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A follow-on Safety Study in Subjects With Crohn's Disease Who Have Previously Been Withdrawn From the Double-blind Study CDP870-031 [NCT00152490] or CDP870-032 [NCT00152425] Due to an Exacerbation of Crohn's Disease

Phase 3
Completed
Conditions
Crohn's Disease
Interventions
Biological: Certolizumab Pegol (CDP870)
Registration Number
NCT00160706
Lead Sponsor
UCB Pharma SA
Brief Summary

A follow-on safety study in subjects with Crohn's Disease who have previously been withdrawn from the double-blind study CDP870-031 \[NCT00152490\] or CDP870-032 \[NCT00152425\] due to an exacerbation of Crohn's Disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
310
Inclusion Criteria
  • Participation in either of the CDP870-031 [NCT00152490] or CDP870-032 [NCT00152425] clinical studies in which the subject completed the Week 2 assessment in CDP870-031 [NCT00152490] or the Week 6 randomization in CDP870-032 [NCT00152425] but whose Crohn's Disease was significantly worse as determined by the investigator and whose Clinical Disease Activity Index (CDAI) score at entry to this study is either (subjects may have received active or placebo treatment):

    1. At least 70 points higher then Baseline (Week 0 CDP870-031 [NCT00152490]; Week 6 CDP870 032 [NCT00152425] responders) OR
    2. Higher than Baseline (Week 0 CDP870-031 [NCT00152490]; Week 6 CDP870-032 [NCT00152425] responders) with an absolute score of at least 350 points
  • Subjects must be able to understand the information provided to them and give written informed consent

Exclusion Criteria
  • Any exclusion criterion that would have prevented the subject's participation in the qualifying pivotal study (CDP870-031 [NCT00152490] or CDP870-032 [NCT00152425]), although the upper limit of 450 in the CDAI score is not applicable. In addition the criterion that excludes previous participation in a clinical trial of Certolizumab Pegol does not apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Certolizumab PegolCertolizumab Pegol (CDP870)3-dose induction regimen of Certolizumab Pegol 400 mg at Weeks 0, 2, 4. Subsequently continue on 4-weekly treatment with Certolizumab Pegol 400 mg until Week 360.
Primary Outcome Measures
NameTimeMethod
Percentage of Subjects With at Least One Serious Adverse Event (SAE) During the Duration of This Study CDP870-034 (up to 84 Months)Up to 84 months from Study Entry (Week 0) to the Study End (Week 362 ) and the Safety Follow-up (Week 372)

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 This Study CDP870-034 (up to 84 Months)Up to 84 months from Study Entry (Week 0) to the Study End (Week 362 ) and the Safety Follow-up (Week 372)

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
Percentage of Subjects Achieving Harvey Bradshaw Index (HBI) Remission (HBI ≤ 4) at Study Completion Visit or (Early) Withdrawal VisitStudy Completion Visit (Week 362) / (Early) Withdrawal Visit

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.

Fecal Calprotectin Level at Week 256 or (Early) Withdrawal Visit, if it is Earlier Than Week 256Week 256 / (Early) Withdrawal Visit, if it is earlier than Week 256
Percentage of Subjects in Harvey Bradshaw Index (HBI) Response (HBI Change ≥ 3) at Study Completion Visit or (Early) Withdrawal Visit From Week 0 of CDP870-034From Week 0 of study CDP870-034 to Study Completion Visit (Week 362) or (Early) Withdrawal Visit (up to 84 months)

Response is defined as decrease in total Harvey Bradshaw Index (HBI) score of 3 or more points. 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.

Plasma Concentration of Certolizumab Pegol at Study Completion Visit or (Early) Withdrawal VisitStudy Completion Visit (Week 362) / (Early) Withdrawal Visit

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

Percentage of Subjects in Harvey Bradshaw Index (HBI) Response (HBI Change ≥ 3) at Study Completion Visit or (Early) Withdrawal Visit From Week 0 of Feeder Study CDP870-031 or CDP870-032From Baseline of study CDP870-031 [NCT00152490] or CDP870-032 [NCT00152425] to Study Completion Visit (Week 362) or (Early) Withdrawal Visit of this study (up to 90 months)

Response is defined as decrease in total Harvey Bradshaw Index (HBI) score of 3 or more points. 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 With Positive Anti-CZP Anti-body Status at Any Time From Week 0 of the Feeder Studies CDP870-031 or CDP870-032 to the Study Completion Visit in CDP870-034From Week 0 of study CDP870-031 [NCT00152490] or CDP870-032 [NCT00152425] up to Study Completion Visit (Week 362) of CDP870-034 (up to 90 months)

Subjects are counted as antibody positive to Certolizumab Pegol if they have at least one positive result from Week 0 in one of the previous studies CDP870-031 \[NCT00152490\] or CDP870-032 \[NCT00152425\] to the last Visit in this study. A positive result is defined as Anti-CZP antibody levels \> 2.4 units/mL.

