A Study to Investigate the Safety and Efficacy of CP-690,550 in Patients With Moderate to Severe Crohn's Disease
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multi-Center Study To Investigate The Safety And Efficacy Of CP-690,550 In Subjects With Moderate To Severe Crohn's Disease.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Bruxelles, Belgium, 1200
- Pfizer Investigational Site
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Gent, Belgium, 9000
- Pfizer Investigational Site
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Leuven, Belgium, 3000
- Pfizer Investigational Site
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Hradec Kralove, Czech Republic, 50012
- Pfizer Investigational Site
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Usti nad Labem, Czech Republic, 401 13
- Pfizer Investigational Site
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Lille Cedex, France, 59037
- Pfizer Investigational Site
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Pessac Cedex, France, 33604
- Pfizer Investigational Site
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Vandoeuvre-les-nancy, France, 54511
- Pfizer Investigational Site
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Bekescsaba, Hungary, 5600
- Pfizer Investigational Site
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Debrecen, Hungary, 4004
- Pfizer Investigational Site
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Gyor, Hungary, 9023
- Pfizer Investigational Site
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Gyula, Hungary, 5701
- Pfizer Investigational Site
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Kaposvar, Hungary, 7400
- Pfizer Investigational Site
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Szekszard, Hungary, 7100
- Pfizer Investigational Site
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Bologna, Italy, 40138
- Pfizer Investigational Site
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Roma, Italy, 00152
- Pfizer Investigational Site
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Amsterdam, Netherlands, 1105 AZ
- Pfizer Investigational Site
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Lublin, Poland, 20-954
- Pfizer Investigational Site
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Olsztyn, Poland, 10-561
- Pfizer Investigational Site
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Wroclaw, Poland, 50-556
- Pfizer Investigational Site
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Bratislava, Slovakia, 826 06
- Pfizer Investigational Site
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Bratislava, Slovakia, 811 07
- Pfizer Investigational Site
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Nitra, Slovakia, 94901
- Pfizer Investigational Site
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Durban, South Africa, 4091
- Pfizer Investigational Site
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Cape Town
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Durbanvilee, Cape Town, South Africa
- Pfizer Investigational Site
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Gauteng
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Johannesburg, Gauteng, South Africa, 2193
- Pfizer Investigational Site
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Kwa-Zulu Natal
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Durban, Kwa-Zulu Natal, South Africa, 4001
- Pfizer Investigational Site
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Western Cape
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Cape Town, Western Cape, South Africa, 7708
- Pfizer Investigational Site
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Barcelona, Spain, 08036
- Pfizer Investigational Site
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Barcelona
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L'hospitalet de Llobregat, Barcelona, Spain, 08907
- Pfizer Investigational Site
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Madrid
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Majadahonda, Madrid, Spain, 28922
- Pfizer Investigational Site
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Bristol, United Kingdom, BS2 8HW
- Pfizer Investigational Site
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Salford, United Kingdom, M6 8HD
- Pfizer Investigational Site
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Alabama
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Birmingham, Alabama, United States, 35233
- Pfizer Investigational Site
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Mobile, Alabama, United States, 36617
- Pfizer Investigational Site
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Colorado
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Boulder, Colorado, United States, 80304
- Pfizer Investigational Site
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Lakewood, Colorado, United States, 80215
- Pfizer Investigational Site
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Wheat Ridge, Colorado, United States, 80033
- Pfizer Investigational Site
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District of Columbia
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Washington, District of Columbia, United States, 20006
- Pfizer Investigational Site
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Florida
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Boca Raton, Florida, United States, 33428
- Pfizer Investigational Site
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Boca Raton, Florida, United States, 33486
- Pfizer Investigational Site
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Boca Raton, Florida, United States, 33442
- Pfizer Investigational Site
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Boca Raton, Florida, United States, 33496
- Pfizer Investigational Site
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Gainesville, Florida, United States, 32607
- Pfizer Investigational Site
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Gainesville, Florida, United States, 32605
- Pfizer Investigational Site
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Jacksonville, Florida, United States, 32256
- Pfizer Investigational Site
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Jacksonville, Florida, United States, 32207
- Pfizer Investigational Site
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St. Petersburg, Florida, United States, 33709
- Pfizer Investigational Site
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Illinois
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Chicago, Illinois, United States, 60637
- Pfizer Investigational Site
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Kansas
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Wichita, Kansas, United States, 67208
- Pfizer Investigational Site
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Kentucky
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Louisville, Kentucky, United States, 40202
- Pfizer Investigational Site
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Maryland
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Chevy Chase, Maryland, United States, 20815
- Pfizer Investigational Site
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Towson, Maryland, United States, 21204
- Pfizer Investigational Site
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Michigan
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Troy, Michigan, United States, 48098
- Pfizer Investigational Site
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Minnesota
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Rochester, Minnesota, United States, 55905
- Pfizer Investigational Site
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Missouri
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Mexico, Missouri, United States, 65265
- Pfizer Investigational Site
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New York
