Crohn's DiseasePhase 3NCT00409617
Study of Adalimumab Treatment for Induction and Maintenance of Clinical Remission in Subjects With Crohn's Disease
A Phase 3 study testing adalimumab in people with Crohn's Disease, run by Abbott at 189 sites in 17 countries.
Trial summary
The purpose of this study is to evaluate the safety of adalimumab for treatment of patients with moderate to severe Crohn's Disease (CD) and to measure the effects of treatment on patient general well-being, health-related quality of life (QoL), fistula healing, CD-related extra-intestinal manifestations, work… 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?
- adalimumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 945 participants
- Where
- 189 sitesin 17 countries
- Study dates
- Dec 2006to Jul 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
- Diagnosis of moderate to severe Crohn's Disease confirmed by endoscopy or radiologic evaluation for greater than 4 months (16 weeks)
- Inadequate response to conventional therapy for Crohn's Disease
- Subjects >=18 and <=75 years of age and in good health (Investigator discretion) with a recent stable medical history
- Harvey Bradshaw Index score of 7 or higher
Who cannot join
- Subject considered by the investigator, for any reason, to be an unsuitable candidate for the study
- Subject who has had surgical bowel resections within the past 6 months or is planning any resection at any time point while enrolled in the study
- Female subject who is pregnant or breast-feeding or considering becoming pregnant
- Previous treatment with adalimumab or previous participation in an adalimumab clinical study
- Subject considered by the investigator, for any reason, to be an unsuitable candidate for the study
- Subjects with any prior exposure to Tysabri® (natalizumab)
- Subjects on prednisone >40 mg/day (or equivalent), subjects on budesonide >9 mg/day, or subjects who are taking prednisone and budesonide concurrently at Baseline
Trial locations and contacts
189 sites in 17 countries.
189 sites in 17 countries
Germany48 sites
Site Ref # / Investigator 2969
Augsburg, D-86156
Site Ref # / Investigator 3096
Berlin, 10117
Site Ref # / Investigator 3041
Berlin, 10367
Site Ref # / Investigator 3070
Berlin, 12200
Site Ref # / Investigator 2980
Berlin, 13353
Site Ref # / Investigator 3089
Berlin, 14089
Site Ref # / Investigator 3084
Bochum, 44791
Site Ref # / Investigator 3051
Bochum, D-44789
Site Ref # / Investigator 3086
Braunschweig, 38126
Site Ref # / Investigator 3094
Cottbus, D-03048
Site Ref # / Investigator 2972
Dachau, 85221
Site Ref # / Investigator 3053
Dresden, 01067
Site Ref # / Investigator 3368
Düren, 52351
Site Ref # / Investigator 3052
Erlangen, D-91054
Site Ref # / Investigator 3085
Essen, D-45239
Site Ref # / Investigator 3092
Frankfurt, 60318
Site Ref # / Investigator 3040
Freiburg im Breisgau, D-79106
Site Ref # / Investigator 3066
Halle, 06120
Site Ref # / Investigator 2981
Hamburg, 20148
Site Ref # / Investigator 3044
Hamburg, 20148
Site Ref # / Investigator 2979
Hamburg, 20246
Site Ref # / Investigator 3043
Hamburg, 22297
Site Ref # / Investigator 3082
Hamburg, 22559
Site Ref # / Investigator 3081
Hanover, 30625
Site Ref # / Investigator 3072
Heidelberg, 69120
Site Ref # / Investigator 3093
Herne, 44623
Site Ref # / Investigator 3080
Jena, 07747
Site Ref # / Investigator 3034
Karlsruhe, 76133
Site Ref # / Investigator 3617
Kiel, 24105
Site Ref # / Investigator 3071
Leipzig, 04103
