coordinator
888-577-8839
Southlake 4733313, Texas 4736286 76092-9167
Study Coordinator
817-424-1525
Tyler 4738214, Texas 4736286 75701
Study Coordinator
888-577-8839
Richmond 4781708, Virginia 6254928 23249
Study Coordinator
888-577-8839
Bellevue 5786882, Washington 5815135 98004
Study Coordinator
425-454-4768
Seattle 5809844, Washington 5815135 98195
Study Coordinator
414-805-3000
Tacoma 5812944, Washington 5815135 98405
Study Coordinator
253-272-5127
More Details
- NCT ID
- NCT06430801
- Status
- Recruiting
- Sponsor
- Merck Sharp & Dohme LLC
Detailed Description
The protocol consists of 2 studies. Study 1 includes induction and maintenance treatment, and Study 2 includes only induction treatment. Each study has its own hypotheses and outcome measures that will be assessed independently.