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Axial Spondyloarthritis (AxSpA)Phase 1CRADLENCT02154425

A Multicenter, Postmarketing Study Evaluating the Concentration of Cimzia® in Mature Breast Milk of Lactating Mothers

A Phase 1 study testing Breast milk sampling and Certolizumab Pegol in people with Axial Spondyloarthritis (AxSpA) and Non-radiographic Evidence-AxSpA, run by UCB BIOSCIENCES, Inc. at 6 sites in 3 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 objectives of this study are to assess whether there is transfer of Certolizumab Pegol (CZP) into breast milk of lactating mothers who are receiving an established dosing regimen of CZP by evaluating the concentration of CZP in mature breast milk, and to calculate the daily infant dose of maternal CZP. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Breast milk sampling and Certolizumab Pegol
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
17 participants
Where
6 sitesin 3 countries
Study dates
Sep 2014to Jan 2016
Phase
Phase 1
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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • An IRB/IEC approved written Informed Consent form for participation of the maternal subject and her infant (for collection of infant demographic and AE data) is signed and dated by the subject. Where applicable, the written Informed Consent form with respect to the infant is also signed and dated by the holder of parental rights as designated by the maternal subject
  • Subject is considered reliable and capable of adhering to the protocol and visit schedule according to the judgment of the Investigator
  • Subject is female and at least 18 years of age at the time of providing consent
  • Subject has delivered term infant(s) (at least 37 weeks gestation)
  • Subject is being treated with Certolizumab Pegol (CZP) per the current approved prescribing information
  • The decision to treat with CZP or to breastfeed is made independently from and prior to the subject consenting to participate in this study
Show all 9Show fewer
  • Subject agrees to use only the emollient or nipple cream provided by the Sponsor for use during the Sampling Period as described per protocol
  • Subject is at least 6 weeks postpartum
  • Subject is on an established dosing regimen of CZP (at least the third dose of CZP since starting/restarting CZP)

Who cannot join

  • Subject is pregnant or plans to become pregnant during the study
  • Subject is taking a prohibited medication or has taken a prohibited medication Note: any subjects requiring antibiotics must be discussed with the Medical Monitor prior to enrollment
  • Subject has history of chronic alcohol abuse or drug abuse in the last year
  • In subjects who intend to breastfeed, the infant has any abnormality noted on physical examination that, in the opinion of the Investigator, may jeopardize or compromise the subject's ability to participate in this study
  • Subject has any medical, obstetrical or psychiatric condition that, in the opinion of the Investigator, can jeopardize or would compromise the subject's ability to participate in this study or the outcome of the pregnancy (as applicable). Note: subjects with mastitis infection should not have samples collected until the infection is completely resolved
  • Subject has history of breast implants, breast augmentation, or breast reduction surgery
Show all 11Show fewer
  • Subject has previously participated in this study
  • Subject has participated in a study of an investigational medicinal product (IMP) (or a medical device) within the previous 30 days or 5 half-lives (whichever is longer) prior to Screening or is currently participating in another study of an IMP (or a medical device) unless the study is UCB UP0017 [NCT02019602] or a registry study
  • Subject has received treatment with any biological therapeutic agent, or other anti-TNF agents with the exception of CZP, within 5 half-lives prior to obtaining the first sample
  • Subject has a positive or indeterminate QuantiFERON®-TB GOLD In Tube test at Screening. In case of indeterminate result, a retest is allowed if time permits; 2 results of indeterminate require exclusion of the subject
  • Subject with known tuberculosis (TB) infection, at high risk of acquiring TB infection, or latent TB (LTB) infection. If tested within the 6 months prior to screening and test was negative for TB, and there is no change in the patient's clinical status, nor social, family, or travel history, there is no need for an additional TB testing at screening

Trial locations and contacts

6 sites in 3 countries.