Site Ref # / Investigator 3091
Lübeck, 23538
Site Ref # / Investigator 3090
Magdeburg, 39120
Site Ref # / Investigator 3049
Mainz, 55116
Site Ref # / Investigator 3083
Mainz, 55131
Site Ref # / Investigator 3073
Mannheim, 68161
Site Ref # / Investigator 3050
Minden, 32423
Site Ref # / Investigator 3098
Munich, 80639
Site Ref # / Investigator 3055
Munich, 81377
Site Ref # / Investigator 3054
Munich, 81925
Site Ref # / Investigator 3056
Münster, 48129
Site Ref # / Investigator 3057
Münster, 48159
Site Ref # / Investigator 3046
Osnabrück, 49076
Site Ref # / Investigator 3078
Regensburg, 93053
Site Ref # / Investigator 3095
Rostock, 18057
Site Ref # / Investigator 2970
Rottenburg, 72108
Site Ref # / Investigator 3042
Stade, 21682
Site Ref # / Investigator 3045
Stuttgart, 70565
Site Ref # / Investigator 3079
Stuttgart, D-70376
France30 sites
Site Ref # / Investigator 3032
Amiens, 80054
Site Ref # / Investigator 3012
Besançon, 25000
Site Ref # / Investigator 2983
Béthune, 62408
Site Ref # / Investigator 2993
Bordeaux, 33075
Site Ref # / Investigator 2982
Caen, 14033
Site Ref # / Investigator 3015
Clichy, 92110
Site Ref # / Investigator 3011
Colombes, 92701
Site Ref # / Investigator 3030
Créteil, 94010
Site Ref # / Investigator 3033
Créteil, 94010
Site Ref # / Investigator 3027
Évry, 91014
Site Ref # / Investigator 3048
Grenoble, 38043
Site Ref # / Investigator 3097
Lille, 59037
Site Ref # / Investigator 3031
Marseille, 13015
Site Ref # / Investigator 2985
Montfermeil, 93370
Site Ref # / Investigator 2994
Montpellier, 34000
Site Ref # / Investigator 3014
Nantes, 44035
Site Ref # / Investigator 3029
Nice, 06202
Site Ref # / Investigator 3017
Paris, 75014
Site Ref # / Investigator 2995
Paris, 75018
Site Ref # / Investigator 3025
Paris, 75475
Site Ref # / Investigator 2996
Paris, 75571
Site Ref # / Investigator 3016
Paris, 75679
Site Ref # / Investigator 4275
Paris, 75908
Site Ref # / Investigator 3026
Pessac, 33600
Site Ref # / Investigator 2974
Pierre-Bénite, 69495
Site Ref # / Investigator 3013
Reims, 51092
Site Ref # / Investigator 3024
Rouen, 76031
Site Ref # / Investigator 2973
Strasbourg, 67089
Site Ref # / Investigator 2986
Toulouse, 31059
Site Ref # / Investigator 3018
Vandœuvre-lès-Nancy, 54511
Spain20 sites
Site Ref # / Investigator 3448
Alicante, 03010
Site Ref # / Investigator 3009
Badalona - Barcelona, 08916
Site Ref # / Investigator 3005
Barakaldo, 48903
Site Ref # / Investigator 2990
Barcelona, 08003
Site Ref # / Investigator 2989
Barcelona, 08035
Site Ref # / Investigator 3002
Barcelona, 08036
Site Ref # / Investigator 3486
Barcelona, 08097
Site Ref # / Investigator 2998
Cabuenes-Gijon, 33203
Site Ref # / Investigator 2988
Galdakano, 48960
Site Ref # / Investigator 4383
Las Palmas de Gran Canaria, 35020
Site Ref # / Investigator 3484
Madrid, 28035
Site Ref # / Investigator 2997
Madrid, 28040
Site Ref # / Investigator 2999
Madrid, 28041
Site Ref # / Investigator 3447
Madrid, 28046
Site Ref # / Investigator 3595
Madrid, 28299
Site Ref # / Investigator 3008
Palma de Mallorca, 07014
Site Ref # / Investigator 3000
Santander, 39008
Site Ref # / Investigator 3003
Valencia, 46010
Site Ref # / Investigator 3007
Zaragoza, 50009
Site Ref # / Investigator 3010
Zaragoza, 50009
United Kingdom18 sites
Site Ref # / Investigator 4604
Barnstaple, EX31 4JB
Site Ref # / Investigator 4590
Cardiff, CF14 4XW
Site Ref # / Investigator 4603
Dundee, DD1 9SY
Site Ref # / Investigator 4579
Edinburgh, EH4 2XU
Site Ref # / Investigator 4588
Harrow, HA1 3UJ
