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Search / Trial NCT04985968

The Efficacy and Safety of Cobitolimod in Participants With Moderate to Severe Active Left-Sided Ulcerative Colitis

Launched by INDEX PHARMACEUTICALS · Jul 30, 2021

Trial Information

Current as of July 21, 2025

Terminated

Keywords

Colitis, Ulcerative Gastrointestinal Disease Inflammatory Bowel Diseases Glucocorticosteroids Anti Inflammatory Agents Therapeutic Uses Cobitolimod Toll Like Receptor 9 Agonist Tlr9 Agonist Kappaproct Idx0150 Dims0150

ClinConnect Summary

This phase III study protocol includes an induction study for 6 weeks and a maintenance study for an additional 45 weeks.

In the induction study there will be an initial phase to explore the best dose, between cobitolimod 250 mg and cobitolimod 500 mg using adaptive design.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria Induction:
  • Male or female ≥ 18 years of age.
  • Established diagnosis of UC.
  • Moderate to severe active left-sided UC assessed by central reading.
  • Have inadequate response, loss of response or be intolerant of at least one of the following treatments: Oral GCS, AZA/6-MP, Biologics, JAK-inhibitors, or other approved advanced therapies for UC.
  • Allowed to receive a therapeutic dose of the following UC drugs during the study: Oral GCS therapy (≤20 mg prednisone or equivalent/day) , Oral 5-ASA/SP compounds, AZA/6-MP.
  • Ability to understand the treatment, willingness to comply with all study requirements, and ability to provide informed consent.
  • Exclusion Criteria Induction:
  • Suspicion of differential diagnosis.
  • Acute fulminant UC and/or signs of systemic toxicity.
  • UC limited to the rectum or extending beyond the splenic flexure.
  • Have failed treatment with more than three advanced therapies of two different therapeutic classes.
  • Have had surgery for treatment of UC.
  • History of malignancy, unless treated with no relapse of the disease and ≥ 5 years since last treatment (cured).
  • History or presence of any clinically significant disorder.
  • Concomitant treatment with cyclosporine, methotrexate, tacrolimus, or advanced therapies or similar immunosuppressants and immunomodulators.
  • Treatment with rectal GCS, 5-ASA/SP or tacrolimus.
  • Long-term treatment (\>14 days) with antibiotics or NSAIDs .
  • Serious known active infection including history of latent or active tuberculosis.
  • Gastrointestinal infections including positive Clostridium difficile stool assay.
  • Females who are lactating or have a positive serum pregnancy test.
  • Women of childbearing potential not using highly effective contraceptive methods.
  • Concurrent participation in another clinical study.
  • Previous exposure to cobitolimod.
  • Inclusion Criteria Maintenance:
  • Participants are eligible to be included in the maintenance study if they have achieved clinical response at week 6 and have adhered to the protocol procedures of the induction study.
  • Exclusion Criteria Maintenance:
  • Participants will not be eligible for the maintenance study if they are not willing to comply with all further study requirements.

About Index Pharmaceuticals

Index Pharmaceuticals is a forward-thinking clinical trial sponsor dedicated to advancing innovative therapies across various therapeutic areas. Committed to improving patient outcomes, the organization specializes in the development and management of clinical trials, leveraging cutting-edge research methodologies and a patient-centric approach. With a focus on collaboration and regulatory compliance, Index Pharmaceuticals strives to accelerate the drug development process, ensuring that promising treatments reach the market in a timely manner while maintaining the highest standards of safety and efficacy. Through its experienced team and strategic partnerships, the company aims to address unmet medical needs and contribute to the evolution of healthcare.

