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Crohn's DiseasePhase 3CLASSICIINCT00055497

Remission in Subjects With Crohn's Disease, 1 Year Phase

A Phase 3 study testing DB adalimumab 40 mg eow, DB adalimumab 40 mg ew and OL adalimumab 40 mg in people with Crohn's Disease, run by Abbott at 43 sites in United States.

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 objectives were: (1) To demonstrate the efficacy of adalimumab in the maintenance of clinical remission up to 56 weeks in participants with Crohn's disease who participated in NCT00055523; (2) To delineate the safety of adalimumab when administered to participants with Crohn's disease up to 56 weeks. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Crohn's Disease
What is being tested?
DB adalimumab 40 mg eow, DB adalimumab 40 mg ew and OL adalimumab 40 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
276 participants
Where
43 sitesUnited States
Study dates
Aug 2002to Dec 2008
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

  • Patient must have successfully completed the induction study NCT00055523
  • Diagnosis of Crohn's disease
  • Willing and able to give informed consent

Who cannot join

  • Diagnosis of ulcerative colitis
  • Pregnancy or breastfeeding
  • Previous use of infliximab or other anti-TNF antagonists
  • Previous history of active tuberculosis or listeria infection
  • Previous history of cancer other than successfully treated skin cancer

Trial locations and contacts

43 sites in 1 country.

43 sites in 1 country

United States43 sites
  • Digestive Disorders Associates

    Annapolis, Maryland, 21401

  • Northwest Gastroenterologists, S.C.

    Arlington Heights, Illinois, 60005

  • Atlanta Gastroenterology Assoc.

    Atlanta, Georgia, 30342

  • Northwest Gastroenterology

    Bellevue, Washington, 98004

  • Gastroenterology Associates of the East Bay

    Berkeley, California, 94705

  • Deaconess Billings Clinic Research Division

    Billings, Montana, 59101

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Gastroenterology Assoc. of Fairfield Co.

    Bridgeport, Connecticut, 06606

  • UNC School of Medicine

    Chapel Hill, North Carolina, 27599

  • Charlotte Gastroenterology and Hepatology

    Charlotte, North Carolina, 28207

  • Carolina Research Associates

    Charlotte, North Carolina, 28262

  • Charlottesville Medical Research

    Charlottesville, Virginia, 22902

  • Diseases of the Digestive System

    Chattanooga, Tennessee, 37421

  • University of Chicago

    Chicago, Illinois, 60637

  • Consultants for Clinical Research

    Cincinnati, Ohio, 45219

  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

  • Long Island Clinical Research Associates

    Great Neck, New York, 11021

  • Gastroenterology and Hepatology

    Kansas City, Missouri, 64131

  • NY Center for Clinical Research

    Lake Success, New York, 11042

  • Gastroenterology Specialties, P.C.

    Lincoln, Nebraska, 68503

  • Long Beach Gastroenterology Assoc.

    Long Beach, California, 90806

  • Drug Research Services, Inc.