Site Ref # / Investigator 4586
Liverpool, L7 8XP
Site Ref # / Investigator 4595
London, NW1 2BU
Site Ref # / Investigator 4607
London, SE1 7EH
Site Ref # / Investigator 4596
London, SE5 9RS
Site Ref # / Investigator 4580
London, W12 ONN
Site Ref # / Investigator 4591
Nottingham, NG7 2UH
Site Ref # / Investigator 4589
Plymouth, PL6 8DH
Site Ref # / Investigator 4592
Portsmouth, PO6 3LY
Site Ref # / Investigator 4597
Rotherham, S60 2UD
Site Ref # / Investigator 4584
Sheffield, S10 2JF
Site Ref # / Investigator 4578
Southampton, SO16 6YD
Site Ref # / Investigator 4598
Stockport, SK2 7JE
Site Ref # / Investigator 4581
Surrey, CR7 7YE
Italy13 sites
Site Ref # / Investigator 3953
Bologna, 40138
Site Ref # / Investigator 3061
Florence, 50134
Site Ref # / Investigator 3035
Milan, 20157
Site Ref # / Investigator 3065
Naples, 80131
Site Ref # / Investigator 3036
Padova, 35128
Site Ref # / Investigator 3062
Palermo, 90146
Site Ref # / Investigator 3063
Pavia, 27100
Site Ref # / Investigator 3058
Pescara, 65100
Site Ref # / Investigator 3064
Rome, 00133
Site Ref # / Investigator 2991
Rome, 00152
Site Ref # / Investigator 3039
Rome, 00186
Site Ref # / Investigator 3087
Rozzano, 20089
Site Ref # / Investigator 3038
San Donato Milanese, 20097
Sweden10 sites
Site Ref # / Investigator 3895
Gothenburg, 41345
Site Ref # / Investigator 3500
Gothenburg, 416 85
Site Ref # / Investigator 3499
Linköping, 581 85
Site Ref # / Investigator 3488
Lund, 22185
Site Ref # / Investigator 3892
Östersund, 83183
Site Ref # / Investigator 3498
Skövde, 541 85
Site Ref # / Investigator 3489
Stockholm, 114 86
Site Ref # / Investigator 3896
Stockholm, 11883
Site Ref # / Investigator 3487
Stockholm, 171 76
Site Ref # / Investigator 3594
Umeå, 901 85
Belgium8 sites
Site Ref # / Investigator 3023
Bonheiden, 2820
Site Ref # / Investigator 3021
Brussels, 1090
Site Ref # / Investigator 3074
Brussels, 1200
Site Ref # / Investigator 3020
Edegem, 2650
Site Ref # / Investigator 3625
Ghent, 9000
Site Ref # / Investigator 3773
Leuven, 3000
Site Ref # / Investigator 3022
Liège, 4000
Site Ref # / Investigator 3047
Roeselare, 8800
Greece8 sites
Site Ref # / Investigator 4352
Athens, 106 76
Site Ref # / Investigator 4357
Athens, 106-76
Site Ref # / Investigator 4358
Athens, 124 62
Site Ref # / Investigator 4606
Heraklion, 71100
Site Ref # / Investigator 4355
Ioannina, 45500
Site Ref # / Investigator 4353
Nikaia, 184 54
Site Ref # / Investigator 4359
Thessaloniki, 54642
Site Ref # / Investigator 4351
Thessaloniki, 57010
Austria5 sites
Site Ref # / Investigator 3077
Graz, 8036
Site Ref # / Investigator 2978
Vienna, 1030
Site Ref # / Investigator 2975
Vienna, 1060
Site Ref # / Investigator 2976
Vienna, 1090
Site Ref # / Investigator 2977
Wels, A-4600
Denmark5 sites
Site Ref # / Investigator 3075
Aalborg, 9000
Site Ref # / Investigator 3037
Aarhus C, 8000
Site Ref # / Investigator 3088
Elsinore, 3000
Site Ref # / Investigator 3076
Hvidovre, 2650
Site Ref # / Investigator 3019
Odense C, 5000
Norway5 sites
Site Ref # / Investigator 3618
Bergen, 5021
Site Ref # / Investigator 3629
Bodø, N-8092
Site Ref # / Investigator 3630
Hamar, N-2326
Site Ref # / Investigator 3620
Oslo, 0370
Site Ref # / Investigator 3619
Oslo, 0514
Czechia4 sites
Site Ref # / Investigator 3893
Brno, 62500
Site Ref # / Investigator 4657
Olomouc, 77520
Site Ref # / Investigator 4660
Prague, 15006
Site Ref # / Investigator 4659
Prague, 17000
Portugal4 sites
Site Ref # / Investigator 3596
Braga, 4700-308
