An Efficacy and Safety Study of Golimumab (CNTO 148) in Participants With Moderately to Severely Active Ulcerative Colitis
A Phase 2/3 Multicenter, Randomized, Placebo-controlled, Double-blind Study to Evaluate the Safety and Efficacy of Golimumab Induction Therapy, Administered Subcutaneously, in Subjects With Moderately to Severely Active Ulcerative Colitis
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
- Fase 3
Kontakter og lokationer
Studiesteder
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Bankstown, Australien
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Box Hill, Australien
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Fitzroy, Australien
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Herston, Australien
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Launceston, Australien
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Parkville, Australien
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Prahran, Australien
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Westmead, Australien
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Brussels, Belgien
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Gent, Belgien
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Leuven, Belgien
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Liege, Belgien
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Roeselare, Belgien
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Pleven, Bulgarien
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Rousse, Bulgarien
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Sofia, Bulgarien
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T2n, Canada
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Windsor, Canada
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British Columbia
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Vancouver, British Columbia, Canada
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Ontario
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Barrie, Ontario, Canada
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Chatham, Ontario, Canada
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London, Ontario, Canada
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Toronto, Ontario, Canada
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Saskatchewan
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Saskatoon, Saskatchewan, Canada
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Aalborg, Danmark
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Aarhus C., Danmark
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Hvidovre, Danmark
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Odense C, Danmark
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Moscow, Den Russiske Føderation
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Novosibirsk, Den Russiske Føderation
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Omsk, Den Russiske Føderation
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Saint Petersburg, Den Russiske Føderation
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St Petersburg, Den Russiske Føderation
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St-Petersburg, Den Russiske Føderation
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Yaroslavl, Den Russiske Føderation
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Alabama
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Birmingham, Alabama, Forenede Stater
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Arkansas
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Little Rock, Arkansas, Forenede Stater
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California
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Roseville, California, Forenede Stater
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San Diego, California, Forenede Stater
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Colorado
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Golden, Colorado, Forenede Stater
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Delaware
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Newark, Delaware, Forenede Stater
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Florida
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Boca Raton, Florida, Forenede Stater
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Gainesville, Florida, Forenede Stater
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Hialeah, Florida, Forenede Stater
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Naples, Florida, Forenede Stater
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New Port Richey, Florida, Forenede Stater
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Port Orange, Florida, Forenede Stater
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Winter Park, Florida, Forenede Stater
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Zephyrhills, Florida, Forenede Stater
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Georgia
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Atlanta, Georgia, Forenede Stater
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Savannah, Georgia, Forenede Stater
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Illinois
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Arlington Heights, Illinois, Forenede Stater
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Chicago, Illinois, Forenede Stater
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Iowa
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Clive, Iowa, Forenede Stater
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Kansas
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Pratt, Kansas, Forenede Stater
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Kentucky
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Lexington, Kentucky, Forenede Stater
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Louisiana
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Monroe, Louisiana, Forenede Stater
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Michigan
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Ann Arbor, Michigan, Forenede Stater
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Troy, Michigan, Forenede Stater
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Minnesota
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Rochester, Minnesota, Forenede Stater
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Mississippi
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Pascagoula, Mississippi, Forenede Stater
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Tupelo, Mississippi, Forenede Stater
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New Jersey
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Egg Harbor Township, New Jersey, Forenede Stater
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New York
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New York, New York, Forenede Stater
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Rochester, New York, Forenede Stater
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North Carolina
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Asheville, North Carolina, Forenede Stater
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Charlotte, North Carolina, Forenede Stater
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Morganton, North Carolina, Forenede Stater
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New Bern, North Carolina, Forenede Stater
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Raleigh, North Carolina, Forenede Stater
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Wilmington, North Carolina, Forenede Stater
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Winston Salem, North Carolina, Forenede Stater
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North Dakota
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Fargo, North Dakota, Forenede Stater
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Ohio
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Cincinnati, Ohio, Forenede Stater
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Cleveland, Ohio, Forenede Stater
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Colombus, Ohio, Forenede Stater
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Oklahoma
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Norman, Oklahoma, Forenede Stater
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Oregon
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Portland, Oregon, Forenede Stater
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Pennsylvania
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Limerick, Pennsylvania, Forenede Stater
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South Carolina
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Columbia, South Carolina, Forenede Stater
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Tennessee
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Germantown, Tennessee, Forenede Stater
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Nashville, Tennessee, Forenede Stater
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Texas
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Houston, Texas, Forenede Stater
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Sugar Land, Texas, Forenede Stater
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Utah
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Logan, Utah, Forenede Stater
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Ogden, Utah, Forenede Stater
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Virginia
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Chesapeake, Virginia, Forenede Stater
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Fairfax, Virginia, Forenede Stater
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Richmond, Virginia, Forenede Stater
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Washington
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Spokane, Washington, Forenede Stater
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Tacoma, Washington, Forenede Stater
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Wisconsin
