Brodalumab (AMG 827) in Adults With Moderate to Severe Crohn's Disease
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, and Efficacy of AMG 827 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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Box Hill, Australia
- Research Site
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Fitzroy, Australia
- Research Site
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Fremantle, Australia
- Research Site
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South Australia
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Kurralta Park, South Australia, Australia
- Research Site
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Bonheiden, Belgium
- Research Site
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Gent, Belgium
- Research Site
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Leuven, Belgium
- Research Site
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Roeselare, Belgium
- Research Site
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Alberta
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Calgary, Alberta, Canada
- Research Site
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British Columbia
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Vancouver, British Columbia, Canada
- Research Site
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Victoria, British Columbia, Canada
- Research Site
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Manitoba
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Winnipeg, Manitoba, Canada
- Research Site
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Ontario
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Hamilton, Ontario, Canada
- Research Site
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London, Ontario, Canada
- Research Site
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Toronto, Ontario, Canada
- Research Site
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Quebec
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Montreal, Quebec, Canada
- Research Site
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Lille cedex, France
- Research Site
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Nice Cedex 3, France
- Research Site
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Paris, France
- Research Site
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Paris Cedex 10, France
- Research Site
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Toulouse Cedex 09, France
- Research Site
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Vandoeuvre les Nancy, France
- Research Site
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Amsterdam, Netherlands
- Research Site
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Maastricht, Netherlands
- Research Site
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Rotterdam, Netherlands
- Research Site
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Bydgoszcz, Poland
- Research Site
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Olsztyn, Poland
- Research Site
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Opole, Poland
- Research Site
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Sopot, Poland
- Research Site
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Barcelona, Spain
- Research Site
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Madrid, Spain
- Research Site
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Galicia
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Pontevedra, Galicia, Spain
- Research Site
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Santiago de Compostela, Galicia, Spain
- Research Site
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Alabama
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Birmingham, Alabama, United States
- Research Site
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Dothan, Alabama, United States
- Research Site
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Arkansas
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Lowell, Arkansas, United States
- Research Site
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Florida
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Jacksonville, Florida, United States
- Research Site
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Miami, Florida, United States
- Research Site
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Louisiana
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Hammond, Louisiana, United States
- Research Site
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Maryland
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Chevy Chase, Maryland, United States
- Research Site
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Minnesota
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Rochester, Minnesota, United States
- Research Site
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Missouri
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Mexico, Missouri, United States
- Research Site
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New Jersey
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Egg Harbor Township, New Jersey, United States
- Research Site
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New York
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Great Neck, New York, United States
- Research Site
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North Carolina
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Charlotte, North Carolina, United States
- Research Site
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Wilmington, North Carolina, United States
- Research Site
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Tennessee
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Germantown, Tennessee, United States
- Research Site
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Nashville, Tennessee, United States
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Texas
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San Antonio, Texas, United States
- Research Site
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Utah
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Logan, Utah, United States
- Research Site
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Ogden, Utah, United States
- Research 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:
- Diagnosed with ileal, ileo-colonic, or colonic Crohn's disease for a minimum of 6 months prior to initiating study drug
- Moderately to severely active Crohn's disease, as defined by a CDAI score >250 and < 450 at baseline
- Evidence of active inflammation
Exclusion Criteria:
- Short bowel syndrome
- Stricture with obstructive symptoms within 3 months
- Bowel surgery within 3 months
- Ileostomy and/or colostomy
- Any gastric or intestinal pouch
- Ulcerative colitis
- Evidence of an infected abscess
- Bowel perforation or evidence of noninflammatory obstruction during the 6 months
- Stool positive for C. Difficile toxin at screening
- Presence of active infection requiring treatment
- Serious infection within 8 weeks
- Significant concurrent medical conditions
- Pregnant or breast feeding
- Significant Laboratory abnormalities
- Any anti-tumor necrosis factor (TNF) agent within 2 months
- Steroid enemas within 2 weeks
- Tysabri (natalizumab) within 1 year
- Biologic agents (eg, ustekinumab), experimental procedures, or live vaccines within 3 months
- Cyclosporine, mycophenolate mofetil, sirolimus (rapamycin),thalidomide or tacrolimus within 2 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo
Participants received placebo intravenously at baseline and week 4.
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Administered as as an intravenous (IV) infusion over at least 30 minutes.
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Experimental: Brodalumab 210 mg
Participants received 210 mg brodalumab intravenously at baseline and week 4.
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Administered as as an intravenous (IV) infusion over at least 30 minutes.
Other Names:
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Experimental: Brodalumab 350 mg
Participants received 350 mg brodalumab intravenously at baseline and week 4.
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Administered as as an intravenous (IV) infusion over at least 30 minutes.
Other Names:
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Experimental: Brodalumab 700 mg
Participants received 700 mg brodalumab intravenously at baseline and week 4.
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Administered as as an intravenous (IV) infusion over at least 30 minutes.
Other Names:
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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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Percentage of Participants Who Achieved Clinical Remission at Week 6
Time Frame: Week 6
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Clinical remission is defined by a CDAI score of ≤ 150 points.
The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight).
The CDAI score is calculated by summing weighted scores for each item.
CDAI scores range from 0 to 600, with higher scores indicating greater disease activity.
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Week 6
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants Who Achieved a CDAI Response at Week 6
Time Frame: Week 6
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CDAI response is defined as a reduction from baseline in CDAI score of ≥ 100 points. The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). The CDAI score is calculated by summing weighted scores for each item. CDAI scores range from 0 to 600, with higher scores indicating greater disease activity. |
Week 6
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Change From Baseline in CDAI at Week 6
Time Frame: Baseline and week 6
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The CDAI measures the severity of active disease using 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). The CDAI score is calculated by summing weighted scores for each item. CDAI scores range from 0 to 600, with higher scores indicating greater disease activity. A negative change from baseline indicates improvement. |
Baseline and week 6
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Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time Frame: From first dose of study drug up to week 12.
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An adverse event (AE) is any untoward medical occurrence in a clinical trial participant, including worsening of a pre-existing medical condition. The event does not necessarily have a causal relationship with study treatment. A treatment-emergent AE is an event that occurred after the initiation of study drug or was already present prior to the initiation of study drug but worsened in either intensity or frequency after the initiation of study drug. A serious AE is an adverse event that met at least one of the following criteria:
The investigator assessed whether each AE was possibly related to the study drug. |
From first dose of study drug up to week 12.
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Maximum Observed Concentration (Cmax) of Brodalumab
Time Frame: After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, 57, 64-66, and 85.
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An optional pharmacokinetic (PK) substudy was offered to participants at a subset of sites and required additional informed consent. Serum concentrations of brodalumab were measured using a validated analytical method, enzyme-linked immusosorbent assay (ELISA). The lower limit of quantification (LLOQ) for the assay was 0.0500 μg/mL. |
After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, 57, 64-66, and 85.
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Time to Maximum Observed Concentration (Tmax) of Brodalumab
Time Frame: After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, 57, 64-66, and 85.
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An optional pharmacokinetic (PK) substudy was offered to participants at a subset of sites and required additional informed consent. Serum concentrations of brodalumab were measured using a validated analytical method, enzyme-linked immusosorbent assay (ELISA). The lower limit of quantification (LLOQ) for the assay was 0.0500 μg/mL. |
After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, 57, 64-66, and 85.
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Area Under the Serum Concentration Versus Time Curve, From Time Zero to the Last Measurable Concentration (AUClast) for Brodalumab
Time Frame: After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, 57, 64-66, and 85.
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An optional pharmacokinetic (PK) substudy was offered to participants at a subset of sites and required additional informed consent. Serum concentrations of brodalumab were measured using a validated analytical method, enzyme-linked immusosorbent assay (ELISA). The lower limit of quantification (LLOQ) for the assay was 0.0500 μg/mL. |
After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, 57, 64-66, and 85.
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Area Under the Serum Concentration Versus Time Curve From Time Zero to 28 Days (AUC0-28) for Brodalumab
Time Frame: After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, and 57.
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An optional pharmacokinetic (PK) substudy was offered to participants at a subset of sites and required additional informed consent. Serum concentrations of brodalumab were measured using a validated analytical method, enzyme-linked immusosorbent assay (ELISA). The lower limit of quantification (LLOQ) for the assay was 0.0500 μg/mL. |
After first dose on Day 1 (pre-dose and within 15 minutes after the end of infusion [EOI]), day 4-6, 15, and 29 (pre-dose) and after second dose on day 29 (pre-dose and within 15 minutes after EOI), days 32-34, 43, and 57.
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
- 20090072
- 2010-019544-39 (EudraCT Number)
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