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Crohn's DiseasePhase 2NCT01393899

The Safety And Efficacy Of Maintenance Therapy With CP-690,550

A Phase 2 study testing CP-690,550 in people with Crohn's Disease, run by Pfizer at 91 sites in 17 countries.

Completed

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

Official record
Search all trials

Trial summary

This study investigates safety and efficacy of CP-690,550 in adult patients with moderate to severe Crohn's disease who completed the double-blind induction treatment in Study A3921083 and achieved clinical response-100 and/or clinical remission (CDAI<150) at Week 8. 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?
CP-690,550
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
91 sitesin 17 countries
Study dates
Mar 2012to Jul 2015
Phase
Phase 2
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

  • Subjects who met study entry criteria, and who completed Week 8 visit of Induction Study A3921083.
  • Subjects who achieve clinical response-100 (reduction in CDAI by 100 points) and/or clinical remission (CDAI<150) in Study A3921083.
  • Women of childbearing potential must test negative for pregnancy prior to study enrolment.

Who cannot join

  • Subjects who had major protocol violation (as determined by the Sponsor) in the A3921083 study.
  • Subjects likely to require any type of surgery during the study period.
  • Fecal culture/toxin assay indicating presence of pathogenic infection.

Trial locations and contacts

91 sites in 17 countries.

91 sites in 17 countries

United States41 sites
  • ACMG Endoscopy Center

    Anaheim, California, 92801

  • ACRI - Phase I, LLC

    Anaheim, California, 92801

  • Advanced Clinical Research Institute-Phase 1, LLC

    Anaheim, California, 92801

  • East Ann Arbor Health and Geriatrics Center

    Ann Arbor, Michigan, 48109-2701

  • University of Michigan Health Systems

    Ann Arbor, Michigan, 48109-5000

  • Chevy Chase Endoscopy Center

    Chevy Chase, Maryland, 20815

  • Metropolitan Gastroenterology Group, PC

    Chevy Chase, Maryland, 20815

  • Gasteroenterology Consultants of Clearwater

    Clearwater, Florida, 33756

  • West Coast Endoscopy Center

    Clearwater, Florida, 33756

  • Clinical Research of West Florida, Inc.

    Clearwater, Florida, 33765

  • Investigational Drug Services - University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • West Coast Clinical Trials

    Cypress, California, 90630

  • Shands Endoscopy Center

    Gainesville, Florida, 32608

  • Shands Hospital at the University of Florida

    Gainesville, Florida, 32610-0214

  • Shands Medical Plaza and Cancer Center

    Gainesville, Florida, 32610

  • University of Florida - College of Medicine

    Gainsville, Florida, 32610

  • NYU Langone Nassau Gastroenterology Associates

    Great Neck, New York, 11021

  • Clinical Research Of The Rockies

    Lafayette, Colorado, 80026

  • Gastroenterology Associates of Central Georgia, LLC

    Macon, Georgia, 31201

  • Great Lakes Gastroenterology

    Mentor, Ohio, 44060

  • The Center for Digestive Health

    Milwaukee, Wisconsin, 53215

  • Wisconsin Center for Advanced Research - GI Associates, LLC

    Milwaukee, Wisconsin, 53215

  • Gastroenterology Group of Naples

    Naples, Florida, 34102

  • Gulfshore Endoscopy Center (Endoscopies Only)

    Naples, Florida, 34102

  • Cardiology Consultants

    Norfolk, Virginia, 23502

  • Digestive & Liver Desease Specialists

    Norfolk, Virginia, 23502

  • Alliance Clinical Research

    Oceanside, California, 92056

  • North Florida Gastroenterology Research, LLC

    Orange Park, Florida, 32073

  • Internal Medicine Specialists

    Orlando, Florida, 32806

  • Premier Medical Group of the Hudson Valley, PC

    Poughkeepsie, New York, 12601

  • University of Utah HSC

    Salt Lake City, Utah, 84132

  • Cotton-O'Neil Clinical Research Center, Digestive Health

    Topeka, Kansas, 66606

  • Center for Digestive Health

    Troy, Michigan, 48098

  • Surgical Centers of Michigan

    Troy, Michigan, 48098

  • Digestive Health Specialists of Tyler

    Tyler, Texas, 75701

  • Endoscopy Center of Tyler

    Tyler, Texas, 75701

  • Metropolitan Gastroenterology Group, P C

    Washington DC, Virginia, 20006

  • Allegiance Research Specialists

    Wauwatosa, Wisconsin, 53226

  • GI Associates

    Wauwatosa, Wisconsin, 53226

Other trials in United States

Hungary7 sites
  • Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak/I. Belgyogyaszat es Gastroenterologia