Site Ref # / Investigator 3069
Coimbra, 3000-075
Site Ref # / Investigator 4972
Lisbon, 1150-069
Site Ref # / Investigator 3068
Lisbon, 1649-035
Switzerland4 sites
Site Ref # / Investigator 3323
Basel, 4031
Site Ref # / Investigator 3321
Bern, 3010
Site Ref # / Investigator 3322
Lausanne, 1011
Site Ref # / Investigator 3794
Zurich, 8091
Ireland3 sites
Site Ref # / Investigator 3326
Cork
Site Ref # / Investigator 3324
Dublin
Site Ref # / Investigator 3325
Dublin
Slovakia3 sites
Site Ref # / Investigator 3493
Bratislava, SK-813 69
Site Ref # / Investigator 4626
Košice, 04001
Site Ref # / Investigator 3494
Prešov, 08001
About this study
Official title: A Multi-Center, Open-Label Study of the Fully Human Anti-TNF Monoclonal Antibody Adalimumab for the Induction and Maintenance of Clinical Remission in Subjects With Moderate to Severe Crohn's Disease
The purpose of this study is to evaluate the safety of adalimumab for treatment of patients with moderate to severe Crohn's Disease (CD) and to measure the effects of treatment on patient general well-being, health-related quality of life (QoL), fistula healing, CD-related extra-intestinal manifestations, work performance, and overall activity.
Read the detailed description
This is an open-label, multi-center, study designed to evaluate the safety and efficacy of adalimumab on inducing and maintaining clinical remission in subjects with moderate to severe Crohn's Disease.
Approximately 1000 subjects with a diagnosis of moderate to severe Crohn's Disease (Harvey Bradshaw Index score >= 7) will be enrolled at approximately 200 sites within Europe. Enrollment will be dependent on meeting all screening criteria.
Study medication will be administered by subcutaneous injection. At Baseline (Week 0), all subjects will receive a dose of 160 mg adalimumab. At Week 2, all subjects will receive a dose of 80 mg adalimumab. Starting at Week 4, all subjects will begin receiving injections of adalimumab 40 mg every other week and will continue every other week dosing through Week 20 except in the case of disease flare or non-response.
Starting at Week 12, subjects who experience a disease flare (flare is defined by an increase in the Harvey Bradshaw Index >=3 and a total Index score of >=7 when compared to Week 4) or are not responding to adalimumab treatment (non-response is defined as a decrease in the Harvey Bradshaw Index by fewer than 3 points compared to Baseline) will be permitted to increase study therapy to adalimumab 40 mg every week.
If the subject continues to demonstrate a lack of improvement on every week adalimumab therapy, they may be withdrawn from the study.
Prior to Week 8 subjects will not be allowed to increase or decrease Crohn's specific concomitant medications except in the event of concomitant Crohn's treatment-related toxicities assessed as moderate to severe. Changes in concomitant medications at/after Week 8 will be at the Investigator's discretion.
Subjects will be evaluated for safety and efficacy at Baseline (Week 0), Weeks 2, 4, 8, 12, and 20, and at unscheduled visits. Efficacy evaluations include HBI, Short Inflammatory Bowel Disease Questionnaire (SIBDQ), Work Productivity Activity Index (WPAI) questionnaire, fistula counts, health care resource utilization (HCRU), and evaluation of CD-related extra-intestinal manifestations (EIMs). Safety assessments include vital signs, physical examination, general laboratory analyses, urinalysis, and monitoring of adverse events (AEs).
