ClinicalTrials.gg
CompletedNCT03531892Updated Jul 21, 2023

A Study to Evaluate the Safety and Efficacy of AJM300 in Participants With Active Ulcerative Colitis

A Phase 3 interventional study of AJM300 and Placebo in Colitis, Ulcerative, sponsored by EA Pharma Co., Ltd.. Completed at 82 sites in Japan. Open to participants aged 16 Years to 74 Years. Per ClinicalTrials.gov, last updated 2023-07-21.

Sponsored by EA Pharma Co., Ltd. (part of Eisai Co., Ltd.) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
198
Allocation
Randomized
Ages
16 Years to 74 Years
Sex
All
01

Study summary

The study will investigate the efficacy and safety of an oral dose of AJM300 960 milligram (mg)/dose administered three times daily for 8 weeks in participants with active ulcerative colitis.

02

Conditions studied

  • Colitis, Ulcerative

Keywords

  • Ulcerative Colitis
  • Inflammatory Bowel Disease, Ulcerative Colitis Type
  • Colitis
  • AJM300
03

In context

Colitis, Ulcerative

1,853 studies on the registry are indexed under Colitis, Ulcerative; 472 are open to participants now.

This study's enrollment of 198 is above the median of 70 across 1,236 interventional studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative 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
16 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Major Inclusion Criteria:

  1. Participants diagnosed with ulcerative colitis.
  2. Participants with moderate ulcerative colitis who satisfy all of the following criteria at Day of enrollment.

    1. Mayo Clinic scores of 6-10 .
    2. Endoscopic subscore greater than or equal to (>=) 2.
    3. Rectal bleeding subscore >=1.
  3. Participants with inadequate response or intolerant to oral 5-ASA
  4. Participants who are capable of providing written

Major Exclusion Criteria:

  1. Participants with extensive detachment of mucosa or deep ulcer.
  2. Participants with oral dependency.
  3. Participants with a complication of marked reduction of immune function.
  4. Participants who were clinically suspected to have a complication of infectious enteritis.
  5. Participants with a history or complication of serious infection within 1 year prior to the day of enrollment.
  6. Participants with central nervous system (CNS) neurological symptoms.
  7. Participants with the following criteria:

    • Serious heart disease
    • Renal impairment
    • Hepatic impairment
  8. Participants with a history of serious drug induced allergy with unknown cause.
  9. Participants with malignant tumor or those whose treatments were completed in less than 5 years.
  10. Participants with apparent psychological signs.
  11. Pregnant women, nursing women, women with suspected pregnancy, women who wish to become pregnant during the period from informed consent through to the end of observation/examination at Week 8, and women who do not consent to the use of appropriate methods.
  12. Participants who are definitely eligible for surgical intervention such as large bowel perforation, major bleeding, and toxic megacolon syndrome, etc.
  13. Participants who are participants of another clinical study including follow-up observation at the time of informed consent.
  14. Participants who received another drug within 12 weeks prior to the examinations/observation defined by the protocol.
  15. Participants who received investigational drugs in the study of AJM300.
  16. Participants determined to be ineligible for participation in this study by the investigator or sub-investigator.
Terms in these criteria, in plain language(4)

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.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
198 participants (actual)

Study arms

  • Experimental
    AJM300 960mg/dose

    Participants will orally receive AJM300 960 mg tablets, three times daily after meals for 8 weeks.

    Drug: AJM300

  • Placebo comparator
    Placebo

    Participants will orally receive AJM300 placebo-matching tablets, three times daily after meals for 8 weeks.

    Drug: Placebo

Interventions

  • DrugAJM300

    AJM300 film-coated tablets.

    Also known as: Carotegrast methyl

  • DrugPlacebo

    Placebo matched to AJM300 tablets.

