Remission in Subjects With Crohn's Disease, Open Label Extension

NCT ID: NCT01070303

Last Updated: 2011-04-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

177 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-08-31

Study Completion Date

2008-12-31

Brief Summary

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The objectives were: (1) To demonstrate the efficacy of adalimumab in the long-term maintenance of clinical remission in participants with Crohn's disease; and (2) To delineate the long-term safety of adalimumab when administered to participants with Crohn's disease.

Detailed Description

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Study M02-433 was designed to evaluate the efficacy and safety of adalimumab in the maintenance of clinical remission in patients with Crohn's disease (CD). The study consisted of 2 phases: 1. a 1-year phase (Week 0 to Week 56) (NCT00055497) that consisted of a randomized, double-blind, placebo-controlled portion with a concomitant open label (OL) portion, and 2. a long-term open-label extension (OLE) phase (NCT01070303) that lasted 264 additional weeks (Week 56 to Week 320).

Participants who completed the lead-in study NCT00055523, were eligible to participate in the rollover study, NCT00055497. 176 participants were documented as having completed Year 1 (NCT00055497); however, 177 participants were still receiving study drug and were evaluated at Week 56 of NCT00055497; these participants are included in the OLE data (NCT01070303).

At Week 4 of NCT00055497, participants who demonstrated clinical remission (defined as a Crohn's Disease Activity Index \[CDAI\] score \<150 points) at Baseline of NCT00055497 and who remained in clinical remission at Week 4 ("Remitters") were randomized to receive 1 of 3 blinded treatments: placebo, adalimumab 40 mg every other week (eow), or adalimumab 40 mg every week (ew). Participants who did not demonstrate clinical remission at Baseline of NCT00055497 or who were no longer in clinical remission at Week 4 of NCT00055497 ("Non-remitters") were assigned to receive OL adalimumab 40 mg eow. All study drug (placebo and active) was administered by subcutaneous (SC) injection.

At any time during Study NCT00055497, a participant receiving blinded study drug who developed a disease flare could be switched to OL adalimumab 40 mg eow. A participant receiving OL adalimumab 40 mg SC eow who developed a flare or was a non-responders could have had his/her dose increased to 40 mg SC ew.

After 1 year (Week 56 of NCT00055497), patients who were still participating could continue in the OLE phase (NCT01070303). Participants who were receiving blinded study drug were switched to OL adalimumab 40 mg SC eow, and participants who were receiving OL study drug continued on their previous OL adalimumab dose (adalimumab 40 mg SC eow or ew).

Data are summarized for Remitters and Non-remitters, with the exception of data for primary reason for noncompletion. Summaries of primary reason for noncompletion were available only for all participants, not for Remitters and Non-remitters. Data are reported for Weeks 104, 152, 212, and 260 of Study M02-433, starting from Week 0 of NCT00055497; these weeks correspond to 1, 2, 3, and 4 years of participation in NCT01070303. Change from Baseline results (clinical response 70, clinical response 100, Inflammatory Bowel Disease Questionnaire, and fistula remission) are calculated from Baseline of the lead-in study (NCT00055523). Results on each assessment at each measurement time point are presented as individual outcome measures because different numbers of participants were evaluated at each time point (as observed analysis).

Conditions

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Crohn's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adalimumab 40 mg every other week or every week

Group Type EXPERIMENTAL

Adalimumab 40 mg eow or ew

Intervention Type BIOLOGICAL

Adalimumab 40 mg by subcutaneous injection every other week or every week

Interventions

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Adalimumab 40 mg eow or ew

Adalimumab 40 mg by subcutaneous injection every other week or every week

Intervention Type BIOLOGICAL

Other Intervention Names

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Adalimumab Humira

Eligibility Criteria

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Inclusion Criteria

* Participant had completed the Year 1 of Study M02-433 (NCT00055497)
* Diagnosis of Crohn's disease
* Willing and able to give informed consent

Exclusion Criteria

* Diagnosis of ulcerative colitis
* Pregnancy or breastfeeding
* Previous use of infliximab or other anti-TNF (tumor necrosing factor) antagonists
* Previous history of active tuberculosis or listeria infection
* Previous history of cancer other than successfully treated skin cancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott

INDUSTRY

Sponsor Role lead

Responsible Party

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Abbott

Principal Investigators

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Anne Camez, MD

Role: STUDY_DIRECTOR

Abbott

Locations

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Gastroenterology Associates of the East Bay

Berkeley, California, United States

Site Status

Long Beach Gastroenterology Assoc.

