- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07663526
Treatment of Chinese Adult Subjects With Moderate to Severe Crohn's Disease With Tabellvi®
A Multicenter, Single-Arm Study to Evaluate the Effectiveness and Safety of Tabellvi® (Adalimumab) in Chinese Adult Subjects With Moderate to Severe Active Crohn's Disease in the Real-World Setting
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- Phase 4
Contacts et emplacements
Coordonnées de l'étude
- Nom: Jun Shen, Doctor
- Numéro de téléphone: 13651829887
- E-mail: shenjun@vip.163.com
Lieux d'étude
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Anhui
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Fuyang, Anhui, Chine, 236000
- Fuyang People's Hospital
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Contact:
- Baogui Wang, Master
- Numéro de téléphone: 13805582057
- E-mail: wangbaogui99@163.com
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Henan
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Zhengzhou, Henan, Chine, 450014
- The Second Affiliated Hospital of Zhengzhou University
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Contact:
- Gaofeng Lu, Doctor
- Numéro de téléphone: 15637102290
- E-mail: lugaofeng78@163.com
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Zhoukou, Henan, Chine, 466000
- Zhoukou Central Hospital
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Contact:
- Junying Liu, Doctor
- Numéro de téléphone: 18539768877
- E-mail: liujunying781025@163.com
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Jiangsu
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Huaian, Jiangsu, Chine, 223001
- Huai'an first people's hospital
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Contact:
- Honggang Wang, Doctor
- Numéro de téléphone: 18851268720
- E-mail: jgzwhg@nymu.edu.cn
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Yancheng, Jiangsu, Chine, 224500
- Yancheng No.1 People's Hospital
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Contact:
- Hongmei Yang, Bachelor
- Numéro de téléphone: 13805102106
- E-mail: 196206yhm@163.com
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Jilin
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Meihekou, Jilin, Chine, 135022
- Meihekou Central Hospital
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Contact:
- Zhongwei Pan, Master
- Numéro de téléphone: 13179198955
- E-mail: 13179198955@163.com
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Chine, 200001
- Shanghai Jiao Tong University School of Medicine, Renji Hospital
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Contact:
- Jun Shen, Doctor
- Numéro de téléphone: 13651829887
- E-mail: shenjun@vip.163.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
Inclusion Criteria:
- The subject must sign the informed consent form.
- Aged 18 to 70 years inclusive, no gender restriction.
- Subjects with definite diagnosis of Crohn's disease in accordance with Chinese Guidelines for the Diagnosis and Treatment of Crohn's Disease (Guangzhou, 2023), presenting moderate to severe active Crohn's disease with inadequate response, intolerance or contraindication to adequate glucocorticoid and/or immunosuppressant therapy.
- Adult patients with Crohn's disease who are prescribed Tabellvi® Adalimumab Injection by physicians following thorough risk-benefit assessment.
- Female subjects of childbearing potential must agree to use one contraceptive method approved by the investigator.
Exclusion Criteria:
- Subjects who are not suitable for treatment with Tabellvi® Adalimumab Injection based on the prescribing information of Tabellvi® Adalimumab Injection and the judgment of the treating physician.
- Female subjects who are pregnant or breastfeeding, or who plan to become pregnant during the study period.
- Subjects with hypersensitivity to any component of Tabellvi® Adalimumab Injection.
- Subjects with active, chronic or recurrent infections, or a medical history of invasive infections (e.g., listeriosis, histoplasmosis).
- Subjects with active infections requiring intravenous anti-infective therapy within 30 days prior to the first dose, or those who have received oral anti-infective drugs within 14 days prior to the first dose.
- Subjects with active tuberculosis infection; or latent tuberculosis infection without adequate treatment; subjects infected with human immunodeficiency virus (HIV); subjects positive for hepatitis C virus antibody (HCV Ab) indicating previous or current infection; subjects positive for hepatitis B surface antigen (HBsAg), or positive for total hepatitis B core antibody (total Hepatitis B core Ab) with positive hepatitis B virus (HBV)-DNA polymerase chain reaction test result.
- Subjects with syphilis infection requiring treatment.
- Subjects with moderate to severe heart failure (NYHA Class III/IV), recent cerebrovascular accident, or other medical conditions that may put the subject at risk by participating in this study.
- Subjects with current evidence of dysplasia or a history of malignant tumors (including lymphoma and leukemia), except cured non-metastatic cutaneous squamous cell carcinoma, basal cell carcinoma or localized cervical carcinoma in situ.