    Budapest, 1125

  • Pannonia Magánorvosi Centrum Kft

    Budapest, 1136

  • Laboratorium Kft. Fovarosi és Pest Megyei Mikrobiologiai Laboratorium

    Budapest, H-1044

  • Peterfy Sandor Utcai Korhaz, Rendelointezet es Baleseti Kozpont, I. sz. Belgyogyaszat

    Budapest, H-1076

  • Bugat Pal Korhaz Egeszsegugyi Szolgaltato Kozhasznu Nonprofit Kft.,

    Gyöngyös, 3200

  • Laboratórium Kft. Somogy Megyei Mikrobiológiai Laboratórium

    Kaposvár, H-7400

  • Clinfan Kft.

    Szekszárd, 7100

Other trials in Hungary

Canada5 sites
  • London Health Sciences Centre - University Hospital

    London, Ontario, N6A 5A5

  • Montreal General Hospital - McGill University Health Centre

    Montreal, Quebec, H3G1A4

  • Office of Dr. David C. Pearson

    Victoria, British Columbia, V8R 6R3

  • Office of Drs. Ranjith Andrew Singh and Jamie D. Papp,

    Victoria, British Columbia, V8V 3P9

  • PerCuro Clinical Research Ltd.

    Victoria, British Columbia, V8V 3P9

Other trials in Canada

Germany5 sites
  • Charite - Campus Berlin Mitte

    Berlin, 10117

  • Charite - Campus Benjamin Franklin

    Berlin, 12200

  • Charite, Universitaetsmedizin Berlin, Campus Virchow-Klinikum

    Berlin, 13353

  • Universitaetsklinikum Schleswig-Holstein

    Kiel, 24105

  • Universitaetsklinikum Ulm, Klinik Fuer Innere Medizin I

    Ulm, 89081

Other trials in Germany

Japan5 sites
  • Toho University Sakura Medical Center

    Chiba, 285-8741

  • Hokkaido P.W.F.A.C Sapporo-Kosei general Hospital

    Hokkaido, 060-0033

  • The Hospital of Hyogo College of Medicine

    Nishinomiya, Hyōgo, 663-8501

  • Osaka City University Hospital

    Osaka, Osaka, 545-8586

  • National Hospital Organization Sendai Medical Center

    Sendai, Miyagi, 983-8520

Other trials in Japan

Australia3 sites
  • Monash Medical Centre

    Clayton, Victoria, 3168

  • Nepean Public Hospital

    Kingswood, New South Wales, 2747

  • Royal Melbourne Hospital

    Melbourne, 3050

Other trials in Australia

Czechia3 sites
  • Hepato-Gastroenterologie HK, s.r.o.

    Hradec Králové, 50012

  • Medial Pharma spol.s.r.o. (Pharmacy only)

    Hradec Králové, 50012

  • RDG centrum s.r.o. (Radiology only)

    Hradec Králové, 50012

Other trials in Czechia

Israel3 sites
  • Digestive Disease Institute

    Jerusalem, 91031

  • Meir Medical Center

    Kfar Saba, 44281

  • Tel Aviv Sourasky Medical Center

    Tel Aviv, 64932

Other trials in Israel

South Korea3 sites
  • Severance Hospital, Yonsei University Health System

    Seoul, 120-752

  • Samsung Medical Center, Division of Gastroenterology, Department of Internal Medicine

    Seoul, 135-710

  • ASAN Medical Center,Division of Gastroenterology,Department of Internal Medicine

    Seoul, 138-736

Other trials in South Korea

Spain3 sites
  • Hospital Clinic de Barcelona

    Barcelona, Barcelona, 08036

  • Comite Etico de Investigacion Clinica

    Barcelona, 08036

  • Hospital Universitario de La Princesa

    Madrid, 28006

Other trials in Spain

Ukraine3 sites
  • Donetsk National Medical University n.a M. Gorky, Faculty of Internal Medicine #2

    Donetsk, 83017

  • Municipal Institution "Odesa Regional Clinical Hospital", Odesa Regional Centre of Gastroenterology.