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Madison, Wisconsin, Forenede Stater
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Milwaukee, Wisconsin, Forenede Stater
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Amiens Cedex 1 80, Frankrig
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Bordeaux 33, Frankrig
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Lille Cedex, Frankrig
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Nice Cedex 3, Frankrig
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Paris, Frankrig
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Amsterdam, Holland
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Ede Gld, Holland
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Groningen, Holland
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Leiden, Holland
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Bangalore, Indien
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Chennai, Indien
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Hyderabad, Indien
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Hyderabad Andh Prad, Indien
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Karnad, Indien
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New Delhi, Indien
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Pune, Indien
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Vishakapatanam, Indien
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Beer Sheva, Israel
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Beer Yaakov, Israel
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Haifa, Israel
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Jerusalem, Israel
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Kfar Saba, Israel
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Nazareth, Israel
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Petah-Tikv, Israel
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Rechovot, Israel
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Tel-Aviv, Israel
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Bunkyo, Japan
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Bunkyo-Ku, Japan
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Chikushinoshi, Japan
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Fukuoka, Japan
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Hiroshima, Japan
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Kagoshima, Japan
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Kurashiki, Japan
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Kurume, Japan
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Nagoya, Japan
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Nishinomiya, Japan
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Okayama, Japan
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Osaka, Japan
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Sakura, Japan
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Sapporo, Japan
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Sapporo-Shi, Japan
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Tokyo, Japan
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Yokkaichi, Japan
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Kaunas, Litauen
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Vilnius, Litauen
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Christchurch, New Zealand
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Dunedin, New Zealand
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Hamilton, New Zealand
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Bydgoszcz N/A, Polen
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Czestochowa, Polen
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Elblag, Polen
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Gdansk, Polen
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Krakow, Polen
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Krakow N/A, Polen
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Kraków N/A, Polen
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Lodz, Polen
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Lublin, Polen
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Opole N/A, Polen
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Sopot, Polen
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Szczecin, Polen
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Torun, Polen
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Warszawa, Polen
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Warszawa N/A, Polen
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Bucuresti, Rumænien
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Cluj-Napoca, Rumænien
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Iasi, Rumænien
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Targu Mures, Rumænien
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Timisoara, Rumænien
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Belgrade, Serbien
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Belgrado, Serbien
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Nis, Serbien
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Zemun, Serbien
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Bratislava, Slovakiet
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Martin, Slovakiet
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Nitra, Slovakiet
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Nove Mesto Nad Vahom, Slovakiet
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Presov, Slovakiet
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Stockholm, Sverige
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Cape Town, Sydafrika
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Cape Town West Cape, Sydafrika
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Marianhill Kz-Natal, Sydafrika
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Pretoria Gauteng, Sydafrika
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Hradec Kralove, Tjekkiet
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Litomerice, Tjekkiet
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Ostrava, Tjekkiet
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Èeské Budìjovice 1, Tjekkiet
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Berlin, Tyskland
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Berlin Be, Tyskland
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Bochum, Tyskland
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Hamburg, Tyskland
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Hannover, Tyskland
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Haßloch, Tyskland
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Kiel, Tyskland
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Minden, Tyskland
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Muenchen, Tyskland
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Münster, Tyskland
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Stade, Tyskland
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Donetsk, Ukraine
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Kharkiv, Ukraine
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Kyiv, Ukraine
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Simferopol, Ukraine
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Vynnytsya, Ukraine
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Zhaporozhia 69104, Ukraine
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Balatonfured, Ungarn
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Budapest, Ungarn
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Debrecen, Ungarn
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Dunaujvaros, Ungarn
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Gyulai Ut 18, Ungarn
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Mosonmagyarovar, Ungarn
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Sopron, Ungarn
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Szeged, Ungarn
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Szekesfehervar, Ungarn
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Szekszard, Ungarn
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Veszprém, Ungarn
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Wien N/A, Østrig
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Participants diagnosed with moderately to severely active ulcerative colitis (UC) defined by a Mayo score of 6 to 12 inclusive at Baseline (Week 0), including an endoscopic (examination of an internal part of the body with a lighted tube; looking at a part of the body with a lighted tube) subscore of greater than or equal to 2
- Participants must have biopsy results (collected at the screening endoscopy (procedure or obtained within the last year) consistent with the diagnosis of UC
- Participants either currently receiving treatment with, or have a history of failure to respond to, or tolerate, at least 1 of the following therapies: oral 5-aminosalicylate, oral corticosteroids, 6-mercaptopurine and azathioprine
- Participants with current dependency or with a history of corticosteroid dependency (i.e., an inability to successfully taper corticosteroids without a return of the symptoms of UC)
- Not have a diagnosis of active tuberculosis
- Participants with negative stool test for enteric (by way of the intestines) pathogens
Exclusion Criteria:
- Participants with prior exposure to biologic anti-tumor necrosis factor (TNF) agents
- Participants with severe extensive UC that is likely to require a colectomy (surgery to remove part or all of the colon) within 12 weeks of study entry
- Participants having UC limited to the rectum only or to less than 20 centimeter of the colon
- Presence of a stoma (an artificial permanent opening especially in the abdominal wall made in surgical procedures) or presence of a fistula
- Participants with a history of extensive colonic resection
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Placebo komparator: Placebo
Placebo subcutaneous injection (given under the skin by way of a needle) matching to golimumab administered at Week 0 and Week 2.
