Trial Outcomes & Findings for A Study With Pentasa in Patients With Active Crohn's Disease (NCT NCT00862121)

NCT ID: NCT00862121

Last Updated: 2012-03-16

Results Overview

The Crohn's Disease Activity Index (CDAI) is a composite score to quantify symptoms of Crohn's disease. It has a range of 0-600; higher scores are worse. A responder is defined as a participant who achieved a reduction in the CDAI score to \<150 or a decrease in CDAI score of at least 70.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

20 participants

Primary outcome timeframe

At Week 10, end of treatment

Results posted on

2012-03-16

Participant Flow

Participant milestones

Participant milestones
Measure
Mesalazine
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Overall Study
STARTED
8
12
Overall Study
Full Analysis Set (FAS)
7
11
Overall Study
Safety Analysis Set
8
11
Overall Study
COMPLETED
7
4
Overall Study
NOT COMPLETED
1
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Mesalazine
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Overall Study
Adverse Event
1
2
Overall Study
Lack of Efficacy
0
3
Overall Study
Protocol Violation
0
1
Overall Study
Exclusion criterion violation
0
1
Overall Study
Incorrect randomisation
0
1

Baseline Characteristics

A Study With Pentasa in Patients With Active Crohn's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mesalazine
n=7 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Total
n=18 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
11 Participants
n=7 Participants
18 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
37.6 years
STANDARD_DEVIATION 13.2 • n=5 Participants
37.5 years
STANDARD_DEVIATION 12.6 • n=7 Participants
37.5 years
STANDARD_DEVIATION 12.4 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
France
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
6 participants
n=7 Participants
9 participants
n=5 Participants
Region of Enrollment
Belgium
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Denmark
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Germany
4 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
Region of Enrollment
United Kingdom
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Sweden
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: At Week 10, end of treatment

Population: The percentage of CDAI responders at Week 10 was analysed for the FAS (treated participants with post-baseline CDAI), Last Observation Carried Forward (LOCF).

The Crohn's Disease Activity Index (CDAI) is a composite score to quantify symptoms of Crohn's disease. It has a range of 0-600; higher scores are worse. A responder is defined as a participant who achieved a reduction in the CDAI score to \<150 or a decrease in CDAI score of at least 70.

Outcome measures

Outcome measures
Measure
Mesalazine
n=7 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Percentage of Crohn's Disease Activity Index (CDAI) Responders at Week 10.
43 percentage of participants
55 percentage of participants

SECONDARY outcome

Timeframe: At Week 10, end of treatment

Population: Full Analysis Set (FAS), observed cases (OC), descriptive statistics only.

Fecal calprotectin is an inflammatory marker for the gastrointestinal tract. Higher values indicate more serious inflammation.

Outcome measures

Outcome measures
Measure
Mesalazine
n=7 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Relative Change From Baseline to Week 10 in Fecal Calprotectin
Baseline
244.5 microgram/gram faeces
Standard Deviation 212.09
362 microgram/gram faeces
Standard Deviation 311.57
Relative Change From Baseline to Week 10 in Fecal Calprotectin
Week 10
181.57 microgram/gram faeces
Standard Deviation 216.15
1180.17 microgram/gram faeces
Standard Deviation 2295.34

SECONDARY outcome

Timeframe: Within the 10 week treatment period

Population: Full Analysis Set (OC). Descriptive statistics only.

Serum CRP is a laboratory measure of acute inflammation. Higher values are worse.

Outcome measures

Outcome measures
Measure
Mesalazine
n=7 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Relative Change From Baseline to Each Visit in Serum C-reactive Protein (CRP)
Baseline
8.23 mg/L
Standard Deviation 5.71
10.25 mg/L
Standard Deviation 6.96
Relative Change From Baseline to Each Visit in Serum C-reactive Protein (CRP)
Week 10
7.76 mg/L
Standard Deviation 6
9.48 mg/L
Standard Deviation 8.41

SECONDARY outcome

Timeframe: Within the 10 week treatment period

Population: Full Analysis Set (OC). Descriptive statistics only.

The IBDQ is a measure of the impact of inflammatory bowel disease (IBD) on health-related quality-of-life (HRQL; mood, social activities, daily life, and IBD-related health worries). Higher scores are better; Total IBDQ score can range from 32 (very poor HRQL) to 224 (perfect HRQL).

