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Crohn DiseasePhase 3NCT02871635

BI 695501 Versus Humira in Patients With Active Crohn's Disease: a Trial Comparing Efficacy, Endoscopic Improvement, Safety, and Immunogenicity

A Phase 3 study testing BI 695501 and HUMIRA in people with Crohn Disease, run by Boehringer Ingelheim at 92 sites in 14 countries.

Completed

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

Official record
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Trial summary

Primary Objective: The primary objective of this trial is to compare the clinical efficacy of BI 695501 with EU-approved Humira® in patients with active Crohn's disease (CD). Secondary Objectives: The secondary objectives of this trial are to compare the efficacy and safety of BI 695501 with EU-approved Humira® across… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Crohn Disease
What is being tested?
BI 695501 and HUMIRA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
147 participants
Where
92 sitesin 14 countries
Study dates
28 Sep 2016to 13 May 2019
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females aged >=18 and =<80 years at Screening who have a diagnosis of moderate to severely active Crohn's Disease (CD), confirmed by endoscopy or radiologic evaluation, for more than 4 months with evidence of mucosal ulceration. Patients must have all of the following:
  • Crohn's Disease Activity Index (CDAI) score of >=220 and =<450
  • A diagnosis of Crohn's Disease (CD) confirmed by ileocolonoscopy during Screening
  • Presence of mucosal ulcers in at least one segment of the ileum or colon and a SES-CD score ≥7 (for patients with isolated ileal disease SES-CD score ≥4), as assessed by ileocolonoscopy and confirmed by central independent reviewer(s) before randomization
  • Anti-tumor necrosis factor (TNF) patients or patients previously treated with infliximab who had initially responded and who meet one of the following criteria:
  • Responded and developed secondary resistance due confirmed anti-infliximab anti-drug antibody formation, which caused infliximab depletion
  • Responded and became intolerant
  • Further inclusion criteria apply

Who cannot join

  • Patients with ulcerative colitis or indeterminate colitis
  • Patients with symptomatic known obstructive strictures
  • Surgical bowel resection performed within 6 months prior to Screening or planned resection at any time while enrolled in the trial
  • Patients with an ostomy or ileoanal pouch
  • Patients with short bowel syndrome
  • Patients who have previously used infliximab and have never clinically responded
  • Patients who have previously received treatment with adalimumab, or who have participated in an adalimumab or adalimumab biosimilar clinical trial
  • Further exclusion criteria apply

Trial locations and contacts

92 sites in 14 countries.

92 sites in 14 countries

United States19 sites
  • Asheville Gastroenterology Associates, PA

    Asheville, North Carolina, 28801

  • MGG Group Co. Inc. / Chevy Chase Clinical Research,

    Chevy Chase, Maryland, 20815

  • Gastro Center of Maryland

    Columbia, Maryland, 21045

  • Doctors Clinical Research

    East Point, Georgia, 30344

  • Gastroenterology Associates, PA

    Greenville, South Carolina, 29615

  • Healthcare Research Network

    Hazelwood, Missouri, 63042

  • Houston Endoscopy and Research Center

    Houston, Texas, 77079

  • Borland-Groover Clinic

    Jacksonville, Florida, 32256

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160-7702

  • Biopharma Informatic, Inc, dba Research Consultants

    Katy, Texas, 77450

  • Hope Clinical Research

    Kissimmee, Florida, 34741

  • Center for Advanced GI

    Maitland, Florida, 32751

  • Great Lakes Gastroenterology Research, LLC

    Mentor, Ohio, 44060

  • Advance Medical Research Center

    Miami, Florida, 33155

  • Advanced Research Institute, Inc

    New Port Richey, Florida, 34653

  • Southwest Gastroenterology

    Oak Lawn, Illinois, 60453

  • Sagact, Pllc

    San Antonio, Texas, 78229

  • Baylor Scott and White Healthcare

    Temple, Texas, 76508

  • Victoria Gastroenterology

    Victoria, Texas, 77904

Other trials in United States

Russia14 sites
  • Multidisciplinary Medical Clinic "Anthurium"

    Barnaul, 656043

  • GUZ Reg. Clinical Hospital, Kemerovo

    Kemerovo, 650066

  • Clinical Hospital No. 24, Moscow

    Moscow, 127015

  • Murmansk Regional Clinical Hospital named after Bayandin

    Murmansk, 183047

  • Reg.Clin.Hosp.n.a.Semashko

    Nizhny Novgorod, 603126

  • State Novosibirsk Regional Clinical Hospital

    Novosibirsk, 630091

  • FSBSI "Scientific and Research Institute of Physiology and Basic Medicine"

    Novosibirsk, 630117

  • BHI of Omsk region - Clinical Oncology Dispensary

    Omsk, 644013

  • SBIH City Clinical Hospital #31

    Saint Petersburg, 194291

  • Baltic Med,LLC Clinic BaltMed Ozerki

    Saint Petersburg, 194356

  • EKO-Bezopasnost, St. Petersburg

    Saint Petersburg, 196143

  • LLC IClinic

    Saint Petersburg, 197110

  • Private Educational Institution of Higher Education "Medical University "REAVIZ"

    Samara, 443001

  • NonState Healthcare Institution Central Clinical Hospital, Samara station JSC "Russian Railways"

    Samara, 443041

Other trials in Russia

Czechia12 sites
  • Vojenska nemocnice Brno

    Brno, 63600

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

    Hradec Králové, 50012

  • CTCenter Mave, s.r.o., Cllinical Trials Center, Olomouc

    Olomouc, 779 00

  • Gregar s.r.o.

    Olomouc, 779 00

  • PreventaMed, s.r.o.

    Olomouc, 77900

  • University Hospital Ostrava

    Ostrava-Poruba, 708 52

  • Vitkovice Hospital

    Ostrava-Vitkovice, 703 84

  • Medicon, a.s.

    Prague, 140 00

  • Axon Clinical, s.r.o.

    Prague, 15000

  • University Hospital Na Bulovce

    Prague, 27711

  • General Hospital Pribram

    Příbram, 261 01

  • Masaryk Hospital, Internal Department

    Ústí nad Labem, 401 13

Other trials in Czechia

Poland11 sites
  • KLIMED Marek Klimkiewicz

    Bialystok, 15-765

  • NZOZ Centrum Medyczne KERmed

    Bydgoszcz, 85231

  • Medical Center Pleiades

    Cracow, 30-363

  • Polimedica Centrum Badan

    Kielce, 25634

  • Indywidualna Specjalistyczna Praktyka Lekarska Maciej Zymla

    Knurów, 44190

  • SANTA FAMILIA Centrum Badan, Profilaktyki i Leczenia

    Lodz, 90-302

  • Clinic Medical Center; Nowa Sol

    Nowa Sól, 67-100

  • Ai Medical Center, private practice, Poznan

    Poznan, 61-113

  • Gabinet Lekarski Bartosz Korczowski

    Rzeszów, 35302

  • Specialized Medical Practice. Dr med. Marek Horynski

    Sopot, 81756

  • Twoja Przychodnia-Szczecinskie Centrum Medyczne

    Szczecin, 71270

Other trials in Poland

Ukraine9 sites
  • CI Cherkasy RH of Cherkasy Reg.Council

    Cherkasy, 18009

  • CHI Prof.O.O.Shalimov Kharkiv City Clinical Hospital #2

    Kharkiv, 61037

  • Med Center 'Ok!Clinic+' of International Institute of Clinical Trials LLC

    Kiev, 02091

  • Private Enterprise Private Manufacturing Company "Acinus"

    Kirovohrad, 25006

  • Medical Center Medical Clinic Kyiv

    Kyiv, 01601

  • Clin Hosp.8 P.L.Shupyk NMA of PGE

    Kyiv, 04201

  • Vinnytsia M.I. Pyrogov NMU Ch of internal medicine #3

    Vinnytsia, 21005

  • M.I. Pyrogov VRCH, Vinnytsia

    Vinnytsia, 21018

  • Clin.Hosp#1,Zaporizhzhia

    Zaporizhzhya, 69104

Other trials in Ukraine

Israel6 sites
  • Haemek Medical Center

    Afula, 18101

  • Wolfson Medical Center

    Holon, 58100

  • Hadassah Medical Center, Ein-Karem

    Jerusalem, 9112001

  • Meir Medical Center

    Kfar Saba, 4428164

  • The Chaim Sheba Medical Center Tel Hashomer

    Ramat Gan, 52621

  • Kaplan Medical Center

    Rehovot, 76100

Other trials in Israel

Serbia5 sites
  • Clinical Medical Center Zvezdara, Belgrade

    Belgrade, 11000

  • Military Medical Academy

    Belgrade, 11000

  • Clinical Center Bezanijska kosa, Belgrade

    Belgrade, 11080

  • Clinical Center Zemun

    Belgrade, 11080

  • Clinical Center Kragujevac

    Kragujevac, 34000

Other trials in Serbia

Turkey (Türkiye)4 sites
  • Gazi University Medical Faculty

    Ankara, 06500

  • Gaziantep University Medical Faculty Sahinbey Educational Research Hospital

    Gaziantep, 27310

  • Kartal Lutfi Kirdar Research and Training Hospital

    Istanbul, 34890

  • Kocaeli University Research and Training Hospital

    Kocaeli, 41380

Other trials in Turkey (Türkiye)

Belarus3 sites
  • Gomel Regional Clinical

    Homyel, 246012

  • City Clinical Hospital # 10

    Minsk, 220096

  • Vitebsk Regional Clinical Oncology Dispensary

    Vitebsk, 210603

Other trials in Belarus

Greece3 sites
  • General Hospital of Athens Evangelismos

    Athens, 10676

  • University General Hospital of Heraklion

    Heraklion, Crete, 71110

  • General Hospital of Rhodes

    Rhodes, 85100

Other trials in Greece

Croatia2 sites
  • Clinical Hospital Osijek

    Osijek, 31000

  • Polyclinic Bonifarm

    Zagreb, 10000

Other trials in Croatia

United Kingdom2 sites
  • Royal Bournemouth and Christchurch Hospital

    Bournemouth, BH7 7DW

  • Walsall Manor Hospital

    Walsall, WS2 9PS

Other trials in United Kingdom

Bosnia and Herzegovina1 site
  • University Clinical Centre Sarajevo

    Sarajevo, 71000

Other trials in Bosnia and Herzegovina

Germany1 site
  • Crohn Colitis Centrum Rhein Main

    Frankfurt, 60594

Other trials in Germany

About this study

Official title: BI 695501 Versus Humira® in Patients With Active Crohn's Disease: a Randomized, Double-blind, Multicenter, Parallel Group, Exploratory Trial Comparing Efficacy, Endoscopic Improvement, Safety, and Immunogenicity

Primary Objective:

The primary objective of this trial is to compare the clinical efficacy of BI 695501 with EU-approved Humira® in patients with active Crohn's disease (CD).

Secondary Objectives:

The secondary objectives of this trial are to compare the efficacy and safety of BI 695501 with EU-approved Humira® across the induction and maintenance phases.

Conditions
Crohn Disease
Being tested
BI 695501, HUMIRA
Medical subject headings
Crohn Disease

What participants receive

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

  • BI 695501Drug

  • HUMIRADrug

Study groups in NCT02871635
Study groupRoleWhat they receive
BI 695501ExperimentalNot described
Receives: Drug: BI 695501
HUMIRA + BI 695501Active comparatorNot described
Receives: Drug: BI 695501; Drug: HUMIRA

What is being measured

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

  1. Percentage of Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 4

    The Crohn's Disease Activity Index (CDAI) is a validated instrument to measure disease severity in Crohn's Disease (CD). The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease.

    The CDAI decrease at Week 4 was assessed as the decrease relative to baseline measurement, patients with a decrease ≥70 were responders.

    Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to non-responder imputation (NRI) and last observation carried forward (LOCF).

    Measured: Week 4

Secondary outcomes (8)
  1. Percentage of Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 24

    The CDAI is a validated instrument to measure disease severity in CD. The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease.

