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NCT02435992

Safety and Efficacy Trial of RPC1063 for Moderate to Severe Ulcerative Colitis

Completed Phase 3 Results posted Last updated 1 September 2021
What this trial tests

Phase 3 trial testing RPC1063 in Ulcerative Colitis in 1,012 participants. Completed in 17 June 2020.

Timeline
17 June 2015
Primary endpoint
27 March 2020
17 June 2020

Quick facts

Lead sponsorCelgene
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment1,012
Start date17 June 2015
Primary completion27 March 2020
Estimated completion17 June 2020
Sites372 locations across Italy, Poland, South Korea, Croatia, New Zealand, Netherlands, Russia, Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

Adults 18 to 75, any sex, with Ulcerative Colitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants in Clinical Remission at 10 Weeks Primary · At 10 Weeks

Percentage of participants that are in Clinical remission at 10 weeks

GroupValue95% CI
RPC1063 Cohort 1(Induction Period)18.4
Placebo Cohort 1 (Induction Period)6.0
RPC1063 Cohort 2 (Induction Period)21.0
Percentage of Participants in Clinical Remission at 52 Weeks Primary · At 52 Weeks

Percentage of participants that are in Clinical remission at 52 weeks

GroupValue95% CI
Placebo Cohort 1 (Induction Period)24.6
RPC1063 (Maintenance Period)37.0
Placebo (Maintenance Period)18.5
Percentage of Participants With Clinical Response at 10 Weeks Secondary · At 10 Weeks

Percentage of participants that are in Clinical response at 10 weeks

GroupValue95% CI
RPC1063 Cohort 1(Induction Period)47.8
Placebo Cohort 1 (Induction Period)25.9
RPC1063 Cohort 2 (Induction Period)52.6
Percentage of Participants With Endoscopic Improvement at 10 Weeks Secondary · At 10 Weeks

Percentage of participants with endoscopic improvement at 10 weeks

GroupValue95% CI
RPC1063 Cohort 1(Induction Period)27.3
Placebo Cohort 1 (Induction Period)11.6
RPC1063 Cohort 2 (Induction Period)27.2
Percentage of Participants With Mucosal Healing at 10 Weeks Secondary · At 10 Weeks

Percentage of participants with mucosal healing at 10 weeks

GroupValue95% CI
RPC1063 Cohort 1(Induction Period)12.6
Placebo Cohort 1 (Induction Period)3.7
RPC1063 Cohort 2 (Induction Period)11.4
Percentage of Participants in Clinical Response at 52 Weeks Secondary · At 52 Weeks

Percentage of participants that are in Clinical response at 52 weeks

GroupValue95% CI
Placebo Cohort 1 (Induction Period)39.1
RPC1063 (Maintenance Period)60.0
Placebo (Maintenance Period)41.0
Percentage of Participants With Endoscopic Improvement at 52 Weeks Secondary · At 52 Weeks

Percentage of participants with endoscopic improvement at 52 weeks

GroupValue95% CI
Placebo Cohort 1 (Induction Period)29.0
RPC1063 (Maintenance Period)45.7
Placebo (Maintenance Period)26.4
Percentage of Participants in Clinical Remission at Week 52 Who Were in Remission at Week 10 Secondary · At 52 Weeks

Percentage of participants in clinical remission at week 52 who were in clinical remission at week 10

GroupValue95% CI
Placebo Cohort 1 (Induction Period)41.7
RPC1063 (Maintenance Period)51.9
Placebo (Maintenance Period)29.3
Percentage of Participants With Corticosteroid Free Remission at 52 Weeks Secondary · At 52 Weeks

Percentage of participants with corticosteroid free remission at 52 weeks

GroupValue95% CI
Placebo Cohort 1 (Induction Period)24.6
RPC1063 (Maintenance Period)31.7
Placebo (Maintenance Period)16.7
Percentage of Participants With Mucosal Healing at 52 Weeks Secondary · At 52 Weeks

Percentage of participants with Mucosal Healing at 52 weeks

GroupValue95% CI
Placebo Cohort 1 (Induction Period)10.1
RPC1063 (Maintenance Period)29.6
Placebo (Maintenance Period)14.1
Percentage of Participants With Durable Clinical Remission at 52 Weeks Secondary · At 52 Weeks