    Odesa, 65117

  • Medical Clinical Research Center of Medical Center "Health Clinic" LLC

    Vinnitsa, 21029

Other trials in Ukraine

Bulgaria2 sites
  • 4 MBAL Parvo vatreshno otdelenie

    Sofia, 1000

  • MBAL Sofiamed OOD, Otdelenie po gastroenterologia

    Sofia, 1797

Other trials in Bulgaria

France2 sites
  • Hopital Huriez CHRU de Lille

    Lille, 59037

  • Hôpital Haut-Lévêque/Service d hépato-gastroentérologie

    Pessac, 33064

Other trials in France

Netherlands2 sites
  • VU University Medical Center

    Amsterdam, 1081HV

  • Academisch Medisch Centrum

    Amsterdam, 1105 AZ

Other trials in Netherlands

South Africa2 sites
  • Kingsbury Hospital

    Cape Town, Western Cape, 7708

  • Parklands Medical Centre

    Durban, 4091

Other trials in South Africa

Austria1 site
  • AKH Wien Universitaetsklinik fuer Innere Medizin III

    Vienna, 1090

Other trials in Austria

Greece1 site
  • General Hospital of Athens "Evangelismos",1st Gastroenterology Department

    Kolonaki Athens, 106 76

Other trials in Greece

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multi-Centre Study To Investigate The Safety And Efficacy Of CP-690,550 For Maintenance Therapy In Subjects With Moderate To Severe Crohn's Disease

This study investigates safety and efficacy of CP-690,550 in adult patients with moderate to severe Crohn's disease who completed the double-blind induction treatment in Study A3921083 and achieved clinical response-100 and/or clinical remission (CDAI<150) at Week 8.

Conditions
Crohn's Disease
Being tested
Placebo, CP-690,550
Keywords
tofacitinib, Xeljanz, CP-690,550, maintenance therapy
Medical subject headings
Crohn Disease

What participants receive

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

  • PlaceboDrug

    oral tablets twice daily

  • CP-690,550Drug

    oral tablets twice daily

  • CP-690,550Drug

    oral tablets twice daily

Study groups in NCT01393899
Study groupRoleWhat they receive
Placebo BIDPlacebo comparatorNot described
Receives: Drug: Placebo
5mg BIDExperimentalNot described
Receives: Drug: CP-690,550
10mg BIDExperimentalNot described
Receives: Drug: CP-690,550

What is being measured

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

  1. Percentage of Participants With Clinical Response-100 (as Defined by a Decrease in Crohn's Disease Activity Index [CDAI] Score of at Least 100 Points From Baseline) or Clinical Remission (CDAI Score Less Than [<]150) at Week 26

    Clinical response-100 was defined as a reduction in CDAI score of at least 100 points from baseline of the parent A3921083 study. Clinical remission was a CDAI score <150 points. CDAI is a composite index consisting of a weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extra-intestinal symptoms, need for anti-diarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI score was based partly on entries (7 days before evaluation) from participant's diary kept while on study. CDAI scores range from 0 to approximately 600, higher score indicates higher disease activity.

    Measured: Week 26

Secondary outcomes (15)
  1. Percentage of Participants With Clinical Response-100 or Clinical Remission at Weeks 4, 8, 12 and 20

    Clinical response-100 was defined as a reduction in CDAI score of at least 100 points from baseline of the parent A3921083 study. Clinical remission was a CDAI score <150 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for anti-diarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 4, 8, 12 and 20

  2. Percentage of Participants Achieving Clinical Response-100 at Weeks 4, 8, 12, 20 and 26

    Clinical response-100 was defined as a reduction in CDAI score from baseline of at least 100 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for anti-diarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 4, 8, 12, 20 and 26

  3. Percentage of Participants in Clinical Remission at Weeks 4, 8, 12, 20 and 26

    Clinical remission was a CDAI score <150 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for anti-diarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 4, 8, 12, 20 and 26

  4. Percentage of Participants in Clinical Remission at Week 4, 8, 12, 20 and 26 Among Participants in Remission at Baseline of Maintenance Study

    Clinical remission was a CDAI score <150 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for anti-diarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 4, 8, 12, 20 and 26

  5. Percentage of Participants in Sustained Clinical Remission (Defined as Being in Clinical Remission at Both Weeks 20 and 26) in the Maintenance Phase

    Clinical remission was a CDAI score <150 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for anti-diarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 20 and 26

  6. Percentage of Participants With Sustained Clinical Response-100 (Defined as Having at Least a Clinical Response-100 at Both Weeks 20 and 26 From the A3921083 Baseline) in the Maintenance Phase

    Clinical response-100 was defined as a reduction in CDAI score from baseline of at least 100 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general well-being, occurrence of extra-intestinal symptoms, need for antidiarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 20 and 26