- Conditions
- Crohn's Disease
- Being tested
- adalimumab
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
adalimumabBiological
Also called Humira
Adalimumab 40 mg Every Other Week dosing
adalimumabBiological
Also called Humira
Adalimumab 40 mg Every Week dosing if participant experiences a disease flare or is not responding to treatment. A disease flare is defined as an increase of 3 points or more on the HBI compared to the Baseline score and a total HBI score of 7 or higher. Non-response is defined as a decrease by fewer than 3 points in the HBI compared to Baseline.
| Study group | Role | What they receive |
|---|---|---|
| Open Label | Experimental | Not described Receives: Biological: adalimumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants in Clinical Remission at Treatment Week 20. Clinical Remission Defined as Harvey Bradshaw Index (HBI) Score Less Than 5.
5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Maximum total score for HBI is not specified, is dependent on number of diarrhea times each day and number of complications. Clinical remission = HBI less than 5. Highest total score at Baseline was 47. Missing data were imputed using non-responder imputation (NRI).
Measured: Week 20 of treatment
Secondary outcomes (8)
Number of Participants Who Were Responders at Week 20 of Treatment. A Responder Was Defined as a Participant Who Had a Decrease of 3 or More on the HBI.
5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Participants who had a decrease from Baseline of at least 3 points in HBI total score were considered responders. Missing data were imputed using non-responder imputation (NRI).
Measured: Week 20 of treatment
Number of Participants Who Had a Reduction in Number of Draining Fistulas of at Least 50% From Baseline to Week 20
A count of the number of cutaneous fistulas draining was performed during each physical examination. Among participants who had draining fistulas at Baseline, the number of participants who had a reduction in the number of draining fistulas of at least 50% from Baseline to Week 20 of treatment was determined. Fistulas were classified as abdominal or perianal.
Measured: Week 20 of treatment
Number of Participants Who Had Extra-intestinal Manifestations (EIM) at Baseline and Resolution by Week 20.
Number of participants who had EIM at baseline and had resolution of those manifestations at Week 20. EIM were skin lesions, eye lesions, joint complaints, CD-related hepatic disease, thrombosis, and nephrolithiasis. EIMs were determined by physical examination.
Measured: Week 20 of treatment
Mean Change in Total Score of Short Inflammatory Bowel Disease Questionnaire (SIBDQ) From Baseline to Week 20
10-item assessment of health-related quality of life (QoL) in patients with inflammatory bowel disease. Participant marks an option from 1 to 7 for each item. For some items, 1=None of the time; for other items, 1=All of the time. Value for all items are summed. Total score=10 to 70; a high score=good quality of life (QoL). An increase in score indicates improvement. An absolute change in the SIBDQ score of 9 is considered a minimum clinically important difference (MCID) for a patient.
Measured: Week 20 of treatment
Mean Change in Percent Work Time Missed Due to Crohn's Disease From Baseline to Week 20 of Treatment
Percent Work Time Missed (Absenteeism) due to CD is one component of the Work Productivity and Activity Impairment (WPAI) Questionnaire. Score of 0% = no impairment. A decrease in the mean indicates improvement.
Measured: Week 20 of treatment
Mean Change in Percent Impairment While Working From Baseline to Week 20 of Treatment
Percent impairment while working is a component of the Work Productivity and Activity Impairment measure. A score of 0% = no impairment. A decrease in mean score indicates lessening of impairment.
Measured: Week 20 of treatment
Mean Change in Overall Work Productivity and Activity Impairment Score From Baseline to Week 20
6-items that assess impairment in work productivity and daily activity during the 7 days before the assessment. It measures the percentage of overall impairment in work productivity and daily activity due to CD. A WPAI score of 0% = no impairment and a score of 100% = total loss of work productivity or activity. An absolute change in WPAI score of 7% is considered the minimum clinically important difference (MCID).
