Trial Outcomes & Findings for Efficacy and Safety of Increased Dose of TA-650 (Infliximab) in Patients With Crohn's Disease (CD) (NCT NCT00805766)

NCT ID: NCT00805766

Last Updated: 2026-01-07

Results Overview

To confirm the decrease in median CDAI at week 8 by ≥ 50 points compared to the CDAI score at week 0 in the increased dose period. In the indication of CDAI change, decrease in CDAI was expressed by positive numbers. CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease. CDAI scores generally range from 0 to 600 points. Clinical remission = CDAI \< 150 points. Moderate disease = CDAI 220 - 450 points. Severe disease = CDAI \> 450 points.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

39 participants

Primary outcome timeframe

Increased Dose Period (Week 0 to Week 8)

Results posted on

2026-01-07

Participant Flow

Participant milestones

Participant milestones
Measure
TA-650
Screening period: From the beginning of TA-650 5 mg/kg administration to the beginning of TA-650 10 mg/kg administration in the increased dose period in order to confirm that the effects of treatment with TA-650 5 mg/kg at 8-week intervals were insufficient. The screening period was to be up to 16 weeks. Patients who did not satisfy the dose-increasing criteria discontinued study treatment.Patients who discontinued study treatment during the screening period were to be evaluated until withdrawal. Increased dose period: From the beginning of administration of TA-650 10 mg/kg to evaluation at week 40. Patients who discontinued study treatment during the increased dose period were to be evaluated until withdrawal.
Screening Period
STARTED
45
Screening Period
COMPLETED
39
Screening Period
NOT COMPLETED
6
Increased Dose Period
STARTED
39
Increased Dose Period
COMPLETED
26
Increased Dose Period
NOT COMPLETED
13

Reasons for withdrawal

Reasons for withdrawal
Measure
TA-650
Screening period: From the beginning of TA-650 5 mg/kg administration to the beginning of TA-650 10 mg/kg administration in the increased dose period in order to confirm that the effects of treatment with TA-650 5 mg/kg at 8-week intervals were insufficient. The screening period was to be up to 16 weeks. Patients who did not satisfy the dose-increasing criteria discontinued study treatment.Patients who discontinued study treatment during the screening period were to be evaluated until withdrawal. Increased dose period: From the beginning of administration of TA-650 10 mg/kg to evaluation at week 40. Patients who discontinued study treatment during the increased dose period were to be evaluated until withdrawal.
Screening Period
Adverse Event
1
Screening Period
Lack of Efficacy
2
Screening Period
Pregnancy
1
Screening Period
Responder
2
Increased Dose Period
Adverse Event
4
Increased Dose Period
Lack of Efficacy
7
Increased Dose Period
Pregnancy
1
Increased Dose Period
Withdrawal by Subject
1

Baseline Characteristics

Efficacy and Safety of Increased Dose of TA-650 (Infliximab) in Patients With Crohn's Disease (CD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TA-650
n=45 Participants
Age, Continuous
29.5 years
STANDARD_DEVIATION 7.3 • n=37 Participants
Sex: Female, Male
Female
14 Participants
n=37 Participants
Sex: Female, Male
Male
31 Participants
n=37 Participants

PRIMARY outcome

Timeframe: Increased Dose Period (Week 0 to Week 8)

To confirm the decrease in median CDAI at week 8 by ≥ 50 points compared to the CDAI score at week 0 in the increased dose period. In the indication of CDAI change, decrease in CDAI was expressed by positive numbers. CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease. CDAI scores generally range from 0 to 600 points. Clinical remission = CDAI \< 150 points. Moderate disease = CDAI 220 - 450 points. Severe disease = CDAI \> 450 points.

Outcome measures

Outcome measures
Measure
TA-650
n=33 Participants
Increased Dose Period
Median Crohn's Disease Activity Index (CDAI) Change From Week 0 to Week 8 in the Increased Dose Period
95.0 units on a scale
Interval 70.0 to 134.0

SECONDARY outcome

Timeframe: Increased Dose Period (every 4 weeks for up to 40 weeks)

Population: One patient whose data after week 4 in the increased dose period was missing was excluded from the analysis. Patients whose the outcome measure were not assessed at a time point due to dropout were excluded from the analysis of the time point.

CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease. CDAI scores generally range from 0 to 600 points. Clinical remission = CDAI \< 150 points. Moderate disease = CDAI 220 - 450 points. Severe disease = CDAI \> 450 points.

