Visit 1 (Screening)
Visit interval tolerance (window) in days: ≤35
Notes: Procedures for screening (V1) may be conducted over more than 1 day as long as all activities are completed within the allowable visit tolerance. See Table 3 for activities at unscheduled visit or early discontinuation visit.
Consent, demographics, and IWRS
- Complete informed consentℹ
- Register visit with IWRS
- Staff explains, participant reports the normal number of stoolsℹ
- Inclusion/exclusion criteria; confirmation of eligibilityℹ
- Demographicsℹ
- Preexisting conditions and medical history, including relevant surgical historyℹ
- Prespecified medical historyℹ
- Prior treatment for indicationℹ
- Substance use (alcohol, caffeine, tobacco, nicotine)
- Concomitant medicationsℹ
- Adverse Events (AEs)ℹ
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
- Dispense diary
Participant education
- Diary educationℹ
- Subject trained on the importance of the daily diary completion
- Hematology
- Clinical chemistry
- Estimated glomerular filtration rate (eGFR)ℹ
- Urinalysis
- Serum pregnancyℹ
- Follicle-stimulating hormone (FSH)ℹ
- Tuberculosis (TB) testℹ
- HIV testing
- Hepatitis C Virus (HCV) screening testsℹ
- Hepatitis B Virus (HBV) screening testsℹ
- Hepatitis B (HBV) DNAℹ
- None
- Colonoscopy with biopsyℹ
- Confirm infection results are negative and available before the colonoscopy
- Confirm the patient is eligible based on the daily diary scores prior to bowel preparation
Planning Activities
- Schedule colonoscopy to be performed within ≤14 days prior to randomization
- Plan the randomization date with the patient
- Review inclusion criteria #8 (dysplasia assessment to be reported locally)
Alimentiv and EDC
- On the day the colonoscopy is performed, submit the colonoscopy video to Alimentiv
- Complete the local read score in EDC on the same day of the colonoscopy
- Do not change the local read score entry in EDC once entered
Signant Health – Tablet/TrialMax
- Participant reports the normal number of stools
- Enter the central read score into the Tablet (endoscopic findings score), complete the bowel preparation and procedure questions, and complete the eligibility requirements
- DO NOT ACTIVATE VISIT 2 until the day of the infusion when ready to randomize the subject
- Run the Signant Health Eligibility Report from TrialMax (making sure an IWRS code is available)
PPD Eligibility Pack Submission
- Complete the Targeted Eligibility Documents
- Include the TrialMax Eligibility Report
- Submit to the PPD Medical Monitor by epip (allow 48 hrs to obtain decision)
Visit 2 (Week 0)
Fasting Visit (See fasting instructions in Protocol Section 8.2.5)
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- Inflammatory Bowel Disease Questionnaire (IBDQ)
- Hospital Anxiety and Depression Scale (HADS)
- EQ-5D-5L
- Work Productivity and Activity Impairment Questionnaire: Ulcerative Colitis (WPAI:UC)
Clinician-administered assessments (electronic)
- Review ES, SF, and RB (UC disease activity score)
- Physician’s Global Assessment (PGA)
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Estimated glomerular filtration rate (eGFR)ℹ
- Urinalysis
- Lipidsℹ
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Immunoglobulin panel
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (ADA) (anti-LY antibodies) samplesℹ
- Fecal calprotectin
- Genetics sampleℹ
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
- Exploratory biomarker sample (colonic biopsy)ℹ
- None
Randomization and dosing-related activities
- Only invite the patient for randomization once the patient is eligible and the IWRS code is available
- Reminder: randomization must occur within the colonoscopy window (colonoscopy performed ≤14 days prior to randomization)
- Register visit with IWRS
- Randomization via IWRS (the Signant Health Eligibility Report will include an IWRS code which needs to be manually entered into IWRS by the blinded team to complete the randomization process)
- Administer study interventionℹ
- On the day of the infusion and randomization — Activate Visit 2 in the Tablet (do not activate before this day)
- Package numbers corresponding to each assigned IP package number assigned by IWRS
- Pharmacist confirms the packages in IWRS
Visit 3 (Week 2)
Visit interval tolerance (window) in days: ±3
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (ADA) (anti-LY antibodies) samplesℹ
- None
- Exploratory biomarker samples (serum, plasma)
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 4 (Week 4)
Visit interval tolerance (window) in days: ±3
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Immunoglobulin panel
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (ADA) (anti-LY antibodies) samplesℹ
- Fecal calprotectin
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 5 (Week 6)
Visit interval tolerance (window) in days: ±3
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
- None
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 6 (Week 8)
Visit interval tolerance (window) in days: ±3
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (ADA) (anti-LY antibodies) samplesℹ
- Fecal calprotectin
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 7 (Week 10)
Visit interval tolerance (window) in days: ±3
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
Participant education
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Pharmacokinetics (PK) samplesℹ
- None
- None
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 8 (Week 12)
Visit interval tolerance (window) in days: -7 to +14
Fasting Visit (See fasting instructions in Protocol Section 8.2.5)
Notes: Procedures for screening Week 12 (V8) may be conducted over more than 1 day as long as all activities are completed within the allowable visit tolerance. See Table 3 for activities at unscheduled visit or early discontinuation visit.