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Great Neck, New York, United States, 11021
- Pfizer Investigational Site
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North Carolina
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Charlotte, North Carolina, United States, 28211
- Pfizer Investigational Site
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Charlotte, North Carolina, United States, 28210
- Pfizer Investigational Site
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Charlotte, North Carolina, United States, 28209
- Pfizer Investigational Site
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Salisbury, North Carolina, United States, 28144
- Pfizer Investigational Site
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Ohio
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Dayton, Ohio, United States, 45415
- Pfizer Investigational Site
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Pennsylvania
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Duncansville, Pennsylvania, United States, 16635
- Pfizer Investigational Site
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Pittsburgh, Pennsylvania, United States, 15243
- Pfizer Investigational Site
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Upper St. Clair,, Pennsylvania, United States, 15241
- Pfizer Investigational Site
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Tennessee
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Bristol, Tennessee, United States, 37620
- Pfizer Investigational Site
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Kingsport, Tennessee, United States, 37660
- Pfizer Investigational Site
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Nashville, Tennessee, United States, 37205
- Pfizer Investigational Site
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Texas
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Dallas, Texas, United States, 75235
- Pfizer Investigational Site
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Dallas, Texas, United States, 75390-8887
- Pfizer Investigational Site
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Washington
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Seattle, Washington, United States, 98195
- Pfizer Investigational Site
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West Virginia
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Charleston, West Virginia, United States, 25304
- Pfizer Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects must be at least 18 years of age at screening
- Males and females with clinical evidence of Crohn's disease for at least 3 months duration at screening
- Subjects with moderate to severe Crohn's Disease at baseline, as defined by a Crohn's Disease Activity Index (CDAI) score of 220-450 inclusive
Exclusion Criteria:
- Subjects currently receiving immunosuppressants, interferon, anti-TNFa
- Subjects with evidence of hematopoietic disorders
- Subjects with evidence of active or latent TB
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo BID
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administration via oral route twice daily
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Experimental: 1mg BD
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administration via oral route twice daily
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Experimental: 5mg BD
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administration via oral route twice daily
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Experimental: 15mg BD
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administration via oral route twice daily
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Participants With Clinical Response 70 at Week 4
Time Frame: Week 4
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Clinical response 70: defined as a reduction in Crohn's Disease Activity Index (CDAI) score from baseline of at least 70 points.
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid stools, extent 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, higher score indicates higher disease activity.
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Week 4
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Participants With Clinical Response 70 at Week 1 and 2
Time Frame: Week 1, 2
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Clinical response 70: defined as a reduction in CDAI score from baseline of at least 70 points.
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid stools, extent 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, higher score indicates higher disease activity.
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Week 1, 2
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Number of Participants Achieving Clinical Remission at Week 4
Time Frame: Week 4
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Clinical remission=CDAI at Week 4 less than (<) 150 points.
CDAI is a composite index consisting of a weighted scoring of 8 disease variables:number of liquid stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for antidiarrheal 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.
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Week 4
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Number of Participants With Clinical Response 100 at Week 4
Time Frame: Week 4
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Clinical response 100: 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 stools, extent 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, higher score indicates higher disease activity.
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Week 4
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Time to First Clinical Remission
Time Frame: Week 1 through Week 4
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Clinical remission=CDAI <150 points.
CDAI is a composite index consisting of a weighted scoring of 8 disease variables:number of liquid stools, extent of abdominal pain, general well-being, occurrence of extraintestinal symptoms, need for antidiarrheal 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.
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Week 1 through Week 4
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Time to First Response 70
Time Frame: Week 1 through Week 4
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Clinical response 70: defined as a reduction in CDAI score from baseline of at least 70 points.
CDAI is a composite index consisting of weighted scoring of 8 disease variables: number of liquid stools, extent 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 , higher score indicates higher disease activity.
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Week 1 through Week 4
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Time to First Response 100
Time Frame: Week 1 through Week 4
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Clinical response 100: 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 stools, extent 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, higher score indicates higher disease activity.
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Week 1 through Week 4
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Sandborn WJ, Ghosh S, Panes J, Vranic I, Wang W, Niezychowski W; Study A3921043 Investigators. A phase 2 study of tofacitinib, an oral Janus kinase inhibitor, in patients with Crohn's disease. Clin Gastroenterol Hepatol. 2014 Sep;12(9):1485-93.e2. doi: 10.1016/j.cgh.2014.01.029. Epub 2014 Jan 27.
- Ghoreschi K, Jesson MI, Li X, Lee JL, Ghosh S, Alsup JW, Warner JD, Tanaka M, Steward-Tharp SM, Gadina M, Thomas CJ, Minnerly JC, Storer CE, LaBranche TP, Radi ZA, Dowty ME, Head RD, Meyer DM, Kishore N, O'Shea JJ. Modulation of innate and adaptive immune responses by tofacitinib (CP-690,550). J Immunol. 2011 Apr 1;186(7):4234-43. doi: 10.4049/jimmunol.1003668. Epub 2011 Mar 7.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- A3921043
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