    The CDAI decrease at Week 24 was assessed as the decrease relative to baseline measurement, patients with a decrease ≥70 were responders.

    Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to NRI and LOCF.

    Measured: Week 24

  2. Percentage of Patients in Clinical Remission (CDAI <150) at Week 24

    The CDAI is a validated instrument to measure disease severity in CD. The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease.

    Patients with CDAI <150 at Week 24 were considered as clinical remission cases. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to NRI and LOCF.

    Measured: at Week 24

  3. Percentage of Patients With Adverse Events (AEs), Serious AEs (SAEs), and AEs of Special Interest (AESIs)

    Analysis of AEs focused on treatment-emergent AEs (TEAEs). For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. TEAEs and SAEs (including investigator-assessed trial medication-related TEAEs) and AESIs are reported. The following were considered an AESI: hepatic injury, anaphylactic reactions, serious infection and hypersensitivity reactions.

    Measured: From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.

  4. Percentage of Patients With Infections

    The percentage of patients with TEAEs for infections are reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46.

    Measured: From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.

  5. Percentage of Patients With Serious Infections

    The percentage of patients with TEAEs for serious infections are reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46.

    Measured: From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.

  6. Percentage of Patients Who Experienced Hypersensitivity Reactions

    The percentage of patients with TEAEs for hypersensitivity reactions is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46.

    Measured: From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.

  7. Percentage of Patients Who Experienced Drug Induced Liver Injury (DILI)

    The percentage of patients with TEAEs for DILIs is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46.

    Measured: From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.

  8. Percentage of Patients With Injection Site Reactions

    The percentage of patients with TEAEs for injection site reactions is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46.

    Measured: From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.

Timeline

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

  1. First posted18 Aug 2016 (estimated)
  2. Study start28 Sep 2016
  3. Primary completion30 Apr 2019
  4. Study completion13 May 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
147 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02871635
Sponsor's protocol ID
1297.4
Other IDs
2016-000612-14, 2016
Status last verified
May 2020
First submitted
15 Aug 2016
Last updated
4 Jun 2020

Publications

  • Strand V. Summary of Research: Immunogenicity of Adalimumab Reference Product and Adalimumab-adbm in Patients with Rheumatoid Arthritis, Crohn's Disease, and Chronic Plaque Psoriasis: A Pooled Analysis of the VOLTAIRE trials. Rheumatol Ther. 2025 Aug;12(4):613-616. doi: 10.1007/s40744-025-00766-6. Epub 2025 Jun 11.

    PubMed 40498294
  • Strand V, McCabe D, Bender S. Immunogenicity of adalimumab reference product and adalimumab-adbm in patients with rheumatoid arthritis, Crohn's disease and chronic plaque psoriasis: a pooled analysis of the VOLTAIRE trials. BMJ Open. 2024 Nov 17;14(11):e081687. doi: 10.1136/bmjopen-2023-081687.

    PubMed 39551590
  • Hanauer S. Plain language summary of the VOLTAIRE-CD study in people with moderate-to-severe active Crohn's disease. Immunotherapy. 2022 Dec;14(17):1353-1359. doi: 10.2217/imt-2022-0129. Epub 2022 Dec 13.

    PubMed 36511191
  • Hanauer S, Liedert B, Balser S, Brockstedt E, Moschetti V, Schreiber S. Safety and efficacy of BI 695501 versus adalimumab reference product in patients with advanced Crohn's disease (VOLTAIRE-CD): a multicentre, randomised, double-blind, phase 3 trial. Lancet Gastroenterol Hepatol. 2021 Oct;6(10):816-825. doi: 10.1016/S2468-1253(21)00252-1. Epub 2021 Aug 11.

    PubMed 34388360

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BI 695501 and HUMIRA in people with Crohn Disease, run by Boehringer Ingelheim at 92 sites in 14 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 8 inclusion and 8 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 4 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 92 sites in United States, Russia, Czechia, Poland, Ukraine and 9 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 4 Jun 2020). 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 Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 4 (time frame: Week 4). 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 NCT02871635, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jun 2020.

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