A Study to Assess the Efficacy and Safety of Golimumab in Pediatric Participants With Moderately to Severely Active Ulcerative Colitis (PURSUIT 2)
A Phase 3 Randomized, Open-Label Study to Assess the Efficacy, Safety, and Pharmacokinetics of Golimumab Treatment, a Human Anti-TNFα Monoclonal Antibody, Administered Subcutaneously in Pediatric Participants With Moderately to Severely Active Ulcerative Colitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Brussels, Belgium, 1200
- Cliniques Universitaires Saint Luc
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Brussels, Belgium, 1020
- Universitair Kinderziekenhuis Koningin Fabiola
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Jette, Belgium, 1090
- UZ Brussel
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Blumenau, Brazil, 89010-506
- MK Blumenau Pesquisa Clínica
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Curitiba, Brazil, 80250-060
- Hospital Pequeno Príncipe
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Porto Alegre, Brazil, 90035-074
- Irmandade Santa Casa de Misericordia de Porto Alegre
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São Paulo, Brazil, 01236030
- BR Trials
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Bordeaux, France, 33000
- Hopital Pellegrin CHU Bordeaux
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Paris, France, 75015
- Hopital Necker
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Haifa, Israel, 3109601
- Rambam Medical Center
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Jerusalem, Israel, 91031
- Shaare Zedek Medical Center
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Petah Tikva, Israel, 4920235
- Schneider Children's Medical Center
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Ramat Gan, Israel, 52621
- Sheba Medical Center
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Rishon LeZiyyon, Israel, 70300
- Assaf Harofeh Medical Center
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Tel Aviv, Israel, 6997801
- Sourasky Medical Center
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Bologna, Italy, 40133
- Azienda USL di Bologna - Ospedale Maggiore
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Florence, Italy, 50139
- AOU Meyer
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Messina, Italy, 98124
- AOU Policlinico G.Martino
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Roma, Italy, 00165
- IRCCS Ospedale Pediatrico Bambino Gesu
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Roma, Italy, 00161
- AOU Policlinico Umberto I
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San Giovanni Rotondo, Italy, 71013
- Casa Sollievo Della Sofferenza IRCCS
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Trieste, Italy, 34137
- IRCCS Materno Infantile Burlo Garofolo
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Amsterdam, Netherlands, 1105 AZ
- Emma Children's Hospital Academic Medical Center
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Zwolle, Netherlands, 8000 GK
- Isala Kliniek
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Bydgoszcz, Poland, 85 094
- Szpital Uniwersytecki NR 1 IM Dr Antoniego Jurasza
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Gdansk, Poland, 80 803
- Szpital im. M. Kopernika
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Krakow, Poland, 30 663
- Uniwersytecki Szpital Dzieciecy w Krakowie
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Olsztyn, Poland, 10 561
- Wojewodzki Specjalistyczny Szpital Dzieciecy im Prof Stanislawa Popowskiego
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Rzeszów, Poland, 35-302
- Korczowski Bartosz Gabinet Lekarski
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Warsaw, Poland, 00 635
- Centrum Zdrowia Matki Dziecka i Mlodziezy
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Warsaw, Poland, 04-730
- Szpital Pomnik Centrum Zdrowia Dziecka
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Daegu, South Korea, 41404
- Kyungpook National University Chilgok Hospital
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Seoul, South Korea, 03080
- Seoul National University Hospital
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Seoul, South Korea, 05505
- Asan Medical Center
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Seoul, South Korea, 03722
- Severance Hospital Yonsei University Health System
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Seoul, South Korea, 06351
- Samsung Medical Center
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Barakaldo, Spain, 48902
- Hosp. Univ. de Cruces
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Barcelona, Spain, 08950
- Hosp. Sant Joan de Deu
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Madrid, Spain, 28041
- Hosp. Univ. 12 de Octubre
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Madrid, Spain, 28009
- Hosp. Infantil Univ. Nino Jesus
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Madrid, Spain, 28036
- Hosp. Gral. Univ. Gregorio Maranon
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Málaga, Spain, 29011
- Hosp Regional Univ de Malaga
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Seville, Spain, 41013
- Hosp. Virgen Del Rocio
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Taipei, Taiwan, 100
- National Taiwan University Hospital
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Taipei, Taiwan, 112
- Taipei Veterans General Hospital
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Taoyuan City, Taiwan, 33305
- Chang Gung Memorial Hospital- Linkou
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California
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San Francisco, California, United States, 94158
- University of California San Francisco
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Colorado
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Aurora, Colorado, United States, 80045
- Children's Hospital Colorado and University of Colorado
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Lone Tree, Colorado, United States, 80124
- Rocky Mountain Pediatric Gastroenterology
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Connecticut
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Hartford, Connecticut, United States, 06106
- Connecticut Children's Medical Center
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Delaware
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Wilmington, Delaware, United States, 19803
- Nemours DuPont Hospital for Children
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Georgia
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Atlanta, Georgia, United States, 30342
- Children's Center for Digestive Health Care