C-Reactive Protein (CRP) Level at Study Completion Visit or (Early) Withdrawal VisitStudy Completion Visit (Week 362) / (Early) Withdrawal Visit

Trial Locations

Locations (141)

45141

🇺🇸

Seattle, Washington, United States

45022

🇺🇸

Houston, Texas, United States

39004

🇿🇦

PORT Elisabeth, South Africa

45028

🇺🇸

Huntsville, Alabama, United States

45044

🇺🇸

Little Rock, Arkansas, United States

45095

🇺🇸

Orange, California, United States

45130

🇺🇸

Colorado Springs, Colorado, United States

45094

🇺🇸

Gainesville, Florida, United States

45087

🇺🇸

Miami, Florida, United States

45005

🇺🇸

Hialeah, Florida, United States

45016

🇺🇸

Chicago, Illinois, United States

45037

🇺🇸

Indianapolis, Indiana, United States

45004

🇺🇸

North Miami Beach, Florida, United States

45013

🇺🇸

Laurel, Maryland, United States

45033

🇺🇸

Chevy Chase, Maryland, United States

45009

🇺🇸

Great Neck, New York, United States

45035

🇺🇸

Berlin, New Jersey, United States

45108

🇺🇸

Jefferson City, Missouri, United States

45070

🇺🇸

New York, New York, United States

45145

🇺🇸

Greenville, North Carolina, United States

45003

🇺🇸

Raleigh, North Carolina, United States

45067

🇺🇸

High Point, North Carolina, United States

45091

🇺🇸

Cincinnati, Ohio, United States

45054

🇺🇸

Dayton, Ohio, United States

45081

🇺🇸

Cincinnati, Ohio, United States

45025

🇺🇸

Mayfield Heights, Ohio, United States

45093

🇺🇸

Hershey, Pennsylvania, United States

45041

🇺🇸

Tulsa, Oklahoma, United States

45113

🇺🇸

Germantown, Tennessee, United States

45139

🇺🇸

Salt Lake City, Utah, United States

45052

🇺🇸

South Ogden, Utah, United States

45134

🇺🇸

Charlottesville, Virginia, United States

45078

🇺🇸

Christiansburg, Virginia, United States

45109

🇺🇸

Norfolk, Virginia, United States

11005

🇦🇺

New Lambton, New South Wales, Australia

11011

🇦🇺

Bankstown, New South Wales, Australia

11017

🇦🇺

Herston, Queensland, Australia

11006

🇦🇺

South Brisbane, Queensland, Australia

11016

🇦🇺

Ballarat, Victoria, Australia

11002

🇦🇺

Fitzroy, Victoria, Australia

11007

🇦🇺

Box Hill, Victoria, Australia

11013

🇦🇺

Frankston, Victoria, Australia

11012

🇦🇺

Parkville, Victoria, Australia

11010

🇦🇺

Fremantle, Australia

11015

🇦🇺

Garran, Australia

11018

🇦🇺

Newtown, Australia

46006

🇦🇹

Linz, Austria

46002

🇦🇹

Wien, Austria

46003

🇦🇹

Salzburg, Austria

13004

🇧🇪

Brussels, Belgium

12001

🇧🇾

Minsk, Belarus

13001

🇧🇪

Gent, Belgium

13003

🇧🇪

Leuven, Belgium

15001

🇧🇬

Sofia, Bulgaria

16005

🇨🇦

Winnipeg, Manitoba, Canada

16008

🇨🇦

Montreal, Quebec, Canada

16013

🇨🇦

Toronto, Ontario, Canada

16014

🇨🇦

Halifax, Nova Scotia, Canada

18002

🇨🇿

Praha 4, Czechia

18006

🇨🇿

Hradek Kralove, Czechia

18001

🇨🇿

Ostrava, Czechia

18004

