Clinical Trials /

A Study of JNJ-64251330 in Participants With Familial Adenomatous Polyposis

NCT05014360

Description:

The purpose of this study is to determine the effect of JNJ-64251330 in participants with Familial Adenomatous Polyposis (FAP) on colorectal polyp burden (sum of the polyp diameters).

Related Conditions:
  • Familial Adenomatous Polyposis
Recruiting Status:

Not yet recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study of JNJ-64251330 in Participants With Familial Adenomatous Polyposis
  • Official Title: A Phase 1b Study to Evaluate the Efficacy and Safety of JNJ-64251330, a Janus Kinase (JAK) Inhibitor, in Participants With Familial Adenomatous Polyposis

Clinical Trial IDs

  • ORG STUDY ID: CR109012
  • SECONDARY ID: 2021-001068-16
  • SECONDARY ID: 64251330COR1001
  • NCT ID: NCT05014360

Conditions

  • Adenomatous Polyposis Coli

Interventions

DrugSynonymsArms
JNJ-64251330LorpucitinibJNJ-64251330

Purpose

The purpose of this study is to determine the effect of JNJ-64251330 in participants with Familial Adenomatous Polyposis (FAP) on colorectal polyp burden (sum of the polyp diameters).

Detailed Description

      Familial adenomatous polyposis (FAP) is the most common polyposis syndrome. It is an
      autosomal dominant inherited disorder characterized by the early onset of hundreds to
      thousands of adenomatous polyps throughout the colon. JNJ-64251330 (lorpucitinib) is an oral,
      small molecule, potent pan-janus kinase (JAK) inhibitor that blocks phosphorylation of Signal
      Transducer and Activator of Transcription (STAT) proteins. pSTAT induces transcription of
      multiple genes involved in the progression of inflammatory disease. JNJ-64251330 has chemical
      properties that limits the amount of drug in the blood while delivering the drug to the
      tissues of the gut. Local inhibition of JAK in the gut may present a promising method to
      treat inflammatory diseases of the intestinal tract, such as FAP. The study consists of 3
      phases: screening phase (30 days) a treatment phase (24 weeks), and follow-up visit (up to 30
      days after last dose of study drug). The total duration of the study will be up to 32 weeks.
      Study evaluations will include efficacy via endoscopies, safety (monitoring of adverse events
      (AE), serious adverse events (SAEs), events of infections including tuberculosis (TB),
      clinical laboratory blood tests (complete blood count and serum chemistries), vital signs,
      and concomitant medication review), pharmacokinetics, pharmacodynamic and biomarkers
      evaluations.
    

Trial Arms

NameTypeDescriptionInterventions
JNJ-64251330ExperimentalParticipants will receive oral dose of JNJ-64251330 twice daily for 24 Weeks.
  • JNJ-64251330

Eligibility Criteria

        Inclusion Criteria:

          -  Genetic diagnosis of classical familial adenomatous polyposis (FAP) (adenomatous
             polyposis coli [APC] germline mutation or obligate carrier) with disease involvement
             of the colorectum

          -  At least 6 polyps greater than or equal to (>=) 2 millimeters (mm) in diameter in the
             rectum or colon

          -  A female participant of childbearing potential must have a negative highly sensitive
             pregnancy test at screening and within 72 hours prior to the first dose of study drug
             and must agree to further pregnancy tests during the study

          -  A male participant must agree not to donate sperm for the purpose of reproduction
             during the study and for a minimum of 90 days after receiving the last dose of study
             drug

          -  Must sign an informed consent form (ICF) indicating he or she understands the purpose
             of the study and procedures required for the study and is willing to participate in
             the study. Consent is to be obtained prior to the initiation of any study-related
             tests or procedures that are not part of standard of care for the participant's
             disease

        Exclusion Criteria:

          -  Use of non-steroidal anti-inflammatory drugs (example, aspirin, ibuprofen) exceeding 5
             days per month, unless completes a 4-week washout period prior to the first dose of
             study drug

          -  Treatment with other FAP-directed drug therapy (including sulindac or celecoxib),
             unless completes a 4-week washout period prior to the first dose of study drug

          -  History of human immunodeficiency virus (HIV)

          -  History of severe, progressive, or uncontrolled renal, genitourinary, hepatic,
             hematologic, endocrine, cardiac, vascular (including increased risk of thrombosis),
             pulmonary, rheumatologic, neurologic, psychiatric, or metabolic disturbances, or signs
             and symptoms thereof

          -  A history of, or ongoing, chronic or recurrent infectious disease including latent or
             active tuberculosis (TB)
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage Change from Baseline in Colorectal Polyp Burden for all Polyps at Week 24
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change from baseline in colorectal polyp burden for all polyps (the sum of the polyp diameters) at Week 24 will be reported.

