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NCT03566823: CARMEN CD 306

Efficacy and Safety Study of Ontamalimab as Induction Therapy in Participants With Moderate to Severe Crohn's Disease (CARMEN CD 306)

Terminated Phase 3 Results posted Last updated 11 May 2021
What this trial tests

Phase 3 trial testing Ontamalimab in Crohn's Disease in 34 participants. Terminated before completion.

Timeline
17 July 2018
Primary endpoint
18 August 2020
18 August 2020

Quick facts

Lead sponsorShire
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment34
Start date17 July 2018
Primary completion18 August 2020
Estimated completion18 August 2020
Sites145 locations across Colombia, Japan, Ireland, South Korea, Lebanon, New Zealand, Belgium, Estonia

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Adults 16 to 80, any sex, with Crohn's Disease. 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.

Number of Participants With Clinical Remission Based on 2-item Patient-reported Outcome (PRO) at Week 16 Primary · At Week 16

Clinical remission was defined by 2-item PRO subs-cores of average worst daily abdominal pain less than or equal to (\<=) 3 (based on 11 point numerical rating scale \[NRS\] ranging from 0 \[no pain\] to 10 \[worst imaginable pain\]); and average daily stool frequency \<=2 of type 6/7 (very soft stools/liquid stools) as per the Bristol Stool Form Scale (BSFS) over the 7 most recent days. BSFS ranges from 1 (separate hard lumps, hard to pass), 2 (sausage-shaped, but lumpy), 3 (like a sausage but with cracks on the surface), 4 (like a sausage or snake, smooth and soft), 5 (soft blobs with clear-

GroupValue95% CI
Placebo3
Ontamalimab 25 mg5
Ontamalimab 75 mg5
Number of Participants With Endoscopic Response at Week 16 Primary · At Week 16

Endoscopic response was defined as a decrease in Simple Endoscopic Score for Crohn's disease (SES-CD) of at least 25 percent (%) from baseline. The SES-CD considers ileum, right colon, transverse colon, left colon, rectum in terms of: size of ulcers, ulcerated surface, affected surface and presence of narrowing. Each graded from 0-3. Scale ranges from 0-56 with a higher score indicating greater severity of disease. Participants with missing data at Week 16 or who discontinued before Week 16 were considered failures. Number of participants with endoscopic response were reported.

GroupValue95% CI
Placebo2
Ontamalimab 25 mg10
Ontamalimab 75 mg10
Number of Participants With Clinical Remission Based on Crohn's Disease Activity Index (CDAI) Score at Week 16 Secondary · At Week 16

Clinical remission was defined as a CDAI score of \<150. CDAI assesses CD based on clinical signs/symptoms such as number of liquid stools, intensity of abdominal pain, general well-being (subjective), and presence of complications, use of antidiarrheal, presence of abdominal mass, physical examination and hematocrit (objective). CDAI score is equal to sum of weighted scores for subjective and objective items which range from 0-149 points: asymptomatic remission, 150-220 points: mild to moderate active CD, 221-450 points: moderate to severe active CD, \>451 points: severely active to fulminant

GroupValue95% CI
Placebo4
Ontamalimab 25 mg8
Ontamalimab 75 mg6
Number of Participants With Enhanced Endoscopic Response at Week 16 Secondary · At Week 16

Enhanced endoscopic response was defined as a decrease in SES-CD by matching segments of at least 50% from baseline. The SES-CD considers ileum, right colon, transverse colon, left colon, rectum in terms of: size of ulcers, ulcerated surface, affected surface and presence of narrowing. Each graded from 0-3. Scale ranges from 0-56 with a higher score indicating greater severity of disease. Participants with missing data at Week 16 or who discontinued before Week 16 were considered non-responders. Number of participants with enhanced endoscopic response were reported.

GroupValue95% CI
Placebo2
Ontamalimab 25 mg5
Ontamalimab 75 mg3
Number of Participants With Clinical Remission Based on 2-item PRO With 4-point Scale for Abdominal Pain at Week 16 Secondary · At Week 16

Clinical remission was defined by 2-item PRO subs-cores of average daily abdominal pain \<=1 (based on the 4 point scale, with scores ranging from 0 \[none\] to 3 \[severe\]) over the 7 most recent days and average daily stool frequency \<=3 of type 6/7 (very soft stools/liquid stools) as per the BSFS over the 7 most recent days. BSFS ranges from 1 (separate hard lumps, hard to pass), 2 (sausage-shaped, but lumpy), 3 (like a sausage but with cracks on the surface), 4 (like a sausage or snake, smooth and soft), 5 (soft blobs with clear-cut edges), 6 (fluffy pieces with ragged edges, a mushy sto

GroupValue95% CI
Placebo3
Ontamalimab 25 mg6
Ontamalimab 75 mg6
Number of Participants With Clinical Response Based on 2-item PRO With 2 Criteria at Week 16 Secondary · At Week 16

Clinical response was measured by 2-item PRO and defined as meeting at least 1 of the following 2 criteria: 1)A decrease of greater than or equal to (\>=) 30% and at least 2 points from baseline in the average daily worst abdominal pain over the 7 most recent days, with the average daily stool frequency of type 6/7 (very soft stools/liquid stools) either a) not worsening from baseline and/or b) average daily stool frequency \<=2 of type 6/7 as per the BSFS over the 7 most recent days; 2)A decrease of \>=30% from baseline in the average daily stool frequency of type 6/7 (very soft stools/liquid

