ClinicalTrials.gg
CompletedNCT02039063Updated Jan 30, 2023Results posted

A Phase 1/2 Study of Repeated Intravenous E6011 Administration in Japanese Subjects With Crohn's Disease

A Phase 1/2 interventional study of E6011 2 mg/kg and E6011 5 mg/kg in Crohn's Disease, sponsored by EA Pharma Co., Ltd.. Completed at 17 sites in Japan. Open to participants aged 20 Years to 64 Years. Per ClinicalTrials.gov, last updated 2023-01-30.

Sponsored by EA Pharma Co., Ltd. (part of Eisai Co., Ltd.) · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
28
Allocation
Non-randomized
Ages
20 Years to 64 Years
Sex
All
01

Study summary

This study is a multicenter, open-label, uncontrolled, multiple ascending dose (MAD) study to evaluate mainly the safety and tolerability of 12-week repeated intravenous administration of E6011. A total of 24 subjects will enroll into four cohorts. Six subjects per cohort will receive repeated intravenous administration of E6011.

Read the detailed description

This study consists of Screening Phase, Observation Phase, Treatment Phase, Extension Phase, and Follow-up Phase. Screening assessments will be performed between 42 to 2 days before study drug administration. Observation Phase assessments will be performed a day before or on a day of the initial administration to confirm the eligibility of subjects. The eligible subjects will receive the repeated intravenous administration of E6011. E6011 will be dissolved in physiological saline (nearly 100 mL) for approximately 30-minute infusion. During the Treatment Phase, for the first and second cohorts, E6011 will be administered every 2 weeks up to Week 10, a total of 6 times (with a double dose at Week 0). For the third and fourth cohorts, E6011 will be administered at Weeks 0, 1 and 2, then every 2 weeks up to Week 10, a total of 7 times. Under no safety concerns, Crohn's Disease Activity (CDAI) is less than 150 or a decrease in CDAI from the Observation Phase is greater than 70 and a subject intends to continue administrations, the subject will receive a total of 20 subsequent biweekly administrations (40 weeks) at stable dose (Extension Phase). Subjects will be hospitalized for 24 hours after the initial and second administrations for postdose monitoring and will have out-patient monitoring until 12 weeks after the initial administration. If hospitalization is difficult after the second administration, the subjects can be held at the hospital for 6 hours and then allowed to go home after confirmation of the safety. Subjects who roll over onto the Extension Phase will have continued monitoring until 52 weeks after the initial administration. When the subjects complete (Week 12 or Week 52) or discontinue the study, they will undergo an on-site follow-up 28 days after the study completion or discontinuation and an off-site follow-up or telephone interview 70 days after the final administration. The investigator will conduct full assessments of subjects safety next day of the second administration (24 hours after the second administration) to confirm presence of absence of study-related manifestations which may affect the study drug administration of next cohort. When the sponsor is informed of investigator's judgment on the sixth subject in each cohort, the appropriateness of next cohort will be judged based on the safety data available including the judgment of individual investigator on the next day of the second administration.

02

Conditions studied

  • Crohn's Disease

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Keywords

  • Crohn's Disease
03

In context

Crohn Disease

1,992 studies on the registry are indexed under Crohn Disease; 478 are open to participants now.

This study's enrollment of 28 is below the median of 67 across 1,260 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

EA Pharma Co., Ltd. is the lead sponsor of 13 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Subjects must meet all of the following criteria to be included in this study:

  1. Japanese patients aged 20 to 64 years old at the time of .
  2. Diagnosed with Crohn's disease based on the diagnostic criteria for Crohn's disease of the Health and Labor Sciences Research Grants "Research on Measures against Intractable Diseases (Inflammatory Bowel Disease)" Group (2012).
  3. Mild to moderate severity at Observation Phase (CDAI between 150 and 450, based on the above diagnosis criteria for Crohn's disease).
  4. History of aminosalycylic acid (5-ASA), salazosulfapyridine, cortical , immunomodulators, infliximab or adalimumab treatment with no apparent effect, or unable to continue the treatment due to AEs (except for infliximab and adalimumab).
  5. Consent to use (both the subject and the subject's partner), if the subject is a a man capable of reproduction or a woman of .
  6. Has voluntarily consented, in writing, to participate in this study.
  7. Has been thoroughly briefed on the conditions for participation in the study, and is willing and able to comply with the conditions.

Exclusion criteria

Exclusion Criteria

Subjects who meet any of the following criteria will be excluded from this study:

  1. Abscess or suspected abscess found at Screening or Observation Phase (not applicable to perianal abscess).
  2. Diagnosed with gastrointestinal epithelia dysplasia at Screening or Observation Phase.
  3. Suspected of colitis other than Crohn's disease at Screening or Observation Phase (such as pseudomembranous colitis).
  4. Symptomatic obstruction at Screening or Observation Phase.
  5. Underwent intestinal resection within 24 weeks before the start of the study treatment, or planning to undergo intestinal resection in the next 52 weeks.
  6. Newly started with Seaton drainage within 12 weeks before Observation Phase.
  7. Diagnosed with short bowel syndrome at Screening or Observation Phase.
  8. Positive C.Difficile toxin test at Screening.
  9. Prior history or current complication of malignant tumor, lymphoma, leukemia, or lymphoproliferative disease.
  10. Immunodeficiency or history of infection.
  11. Infection requiring hospitalization or intravenous administration of antibiotics within 4 weeks before the start of the study treatment; or an infection requiring oral antibiotics within 2 weeks before the start of the study treatment.
  12. History of tuberculosis or current complication of active tuberculosis.
  13. History of serious allergy (shock, or anaphylactoid symptoms).
  14. History of vascular edema, hematemesis, or hemoptysis.
  15. History of acute myocardial infarction, cerebral infarction, cerebral hemorrhage, or arteriosclerosis obliterans.
  16. History of clinically important vasculitis (such as mononeuritis multiplex).
  17. In tests conducted at Screening, a positive finding for any of the following: human immunodeficiency virus (HIV), virus surface antigen (HBs antigen), hepatitis B virus surface antibody (HBs antibody), hepatitis B virus core antibody (HBc antibody), hepatitis B virus DNA (HBV DNA), virus antibody (HCV antibody), human T-lymphotrophic virus Type I antibody (HTLV-1 antibody), or syphilis screening. Except for the subject, if HBs antibody is only positive and is clear due to vaccination of Hepatitis B.
  18. Any result other than negative in tuberculosis test (T-SPOT TB Test or QuantiFERON TB Gold Test) at Screening.
  19. Findings indicating a history of tuberculosis on chest x-ray during screening.
  20. Received a within 12 weeks before starting the study treatment, or planning to receive a live vaccine before Week 52.
  21. Planning to have surgery before Week 52.
  22. Currently participating in another clinical trial, or used an drug or investigational device, or participated in another clinical study, within 24 weeks of the start of the study treatment.
  23. Judged to be ineligible to participate in this study by the investigator or sub-investigator
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Enrollment
28 participants (actual)

Study arms

  • Experimental
    1

    E6011 2 mg/kg

    Drug: E6011 2 mg/kg

  • Experimental
    2

    E6011 5 mg/kg

    Drug: E6011 5 mg/kg

  • Experimental
    3

    E6011 10 mg/kg

    Drug: E6011 10 mg/kg

  • Experimental
    4

    E6011 15 mg/kg

    Drug: E6011 15 mg/kg

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    TEAEs was defined as adverse event (AEs) that emerged during the treatment, having been absent at pretreatment (Baseline) or re-emerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. An AE was defined as any untoward medical occurrence in a participants or clinical study participant temporally associated with the use of study treatment, whether or not considered related to the study treatment. A SAE was defined as any untoward medical occurrence at any dose if it resulted in death or life-threatening AE or required inpatient hospitalization or prolongation of existing hospitalization or resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions or was a congenital anomaly/birth defect.

    Time frame: Baseline up to Week 62 (70 days after last dose of study drug)

  2. Number of Participants With Clinically Significant Change in Laboratory Parameters

    Clinical laboratory parameters included biochemistry, hematology, urinalysis and other screening test. Number of participants with clinically significant abnormalities in laboratory parameters which were deemed clinically significant by the investigator were reported.

    Time frame: Baseline up to Week 52

  3. Number of Participants With Clinically Significant Change in Vital Sign Measurements

    Vital sign measurements included blood pressure (systolic and diastolic blood pressure) and pulse rate. Number of participants with clinically significant change in vital signs measurements which were deemed clinically significant by the investigator were reported.

    Time frame: Baseline up to Week 52

  4. Number of Participants With Treatment-emergent Clinically Significant Abnormal Electrocardiogram (ECG) Findings

    Number of participants with treatment-emergent clinically significant abnormal ECG findings which were deemed clinically significant by the investigator were reported.

    Time frame: Baseline up to Week 52

  5. Number of Participants With Abnormal Chest X-ray Findings

    Number of participants with abnormal chest X-ray findings were reported.

    Time frame: Baseline up to Week 52

  6. Number of Participants With Neurological Findings

    Number of participants with neurological findings were reported.

    Time frame: Baseline up to Week 52

Secondary outcomes

  1. Mean Trough Serum Concentration of E6011 at Week 12 and 52

    Time frame: Week 12: Pre-dose; Week 52: Pre-dose

  2. Number of Participants With Serum Anti-E6011 Antibody at Week 12 and 52

    Number of participants with serum anti-E6011 antibody were reported.

    Time frame: At Week 12 and Week 52

07

Results

Posted Jan 30, 2023

Participant flow

Participants took part in the study at 22 investigative sites in Japan from 05 April 2014 to 27 November 2017.

Treatment Phase
Participant flow — Treatment Phase
MilestoneCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Started6877
Completed3655
Not completed3222
Withdrew: Inadequate therapeutic effect3211
Withdrew: Progression of disease0011
Extension Phase
Participant flow — Extension Phase
MilestoneCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Started1353
Completed1222
Not completed0131
Withdrew: Inadequate therapeutic effect0120
Withdrew: Progression of disease0001
Withdrew: Adverse event0010

Outcome measures

PrimaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

TEAEs was defined as adverse event (AEs) that emerged during the treatment, having been absent at pretreatment (Baseline) or re-emerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. An AE was defined as any untoward medical occurrence in a participants or clinical study participant temporally associated with the use of study treatment, whether or not considered related to the study treatment. A SAE was defined as any untoward medical occurrence at any dose if it resulted in death or life-threatening AE or required inpatient hospitalization or prolongation of existing hospitalization or resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions or was a congenital anomaly/birth defect.

Time frame:
Baseline up to Week 62 (70 days after last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
TEAE6673
SAE1150
PrimaryNumber of Participants With Clinically Significant Change in Laboratory Parameters

Clinical laboratory parameters included biochemistry, hematology, urinalysis and other screening test. Number of participants with clinically significant abnormalities in laboratory parameters which were deemed clinically significant by the investigator were reported.

Time frame:
Baseline up to Week 52
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Change in Laboratory Parameters
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Number of Participants With Clinically Significant Change in Laboratory Parameters0000
PrimaryNumber of Participants With Clinically Significant Change in Vital Sign Measurements

Vital sign measurements included blood pressure (systolic and diastolic blood pressure) and pulse rate. Number of participants with clinically significant change in vital signs measurements which were deemed clinically significant by the investigator were reported.

Time frame:
Baseline up to Week 52
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Change in Vital Sign Measurements
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Number of Participants With Clinically Significant Change in Vital Sign Measurements0000
PrimaryNumber of Participants With Treatment-emergent Clinically Significant Abnormal Electrocardiogram (ECG) Findings

Number of participants with treatment-emergent clinically significant abnormal ECG findings which were deemed clinically significant by the investigator were reported.

Time frame:
Baseline up to Week 52
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Clinically Significant Abnormal Electrocardiogram (ECG) Findings
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Number of Participants With Treatment-emergent Clinically Significant Abnormal Electrocardiogram (ECG) Findings0000
PrimaryNumber of Participants With Abnormal Chest X-ray Findings

Number of participants with abnormal chest X-ray findings were reported.

Time frame:
Baseline up to Week 52
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Chest X-ray Findings
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Number of Participants With Abnormal Chest X-ray Findings0000
PrimaryNumber of Participants With Neurological Findings

Number of participants with neurological findings were reported.