Locations

Wien, , Austria

Rehovot, , Israel

Milwaukee, Wisconsin, United States

Woolloongabba, , Australia

Glasgow, , United Kingdom

Zagreb, , Croatia

Brussels, , Belgium

Greenville, North Carolina, United States

Jerusalem, , Israel

Poitiers, , France

Melbourne, , Australia

High Point, North Carolina, United States

Seoul, , Korea, Republic Of

Daegu, , Korea, Republic Of

Aalborg, , Denmark

Ulm, , Germany

Freiburg, , Germany

Monza, , Italy

Gent, , Belgium

New York, New York, United States

Nijmegen, , Netherlands

London, , United Kingdom

Bonheiden, , Belgium

Klaipeda, , Lithuania

Istanbul, , Turkey

Rostock, , Germany

Naples, Florida, United States

Osijek, , Croatia

Herlev, , Denmark

Reading, , United Kingdom

Seoul, , Korea, Republic Of

Kiel, , Germany

Fairfax, Virginia, United States

Mannheim, , Germany

Seoul, , Korea, Republic Of

Parkville, , Australia

Lille, , France

Erlangen, , Germany

Busan, , Korea, Republic Of

Topeka, Kansas, United States

Braga, , Portugal

Roma, , Italy

Beavercreek, Ohio, United States

Klagenfurt, , Austria

Roeselare, , Belgium

Antwerpen, , Belgium

Aarhus, Jutland, Denmark

Oswiecim, , Poland

Kaunas, , Lithuania

Lørenskog, , Norway

Cluj Napoca, , Romania

Manchester, , United Kingdom

Kraków, , Poland

Budapest, , Hungary

Warsaw, , Poland

Augsburg, , Germany

Paris Cedex 12, , France

Suwon Si, , Korea, Republic Of

Krakow, , Poland

Saskatoon, , Canada

Clayton, , Australia

Durango, , Mexico

Pierre Benite Cedex, , France

Guri Si, , Korea, Republic Of

Milan, , Italy

London, , United Kingdom

Skierniewice, , Poland

Bratislava, , Slovakia

Rancho Cucamonga, California, United States

Krakow, , Poland

Zamosc, , Poland

Fitzroy, , Australia

Boynton Beach, Florida, United States

Granada Hills, California, United States

Troy, Michigan, United States

Mission Viejo, California, United States

Salzburg, , Austria

Kortrijk, , Belgium

Sarajevo, , Bosnia And Herzegovina

Hillerød, , Denmark

Nancy, , France

Batumi, , Georgia

Soeul, , Korea, Democratic People's Republic Of

Vilnius, , Lithuania

Tønsberg, , Norway

Timişoara, , Romania

Belgrad, , Serbia

Košice, , Slovakia

Uppsala, , Sweden

Mersin, , Turkey

Tarzana, California, United States

Doral, Florida, United States

Nürtingen, , Germany

Miami, Florida, United States

Miami, Florida, United States

Miami, Florida, United States

Miami, Florida, United States

Miami, Florida, United States

Tampa, Florida, United States

Charlotte, North Carolina, United States

Carrollton, Texas, United States

Houston, Texas, United States

Houston, Texas, United States

South Brisbane, , Australia

Innsbruck, , Austria

Banja Luka, , Bosnia And Herzegovina

Foca, , Bosnia And Herzegovina

Sarajevo, , Bosnia And Herzegovina

Sarajevo, , Bosnia And Herzegovina

Tesanj, , Bosnia And Herzegovina

Tuzla, , Bosnia And Herzegovina

Zenica, , Bosnia And Herzegovina

Goiania, , Brazil

Porto Alegre, , Brazil

Rio De Janeiro, , Brazil

Santo Andre, , Brazil

Sao Jose Do Rio Preto, , Brazil

São Bernardo Do Campo, , Brazil

Hamilton, , Canada

Montréal, , Canada

Bjelovar, , Croatia

Pula, , Croatia

Zadar, , Croatia

Zagreb, , Croatia

Vejle, , Denmark

Montpellier, , France

Nice, , France

Paris, , France

Saint étienne, , France

Salouel, , France

Toulouse, , France

Tiflis, , Georgia

Berlin, , Germany

Cologne, , Germany

Duisburg, , Germany

Frankfurt Am Main, , Germany

Frankfurt Am Main, , Germany

Halle, , Germany

Heidelberg, , Germany

Weyhe, , Germany

Budapest, , Hungary

Budapest, , Hungary

Budapest, , Hungary

Szeged, , Hungary

Ashkelon, , Israel

H̱olon, , Israel

Jerusalem, , Israel

Nahariya, , Israel

Bergamo, , Italy

Cagliari, , Italy

Firenze, , Italy

Padova, , Italy

Roma, , Italy

Rom, , Italy

Torino, , Italy

Udine, , Italy

Varese, , Italy

Soeul, , Korea, Republic Of

Soeul, , Korea, Republic Of

Wŏnju, , Korea, Republic Of

Klaipeda, , Lithuania

Panevezys, , Lithuania

Merida, , Mexico

Mexico City, , Mexico

Monterrey, , Mexico

Tlalnepantla, , Mexico

Tromsø, , Norway

ålesund, , Norway

Grudziadz, , Poland

Knurow, , Poland

Lodz, , Poland

Malbork, , Poland

Opole, , Poland

Poznan, , Poland

Staszow, , Poland

Szczecin, , Poland

Torun, , Poland

Warszawa, , Poland

Warszawa, , Poland

Wroclaw, , Poland

Amadora, , Portugal

Loures, , Portugal

Santa Maria Da Feira, , Portugal

Bucharest, , Romania

Bucuresti, , Romania

Iasi, , Romania

Târgu Mureș, , Romania

Belgrade, , Serbia

Belgrade, , Serbia

Belgrade, , Serbia

Kragujevac, , Serbia

Zrenjanin, , Serbia

Zrenjanin, , Serbia

Banska Bystrica, , Slovakia

Nove Zamky, , Slovakia

Sahy, , Slovakia

Stockholm, , Sweden

örebro, , Sweden

Ankara, , Turkey

Bury, , United Kingdom

Coventry, , United Kingdom

Darlington, , United Kingdom

Harrow, , United Kingdom

Northwood, , United Kingdom

Orpington, , United Kingdom

Patients applied

0 patients applied

Trial Officials

Raja Atreya, Professor

Principal Investigator

Friedrich-Alexander University Erlangen-Nuremberg

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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