Long Beach, California, United States

Site Status

Sharp Rees-Stealy Medical Group

San Diego, California, United States

Site Status

Gastroenterology Assoc. of Fairfield Co.

Bridgeport, Connecticut, United States

Site Status

Cleveland Clinic Florida

Weston, Florida, United States

Site Status

Wake Research Associates

Weston, Florida, United States

Site Status

Shafran Gastroenterology Center

Winter Park, Florida, United States

Site Status

Atlanta Gastroenterology Assoc.

Atlanta, Georgia, United States

Site Status

Southeastern Digestive & Liver Disease

Savannah, Georgia, United States

Site Status

Northwest Gastroenterologists, S.C.

Arlington Heights, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Drug Research Services, Inc.

Metairie, Louisiana, United States

Site Status

LSU School of Medicine

New Orleans, Louisiana, United States

Site Status

Digestive Disorders Associates

Annapolis, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Clinical Pharmacology Study Group

Worchester, Massachusetts, United States

Site Status

Mayo Clinic and Mayo Foundation

Rochester, Minnesota, United States

Site Status

Gastroenterology and Hepatology

Kansas City, Missouri, United States

Site Status

Glenn Gordon, MD

Mexico, Missouri, United States

Site Status

Deaconess Billings Clinic Research Division

Billings, Montana, United States

Site Status

Gastroenterology Specialties, P.C.

Lincoln, Nebraska, United States

Site Status

Long Island Clinical Research Associates

Great Neck, New York, United States

Site Status

NY Center for Clinical Research

Lake Success, New York, United States

Site Status

New York Presbyterian Hospital

New York, New York, United States

Site Status

Daniel Present

New York, New York, United States

Site Status

Rochester Institute for Digestive Diseases

Rochester, New York, United States

Site Status

UNC School of Medicine

Chapel Hill, North Carolina, United States

Site Status

Charlotte Gastroenterology and Hepatology

Charlotte, North Carolina, United States

Site Status

Carolina Research Associates

Charlotte, North Carolina, United States

Site Status

Digestive Health Specialists

Winston-Salem, North Carolina, United States

Site Status

Consultants for Clinical Research

Cincinnati, Ohio, United States

Site Status

Oklahoma Foundation for Digestive Disease

Oklahoma City, Oklahoma, United States

Site Status

Research Solutions

Tulsa, Oklahoma, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Peter Molloy, MD

Pittsburgh, Pennsylvania, United States

Site Status

Diseases of the Digestive System

Chattanooga, Tennessee, United States

Site Status

Nashville Medical Research Institute

Nashville, Tennessee, United States

Site Status

Charlottesville Medical Research

Charlottesville, Virginia, United States

Site Status

Northwest Gastroenterology

Bellevue, Washington, United States

Site Status

Inland Empire Gastroenterology

Spokane, Washington, United States

Site Status

Tacoma Digestive Disease Center

Tacoma, Washington, United States

Site Status

Wisconsin Center for Advanced Research

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Ryan C, Sobell JM, Leonardi CL, Lynde CW, Karunaratne M, Valdecantos WC, Hendrickson BA. Safety of Adalimumab Dosed Every Week and Every Other Week: Focus on Patients with Hidradenitis Suppurativa or Psoriasis. Am J Clin Dermatol. 2018 Jun;19(3):437-447. doi: 10.1007/s40257-017-0341-6.

Reference Type DERIVED
PMID: 29380251 (View on PubMed)

Other Identifiers

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M02-433 Open Label

Identifier Type: -

Identifier Source: org_study_id

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