A Phase 2/3 interventional study of TD-1473 Dose A and TD-1473 Dose B in Ulcerative Colitis (UC), sponsored by Theravance Biopharma. Terminated at 188 sites in 22 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-11-15.
Sponsored by Theravance Biopharma · Phase 2/3, Interventional, and Treatment
A Phase 2b/3 set of studies to evaluate the efficacy and safety of induction and maintenance therapy with TD-1473 in subjects with moderately-to-severely active ulcerative colitis with up to 60 weeks of treatment.
This protocol consists of 3 separate studies: an 8-week Phase 2b dose-finding induction study, an 8-week dose-confirming Phase 3 induction study, and a 44-week Phase 3 maintenance study. Subjects who respond to induction will enter the maintenance study; those who do not will receive TD-1473 during extended induction. The safety and efficacy data of the Phase 2b study will be analyzed to select the induction and maintenance dose regimens for the confirmatory Phase 3 studies. Participants who have disease relapse or complete the maintenance study may be eligible to enter a separate long-term safety study. Efficacy, pharmacokinetic, biomarkers, and safety will be evaluated in all 3 studies.
240 subjects are planned for the Phase 2b and the planned Primary Completion Date for this portion of the study is JULY 2021. 640 subjects are planned for the Phase 3 portion of the study.
1,073 studies on the registry are indexed under Colitis; 131 are open to participants now.
This study's enrollment of 239 is above the median of 60 across 771 interventional studies indexed under Colitis.
Browse Colitis studies →Theravance Biopharma is the lead sponsor of 47 studies on the registry; none are open to participants now.
Of its 24 completed or terminated interventional studies of FDA-regulated products, 11 (46%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will be randomized to receive an oral daily dose of TD-1473. Responders will be re-randomized into the Phase 3 Maintenance portion of the study. Non-responders may participate in an extended induction.
Drug: TD-1473 Dose A
Participants will be randomized to receive an oral daily dose of TD-1473. Responders will be re-randomized into the Phase 3 Maintenance portion of the study. Non-responders may participate in an extended induction.
Drug: TD-1473 Dose B
Participants will be randomized to receive an oral daily dose of TD-1473. Responders will be re-randomized into the Phase 3 Maintenance portion of the study. Non-responders may participate in an extended induction.
Drug: TD-1473 Dose C
Participants will be randomized to receive an oral daily dose of placebo. Participants who received Placebo (and were non-responders) may move to an extended induction. Subjects who are on placebo will be assigned to active TD-1473 for the extended induction (they will be blinded to dose).
Drug: Placebo
See Arm description
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Change From Baseline in Total Mayo Score (tMS) at Week 8
Total Mayo Score (tMS) was calculated as the sum of four components: rectal bleeding (0-3), stool frequency (0-3), physician's global assessment (0-3) and Mayo endoscopic subscore (0-3). tMS was reported as a 0-12 point score with 12 reflecting the highest severity.
Time frame: Baseline to Week 8
Phase 3 Maintenance: Number of Participants Who Demonstrated Clinical Remission by Adapted Mayo Score Components at Maintenance Week (mWeek) 44
Clinical remission by Adapted Mayo score was defined based on Adapted Mayo score components within specific ranges: stool frequency score of 0 or 1, a rectal bleeding subscore of 0 and a Mayo endoscopy subscore of 0 or 1. The Adapted Mayo score was the sum of three components: rectal bleeding, stool frequency, and Mayo endoscopic subscore, each measured on a scale of 0-3 with higher scores reflecting higher severity. Participants with missing Week 44 values were imputed as non-responders.
Time frame: mWeek 44
Number of Participants Who Demonstrated Clinical Remission by Adapted Mayo Score Components at Week 8
Clinical remission by Adapted Mayo score was defined based on Adapted Mayo score components within specific ranges: stool frequency score of 0 or 1, a rectal bleeding subscore of 0 and a Mayo endoscopy subscore of 0 or 1. The Adapted Mayo score was the sum of three components: rectal bleeding, stool frequency, and Mayo endoscopic subscore, each measured on a scale of 0-3 with higher scores reflecting higher severity.
Time frame: Week 8
Phase 3 Maintenance: Number of Participants Who Demonstrated a Clinical Response by Adapted Mayo Score Components at mWeek 44
Clinical response was defined as a reduction from baseline in adapted Mayo score of ≥ 2 points and ≥ 30% relative to baseline. It also required ≥ 1 reduction in the rectal bleeding subscore or an absolute subscore ≤ 1. The Adapted Mayo score was the sum of three components: rectal bleeding, stool frequency, and Mayo endoscopic subscore, each measured on a scale of 0-3 with higher scores reflecting higher severity. Participants with missing Week 44 values were imputed as non-responders.
