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Crohn DiseasePhase 3NCT00552058

Study to Evaluate Efficacy and Safety of Certolizumab Pegol for Induction of Remission in Patients With Crohn's Disease

A Phase 3 study testing certolizumab pegol (CDP870, CZP) in people with Crohn Disease, run by UCB Pharma at 116 sites in 20 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of the study is to evaluate efficacy of certolizumab pegol in inducing clinical remission in patients with moderate to severe Crohn's disease as compared with placebo based on Crohn's Disease Activity Index (CDAI) score at Week 6. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Crohn Disease
What is being tested?
certolizumab pegol (CDP870, CZP)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
439 participants
Where
116 sitesin 20 countries
Study dates
Mar 2008to Nov 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • male/female
  • 18 - 75 years inclusive
  • diagnosis of Crohn's disease confirmed
  • moderate to severe disease activity (Crohn's Disease Activity Index (CDAI) 225 - 450)
  • no previous treatment with anti-tumor necrosis factor (anti-TNF) medications

Who cannot join

  • previous participation in a certolizumab pegol study
  • general exclusion criteria as common for studies in this indication

Trial locations and contacts

116 sites in 20 countries.

116 sites in 20 countries

United States24 sites
  • Study site

    Annapolis, Maryland

  • Study site

    Chesterfield, Michigan

  • Study site

    Chicago, Illinois

  • Study site

    Cincinnati, Ohio

  • Study site

    Cleveland, Ohio

  • Study site

    Colorado Springs, Colorado

  • Study site

    Germantown, Tennessee

  • Study site

    Hollywood, Florida

  • Study site

    Jacksonville, Florida

  • Study site

    Lakewood, Colorado

  • Study site

    Lancaster, Pennsylvania

  • Study site

    Littleton, Colorado

  • Study site

    Louisville, Kentucky

  • Study site

    Metairie, Louisiana

  • Study site

    Monroe, Louisiana

  • Study site

    New Port Richey, Florida

  • Study site

    Norfolk, Virginia

  • Study site

    Pell City, Alabama

  • Study site

    Raleigh, North Carolina

  • Study site

    Rochester, Minnesota

  • Study site

    Seattle, Washington

  • Study site

    Towson, Maryland

  • Study site

    West Bloomfield, Michigan

  • Study site

    Winter Park, Florida

Other trials in United States

Australia10 sites
  • Study site

    Adelaide

  • Study site

    Bankstown

  • Study site

    Box Hill, Victoria

  • Study site

    Clayton

  • Study site

    Concord, New South Wales

  • Study site

    Fitzroy

  • Study site

    Footscray, Victoria

  • Study site

    Fremantle

  • Study site

    Garran

  • Study site

    Parkville, Victoria

Other trials in Australia

Germany9 sites
  • Study site

    Berlin

  • Study site

    Frankfurt

  • Study site

    Freiburg im Breisgau

  • Study site

    Homburg

  • Study site

    Jena

  • Study site

    Kiel

  • Study site

    München

  • Study site

    Ulm

  • Study site

    Wilhelmshaven

Other trials in Germany

Israel9 sites
  • Study site

    Beersheba

  • Study site

    Haifa

  • Study site

    Holon

  • Study site

    Jerusalem

  • Study site

    Kfar Saba

  • Study site

    Petha Tikva

  • Study site

    Rehovot

  • Study site

    Tel Aviv

  • Study site

    Tsrifin

Other trials in Israel

Brazil8 sites
  • Study site

    Belo Horizonte, Minas Gerais

  • Study site

    Curitiba

  • Study site

    Goiânia

  • Study site

    Porto Alegre

  • Study site

    Rio de Janeiro

  • Study site

    Santo André

  • Study site

    Santos

  • Study site

    São Paulo

Other trials in Brazil

Canada8 sites
  • Study site

    Calgary

  • Study site

    Edmonton, Alberta

  • Study site

    Hamilton, Ontario

  • Study site

    Kelowna, British Columbia

  • Study site

    Kingston, Ontario

  • Study site

    London, Ontario

  • Study site

    Toronto, Ontario

