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Certolizumab Pegol for the Treatment of Patients With Active Rheumatoid Arthritis (RA) and Crohn's Disease (CD)

Terminated
Conditions
Rheumatoid Arthritis
Crohn's Disease
Registration Number
NCT01577264
Lead Sponsor
UCB Pharma
Brief Summary

This is an observational trial in Rheumatoid Arthritis and Crohn's Disease patients treated with Cimzia aiming to evaluate the risk and incidence of Tuberculosis.

Detailed Description

This is a prospective non interventional study. Patients enrolled in this study will receive Cimzia on prescription according to the instructions for use approved in Russia and within the frame of current standard clinical practices. The patient is evaluated at the Screening Visit for enrollment. A Baseline Visit is to be scheduled no more than 28 days after the Screening Visit. Subsequent evaluations are done routinely every 6 months.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
199
Inclusion Criteria
  • Patients who have been prescribed Cimzia
Exclusion Criteria
  • Any contra-indication according to the Russian Summary of Product Characteristic

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of Tuberculosis infection or reactivation during the studyFrom Baseline to Week 156 (Visit 7)

The incidence of Tuberculosis (TB) infection or reactivation is assessed by routine TB diagnostic tests (Chest X-ray, skin test, Interferon-γ-release assays recognizing antigens representing 2 Mycobacterium tuberculosis proteins (preferably both blood and skin tests), ESAT-6 and CFP-10)

Secondary Outcome Measures
NameTimeMethod
Change from Baseline in Disease Activity Score [Erythrocyte Sedimentation Rate] (DAS28 [ESR]) in Rheumatoid Arthritis (RA) patients at Week 26From Baseline to Week 26 (Visit 2)

DAS28\[ESR\] is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC) Erythrocyte Sedimentation Rate (ESR in mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (VAS in mm) using the following formula: 0.56 x √(TJC) + 0.28 x √(SJC) + 0.70 x lognat (ESR) + 0.014 x Global Assessment of Arthritis where 28 joints are examined and a lower score indicates less disease activity.

Change from Baseline in Disease Activity Score [Erythrocyte Sedimentation Rate] (DAS28 [ESR]) in Rheumatoid Arthritis (RA) patients at Week 52From Baseline to Week 52 (Visit 3)

DAS28\[ESR\] is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC) Erythrocyte Sedimentation Rate (ESR in mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (VAS in mm) using the following formula: 0.56 x √(TJC) + 0.28 x √(SJC) + 0.70 x lognat (ESR) + 0.014 x Global Assessment of Arthritis where 28 joints are examined and a lower score indicates less disease activity.

Change from Baseline in Disease Activity Score [Erythrocyte Sedimentation Rate] (DAS28 [ESR]) in Rheumatoid Arthritis (RA) patients at Week 78From Baseline to Week 78 (Visit 4)

DAS28\[ESR\] is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC) Erythrocyte Sedimentation Rate (ESR in mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (VAS in mm) using the following formula: 0.56 x √(TJC) + 0.28 x √(SJC) + 0.70 x lognat (ESR) + 0.014 x Global Assessment of Arthritis where 28 joints are examined and a lower score indicates less disease activity.

Change from Baseline in Disease Activity Score [Erythrocyte Sedimentation Rate] (DAS28 [ESR]) in Rheumatoid Arthritis (RA) patients at Week 104From Baseline to Week 104 (Visit 5)

DAS28\[ESR\] is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC) Erythrocyte Sedimentation Rate (ESR in mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (VAS in mm) using the following formula: 0.56 x √(TJC) + 0.28 x √(SJC) + 0.70 x lognat (ESR) + 0.014 x Global Assessment of Arthritis where 28 joints are examined and a lower score indicates less disease activity.

Change from Baseline in Disease Activity Score [Erythrocyte Sedimentation Rate] (DAS28 [ESR]) in Rheumatoid Arthritis (RA) patients at Week 130From Baseline to Week 130 (Visit 6)

DAS28\[ESR\] is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC) Erythrocyte Sedimentation Rate (ESR in mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (VAS in mm) using the following formula: 0.56 x √(TJC) + 0.28 x √(SJC) + 0.70 x lognat (ESR) + 0.014 x Global Assessment of Arthritis where 28 joints are examined and a lower score indicates less disease activity.