Time frame: Baseline to mWeek 44
Phase 3 Maintenance: Number of Participants Who Demonstrated Endoscopic Remission by Adapted Mayo Score Components at mWeek 44
Endoscopic remission was defined as an endoscopic subscore ≤ 1. Endoscopic subscore was measured using scale of 0-3, where higher numbers reflected greater severity.
Time frame: mWeek 44
Phase 3 Maintenance: Number of Participants Who Demonstrated Symptomatic Remission by Adapted Mayo Score Components at mWeek 44
Symptomatic remission was defined as a stool frequency score ≤ 1 and a rectal bleeding subscore of 0. Stool frequency score and rectal bleeding score were each measured using scale of 0-3, where higher numbers reflected greater severity. Participants with missing Week 44 values were imputed as non-responders.
Time frame: mWeek 44
A total of 239 participants were enrolled at sites in Europe, Asia/Pacific, the United States, Israel, Australia, and South Africa between 11 March 2019 and 20 October 2021.
| Milestone | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg |
|---|---|---|---|---|
| Started | 61 | 61 | 59 | 58 |
| Completed | 55 | 54 | 52 | 50 |
| Not completed | 6 | 7 | 7 | 8 |
| Withdrew: Adverse event | 2 | 4 | 2 | 3 |
| Withdrew: Physician decision | 1 | 1 | 3 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 3 | 2 | 2 | 4 |
| Milestone | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg |
|---|---|---|---|---|
| Started | 42 | 32 | 32 | 29 |
| Completed | 29 | 29 | 23 | 22 |
| Not completed | 13 | 3 | 9 | 7 |
| Withdrew: Adverse event | 1 | 1 | 0 | 1 |
| Withdrew: Lost to follow-up | 1 | 0 | 0 | 0 |
| Withdrew: Physician decision | 2 | 1 | 2 | 2 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 8 | 1 | 7 | 3 |
| Withdrew: Miscellaneous | 1 | 0 | 0 | 0 |
| Milestone | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg |
|---|---|---|---|---|
| Started | 29 | 31 | 25 | 22 |
| Completed | 13 | 11 | 12 | 9 |
| Not completed | 16 | 20 | 13 | 13 |
| Withdrew: Adverse event | 1 | 2 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 1 |
| Withdrew: Persistent loss of response during maintenance | 3 | 1 | 2 | 0 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 0 |
| Withdrew: Study terminated by sponsor | 11 | 16 | 9 | 11 |
| Withdrew: Withdrawal by subject | 1 | 0 | 1 | 1 |
| Withdrew: Miscellaneous | 0 | 0 | 1 | 0 |
Total Mayo Score (tMS) was calculated as the sum of four components: rectal bleeding (0-3), stool frequency (0-3), physician's global assessment (0-3) and Mayo endoscopic subscore (0-3). tMS was reported as a 0-12 point score with 12 reflecting the highest severity.
| score on a scale | Induction Period: Placebo | Induction Period: TD-1473 20 mg | Induction Period: TD-1473 80 mg | Induction Period: TD-1473 200 mg |
|---|---|---|---|---|
| Change From Baseline in Total Mayo Score (tMS) at Week 8 | -1.75 ± 0.341 | -2.02 ± 0.350 | -2.12 ± 0.351 | -2.40 ± 0.346 |
Clinical remission by Adapted Mayo score was defined based on Adapted Mayo score components within specific ranges: stool frequency score of 0 or 1, a rectal bleeding subscore of 0 and a Mayo endoscopy subscore of 0 or 1. The Adapted Mayo score was the sum of three components: rectal bleeding, stool frequency, and Mayo endoscopic subscore, each measured on a scale of 0-3 with higher scores reflecting higher severity. Participants with missing Week 44 values were imputed as non-responders.
| Participants | Maintenance Period: Placebo | Maintenance Period: TD-1473 20 mg | Maintenance Period: TD-1473 80 mg | Maintenance Period: TD-1473 200 mg |
|---|---|---|---|---|
| Phase 3 Maintenance: Number of Participants Who Demonstrated Clinical Remission by Adapted Mayo Score Components at Maintenance Week (mWeek) 44 | 4 | 3 | 5 | 3 |
Clinical remission by Adapted Mayo score was defined based on Adapted Mayo score components within specific ranges: stool frequency score of 0 or 1, a rectal bleeding subscore of 0 and a Mayo endoscopy subscore of 0 or 1. The Adapted Mayo score was the sum of three components: rectal bleeding, stool frequency, and Mayo endoscopic subscore, each measured on a scale of 0-3 with higher scores reflecting higher severity.
