Trial Outcomes & Findings for Surveillance of Humira Injection in Korean Patients (NCT NCT01083121)

NCT ID: NCT01083121

Last Updated: 2013-08-21

Results Overview

An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious AE (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to adalimumab were assessed as being either probably or possibly related by the investigator. An Unexpected ADR is an ADR for which the nature or gravity is not consistent with the applicable product information.

Recruitment status

COMPLETED

Target enrollment

1779 participants

Primary outcome timeframe

From Baseline until up to 70 days after the 3 month study period (total of 160 days).

Results posted on

2013-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Adalimumab
Participants who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Overall Study
STARTED
1779
Overall Study
COMPLETED
1698
Overall Study
NOT COMPLETED
81

Reasons for withdrawal

Reasons for withdrawal
Measure
Adalimumab
Participants who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Overall Study
Use of Humira outside the approved label
81

Baseline Characteristics

Surveillance of Humira Injection in Korean Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adalimumab
n=1698 Participants
Participants who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Age Continuous
41.80 years
STANDARD_DEVIATION 13.89 • n=5 Participants
Sex: Female, Male
Female
729 Participants
n=5 Participants
Sex: Female, Male
Male
969 Participants
n=5 Participants
Region of Enrollment
Korea, Republic of
1,698 participants
n=5 Participants
Indication
Rheumatoid arthritis
652 participants
n=5 Participants
Indication
Psoriatic arthritis
47 participants
n=5 Participants
Indication
Ankylosing spondylitis
925 participants
n=5 Participants
Indication
Crohn's disease
73 participants
n=5 Participants
Indication
Psoriasis
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: From Baseline until up to 70 days after the 3 month study period (total of 160 days).

Population: Safety analysis population

An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious AE (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to adalimumab were assessed as being either probably or possibly related by the investigator. An Unexpected ADR is an ADR for which the nature or gravity is not consistent with the applicable product information.

Outcome measures

Outcome measures
Measure
Adalimumab
n=1698 Participants
Participants who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Psoriatic Arthritis
Participants with active and progressive psoriatic arthritis who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Ankylosing Spondylitis
Participants with severe active ankylosing spondylitis who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Crohn's Disease
Participants with severely active Crohn's disease who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Number of Participants With Adverse Events (AEs)
Any adverse event
171 participants
Number of Participants With Adverse Events (AEs)
Any adverse drug reaction
116 participants
Number of Participants With Adverse Events (AEs)
Serious adverse events
47 participants
Number of Participants With Adverse Events (AEs)
Mild adverse event
115 participants
Number of Participants With Adverse Events (AEs)
Moderate adverse event
58 participants
Number of Participants With Adverse Events (AEs)
Severe adverse event
7 participants
Number of Participants With Adverse Events (AEs)
Discontinued adalimumab due to adverse event
30 participants
Number of Participants With Adverse Events (AEs)
Adverse events related to adalimumab
120 participants
Number of Participants With Adverse Events (AEs)
Unexpected adverse drug reaction
21 participants

SECONDARY outcome

Timeframe: After 3-month treatment

Population: Effectiveness evaluation was performed in 1,471 participants who received adalimumab for at least 3 months and in whom investigator's assessment at 3 months was available. No participants were available in the Psoriasis group for effectiveness evaluation.

The investigator's overall assessment for effectiveness was recorded as 'Improved', 'No change', 'Aggravated,' or 'Not assessable'.

Outcome measures

Outcome measures
Measure
Adalimumab
n=541 Participants
Participants who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Psoriatic Arthritis
n=40 Participants
Participants with active and progressive psoriatic arthritis who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Ankylosing Spondylitis
n=834 Participants
Participants with severe active ankylosing spondylitis who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Crohn's Disease
n=56 Participants
Participants with severely active Crohn's disease who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Physician's Global Assessment for Effectiveness
Aggravated
11 participants
1 participants
3 participants
0 participants
Physician's Global Assessment for Effectiveness
Improved
478 participants
37 participants
790 participants
50 participants
Physician's Global Assessment for Effectiveness
No change
52 participants
2 participants
41 participants
6 participants
Physician's Global Assessment for Effectiveness
Not assessable
0 participants
0 participants
0 participants
0 participants

Adverse Events

Adalimumab

Serious events: 47 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Adalimumab
n=1698 participants at risk
Participants who were prescribed with adalimumab per approved prescribing information of adalimumab in Korea.
Infections and infestations
Pyelonephritis
0.24%
4/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Pneumonia
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Pulmonary tuberculosis
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Herpes zoster
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Peritoneal tuberculosis
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Tuberculosis
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Renal tuberculosis
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Bursitis infective
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Malaria
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Pneumonia cryptococcal
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Anal abscess
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Infections and infestations
Peritoneal abscess
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Abdominal pain
0.18%
3/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Diarrhoea
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Vomiting
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Colitis
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Intestinal perforation
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Peritonitis
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Intestinal infarction
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Enterocutaneous fistula
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Gastrointestinal disorders
Nausea
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Skin and subcutaneous tissue disorders
Pruritus
0.12%
2/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Skin and subcutaneous tissue disorders
Erythema
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Skin and subcutaneous tissue disorders
Rash
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Nervous system disorders
Cerebral haemorrhage
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Nervous system disorders
Paralysis
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Nervous system disorders
Dementia
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Musculoskeletal and connective tissue disorders
Ankylosing spondylitis
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Musculoskeletal and connective tissue disorders
Back pain
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancer
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
General disorders
Asthenia
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
General disorders
Pyrexia
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
General disorders
Pain
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Injury, poisoning and procedural complications
Dislocation of vertebra
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Injury, poisoning and procedural complications
Fracture
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Surgical and medical procedures
Knee operation
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Surgical and medical procedures
Small intestinal resection
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Investigations
Blood creatinine increased
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Investigations
Haemoglobin decreased
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Hepatobiliary disorders
Hepatotoxicity
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Immune system disorders
Allergy to sting
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Cardiac disorders
Myocardial infarction
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Blood and lymphatic system disorders
Anaemia
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).
Metabolism and nutrition disorders
Dehydration
0.06%
1/1698 • For up to 70 days after the 3 month study period (total of 160 days).

Other adverse events

Adverse event data not reported

Additional Information

Global Medical Services

AbbVie (prior sponsor, Abbott)

Phone: 800-633-9110

Results disclosure agreements

  • Principal investigator is a sponsor employee AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
  • Publication restrictions are in place

Restriction type: OTHER