Trial Outcomes & Findings for Efficacy Study of Adalimumab to Treat Interstitial Cystitis (NCT NCT01295814)

NCT ID: NCT01295814

Last Updated: 2015-07-16

Results Overview

Improvement in the O'Leary Sant Symptom and Problem Index from baseline to week 12 Total scores on a scale range: 0-36 (0, meaning no symptoms to 36, meaning the most severe symptoms)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

43 participants

Primary outcome timeframe

Baseline/12 Weeks

Results posted on

2015-07-16

Participant Flow

subject were recruited from medical practices and by advertisement starting March 2011 through January 2013.

A total of 4 subjects did not meet screening criteria.

Participant milestones

Participant milestones
Measure
Inactive Drug
inactive drug : placebo
Adalimumab
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Overall Study
STARTED
22
21
Overall Study
COMPLETED
20
19
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Inactive Drug
inactive drug : placebo
Adalimumab
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Overall Study
Lack of Efficacy
0
2
Overall Study
Withdrawal by Subject
2
0

Baseline Characteristics

Efficacy Study of Adalimumab to Treat Interstitial Cystitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Inactive Drug
n=22 Participants
inactive drug : placebo
Adalimumab
n=21 Participants
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Total
n=43 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
22 Participants
n=5 Participants
21 Participants
n=7 Participants
43 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
46.5 years
STANDARD_DEVIATION 13.4 • n=5 Participants
45.2 years
STANDARD_DEVIATION 14 • n=7 Participants
45.9 years
STANDARD_DEVIATION 13.7 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
16 Participants
n=7 Participants
34 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
United States
22 participants
n=5 Participants
21 participants
n=7 Participants
43 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline/12 Weeks

Improvement in the O'Leary Sant Symptom and Problem Index from baseline to week 12 Total scores on a scale range: 0-36 (0, meaning no symptoms to 36, meaning the most severe symptoms)

Outcome measures

Outcome measures
Measure
Inactive Drug
n=22 Participants
inactive drug : placebo
Adalimumab
n=21 Participants
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
O'Leary-Santa Interstitial Cystitis Symptom Index and Problem Index (OSPI) Score
Baseline
27.7 units on a scale
Standard Deviation 4.9
27.8 units on a scale
Standard Deviation 3.9
O'Leary-Santa Interstitial Cystitis Symptom Index and Problem Index (OSPI) Score
Week 12
19.6 units on a scale
Standard Deviation 10.7
19.9 units on a scale
Standard Deviation 7.5

SECONDARY outcome

Timeframe: Baseline/ 12 weeks

Improvement in O'Leary Sant Interstitial Cystitis Symptom Index (ICSI) Total scores on a range scale: 0-20 (0, meaning no symptoms, to 20, meaning the most severe symptoms)

Outcome measures

Outcome measures
Measure
Inactive Drug
n=22 Participants
inactive drug : placebo
Adalimumab
n=21 Participants
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Interstitial Cystitis Symptom Index (ICSI)
Baseline
14.2 units on a scale
Standard Deviation 3.1
14.0 units on a scale
Standard Deviation 2.7
Interstitial Cystitis Symptom Index (ICSI)
Week 12
10.5 units on a scale
Standard Deviation 5.7
10.0 units on a scale
Standard Deviation 4.2

SECONDARY outcome

Timeframe: Baseline/12 Weeks

Improvement in O'Leary Sant Interstitial Cystitis Problem Index (ICPI) Total scores on a scale: 0-16 (0, meaning no symptoms, to 16, meaning the most severe symptoms)

Outcome measures

Outcome measures
Measure
Inactive Drug
n=22 Participants
inactive drug : placebo
Adalimumab
n=21 Participants
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Interstitial Cystitis Problem Index (ICPI)
Baseline
13.5 units on a scale
Standard Deviation 2.2
13.8 units on a scale
Standard Deviation 1.7
Interstitial Cystitis Problem Index (ICPI)
Week 12
9.1 units on a scale
Standard Deviation 5.1
9.9 units on a scale
Standard Deviation 3.6

SECONDARY outcome

Timeframe: Baseline12 Weeks

Pelvic Pain, Urgency/Frequency Symptom Scale Total scores on a scale range: 0-35 (0, meaning no symptoms, to 35, meaning the most severe symptoms)