Percentage of participants with durable clinical remission at 52 weeks

GroupValue95% CI
Placebo Cohort 1 (Induction Period)7.2
RPC1063 (Maintenance Period)17.8
Placebo (Maintenance Period)9.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Approximately up to 52 Weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1 (Induction Period): RPC1063 1mg
Serious: 17/429 (4%)
Deaths: 0/429
Cohort 1: Placebo
Serious: 11/216 (5%)
Deaths: 0/216
Cohort 2 (Induction Period): RPC1063 1mg
Serious: 23/367 (6%)
Deaths: 1/367
Intervention (Maintenance Period): RPC1063 1mg
Serious: 12/230 (5%)
Deaths: 0/230
Placebo (Maintenance Period): Placebo
Serious: 18/227 (8%)
Deaths: 0/227

Serious adverse events (55 terms)

ReactionSystemCohort 1 (Induction Period…Cohort 1: PlaceboCohort 2 (Induction Period…Intervention (Maintenance …Placebo (Maintenance Perio…
Colitis ulcerativeGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
AppendicitisInfections and infestations
Complicated appendicitisInfections and infestations
GastroenteritisInfections and infestations
Angina pectorisCardiac disorders
Coronary artery stenosisCardiac disorders
PericarditisCardiac disorders
CataractEye disorders
PhotophobiaEye disorders
DiarrhoeaGastrointestinal disorders
Diarrhoea haemorrhagicGastrointestinal disorders
EnterocolitisGastrointestinal disorders
GastritisGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
MelaenaGastrointestinal disorders
Proctitis ulcerativeGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Cholecystitis acuteHepatobiliary disorders
CholelithiasisHepatobiliary disorders
Food allergyImmune system disorders
BronchitisInfections and infestations
Clostridium difficile infectionInfections and infestations
Gastroenteritis norovirusInfections and infestations
Other adverse events (1 terms — click to expand)

ReactionSystemCohort 1 (Induction Period…Cohort 1: PlaceboCohort 2 (Induction Period…Intervention (Maintenance …Placebo (Maintenance Perio…
AnaemiaBlood and lymphatic system disorders

Most-reported serious reactions: Colitis ulcerative, Anaemia, Appendicitis, Complicated appendicitis, Gastroenteritis, Angina pectoris, Coronary artery stenosis, Pericarditis.

Data from ClinicalTrials.gov NCT02435992 adverse events section.

Sponsor's own description

The purpose of this study is to determine whether RPC1063 is effective in the treatment of Ulcerative Colitis (UC).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Sphingosine 1-phosphate: Lipid signaling in pathology and therapy.
    Cartier A, Hla T. · · 2019 · cited 477× · PMID 31624181 · DOI 10.1126/science.aar5551
  2. Ozanimod as Induction and Maintenance Therapy for Ulcerative Colitis.
    Sandborn WJ, Feagan BG, D'Haens G, Wolf DC, et al · · 2021 · cited 411× · PMID 34587385 · DOI 10.1056/nejmoa2033617
  3. Sphingosine 1-Phosphate Receptor Modulators and Drug Discovery.
    Park SJ, Im DS. · · 2017 · cited 103× · PMID 28035084 · DOI 10.4062/biomolther.2016.160
  4. Perspectives on Current and Novel Treatments for Inflammatory Bowel Disease.
    Na SY, Moon W. · · 2019 · cited 99× · PMID 31195433 · DOI 10.5009/gnl19019
  5. History of Inflammatory Bowel Diseases.
    Actis GC, Pellicano R, Fagoonee S, Ribaldone DG. · · 2019 · cited 87× · PMID 31739460 · DOI 10.3390/jcm8111970
  6. A State-of-the-Art Review of New and Emerging Therapies for the Treatment of IBD.
    Chudy-Onwugaje KO, Christian KE, Farraye FA, Cross RK. · · 2019 · cited 87× · PMID 30445504 · DOI 10.1093/ibd/izy327
  7. Long-Term Efficacy and Safety of Ozanimod in Moderately to Severely Active Ulcerative Colitis: Results From the Open-Label Extension of the Randomized, Phase 2 TOUCHSTONE Study.
    Sandborn WJ, Feagan BG, Hanauer S, Vermeire S, et al · · 2021 · cited 80× · PMID 33438008 · DOI 10.1093/ecco-jcc/jjab012
  8. New biologics and small molecules in inflammatory bowel disease: an update.
    Sabino J, Verstockt B, Vermeire S, Ferrante M. · · 2019 · cited 73× · PMID 31205488 · DOI 10.1177/1756284819853208

Verify or expand the search:

Other trials of RPC1063

Trials testing the same drug.

Other recruiting trials for Ulcerative Colitis

Currently open trials in the same condition.

Other Celgene trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing