Crohn's DiseasePhase 2NCT01470599
A Open-Label Study Of CP-690,550 As Long-Term Therapy (48 Weeks) In Subjects With Crohn's Disease
A Phase 2 study testing CP-690,550 in people with Crohn's Disease, run by Pfizer at 75 sites in 17 countries.
Trial summary
The study hypothesis is to establish the safety and tolerability of long-term open-label (OL) CP-690,550 therapy in subjects with Crohn's disease. Read more about this study
- Who is it for?
- Ages 18 to 76 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?
- No, everyone receives an active treatment
- How many people
- 150 participants
- Where
- 75 sitesin 17 countries
- Study dates
- Apr 2012to Jul 2016
- 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 76 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who complete 26-week maintenance treatment of the A3921084 study or subjects who withdraw early due to A3921084 study treatment failure (see Appendix 5).
- Women of childbearing potential must test negative for pregnancy prior to study enrolment.
- Sexually active females of childbearing potential are required to use adequate contraceptive methods during the study period and until completion of the follow-up procedures. No specific contraceptive measures are required in male subjects during study participation.
Who cannot join
- Subjects who have been discontinued due to protocol violation(s) (as determined by the Sponsor) in the A3921084 study.
- Subjects who were discontinued from the A3921084 study due to an adverse event.
- Subjects likely to require any non-elective surgery or surgery requiring overnight stay (with the exception of minor same day outpatient procedures that will not interfere with study drug dosing).
Trial locations and contacts
75 sites in 17 countries.
75 sites in 17 countries
United States32 sites
East Ann Arbor Health and Geriatrics Center
Ann Arbor, Michigan, 48109-2701
University of Michigan Health Systems
Ann Arbor, Michigan, 48109-5000
Gastroenterology Consultants of Clearwater
Clearwater, Florida, 33756
West Coast Endoscopy Center
Clearwater, Florida, 33756
Clinical Research of West Florida, Inc.
Clearwater, Florida, 33765
Cleveland Clinic
Cleveland, Ohio, 44195
Shands Endoscopy Center
Gainesville, Florida, 32608
Shands Hospital at the University of Florida
Gainesville, Florida, 32610-0214
Investigational Drug Service
Gainesville, Florida, 32610
Shands Medical Plaza and Cancer Center
Gainesville, Florida, 32610
NYU Langone Long Island Clinical Research Associates
Great Neck, New York, 11021
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 Endoscopy Center of Lake County
Mentor, Ohio, 44060
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
Digestive and Liver Disease 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
University of Utah HSC
Salt Lake City, Utah, 84132
Center for Digestive Health
Troy, Michigan, 48098
Surgical Centers of Michigan
Troy, Michigan, 48098
Christus Trinity Mother Frances Endoscopy Center
Tyler, Texas, 75701
Digestive Health Specialists of Tyler
Tyler, Texas, 75701
Endoscopy Center of Tyler
Tyler, Texas, 75701
Allegiance Research Specialists
Wauwatosa, Wisconsin, 53226
GI Associates
Wauwatosa, Wisconsin, 53226
Great Lakes Gastroenterology
Willoughby, Ohio, 44094
Canada5 sites
London Health Sciences Centre - University Hospital
London, Ontario, N6A 5A5
Montreal General Hospital-Mcgill University Health Centre
Montreal, Quebec, H3G 1A4
Office of Dr. David C Pearson
Victoria, British Columbia, V8R 6R3
Office of Drs. Ranjith Andrew Singh, Jamie D. Papp
Victoria, British Columbia, V8V 3P9
PerCuro Clinical Research Limited
Victoria, British Columbia, V8V 3P9
Hungary5 sites
Peterfy Sandor Utcai Korhaz, Rendelointezet es Baleseti Kozpont, I. sz. Belgyogyaszat
Budapest, 1076
Pannonia Magánorvosi Centrum Kft
Budapest, 1136
Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak
Budapest, H-1125
Bugat Pal Korhaz Egeszsegugyi Szolgaltato Kozhasznu Nonprofit Kft.,
Gyöngyös, 3200
Clinfan Kft.
Szekszárd, 7100
Japan5 sites
Toho University Sakura Medical Center
Chiba, 285-8741
The Hospital of Hyogo College of Medicine
Nishinomiya, Hyōgo, 663-8501
Osaka City University Hospital
Osaka, 545-8586
Hokkaido P.W.F.A.C Sapporo-Kosei general Hospital
Sapporo, Hokkaido, 060-0033
National Hospital Organization Sendai Medical Center
Sendai, Miyagi, 983-8520
Australia3 sites
Monash Medical Centre
Clayton, Victoria, 3168
Nepean Public Hospital
Kingswood, New South Wales, 2747
Royal Melbourne Hospital
Parkville, Victoria, 3050
Czechia3 sites
Medial Pharma spol.s.r.o.
Hradec Králové, 500 12
RDG centrum s.r.o.
Hradec Králové, 500 12
Hepato-Gastroenterologie HK, s.r.o.
Hradec Králové, 50012
Germany3 sites
Charite Universitaetsmedizin Berlin, Campus Benjamin Franklin
Berlin, 12203
Universitaetsklinikum Schleswig-Holstein
Kiel, 24105
Universitaetsklinikum Ulm
Ulm, 89081
Israel3 sites
Department of medicine Shaare Zedek Medical Center
Jerusalem, 91031
Dept. of Gastroenterology & Hepatology, Meir Medical Center
Kfar Saba, 44281
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Spain3 sites
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario de La Princesa
Madrid, 28006
Hospital Puerta de Hierro Majadahonda Servicio Digestivo - Planta 2
Madrid, 28222
Bulgaria2 sites
4-MBAL, Parvo vatreshno otdelenie
Sofia, 1000
MBAL Sofiamed OOD, Otdelenie po gastroenterologia
Sofia, 1797
France2 sites
Hopital Huriez - CHRU de Lille
Lille, 59037
Hôpital Haut-Lévêque
Pessac, 33604
Netherlands2 sites
VU University Medical Center
Amsterdam, 1081 HV
Academisch Medisch Centrum
Amsterdam, 1105 AZ
South Korea2 sites
Samsung Medical Center
Seoul, 135-710
Asan Medical Center
Soeul, 138-736
Ukraine2 sites
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
Austria1 site
AKH Wien Universitaetsklinik fuer Innere Medizin III
Vienna, 1090
Greece1 site
General Hospital of Athens "Evangelismos",1st Gastroenterology Department
Kolonaki Athens, 106 76
About this study
Official title: A Open-Label Extension Study Of CP-690,550 As Maintenance Therapy In Patients With Crohn's Disease
The study hypothesis is to establish the safety and tolerability of long-term open-label (OL) CP-690,550 therapy in subjects with Crohn's disease.
- Conditions
- Crohn's Disease
- Being tested
- CP-690,550
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CP-690,550Drug
ORAL TABLET, TWICE DAILY
CP-690,550Drug
ORAL TABLETS, TWICE DAILY
| Study group | Role | What they receive |
|---|---|---|
| 5mg BID | Experimental | Not described Receives: Drug: CP-690,550 |
| 10mg BID | Experimental | Not described Receives: Drug: CP-690,550 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adjudicated Potential Cardiovascular Events
Pre-specified cardiovascular events were adjudicated by committees of external experts who were blinded to treatment assignment. Potential events of interest (pEoI) were identified by the investigator, sponsor, review of alerts from central electrocardiogram assessments, and by search of adverse events (AE)/serious adverse event (SAE) listings for events coded to death (coronary and non-coronary), myocardial infarction (non-fatal), all coronary revascularization, unstable angina, stroke (fatal and non-fatal), transient ischemic attack, congestive heart failure, peripheral arterial vascular disease, dyspnoea, and chest pain. The independent reviewers (IRs) determined if the pEoI met the criteria for EoI classification according to the definitions summarized from the Clinical Data Interchange Standards Consortium 'Standardized Definitions for End Point Events in Cardiovascular Trials' published October 2010.
Measured: From baseline to Week 52
Adjudicated Malignancy Events
Pre-specified malignancy events were adjudicated by committees of external experts who were blinded to treatment assignment. pEoI were identified by the investigator, sponsor, potential primary event notifications (i.e. malignancies excluding non-melanoma skin cancers) for a specific protocol, events submitted for histopathology review for potential malignancies which met the criteria for potential malignancies, and by search of AE/SAE listings for events coded to Malignant tumors Standard Medical Dictionary for Regulatory Activities (MedDRA) Queries (SMQ) (20000194). IRs determined if the pEoI met the criteria for EoI classification according to the International Classification of Diseases for Oncology, a ten-digit multi-axial classification of the site (4 characters), morphology (4 digits), behavior (1 digit), and grading (1 digit) of neoplasms.
Measured: From baseline to Week 52
Adjudicated Hepatic Injury Events
Pre-specified liver injury events were adjudicated by blinded committees of external experts. pEoI were identified by investigator, sponsor \& search of clinical, safety \& laboratory databases (potential Hy's law event, ALT/AST ≥5 x ULN, events meeting hepatic discontinuation criteria, SAEs coded to MedDRA hepatobiliary system organ class (SOC), AEs/SAEs coded to MedDRA liver infections or infectious biliary disorders SMQ, AEs coded to MedDRA drug-induced liver injury (DILI) preferred term or any death with ALT or AST ≥3xULN, bilirubin ≥2xULN or jaundice). IRs determined if the pEoI met the criteria for EoI classification by assessing DILI (definite, highly likely, probable, possible, unlikely, unrelated or undetermined), pattern (hepatocellular, mixed, cholestatic or undetermined), likely, competing or alternative cause(s), severity (mild, moderate, severe, fatal/transplantation or undetermined), Hy's law case, recovery \& liver failure (all yes, no or undetermined).
Measured: From baseline to Week 52
Adjudicated Opportunistic Infection Events
Pre-specified opportunistic infection events were adjudicated by blinded committees of external experts. pEoI were identified by investigator, sponsor \& search of SAE listings for serious infections coded to MedDRA infections \& infestations SOC \&/or events meeting pre-specified criteria for IR pre-screening to determine if adjudication is required. IRs determined if the pEoI met the criteria for EoI classification according to definitions for opportunistic infections (invasive fungal infections per the European Organization for Research \& Treatment of Cancer/Invasive Fungal Infections Cooperative Group \& the National Institute of Allergy \& Infectious Diseases Mycoses Study Group [EORTC/MSG] Consensus Group definitions, endemic fungal infections per the EORTC/MSG Consensus Group definitions, other fungal infections, viral, bacterial \& parasitic infections \& vaccine dissemination) \& special interest infections (actinomycosis, Legionella \& mononucleosis-like toxoplasmosis).
Measured: From baseline to Week 52
Adjudicated Gastrointestinal (GI) Perforation Events
Pre-specified GI perforation events were adjudicated by committees of external experts who were blinded to treatment assignment. The pEoI were identified via search of AE/SAE listings using the MedDRA GI Perforation SMQ. The IRs determined if the pEoI met the criteria for EoI classification based on whether a GI perforation occurred and if yes, the location within the GI tract, possible contributing medical conditions and/or concomitant medications.
Measured: From baseline to Week 52
Adjudicated Interstitial Lung Disease (ILD) Events
Pre-specified ILD events were adjudicated by committees of external experts who were blinded to treatment assignment. pEoI were identified by searches of the clinical, safety \& laboratory databases (AEs coded to the MedDRA ILD SMQ and events nominated by the study clinician or clinical lead). The IRs determined if the pEoI met the criteria for EoI classification by assessment of the ILD event (probably ILD, possible ILD, alternative diagnosis likely, other or insufficient information to classify).