    Metairie, Louisiana, 70001

  • Glenn Gordon, MD

    Mexico, Missouri, 65265

  • Wisconsin Center for Advanced Research

    Milwaukee, Wisconsin, 53207

  • Nashville Medical Research Institute

    Nashville, Tennessee, 37205

  • LSU School of Medicine

    New Orleans, Louisiana, 70115

  • New York Presbyterian Hospital

    New York, New York, 10021

  • Daniel Present

    New York, New York, 10029

  • Oklahoma Foundation for Digestive Disease

    Oklahoma City, Oklahoma, 73104

  • Peter Molloy, MD

    Pittsburgh, Pennsylvania, 15224

  • Mayo Clinic and Mayo Foundation

    Rochester, Minnesota, 55905

  • Rochester Institute for Digestive Diseases

    Rochester, New York, 14607

  • Sharp Rees-Stealy Medical Group

    San Diego, California, 92123

  • Southeastern Digestive & Liver Disease

    Savannah, Georgia, 31404

  • Inland Empire Gastroenterology

    Spokane, Washington, 99204

  • Tacoma Digestive Disease Center

    Tacoma, Washington, 98405

  • Research Solutions

    Tulsa, Oklahoma, 74104

  • Cleveland Clinic Florida

    Weston, Florida, 33331

  • Wake Research Associates

    Weston, Florida, 33331

  • Digestive Health Specialists

    Winston-Salem, North Carolina, 27103

  • Shafran Gastroenterology Center

    Winter Park, Florida, 32789

  • Clinical Pharmacology Study Group

    Worchester, Massachusetts, 01610

Other trials in United States

About this study

Official title: A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Maintenance of Clinical Remission in Subjects With Crohn's Disease

The objectives were: (1) To demonstrate the efficacy of adalimumab in the maintenance of clinical remission up to 56 weeks in participants with Crohn's disease who participated in NCT00055523; (2) To delineate the safety of adalimumab when administered to participants with Crohn's disease up to 56 weeks.

Read the detailed description

Study NCT00055497 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. the first year phase lasting until Week 56 and consisting of a randomized, double-blind (DB), placebo-controlled portion (NCT00055497) and of a concomitant open label (OL) portion, and 2. a long-term extension phase (NCT01070303) that lasted 264 additional weeks (Week 56 to Week 320).

Potential participants were screened at the time of enrollment in the lead-in, induction therapy study (NCT00055523). Participants who completed the lead-in study, NCT00055523, were eligible to participate in the rollover study, NCT00055497.

In Study NCT00055497, all participants received 40 mg of adalimumab subcutaneously (SC) at Baseline (Week 0) and Week 2 of Study NCT00055497. Baseline of Study NCT00055497 is synonymous with NCT00055523 Week 4. At Week 4 of Study NCT00055497, participants were randomized based on their clinical remission status at Baseline and Week 4 of Study NCT00055497. Participants who demonstrated clinical remission (defined as a Crohn's Disease Activity Index [CDAI] score < 150 points) at Baseline of Study NCT00055497 and who remained in clinical remission at Week 4 of Study NCT00055497 (those participants constituted the randomized analysis set) were randomized to receive 1 of 3 blinded treatments: adalimumab 40 mg every other week (eow), adalimumab 40 mg every week (ew), or placebo. Participants who did not demonstrate clinical remission at Baseline of Study NCT00055497, or who were no longer in clinical remission at Week 4 of Study NCT00055497 were assigned to receive OL adalimumab 40 mg eow; those participants constituted the OL analysis set. At any time during Study NCT00055497, participants receiving OL adalimumab 40 mg SC eow who developed a flare or were non-responders during OL treatment could have had his/her dose increased to 40 mg SC weekly. Participants who were documented as having completed Week 56 are counted in the study completion total.

After 1 year (Week 56), participants who met eligibility criteria for the long-term extension phase (NCT01070303) were switched to OL adalimumab 40 mg subcutaneous (SC) eow, and participants previously in the OL treatment group of Study NCT00055497 continued on their previous OL adalimumab dose (adalimumab 40 mg SC eow or every week).

Conditions
Crohn's Disease
Being tested
Double-blind (DB) adalimumab placebo, DB adalimumab 40 mg eow, DB adalimumab 40 mg ew, OL adalimumab 40 mg
Medical subject headings
Crohn Disease

What participants receive

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

  • Double-blind (DB) adalimumab placeboBiological

    Also called Humira®

    Double-blind nonactive matching subcutaneous injection

  • DB adalimumab 40 mg eowBiological

    Also called Humira®

    Double-blind adalimumab 40 mg every other week by subcutaneous injection

  • DB adalimumab 40 mg ewBiological

    Also called Humira®

    Double-blind adalimumab 40 mg every week by subcutaneous injection

  • OL adalimumab 40 mgBiological

    Also called Humira®

    Open-label adalimumab every other week or every week by subcutaneous injection

Study groups in NCT00055497
Study groupRoleWhat they receive
Double-blind (DB) adalimumab placeboPlacebo comparatorDouble-blind nonactive matching subcutaneous injection
Receives: Biological: Double-blind (DB) adalimumab placebo
Double-blind adalimumab 40 mg every other week (eow)ExperimentalDouble-blind adalimumab 40 mg eow by subcutaneous injection
Receives: Biological: DB adalimumab 40 mg eow
Double-blind adalimumab 40 mg every week (ew)ExperimentalDouble-blind adalimumab 40 mg every week by subcutaneous injection
Receives: Biological: DB adalimumab 40 mg ew
Open-label adalimumab 40 mgExperimentalOpen-label adalimumab 40 mg eow or ew by subcutaneous injection
Receives: Biological: OL adalimumab 40 mg