Measured: Week 20 of treatment
Mean Change in Activity Impairment Score From Baseline to Week 20
Daily activity is one component of the Work Productivity and Activity Impairment Questionnaire. 0% = no impairment. A decrease in the mean indicates improvement.
Measured: Week 20 of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Dec 2006 (estimated)
- Study startDec 2006
- Primary completionJul 2008
- Study completionJul 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Crohn's DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 945 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Paul Pollack, MD, Study director, Abbott
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00409617
- Sponsor's protocol ID
- M06-829
- Other IDs
- EudraCT:2006-002078-23
- Status last verified
- Oct 2011
- First submitted
- 8 Dec 2006
- Last updated
- 10 Oct 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Louis E, Lofberg R, Reinisch W, Camez A, Yang M, Pollack PF, Chen N, Chao J, Mulani PM. Adalimumab improves patient-reported outcomes and reduces indirect costs in patients with moderate to severe Crohn's disease: results from the CARE trial. J Crohns Colitis. 2013 Feb;7(1):34-43. doi: 10.1016/j.crohns.2012.02.017. Epub 2012 Apr 4.
PubMed 22480772
Study at a glance
From the registry record, last updated by the sponsor on 10 Oct 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Open-Label Study of the Fully Human Anti-TNF Monoclonal Antibody Adalimumab for the Induction and Maintenance of Clinical Remission in Subjects With Moderate to Severe Crohn's Disease
- ClinicalTrials.gov ID
- NCT00409617
- Acronym / sponsor ID
- M06-829
- Conditions
- Crohn's Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 945 participants (actual)
- Lead sponsor
- AbbottIndustry (pharma, biotech, devices)
- Study start
- Dec 2006
- Primary completion
- Jul 2008 (actual)
- Study completion
- Jul 2008 (actual)
- First posted
- 11 Dec 2006 (estimated)
- Results
- Posted 2 Sep 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety of adalimumab for treatment of patients with moderate to severe Crohn's Disease (CD) and to measure the effects of treatment on patient general well-being, health-related quality of life (QoL), fistula healing, CD-related extra-intestinal manifestations, work performance, and overall activity.
Detailed description
This is an open-label, multi-center, study designed to evaluate the safety and efficacy of adalimumab on inducing and maintaining clinical remission in subjects with moderate to severe Crohn's Disease.
Approximately 1000 subjects with a diagnosis of moderate to severe Crohn's Disease (Harvey Bradshaw Index score >= 7) will be enrolled at approximately 200 sites within Europe. Enrollment will be dependent on meeting all screening criteria.
Study medication will be administered by subcutaneous injection. At Baseline (Week 0), all subjects will receive a dose of 160 mg adalimumab. At Week 2, all subjects will receive a dose of 80 mg adalimumab. Starting at Week 4, all subjects will begin receiving injections of adalimumab 40 mg every other week and will continue every other week dosing through Week 20 except in the case of disease flare or non-response.
Starting at Week 12, subjects who experience a disease flare (flare is defined by an increase in the Harvey Bradshaw Index >=3 and a total Index score of >=7 when compared to Week 4) or are not responding to adalimumab treatment (non-response is defined as a decrease in the Harvey Bradshaw Index by fewer than 3 points compared to Baseline) will be permitted to increase study therapy to adalimumab 40 mg every week.
If the subject continues to demonstrate a lack of improvement on every week adalimumab therapy, they may be withdrawn from the study.
Prior to Week 8 subjects will not be allowed to increase or decrease Crohn's specific concomitant medications except in the event of concomitant Crohn's treatment-related toxicities assessed as moderate to severe. Changes in concomitant medications at/after Week 8 will be at the Investigator's discretion.