6 sites in 3 countries

United States3 sites
  • 1

    Chapel Hill, North Carolina

  • 3

    Durham, North Carolina

  • 7

    Los Angeles, California

Other trials in United States

Netherlands2 sites
  • 500

    Maastricht

  • 501

    Rotterdam

Other trials in Netherlands

Switzerland1 site
  • 20

    Bern

Other trials in Switzerland

About this study

Official title: A Multicenter, Postmarketing Study to Evaluate the Concentration of Certolizumab Pegol in the Breast Milk of Mothers Receiving Treatment With Cimzia® (Certolizumab Pegol)

The primary objectives of this study are to assess whether there is transfer of Certolizumab Pegol (CZP) into breast milk of lactating mothers who are receiving an established dosing regimen of CZP by evaluating the concentration of CZP in mature breast milk, and to calculate the daily infant dose of maternal CZP.

Read the detailed description

The study will only include women who are receiving treatment with Certolizumab Pegol (CZP) for an approved indication in accordance with their treating physician, although this study is non-interventional regarding treatment with CZP, it is considered interventional due to the collection of breast milk from the lactating mothers.

Being tested
Breast milk sampling, Certolizumab Pegol
Keywords
Cimzia®, CZP, Breastfeeding, Nursing, Autoimmune diseases and pregnancy
Medical subject headings
Axial Spondyloarthritis, Spondylitis, Ankylosing, Crohn Disease, Arthritis, Psoriatic, Arthritis, Rheumatoid, Breast Feeding, Autoimmune Diseases

What participants receive

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

  • Breast milk samplingProcedure or surgery

    Pharmacokinetic (PK) samples will be taken from breast milk of lactating mothers on an established dosing regimen of CZP on Day 0 of the Sampling Period, just prior to next scheduled dose of CZP, and on Days 2, 4, 6, 8, 10, 12, and 14 (pre-dose for mothers on CZP Q2W), relative to CZP administration on Day 0. In addition, in mothers on a CZP Q4W dosing regimen, the concentration of CZP in breast milk will also be evaluated on or about Day 28 (i.e., prior to and on the same day of the next scheduled administration of CZP).

  • Certolizumab PegolBiological

    Also called Cimzia®

    Mothers who decided to continue on, or to start treatment with, Certolizumab Pegol (CZP) for an approved indication with their treating physician prior to participation into this study. The mother is responsible for procuring her own supply of commercial CZP. The CZP dose and administration schedule will be as per the locally approved label.

Study groups in NCT02154425
Study groupRoleWhat they receive
Pharmacokinetic samplesExperimentalPharmacokinetic (PK) samples will be taken from breast milk of lactating mothers on an established dosing regimen of CZP on Day 0 of the Sampling Period, just prior to next scheduled dose of CZP, and on Days 2, 4, 6, 8, 10, 12, and 14 (pre-dose if Q2W dosing), relative to CZP administration on Day 0. In addition, in mothers on a CZP Q4W dosing regimen, the concentration of CZP in breast milk will also be evaluated on or about Day 28 (i.e., prior to and on the same day of the next scheduled administration of CZP). Included are mothers who decided to continue on, or to start treatment with, Certolizumab Pegol (CZP) for an approved indication with their treating physician prior to participation into this study. The mother is responsible for procuring her own supply of commercial CZP. The CZP dose and administration schedule will be as per the locally approved label.
Receives: Procedure: Breast milk sampling; Biological: Certolizumab Pegol

What is being measured

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

  1. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 0

    Mature breast milk samples were collected predose on Day 0 of the Sampling Period (CZP dosing day) for all subjects.

    Measured: Day 0

  2. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 2

    Mature breast milk samples were collected on Day 2 of the Sampling Period for all subjects.

    Measured: Day 2

  3. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 4

    Mature breast milk samples were collected on Day 4 of the Sampling Period for all subjects.

    Measured: Day 4

  4. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 6

    Mature breast milk samples were collected on Day 6 of the Sampling Period for all subjects.

    Measured: Day 6

  5. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 8

    Mature breast milk samples were collected on Day 8 of the Sampling Period for all subjects.