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- Patient Global Impression of Change (PGI-C)
- Inflammatory Bowel Disease Questionnaire (IBDQ)
- Hospital Anxiety and Depression Scale (HADS)
- EQ-5D-5L
- Work Productivity and Activity Impairment Questionnaire: Ulcerative Colitis (WPAI:UC)
Clinician-administered assessments (electronic)
- Review ES, SF, and RB (UC disease activity score)
- Physician’s Global Assessment (PGA)
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- Subject to be trained on the importance of the daily diary completion
- Hematology
- Clinical chemistry
- Urinalysis
- Lipidsℹ
- Urine pregnancy test (local)ℹ
- Hepatitis B (HBV) DNAℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Immunoglobulin panel
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (ADA) (anti-LY antibodies) samplesℹ
- Fecal calprotectin
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
- Exploratory biomarker sample (colonic biopsy)ℹ
- Colonoscopy with biopsyℹ
- Essential to ensure the patient daily diary scores are available prior to the colonoscopy
Randomization and dosing-related activities
- Only invite the patient for the Visit 8 infusion once the patient is eligible and the IWRS code is available
- Register visit with IWRS
- Assign maintenance treatment via IWRS (the Signant Health Responder/Non Responder report will generate a IWRS code that must be manually entered into the IWRS system by the blinded team to ensure study drug is dispensed)ℹ
- Administer study interventionℹ
- On the day of the infusion, Activate Visit 8 in the Tablet (do not activate before this day)
- Package numbers corresponding to each assigned IP package number assigned by IWRS
- Pharmacist confirms the packages in IWRS
Planning Activities
- Schedule colonoscopy to be performed as early as possible within the -7 to +14 day window
- Plan Visit 8 with the patient (at least 2 different days on site required)
Alimentiv and EDC
- On the day the colonoscopy is performed, submit the colonoscopy video to Alimentiv
- Complete the local read score in EDC on the same day of the colonoscopy
- Once the local read score is entered in EDC, do not change the score
Signant Health – Tablet/TrialMax
- Enter the central read score into the Tablet (endoscopic findings score), complete the bowel preparation and procedure questions
- DO NOT ACTIVATE VISIT 8 until the day of the infusion when ready to infuse the subject
- Run the Signant Health Responder / Non-Responder Report from TrialMax (making sure an IWRS code is available); Please note that this IWRS code will need to be entered into IWRS to ensure study drug is dispensed
Maintenance Period
(SoA Table 2)
Visit 9 (Week 16)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urinalysis
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (anti-LY antibodies)ℹ
- Fecal calprotectin
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker sample (fecal [stool])
Biopsy tests and sample collections
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 10 (Week 20)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Pharmacokinetics (PK) samplesℹ
- None
Biopsy tests and sample collections
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 11 (Week 24)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- Patient Global Impression of Change (PGI-C)
- Inflammatory Bowel Disease Questionnaire (IBDQ)
- Hospital Anxiety and Depression Scale (HADS)
- EQ-5D-5L
- Work Productivity and Activity Impairment Questionnaire: Ulcerative Colitis (WPAI:UC)
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Hepatitis B (HBV) DNAℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 12 (Week 28)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (anti-LY antibodies)ℹ
- Exploratory biomarker samples (serum, plasma)
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 13 (Week 32)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
- None
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 14 (Week 36)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Hepatitis B (HBV) DNAℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (anti-LY antibodies)ℹ
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker sample (fecal [stool])
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 15 (Week 40)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
- None
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 16 (Week 44)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- None
- Exploratory biomarker samples (serum, plasma)
Biopsy tests and sample collections
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 17 (Week 48)
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
Participant education
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Hepatitis B (HBV) DNAℹ
- None
- None
Biopsy tests and sample collections
- None
Randomization and dosing-related activities
- Register visit with IWRS
- Administer study interventionℹ
Visit 18 (Week 52)
Visit interval tolerance (window) in days: ±7
Fasting Visit (See fasting instructions in Protocol Section 8.2.5)
Notes: Procedures for Week 52 (V18) may be conducted over more than 1 day as long as all activities are completed within the allowable visit tolerance. See Table 3 for activities at unscheduled visit or early discontinuation visit.