What is being measured

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

  1. Number of Randomized Participants Achieving Clinical Remission at Week 56 - Non-Responder Imputation (NRI)

    Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: Week 56

  2. Number of Randomized Participants Achieving Clinical Remission at Week 56 - Last Observation Carried Forward (LOCF)

    Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: Week 56

Secondary outcomes (9)
  1. Number of Participants Achieving Clinical Remission at Week 24 - NRI

    Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: Week 24

  2. Number of OL Participants Achieving Clinical Remission at Week 56 - NRI

    Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: Week 56

  3. Number of Participants Achieving Clinical Response 100 (CR-100) - NRI

    A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: From Baseline of lead-in study to Week 24 and Week 56

  4. Number of Participants Achieving Clinical Response 70 (CR-70)- NRI

    A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: From Baseline of lead-in study to Week 24 and to Week 56

  5. Number of Participants Achieving Clinical Remission at Week 24 - LOCF

    Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: Week 24

  6. Number of OL Participants Achieving Clinical Remission at Week 56 - LOCF

    Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: Week 56

  7. Number of Participants Achieving CR-100 - LOCF

    A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: From Baseline of lead-in study to Week 24 and Week 56

  8. Number of Participants Achieving CR-70 - LOCF

    A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT00055497 and the lead-in study (NCT00055523) was 0 to 633. A lower score indicates less severe Crohn's disease activity.

    Measured: From Baseline of lead-in study to Week 24 and Week 56

  9. Change in Inflammatory Bowel Disease Questionnaire (IBDQ) Scores - LOCF

    IBDQ is a validated disease-specific instrument that assesses the impact of IBD on patient quality of life during a 2-week recall period. It has 32 questions about bowel function and related symptoms, and their social and emotional impact. For each question, participants selected 1 of 7 responses, where 1=poor quality of life (e.g., feeling of fatigue "all of the time") and 7=good quality on the item (e.g., feeling of fatigue "none of the time"). IBDQ scores range from 32 to 224. Higher scores indicate better quality of life, and increases in IBDQ indicate improved overall quality of life.

    Measured: Change from Baseline of lead-in study to Week 24 and Week 56

Timeline

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

  1. First posted5 Mar 2003 (estimated)
  2. Study startAug 2002
  3. Primary completionJan 2005
  4. Study completionDec 2008

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
276 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00055497
Sponsor's protocol ID
M02-433
Acronym
CLASSICII
Status last verified
Apr 2011
First submitted
3 Mar 2003
Last updated
11 Apr 2011
Data monitoring committee
No

Publications

  • 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.

    PubMed 29380251
  • Steenholdt C, Al-khalaf M, Brynskov J, Bendtzen K, Thomsen OO, Ainsworth MA. Clinical implications of variations in anti-infliximab antibody levels in patients with inflammatory bowel disease. Inflamm Bowel Dis. 2012 Dec;18(12):2209-17. doi: 10.1002/ibd.22910. Epub 2012 Feb 16.

    PubMed 22344964

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DB adalimumab 40 mg eow, DB adalimumab 40 mg ew and OL adalimumab 40 mg in people with Crohn's Disease, run by Abbott at 43 sites in United States.

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 3 inclusion and 5 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 11 Apr 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States. 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 18 May 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?

Number of Randomized Participants Achieving Clinical Remission at Week 56 - Non-Responder Imputation (NRI) (time frame: Week 56). The study lists 2 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 NCT00055497, which also lists 2 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 11 Apr 2011.

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