    Measured: Day 8

  6. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 10

    Mature breast milk samples were collected on Day 10 of the Sampling Period for all subjects.

    Measured: Day 10

  7. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 12

    Mature breast milk samples were collected on Day 12 of the Sampling Period for all subjects.

    Measured: Day 12

  8. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 14

    Mature breast milk samples were collected (predose, as applicable for subjects receiving CZP 200 mg Q2W) on Day 14 of the Sampling Period for all subjects.

    Measured: Day 14

  9. The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 28

    In subjects receiving CZP 400 mg Q4W, a mature breast milk sample were collected on or about Day 28, prior to the next scheduled administration of CZP.

    Measured: Day 28

  10. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 2

    Mature breast milk samples was collected on Day 2 of the Sampling Period for all subjects.

    Measured: Day 2

  11. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 4

    Mature breast milk samples was collected on Day 4 of the Sampling Period for all subjects.

    Measured: Day 4

  12. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 6

    Mature breast milk samples was collected on Day 6 of the Sampling Period for all subjects.

    Measured: Day 6

  13. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 8

    Mature breast milk samples was collected on Day 8 of the Sampling Period for all subjects.

    Measured: Day 8

  14. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 10

    Mature breast milk samples was collected on Day 10 of the Sampling Period for all subjects.

    Measured: Day 10

  15. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 12

    Mature breast milk samples was collected on Day 12 of the Sampling Period for all subjects.

    Measured: Day 12

  16. The Calculated Daily Infant Dose of Certolizumab Pegol (CZP) in Breast on Day 14

    Mature breast milk samples was collected (pre-dose, as applicable for subjects receiving CZP 200 mg Q2W) on Day 14 of the Sampling Period for all subjects.

    Measured: Day 14

  17. The Calculated Infant Daily Dose of Certolizumab Pegol (CZP) in Breast Milk on Day 28

    In subjects receiving CZP 400 mg Q4W, a mature breast milk sample was collected on or about Day 28, prior to the next scheduled administration of CZP.

    Measured: Day 28

  18. The Average Daily Infant Dose of Certolizumab Pegol (CZP) Over the Dosing Interval (14 or 28 Days)

    Mature breast milk samples will be collected (pre-dose, as applicable for subjects receiving CZP 200 mg Q2W) on Day 14 or on Day 28 of the Sampling Period for all subjects.

    Measured: From Day 0 to Day 14 or 28

Timeline

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

  1. First posted3 Jun 2014 (estimated)
  2. Study startSep 2014
  3. Primary completionDec 2015
  4. Study completionJan 2016

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 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02154425
Sponsor's protocol ID
UP0016
Other IDs
2013-004126-28
Acronym
CRADLE
Status last verified
Mar 2018
First submitted
30 May 2014
Last updated
3 Apr 2018
Data monitoring committee
No

Publications

  • Clowse ME, Forger F, Hwang C, Thorp J, Dolhain RJ, van Tubergen A, Shaughnessy L, Simpson J, Teil M, Toublanc N, Wang M, Hale TW. Minimal to no transfer of certolizumab pegol into breast milk: results from CRADLE, a prospective, postmarketing, multicentre, pharmacokinetic study. Ann Rheum Dis. 2017 Nov;76(11):1890-1896. doi: 10.1136/annrheumdis-2017-211384. Epub 2017 Aug 16.

    PubMed 28814432

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Breast milk sampling and Certolizumab Pegol in people with Axial Spondyloarthritis (AxSpA) and Non-radiographic Evidence-AxSpA, run by UCB BIOSCIENCES, Inc. at 6 sites in 3 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 9 inclusion and 11 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 3 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States, Netherlands, Switzerland. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 6 Feb 2017). 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?

The Concentration of Certolizumab Pegol (CZP) in Breast Milk on Day 0 (time frame: Day 0). The study lists 18 primary outcomes in all. 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 NCT02154425, which also lists 1 linked publication.

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 3 Apr 2018.

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