Consent and demographics
- Substance use (alcohol, caffeine, tobacco, nicotine)
- Concomitant medicationsℹ
- Adverse Events (AEs)ℹ
Physical evaluation
Patient-reported outcomes (electronic)
- Patient Global Impression of Change (PGI-C)
- Inflammatory Bowel Disease Questionnaire (IBDQ)
- Hospital Anxiety and Depression Scale (HADS)
- EQ-5D-5L
- Work Productivity and Activity Impairment Questionnaire: Ulcerative Colitis (WPAI:UC)
Clinician-administered assessments (electronic)
- Review ES, SF, and RB (UC disease activity score)
- Physician’s Global Assessment (PGA)
Clinician-administered assessments (paper)
Participant diary (electronic)
Participant education
- None
- Hematology
- Clinical chemistry
- Lipidsℹ
- Urine pregnancy test (local)ℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Immunoglobulin panel
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (anti-LY antibodies)ℹ
- Fecal calprotectin
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
- Exploratory biomarker sample (colonic biopsy)ℹ
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
Signant Health – Tablet/TrialMax
- Enter the central read score into the Tablet (endoscopic findings score), complete the bowel preparation and procedure questions
Follow-up Period, Early Discontinuation Visit, and Unscheduled Visit (SoA Table 3)
Visit 801 (Week 56)
8 weeks after last dose. Follow-up visits are required for all randomly assigned participants.
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
Laboratory tests and sample collections
- Hematology
- Clinical chemistry
Stool test and sample collections
- None
Stored samples
- None
Biopsy tests and sample collections
- None
Randomization and dosing-related activities
- Register visit with IWRS
Visit 802 (Week 64)
16 weeks after last dose. Follow-up visits are required for all randomly assigned participants.
Visit interval tolerance (window) in days: ±7
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- Inflammatory Bowel Disease Questionnaire (IBDQ)
Clinician-administered assessments (electronic)
- None
Clinician-administered assessments (paper)
Participant diary (electronic)
- Diary reviewℹ
- Diary return
Laboratory tests and sample collections
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Hepatitis B (HBV) DNAℹ
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (ADA) (anti-LY antibodies) samplesℹ
Stool test and sample collections
- None
Stored samples
- None
Biopsy tests and sample collections
- None
Randomization and dosing-related activities
- Register visit with IWRS
Early Discontinuation Visit (EDV)
Consent and demographics
- Substance use (alcohol, caffeine, tobacco, nicotine)
- Concomitant medicationsℹ
- Adverse Events (AEs)ℹ
Physical evaluation
Patient-reported outcomes (electronic)
- Patient Global Impression of Change (PGI-C)
- Inflammatory Bowel Disease Questionnaire (IBDQ)
- Hospital Anxiety and Depression Scale (HADS)
- EQ-5D-5L
- Work Productivity and Activity Impairment Questionnaire: Ulcerative Colitis (WPAI:UC)
Clinician-administered assessments (electronic)
- Review SF, RB, and ES (UC disease activity score)
- Physician’s Global Assessment (PGA)
Clinician-administered assessments (paper)
Participant diary (electronic)
- Diary reviewℹ
- Diary return
Laboratory tests and sample collections
- Hematology
- Clinical chemistry
- Urine pregnancy test (local)ℹ
- Hepatitis B (HBV) DNAℹ
- C-reactive protein, high sensitivity (hs-CRP)
- Interleukin 8 (IL-8)
- Pharmacokinetics (PK) samplesℹ
- Immunogenicity (anti-LY antibodies)ℹ
Stool test and sample collections
- Fecal calprotectin
Stored samples
- Exploratory biomarker samples (serum, plasma)
- Exploratory biomarker samples (whole blood)
- Exploratory biomarker sample (fecal [stool])
- Exploratory biomarker sample (colonic biopsy)ℹ
Biopsy tests and sample collections
Randomization and dosing-related activities
- Register visit with IWRS
Signant Health – Tablet/TrialMax
- Enter the central read score into the Tablet (endoscopic findings score), complete the bowel preparation and procedure questions
Unscheduled Visit (UV)
Consent and demographics
Physical evaluation
Patient-reported outcomes (electronic)
- None
Clinician-administered assessments (electronic)
Clinician-administered assessments (paper)
- None
Participant diary (electronic)
- None
Laboratory tests and sample collections
- None
Stool test and sample collections
- None
Stored samples
- None
Biopsy tests and sample collections
Randomization and dosing-related activities
- None
Signant Health – Tablet/TrialMax
- Enter the central read score into the Tablet (endoscopic findings score), complete the bowel preparation and procedure questions