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Placebo subcutaneous injection (given under the skin by way of a needle) matching to golimumab administered at Week 0 and Week 2.
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Eksperimentel: Golimumab 100 mg -> 50 mg
Golimumab 100 milligram (mg) subcutaneous injection administered at Week 0 and dose is decreased to 50 mg at Week 2.
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Golimumab 100 mg subcutaneous injection administered at Week 0 for Golimumab 100 mg -> 50 mg arm group and at Week 2 for Golimumab 200 mg -> 100 mg arm group.
Golimumab 50 mg subcutaneous injection administered at Week 2 for Golimumab 100 mg -> 50 mg arm group.
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Eksperimentel: Golimumab 200 mg -> 100 mg
Golimumab 200 mg subcutaneous injection administered at Week 0 and dose is decreased to 100 mg at Week 2.
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Golimumab 100 mg subcutaneous injection administered at Week 0 for Golimumab 100 mg -> 50 mg arm group and at Week 2 for Golimumab 200 mg -> 100 mg arm group.
Golimumab 200 mg subcutaneous injection administered at Week 0 for Golimumab 200 mg -> 100 mg arm group and at Week 2 for Golimumab 400 mg -> 200 mg arm group.
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Eksperimentel: Golimumab 400 mg -> 200 mg
Golimumab 400 mg subcutaneous injection administered at Week 0 and dose is decreased to 200 mg at Week 2.
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Golimumab 200 mg subcutaneous injection administered at Week 0 for Golimumab 200 mg -> 100 mg arm group and at Week 2 for Golimumab 400 mg -> 200 mg arm group.
Golimumab 400 mg subcutaneous injection administered at Week 0 for Golimumab 400 mg -> 200 mg arm group.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Number of Participants With Clinical Response at Week 6
Tidsramme: Baseline, Week 6
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Clinical response is defined as decrease from baseline in Mayo score by greater than or equal to 30 percent and greater than or equal to 3, with either a decrease from baseline in rectal bleeding sub-score of greater than or equal to 1 or a rectal bleeding sub-score of 0 or 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.
|
Baseline, Week 6
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Number of Participants With Clinical Remission at Week 6
Tidsramme: Week 6
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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 6
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Number of Participants With Mucosal Healing at Week 6
Tidsramme: Week 6
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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).
|
Week 6
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Change From Baseline in the Inflammatory Bowel Disease Questionnaire (IBDQ) Score at Week 6
Tidsramme: Baseline to Week 6
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The IBDQ is used to measure disease specific quality of life on a 32 Likert-scaled items questionnaire.
The IBDQ scale contains 4 component subscales: bowel symptoms, systemic symptoms, emotional function and social function with scores ranging from 10 to 70, 5 to 35, 12 to 84 and 5 to 35 respectively and the total score ranges from 32 to 224.
Higher scores indicate better health related quality of life.
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Baseline to Week 6
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Publikationer og nyttige links
Generelle publikationer
- Adedokun OJ, Xu Z, Liao S, Strauss R, Reinisch W, Feagan BG, Sandborn WJ. Population Pharmacokinetics and Exposure-Response Modeling of Golimumab in Adults With Moderately to Severely Active Ulcerative Colitis. Clin Ther. 2020 Jan;42(1):157-174.e4. doi: 10.1016/j.clinthera.2019.11.010. Epub 2020 Jan 22.
- Li K, Strauss R, Marano C, Greenbaum LE, Friedman JR, Peyrin-Biroulet L, Brodmerkel C, De Hertogh G. A Simplified Definition of Histologic Improvement in Ulcerative Colitis and its Association With Disease Outcomes up to 30 Weeks from Initiation of Therapy: Post Hoc Analysis of Three Clinical Trials. J Crohns Colitis. 2019 Aug 14;13(8):1025-1035. doi: 10.1093/ecco-jcc/jjz022.
- Sandborn WJ, Feagan BG, Marano C, Zhang H, Strauss R, Johanns J, Adedokun OJ, Guzzo C, Colombel JF, Reinisch W, Gibson PR, Collins J, Jarnerot G, Hibi T, Rutgeerts P; PURSUIT-SC Study Group. Subcutaneous golimumab induces clinical response and remission in patients with moderate-to-severe ulcerative colitis. Gastroenterology. 2014 Jan;146(1):85-95; quiz e14-5. doi: 10.1053/j.gastro.2013.05.048. Epub 2013 Jun 2.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Patologiske processer
- Gastrointestinale sygdomme
- Gastroenteritis
- Tyktarmssygdomme
- Tarmsygdomme
- Inflammatoriske tarmsygdomme
- Mavesår
- Colitis
- Colitis, Ulcerativ
- Lægemidlers fysiologiske virkninger
- Anti-inflammatoriske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Tumornekrosefaktorhæmmere
- Antistoffer, monoklonale
- Golimumab
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CR014176
- C0524T17
- 2006-003398-28 (EudraCT nummer)
- NCT00487539 (Registry Identifier: ClinicalTrials.gov Identifier)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
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