| Participants | Induction Period: Placebo | Induction Period: TD-1473 20 mg | Induction Period: TD-1473 80 mg | Induction Period: TD-1473 200 mg |
|---|---|---|---|---|
| Number of Participants Who Demonstrated Clinical Remission by Adapted Mayo Score Components at Week 8 | 6 | 6 | 4 | 4 |
Clinical response was defined as a reduction from baseline in adapted Mayo score of ≥ 2 points and ≥ 30% relative to baseline. It also required ≥ 1 reduction in the rectal bleeding subscore or an absolute subscore ≤ 1. The Adapted Mayo score was the sum of three components: rectal bleeding, stool frequency, and Mayo endoscopic subscore, each measured on a scale of 0-3 with higher scores reflecting higher severity. Participants with missing Week 44 values were imputed as non-responders.
| Participants | Maintenance Period: Placebo | Maintenance Period: TD-1473 20 mg | Maintenance Period: TD-1473 80 mg | Maintenance Period: TD-1473 200 mg |
|---|---|---|---|---|
| Phase 3 Maintenance: Number of Participants Who Demonstrated a Clinical Response by Adapted Mayo Score Components at mWeek 44 | 5 | 5 | 8 | 6 |
Endoscopic remission was defined as an endoscopic subscore ≤ 1. Endoscopic subscore was measured using scale of 0-3, where higher numbers reflected greater severity.
| Participants | Maintenance Period: Placebo | Maintenance Period: TD-1473 20 mg | Maintenance Period: TD-1473 80 mg | Maintenance Period: TD-1473 200 mg |
|---|---|---|---|---|
| Phase 3 Maintenance: Number of Participants Who Demonstrated Endoscopic Remission by Adapted Mayo Score Components at mWeek 44 | 3 | 1 | 3 | 2 |
Symptomatic remission was defined as a stool frequency score ≤ 1 and a rectal bleeding subscore of 0. Stool frequency score and rectal bleeding score were each measured using scale of 0-3, where higher numbers reflected greater severity. Participants with missing Week 44 values were imputed as non-responders.
| Participants | Maintenance Period: Placebo | Maintenance Period: TD-1473 20 mg | Maintenance Period: TD-1473 80 mg | Maintenance Period: TD-1473 200 mg |
|---|---|---|---|---|
| Phase 3 Maintenance: Number of Participants Who Demonstrated Symptomatic Remission by Adapted Mayo Score Components at mWeek 44 | 5 | 7 | 7 | 5 |
Collected over Induction Period: Up to Week 20 Maintenance Period: Up to Week 48. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Induction Period: Placebo | 0/61 (0%) | 4/61 (6.6%) | 7/61 (11.5%) |
| Induction Period: TD-1473 20 mg | 0/61 (0%) | 4/61 (6.6%) | 11/61 (18%) |
| Induction Period: TD-1473 80 mg | 0/59 (0%) | 2/59 (3.4%) | 9/59 (15.3%) |
| Induction Period: Placebo to TD-1473 80 mg | 0/42 (0%) | 3/42 (7.1%) | 4/42 (9.5%) |
| Induction Period: TD-1473 200 mg | 0/58 (0%) | 4/58 (6.9%) | 14/58 (24.1%) |
| Maintenance Period: Placebo | 0/29 (0%) | 1/29 (3.4%) | 6/29 (20.7%) |
| Maintenance Period: TD-1473 20 mg | 0/31 (0%) | 2/31 (6.5%) | 14/31 (45.2%) |
| Maintenance Period: TD-1473 80 mg | 0/25 (0%) | 2/25 (8%) | 5/25 (20%) |
| Maintenance Period: TD-1473 200 mg | 0/22 (0%) | 1/22 (4.5%) | 1/22 (4.5%) |
| Event | Induction Period: Placebo | Induction Period: TD-1473 20 mg | Induction Period: TD-1473 80 mg | Induction Period: Placebo to TD-1473 80 mg | Induction Period: TD-1473 200 mg | Maintenance Period: Placebo | Maintenance Period: TD-1473 20 mg | Maintenance Period: TD-1473 80 mg | Maintenance Period: TD-1473 200 mg |
