COMMIT-UC

Clinical Trial Title A Phase 3b, Randomized, Multicenter, Controlled Study of Mirikizumab and Placebo or Mirikizumab Concomitantly Administered with Tirzepatide in Adult Participants with Moderately to Severely Active Ulcerative Colitis and Obesity or Overweight
National Clinical Trial Number: NCT06937086

Clinical Trial Protocol Description:

The main purpose of this study is to show whether in these individuals, treatment with both mirikizumab and tirzepatide, compared with treatment with mirikizumab and placebo, leads to decrease or disappearance of ulcerative colitis (UC) symptoms, and loss of at least one-tenth of the overall body weight.

Participation in this study will last up to 61 weeks, including 52 weeks of treatment.

Clinical Trial Eligibility Criteria:

In order to participate you must meet the following criteria:

  • Have had an established diagnosis of UC for ≥3 months before baseline which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC.
  • Have moderately to severely active UC as defined by a modified Mayo score (mMS) of 5 to 9 points and endoscopic subscore (ES) of 2 to 3 (confirmed by central review) within 21 days before baseline.
  • Participants with a history of UC for greater than or equal to 8 years who have had a surveillance colonoscopy completed within 1 year prior to baseline must have documented negative results for colorectal dysplasia and cancer.
  • Are obese, as defined by having a body mass index (BMI) of 30 kilograms per meter squared (kg/m2).
  • Are overweight, as defined by having a BMI ≥27 kg/m2 to <30 kg/m2, and in the presence of at least 1 of these weight-related comorbid conditions:
    • Hypertension
    • Type 2 Diabetes Mellitus (T2DM)
    • Dyslipidemia
    • Obstructive sleep apnea
    • Cardiovascular disease
  • Have an inadequate response to, loss of response to, or intolerance to at least 1 of the conventional medication: oral corticosteroids, oral azathioprine (AZA) or 6-mercaptopurine (6-MP), or oral 5-aminosalicylates (for example, mesalamine, sulfasalazine, olsalazine, and balsalazide) and/or who have an inadequate response to or a loss of response to, or are intolerant to advanced therapy for UC, defined as: a biologic or biosimilar medication such as anti-tumor necrosis factor (TNF) antibodies; anti-integrin antibodies, Janus kinase (JAK) inhibitors such as tofacitinib or upadacitinib, sphingosine 1-phosphate receptor 1inhibitors such as etrasimod or ozanimod, or anti-interleukin(IL)-12p40 antibodies, for example, ustekinumab.

You will be excluded from the study if any of the following criteria apply to you:

  • Have a current diagnosis of at least one of the following:
    • Crohn's disease
    • Inflammatory bowel disease (IBD) unclassified (formerly known as indeterminate colitis)
    • Primary sclerosing cholangitis
  • Have had or will need bowel resection or intestinal or intra-abdominal surgery.
  • Have evidence of toxic megacolon, or stricture or stenosis within the colon that cannot be traversed by a sigmoidoscope or colonoscope.
  • Have a diagnosis of Type 1 Diabetes Mellitus (T1DM) or have insulin-treated T2DM.
  • Have a history of severe hypoglycemia and/or hypoglycemia unawareness within the 6 months prior to screening.
  • Have a self-reported change in body weight greater than 5% (gain or reduction) within 3 months prior to screening.
  • Have a current or recent acute, active infection.

This is a partial list of eligibility requirements. To inquire about your eligibility, please call the contact number provided. If you wish to inquire via email, please include the title of the study in your message.

Study Details

Clinical Trial Investigator

Atsushi Sakuraba, MD

Contact Information

Yacob Fattout
Clinical Trial Location
Rush University Medical Center

Contact Information

Location

Rush University Medical Center

1620 W Harrison St
Chicago, IL 60612

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