Outcome measures

Outcome measures
Measure
TA-650
n=38 Participants
Increased Dose Period
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 0
296.5 units on a scale
Interval 185.0 to 523.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 4
119.0 units on a scale
Interval 17.0 to 318.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 8
194.0 units on a scale
Interval 51.0 to 456.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 12
126.0 units on a scale
Interval 14.0 to 419.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 16
182.0 units on a scale
Interval 70.0 to 398.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 20
121.0 units on a scale
Interval 13.0 to 304.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 24
197.5 units on a scale
Interval 81.0 to 379.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 28
105.0 units on a scale
Interval 4.0 to 289.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 32
163.0 units on a scale
Interval 72.0 to 410.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 36
141.0 units on a scale
Interval -3.0 to 315.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 40
148.5 units on a scale
Interval 41.0 to 407.0
CDAI at Each Evaluation Time Point in the Increased Dose Period
Week 40 (the last time point)
210.5 units on a scale
Interval 34.0 to 479.0

SECONDARY outcome

Timeframe: Increased Dose Period (every 4 weeks for up to 40 weeks)

Population: Patients whose the outcome measure were not assessed at a time point due to dropout were excluded from the analysis of the time point.

CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease. CDAI scores generally range from 0 to 600 points. Clinical remission = CDAI \< 150 points. Moderate disease = CDAI 220 - 450 points. Severe disease = CDAI \> 450 points.

Outcome measures

Outcome measures
Measure
TA-650
n=39 Participants
Increased Dose Period
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 40 (the last time point)
41.0 percentage of participants
Interval 25.6 to 57.9
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 4
59.5 percentage of participants
Interval 42.1 to 75.2
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 8
39.4 percentage of participants
Interval 22.9 to 57.9
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 12
70.0 percentage of participants
Interval 50.6 to 85.3
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 16
31.0 percentage of participants
Interval 15.3 to 50.8
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 20
58.6 percentage of participants
Interval 38.9 to 76.5
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 24
28.6 percentage of participants
Interval 13.2 to 48.7
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 28
60.7 percentage of participants
Interval 40.6 to 78.5
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 32
37.0 percentage of participants
Interval 19.4 to 57.6
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 36
59.3 percentage of participants
Interval 38.8 to 77.6
CDAI Remission Rates at Each Evaluation Time Point in the Increased Dose Period
Week 40
50.0 percentage of participants
Interval 29.9 to 70.1

SECONDARY outcome

Timeframe: Increased Dose Period (every 4 weeks for up to 40 weeks)

Population: One patient whose data after week 4 in the increased dose period was missing was excluded from the analysis. Patients whose the outcome measure were not assessed at a time point due to dropout were excluded from the analysis of the time point.

To confirm the decrease in median CDAI at week 8 by ≥ 50 points compared to the CDAI score at week 0 in the increased dose period. In the indication of CDAI change, decrease in CDAI was expressed by positive numbers. CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease. CDAI scores generally range from 0 to 600 points. Clinical remission = CDAI \< 150 points. Moderate disease = CDAI 220 - 450 points. Severe disease = CDAI \> 450 points.

Outcome measures

Outcome measures
Measure
TA-650
n=38 Participants
Increased Dose Period
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to 40(last measurable time point)
87.0 units on a scale
Interval -63.0 to 390.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 20
164.0 units on a scale
Interval -63.0 to 343.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 4
163.0 units on a scale
Interval 24.0 to 356.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 8
95.0 units on a scale
Interval -26.0 to 301.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 12
161.0 units on a scale
Interval -17.0 to 342.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 16
95.0 units on a scale
Interval -36.0 to 240.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 24
100.0 units on a scale
Interval -21.0 to 252.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 28
156.5 units on a scale
Interval 0.0 to 352.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 32
110.0 units on a scale
Interval -28.0 to 279.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 36
139.0 units on a scale
Interval 20.0 to 359.0
CDAI Change at Each Evaluation Time Point in the Increased Dose Period
Week 0 to Week 40
95.0 units on a scale
Interval -54.0 to 390.0

SECONDARY outcome

Timeframe: Screening Period (every 4 weeks for up to 16 weeks), Increased Dose Period (every 4 weeks for up to 40 weeks), a total of 56 weeks

Population: Patients whose the outcome measure were not assessed at a time point due to dropout were excluded from the analysis of the time point.