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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New York
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New York, New York, United States, 10032
- Columbia University Medical Center
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Tennessee
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Knoxville, Tennessee, United States, 37922
- GI For Kids
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Texas
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Dallas, Texas, United States, 75207
- Children's Medical Center of Dallas
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Fort Worth, Texas, United States, 76104
- Cook Childrens Medical Center
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Garland, Texas, United States, 75044
- DHAT Research Institute
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Must either be currently receiving treatment with, or have a history of having failed to respond to, or have a medical contraindication to at least 1 of the following therapies: oral or intravenous corticosteroids, 6-mercaptopurine, methotrexate or azathioprine OR must either have or have had a history of corticosteroid dependency (that is an inability to successfully taper corticosteroids without a return of the symptoms of ulcerative colitis [UC]) OR required more than 3 courses of corticosteroids in the past year
- Moderately to severely active UC (as defined by baseline Mayo score of 6 through 12 [endoscopy {sigmoidoscopy or colonoscopy} sub score assigned by local endoscopist], inclusive), including a (sigmoidoscopy or colonoscopy) sub score greater than or equal to (>=2)
- If receiving enteral nutrition, must have been on a stable regimen for at least 2 weeks prior to the first administration of study intervention at Week 0. Participants who receive parenteral nutrition are not permitted to enroll in the trial
- No history of latent or active tuberculosis prior to screening
- Must be up to date with all immunizations (that is, measles, mumps, rubella, and varicella) in agreement with current local immunization guidelines for immunosuppressed participants before Week 0
Exclusion Criteria:
- History of liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric (including suicidality), or metabolic disturbances
- History of malignancy or macrophage activation syndrome or hemophagocytic lymphohistiocytosis
- Have UC limited to the rectum only or to <20 percent (%) of the colon
- Presence of a stoma
- Presence or history of a fistula
- Contraindications to the use of golimumab or infliximab or anti-tumor necrosis factor (TNF-alpha) therapy per local prescribing information
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Group 2: Infliximab
Participants will receive infliximab intravenous (IV) through Week 46.
Doses will be based on body weight.
After the Week 54 evaluations, participants receiving infliximab will be withdrawn from study participation and transition to local standard of care which may include continued commercially available infliximab at the discretion of their physician.
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Participants will receive infliximab intravenous (IV) through Week 46.
Doses will be based on body weight.
After the Week 54 evaluations, participants receiving infliximab will be withdrawn from study participation and transition to local standard of care which may include continued commercially available infliximab at the discretion of their physician.
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Experimental: Group 1: Golimumab
Participants will receive subcutaneous (SC) golimumab through Week 50.
Doses will be based on body surface area.
Following the Week 54 evaluations (end of main pivotal study) participants who are benefiting from golimumab at the discretion of the investigator may continue to receive SC golimumab in an extension period until end of study.
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Participants receive subcutaneous (SC) golimumab through Week 50, where doses will be based on body surface area.
After the Week 54 evaluations, at the discretion of investigator, participants benefiting from continued SC golimumab will continue to receive SC golimumab in the extension until end of study.
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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 With Clinical Remission at Week 6 as Assessed by the Mayo Score
Time Frame: Week 6
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Percentage of participants with clinical remission at Week 6 as assessed by the Mayo score was reported.
Clinical remission was defined as a Mayo score of less than or equal to (<=) 2 point, with no individual sub-score greater than (>) 1.
The Mayo score was sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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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 With Symptomatic Remission at Week 54
Time Frame: Week 54
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Percentage of participants with symptomatic remission at Week 54 was reported.
Symptomatic remission was defined as a Mayo stool frequency subscore of 0 or 1 and a rectal bleeding subscore of 0. Mayo stool frequency subscore was determined on the average number of stools more than normal in 24 hours, score ranged from 0 (normal number of stools) to 3 (5 or more stools more than normal), higher score indicated more severity.
Mayo rectal bleeding subscore ranged from 0 (no blood seen) to 3 (blood alone passed), higher score indicated more severity.
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Week 54
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Percentage of Participants With Clinical Remission at Week 54 as Assessed by the Mayo Score
Time Frame: Week 54
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Percentage of participants with clinical remission at Week 54 was reported.
Clinical remission was defined as a Mayo score <= 2 points, with no individual subscore >1.
The Mayo score was the sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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Week 54
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Percentage of Participants With Clinical Remission at Week 54 as Assessed by the Pediatric Ulcerative Colitis Activity Index Score (PUCAI) Score
Time Frame: Week 54
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Percentage of participants with clinical remission at Week 54 as assessed by PUCAI score was reported.
Clinical remission as measured by the PUCAI score was a PUCAI score <10.
PUCAI score was intended for pediatric participants with UC.