|---|---|---|---|---|---|---|---|---|---|
| Colitis ulcerativeGastrointestinal disorders | 2/61 | 3/61 | 1/59 | 1/42 | 2/58 | 0/29 | 0/31 | 1/25 | 1/22 |
| Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/61 | 0/61 | 0/59 | 0/42 | 0/58 | 0/29 | 0/31 | 1/25 | 0/22 |
| Urethral stenosisRenal and urinary disorders | 0/61 | 0/61 | 0/59 | 0/42 | 0/58 | 1/29 | 0/31 | 0/25 | 0/22 |
| Tubulointerstitial nephritisRenal and urinary disorders | 0/61 | 0/61 | 0/59 | 0/42 | 0/58 | 0/29 | 1/31 | 0/25 | 0/22 |
| Joint injuryInjury, poisoning and procedural complications | 0/61 | 0/61 | 0/59 | 0/42 | 0/58 | 0/29 | 1/31 | 0/25 | 0/22 |
| Atrial fibrillationCardiac disorders | 0/61 | 0/61 | 0/59 | 1/42 | 0/58 | 0/29 | 0/31 | 0/25 | 0/22 |
| Back painMusculoskeletal and connective tissue disorders | 0/61 | 0/61 | 0/59 | 1/42 | 0/58 | 0/29 | 0/31 | 0/25 | 0/22 |
| Angina pectorisCardiac disorders | 0/61 | 0/61 | 0/59 | 0/42 | 1/58 | 0/29 | 0/31 | 0/25 | 0/22 |
| AnaemiaBlood and lymphatic system disorders | 0/61 | 0/61 | 0/59 | 0/42 | 1/58 | 0/29 | 0/31 | 0/25 | 0/22 |
| Large intestine operationSurgical and medical procedures | 0/61 | 0/61 | 1/59 | 0/42 | 0/58 | 0/29 | 0/31 | 0/25 | 0/22 |
| Event | Induction Period: Placebo | Induction Period: TD-1473 20 mg | Induction Period: TD-1473 80 mg | Induction Period: Placebo to TD-1473 80 mg | Induction Period: TD-1473 200 mg | Maintenance Period: Placebo | Maintenance Period: TD-1473 20 mg | Maintenance Period: TD-1473 80 mg | Maintenance Period: TD-1473 200 mg |
|---|---|---|---|---|---|---|---|---|---|
| Colitis ulcerativeGastrointestinal disorders | 1/61 | 3/61 | 5/59 | 1/42 | 7/58 | 4/29 | 6/31 | 3/25 | 0/22 |
| NasopharyngitisInfections and infestations | 1/61 | 6/61 | 0/59 | 0/42 | 4/58 | 0/29 | 0/31 | 1/25 | 0/22 |
| AnaemiaBlood and lymphatic system disorders | 1/61 | 2/61 | 2/59 | 1/42 | 2/58 | 1/29 | 3/31 | 0/25 | 1/22 |
| Upper respiratory tract infectionInfections and infestations | 1/61 | 1/61 | 1/59 | 2/42 | 0/58 | 2/29 | 0/31 | 0/25 | 0/22 |
| HeadacheNervous system disorders | 2/61 | 0/61 | 2/59 | 1/42 | 2/58 | 1/29 | 2/31 | 1/25 | 0/22 |
| HaemorrhoidsGastrointestinal disorders | 0/61 | 0/61 | 1/59 | 0/42 | 0/58 | 0/29 | 2/31 | 0/25 | 0/22 |
| PyrexiaGeneral disorders | 2/61 | 0/61 | 0/59 | 0/42 | 0/58 | 0/29 | 2/31 | 0/25 | 0/22 |
The Intent-to-treat population included all randomized participants.
| Age, Continuous(years) | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg | Total |
|---|---|---|---|---|---|
| Mean | 40.92 ± 15.390 | 38.87 ± 14.576 | 42.02 ± 15.317 | 44.38 ± 14.122 | 41.51 ± 14.905 |
| Sex: Female, Male(Participants) | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg | Total |
|---|---|---|---|---|---|
| Female | 27 | 17 | 20 | 29 | 93 |
| Male | 34 | 44 | 39 | 29 | 146 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 3 | 2 | 1 | 1 | 7 |
| Not Hispanic or Latino | 54 | 59 | 56 | 55 | 224 |
| Unknown or Not Reported | 4 | 0 | 2 | 2 | 8 |
| Race/Ethnicity, Customized(Participants) | Placebo | TD-1473 20 mg | TD-1473 80 mg | TD-1473 200 mg | Total |
|---|---|---|---|---|---|
| White | 48 | 50 | 51 | 51 | 200 |
| Black or African American | 1 | 0 | 0 | 0 | 1 |
| Asian | 9 | 11 | 6 | 6 | 32 |
| Other | 3 | 0 | 2 | 1 | 6 |
Showing the first 100 of 188 sites across 22 countries.
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