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Crohn's DiseasePhase 3NCT03945019

CT-P13 (Infliximab) Subcutaneous Administration in Patients With Moderately to Severely Active Crohn's Disease (LIBERTY-CD)

A Phase 3 study testing CT-P13 SC (Infliximab) in people with Crohn's Disease, run by Celltrion at 29 sites in 26 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

This is Phase 3, Randomized, Placebo-controlled study to demonstrate superiority of CT-P13 SC over Placebo SC in Patients With Moderately to Severely Active Crohn's Disease 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?
CT-P13 SC (Infliximab)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
396 participants
Where
29 sitesin 26 countries
Study dates
28 Oct 2019to 22 Aug 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient is male or female aged 18 to 75 years, inclusive.
  • Patient who has moderately to severely active CD with a score on the CDAI of 220 to 450 points

Who cannot join

  • Patient who has previously received either a TNFα inhibitor or biological agent within 5 half-lives
  • Patient who has previously demonstrated inadequate response or intolerance to TNFα inhibitors for the treatment of CD.

Trial locations and contacts

29 sites in 26 countries.

29 sites in 26 countries

Poland2 sites
  • Szpital Uniwersytecki Nr 2 im. dr Jana Biziela w Bydgoszczy, Centrum Endoskopii Zabiegowej, Poradnia

    Bydgoszcz

  • WIP Warsaw IBD Point Profesor Kierkus

    Warsaw

Other trials in Poland

Russia2 sites
  • Klinika YZI 4D

    Pyatigorsk

  • BioTekhServis

    Saint Petersburg

Other trials in Russia

Ukraine2 sites
  • Communal Non-Commercial Enterprise Cherkasy Regional Hospital of Cherkasy Regional Council

    Cherkassy

  • Municipal Nonprofit Enterprise Zaporizhzhia Regional Clinical Hospital Zaporizhzhia Regional Council

    Zaporizhzhya

Other trials in Ukraine

United States1 site
  • Biopharma Informatic - Houston

    Houston, Texas, 77084

Other trials in United States

Belarus1 site
  • Vitebsk Regional Clinical Hospital

    Vitebsk

Other trials in Belarus

Bulgaria1 site
  • Diagnostic and Consulting Center Aleksandrovska EOOD

    Sofia

Other trials in Bulgaria

Croatia1 site
  • Clinical Hospital Centre Osijek

    Osijek

Other trials in Croatia

Czechia1 site
  • Fakultni nemocnice Ostrava

    Ostrava

Other trials in Czechia

France1 site
  • Centre Hospitalier Lyon Sud

    Pierre-Bénite

Other trials in France

Germany1 site
  • Praxis Prof. Herbert Kellner

    München

Other trials in Germany

Greece1 site
  • University General Hospital of Heraklion

    Heraklion

Other trials in Greece

Hungary1 site
  • Debreceni Egyetem Klinikai Kozpont

    Debrecen

Other trials in Hungary

India1 site
  • Nirmal Hospital

    Surat

Other trials in India

Israel1 site
  • Sheba Medical Center

    Ramat Gan

Other trials in Israel

Italy1 site
  • Fondazione Policlinico Universitario A Gemelli-Rome

    Roma

Other trials in Italy

Japan1 site
  • Tsujinaka Hospital

    Kashiwa

Other trials in Japan

Latvia1 site
  • Pauls Stradins Clinical University Hospital

    Riga

Other trials in Latvia

Mexico1 site
  • BRCR Global Mexico

    Guadalajara

Other trials in Mexico

Moldova1 site
  • IMSP Institute of Clinical Cardiology

    Chisinau

Other trials in Moldova

Peru1 site
  • Hospital Nacional Cayetano Heredia

    San Martín de Porres

Other trials in Peru

Romania1 site
  • Dr.Carol Davila Emergency University Central Military Hospital

    Bucharest

Other trials in Romania

Serbia1 site
  • Clinical Hospital Centar Zvezdara

    Belgrade

Other trials in Serbia

Slovakia1 site
  • Fakultna nemocnica s poliklinikou F. D. Roosevelta

    Banská Bystrica

Other trials in Slovakia

South Africa1 site
  • CLINRESCO, ARWYP Medical Suites

    Johannesburg

Other trials in South Africa

Spain1 site
  • Hospital Arquitecto Marcide

    Ferrol

Other trials in Spain

Turkey (Türkiye)1 site
  • Ege University Medical Faculty

    Izmir

Other trials in Turkey (Türkiye)

About this study

Official title: A Randomized, Placebo-Controlled, Double-Blind, Phase 3 Study to Evaluate the Efficacy and Safety of the Subcutaneous Injection of CT-P13 (CT-P13 SC) as Maintenance Therapy in Patients With Moderately to Severely Active Crohn's Disease

This is Phase 3, Randomized, Placebo-controlled study to demonstrate superiority of CT-P13 SC over Placebo SC in Patients With Moderately to Severely Active Crohn's Disease

Conditions
Crohn's Disease
Being tested
CT-P13 SC (Infliximab), Placebo SC
Medical subject headings
Crohn Disease

What participants receive

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

  • CT-P13 SC (Infliximab)Biological

    Subcutaneous injection of CT-P13 SC

  • Placebo SCOther

    Subcutaneous injection of Placebo SC

Study groups in NCT03945019
Study groupRoleWhat they receive
CT-P13 SCExperimentalNot described
Receives: Biological: CT-P13 SC (Infliximab)
Placebo SCPlacebo comparatorNot described
Receives: Other: Placebo SC

What is being measured

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

  1. Percentage of Patients Achieving Clinical Remission (Based on CDAI) at Week 54

    Clinical remission was defined as an absolute Crohn's Disease Activity Index (CDAI) score of <150 points.

    The total CDAI scores range from 0 to over 600 with higher scores indicating increased severity of disease. The index is the sum of 8 components; number of liquid or very soft stools, abdominal pain, general well-being, CD complications, taking antidiarrheal drugs, abdominal mass, hematocrit, and weight.

    Patients with dose adjustment to CT-P13 SC 240 mg prior to Week 54 were considered as non-remitter.

    Measured: Week 54

  2. Percentage of Patients Achieving Endoscopic Response (Based on Central SES-CD) at Week 54

    Endoscopic response was defined as a 50% decrease in Simplified Endoscopic Activity Score for Crohn's Disease (SES-CD) score from the baseline value.

    The SES-CD assesses the size of mucosal ulcers, ulcerated surface, endoscopic extension and the presence of stenosis. Each item is scored from 0-3, with total score from 0-60. Higher score indicates more severe endoscopic activity.

    Patients with dose adjustment to CT-P13 SC 240 mg prior to Week 54 were considered as non-responder.

    Statistical testing for this outcome based on the colonoscopy (SES-CD) was conducted using the colonoscopy reading results of central level.

    Measured: Week 54

Secondary outcomes (3)
  1. Percentage of Patients Achieving CDAI-100 Response at Week 54

    Crohn's Disease Activity Index (CDAI)-100 response was defined as a decrease in CDAI score of 100 points or more from the baseline value.

    The total CDAI scores range from 0 to over 600 with higher scores indicating increased severity of disease. The index is the sum of 8 components; number of liquid or very soft stools, abdominal pain, general well-being, CD complications, taking antidiarrheal drugs, abdominal mass, hematocrit, and weight.

    Patients with dose adjustment to CT-P13 SC 240 mg prior to Week 54 were considered as non-responder.

    Measured: Week 54

  2. Percentage of Patients Achieving Clinical Remission (Based on AP and SF) at Week 54

    Clinical remission was defined as an average worst daily Abdominal Pain (AP) score of ≤1 (using 4-point scale) and an average daily loose/watery Stool Frequency (SF) score of ≤3 (of Type 6 or Type 7 on Bristol Stool Form Scale (BSFS)) with no worsening in either average score compared with the baseline value.

    AP score is patient recorded score on a scale 0 to 3 (none, mild, moderate, or severe) and higher score indicates severe abdominal pain. SF score is patient recorded number of loose/watery stool defined as BSFS type 6 or 7 per day. BSFS is an ordinal scale of stool types ranging from the hardest (Type 1) to the softest (Type 7).

    Patients with dose adjustment to CT-P13 SC 240 mg prior to Week 54 were considered as non-remitter.

    Measured: Week 54

  3. Percentage of Patients Achieving Endoscopic Remission (Based on Central SES-CD) at Week 54

    Endoscopic remission was defined as an absolute Simplified Endoscopic Activity Score for Crohn's Disease (SES-CD) score of ≤4 and at least 2-point reduction from the baseline value with no segment sub-score of >1.

    The SES-CD assesses the size of mucosal ulcers, ulcerated surface, endoscopic extension and the presence of stenosis. Each item is scored from 0-3, with total score from 0-60. Higher score indicates more severe endoscopic activity.

    Patients with dose adjustment to CT-P13 SC 240 mg prior to Week 54 were considered as non-remitter.

    Measured: Week 54

Timeline

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

  1. First posted10 May 2019
  2. Study start28 Oct 2019
  3. Primary completion23 Aug 2022
  4. Study completion22 Aug 2023

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
396 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03945019
Sponsor's protocol ID
CT-P13 3.8
Other IDs
2019-001087-30, 2019
Status last verified
Sep 2023
First submitted
8 May 2019
Last updated
23 Oct 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Colombel JF, Danese S, Schreiber S, Sands BE, Yarur AJ, Kang A, Kim DH, Lee YN, Hanauer SB. Impact of Immunogenicity on Clinical Outcomes in Patients With Moderate-to-Severe Inflammatory Bowel Disease Receiving Subcutaneous Infliximab: A Post Hoc Analysis of the LIBERTY Trials. United European Gastroenterol J. 2026 Apr;14(3):e70205. doi: 10.1002/ueg2.70205.

    PubMed 41986154
  • Schreiber S, Sands BE, Danese S, Loftus EV Jr, Jeong AL, Kim DH, Lee YN, Colombel JF. Symptom Response Dynamics for Personalised Therapy with Subcutaneous Infliximab in Crohn's Disease: Insights from the Randomised, Placebo-Controlled, Phase 3 LIBERTY-CD Trial. Adv Ther. 2026 Jun;43(6):2510-2526. doi: 10.1007/s12325-026-03533-3. Epub 2026 Mar 30.

    PubMed 41910935
  • Dubinsky MC, Schreiber S, Yarur AJ, Sands BE, Hanauer SB, Danese S, Yu H, Kim DH, Lee YN, Colombel JF. Recovery of response and long-term outcomes following loss of response and dose escalation of subcutaneous infliximab: a post hoc analysis of the LIBERTY-CD & LIBERTY-UC trials. Inflamm Bowel Dis. 2026 Jul 1;32(7):1235-1247. doi: 10.1093/ibd/izag017.

    PubMed 41849243
  • Colombel JF, Sandborn WJ, Schreiber S, Danese S, Klopocka M, Kierkus J, Kulynych R, Gonciarz M, Soltysiak A, Smolinski P, Sreckovic S, Valuyskikh E, Lahat A, Horynski M, Gasbarrini A, Osipenko M, Borzan V, Kowalski M, Saenko D, Sardinov R, Lee SJ, Kim S, Bae Y, Lee S, Lee S, Lee JH, Kim JM, Park G, Lee J, Lee J, Ryu JY, Sands BE, Hanauer SB. Subcutaneous infliximab (CT-P13 SC) as maintenance therapy for Crohn's disease and ulcerative colitis: 2-year results from open-label extensions of two randomized controlled trials (LIBERTY). J Crohns Colitis. 2025 Jun 4;19(6):jjaf060. doi: 10.1093/ecco-jcc/jjaf060.

    PubMed 40243842
  • Hanauer SB, Sands BE, Schreiber S, Danese S, Klopocka M, Kierkus J, Kulynych R, Gonciarz M, Soltysiak A, Smolinski P, Sreckovic S, Valuyskikh E, Lahat A, Horynski M, Gasbarrini A, Osipenko M, Borzan V, Kowalski M, Saenko D, Sardinov R, Lee SJ, Kim S, Bae Y, Lee S, Lee S, Lee JH, Yang S, Lee J, Lee J, Kim JM, Park G, Sandborn WJ, Colombel JF. Subcutaneous Infliximab (CT-P13 SC) as Maintenance Therapy for Inflammatory Bowel Disease: Two Randomized Phase 3 Trials (LIBERTY). Gastroenterology. 2024 Oct;167(5):919-933. doi: 10.1053/j.gastro.2024.05.006. Epub 2024 May 23.

    PubMed 38788861

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CT-P13 SC (Infliximab) in people with Crohn's Disease, run by Celltrion at 29 sites in 26 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 2 inclusion and 2 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 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in Poland, Russia, Ukraine, United States, Belarus and 21 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 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 23 Oct 2023). 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 Achieving Clinical Remission (Based on CDAI) at Week 54 (time frame: Week 54). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03945019, which also lists 5 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 23 Oct 2023.

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