PUCAI consisted of the following 6 subscores with scores as: abdominal pain (no pain =0, pain can be ignored =5, pain cannot be ignored =10); rectal bleeding (none =0, small amount only [in less than 50 percent (%) of stools] =10, small amount with most stools =20, large amount [>50% of the stool content] =30); stool consistency of most stools (formed =0, partially formed =5, completely unformed =10); number of stools per 24 hours (0-2 =0, 3-5 =5, 6-8 =10, >8 =15); nocturnal bowel movement (no =0, yes =10); activity level (no limitation of activity =0, occasional limitation of activity =5, severely restricted activity =10).
PUCAI score = sum of scores of 6 items; score range of 0= no severity to 85= extreme severity.
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Week 54
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Percentage of Participants With Clinical Remission at Week 6 as Assessed by the Pediatric Ulcerative Colitis Activity Index Score (PUCAI) Score
Time Frame: Week 6
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Percentage of participants with clinical remission at Week 6 as assessed by PUCAI score was reported.
Clinical remission as measured by the PUCAI score was a PUCAI score <10.
PUCAI score was intended for pediatric participants with UC.
PUCAI consisted of the following 6 subscores with scores as: abdominal pain (no pain =0, pain can be ignored =5, pain cannot be ignored =10); rectal bleeding (none =0, small amount only [in less than 50% of stools] =10, small amount with most stools =20, large amount [>50% of the stool content] =30); stool consistency of most stools (formed =0, partially formed =5, completely unformed =10); number of stools per 24 hours (0-2 =0, 3-5 =5, 6-8 =10, >8 =15); nocturnal bowel movement (no =0, yes =10); activity level (no limitation of activity =0, occasional limitation of activity =5, severely restricted activity =10).
PUCAI score = sum of scores of 6 items; score range of 0= no severity to 85= extreme severity.
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Week 6
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Percentage of Participants With Clinical Response at Week 6 as Assessed by the Mayo Score
Time Frame: Week 6
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Clinical response was defined as a decrease from baseline in the Mayo score by >= 30% and >= 3 points, with either a decrease from baseline in the rectal bleeding subscore of >= 1 or a rectal bleeding subscore of 0 or 1.
The Mayo score was the sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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Week 6
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Percentage of Participants With Endoscopic Healing at Week 6 as Assessed by the Mayo Score
Time Frame: Week 6
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Percentage of participants with endoscopic healing at Week 6 as assessed by the Mayo score was reported.
Endoscopic healing was defined by an endoscopy subscore of the Mayo score of 0 or 1 based on local endoscopy.
The Mayo score was the sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each subscore rated on a scale from 0 (normal) to 3 (severe), with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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Week 6
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Percentage of Participants With Endoscopic Healing at Week 54 as Assessed by the Mayo Score
Time Frame: Week 54
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Percentage of participants with endoscopic healing at Week 54 as assessed by the Mayo score was reported.
Endoscopic healing is defined as an endoscopy subscore of the Mayo score of 0 or 1 based on local endoscopy.
The Mayo score was the sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each subscore rated on a scale from 0 (normal) to 3 (severe), with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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Week 54
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Percentage of Participants With Clinical Remission at Week 54 as Assessed by the Mayo Score for Participants Who Were in Clinical Remission at Week 6
Time Frame: Week 54
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Percentage of participants with clinical remission at Week 54 as assessed by the Mayo score for participants who were in clinical remission at week 6 was reported.
Clinical remission was defined as a Mayo score <=2 points, with no individual subscore >1.
The Mayo score was the sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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Week 54
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Percentage of Participants Who Were Not Receiving Corticosteroids for at Least 12 Weeks Prior to Week 54 and in Clinical Remission at Week 54
Time Frame: Week 54
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Percentage of participants who were not receiving corticosteroids for at least 12 weeks prior to Week 54 and in clinical remission at week 54 was reported.
Clinical remission was defined as a Mayo score <=2 points, with no individual subscore >1.
The Mayo score was the sum of 4 sub-scores (that is, stool frequency, rectal bleeding, endoscopic findings, and physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total score was calculated as the sum of the 4 sub scores and values ranged from 0 to 12.
A score of 3 to 5 points indicated mildly active disease; a score of 6 to 10 indicated moderately active disease; and a score of 11 to 12 indicated severe disease.
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Week 54
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
- Intestinal Diseases
- Digestive System Diseases
- Gastrointestinal Diseases
- Colonic Diseases
- Gastroenteritis
- Inflammatory Bowel Diseases
- Colitis
- Colitis, Ulcerative
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Infliximab
- golimumab
Other Study ID Numbers
Other Study ID Numbers
- CR108499
- 2017-004496-31 (EudraCT Number)
- CNTO148UCO3003 (Other Identifier: Janssen Research & Development, LLC)
- 2023-507142-83-00 (Registry Identifier: EUCT number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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