Measured: From baseline to Week 52
Secondary outcomes (23)
Percentage of Participants in Clinical Remission and Sustained Clinical Remission at Week 48
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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. Clinical remission was defined as a CDAI score of less than (<) 150. Sustained clinical remission was defined as being in clinical remission (CDAI score <150) at both Week 24 and Week 48. 95 percent (%) Clopper-Pearson exact confidence interval reported for the proportions. n = number of participants with non-missing data.
Measured: Week 48
Percentage of Participants in Clinical Remission and Sustained Clinical Remission Among Participants in Clinical Remission at Baseline of This Study
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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. Clinical remission was defined as a CDAI score of <150. Sustained clinical remission was defined as being in clinical remission (CDAI score <150) at both Week 24 and Week 48. 95% Clopper-Pearson exact confidence interval reported for the proportions. n = number of participants with non-missing data.
Measured: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Percentage of Participants in Clinical Remission and Sustained Clinical Remission Among Participants in Clinical Response (CDAI-100 Response) or Clinical Remission at Baseline of This Study
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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. Clinical remission was defined as a CDAI score of <150. Sustained clinical remission was defined as being in clinical remission (CDAI score <150) at both Week 24 and Week 48. Clinical response was defined as a CDAI score reduction of at least 100 points from the A3921083 study baseline value. 95% Clopper-Pearson exact confidence interval reported for the proportions. n = number of participants with non-missing data.
Measured: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Time to Relapse Among Participants in Clinical Remission at Baseline
Relapse was defined as an increase in CDAI of more than (>) 100 points from the baseline and an absolute CDAI score of >220 points. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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. Data presented are rates estimated from Kaplan-Meier curves.
n = number of participants remaining at risk.
Measured: From baseline to Week 52
Observed CDAI Score by Week
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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. n = number of participants remaining at risk.
Measured: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Change From Baseline Observed CDAI Score by Week
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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. n = number of participants with non-missing data.
Measured: Weeks 8, 16, 24, 36, 48 and 52/follow-up
Percentage of Participants Achieving a Steroid-Free Clinical Remission at Week 48 - Among Subjects on Steroids at A3921086 Baseline
Steroid-free clinical remission at Week 48 was a CDAI <150 points in participants who were steroid-free at Week 48. CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid or very soft stools, intensity of abdominal pain, general well-being, 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: Week 48
Corticosteroid Use Over Time
Use of corticosteroids (yes or no) was recorded at baseline and throughout the study. Percentage of participants taking corticosteriod at each visit was reported.
Measured: Weeks 8, 16, 24, 36 and 48
Percentage of Participants Switching From 5 mg BID to 10 mg BID or 10 mg BID to 5 mg BID After Initial Assignment by Visit
There was a single study treatment dose adjustment allowed, at the discretion of the Investigator, from 5 mg BID to 10 mg BID or from 10 mg BID to 5 mg BID, after the initial 8 weeks of fixed open label treatment and for the remaining treatment period of 40 weeks. Percentage of participants whose study treatment were switched from 5 mg BID to 10 mg BID or 10 mg BID to 5 mg BID after initial assignment was reported.
Measured: From baseline to Week 48
Observed 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. n = number of participants with non-missing data.
Measured: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Observed Change From Baseline in High Sensitivity 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. n = number of participants with non-missing data.
Measured: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score and Domain Scores (Bowel Function, Emotional Status, Systemic Symptoms, and Social Function) at Baseline and Week 48/ET Visit
The IBDQ is a psychometrically validated patient reported outcome (PRO) instrument for measuring disease-specific quality of life (QoL) in participants with inflammatory bowel disease (IBD). IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). The 32 items are grouped into 4 domains: bowel function, emotional status, systemic symptoms and social function. The 4 domains are scored as follows: bowel symptoms 10 to 70; systemic symptoms 5 to 35; emotional function 12 to 84; social function 5 to 35. For each domain, a higher score indicates better QoL. Total score is the sum of each item score, and ranged from 32 to 224 with a higher score indicating a better QoL. Positive change in total score indicated improvement in QoL. n = number of participants with non-missing data.