🇨🇿

Praha 2, Czechia

19004

🇩🇰

Aalborg, Denmark

20001

🇪🇪

Tallin, Estonia

20002

🇪🇪

Tartu, Estonia

22002

🇩🇪

Berlin, Germany

22009

🇩🇪

Berlin, Germany

22013

🇩🇪

Göttingen, Germany

22019

🇩🇪

Frankfurt, Germany

22004

🇩🇪

Celle, Germany

26005

🇮🇱

Petha Tikva, Israel

22017

🇩🇪

Hannover, Germany

22001

🇩🇪

Minden, Germany

22016

🇩🇪

Leipzig, Germany

22015

🇩🇪

Kiel, Germany

22012

🇩🇪

Munich, Germany

22008

🇩🇪

Münster, Germany

24002

🇭🇺

Budapest, Hungary

24009

🇭🇺

Pecs, Hungary

26004

🇮🇱

Beer Sheva, Israel

24011

🇭🇺

Szekszard, Hungary

26007

🇮🇱

Haifa, Israel

27007

🇮🇹

Roma, Italy

31002

🇳🇿

Auckland, New Zealand

31004

🇳🇿

Milford, New Zealand

32005

🇳🇴

Oslo, Norway

31005

🇳🇿

Hamilton, New Zealand

31003

🇳🇿

Tauranga, New Zealand

32008

🇳🇴

Oslo, Norway

31001

🇳🇿

Christchurch, New Zealand

32004

🇳🇴

Tromso, Norway

33003

🇵🇱

Gdansk, Poland

33008

🇵🇱

Bydgoszcz, Poland

33013

🇵🇱

Szczecin, Poland

33018

🇵🇱

Lublin, Poland

33009

🇵🇱

Warszawa, Poland

33007

🇵🇱

Warsaw, Poland

34005

🇷🇺

St. Petersburg, Russian Federation

34017

🇷🇺

Lipetsk, Russian Federation

34006

🇷🇺

Moscow, Russian Federation

34016

🇷🇺

Nizhny Novgorod, Russian Federation

34001

🇷🇺

St. Petersburg, Russian Federation

34007

🇷🇺

St. Petersburg, Russian Federation

34013

🇷🇺

St. Petersburg, Russian Federation

35002

🇷🇸

Belgrade, Serbia

36002

🇸🇬

Singapore, Singapore

38001

🇸🇮

Celje, Slovenia

38003

🇸🇮

Ljubljana, Slovenia

39013

🇿🇦

Johannesburg, Gauteng, South Africa

39003

🇿🇦

Cape Town, Somerset West, South Africa

39016

🇿🇦

Cape Town, South Africa

39018

🇿🇦

Cape Town, South Africa

39008

🇿🇦

Midrand, South Africa

39010

🇿🇦

Johannesburg, South Africa

39012

🇿🇦

Goodwood, South Africa

39006

🇿🇦

Pretoria, South Africa

39009

🇿🇦

Pretoria, South Africa

39019

🇿🇦

Pretoria, South Africa

40009

🇪🇸

Barcelona, Spain

39014

🇿🇦

Pretoria, South Africa

43008

🇺🇦

Dniepropetrovsk, Ukraine

43003

🇺🇦

Lviv, Ukraine

43006

🇺🇦

Odessa, Ukraine

35001

🇷🇸

Belgrade, Serbia

11014

🇦🇺

Lauceston, Tasmania, Australia

35004

🇷🇸

Belgrade, Serbia

11009

🇦🇺

Adelaide, Australia

27001

🇮🇹

Milano, Italy

27004

🇮🇹

Palermo, Italy

19009

🇩🇰

Copenhagen, Denmark

19010

🇩🇰

Herlev, Denmark

19007

🇩🇰

Hvidovre, Denmark

19003

🇩🇰

Vejle, Denmark

45102

🇺🇸

Birmingham, Alabama, United States

45101

🇺🇸

San Francisco, California, United States

45039

🇺🇸

Oklahoma City, Oklahoma, United States

45119

🇺🇸

Nashville, Tennessee, United States

45073

🇺🇸

San Antonio, Texas, United States

45083

🇺🇸

Rochester, Minnesota, United States

45040

🇺🇸

Winston-Salem, North Carolina, United States

45019

🇺🇸

Lexington, Kentucky, United States

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