Outcome measures

Outcome measures
Measure
TA-650
n=39 Participants
Increased Dose Period
Serum Concentration of TA-650 at Each Time Point
Screening Period (SP), Week 0 (pre-dose)
1.12 μg/mL
Interval 0.0 to 13.29
Serum Concentration of TA-650 at Each Time Point
SP, 1 hr after treatment end for week 0
97.74 μg/mL
Interval 42.98 to 132.99
Serum Concentration of TA-650 at Each Time Point
SP, Week 4
4.93 μg/mL
Interval 0.0 to 27.7
Serum Concentration of TA-650 at Each Time Point
SP, Week 8
0.30 μg/mL
Interval 0.0 to 10.69
Serum Concentration of TA-650 at Each Time Point
SP, Week 12
5.25 μg/mL
Interval 0.0 to 10.49
Serum Concentration of TA-650 at Each Time Point
SP, Week 16
0.79 μg/mL
Interval 0.0 to 1.57
Serum Concentration of TA-650 at Each Time Point
Increased dose Period(IP), Week0 (pre-dose)
0.30 μg/mL
Interval 0.0 to 10.69
Serum Concentration of TA-650 at Each Time Point
IP, 1 hr after treatment end for week 0
191.24 μg/mL
Interval 144.56 to 293.32
Serum Concentration of TA-650 at Each Time Point
IP, Week 4
9.93 μg/mL
Interval 0.0 to 43.55
Serum Concentration of TA-650 at Each Time Point
IP, Week 8
1.29 μg/mL
Interval 0.0 to 21.82
Serum Concentration of TA-650 at Each Time Point
IP, Week 12
11.20 μg/mL
Interval 0.0 to 48.3
Serum Concentration of TA-650 at Each Time Point
IP, Week 16 (pre-dose)
1.31 μg/mL
Interval 0.0 to 23.67
Serum Concentration of TA-650 at Each Time Point
IP, 1hr after administration at week 16
203.16 μg/mL
Interval 140.33 to 306.48
Serum Concentration of TA-650 at Each Time Point
IP, Week 20
8.71 μg/mL
Interval 0.0 to 44.62
Serum Concentration of TA-650 at Each Time Point
IP, Week 24
1.83 μg/mL
Interval 0.0 to 25.84
Serum Concentration of TA-650 at Each Time Point
IP, Week 28
9.97 μg/mL
Interval 0.0 to 43.55
Serum Concentration of TA-650 at Each Time Point
IP, Week 32
1.60 μg/mL
Interval 0.0 to 23.11
Serum Concentration of TA-650 at Each Time Point
IP, Week 36
12.72 μg/mL
Interval 0.0 to 54.37
Serum Concentration of TA-650 at Each Time Point
IP, Week 40
2.18 μg/mL
Interval 0.0 to 22.6

SECONDARY outcome

Timeframe: Screening Period (Week 0 to Week 16), Increased Dose Period (Week 0 to Week 40)

Outcome measures

Outcome measures
Measure
TA-650
n=39 Participants
Increased Dose Period
n=39 Participants
Antibody to TA-650 Determination
Positive
5.1 percentage of participants
5.1 percentage of participants
Antibody to TA-650 Determination
Inconclusive
71.8 percentage of participants
76.9 percentage of participants
Antibody to TA-650 Determination
Negative
23.1 percentage of participants
17.9 percentage of participants

Adverse Events

Entire Evaluation Period

Serious events: 9 serious events
Other events: 37 other events
Deaths: 0 deaths

Screening Period

Serious events: 2 serious events
Other events: 25 other events
Deaths: 0 deaths

Increased Dose Period

Serious events: 8 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Entire Evaluation Period
n=45 participants at risk
Screening Period + Increased Dose Period
Screening Period
n=45 participants at risk
Increased Dose Period
n=39 participants at risk
Gastrointestinal disorders
Crohn's disease
13.3%
6/45
2.2%
1/45
12.8%
5/39
Gastrointestinal disorders
Melaena
2.2%
1/45
0.00%
0/45
2.6%
1/39
Gastrointestinal disorders
Peritonitis
2.2%
1/45
0.00%
0/45
2.6%
1/39
Infections and infestations
Bronchitis
2.2%
1/45
0.00%
0/45
2.6%
1/39
Infections and infestations
Cytomegalovirus infection
2.2%
1/45
0.00%
0/45
2.6%
1/39
Injury, poisoning and procedural complications
Upper limb fracture
2.2%
1/45
0.00%
0/45
2.6%
1/39
Nervous system disorders
Chronic inflammatory demyelinating polyradiculoneuropathy
2.2%
1/45
2.2%
1/45
0.00%
0/39