Measured: Baseline and Week 48/early termination (ET)
Change From Baseline IBDQ Total Score and Domain Scores (Bowel Function, Emotional Status, Systemic Symptoms, and Social Function) at Week 48/ET Visit
The IBDQ is a psychometrically validated PRO instrument for measuring disease-specific QoL in participants with IBD. IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). The 32 items are grouped into 4 domains: bowel function, emotional status, systemic symptoms and social function. The 4 domains are scored as follows: bowel symptoms 10 to 70; systemic symptoms 5 to 35; emotional function 12 to 84; social function 5 to 35. For each domain, a higher score indicates better QoL. Total score is the sum of each item score, and ranged from 32 to 224 with a higher score indicating a better QoL. Positive change in total score indicated improvement in QoL.
Measured: Baseline and Week 48/ET
Percentage of Participants With an IBDQ Total Score of Greater Than or Equal to (≥) 170 at Week 48/ET Visit
The IBDQ is a psychometrically validated PRO instrument for measuring disease-specific QoL in participants with IBD. IBDQ consists of 32 items, each item score ranged from 1 (worst possible response) to 7 (best possible response). Total score is the sum of each item score, and ranged from 32 to 224 with a higher score indicating a better QoL. A score ≥170 corresponds to clinical remission. 95% Clopper-Pearson exact confidence interval reported for the proportions.
Measured: Week 48/ET
Percentage of Participants With a Response to the Patient-Reported Treatment Impact (PRTI) Assessment at Week 48/ET Visit by Category
The IBD PRTI modified questionnaire comprises 3 individual questions administered to the participant: participant satisfaction with study treatment; participant preference for study drug over prior treatment (this question on participant preference for study drug is prefaced by a simple question of previous treatment/s for IBD received in order to place the preference question into context) and participant willingness to reuse the study treatment again. Each of these questions (except the question on previous treatment, which is informational only) is scored on a 5 point Likert scale. PSA = Patient Satisfaction Assessment; PPTA = Patient Previous Treatment Assessment; PPA = Patient Preference Assessment; PWA = Patient Willingness Assessment.
Measured: Week 48/ET visit
Short Form 36 Health Survey (SF-36) Component and Domain Scores at Baseline and Week 48/ET Visit
The component and domain scores were scored using the United States (US) 1998 general population norms. The resulting norm-based T scores for both the SF36 version 2 and SF36 health domain scales and component summary measures have means of 50 and standard deviations of 10. Higher scores indicate better health-related QoL. n = number of participants with non-missing data.
Measured: Baseline and Week 48/ET visit
Change From Baseline SF-36 Component and Domain Scores at Week 48/ET Visit
The component and domain scores were scored using the US 1998 general population norms. The resulting norm-based T scores for both the SF36 version 2 and SF36 health domain scales and component summary measures have means of 50 and standard deviations of 10. Higher scores indicate better health-related QoL. n = number of participants with non-missing data.
Measured: Baseline and Week 48/ET visit
EuroQoL 5 Dimensions Questionnaire (EQ-5D) Utility Scores at Baseline and Week 48/ET Visit
EQ5D is a participant rated questionnaire to assess health-related QoL in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, selfcare, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range from 0.594 to 1.000; a higher score indicates a better health state. n = number of participants with non-missing data.
Measured: Baseline and Week 48/ET visit
Change From Baseline EQ-5D Utility Scores at Week 48/ET Visit
EQ5D is a participant rated questionnaire to assess health-related QoL in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, selfcare, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range from 0.594 to 1.000; a higher score indicates a better health state.
Measured: Baseline and Week 48/ET visit
EQ-5D Visual Analogue Scale (VAS) Scores at Baseline and Week 8/ET Visit
EQ5D is a participant rated questionnaire to assess health-related QoL in terms of a single index value. The VAS component rates current health state on a scale from 0 millimeters (mm) (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state. n = number of participants with non-missing data.
Measured: Baseline and Week 48/ET visit
Change From Baseline EQ-5D VAS Scores at Week 8/ET Visit
EQ5D is a participant rated questionnaire to assess health-related QoL in terms of a single index value. The VAS component rates current health state on a scale from 0 mm (worst imaginable health state) to 100 mm (best imaginable health state); higher scores indicate a better health state.
