MedPath

A Study to Evaluate Safety of Long Term Therapy of Certolizumab Pegol Patients With Crohn's Disease

Phase 3
Completed
Conditions
Crohn Disease
Interventions
Biological: Cimzia
Registration Number
NCT00552344
Lead Sponsor
UCB BIOSCIENCES GmbH
Brief Summary

The primary objective of the study is to assess the safety of long term therapy with Certolizumab Pegol in those subjects participating in study C87085 \[NCT00552058\].

Detailed Description

This study consisted of:

* Induction Period (dosing at Weeks 0, 2, and 4)

* Maintenance Dosing (dosing every 4 weeks up to Week 260)

* End of Treatment Visit that occurred at Week 262/Withdrawal Visit and a Safety Follow-up Visit (SFU; 12 weeks after final dose)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
403
Inclusion Criteria
  • Subject participated in study C87085 [NCT00552058] in which the subject completed the study at Week 6
  • Subject is capable of providing informed consent, which must be obtained prior to any study related procedures
  • Have a chest X-ray taken at Visit 1 that is read by a qualified radiologist or pulmonary physician, with no evidence of current active Tuberculosis (TB) or old inactive TB
  • Subject has taken a TB survey and is committed to comply with TB prophylaxis if applicable
Exclusion Criteria
  • Subject is experiencing an ongoing serious adverse event assessed as being related to study medication or is experiencing a serious adverse event that is still not assessable
  • Subject has an intercurrent illness that requires termination of treatment, such as a serious infection (e.g. TB, pneumonia, sepsis, pyelonephritis, fistula abscess)
  • Subject is non-compliant with TB prophylactic treatment (if applicable)
  • Subject has had a chest X-ray at Visit 1 that shows an abnormality suggestive of a malignancy or active infection, including TB
  • Female who is pregnant or breast feeding
  • Female of child bearing age or post puberty males not practicing effective birth control
  • Subject is expecting to receive any live virus or bacterial vaccination within 3 months of first Study Medication administration, during the trial or 3 months after last dose of study drug

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Certolizumab PegolCimziaCertolizumab Pegol 200 mg/vial; 400 mg subcutaneously at Week 0, 2 and 4, thereafter 400 mg subcutaneously at every 4 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of Subjects With at Least One Serious Adverse Event (SAE) During the Duration of the Study C87088 (up to 272 Weeks)From study start to the end of the Safety Follow-up Period (up to 272 weeks)

An SAE is defined as any untoward medical occurrence that occurs at any dose which results in death, is life threatening, requires hospitalization, results in persistent/significant disability/incapacity, is an infection that requires parenteral antibiotics, is a congenital anomaly/birth defect, or is an important medical event.

Percentage of Subjects With at Least One Adverse Event (AE) During the Duration of the Study C87088 (up to 272 Weeks)From study start to the end of the Safety Follow-up Period (up to 272 weeks)

An AE is defined as any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

Secondary Outcome Measures
NameTimeMethod
Plasma Concentration of Certolizumab Pegol After 1 Year (Week 52)Week 52

Plasma samples for determination of Certolizumab Pegol were taken prior to Certolizumab Pegol administration.

Percentage of Subjects With Positive Anti-CZP Anti-body Status at Any Time From Week 0 of the Feeder Study C87085 to the Study Completion Visit in C87088From Week 0 of study C87085 [NCT00552058] to Study Completion Visit (Week 262) of C87088 (up to 268 weeks)

Subjects are counted as antibody positive to Certolizumab Pegol if they have at least one positive result from Week 0 in the previous study C87085 \[NCT00552058\] to the Last Visit in this study. A positive result is defined as Anti-CZP antibody levels \> 2.4 units/mL.

Percentage of Subjects Achieving Harvey Bradshaw Index (HBI) Remission (HBI ≤ 4) at Study Completion Visit (Week 262)Week 262

HBI remission is defined as total HBI score of 4 points or less. HBI score consists of clinical parameters of general well-being (0 to 4), abdominal pain (0 to 3), number of liquid stools per day, abdominal mass (0 to 3), and complications (8 items, score 1 per item) lower scores indicating better well being. The first three parameters are scored for the previous day.

Percentage of Subjects Achieving Inflamatory Bowel Disease Questionnaire (IBDQ) Remission (IBDQ ≥ 170) at Study Completion Visit (Week 262)Week 262

IBDQ remission is defined as having a total IBDQ score of 170 points or greater. IBDQ score consists of 32 questions eaching having a score of 1 to 7. Overall scores range from 32 to 224.