  • Study site

    Winnipeg, Manitoba

Other trials in Canada

Belgium6 sites
  • Study site

    Bonheiden

  • Study site

    Brussels

  • Study site

    Ghent

  • Study site

    Leuven

  • Study site

    Liège

  • Study site

    Roeselare

Other trials in Belgium

Ukraine6 sites
  • Study site

    Dniepropetrovsk

  • Study site

    Donetsk

  • Study site

    Kiev

  • Study site

    Kyiv

  • Study site

    Lviv

  • Study site

    Simferopol

Other trials in Ukraine

Czechia5 sites
  • Study site

    Hradec Králové

  • Study site

    Hradek Kralove

  • Study site

    Prague

  • Study site

    Ústí nad Orlicí

  • Study site

    Zlín

Other trials in Czechia

Hungary5 sites
  • Study site

    Budapest

  • Study site

    Győr

  • Study site

    Nagykanizsa

  • Study site

    Szeged

  • Study site

    Szombathely

Other trials in Hungary

New Zealand5 sites
  • Study site

    Auckland

  • Study site

    Christchurch

  • Study site

    Hamilton

  • Study site

    Milford, Auckland

  • Study site

    Newton, Wellington Region

Other trials in New Zealand

Poland4 sites
  • Study site

    Częstochowa

  • Study site

    Lodz

  • Study site

    Warsaw

  • Study site

    Wroclaw

Other trials in Poland

Italy3 sites
  • Study site

    Bologna

  • Study site

    Padova

  • Study site

    Roma

Other trials in Italy

Romania3 sites
  • Study site

    Bucharest

  • Study site

    Cluj-Napoca

  • Study site

    Constanța

Other trials in Romania

Russia3 sites
  • Study site

    Kazan'

  • Study site

    Moscow

  • Study site

    Saint Petersburg

Other trials in Russia

Chile2 sites
  • Study site

    Santiago

  • Study site

    Viña del Mar

Other trials in Chile

Estonia2 sites
  • Study site

    Tallinn

  • Study site

    Tartu

Other trials in Estonia

Latvia2 sites
  • Study site

    Riga

  • Study site

    Valmiera

Other trials in Latvia

Austria1 site
  • Study site

    Vienna

Other trials in Austria

Finland1 site
  • Study site

    Mikkeli

Other trials in Finland

About this study

Official title: Phase IIIb, Multinational, Randomized, Double-blind, Placebo-controlled Trial to Assess the Efficacy and Safety of Certolizumab Pegol, a Pegylated Fab' Fragment of a Humanized Anti-Tumor Necrosis Factor(TNF)-Alpha Monoclonal Antibody, Administered in Subjects With Moderately to Severely Active Crohn's Disease.

The primary objective of the study is to evaluate efficacy of certolizumab pegol in inducing clinical remission in patients with moderate to severe Crohn's disease as compared with placebo based on Crohn's Disease Activity Index (CDAI) score at Week 6.

Conditions
Crohn Disease
Being tested
certolizumab pegol (CDP870, CZP), Placebo
Keywords
CDP 870, Certolizumab Pegol, CIMZIA ®, Crohn's disease, Induction, Clinical remission, Clinical response
Medical subject headings
Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • certolizumab pegol (CDP870, CZP)Biological

    Also called CIMZIA ®, CDP870, CZP

    Certolizumab Pegol 400 mg CZP sc injection 2 x 1 mL CZP (200 mg/mL) at Week 0, 2, and 4

  • PlaceboOther

    Saline 0.9% sc injection 2 x 1 mL Placebo at Week 0, 2 and 4

Study groups in NCT00552058
Study groupRoleWhat they receive
Certolizumab pegolExperimentalCertolizumab pegol 400 mg for subcutaneous (sc) injection
Receives: Biological: certolizumab pegol (CDP870, CZP)
PlaceboPlacebo comparatorPlacebo, saline solution for sc injection
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Subjects in Clinical Remission at Week 6

    The percentage of subjects in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 6

Secondary outcomes (16)
  1. Percentage of Subjects Achieving a Clinical Response at Week 6

    The percentage of subjects achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0, Week 6

  2. Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 6

    The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 6 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.