Measured: Baseline and Week 48/ET visit
Percentage of Participants Hospitalized Due to Crohn's Disease
The number of participants hospitalized due to Crohn's disease were recorded at every study visit.
Measured: From baseline to Week 52/follow-up
Length of Hospitalizations Due to Crohn's Disease
The length of hospitalizations due to Crohn's disease were recorded at every study visit.
Measured: From baseline to Week 52/follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Nov 2011 (estimated)
- Study startApr 2012
- Primary completionJul 2016
- Study completionJul 2016
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.
- More trials run by PfizerThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 150 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01470599
- Sponsor's protocol ID
- A3921086
- Other IDs
- 2011-003622-27
- Status last verified
- Sep 2017
- First submitted
- 27 Oct 2011
- Last updated
- 16 Oct 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Panes J, D'Haens GR, Higgins PDR, Mele L, Moscariello M, Chan G, Wang W, Niezychowski W, Su C, Maller E. Long-term safety and tolerability of oral tofacitinib in patients with Crohn's disease: results from a phase 2, open-label, 48-week extension study. Aliment Pharmacol Ther. 2019 Feb;49(3):265-276. doi: 10.1111/apt.15072.
PubMed 30663107
Study at a glance
From the registry record, last updated by the sponsor on 16 Oct 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Open-Label Extension Study Of CP-690,550 As Maintenance Therapy In Patients With Crohn's Disease
- ClinicalTrials.gov ID
- NCT01470599
- Acronym / sponsor ID
- A3921086
- Conditions
- Crohn's Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 150 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Apr 2012 (actual)
- Primary completion
- Jul 2016 (actual)
- Study completion
- Jul 2016 (actual)
- First posted
- 11 Nov 2011 (estimated)
- Results
- Posted 16 Oct 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study hypothesis is to establish the safety and tolerability of long-term open-label (OL) CP-690,550 therapy in subjects with Crohn's disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 5mg BID | Experimental | Drug: CP-690,550 |
| 10mg BID | Experimental | Drug: CP-690,550 |
Who may qualify
- Ages
- 18 to 76 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Subjects who complete 26-week maintenance treatment of the A3921084 study or subjects who withdraw early due to A3921084 study treatment failure (see Appendix 5).
- Women of childbearing potential must test negative for pregnancy prior to study enrolment.
- Sexually active females of childbearing potential are required to use adequate contraceptive methods during the study period and until completion of the follow-up procedures. No specific contraceptive measures are required in male subjects during study participation.
Key exclusion criteria (3 listed)
- Subjects who have been discontinued due to protocol violation(s) (as determined by the Sponsor) in the A3921084 study.
- Subjects who were discontinued from the A3921084 study due to an adverse event.
- Subjects likely to require any non-elective surgery or surgery requiring overnight stay (with the exception of minor same day outpatient procedures that will not interfere with study drug dosing).
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 |
|---|---|---|
| CP-690,550ORAL TABLET, TWICE DAILY | Drug | 5mg BID |
| CP-690,550ORAL TABLETS, TWICE DAILY | Drug | 10mg BID |
Primary outcome
Adjudicated Potential Cardiovascular Events
Time frame: From baseline to Week 52
Pre-specified cardiovascular events were adjudicated by committees of external experts who were blinded to treatment assignment. Potential events of interest (pEoI) were identified by the investigator, sponsor, review of alerts from central electrocardiogram assessments, and by search of adverse events (AE)/serious adverse event (SAE) listings for events coded to death (coronary and non-coronary), myocardial infarction (non-fatal), all coronary revascularization, unstable angina, stroke (fatal and non-fatal), transient ischemic attack, congestive heart failure, peripheral arterial vascular disease, dyspnoea, and chest pain. The independent reviewers (IRs) determined if the pEoI met the criteria for EoI classification according to the definitions summarized from the Clinical Data Interchange Standards Consortium 'Standardized Definitions for End Point Events in Cardiovascular Trials' published October 2010.
