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TerminatedNCT03800420Updated Mar 21, 2022Results posted

Efficacy and Safety of BBT-401-1S in Ulcerative Colitis

A Phase 2 interventional study of BBT-401-1S first and then Placebo and Placebo first and then BBT-401-1S in Ulcerative Colitis, sponsored by Bridge Biotherapeutics, Inc.. Terminated at 11 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-21.

Sponsored by Bridge Biotherapeutics, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
to carry out the rest of the study with new CRO and modified protocol as a multi-regional study.
Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is randomized, placebo-controlled, dose-escalation, multicenter, Phase 2 study to evaluate the efficacy and safety of BBT-401-1S in patients with active ulcerative colitis.

This study consists of three cohorts with 16-week treatment period per cohort that will be conducted sequentially.

02

Conditions studied

  • Ulcerative Colitis

Keywords

  • Pellino-1
03

In context

Colitis

1,073 studies on the registry are indexed under Colitis; 131 are open to participants now.

This study's enrollment of 16 is below the median of 60 across 771 interventional studies indexed under Colitis.

Browse Colitis studies →

Lead sponsor

Bridge Biotherapeutics, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 3 (33%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Provision of signed and dated informed consent form (ICF)
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Male or female, aged >=18 years
  • Diagnosed with active UC for at least 3 months prior to screening
  • Total Mayo score >=5 and Endoscopic sub-score >=1
  • Stable dosing regimens of oral drugs (if currently administered) as follows: 5-ASA or sulfasalazine at a stable dose for at least 4 weeks, purine analogues (azathioprine, mercaptopurine, thiopurines) or methotrexate at a stable dose for at least 12 weeks, and low-dose oral corticosteroid (up to 20 mg prednisone/day or equivalent) for at least 4 weeks prior to the first dose of study treatment. Doses of oral drugs must remain stable until the end of study treatment (with possible exception for tapering steroid dose after 8 weeks)
  • For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 3 months after the last dose
  • For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner during study participation and for an additional 3 months after the last dose

Exclusion criteria

Exclusion Criteria:

  • Use of anti-TNF-a biologics or any other biologics for treatment of UC within 60 days prior to randomization.
  • Any rectal therapy for treatment of UC or intravenous corticosteroids within 2 weeks prior to randomization.
  • Presence of Crohn's disease, indeterminate colitis, ischemic colitis, fulminant colitis, ulcerative proctitis, or toxic mega-colon
  • Previous extensive colonic resection (subtotal or total colectomy)
  • Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine
  • Evidence of or treatment for Clostridium difficile infection or other pathogenic bowel infection within 60 days or for another intestinal pathogen within 30 days prior to randomization
  • Active infection with the HIV or Hepatitis B or C viruses
  • Clinically significant active extra-intestinal infection (e.g., pneumonia, pyelonephritis)
  • Clinically significant abnormal vital signs, physical examination or 12-lead electrocardiogram (ECG) at screening or baseline
  • Clinically significant abnormal results of liver function tests (ALT/AST, bilirubin and alkaline phosphatase) > 2X the upper limit of normal (ULN) at screening
  • Other clinically significant abnormal laboratory results at screening in the investigator's opinion
  • History of any clinically significant medical condition that, in the investigator's opinion, would preclude participation in the study
  • Pregnancy or lactation
  • Treatment with another investigational drug or other intervention within 30 days prior to screening
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    BBT-401-1S

    BBT-401-1S, Oral capsule, QD

    Drug: BBT-401-1S first and then Placebo

  • Placebo comparator
    Placebo

    Placebo, Oral capsule, QD

    Drug: Placebo first and then BBT-401-1S

Interventions

  • DrugBBT-401-1S first and then Placebo

    Total 16 week treatment period: The subject takes BBT-401-1S, QD for the first 12 weeks, then placebo for the last 4 weeks.

  • DrugPlacebo first and then BBT-401-1S

    Total 16 week treatment period: The subject takes the placebo, QD for the first 8 weeks, then BBT-401-1S for the last 8 weeks.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Total Mayo Score

    The Total Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 12 points. The Total Mayo score consists of 4 subscores( Stool frequency, Rectal bleeding, Findings of endoscopy, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.

    Time frame: Week 8

Secondary outcomes

  1. Change From Baseline in Partial Mayo Score

    The Partial Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 9 points. The Partial Mayo score consists of 3 subscores( Stool frequency, Rectal bleeding, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.

    Time frame: Week 8

  2. Change From Baseline in Histologic Assessment of Endoscopic Biopsy

    Histological assessment of endoscopic biopsy is an appropriate method for evaluating mucosal healing (Carbonnel et al, 1994).

    Time frame: Week 8

  3. Change From Baseline in Ulcerative Colitis Endoscopic Index of Severity (0-8)

    The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) is the first validated index for the assessment of overall endoscopic activity. The model incorporates the vascular pattern score(0-2), the presence of bleeding score(0-3) and the presence of erosions and ulcers score (0-3). Higher score of the sum of these subscore indicates more severe disease.

    Time frame: Week 8

  4. Number and Severity of TEAEs

    Treatment Emergent Adverse Event (TEAE) is defined as an adverse event that occurs or worsens on or after the first dose of study drug.

    Time frame: up to 8 weeks after the last dose

  5. Plasma Concentration of BBT- 401-1S

    Analysis of Plasma Pharmacokinetics for BBT- 401 -1S

    Time frame: Day 1, Week 4, Week 8

  6. Change From Baseline in Concentration of Serum CRP

    Widely used serum indicator of inflammation in Ulcerative Colitis(UC).

    Time frame: Week 8

  7. Change From Baseline in Concentration of Fecal Calprotectin

    Reliable surrogate marker for disease activity in Ulcerative Colitis (UC).