Other adverse events

Other adverse events
Measure
Entire Evaluation Period
n=45 participants at risk
Screening Period + Increased Dose Period
Screening Period
n=45 participants at risk
Increased Dose Period
n=39 participants at risk
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
2.2%
1/45
0.00%
0/45
2.6%
1/39
Nervous system disorders
Headache
6.7%
3/45
4.4%
2/45
5.1%
2/39
Nervous system disorders
Dizziness
2.2%
1/45
0.00%
0/45
2.6%
1/39
Nervous system disorders
Somnolence
2.2%
1/45
0.00%
0/45
2.6%
1/39
Skin and subcutaneous tissue disorders
Eczema
6.7%
3/45
4.4%
2/45
2.6%
1/39
Skin and subcutaneous tissue disorders
Acne
2.2%
1/45
0.00%
0/45
2.6%
1/39
Skin and subcutaneous tissue disorders
Alopecia
2.2%
1/45
0.00%
0/45
2.6%
1/39
Skin and subcutaneous tissue disorders
Polymorphic light eruption
2.2%
1/45
0.00%
0/45
2.6%
1/39
Skin and subcutaneous tissue disorders
Pruritus
2.2%
1/45
0.00%
0/45
2.6%
1/39
General disorders
Pyrexia
4.4%
2/45
2.2%
1/45
2.6%
1/39
General disorders
Oedema peripheral
2.2%
1/45
0.00%
0/45
2.6%
1/39
Vascular disorders
Hot flush
2.2%
1/45
0.00%
0/45
2.6%
1/39
Blood and lymphatic system disorders
Anaemia
2.2%
1/45
0.00%
0/45
2.6%
1/39
Blood and lymphatic system disorders
Iron deficiency anaemia
2.2%
1/45
0.00%
0/45
2.6%
1/39
Injury, poisoning and procedural complications
Injury
2.2%
1/45
0.00%
0/45
2.6%
1/39
Injury, poisoning and procedural complications
Contusion
2.2%
1/45
0.00%
0/45
2.6%
1/39
Gastrointestinal disorders
Periodontitis
2.2%
1/45
0.00%
0/45
2.6%
1/39
Renal and urinary disorders
Renal mass
2.2%
1/45
0.00%
0/45
2.6%
1/39
Reproductive system and breast disorders
Haematospermia
2.2%
1/45
0.00%
0/45
2.6%
1/39
Infections and infestations
Nasopharyngitis
26.7%
12/45
6.7%
3/45
28.2%
11/39
Infections and infestations
Influenza
6.7%
3/45
2.2%
1/45
5.1%
2/39
Infections and infestations
Gastroenteritis
4.4%
2/45
0.00%
0/45
5.1%
2/39
Infections and infestations
Pharyngitis
4.4%
2/45
0.00%
0/45
5.1%
2/39
Infections and infestations
Bronchitis
2.2%
1/45
2.2%
1/45
0.00%
0/39
Infections and infestations
Folliculitis
2.2%
1/45
0.00%
0/45
2.6%
1/39
Infections and infestations
Otitis externa
2.2%
1/45
2.2%
1/45
0.00%
0/39
Infections and infestations
Otitis media
2.2%
1/45
2.2%
1/45
0.00%
0/39
Infections and infestations
Vulvovaginal candidiasis
2.2%
1/45
0.00%
0/45
2.6%
1/39
Infections and infestations
Anal fistula infection
2.2%
1/45
2.2%
1/45
0.00%
0/39
Investigations
DNA antibody positive
40.0%
18/45
33.3%
15/45
10.3%
4/39
Investigations
Blood urine present
4.4%
2/45
4.4%
2/45
2.6%
1/39
Investigations
Liver function test abnormal
4.4%
2/45
0.00%
0/45
5.1%
2/39
Investigations
Protein urine present
4.4%
2/45
4.4%
2/45
0.00%
0/39
Investigations
Blood alkaline phosphatase increased
2.2%
1/45
0.00%
0/45
2.6%
1/39
Investigations
Chest X-ray abnormal
2.2%
1/45
0.00%
0/45
2.6%
1/39
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
11.1%
5/45
4.4%
2/45
7.7%
3/39
Respiratory, thoracic and mediastinal disorders
Dyspnoea
4.4%
2/45
2.2%
1/45
2.6%
1/39
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract inflammation
2.2%
1/45
0.00%
0/45
2.6%
1/39
Respiratory, thoracic and mediastinal disorders
Cough
2.2%
1/45
0.00%
0/45
2.6%
1/39
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.2%
1/45
0.00%
0/45
2.6%
1/39
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
2.2%
1/45
0.00%
0/45
2.6%
1/39
Musculoskeletal and connective tissue disorders
Arthralgia
2.2%
1/45
2.2%
1/45
2.6%
1/39
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
2.2%
1/45
2.2%
1/45
2.6%
1/39

Additional Information

Clinical Trials, Information Desk

Tanabe Pharma Corporation

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER