An Efficacy and Safety Study of Golimumab (CNTO 148) in Participants With Moderately to Severely Active Ulcerative Colitis

March 24, 2016 updated by: Janssen Research & Development, LLC

A Phase 3 Multicenter, Randomized, Placebo-controlled, Double-blind Study to Evaluate the Safety and Efficacy of Golimumab Maintenance Therapy, Administered Subcutaneously, in Subjects With Moderately to Severely Active Ulcerative Colitis

The purpose of this study is to assess the safety and efficacy of golimumab administered subcutaneously (under the skin) injections in maintenance therapy.

Study Overview

Detailed Description

This was a Phase 3, multicenter (conducted in more than one center), placebo-controlled (an inactive substance that is compared with a drug to test whether the drug has a real effect in a clinical trial), double-blind (neither the Physician nor the participant know about the study medication), parallel-group (a medical research study comparing the response in 2 or more groups of participants receiving different interventions), randomized-withdrawal study. Participants who were in clinical response to golimumab at Week 6 in induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) will be randomly assigned in a 1:1:1 ratio at Week 0 of this study to receive 1 of the following maintenance treatment regimens administered subcutaneously every 4 weeks through Week 52: placebo, golimumab 50 mg, or golimumab 100 mg. Participants who were in clinical response to placebo and participants who were not in clinical response to golimumab or placebo at Week 6 in induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) will not be randomly assigned but will be eligible to be enrolled in the study (i.e., the nonrandomized group) and received the following treatment regimens: placebo, golimumab 100 mg and golimumab 100 mg. Dose adjustment will be done for participants who were in clinical response to golimumab or placebo during induction studies C0524T16 (NCT00488774) or C0524T17 (NCT00487539) but lose clinical response during maintenance study C0524T18 (NCT00488631). On completing this study, participant will have the opportunity to continue to receive study medication in a study extension that will last up to approximately 3 years. Efficacy will be primarily evaluated by assessing the clinical response using Mayo Score. Participants' safety will be monitored throughout the study.

Study Type

Interventional

Enrollment (Actual)

1228

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Adelaide, Australia
      • Bankstown, Australia
      • Box Hill, Australia
      • Brisbane, Australia
      • Cairns, Australia
      • Fitzroy, Australia
      • Fremantle, Australia
      • Herston, Australia
      • Launceston, Australia
      • Malvern, Australia
      • Parkville, Australia
      • Prahran, Australia
      • Westmead, Australia
      • Innsbruck, Austria
      • Wien N/A, Austria
      • Bonheiden, Belgium
      • Brussel, Belgium
      • Gent, Belgium
      • Leuven, Belgium
      • Liège, Belgium
      • Roeselare, Belgium
      • Bulgaria, Bulgaria
      • Pleven, Bulgaria
      • Plovdiv, Bulgaria
      • Rousse, Bulgaria
      • Sofia, Bulgaria
      • Quebec, Canada
      • Toronto, Canada
      • Windsor, Canada
    • Alberta
      • Calgary, Alberta, Canada
    • British Columbia
      • Vancouver, British Columbia, Canada
      • Victoria, British Columbia, Canada
    • Manitoba
      • Winnipeg, Manitoba, Canada
    • Ontario
      • Barrie, Ontario, Canada
      • Chatham, Ontario, Canada
      • Hamilton, Ontario, Canada
      • Kingston, Ontario, Canada
      • London, Ontario, Canada
      • Vaughan, Ontario, Canada
    • Quebec
      • Montreal, Quebec, Canada
    • Saskatchewan
      • Saskatoon, Saskatchewan, Canada
      • Hradec Kralove, Czech Republic
      • Litomerice, Czech Republic
      • Ostrava, Czech Republic
      • Èeské Budìjovice 1, Czech Republic
      • Aalborg, Denmark
      • Aarhus C., Denmark
      • Hvidovre, Denmark
      • Odense C, Denmark
      • Amiens Cedex 1 80, France
      • Bordeaux 33, France
      • Clichy, France
      • Lille Cedex, France
      • Marseille Cedex 13, France
      • Nice Cedex 3, France
      • Paris, France
      • Rouen, France
      • Aachen, Germany
      • Berlin, Germany
      • Berlin Be, Germany
      • Bochum, Germany
      • Frankfurt, Germany
      • Hamburg, Germany
      • Hannover, Germany
      • Heidelberg, Germany
      • Herne, Germany
      • Jena, Germany
      • Kiel, Germany
      • Magdeburg, Germany
      • Minden, Germany
      • Muenchen, Germany
      • München, Germany
      • Münster, Germany
      • Neustadt, Germany
      • Stade, Germany
      • Balatonfured, Hungary
      • Budapest, Hungary
      • Budapest N/A, Hungary
      • Debrecen, Hungary
      • Dunaujvaros, Hungary
      • Gyula, Hungary
      • Gyulai Ut 18, Hungary
      • Gyõr, Hungary
      • Miskolc, Hungary
      • Mosonmagyarovar, Hungary
      • Pécs, Hungary
      • Siofok, Hungary
      • Sopron, Hungary
      • Szeged, Hungary
      • Szekesfehervar, Hungary
      • Szekszard, Hungary
      • Szombathely, Hungary
      • Veszprém, Hungary
      • Zalaegerszeg, Hungary
      • Bangalore, India
      • Chennai, India
      • Hyderabad, India
      • Hyderabad Andh Prad, India
      • Jaipur, India
      • Karnad, India
      • Lucknow Gpo, India
      • Ludhiana, India
      • New Delhi, India
      • Pune, India
      • Vishakapatanam, India
      • Afula, Israel
      • Beer Sheva, Israel
      • Beer Yaakov, Israel
      • Haifa, Israel
      • Hedera, Israel
      • Jerusalem, Israel
      • Kfar Sava, Israel
      • Kiryat Bialik, Israel
      • Nazareth, Israel
      • Petah-Tikv, Israel
      • Rechovot, Israel
      • Tel Hashomer, Israel
      • Tel-Aviv, Israel
      • Bunkyo, Japan
      • Bunkyo-Ku, Japan
      • Chikushinoshi, Japan
      • Fukuoka, Japan
      • Hiroshima, Japan
      • Kagoshima, Japan
      • Kurashiki, Japan
      • Kurume, Japan
      • Nagoya, Japan
      • Nishinomiya, Japan
      • Okayama, Japan
      • Osaka, Japan
      • Sakura, Japan
      • Sapporo, Japan
      • Sapporo-Shi, Japan
      • Tokyo, Japan
      • Tokyo N/A, Japan
      • Yokkaichi, Japan
      • Balvi, Latvia
      • Daugavpils, Latvia
      • Riga, Latvia
      • Kaunas, Lithuania
      • Klaipeda, Lithuania
      • Siauliai, Lithuania
      • Vilnius, Lithuania
      • Vilnius Lt, Lithuania
      • Amsterdam, Netherlands
      • Ede Gld, Netherlands
      • Groningen, Netherlands
      • Leiden, Netherlands
      • Nieuwegein, Netherlands
      • Rotterdam, Netherlands
      • Auckland, New Zealand
      • Christchurch, New Zealand
      • Dunedin, New Zealand
      • Hamilton, New Zealand
      • Hastings, New Zealand
      • Bialystok N/A, Poland
      • Bydgoszcz N/A, Poland
      • Czestochowa, Poland
      • Elblag, Poland
      • Gdansk, Poland
      • Gdansk N/A, Poland
      • Krakow, Poland
      • Krakow N/A, Poland
      • Kraków N/A, Poland
      • Lodz, Poland
      • Lublin, Poland
      • Opole N/A, Poland
      • Skierniewice, Poland
      • Sopot, Poland
      • Szczecin, Poland
      • Torun, Poland
      • Warszawa, Poland
      • Warszawa N/A, Poland
      • Bucuresti, Romania
      • Cluj-Napoca, Romania
      • Iasi, Romania
      • Targu Mures, Romania
      • Timisoara, Romania
      • Moscow, Russian Federation
      • Novosibirsk, Russian Federation
      • Omsk, Russian Federation
      • Saint Petersburg, Russian Federation
      • Smolensk, Russian Federation
      • St Petersburg, Russian Federation
      • St-Petersburg, Russian Federation
      • Yaroslavl, Russian Federation
      • Belgrade, Serbia
      • Beograd, Serbia
      • Nis, Serbia
      • Zemun, Serbia
      • Bratislava, Slovakia
      • Martin, Slovakia
      • Nitra, Slovakia
      • Nove Mesto Nad Vahom, Slovakia
      • Presov, Slovakia
      • Trnava, Slovakia
      • Cape Town, South Africa
      • Cape Town West Cape, South Africa
      • Durban N/A, South Africa
      • Plumstead West Cape, South Africa
      • Pretoria Gauteng, South Africa
      • Göteborg, Sweden
      • Stockholm, Sweden
      • Donetsk, Ukraine
      • Ivano, Ukraine
      • Kharkiv, Ukraine
      • Kiev, Ukraine
      • Kyiv, Ukraine
      • Lviv, Ukraine
      • Poltava, Ukraine
      • Simferopol, Ukraine
      • Vinnitsa, Ukraine
      • Zhaporozhia 69104, Ukraine
    • Alabama
      • Birmingham, Alabama, United States
    • Arkansas
      • Little Rock, Arkansas, United States
    • California
      • Anaheim, California, United States
      • Merced, California, United States
      • Orange, California, United States
      • Roseville, California, United States
      • San Diego, California, United States
    • Colorado
      • Lakewood, Colorado, United States
      • Littleton, Colorado, United States
    • Connecticut
      • Bristol, Connecticut, United States
    • Delaware
      • Newark, Delaware, United States
    • Florida
      • Boca Raton, Florida, United States
      • Gainesville, Florida, United States
      • Hialeah, Florida, United States
      • Hollywood, Florida, United States
      • Jacksonville, Florida, United States
      • N Miami Beach, Florida, United States
      • Naples, Florida, United States
      • New Port Richey, Florida, United States
      • Port Orange, Florida, United States
      • Tampa, Florida, United States
      • Winter Park, Florida, United States
      • Zephyrhills, Florida, United States
    • Georgia
      • Atlanta, Georgia, United States
      • Decatur, Georgia, United States
      • Savannah, Georgia, United States
      • Snellville, Georgia, United States
    • Illinois
      • Arlington Heights, Illinois, United States
      • Chicago, Illinois, United States
    • Iowa
      • Clive, Iowa, United States
      • Fort Dodge, Iowa, United States
    • Kansas
      • Pratt, Kansas, United States
      • Topeka, Kansas, United States
    • Kentucky
      • Lexington, Kentucky, United States
      • Louisville, Kentucky, United States
    • Louisiana
      • Monroe, Louisiana, United States
    • Maryland
      • Hagerstown, Maryland, United States
      • Hollywood, Maryland, United States
      • Laurel, Maryland, United States
    • Massachusetts
      • Worcester, Massachusetts, United States
    • Michigan
      • Ann Arbor, Michigan, United States
      • Dearborn, Michigan, United States
      • Troy, Michigan, United States
    • Minnesota
      • Plymouth, Minnesota, United States
      • Rochester, Minnesota, United States
    • Mississippi
      • Pascagoula, Mississippi, United States
      • Tupelo, Mississippi, United States
    • Missouri
      • Urbana, Missouri, United States
    • Nevada
      • Las Vegas, Nevada, United States
    • New Hampshire
      • Lebanon, New Hampshire, United States
    • New Jersey
      • Egg Harbor Township, New Jersey, United States
    • New York
      • Great Neck, New York, United States
      • Huntington, New York, United States
      • New York, New York, United States
      • Rochester, New York, United States
    • North Carolina
      • Asheville, North Carolina, United States
      • Boone, North Carolina, United States
      • Charlotte, North Carolina, United States
      • Harrisburg, North Carolina, United States
      • Kinston, North Carolina, United States
      • Morganton, North Carolina, United States
      • New Bern, North Carolina, United States
      • Raleigh, North Carolina, United States
      • Wilmington, North Carolina, United States
      • Winston Salem, North Carolina, United States
    • North Dakota
      • Fargo, North Dakota, United States
    • Ohio
      • Cincinnati, Ohio, United States
      • Cleveland, Ohio, United States
      • Colombus, Ohio, United States
    • Oklahoma
      • Norman, Oklahoma, United States
      • Oklahoma City, Oklahoma, United States
      • Tulsa, Oklahoma, United States
    • Oregon
      • Portland, Oregon, United States
    • Pennsylvania
      • Limerick, Pennsylvania, United States
      • Philadelphia, Pennsylvania, United States
    • South Carolina
      • Charleston, South Carolina, United States
      • Columbia, South Carolina, United States
    • Tennessee
      • Germantown, Tennessee, United States
      • Nashville, Tennessee, United States
    • Texas
      • Austin, Texas, United States
      • Dallas, Texas, United States
      • Galveston, Texas, United States
      • Houston, Texas, United States
    • Utah
      • Logan, Utah, United States
      • Ogden, Utah, United States
    • Vermont
      • Burlington, Vermont, United States
    • Virginia
      • Chesapeake, Virginia, United States
      • Christiansburg, Virginia, United States
      • Fairfax, Virginia, United States
      • Richmond, Virginia, United States
    • Washington
      • Bellevue, Washington, United States
      • Seattle, Washington, United States
      • Spokane, Washington, United States
      • Tacoma, Washington, United States
    • Wisconsin
      • Madison, Wisconsin, United States
      • Milwaukee, Wisconsin, United States

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Participants who received all study agent administrations and completed the Week 6 Mayo score evaluation in induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539)
  • Participants who completed the Week 0 visit for this maintenance study C0524T18 (NCT00488631) on the same day as the Week 6 visit of the induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539)

Exclusion Criteria:

  • Participants who increased the dose of their concomitant (given at the same time) UC medications since Week 0 of induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539)
  • Participants who initiated a concomitant UC medication since Week 0 of an induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539)
  • Participants who had a partial or total colectomy (surgery to remove part or all of the colon) or an ostomy (surgical construction of an artificial opening (stoma) for external fistulization of a duct or vessel by insertion of a tube with or without a supportive stent) since Week 0 of an induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539)
  • Participants with signs or symptoms of latent or active granulomatous infection (including TB); a nontuberculous mycobacterial infection or opportunistic infection; or infection with HIV (Human Immunodeficiency Virus), hepatitis B, or hepatitis C
  • Participants with signs and symptoms of any malignancy or suggestive of a possible lymphoproliferative disease (disorders characterized by proliferation of lymphoid tissue, general or unspecified)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
PLACEBO_COMPARATOR: Golimumab induction responders (GLM-I-Rsp)-Placebo Maintenance
Participants in clinical response to golimumab at Week 6 of induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) and randomized to placebo subcutaneous (under the skin) injection matching to golimumab administered every 4 weeks through Week 52 in maintenance study C0524T18 (NCT00488631). Participants with loss of clinical response will have their dose increased to golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52.
Participants receive placebo subcutaneous injection matching to golimumab administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631).
Participants receive golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631) initially or after dose adjustment following loss of clinical response.
EXPERIMENTAL: GLM-I-Rsp-Golimumab 50 mg Maintenance
Participants in clinical response to golimumab at Week 6 of induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) and randomized to golimumab 50 mg subcutaneous injection administered every 4 weeks through Week 52 in maintenance study C0524T18 (NCT00488631). Participants with loss of clinical response will be re-randomized to receive golimumab 50 mg or 100 mg subcutaneous injections every 4 weeks through Week 52.
Participants receive golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631) initially or after dose adjustment following loss of clinical response.
Participants receive golimumab 50 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631).
EXPERIMENTAL: GLM-I-Rsp-Golimumab 100 mg Maintenance
Participants in clinical response to golimumab at Week 6 of induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) and randomized to golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in maintenance study C0524T18 (NCT00488631). Participants with loss of clinical response will be re-randomized to receive golimumab 100 mg or 200 mg subcutaneous injections every 4 weeks through Week 52.
Participants receive golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631) initially or after dose adjustment following loss of clinical response.
Participants receiving golimumab 100 mg initially who on loss of clinical response receive golimumab 200 mg administered every 4 weeks through Week 52.
PLACEBO_COMPARATOR: Placebo induction responders (PBO-I-Rsp)-Placebo Maintenance
Participants in clinical response to placebo at Week 6 of induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) and received placebo subcutaneous injection matching to golimumab administered every 4 weeks through Week 52 in maintenance study C0524T18 (NCT00488631); not randomized. Participants with loss of clinical response will have their dose increased to golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52.
Participants receive placebo subcutaneous injection matching to golimumab administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631).
Participants receive golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631) initially or after dose adjustment following loss of clinical response.
EXPERIMENTAL: PBO-I-nonRsp-Golimumab 100 mg Maintenance
Participants not in clinical response to placebo at Week 6 induction study C0524T16 (NCT00488774) or C0524T17 (NCT00487539) and received golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in maintenance study C0524T18 (NCT00488631); not randomized.
Participants receive golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631) initially or after dose adjustment following loss of clinical response.
EXPERIMENTAL: GLM-I-nonRsp-Golimumab 100 mg Maintenance
Participants not in clinical response to golimumab at Week 6 of induction study and received golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in maintenance study C0524T18 (NCT00488631); not randomized.
Participants receive golimumab 100 mg subcutaneous injection administered every 4 weeks through Week 52 in the maintenance study C0524T18 (NCT00488631) initially or after dose adjustment following loss of clinical response.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants in Clinical Response Through Week 54
Time Frame: Induction Baseline, Week 0 through Week 54
Clinical response is defined as decrease from induction baseline in Mayo score by greater than or equal to (>=) 30 percent and >= 3, with either decrease from induction baseline in rectal bleeding subscore of >= 1 or rectal bleeding subscore of 0 or 1. Participants who lost clinical response prior to Week 54 were considered not to meet endpoint. Mayo score is sum of 4 subscores (ie, stool frequency, rectal bleeding, endoscopic findings, physician's global assessment); each rated on scale from 0 to 3, with higher scores indicating more severe disease. Total Mayo score value ranges from 0 to 12.
Induction Baseline, Week 0 through Week 54

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants With Clinical Remission at Both Week 30 and Week 54
Time Frame: Week 30 and Week 54
Clinical remission is defined as a Mayo score of less than or equal to 2, with no individual sub-score greater than 1. The Mayo score is sum of 4 sub-scores (i.e., 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 Mayo score value ranges from 0 to 12. The number of participants in clinical remission at both the weeks that is Week 30 as well as Week 54 will be reported.
Week 30 and Week 54
Number of Participants With Mucosal Healing at Both Week 30 and Week 54
Time Frame: Week 30 and Week 54
Mucosal healing is determined from the endoscopy sub-score of the Mayo score. Mucosal healing is defined as an endoscopy sub-score of 0 or 1. Higher score indicates higher severity of disease. Endoscopy sub-score ranges from 0 (normal or inactive disease) to 3 (severe disease; spontaneous bleeding and ulceration). The number of participants with mucosal healing at both the weeks that is Week 30 as well as Week 54 will be reported.
Week 30 and Week 54
Number of Participants With Clinical Remission at Both Week 30 and 54 Among Participants With Clinical Remission at Week 0 of Maintenance Study
Time Frame: Week 30 and Week 54
Clinical remission is defined as a Mayo score of less than or equal to 2, with no individual sub-score greater than 1. The Mayo score is sum of 4 sub-scores (i.e., 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 Mayo score value ranges from 0 to 12. The number of participants in clinical remission at both the weeks that is Week 30 as well as Week 54 will be reported.
Week 30 and Week 54
Number of Participants With Clinical Remission at Week 54 and Not Receiving Concomitant Corticosteroids Among Participants on Corticosteroids at Week 0 of Maintenance Study
Time Frame: Week 54
Clinical remission is defined as a Mayo score of less than or equal to 2, with no individual sub-score greater than 1. The Mayo score is sum of 4 sub-scores (i.e., 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 Mayo score value ranges from 0 to 12.
Week 54

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2007

Primary Completion (ACTUAL)

October 1, 2011

Study Completion (ACTUAL)

February 1, 2015

Study Registration Dates

First Submitted

June 18, 2007

First Submitted That Met QC Criteria

June 18, 2007

First Posted (ESTIMATE)

June 20, 2007

Study Record Updates

Last Update Posted (ESTIMATE)

April 26, 2016

Last Update Submitted That Met QC Criteria

March 24, 2016

Last Verified

March 1, 2016

More Information

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.

Clinical Trials on Colitis, Ulcerative

Clinical Trials on Placebo

3
Subscribe