Change from Baseline in Disease Activity Score [Erythrocyte Sedimentation Rate] (DAS28 [ESR]) in Rheumatoid Arthritis (RA) patients at Week 156From Baseline to Week 156 (Visit 7)

DAS28\[ESR\] is calculated using the Tender Joint Count (TJC), Swollen Joint Count (SJC) Erythrocyte Sedimentation Rate (ESR in mm/hour), and the Patient's Global Assessment of Disease Activity - Visual Analog Scale (VAS in mm) using the following formula: 0.56 x √(TJC) + 0.28 x √(SJC) + 0.70 x lognat (ESR) + 0.014 x Global Assessment of Arthritis where 28 joints are examined and a lower score indicates less disease activity.

Change from Baseline in Harvey Bradshaw Index (HBI) in Crohn's Disease patients (CD) at Week 26From Baseline to Week 26 (Visit 2)

The HBI (Harvey and Bradshaw, 1980) will be calculated for all CD patients and is composed of 5 items:

General well-being (0=Very well, 1=Slightly below Par, 2=Poor, 3=Very poor, 4=Terrible) Abdominal pain (0=None, 1=Mild, 2=Moderate, 3=Severe) Number of liquid stools per day Abdominal mass (0=None, 1=Dubious, 2=Definite, 3=Definite and tender) Complications (1 per item: Arthralgia, Uveitis, Erythema nodosum, Aphthous ulcers, Pyoderma gangrenosum, Anal fissure, New fistula, and Abscess)

Change from Baseline in Harvey Bradshaw Index (HBI) in Crohn's Disease patients (CD) at Week 52From Baseline to Week 52 (Visit 3)

The HBI (Harvey and Bradshaw, 1980) will be calculated for all CD patients and is composed of 5 items:

General well-being (0=Very well, 1=Slightly below Par, 2=Poor, 3=Very poor, 4=Terrible) Abdominal pain (0=None, 1=Mild, 2=Moderate, 3=Severe) Number of liquid stools per day Abdominal mass (0=None, 1=Dubious, 2=Definite, 3=Definite and tender) Complications (1 per item: Arthralgia, Uveitis, Erythema nodosum, Aphthous ulcers, Pyoderma gangrenosum, Anal fissure, New fistula, and Abscess)

Change from Baseline in Harvey Bradshaw Index (HBI) in Crohn's Disease patients (CD) at Week 78From Baseline to Week 78 (Visit 4)

The HBI (Harvey and Bradshaw, 1980) will be calculated for all CD patients and is composed of 5 items:

General well-being (0=Very well, 1=Slightly below Par, 2=Poor, 3=Very poor, 4=Terrible) Abdominal pain (0=None, 1=Mild, 2=Moderate, 3=Severe) Number of liquid stools per day Abdominal mass (0=None, 1=Dubious, 2=Definite, 3=Definite and tender) Complications (1 per item: Arthralgia, Uveitis, Erythema nodosum, Aphthous ulcers, Pyoderma gangrenosum, Anal fissure, New fistula, and Abscess)

Change from Baseline in Harvey Bradshaw Index (HBI) in Crohn's Disease patients (CD) at Week 104From Baseline to Week 104 (Visit 5)

The HBI (Harvey and Bradshaw, 1980) will be calculated for all CD patients and is composed of 5 items:

General well-being (0=Very well, 1=Slightly below Par, 2=Poor, 3=Very poor, 4=Terrible) Abdominal pain (0=None, 1=Mild, 2=Moderate, 3=Severe) Number of liquid stools per day Abdominal mass (0=None, 1=Dubious, 2=Definite, 3=Definite and tender) Complications (1 per item: Arthralgia, Uveitis, Erythema nodosum, Aphthous ulcers, Pyoderma gangrenosum, Anal fissure, New fistula, and Abscess)