Outcome measures

Outcome measures
Measure
Mesalazine
n=7 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Relative Change From Baseline to Each Visit in Inflammatory Bowel Disease Questionnaire (IBDQ) Score
Baseline
138.57 IBDQ score
Standard Deviation 32.07
130.27 IBDQ score
Standard Deviation 29.32
Relative Change From Baseline to Each Visit in Inflammatory Bowel Disease Questionnaire (IBDQ) Score
Week 10
164 IBDQ score
Standard Deviation 24.99
121.88 IBDQ score
Standard Deviation 39.96

SECONDARY outcome

Timeframe: Within the 10 week treatment period

Population: Full Analysis Set (OC). Descriptive statistics only.

The WPAI\_CD Item 5 measures the impact of Crohn's disease on work productivity (while working). The score is recorded by the patient on a visual analog scale, from 0 to 10. Lower scores are better, while higher scores indicate greater negative effect on work productivity.

Outcome measures

Outcome measures
Measure
Mesalazine
n=7 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Relative Change From Baseline to Each Visit in Work Productivity & Activity Impairment Questionnaire (WPAI_CD) Score Item 5 (Work Productivity)
Baseline
4.17 WPAI_CD Item 5 score
Standard Deviation 3.25
5 WPAI_CD Item 5 score
Standard Deviation 2.33
Relative Change From Baseline to Each Visit in Work Productivity & Activity Impairment Questionnaire (WPAI_CD) Score Item 5 (Work Productivity)
Week 10
1.83 WPAI_CD Item 5 score
Standard Deviation 1.47
4.4 WPAI_CD Item 5 score
Standard Deviation 2.07

SECONDARY outcome

Timeframe: At Week 10, end of treatment

Population: Safety Analysis Set (OC). Descriptive statistics only.

A lower creatinine clearance indicates worsening of renal function. Creatinine clearance was estimated from serum creatinine levels, using the Cockcroft-Gault formula.

Outcome measures

Outcome measures
Measure
Mesalazine
n=8 Participants
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 Participants
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Relative Change From Baseline to Week 10 in Estimated Creatinine Clearance
Baseline
122.63 mL/min
Standard Deviation 26.91
102.55 mL/min
Standard Deviation 24.13
Relative Change From Baseline to Week 10 in Estimated Creatinine Clearance
Week 10
124 mL/min
Standard Deviation 32.14
105.11 mL/min
Standard Deviation 31.09

Adverse Events

Mesalazine

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Mesalazine
n=8 participants at risk
Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Placebo
n=11 participants at risk
Placebo to Mesalazine (Mesalamine) 2 g sachet; 6 g daily
Blood and lymphatic system disorders
Lymphadenopathy
12.5%
1/8 • Number of events 1
0.00%
0/11
Gastrointestinal disorders
Abdominal pain
0.00%
0/8
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
Abdominal tenderness
0.00%
0/8
9.1%
1/11 • Number of events 2
Gastrointestinal disorders
Constipation
0.00%
0/8
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
Diarrhoea
0.00%
0/8
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
Gastric disorder
0.00%
0/8
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
Gastrointestinal hypermotility
12.5%
1/8 • Number of events 1
0.00%
0/11
Gastrointestinal disorders
Haemorrhoidal haemorrhage
12.5%
1/8 • Number of events 1
0.00%
0/11
Gastrointestinal disorders
Nausea
12.5%
1/8 • Number of events 1
9.1%
1/11 • Number of events 1
Infections and infestations
Lower respiratory tract infection
0.00%
0/8
9.1%
1/11 • Number of events 1
Infections and infestations
Sinusitis
12.5%
1/8 • Number of events 1
0.00%
0/11
Infections and infestations
Urinary tract infection
12.5%
1/8 • Number of events 1
9.1%
1/11 • Number of events 1
Musculoskeletal and connective tissue disorders
Bursitis
12.5%
1/8 • Number of events 1
0.00%
0/11
Nervous system disorders
Headache
0.00%
0/8
9.1%
1/11 • Number of events 1
Psychiatric disorders
Depression
0.00%
0/8
9.1%
1/11 • Number of events 1
Renal and urinary disorders
Pollakiuria
12.5%
1/8 • Number of events 1
0.00%
0/11
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/8
9.1%
1/11 • Number of events 4
Skin and subcutaneous tissue disorders
Rash
0.00%
0/8
9.1%
1/11 • Number of events 3

Additional Information

Ferring Pharmaceuticals

Clinical Development Support

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review the draft manuscript prior to publication and can request delay of publication where any contents are deemed patentable by the sponsor or confidential to the sponsor. Comments will be given within four weeks from receipt of the draft manuscript. Additional time may be required to allow Ferring to seek patent protection of the invention.
  • Publication restrictions are in place

Restriction type: OTHER