06

What researchers measure

Primary outcomes

  1. Clinical Response Rate Based on Mayo Score

    Clinical response rate is defined by the percentage of participants who satisfy the combined definition of the change of the total value of Mayo score and the change or the actual value of individual subscales. Mayo score is used in clinical trials to assess ulcerative colitis (UC) disease activity. It consists of 4 subscales: stool frequency, rectal bleeding, findings on endoscopy and physician's global assessment. Each subscale is scored on a scale of 0 to 3, where 0= normal condition and 3= severe disease condition. The total Mayo score ranges from 0 to 12, with higher scores indicating more severe disease.

    Time frame: At Week 8

Secondary outcomes

  1. Clinical Remission Rate Based on Mayo Score

    Clinical remission rate is defined by the percentage of participants with Mayo score \<=2 and no subscore greater than (\>) 1.

    Time frame: At Week 8

  2. Mucosal Healing Rate

    Mucosal healing rate is defined by the percentage of participants with Mayo endoscopic subscore \<=1.

    Time frame: At Week 8

  3. Complete Mucosal Healing Rate

    Complete mucosal healing rate is defined by the percentage of participants with Mayo endoscopic subscore =0.

    Time frame: At Week 8

  4. Clinical Response Rate Based on Partial Mayo Score

    Clinical response rate is defined by the percentage of participants who satisfy the combined definition of the change of the total value of partial Mayo score and the change or the actual value of individual subscales. Partial Mayo score is used in clinical trials to assess UC disease activity. It consists of 3 subscales: stool frequency, rectal bleeding and physician's global assessment. Each subscale is scored on a scale of 0 to 3, where 0= normal condition and 3= severe disease condition. The total partial Mayo score ranges from 0 to 9, with higher scores indicating more severe disease.

    Time frame: At Week 8

  5. Clinical Remission Rate Based on Partial Mayo Score

    Clinical remission rate is defined by the percentage of participants with partial Mayo score \<=2 and no subscore \>1.

    Time frame: At Week 8

  6. Modified Clinical Remission Rate 1

    Modified Clinical remission rate 1 is defined by percentage of participants who satisfies the three conditions such as: rectal bleeding subscore =0, Stool frequency subscore =0 and Endoscopic subscore \<=1.

    Time frame: At Week 8

  7. Modified Clinical Remission Rate 2

    Modified Clinical remission rate 2 is defined by the percentage of participants who satisfies the three conditions such as: rectal bleeding subscore =0, a decrease in the stool frequency subscore of at least 1 point or an absolute stool frequency subscore of 0 or 1 and Endoscopic subscore \<=1.

    Time frame: At Week 8

  8. Percentage of Rectal Bleeding Subscore of 0

    Percentage of rectal bleeding subscore of 0 means the percentage of participants with rectal bleeding score =0.

    Time frame: At Week 8

  9. Change From Baseline in Mayo score

    Mayo score is used in clinical trials to assess UC disease activity. It consists of 4 subscales: stool frequency, rectal bleeding, findings on endoscopy and physician's global assessment. Each subscale is scored on a scale of 0 to 3, where 0= normal condition and 3= severe disease condition. The total Mayo score ranges from 0 to 12, with higher scores indicating more severe disease.

    Time frame: Baseline, Week 8

  10. Change From Baseline in Partial Mayo Score

    Partial Mayo score is used in clinical trials to assess UC disease activity. It consists of 3 subscales: stool frequency, rectal bleeding and physician's global assessment. Each subscale is scored on a scale of 0 to 3, where 0= normal condition and 3= severe disease condition. The total Mayo score ranges from 0 to 9, with higher scores indicating more severe disease.

    Time frame: Baseline, Week 8

  11. Change From Baseline in Fecal Calprotectin

    Time frame: Baseline, Week 8

  12. Change From Baseline in Peripheral Blood White Blood Cell (WBC) Differentiation (Neutrophil, Eosinophil, Basophil, Lymphocyte, and Monocyte Counts)

    Time frame: Baseline, Week 8

07

Study locations

82 sites
  • AJM300/CT3 trial site 41
    Nagoya, Aichi, Japan
  • AJM300/CT3 trial site 57
    Nagoya, Aichi, Japan
  • AJM300/CT3 trial site 63
    Nagoya, Aichi, Japan
  • AJM300/CT3 trial site 9
    Toyoake, Aichi, Japan
  • AJM300/CT3 trial site 33
    Toyohashi, Aichi, Japan
  • AJM300/CT3 trial site 42
    Toyota, Aichi, Japan
  • AJM300/CT3 trial site 39
    Hirosaki, Aomori, Japan
  • AJM300/CT3 trial site 49
    Hirosaki, Aomori, Japan
  • AJM300/CT3 trial site 11
    Kashiwa, Chiba, Japan
  • AJM300/CT3 trial site 51
    Kashiwa, Chiba, Japan
  • AJM300/CT3 trial site 73
    Sakura, Chiba, Japan
  • AJM300/CT3 trial site 54
    Urayasu, Chiba, Japan
  • AJM300/CT3 trial site 81
    Matsuyama, Ehime, Japan
  • AJM300/CT3 trial site 53
    Kurume, Fukuoka, Japan
  • AJM300/CT3 trial site 24
    Tikushino, Fukuoka, Japan
  • AJM300/CT3 trial site 55
    Isesaki, Gunma, Japan
  • AJM300/CT3 trial site 35
    Fukuyama, Hiroshima, Japan
  • AJM300/CT3 trial site 18
    Asahikawa, Hokkaido, Japan
  • AJM300/CT3 trial site 26
    Asahikawa, Hokkaido, Japan
  • AJM300/CT3 trial site 2
    Sapporo, Hokkaido, Japan
  • AJM300/CT3 trial site 3
    Sapporo, Hokkaido, Japan
  • AJM300/CT3 trial site 4
    Sapporo, Hokkaido, Japan
  • AJM300/CT3 trial site 79
    Akashi, Hyogo, Japan
  • AJM300/CT3 trial site 34
    Kobe, Hyogo, Japan
  • AJM300/CT3 trial site 64
    Nishinomiya, Hyogo, Japan
  • AJM300/CT3 trial site 82
    Kasama, Ibaraki, Japan
  • AJM300/CT3 trial site 75
    Tsukuba, Ibaraki, Japan
  • AJM300/CT3 trial site 19
    Morioka, Iwate, Japan
  • AJM300/CT3 trial site 16
    Takamatsu, Kagawa, Japan
  • AJM300/CT3 trial site 12
    Kamakura, Kanagawa, Japan
  • AJM300/CT3 trial site 14
    Sagamihara, Kanagawa, Japan
  • AJM300/CT3 trial site 32
    Sagamihara, Kanagawa, Japan
  • AJM300/CT3 trial site 13
    Yokohama, Kanagawa, Japan
  • AJM300/CT3 trial site 6
    Yokohama, Kanagawa, Japan
  • AJM300/CT3 trial site 47
    Tsu, Mie, Japan
  • AJM300/CT3 trial site 46
    Yokkaichi, Mie, Japan
  • AJM300/CT3 trial site 45
    Sendai, Miyagi, Japan
  • AJM300/CT3 trial site 50
    Sendai, Miyagi, Japan
  • AJM300/CT3 trial site 78
    Sendai, Miyagi, Japan
  • AJM300/CT3 trial site 22
    Nagaoka, Nigata, Japan
  • AJM300/CT3 trial site 15
    Kurashiki, Okayama, Japan
  • AJM300/CT3 trial site 70
    Kurashiki, Okayama, Japan
  • AJM300/CT3 trial site 77
    Higashiosaka, Osaka, Japan
  • AJM300/CT3 trial site 76
    Osakasayama, Osaka, Japan
  • AJM300/CT3 trial site 10
    Takatsuki, Osaka, Japan
  • AJM300/CT3 trial site 40
    Ageo, Saitama, Japan
  • AJM300/CT3 trial site 5
    Ageo, Saitama, Japan
  • AJM300/CT3 trial site 72
    Tokorozawa, Saitama, Japan
  • AJM300/CT3 trial site 17
    Hamamatsu, Shizuoka, Japan
  • AJM300/CT3 trial site 60
    Ashikaga, Tochigi, Japan
  • AJM300/CT3 trial site 29
    Shimotsuga, Tochigi, Japan
  • AJM300/CT3 trial site 71
    Utsunomiya, Tochigi, Japan
  • AJM300/CT3 trial site 61
    Bunkyo, Tokyo, Japan
  • AJM300/CT3 trial site 68
    Bunkyo, Tokyo, Japan
  • AJM300/CT3 trial site 59
    Chiyoda, Tokyo, Japan
  • AJM300/CT3 trial site 30
    Chuo, Tokyo, Japan
  • AJM300/CT3 trial site 31
    Hachioji, Tokyo, Japan
  • AJM300/CT3 trial site 56
    Minato, Tokyo, Japan
  • AJM300/CT3 trial site 66
    Minato, Tokyo, Japan
  • AJM300/CT3 trial site 80
    Mitaka, Tokyo, Japan
  • AJM300/CT3 trial site 38
    Shinagawa, Tokyo, Japan
  • AJM300/CT3 trial site 21
    Shinjuku, Tokyo, Japan
  • AJM300/CT3 trial site 52
    Shinjuku, Tokyo, Japan
  • AJM300/CT3 trial site 8
    Shūnan, Yamaguchi, Japan
  • AJM300/CT3 trial site 23
    Kofu, Yamanashi, Japan
  • AJM300/CT3 trial site 44
    Chiba, Japan
  • AJM300/CT3 trial site 43
    Fukuoka, Japan
  • AJM300/CT3 trial site 58
    Fukuoka, Japan
  • AJM300/CT3 trial site 69
    Fukuoka, Japan
  • AJM300/CT3 trial site 67
    Gifu, Japan
  • AJM300/CT3 trial site 28
    Hiroshima, Japan
  • AJM300/CT3 trial site 36
    Hiroshima, Japan
  • AJM300/CT3 trial site 74
    Hiroshima, Japan
  • AJM300/CT3 trial site 62
    Kyoto, Japan
  • AJM300/CT3 trial site 7
    Kyoto, Japan
  • AJM300/CT3 trial site 48
    Nagasaki, Japan
  • AJM300/CT3 trial site 37
    Oita, Japan
  • AJM300/CT3 trial site 65
    Okayama, Japan
  • AJM300/CT3 trial site 1
    Osaka, Japan
  • AJM300/CT3 trial site 20
    Saga, Japan
  • AJM300/CT3 trial site 25
    Saga, Japan
  • AJM300/CT3 trial site 27
    Toyama, Japan
08

References and documents

Publications

  • Matsuoka K, Watanabe M, Ohmori T, Nakajima K, Ishida T, Ishiguro Y, Kanke K, Kobayashi K, Hirai F, Watanabe K, Mizusawa H, Kishida S, Miura Y, Ohta A, Kajioka T, Hibi T; AJM300 Study Group. AJM300 (carotegrast methyl), an oral antagonist of alpha4-integrin, as induction therapy for patients with moderately active ulcerative colitis: a multicentre, randomised, double-blind, placebo-controlled, phase 3 study. Lancet Gastroenterol Hepatol. 2022 Jul;7(7):648-657. doi: 10.1016/S2468-1253(22)00022-X. Epub 2022 Mar 30. PubMed 35366419 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03531892
Responsible party
Sponsor
First posted
May 22, 2018
Start date
Jun 6, 2018
Primary completion
Nov 9, 2020
Completion
Mar 28, 2023
Last update
Jul 21, 2023

Oversight

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

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