Adjudicated Malignancy Events
Time frame: From baseline to Week 52
Pre-specified malignancy events were adjudicated by committees of external experts who were blinded to treatment assignment. pEoI were identified by the investigator, sponsor, potential primary event notifications (i.e. malignancies excluding non-melanoma skin cancers) for a specific protocol, events submitted for histopathology review for potential malignancies which met the criteria for potential malignancies, and by search of AE/SAE listings for events coded to Malignant tumors Standard Medical Dictionary for Regulatory Activities (MedDRA) Queries (SMQ) (20000194). IRs determined if the pEoI met the criteria for EoI classification according to the International Classification of Diseases for Oncology, a ten-digit multi-axial classification of the site (4 characters), morphology (4 digits), behavior (1 digit), and grading (1 digit) of neoplasms.
Adjudicated Hepatic Injury Events
Time frame: From baseline to Week 52
Pre-specified liver injury events were adjudicated by blinded committees of external experts. pEoI were identified by investigator, sponsor \& search of clinical, safety \& laboratory databases (potential Hy's law event, ALT/AST ≥5 x ULN, events meeting hepatic discontinuation criteria, SAEs coded to MedDRA hepatobiliary system organ class (SOC), AEs/SAEs coded to MedDRA liver infections or infectious biliary disorders SMQ, AEs coded to MedDRA drug-induced liver injury (DILI) preferred term or any death with ALT or AST ≥3xULN, bilirubin ≥2xULN or jaundice). IRs determined if the pEoI met the criteria for EoI classification by assessing DILI (definite, highly likely, probable, possible, unlikely, unrelated or undetermined), pattern (hepatocellular, mixed, cholestatic or undetermined), likely, competing or alternative cause(s), severity (mild, moderate, severe, fatal/transplantation or undetermined), Hy's law case, recovery \& liver failure (all yes, no or undetermined).
Adjudicated Opportunistic Infection Events
Time frame: From baseline to Week 52
Pre-specified opportunistic infection events were adjudicated by blinded committees of external experts. pEoI were identified by investigator, sponsor \& search of SAE listings for serious infections coded to MedDRA infections \& infestations SOC \&/or events meeting pre-specified criteria for IR pre-screening to determine if adjudication is required. IRs determined if the pEoI met the criteria for EoI classification according to definitions for opportunistic infections (invasive fungal infections per the European Organization for Research \& Treatment of Cancer/Invasive Fungal Infections Cooperative Group \& the National Institute of Allergy \& Infectious Diseases Mycoses Study Group [EORTC/MSG] Consensus Group definitions, endemic fungal infections per the EORTC/MSG Consensus Group definitions, other fungal infections, viral, bacterial \& parasitic infections \& vaccine dissemination) \& special interest infections (actinomycosis, Legionella \& mononucleosis-like toxoplasmosis).
Adjudicated Gastrointestinal (GI) Perforation Events
Time frame: From baseline to Week 52
Pre-specified GI perforation events were adjudicated by committees of external experts who were blinded to treatment assignment. The pEoI were identified via search of AE/SAE listings using the MedDRA GI Perforation SMQ. The IRs determined if the pEoI met the criteria for EoI classification based on whether a GI perforation occurred and if yes, the location within the GI tract, possible contributing medical conditions and/or concomitant medications.
Adjudicated Interstitial Lung Disease (ILD) Events
Time frame: From baseline to Week 52
Pre-specified ILD events were adjudicated by committees of external experts who were blinded to treatment assignment. pEoI were identified by searches of the clinical, safety \& laboratory databases (AEs coded to the MedDRA ILD SMQ and events nominated by the study clinician or clinical lead). The IRs determined if the pEoI met the criteria for EoI classification by assessment of the ILD event (probably ILD, possible ILD, alternative diagnosis likely, other or insufficient information to classify).