- Subjects with a history of demyelinating diseases (including myelitis), or neurological symptoms suggestive of demyelinating diseases.
- Subjects who have undergone intestinal resection within the past 6 months, or plan to undergo intestinal resection at any time in the future.
- Subjects receiving total parenteral nutrition (TPN), or planning to receive TPN at any time during the study period.
- Subjects with an ostomy or an ileal pouch-anal anastomosis (IPAA) pouch.
- Subjects with internal or external fistulas, except perianal fistulas without abscess.
- Subjects with known symptomatic obstructive intestinal strictures.
- Subjects diagnosed with ulcerative colitis or indeterminate colitis.
- Subjects with any of the following abnormal laboratory or other examination results during the screening period: aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 1.5 times the upper limit of the reference range; white blood cell count < 3.0×10⁹/L; electrocardiogram (ECG) with clinically significant abnormalities; total bilirubin ≥3 mg/dL (isolated elevated indirect bilirubin caused by Gilbert's syndrome excluded); serum creatinine >1.6 mg/dL.
- Subjects with other clinically significant abnormal laboratory test results (other than those listed above) identified by the investigator during screening.
- Subjects who have received other tumor necrosis factor-alpha (TNF-α) inhibitor therapy within 12 weeks before receiving the first dose of Tabellvi® Adalimumab Injection.
- Subjects currently participating in another clinical study.
- Subjects deemed unsuitable for participation in this trial by the investigator.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Tabellvi® Adalimumab Injection
The induction dosage is 160 mg at Week 0, followed by 80 mg at Week 2. After induction therapy, the recommended maintenance dosage is 40 mg administered subcutaneously once every 2 weeks. Administer subcutaneously once every two weeks. For induction therapy, the dosage is 160 mg at Week 0, followed by 80 mg at Week 2. After induction therapy, the recommended maintenance dose is 40 mg administered subcutaneously once every two weeks. |
Adalimumab is a human anti-tumour necrosis factor-alpha monoclonal antibody that inhibits the downstream inflammatory cascade by blocking TNF-α, a core inflammatory factor in psoriasis.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Serious Adverse Event (SAE)
Délai: Baseline up to 54 weeks
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Incidence rate of serious adverse events,the severity will be graded according to the NCI CTCAE Version 6.0 grading scale.
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Baseline up to 54 weeks
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Adverse Event (AE)
Délai: Baseline up to 54 weeks
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Incidence rate of adverse events,the severity will be graded according to the NCI CTCAE Version 6.0 grading scale.
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Baseline up to 54 weeks
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Adverse Drug Reaction (ADR)
Délai: Baseline up to 54 weeks
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Incidence rate of adverse drug reaction,the severity will be graded according to the NCI CTCAE Version 6.0 grading scale.
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Baseline up to 54 weeks
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Serious Adverse Drug Reaction
Délai: Baseline up to 54 weeks
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Incidence rate of serious adverse drug reaction,the severity will be graded according to the NCI CTCAE Version 6.0 grading scale.
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Baseline up to 54 weeks
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Clinical remission (CDAI < 150)
Délai: At Week 26 post-dose
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The proportion of subjects achieving clinical remission (CDAI score<150) at Week 26
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At Week 26 post-dose
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Clinical remission (CDAI < 150)
Délai: At Weeks 4, 12, and 52 post-dose
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The proportion of subjects achieving clinical remission (CDAI < 150) at Weeks 4, 12, and 52 post-dose.
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At Weeks 4, 12, and 52 post-dose
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Clinical response (reduction in CDAI ≥70 points from baseline)
Délai: At Weeks 4, 12, 26 and 52 post-dose
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The proportion of subjects achieving clinical response (CDAI reduction ≥70 points from baseline) at Weeks 4, 12, 26, and 52 post-dose.
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At Weeks 4, 12, 26 and 52 post-dose
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Endoscopic remission
Délai: At Week 26 post-dose
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The proportion of subjects achieving endoscopic remission at Week 26 post-dose
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At Week 26 post-dose
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C-reactive protein (CRP)
Délai: At Weeks 12, 26, and 52 post-dose
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Changes in C-reactive protein (CRP) from baseline at Weeks 12, 26, and 52 post-dose.
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At Weeks 12, 26, and 52 post-dose
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Fecal calprotectin (FC)
Délai: At Weeks 12, 26, and 52 post-dose
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Changes in fecal calprotectin (FC) from baseline at Weeks 12, 26, and 52 after administration.
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At Weeks 12, 26, and 52 post-dose
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Collaborateurs et enquêteurs
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- ADM-IV-02
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
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