Outcome measures

Outcome measures
Measure
Inactive Drug
n=22 Participants
inactive drug : placebo
Adalimumab
n=21 Participants
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Pelvic Pain Urgency/Frequency (PUF) Score
Week 12
17.3 units on a scale
Standard Deviation 8.7
18.3 units on a scale
Standard Deviation 6.9
Pelvic Pain Urgency/Frequency (PUF) Score
Baseline
24.2 units on a scale
Standard Deviation 3.9
24.6 units on a scale
Standard Deviation 4.1

SECONDARY outcome

Timeframe: Measured at12 Weeks

Percent(%) of patients who reported 50% or greater overall improvement in their condition. Score on a scale range (improvement 0%-100%)

Outcome measures

Outcome measures
Measure
Inactive Drug
n=22 Participants
inactive drug : placebo
Adalimumab
n=21 Participants
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Global Response Assessment (GRA)
50 percentage of participants
53 percentage of participants

Adverse Events

Inactive Drug

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Adalimumab

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Inactive Drug
n=22 participants at risk
inactive drug : placebo
Adalimumab
n=21 participants at risk
Adalimumab : 80 mg loading dose given subcutaneously followed by 40 mg dose given subcutaneously every two weeks over a twelve week period
Gastrointestinal disorders
Diarrhea
31.8%
7/22 • Number of events 8 • 2 years
March 2011 to March 2013
4.8%
1/21 • Number of events 1 • 2 years
March 2011 to March 2013
Skin and subcutaneous tissue disorders
Rash
9.1%
2/22 • Number of events 2 • 2 years
March 2011 to March 2013
23.8%
5/21 • Number of events 5 • 2 years
March 2011 to March 2013
Skin and subcutaneous tissue disorders
Injection Site Reaction
0.00%
0/22 • 2 years
March 2011 to March 2013
19.0%
4/21 • Number of events 10 • 2 years
March 2011 to March 2013
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
31.8%
7/22 • Number of events 11 • 2 years
March 2011 to March 2013
57.1%
12/21 • Number of events 14 • 2 years
March 2011 to March 2013
Musculoskeletal and connective tissue disorders
Pain
36.4%
8/22 • Number of events 10 • 2 years
March 2011 to March 2013
14.3%
3/21 • Number of events 3 • 2 years
March 2011 to March 2013
General disorders
Headache
22.7%
5/22 • Number of events 10 • 2 years
March 2011 to March 2013
14.3%
3/21 • Number of events 3 • 2 years
March 2011 to March 2013
Gastrointestinal disorders
Vomiting
0.00%
0/22 • 2 years
March 2011 to March 2013
14.3%
3/21 • Number of events 3 • 2 years
March 2011 to March 2013
Renal and urinary disorders
Urinary Tract Infection
13.6%
3/22 • Number of events 3 • 2 years
March 2011 to March 2013
23.8%
5/21 • Number of events 8 • 2 years
March 2011 to March 2013
Gastrointestinal disorders
Salmonella
0.00%
0/22 • 2 years
March 2011 to March 2013
14.3%
3/21 • Number of events 3 • 2 years
March 2011 to March 2013
Gastrointestinal disorders
Nausea
13.6%
3/22 • Number of events 3 • 2 years
March 2011 to March 2013
14.3%
3/21 • Number of events 3 • 2 years
March 2011 to March 2013
General disorders
Dizziness
13.6%
3/22 • Number of events 3 • 2 years
March 2011 to March 2013
0.00%
0/21 • 2 years
March 2011 to March 2013
Gastrointestinal disorders
Gastritis
0.00%
0/22 • 2 years
March 2011 to March 2013
14.3%
3/21 • Number of events 3 • 2 years
March 2011 to March 2013
General disorders
Fatigue
22.7%
5/22 • Number of events 5 • 2 years
March 2011 to March 2013
0.00%
0/21 • 2 years
March 2011 to March 2013

Additional Information

Philip C. Bosch, MD

IC Study, LLC

Phone: 760-743-3135

Results disclosure agreements

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

Restriction type: OTHER