GroupValue95% CI
Placebo5
Ontamalimab 25 mg11
Ontamalimab 75 mg8
Number of Participants With Clinical Remission Based on 2-Item PRO With Endoscopic Response at Week 16 Secondary · At Week 16

Clinical remission was defined by 2-item PRO subs-cores of average worst daily abdominal pain \<=3 (based on 11 point NRS ranging from 0 \[no pain\] to 10 \[worst imaginable pain\]) over the 7 most recent days and average daily stool frequency \<=2 of type 6/7 (very soft stools/liquid stools) as per BSFS ranging from type 1 (separate hard lumps-like stools) to type 7 (entirely liquid stools) over the 7 most recent days. Endoscopic response was defined as a decrease in SES CD of at least 25% from baseline. The SES-CD considers ileum, right colon, transverse colon, left colon, rectum in terms of

GroupValue95% CI
Placebo1
Ontamalimab 25 mg4
Ontamalimab 75 mg5
Number of Participants With Complete Endoscopic Healing at Week 16 Secondary · At Week 16

Clinical remission was defined by 2-item PRO subs-cores of average worst daily abdominal pain \<=3 (based on 11 point NRS ranging from 0 \[no pain\] to 10 \[worst imaginable pain\]) over the 7 most recent days and average daily stool frequency \<=2 of type 6/7 (very soft stools/liquid stools) as per BSFS ranging from type 1 (separate hard lumps-like stools) to type 7 (entirely liquid stools) over the 7 most recent days. Endoscopic response was defined as a decrease in SES CD of at least 25% from baseline. The SES-CD considers ileum, right colon, transverse colon, left colon, rectum in terms of

GroupValue95% CI
Placebo1
Ontamalimab 25 mg3
Ontamalimab 75 mg2

Adverse events — posted to ClinicalTrials.gov

Time frame: From screening up to safety follow-up period (Week 32). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/6 (0%)
Deaths: 0/6
Ontamalimab 25 mg
Serious: 2/15 (13%)
Deaths: 0/15
Ontamalimab 75 mg
Serious: 2/13 (15%)
Deaths: 0/13

Serious adverse events (4 terms)

ReactionSystemPlaceboOntamalimab 25 mgOntamalimab 75 mg
Crohn's diseaseGastrointestinal disorders
Abdominal painGastrointestinal disorders
Intestinal stenosisGastrointestinal disorders
GastroenteritisInfections and infestations
Other adverse events (39 terms — click to expand)

ReactionSystemPlaceboOntamalimab 25 mgOntamalimab 75 mg
AnaemiaBlood and lymphatic system disorders
Crohn's diseaseGastrointestinal disorders
InsomniaPsychiatric disorders
LymphadenopathyBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Anal fistulaGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Large intestinal stenosisGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Injection site bruisingGeneral disorders
PyrexiaGeneral disorders
Fungal skin infectionInfections and infestations
Gingival abscessInfections and infestations
Respiratory tract infection viralInfections and infestations
TonsillitisInfections and infestations
UreteritisInfections and infestations
Chest injuryInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Road traffic accidentInjury, poisoning and procedural complications
Pain threshold decreasedInvestigations
Weight decreasedInvestigations
White blood cell count increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
SpondylitisMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Memory impairmentNervous system disorders
Menstruation irregularReproductive system and breast disorders
CoughRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Pruritus generalisedSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders

Most-reported serious reactions: Crohn's disease, Abdominal pain, Intestinal stenosis, Gastroenteritis.

Data from ClinicalTrials.gov NCT03566823 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy and safety of Ontamalimab in inducing clinical remission and endoscopic response in participants with moderate to severe Crohn's Disease.

Publications & conference data

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

  1. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  2. Perspectives on Current and Novel Treatments for Inflammatory Bowel Disease.
    Na SY, Moon W. · · 2019 · cited 99× · PMID 31195433 · DOI 10.5009/gnl19019
  3. 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
  4. 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
  5. Horizon scanning: new and future therapies in the management of inflammatory bowel disease.
    Kumar A, Smith PJ. · · 2023 · cited 20× · PMID 39944001 · DOI 10.1136/egastro-2023-100012
  6. Efficacy and Safety of the Anti-mucosal Addressin Cell Adhesion Molecule-1 Antibody Ontamalimab in Patients with Moderate-to-Severe Ulcerative Colitis or Crohn's Disease.
    Vermeire S, Danese S, Sandborn WJ, Schreiber S, et al · · 2024 · cited 13× · PMID 38096402 · DOI 10.1093/ecco-jcc/jjad199
  7. Advancing therapeutic frontiers: a pipeline of novel drugs for luminal and perianal Crohn's disease management.
    Bertin L, Crepaldi M, Zanconato M, Lorenzon G, et al · · 2024 · cited 10× · PMID 39711916 · DOI 10.1177/17562848241303651
  8. Paradigm Shift in Inflammatory Bowel Disease Management: Precision Medicine, Artificial Intelligence, and Emerging Therapies.
    Caballero Mateos AM, Cañadas de la Fuente GA, Gros B. · · 2025 · cited 7× · PMID 40095460 · DOI 10.3390/jcm14051536

Verify or expand the search:

Other trials of Ontamalimab

Trials testing the same drug.

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Currently open trials in the same condition.

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03566823.

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