Change from Baseline in Harvey Bradshaw Index (HBI) in Crohn's Disease patients (CD) at Week 130From Baseline to Week 130 (Visit 6)

The HBI (Harvey and Bradshaw, 1980) will be calculated for all CD patients and is composed of 5 items:

General well-being (0=Very well, 1=Slightly below Par, 2=Poor, 3=Very poor, 4=Terrible) Abdominal pain (0=None, 1=Mild, 2=Moderate, 3=Severe) Number of liquid stools per day Abdominal mass (0=None, 1=Dubious, 2=Definite, 3=Definite and tender) Complications (1 per item: Arthralgia, Uveitis, Erythema nodosum, Aphthous ulcers, Pyoderma gangrenosum, Anal fissure, New fistula, and Abscess)

Change from Baseline in Harvey Bradshaw Index (HBI) in Crohn's Disease patients (CD) at Week 156From Baseline to Week 156 (Visit 7)

The HBI (Harvey and Bradshaw, 1980) will be calculated for all CD patients and is composed of 5 items:

General well-being (0=Very well, 1=Slightly below Par, 2=Poor, 3=Very poor, 4=Terrible) Abdominal pain (0=None, 1=Mild, 2=Moderate, 3=Severe) Number of liquid stools per day Abdominal mass (0=None, 1=Dubious, 2=Definite, 3=Definite and tender) Complications (1 per item: Arthralgia, Uveitis, Erythema nodosum, Aphthous ulcers, Pyoderma gangrenosum, Anal fissure, New fistula, and Abscess)

Incidence of Adverse Events during the studyFrom Baseline to Week 156 (Visit 7)

An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Trial Locations

Locations (45)

41

🇷🇺

Samara, Russian Federation

15

🇷🇺

Samara, Russian Federation

37

🇷🇺

Ufa, Russian Federation

22

🇷🇺

Ufa, Russian Federation

35

🇷🇺

Ufa, Russian Federation

55

🇷🇺

Ufa, Russian Federation

42

🇷🇺

Moscow, Russian Federation

45

🇷🇺

Moscow, Russian Federation

4

🇷🇺

Saint Petersburg, Russian Federation

13

🇷🇺

Ekaterinburg, Russian Federation

32

🇷🇺

Ufa, Russian Federation

2

🇷🇺

Yaroslavl, Russian Federation

11

🇷🇺

Moscow, Russian Federation

36

🇷🇺

Moscow, Russian Federation

39

🇷🇺

Petrozavodzk, Russian Federation

17

🇷🇺

Shakhty, Russian Federation

27

🇷🇺

Ufa, Russian Federation

25

🇷🇺

Moscow, Russian Federation

9

🇷🇺

Moscow, Russian Federation

12

🇷🇺

Kazan, Russian Federation

16

🇷🇺

Kazan, Russian Federation

23

🇷🇺

Novgorod, Russian Federation

20

🇷🇺

Orenburg, Russian Federation

31

🇷🇺

Moscow, Russian Federation

21

🇷🇺

Orenburg, Russian Federation

6

🇷🇺

Saint Petersburg, Russian Federation

38

🇷🇺

Ufa, Russian Federation

8

🇷🇺

Moscow, Russian Federation

5

🇷🇺

Moscow, Russian Federation

29

🇷🇺

Orenburg, Russian Federation

43

🇷🇺

Perm, Russian Federation

1

🇷🇺

Saint Petersburg, Russian Federation

18

🇷🇺

Samara, Russian Federation

33

🇷🇺

Saratow, Russian Federation

19

🇷🇺

St. Petersburg, Russian Federation

30

🇷🇺

Ulyanovsk, Russian Federation

28

🇷🇺

Ekaterinburg, Russian Federation

14

🇷🇺

Moscow, Russian Federation

24

🇷🇺

Moscow, Russian Federation

34

🇷🇺

Moscow, Russian Federation

40

🇷🇺

Moscow, Russian Federation

7

🇷🇺

Moscow, Russian Federation

3

🇷🇺

Saint Petersburg, Russian Federation

10

🇷🇺

Taganrog, Russian Federation

26

🇷🇺

Tolyatti, Russian Federation

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