    Time frame: Week 8

  8. Change From Baseline in Concentration of Fecal Lactoferrin

    A stool (fecal) test that is used to detect inflammation in the intestines.

    Time frame: Week 8

07

Results

Posted Mar 21, 2022

Participant flow

Participant flow — Overall Study
MilestoneBBT-401-1SPlacebo
Started124
Completed103
Not completed21

Outcome measures

PrimaryChange From Baseline in Total Mayo Score

The Total Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 12 points. The Total Mayo score consists of 4 subscores( Stool frequency, Rectal bleeding, Findings of endoscopy, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.

Time frame:
Week 8

No measurements were reported for this outcome.

SecondaryChange From Baseline in Partial Mayo Score

The Partial Mayo score is an instrument designed to measure disease activity of ulcerative colitis, with scores ranging from 0 to 9 points. The Partial Mayo score consists of 3 subscores( Stool frequency, Rectal bleeding, Physician global assessment), each graded from 0 to 3 with higher scores indicating more severe disease.

Time frame:
Week 8

No measurements were reported for this outcome.

SecondaryChange From Baseline in Histologic Assessment of Endoscopic Biopsy

Histological assessment of endoscopic biopsy is an appropriate method for evaluating mucosal healing (Carbonnel et al, 1994).

Time frame:
Week 8

No measurements were reported for this outcome.

SecondaryChange From Baseline in Ulcerative Colitis Endoscopic Index of Severity (0-8)

The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) is the first validated index for the assessment of overall endoscopic activity. The model incorporates the vascular pattern score(0-2), the presence of bleeding score(0-3) and the presence of erosions and ulcers score (0-3). Higher score of the sum of these subscore indicates more severe disease.

Time frame:
Week 8

No measurements were reported for this outcome.

SecondaryNumber and Severity of TEAEs

Treatment Emergent Adverse Event (TEAE) is defined as an adverse event that occurs or worsens on or after the first dose of study drug.

Time frame:
up to 8 weeks after the last dose
Reported as:
Number · Number of events
Number and Severity of TEAEs
Number of eventsBBT-401-1SPlacebo
Abdominal pain10
Gastrointestinal tract mucosal pigmentation10
Haemorrhoids10
Melaena10
Nasopharyngitis10
Onychomycosis10
Condition aggravated10
SecondaryPlasma Concentration of BBT- 401-1S

Analysis of Plasma Pharmacokinetics for BBT- 401 -1S

Time frame:
Day 1, Week 4, Week 8
Reported as:
Mean · ng/ml
Plasma Concentration of BBT- 401-1S
ng/mlBBT-401-1SPlacebo
Plasma Concentration of BBT- 401-1SNA (NA to NA)NA (NA to NA)
SecondaryChange From Baseline in Concentration of Serum CRP

Widely used serum indicator of inflammation in Ulcerative Colitis(UC).

Time frame:
Week 8

No measurements were reported for this outcome.

SecondaryChange From Baseline in Concentration of Fecal Calprotectin

Reliable surrogate marker for disease activity in Ulcerative Colitis (UC).

Time frame:
Week 8

No measurements were reported for this outcome.

SecondaryChange From Baseline in Concentration of Fecal Lactoferrin

A stool (fecal) test that is used to detect inflammation in the intestines.

Time frame:
Week 8

No measurements were reported for this outcome.

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BBT-401-1S0/12 (0%)0/12 (0%)8/12 (66.7%)
Placebo0/4 (0%)0/4 (0%)1/4 (25%)
Most frequent other events
Showing 10 of 12
Most frequent other events
EventBBT-401-1SPlacebo
NasopharyngitisInfections and infestations2/121/4
Colitis ulcerativeGastrointestinal disorders2/120/4
Abdominal painGastrointestinal disorders1/120/4
FlatulenceGastrointestinal disorders1/120/4
Gastrointestinal tract mucosal pigmentationGastrointestinal disorders1/120/4
HaemorrhoidsGastrointestinal disorders1/120/4
MelaenaGastrointestinal disorders1/120/4
OnychomycosisInfections and infestations1/120/4
Condition aggravatedGeneral disorders1/120/4
Faecal calprotectin increasedInvestigations1/120/4

Baseline characteristics

subjects who were randomized

Age, Categorical
Age, Categorical(Participants)BBT-401-1SPlaceboTotal
<=18 years000
Between 18 and 65 years11415
>=65 years101
Sex: Female, Male
Sex: Female, Male(Participants)BBT-401-1SPlaceboTotal
Female415
Male8311
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)BBT-401-1SPlaceboTotal
Race — White11415
Race — Mixed (White/Black)101
08

Study locations

11 sites
  • Site 03
    Sacramento, California 95821, United States
  • Site 01
    Ventura, California 93003, United States
  • Site 11
    Boca Raton, Florida 33487, United States
  • Site 12
    Pembroke Pines, Florida 33029, United States
  • Site 04
    Rockville, Maryland 20850, United States
  • Site 10
    Ann Arbor, Michigan 48109, United States
  • Site 02
    Monroe, North Carolina 28112, United States
  • Site 08
    Chattanooga, Tennessee 37421, United States
  • Site 05
    Austin, Texas 78705, United States
  • Site 13
    McAllen, Texas 78503, United States
  • Site 09
    Seattle, Washington 98195, United States
09

References and documents

Study documents

  • Study protocol · Jul 19, 2019
  • Statistical analysis plan · Jul 22, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03800420
Lead sponsor
Bridge Biotherapeutics, Inc.
Collaborators
KCRN Research, LLC
Responsible party
Sponsor
First posted
Jan 11, 2019
Start date
Apr 22, 2019
Primary completion
May 18, 2020
Completion
Jul 31, 2020
Results posted
Mar 21, 2022
Last update
Mar 21, 2022

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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