23 secondary outcomes
Percentage of Participants in Clinical Remission and Sustained Clinical Remission at Week 48
Time frame: Week 48
Percentage of Participants in Clinical Remission and Sustained Clinical Remission Among Participants in Clinical Remission at Baseline of This Study
Time frame: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Percentage of Participants in Clinical Remission and Sustained Clinical Remission Among Participants in Clinical Response (CDAI-100 Response) or Clinical Remission at Baseline of This Study
Time frame: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Time to Relapse Among Participants in Clinical Remission at Baseline
Time frame: From baseline to Week 52
Observed CDAI Score by Week
Time frame: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Change From Baseline Observed CDAI Score by Week
Time frame: Weeks 8, 16, 24, 36, 48 and 52/follow-up
Percentage of Participants Achieving a Steroid-Free Clinical Remission at Week 48 - Among Subjects on Steroids at A3921086 Baseline
Time frame: Week 48
Corticosteroid Use Over Time
Time frame: Weeks 8, 16, 24, 36 and 48
Percentage of Participants Switching From 5 mg BID to 10 mg BID or 10 mg BID to 5 mg BID After Initial Assignment by Visit
Time frame: From baseline to Week 48
Observed Change From Baseline in Fecal Calprotectin by Week
Time frame: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Observed Change From Baseline in High Sensitivity C-reactive Protein (CRP) by Week
Time frame: Baseline and Weeks 8, 16, 24, 36, 48 and 52/follow-up
Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score and Domain Scores (Bowel Function, Emotional Status, Systemic Symptoms, and Social Function) at Baseline and Week 48/ET Visit
Time frame: Baseline and Week 48/early termination (ET)
Change From Baseline IBDQ Total Score and Domain Scores (Bowel Function, Emotional Status, Systemic Symptoms, and Social Function) at Week 48/ET Visit
Time frame: Baseline and Week 48/ET
Percentage of Participants With an IBDQ Total Score of Greater Than or Equal to (≥) 170 at Week 48/ET Visit
Time frame: Week 48/ET
Percentage of Participants With a Response to the Patient-Reported Treatment Impact (PRTI) Assessment at Week 48/ET Visit by Category
Time frame: Week 48/ET visit
Short Form 36 Health Survey (SF-36) Component and Domain Scores at Baseline and Week 48/ET Visit
Time frame: Baseline and Week 48/ET visit
Change From Baseline SF-36 Component and Domain Scores at Week 48/ET Visit
Time frame: Baseline and Week 48/ET visit
EuroQoL 5 Dimensions Questionnaire (EQ-5D) Utility Scores at Baseline and Week 48/ET Visit
Time frame: Baseline and Week 48/ET visit
Change From Baseline EQ-5D Utility Scores at Week 48/ET Visit
Time frame: Baseline and Week 48/ET visit
EQ-5D Visual Analogue Scale (VAS) Scores at Baseline and Week 8/ET Visit
Time frame: Baseline and Week 48/ET visit
Change From Baseline EQ-5D VAS Scores at Week 8/ET Visit
Time frame: Baseline and Week 48/ET visit
Percentage of Participants Hospitalized Due to Crohn's Disease
Time frame: From baseline to Week 52/follow-up
Length of Hospitalizations Due to Crohn's Disease
Time frame: From baseline to Week 52/follow-up
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Oct 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30663107Panes J, D'Haens GR, Higgins PDR, Mele L, Moscariello M, Chan G, Wang W, Niezychowski W, Su C, Maller E. Long-term safety and tolerability of oral tofacitinib in patients with Crohn's disease: results from a phase 2, open-label, 48-week extension study. Aliment Pharmacol Ther. 2019 Feb;49(3):265-276. doi: 10.1111/apt.15072.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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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.
Pfizer CT.gov Call Center study director
Pfizer
75 sites in 17 countries: see every site and its status.
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 75 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 16 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 75 sites in United States, Canada, Hungary, Japan, Australia 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 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 16 Oct 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?
Adjudicated Potential Cardiovascular Events (time frame: From baseline to Week 52). The study lists 6 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 NCT01470599, 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 16 Oct 2017.