    Measured: Week 6

  3. Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 6

    The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 6. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0 to Week 6

  4. Change in Harvey Bradshaw Index (HBI) Score From Week 0 to Week 6

    The change in Harvey Bradshaw Index (HBI) score from Week 0 to Week 6. HBI score consists of clinical parameters of general well-being (0 to 4), abdominal pain (0 to 3), number of liquid stools per day, abdominal mass (0 to 3), and complications (score 1 per item). The first three items are scored for the previous day. Lower scores indicated better well being.

    Measured: Week 0 to Week 6

  5. Percentage of Subjects in Clinical Remission at Week 2

    The percentage of subjects in clinical remission at Week 2 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 2

  6. Percentage of Subjects in Clinical Remission at Week 4

    The percentage of subjects in clinical remission at Week 4 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 4

  7. Percentage of Subjects Achieving a Clinical Response at Week 2

    The percentage of subjects achieving a clinical response at Week 2 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0, Week 2

  8. Percentage of Subjects Achieving a Clinical Response at Week 4

    The percentage of subjects achieving a clinical response at Week 4 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0, Week 4

  9. Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 2

    The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 2. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0 to Week 2

  10. Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 4

    The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 4. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0, Week 4

  11. Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 2

    The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 2 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.

    Measured: Week 2

  12. Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 4

    The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 4 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.

    Measured: Week 4

  13. Percentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 6

    The percentage of subjects in the subgroup with less than 10 mg/L of C-reactive Protein (CRP) at Entry who are in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 6

  14. Percentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 6

    The percentage of subjects in the subgroup with 10 mg/L or greater C-reactive Protein (CRP) at Entry in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 6

  15. Percentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 6

    The percentage of subjects in the subgroup with less than 10 mg/L C-reactive Protein (CRP) at Entry achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0, Week 6

  16. Percentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 6

    The percentage of subjects in the subgroup with 10 mg/L or greater C-reactive Protein (CRP) at Entry achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

    Measured: Week 0, Week 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Nov 2007 (estimated)
  2. Study startMar 2008
  3. Primary completionOct 2009
  4. Study completionNov 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
439 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00552058
Sponsor's protocol ID
C87085
Other IDs
2007-001913-41
Status last verified
Oct 2011
First submitted
18 Oct 2007
Last updated
9 Aug 2018
Data monitoring committee
No
Expanded access
Available

Publications

  • Sandborn WJ, Schreiber S, Feagan BG, Rutgeerts P, Younes ZH, Bloomfield R, Coteur G, Guzman JP, D'Haens GR. Certolizumab pegol for active Crohn's disease: a placebo-controlled, randomized trial. Clin Gastroenterol Hepatol. 2011 Aug;9(8):670-678.e3. doi: 10.1016/j.cgh.2011.04.031. Epub 2011 May 13.

    PubMed 21642014
  • Sandborn WJ, Melmed GY, McGovern DP, Loftus EV Jr, Choi JM, Cho JH, Abraham B, Gutierrez A, Lichtenstein G, Lee SD, Randall CW, Schwartz DA, Regueiro M, Siegel CA, Spearman M, Kosutic G, Pierre-Louis B, Coarse J, Schreiber S. Clinical and demographic characteristics predictive of treatment outcomes for certolizumab pegol in moderate to severe Crohn's disease: analyses from the 7-year PRECiSE 3 study. Aliment Pharmacol Ther. 2015 Aug;42(3):330-42. doi: 10.1111/apt.13251. Epub 2015 Jun 1.

    PubMed 26031921
  • Sandborn WJ, Lee SD, Randall C, Gutierrez A, Schwartz DA, Ambarkhane S, Kayhan C, Pierre-Louis B, Schreiber S, Lichtenstein GR. Long-term safety and efficacy of certolizumab pegol in the treatment of Crohn's disease: 7-year results from the PRECiSE 3 study. Aliment Pharmacol Ther. 2014 Oct;40(8):903-16. doi: 10.1111/apt.12930. Epub 2014 Aug 22.

    PubMed 25146586

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing certolizumab pegol (CDP870, CZP) in people with Crohn Disease, run by UCB Pharma at 116 sites in 20 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 116 sites in United States, Australia, Germany, Israel, Brazil and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Dec 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Subjects in Clinical Remission at Week 6 (time frame: Week 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00552058, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Aug 2018.

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