Measuring changes in intestinal uptake of a radioligand in Crohn's disease patients after AZD7798 treatment

A Phase Ib Open Label Positron Emission Tomography Study to Assess Changes in Intestinal [11C]AZ14132516 Uptake Following Administration of Multiple Doses of AZD7798 to Patients With Crohn's Disease.

This study is testing if a new treatment called AZD7798 can improve how the intestines absorb a special imaging agent in people with active Crohn's disease.

Quick facts

• Phase: Phase 1
• Study type: Interventional
• Enrollment: 12 (estimated)
• Ages: 20 Years to 80 Years
• Sex: All
• Sponsor: AstraZeneca (Industry-sponsored)
• Drugs / interventions: vedolizumab, ustekinumab, rituximab, prednisone
• Locations: 1 site (Stockholm)
• Trial ID: NCT06432764 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the changes in the intestinal uptake of the radioligand [11C]AZ14132516 following the administration of multiple doses of AZD7798 in patients diagnosed with Crohn's disease. Participants will undergo imaging to assess the uptake of the radioligand, which may provide insights into the effectiveness of AZD7798 in treating active Crohn's disease. The study focuses on individuals with confirmed small bowel involvement and active disease, as determined by imaging or other clinical criteria.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 20 to 80 with confirmed Crohn's disease and evidence of active inflammation.

Not a fit: Patients without active Crohn's disease or those who do not meet the specified age and diagnostic criteria may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment options for patients with Crohn's disease by providing insights into the effectiveness of AZD7798.

How similar studies have performed: While this specific approach is novel, similar studies using imaging techniques to assess treatment effects in Crohn's disease have shown promise.

Eligibility criteria

Inclusion Criteria:

* Participant must be ≥ 20 to 80 years of age, inclusive, at the time of signing the informed consent.
* Participants with confirmed Crohn's disease with small bowel involvement (Montreal terminal ileum \[L1\] or ileocolon \[L3\]) per study gastroenterologist (diagnosed via combination of clinical findings and at least one of endoscopy and/or histology and/or imaging) with diagnosis made at least 6 months before screening.
* Participants with active Crohn's disease as determined by one of the following:

  1. Evidence of active inflammation on cross-sectional imaging (CT, MRI or bowel ultrasound scan) or endoscopy within 6 months before screening OR EITHER
  2. If no cross-sectional imaging or endoscopy performed within 6 months before screening, a bowel ultrasound scan may be performed to confirm active disease OR
  3. If no cross-sectional imaging or endoscopy performed within 6 months before screening, elevated faecal calprotectin AND CRP
* Body habitus compatible with PET examination.
* Contraceptive use by males or females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
* Capable of giving signed informed consent
* Able and willing to participate in all scheduled evaluations, abide by all study restrictions, and complete all required tests and procedures.

Exclusion Criteria:

* Other form of IBD or concomitant, additional, active GI luminal inflammatory diseases.
* CMV colitis within 12 months before screening.
* Crohn's complications including short bowel syndrome, strictures that are symptomatic or with pre-stenotic dilatation or other conditions where surgery anticipated during study period.
* Planned bowel or perianal surgery within 6 months before screening.
* Bowel resection surgery within 6 months before screening.
* Undrained fistula or abscess (including active perianal disease).
* Positive Clostridium difficile toxin test during screening.
* Current significant major or unstable respiratory disease, heart disease, cerebrovascular disease, haematological disease, hepatic disease, renal disease, GI disease, or other major diseases other than active Crohn's disease and associated extra-intestinal manifestations.
* Ongoing psychiatric conditions that in the opinion of the Investigator, precludes study participation.
* History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, as judged by the Investigator, or history of hypersensitivity to biologic therapies.
* Participants with unstable hypertension (as judged by the Investigator) or symptomatic hypotension, history of pre-syncope or syncope due to orthostatic hypotension and/or induced by change of posture.
* Significant abnormalities on clinical examination, including neurological and physical examination, vital signs, and ECG, other than signs of Crohn's disease.
* Clinical chemistry, haematology, or urine analysis results that may interfere with the study or present a safety risk to the participant.
* Abnormal vital signs, after 10 minutes of supine rest as judged by the Investigator.
* Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG that may interfere with the interpretation of QTc changes.
* Positive hepatitis B, hepatitis C, or HIV serology
* Treatment with an anti-TNF within 8 weeks of the first dose and throughout the study period, before the first dose and throughout study period, unless therapeutic drug monitoring is performed, and drug concentrations are undetectable.
* Treatment with any biologic, other than an anti-TNF (including vedolizumab and ustekinumab) within 12 weeks prior to first dose and throughout the study period, unless therapeutic drug monitoring is performed, and drug concentrations are undetectable.
* Treatment with rituximab within 12 months before first dose and throughout the study period.
* Treatment with Sphigosine-1-phosphate receptor modulators or Janus kinase inhibitors within 4 weeks before first dose and throughout the study period.
* Treatment with apheresis (eg, Adacolumn, Cellsorba) within 2 weeks prior to first dose and throughout the study period.
* Treatment with corticosteroids at a total daily dose of greater than 20 mg prednisone or equivalent (greater than 9 mg budesonide).
* Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or site staff).
* Judgement by the Investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements.
* Suffers from claustrophobia that limits the ability to undergo the scanning procedure.
* Positive SARS-CoV-2 rapid antigen test at screening.
* Any other reason that, in the study Investigator opinion, prohibits the inclusion of the participants into the study.
* Judgement by the Investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements.
* Live or attenuated vaccine within 4 weeks before screening and until 12 weeks after the end of the follow-up period (1 year for Bacillus Calmette-Guérin vaccination).
* An active infection, or history of serious infection within 28 days before screening.
* History of symptomatic herpes simplex (excluding cold sores) or herpes zoster infection within 3 months prior to screening.
* Positive or indeterminate TB QuantiFERON test performed within 1 year of screening (without known interval exposure to TB) or during screening period unless evidence of completion of full treatment course for latent TB with no clinical symptoms or signs indicative of re activation.
* Chest x-ray with signs of malignancy or latent or active TB infection performed within 1 year of screening (without known interval exposure to TB) or during screening period.
* Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 30 days/5 half-lives, whichever is longer, of the first administration of IMP in this study. The period of exclusion begins 30 days/5 half-lives after the final dose, whichever is longer, .
* Current malignancy or history of malignancy, except for:

  1. Basal cell carcinoma, localised squamous cell carcinoma of the skin or in situ carcinoma of the cervix are eligible provided that the participant is in remission and curative therapy was completed at least 12 months prior to screening.
  2. Other non-GI malignancies are eligible provided that the participant is in remission and curative therapy was completed at least 5 years before screening.
* For females only: Currently pregnant (confirmed with positive pregnancy test) or breastfeeding.

Where this trial is running

Stockholm

• Research Site — Stockholm, Sweden (Recruiting)

Study contacts

• Principal investigator: Maria Creignou — Karolinska University Hospital
• Study coordinator: AstraZeneca Clinical Study Information Center

Conditions Crohn Disease