Secondary Outcome Measures

Measure:Percentage Change in Number of Colon Polyps
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in number of colon polyps will be reported.
Measure:Percentage Change in Number of Rectal Polyps
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in number of rectal polyps will be reported.
Measure:Percentage Change in Number of J-pouch Polyps
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in number of J-pouch polyps (for participants with an ileal pouch-anal anastomosis [IPAA]) will be reported.
Measure:Percentage Change in Number of Duodenal Polyps
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in number of duodenal polyps will be reported.
Measure:Percentage Change in Colon Polyp Burden for all Polyps, Polyps >=2 mm and Polyps >=5 mm
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in colon polyp burden for all polyps, polyps >=2 mm and polyps >=5 mm will be reported.
Measure:Percentage Change in Rectal Polyp Burden for all Polyps, Polyps >=2 mm and Polyps >=5 mm
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in rectal polyp burden for all polyps, polyps >=2 mm and polyps >=5 mm will be reported.
Measure:Percentage Change in J-Pouch Polyp Burden for all Polyps, Polyps >=2 mm and Polyps >=5 mm
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in J-Pouch polyp (for participants with an IPAA) burden for all polyps, polyps >=2 mm and polyps >=5 mm will be reported.
Measure:Percentage Change in Duodenal Polyp Burden for all Polyps, Polyps >=2 mm and Polyps >=5 mm
Time Frame:Baseline and Week 24
Safety Issue:
Description:Percentage change in duodenal polyp burden for all polyps, polyps >=2 mm and polyps >=5 mm will be reported.
Measure:Change in International Society for Gastrointestinal Hereditary Tumors (InSiGHT) Polyposis Stage (with and Without Colon)
Time Frame:Baseline and Week 24
Safety Issue:
Description:Change in InSiGHT stage will be reported. Various stages are defined as: a) With Colon: Stage 0: 0-10 polyps,all less than [<]5mm); Stage 1: 20-200 polyps,most <5 mm, none, >1 centimeters[cm]; Stage 2: 200-500 polyps,<10 that are >1 cm; Stage 3: 500-1000 polyps or any number if there are 10-50 that are >1 cm and amenable to complete polypectomy; Stage 4: >1000 polyps and/or any polyps grown to confluence and not amenable to simple polypectomy, any invasive cancer; b) Without Colon: Stage 0: 0 -10 polyps, all <5 mm; Stage 1: 10-25 polyps most <5 mm, none >1 cm; Stage 2: 10-25 polyps, any >1 amenable to complete removal; Stage 3: >25 polyps amenable to complete removal, or any incompletely removed sessile polyp, or any evidence of high-grade dysplasia (HGD), even if completely excised; Stage 4: >25 polyps not amenable complete removal, or any incompletely excised sessile polyp showing HGD; any invasive cancer.
Measure:Change in Spigelman Stage Score
Time Frame:Baseline and Week 24
Safety Issue:
Description:Change in Spigelman stage score will be reported. Spigelman classification system measures risk of developing duodenal cancer in familial adenomatous polyposis (FAP). It has been classified in following stages- Stage 0 (0 points); Stage 1 (1-4 points); Stage 2 (5-6 points); Stage 3 (7-8 points); and Stage 4 (9-12 points). The total score ranges from 0 to 12. The higher the score, the more severe or advanced the FAP disease in the duodenum.
Measure:Number of Participants with Adverse Events (AEs)
Time Frame:Up to 32 weeks
Safety Issue:
Description:An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Measure:Number of Participants with AEs by Severity
Time Frame:Up to 32 weeks
Safety Issue:
Description:Number of participants with AEs by severity will be reported. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening and Grade 5= Death related to AE.
Measure:Plasma Concentration of JNJ-64251330 Over Time
Time Frame:Up to Week 24
Safety Issue:
Description:Plasma samples will be analyzed to determine plasma concentrations of JNJ-64251330 using a validated specific, and sensitive liquid chromatography coupled to tandem mass spectrometry detection (LC-MS/MS).
Measure:Tissue Concentration of JNJ-64251330 Over Time
Time Frame:Up to Week 24
Safety Issue:
Description:Tissue biopsy samples will be analyzed to determine tissue concentrations of JNJ-64251330 using a validated specific, and sensitive LC-MS/MS.
Measure:Levels of JAK/STAT Pathway Signaling Effector Proteins including pSTAT-3 Relative to Baseline Levels in Colorectal Polyps
Time Frame:Up to Week 24
Safety Issue:
Description:Levels of Pan-janus kinase (JAK)/ signal transducer and activator of transcription (STAT) pathway signaling effector proteins including phosphorylated (p) STAT-3 relative to baseline levels in colorectal polyps will be reported. Polyp and tissue samples will be collected to monitor for changes to the JAK-STAT pathway.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Not yet recruiting
Lead Sponsor:Janssen Research & Development, LLC

Last Updated

August 20, 2021