Trial Locations

Locations (100)

284

🇺🇸

Lakewood, Colorado, United States

278

🇺🇸

New Port Richey, Florida, United States

279

🇺🇸

Louisville, Kentucky, United States

300

🇺🇸

Winter Park, Florida, United States

276

🇺🇸

Chicago, Illinois, United States

272

🇺🇸

Raleigh, North Carolina, United States

310

🇺🇸

Chesterfield, Michigan, United States

296

🇺🇸

Cincinnati, Ohio, United States

280

🇺🇸

Lancaster, Pennsylvania, United States

308

🇺🇸

Norfolk, Virginia, United States

290

🇺🇸

Seattle, Washington, United States

15

🇦🇺

Concord, New South Wales, Australia

20

🇦🇺

Box Hill, Victoria, Australia

11

🇦🇺

Fitzroy, Australia

14

🇦🇺

Bankstown, Australia

18

🇦🇺

Garran, Australia

13

🇦🇺

Fremantle, Australia

31

🇧🇪

Gent, Belgium

35

🇧🇪

Leuven, Belgium

52

🇧🇷

Porto Alegre, RS, Brazil

41

🇧🇷

Curitiba, Brazil

53

🇧🇷

Santos, Brazil

55

🇧🇷

Sao Paulo, Brazil

60

🇨🇦

Winnepeg, Manitoba, Canada

62

🇨🇦

Kingston, Ontario, Canada

95

🇨🇿

Hradec Kralove, Czechia

98

🇨🇿

Praha 7, Czechia

97

🇨🇿

Hradek Kralove, Czechia

100

🇪🇪

Tallin, Estonia

152

🇭🇺

Szombathely, Hungary

164

🇮🇱

Haifa, Israel

167

🇮🇱

Holon, Israel

163

🇮🇱

Kfar Saba, Israel

166

🇮🇱

Petha Tikva, Israel

169

🇮🇱

Zerifin, Israel

176

🇮🇹

Padova, Italy

171

🇮🇹

Roma, Italy

174

🇮🇹

Roma, Italy

289

🇺🇸

Cleveland, Ohio, United States

212

🇵🇱

Warszawa, Poland

210

🇵🇱

Lodz, Poland

221

🇷🇴

Cluj Napoca, Romania

213

🇵🇱

Wroclaw, Poland

225

🇷🇴

Constanta, Romania

230

🇷🇺

Moscow, Russian Federation

234

🇷🇺

Moscow, Russian Federation

251

🇺🇦

Donetsk, Ukraine

256

🇺🇦

Kiev, Ukraine

257

🇺🇦

Lviv, Ukraine

275

🇺🇸

Metairie, Louisiana, United States

281

🇺🇸

Annapolis, Maryland, United States

295

🇺🇸

Towson, Maryland, United States

307

🇺🇸

Monroe, Louisiana, United States

32

🇧🇪

Bonheiden, Belgium

30

🇧🇪

Roeselare, Belgium

64

🇨🇦

Edmonton, Alberta, Canada

305

🇺🇸

Germantown, Tennessee, United States

306

🇺🇸

Germantown, Tennessee, United States

16

🇦🇺

Parkville, Victoria, Australia

12

🇦🇺

Footscray, Victoria, Australia

270

🇦🇹

Wien, Austria

34

🇧🇪

Liege, Belgium

45

🇧🇷

Belo-Horizonte, Brazil

51

🇧🇷

Rio de Janeiro, Brazil

70

🇨🇦

London, Ontario, Canada

101

🇪🇪

Tartu, Estonia

151

🇭🇺

Budapest, Hungary

140

🇩🇪

Homburg, Germany

130

🇩🇪

Wilhelmshaven, Germany

66

🇨🇦

Toronto, Ontario, Canada

68

🇨🇦

Toronto, Ontario, Canada

67

🇨🇦

Hamilton, Ontario, Canada

63

🇨🇦

London, Ontario, Canada

137

🇩🇪

Kiel, Germany

153

🇭🇺

Szeged, Hungary

144

🇩🇪

Ulm, Germany

155

🇭🇺

Budapest, Hungary

161

🇮🇱

Beer Sheva, Israel

156

🇭🇺

Budapest, Hungary

154

🇭🇺

Gyor, Hungary

150

🇭🇺

Nagykanizsa, Hungary

192

🇱🇻

Riga, Latvia

193

🇱🇻

Riga, Latvia

217

🇵🇱

Czestochowa, Poland

232

🇷🇺

Kazan, Russian Federation

259

🇺🇦

Kiev, Ukraine

254

🇺🇦

Simferopol, Ukraine

160

🇮🇱

Tel Aviv, Israel

191

🇱🇻

Riga, Latvia

202

🇳🇿

Milford, Auckland, New Zealand

200

🇳🇿

Christchurch, New Zealand

203

🇳🇿

Hamilton, New Zealand

204

🇳🇿

Newton, Wellington, New Zealand

218

🇵🇱

Czestochowa, Poland

201

🇳🇿

Auckland, New Zealand

258

🇺🇦

Dniepropetrovsk, Ukraine

211

🇵🇱

Warszawa, Poland

233

🇷🇺

St Petersburg, Russian Federation

285

🇺🇸

Littleton, Colorado, United States

298

🇺🇸

Rochester, Minnesota, United States

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