Evidence map›Paper›PMID 36208720›Full record

Trial reportContemporary clinical trials2022

Ozanimod as a novel oral small molecule therapy for the treatment of Crohn's disease: The YELLOWSTONE clinical trial program.

Brian G Feagan, Stefan Schreiber, Anita Afzali, Florian Rieder, Jeffrey Hyams, Kanthi Kollengode, Jared Pearlman, Vladimir Son, Cecilia Marta, Douglas C Wolf and 1 more

4 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03440372 phase3terminatednot on this map

Induction Study #1 - A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Oral Ozanimod as Induction Therapy for Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCelgeneRan2018 to 2024Enrolled625ConditionsCrohn DiseaseArmsOzanimod, Placebo
NCT03440385 phase3completednot on this map

Induction Study #2 - A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Oral Ozanimod as Induction Therapy for Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCelgeneRan2018 to 2023Enrolled606ConditionsCrohn DiseaseArmsOzanimod, Placebo
NCT03464097 phase3terminatednot on this map

A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Oral Ozanimod as Maintenance Therapy for Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCelgeneRan2018 to 2024Enrolled550ConditionsCrohn DiseaseArmsOzanimod, Placebo
NCT03467958 phase3terminatednot on this map

A Phase 3, Multicenter, Open-Label Extension Study of Oral Ozanimod for Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCelgeneRan2018 to 2024Enrolled854ConditionsCrohn DiseaseArmsOzanimod
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Drug Development in Inflammatory Bowel Diseases: What Is Next?Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  7. Article
  8. Review
  9. [Small Molecule Therapy for Inflammatory Bowel Disease: JAK Inhibitors and S1PR Modulators].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Unmet Challenges in Patients with Crohn's Disease.Journal of clinical medicine · 2023
    Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 4 countries.

Brian G FeaganWestern University, London, Ontario, Canada. Electronic address: brian.feagan@alimentiv.com.
Stefan SchreiberDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Kiel University, Kiel, Germany.
Anita AfzaliDivision of Digestive Diseases, University of Cincinnati, Cincinnati, OH, USA.
Florian RiederDepartment of Gastroenterology, Hepatology, and Nutrition, Digestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Jeffrey HyamsConnecticut Children's Medical Center, Hartford, CT, USA.
Kanthi KollengodeBristol Myers Squibb, Princeton, NJ, USA.
Jared PearlmanBristol Myers Squibb, Princeton, NJ, USA.
Vladimir SonBristol Myers Squibb, Princeton, NJ, USA.
Cecilia MartaBristol Myers Squibb, Princeton, NJ, USA.
Douglas C WolfCenter for Crohn's Disease & Ulcerative Colitis, Atlanta Gastroenterology Associates, Atlanta, GA, USA.
Geert G D'HaensInflammatory Bowel Disease Center, Amsterdam University Medical Centers, Amsterdam, Netherlands.
Bristol-Myers Squibb (United States) · USAmsterdam University Medical Centers · NLAtlanta Gastroenterology Associates · USCleveland Clinic · USConnecticut Children's Medical Center · USKiel University · DEUniversity of Cincinnati · USWestern University · CA

Funding

Creeping fat and Crohn's disease associated stricturesR01DK123233 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI RIEDER, FLORIAN · 2020 to 2024
$1.9M
NIDDK NIH HHS R01 DK123233
6 · The paper itself

Abstract

backgroundOzanimod, an oral sphingosine 1-phosphate receptor modulator currently approved for the treatment of moderately to severely active ulcerative colitis and relapsing multiple sclerosis, showed clinical, endoscopic, and histological benefit in the phase 2 STEPSTONE trial for Crohn's disease (CD). We aim to describe the trial design of the YELLOWSTONE phase 3 program evaluating the safety and efficacy of ozanimod in patients with moderately to severely active CD.

methodsThe YELLOWSTONE program consists of phase 3, randomized, double-blind, placebo-controlled induction (NCT03440372 and NCT03440385) and maintenance (NCT03464097) trials and an open-label extension (OLE) study (NCT03467958). Patients with inadequate response or intolerance to ≥1 CD treatment are randomized to receive daily ozanimod 0.92 mg (equivalent to ozanimod HCl 1 mg) or placebo for 12 weeks during induction. Those who respond to ozanimod are rerandomized to continue ozanimod or placebo maintenance therapy for 52 weeks. Patients who do not meet criteria for maintenance, experience relapse during maintenance, or complete maintenance or ≥ 1 year of STEPSTONE are eligible for open-label treatment for up to 234 weeks. Efficacy endpoints include clinical, endoscopic, and histologic outcomes.

resultsExpected 2023 (induction studies), 2024 (maintenance study), and 2026 (OLE).

conclusionYELLOWSTONE will provide pivotal phase 3 data on the safety and efficacy of ozanimod in patients with moderately to severely active CD using state-of-the-art methods, including centrally read endoscopic and histologic measurements, along with subjective assessments of symptom control based on the Crohn's Disease Activity Index. These studies could enable approval of ozanimod as a new CD therapy. CLINICAL TRIAL REGISTRATION NUMBERS: NCT03440372, NCT03440385, NCT03464097, NCT03467958.

Indexed as

Crohn DiseaseHumansImmunologic FactorsIndansOxadiazolesImmunologic FactorsIndansOxadiazolesozanimodCrohn's diseaseEndoscopyHistopathologyInflammatory bowel diseasesUlcerative colitis

Identifiers

PMID36208720
PMCPMC10008122
OpenAlexW4302024385

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.