  7. CDAI Score by Week

    CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general wellbeing, occurrence of extraintestinal symptoms, need for antidiarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity

    Measured: Baseline and Weeks 4, 8, 12, 20 and 26

  8. Change From Baseline in CDAI Score by Week

    CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general wellbeing, occurrence of extraintestinal symptoms, need for antidiarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity

    Measured: Weeks 4, 8, 12, 20 and 26

  9. Kaplan-Meier Estimate of the Rate of Time to Relapse

    Time to relapse was defined as increase in CDAI of more than (>)100 points from the maintenance phase baseline and a CDAI score of >220 points, or an increase to or above the baseline CDAI score in A3921083. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general wellbeing, occurrence of extraintestinal symptoms, need for antidiarrheal drugs, presence of abdominal masses, hematocrit, and body weight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Weeks 4, 8 12, 20 and 26

  10. Percentage of Participants Achieving a Steroid-Free Clinical Remission at Week 26 of the Maintenance Phase - Among Participants on Steroids at A3921084 Baseline

    Clinical remission was a CDAI <150 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, extent of abdominal pain, general wellbeing, occurrence of extraintestinal symptoms, need for antidiarrheal drugs, presence of abdominal masses, hematocrit, and body eight. CDAI scores range from 0 to approximately 600 points, higher score indicates higher disease activity.

    Measured: Week 26

  11. C-Reactive Protein (CRP) by Week

    The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.

    Measured: Baseline and Weeks 4, 8, 12, 20 and 26

  12. Change From Baseline in CRP by Week

    The test for CRP is a laboratory measurement for evaluation of an acute phase reactant of inflammation through the use of an ultrasensitive assay. A decrease in the level of CRP indicates reduction in inflammation and therefore improvement.

    Measured: Weeks 4, 8, 12, 20 and 26

  13. Fecal Calprotectin by Week

    Fecal calprotectin is an inflammatory marker for the gastrointestinal tract and considered as a measurement of neutrophil migration to the gastrointestinal tract. Higher values indicate more serious inflammation.

    Measured: Baseline and Weeks 8, 12 and 26

  14. Change From Baseline in Fecal Calprotectin by Week

    Fecal calprotectin is an inflammatory marker for the gastrointestinal tract and considered as a measurement of neutrophil migration to the gastrointestinal tract. Higher values indicate more serious inflammation.

    Measured: Weeks 8, 12 and 26

  15. Tofacitinib Plasma Concentration by Nominal Post-Dose Sampling Time and Tofacitinib Dose

    Plasma samples were collected from participants for the determination of tofacitinib concentrations. Only samples from tofacitinib-treated participants were subsequently analyzed. Plasma concentration data are summarized by nominal sample collection times specified in the protocol, and actual sample collection times may be different.

    Measured: Pre-dose, 20 minutes, 40 minutes, 1 hour and 2 hours post-dose at Weeks 12 and 26/early termination visit

Timeline

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

  1. First posted13 Jul 2011 (estimated)
  2. Study startMar 2012
  3. Primary completionJul 2015
  4. Study completionJul 2015

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01393899
Sponsor's protocol ID
A3921084
Other IDs
2011-001754-28
Status last verified
Nov 2016
First submitted
12 Jul 2011
Last updated
9 Jan 2017
Data monitoring committee
Yes

Publications

  • Panes J, Sandborn WJ, Schreiber S, Sands BE, Vermeire S, D'Haens G, Panaccione R, Higgins PDR, Colombel JF, Feagan BG, Chan G, Moscariello M, Wang W, Niezychowski W, Marren A, Healey P, Maller E. Tofacitinib for induction and maintenance therapy of Crohn's disease: results of two phase IIb randomised placebo-controlled trials. Gut. 2017 Jun;66(6):1049-1059. doi: 10.1136/gutjnl-2016-312735. Epub 2017 Feb 16.

    PubMed 28209624

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CP-690,550 in people with Crohn's Disease, run by Pfizer at 91 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 3 inclusion and 3 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 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 91 sites in United States, Hungary, Canada, Germany, Japan 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 9 Jan 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?

Percentage of Participants With Clinical Response-100 (as Defined by a Decrease in Crohn's Disease Activity Index [CDAI] Score of at Least 100 Points From Baseline) or Clinical Remission (CDAI Score Less Than [<]150) at Week 26 (time frame: Week 26). 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 NCT01393899, 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 9 Jan 2017.

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Clinical Trial NCT01393899 | AzTrials