Time frame:
Baseline up to Week 52
Reported as:
Count of participants · Participants
Number of Participants With Neurological Findings
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Number of Participants With Neurological Findings0000
SecondaryMean Trough Serum Concentration of E6011 at Week 12 and 52
Time frame:
Week 12: Pre-dose; Week 52: Pre-dose
Reported as:
Mean · microgram per milliliter (mcg/mL)
Mean Trough Serum Concentration of E6011 at Week 12 and 52
microgram per milliliter (mcg/mL)Cohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Week 123.40 ± 3.7426.1 ± 10.496.8 ± 60.3146 ± 91.9
Week 5210.8 ± NA17.3 ± 2.90105 ± 9.6993.9 ± 46.8
SecondaryNumber of Participants With Serum Anti-E6011 Antibody at Week 12 and 52

Number of participants with serum anti-E6011 antibody were reported.

Time frame:
At Week 12 and Week 52
Reported as:
Count of participants · Participants
Number of Participants With Serum Anti-E6011 Antibody at Week 12 and 52
ParticipantsCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Week 124321
Week 524321

Adverse events

Collected over Baseline up to Week 62 (70 days after last dose of study drug). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1: E6011 2 mg/kg0/6 (0%)1/6 (16.7%)6/6 (100%)
Cohort 2: E6011 5 mg/kg0/8 (0%)1/8 (12.5%)6/8 (75%)
Cohort 3: E6011 10 mg/kg0/7 (0%)5/7 (71.4%)7/7 (100%)
Cohort 4: E6011 15 mg/kg0/7 (0%)0/7 (0%)3/7 (42.9%)
Most frequent serious events
Most frequent serious events
EventCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
Crohn's diseaseGastrointestinal disorders0/61/84/70/7
Miscarriage of partnerSocial circumstances1/60/80/70/7
AnaemiaBlood and lymphatic system disorders0/60/81/70/7
Most frequent other events
Showing 10 of 41
Most frequent other events
EventCohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kg
NasopharyngitisInfections and infestations1/64/82/70/7
PyrexiaGeneral disorders2/60/80/70/7
HeadacheNervous system disorders2/60/81/71/7
Device related infectionInfections and infestations0/60/82/70/7
NauseaGastrointestinal disorders1/60/81/70/7
MalaiseGeneral disorders1/60/80/70/7
Anal abscessInfections and infestations1/61/80/70/7
InfluenzaInfections and infestations1/60/80/70/7
PharyngitisInfections and infestations1/60/80/70/7
ArthralgiaMusculoskeletal and connective tissue disorders1/60/80/70/7

Baseline characteristics

The safety analysis set included all participants who received at least 1 dose of study drug and had at least 1 post-dose safety assessment.

Age, Continuous
Age, Continuous(years)Cohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kgTotal
Mean31.0 ± 7.3538.1 ± 12.3339.9 ± 14.7937.0 ± 8.1636.8 ± 11.10
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kgTotal
Female11237
Male575421
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cohort 1: E6011 2 mg/kgCohort 2: E6011 5 mg/kgCohort 3: E6011 10 mg/kgCohort 4: E6011 15 mg/kgTotal
Japanese687728
08

Study locations

17 sites
  • Nagoya, Aichi, Japan
  • Chikushino, Fukuoka, Japan
  • Kurume, Fukuoka, Japan
  • Asahikawa, Hokkaido, Japan
  • Nishinomiya, Hyogo, Japan
  • Kanazawa, Ishikawa, Japan
  • Morioka, Iwate, Japan
  • Sagamihara, Kanagawa, Japan
  • Tsu, Mie, Japan
  • Urazoe, Okinawa, Japan
  • Takatsuki, Osaka, Japan
  • Minato-ku, Tokyo, Japan
  • Shinjuku-ku, Tokyo, Japan
  • Chiba, Japan
  • Fukuoka, Japan
  • Kyoto, Japan
  • Osaka, Japan
09

References and documents

Publications

  • Matsuoka K, Naganuma M, Hibi T, Tsubouchi H, Oketani K, Katsurabara T, Hojo S, Takenaka O, Kawano T, Imai T, Kanai T. Phase 1 study on the safety and efficacy of E6011, antifractalkine antibody, in patients with Crohn's disease. J Gastroenterol Hepatol. 2021 Aug;36(8):2180-2186. doi: 10.1111/jgh.15463. Epub 2021 Mar 31. PubMed 33599356 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02039063
Responsible party
Sponsor
First posted
Jan 17, 2014
Start date
Apr 5, 2014
Primary completion
Jan 6, 2017
Completion
Nov 27, 2017
Results posted
Jan 30, 2023
Last update
Jan 30, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
View the source record on ClinicalTrials.gov ↗

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