Efficacy and Safety of MEDI2070, an Antibody Against Interleukin 23, in Patients With Moderate to Severe Crohn’s Disease: A Phase 2a Study
Open accessAbstract
BACKGROUND & AIMS: MEDI2070 is a human monoclonal antibody that selectively inhibits interleukin 23 (IL23), a cytokine implicated in the pathogenesis of Crohn's disease (CD). We analyzed its safety and efficacy in treatment of CD in a phase 2a study. METHODS: We conducted a double-blind, placebo-controlled study of 119 adults with moderate to severe CD failed by treatment with tumor necrosis factor antagonists. Patients were randomly assigned (1:1) to groups given MEDI2070 (700 mg) or placebo intravenously at weeks 0 and 4. Patients received open-label MEDI2070 (210 mg) subcutaneously every 4 weeks from weeks 12 to 112. The CD Activity Index was used to measure disease activity. RESULTS: The primary outcome, clinical response (either a 100-point decrease in CD Activity Index score from baseline or clinical remission, defined as CD Activity Index score <150) at week 8 occurred in 49.2% of patients receiving MEDI2070 (n = 59) compared with 26.7% receiving placebo (n = 60; absolute difference, 22.5%; 95% confidence interval, 5.6%-39.5%; P = .010). Clinical response at week 24 occurred in 53.8% of patients who continued to receive open-label MEDI2070 and in 57.7% of patients who had received placebo during the double-blind period and open-label MEDI2070 thereafter. The most common adverse events were headache and nasopharyngitis. Higher baseline serum concentrations of IL22, a cytokine whose expression is induced by IL23, were associated with greater likelihood of response to MEDI2070 compared with placebo. CONCLUSIONS: In a phase 2a trial of patients with moderate to severe Crohn's disease who had failed treatment with tumor necrosis factor antagonists, 8 and 24 weeks of treatment with MEDI2070 were associated with clinical improvement. ClinicalTrials.gov ID: NCT01714726.
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- Robert Hardi (Metropolitan Gastroenterology Group, Chevy Chase, MD), John Hanson (Charlotte Gastroenterology & Hepatology, Charlotte, NC), Peter Higgins (University of Michigan Health Care System, Ann Arbor, MI), David Kerman (University of Miami, Miami, FL), Bruce Sands (Icahn School of Medicine at Mount Sinai, New York, NY), Cynthia Schaeffer (Precision Research Institute, Chula Vista, CA), Ellen Scherl (Weill Medical College, New York, NY), Shahriar Sedghi (Gastroenterology Associates of Central Georgia, Macon, GA), Ira Shafran (Shafran Gastroenterology Center, Winter Park, FL), and John Weber (Troy Internal Medicine PC, Troy, MI). Ethics Committees/Internal Review Boards That Approved the Study Protocol (With Study Approval Numbers) Canada: IRB Services, Autora, ON; Mount Sinai Hospital Ethics Committee, Toronto, ON; Ontario Hall Queens Uni- versity, Kingston, ON; Ottawa Health Science Network Research Ethics Board, Ottawa, ON; University of Alberta Health Research Ethics Board, Edmonton, AB; Western University REB, London, ON; Protocol approval numbers do not apply in Canada. Czech Republic: Ethics Committee FN Hradec Kralove, Hradec Kralove (201302 D02M); Eticka Komise ISCARE, Praha 7 (52/a); Eticka Komise Fakultni Nemocnice Kra- lovske Vinohrady, Praha 10 (KH/76/0/2012);
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- Authors
- Sands, B. E., Chen, J., Feagan, B. G., Penney, M., Rees, W. A., Danese, S., Higgins, P. D. R., Newbold, P., Faggioni, R., Patra, K., Li, J., Klekotka, P., Morehouse, C., Pulkstenis, E., Drappa, J., van der Merwe, R., & Gasser, R. A.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Western University (CA)
- University of Michigan (US)
- Amgen (United States) (US)
- Corresponding author
- Sands, Bruce E.
- ORCID
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 153
- Issue
- 1
- Pages
- 77-86.e6
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W2604523348
- Cited by
- 279
- References
- 26
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 25 · 2023: 36 · 2022: 35 · 2021: 34 · 2020: 35 · 2019: 50 · 2018: 40 · 2017: 5
- FWCI
- 23.63
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Gastroenterology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, cc-by-nc-nd)
- Zenodo (CERN European Organization for Nuclear Research) (public-domain)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Keywords
- interleukin-23 inhibition, Crohn's disease, monoclonal antibodies, clinical response, clinical remission, CD activity index, IL-22, treatment safety, biologic therapy
- MeSH terms
- Interleukin-22, Adult, Antibodies, Monoclonal, Crohn Disease, Double-Blind Method, Female, Headache, Humans, Interleukins, Male, Middle Aged, Nasopharyngitis, Severity of Illness Index, Treatment Outcome, Retreatment, Interleukin-23, Young Adult, Antibodies, Monoclonal, Humanized
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