Subjects will be evaluated for safety and efficacy at Baseline (Week 0), Weeks 2, 4, 8, 12, and 20, and at unscheduled visits. Efficacy evaluations include HBI, Short Inflammatory Bowel Disease Questionnaire (SIBDQ), Work Productivity Activity Index (WPAI) questionnaire, fistula counts, health care resource utilization (HCRU), and evaluation of CD-related extra-intestinal manifestations (EIMs). Safety assessments include vital signs, physical examination, general laboratory analyses, urinalysis, and monitoring of adverse events (AEs).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Open Label | Experimental | Biological: adalimumab |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Diagnosis of moderate to severe Crohn's Disease confirmed by endoscopy or radiologic evaluation for greater than 4 months (16 weeks)
- Inadequate response to conventional therapy for Crohn's Disease
- Subjects >=18 and <=75 years of age and in good health (Investigator discretion) with a recent stable medical history
- Harvey Bradshaw Index score of 7 or higher
Key exclusion criteria (7 listed)
- Subject considered by the investigator, for any reason, to be an unsuitable candidate for the study
- Subject who has had surgical bowel resections within the past 6 months or is planning any resection at any time point while enrolled in the study
- Female subject who is pregnant or breast-feeding or considering becoming pregnant
- Previous treatment with adalimumab or previous participation in an adalimumab clinical study
- Subject considered by the investigator, for any reason, to be an unsuitable candidate for the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| adalimumabAlso: HumiraAdalimumab 40 mg Every Other Week dosing | Biological | Open Label |
| adalimumabAlso: HumiraAdalimumab 40 mg Every Week dosing if participant experiences a disease flare or is not responding to treatment. A disease flare is defined as an increase of 3 points or more on the HBI compared to the Baseline score and a total HBI score of 7 or higher. Non-response is defined as a decrease by fewer than 3 points in the HBI compared to Baseline. | Biological | Open Label |
Primary outcome
Number of Participants in Clinical Remission at Treatment Week 20. Clinical Remission Defined as Harvey Bradshaw Index (HBI) Score Less Than 5.
Time frame: Week 20 of treatment
5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Maximum total score for HBI is not specified, is dependent on number of diarrhea times each day and number of complications. Clinical remission = HBI less than 5. Highest total score at Baseline was 47. Missing data were imputed using non-responder imputation (NRI).
8 secondary outcomes
Number of Participants Who Were Responders at Week 20 of Treatment. A Responder Was Defined as a Participant Who Had a Decrease of 3 or More on the HBI.
Time frame: Week 20 of treatment
Number of Participants Who Had a Reduction in Number of Draining Fistulas of at Least 50% From Baseline to Week 20
Time frame: Week 20 of treatment
Number of Participants Who Had Extra-intestinal Manifestations (EIM) at Baseline and Resolution by Week 20.
Time frame: Week 20 of treatment
Mean Change in Total Score of Short Inflammatory Bowel Disease Questionnaire (SIBDQ) From Baseline to Week 20
Time frame: Week 20 of treatment
Mean Change in Percent Work Time Missed Due to Crohn's Disease From Baseline to Week 20 of Treatment
Time frame: Week 20 of treatment
Mean Change in Percent Impairment While Working From Baseline to Week 20 of Treatment
Time frame: Week 20 of treatment
Mean Change in Overall Work Productivity and Activity Impairment Score From Baseline to Week 20
Time frame: Week 20 of treatment
Mean Change in Activity Impairment Score From Baseline to Week 20
Time frame: Week 20 of treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Oct 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22480772Louis E, Lofberg R, Reinisch W, Camez A, Yang M, Pollack PF, Chen N, Chao J, Mulani PM. Adalimumab improves patient-reported outcomes and reduces indirect costs in patients with moderate to severe Crohn's disease: results from the CARE trial. J Crohns Colitis. 2013 Feb;7(1):34-43. doi: 10.1016/j.crohns.2012.02.017. Epub 2012 Apr 4.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paul Pollack, MD study director
Abbott
189 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing adalimumab in people with Crohn's Disease, run by Abbott at 189 sites in 17 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 4 inclusion and 7 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 10 Oct 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 189 sites in Germany, France, Spain, United Kingdom, Italy and 12 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. 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 2 Sep 2009). 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 Participants in Clinical Remission at Treatment Week 20. Clinical Remission Defined as Harvey Bradshaw Index (HBI) Score Less Than 5. (time frame: Week 20 of treatment). 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 NCT00409617, 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 10 Oct 2011.