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Corticosteroid Sparing Effect of Certolizumab in Crohn's Disease (COSPAR1)

10 luglio 2018 aggiornato da: UCB Pharma

A Phase IIIb Multicenter, Double-blind, Placebo-controlled,Randomized Trial to Examine the Corticosteroid-sparing Effect of Certolizumab Pegol in Patients With Moderate to Severe Crohn's Disease.

The current study is designed to measure the corticosteroid-sparing effect of certolizumab pegol using a defined schedule of corticosteroid tapering in subjects with moderate to severe Crohn's disease. Subjects had to be in remission (CDAI<=150) and receiving corticosteroids at a dose no higher than 30 mg/day prednisone or equivalent during the week prior to randomization.

Panoramica dello studio

Stato

Terminato

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Effettivo)

174

Fase

  • Fase 3

Accesso esteso

A disposizione al di fuori della sperimentazione clinica. Vedi record di accesso esteso.

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Canada
    • Alberta
      • Calgary, Alberta, Canada
      • Edmonton, Alberta, Canada
    • British Columbia
      • Abbotsford, British Columbia, Canada
      • Vancouver, British Columbia, Canada
    • Manitoba
      • Winnipeg, Manitoba, Canada
    • Nova Scotia
      • Halifax, Nova Scotia, Canada
    • Ontario
      • London, Ontario, Canada
      • Toronto, Ontario, Canada
    • Saskatchewan
      • Saskatoon, Saskatchewan, Canada
  • Germania
      • Frankfurt, Germania
      • Heidleberg, Germania
      • Jena, Germania
      • Magdeburg, Germania
      • Ulm, Germania
  • Stati Uniti
    • Alabama
      • Birmingham, Alabama, Stati Uniti
      • Montgomery, Alabama, Stati Uniti
    • Arizona
      • Tucson, Arizona, Stati Uniti
    • California
      • La Jolla, California, Stati Uniti
      • Oceanside, California, Stati Uniti
      • Orange, California, Stati Uniti
      • Palo Alto, California, Stati Uniti
      • Roseville, California, Stati Uniti
    • Colorado
      • Golden, Colorado, Stati Uniti
    • Florida
      • Clearwater, Florida, Stati Uniti
      • Gainesville, Florida, Stati Uniti
      • Hialeah, Florida, Stati Uniti
      • Jacksonville, Florida, Stati Uniti
      • North Miami Beach, Florida, Stati Uniti
      • Sarasota, Florida, Stati Uniti
      • Winter Park, Florida, Stati Uniti
    • Georgia
      • Marietta, Georgia, Stati Uniti
      • Savannah, Georgia, Stati Uniti
    • Illinois
      • Chicago, Illinois, Stati Uniti
    • Indiana
      • Bloomington, Indiana, Stati Uniti
    • Kansas
      • Topeka, Kansas, Stati Uniti
    • Kentucky
      • Bowling Green, Kentucky, Stati Uniti
      • Louisville, Kentucky, Stati Uniti
    • Louisiana
      • Metairie, Louisiana, Stati Uniti
    • Maryland
      • Annapolis, Maryland, Stati Uniti
    • Massachusetts
      • Newton, Massachusetts, Stati Uniti
    • Michigan
      • Chesterfield, Michigan, Stati Uniti
      • Dearborn, Michigan, Stati Uniti
      • Troy, Michigan, Stati Uniti
    • Minnesota
      • Rochester, Minnesota, Stati Uniti
    • Mississippi
      • Ocean Springs, Mississippi, Stati Uniti
    • Missouri
      • Kansas City, Missouri, Stati Uniti
      • Mexico, Missouri, Stati Uniti
    • New York
      • New York, New York, Stati Uniti
      • Syracuse, New York, Stati Uniti
    • North Carolina
      • Chapel Hill, North Carolina, Stati Uniti
      • Charlotte, North Carolina, Stati Uniti
      • Raleigh, North Carolina, Stati Uniti
    • Ohio
      • Cincinnati, Ohio, Stati Uniti
      • Cleveland, Ohio, Stati Uniti
      • Dayton, Ohio, Stati Uniti
    • Oklahoma
      • Tulsa, Oklahoma, Stati Uniti
    • South Carolina
      • Columbia, South Carolina, Stati Uniti
    • Tennessee
      • Germantown, Tennessee, Stati Uniti
    • Texas
      • Austin, Texas, Stati Uniti
      • Irving, Texas, Stati Uniti
    • Utah
      • Salt Lake City, Utah, Stati Uniti
    • Vermont
      • Burlington, Vermont, Stati Uniti
    • Virginia
      • Chesapeake, Virginia, Stati Uniti
      • Richmond, Virginia, Stati Uniti
    • Washington
      • Seattle, Washington, Stati Uniti
    • Wisconsin
      • Madison, Wisconsin, Stati Uniti
      • Milwaukee, Wisconsin, Stati Uniti
      • Monroe, Wisconsin, Stati Uniti

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • Men and women
  • Age 18 years or older with moderate to severe Crohn's disease (Crohn's Disease Activity Index (CDAI) score of ≥ 220 ≤450)

Exclusion Criteria:

  • Active or draining fistula present at screening
  • Lactating and/or pregnant female subjects
  • A history of any health condition that could potentially interfere with the disease and/or the treatment
  • A history of an adverse reaction to polyethylene glycol (PEG) or a protein medicinal product
  • Any other condition which in the Investigator's judgment would make the patient unsuitable for inclusion in the study
  • History of drug or alcohol abuse in the prior year
  • Receipt of any experimental therapy within or outside a clinical trial in the 3 months prior to Visit 0

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Doppio

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore placebo: Placebo
Altro: Placebo
Placebo (commercially available sodium chloride 0.9% (preservative free)) provided for subcutaneous injection in single-use vials for administration at Weeks 0, 2, 4 and then every 4 weeks until Week 36. Two vials will be required for each dosing.
Sperimentale: Certolizumab pegol 400 mg
Biologico: certolizumab pegol 400 mg
Certolizumab pegol 400 mg provided in solution for subcutaneous injection (2 x 200 mg/mL) in single-use vials for administration at Weeks 0, 2, 4 and then every 4 weeks until Week 36. Two vials will be required for each dosing.
Altri nomi:
  • Cimzia
  • CZP
  • CDP870

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Percentage of Subjects Who Have Been Withdrawn From Prednisone or Prednisolone Therapy According to the Corticosteroid Tapering Schedule and Have Remained Off Corticosteroids and in Disease Remission at Week 38
Lasso di tempo: Week 38
The Crohn's Disease Activity Index (CDAI) is used to quantify the symptoms of subjects with Crohn's disease. A CDAI score of 150 or below indicates disease remission and a score above 450 indicates extremely severe disease.
Week 38

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Percentage of Subjects With Continuous Remission Off Steroids at Week 38
Lasso di tempo: Week 38
The Crohn's Disease Activity Index (CDAI) is used to quantify the symptoms of subjects with Crohn's disease. A CDAI score of 150 or below indicates disease remission and a score above 450 indicates extremely severe disease. A subject with continuous remission off steroids at Week 38 is a subject in remission (CDAI =< 150) from the visit when he stops taking steroids to Week 38 and is off corticosteroids until Week 38.
Week 38
Cumulative Percentage of Subjects With Relapse/Treatment Failure at Week 38
Lasso di tempo: Week 38
A subject with relapse/ treatment failure has a Crohn's Disease Activity Index (CDAI) > 150 and an increase in CDAI of >= 70 points versus Week 0. [The CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates disease remission and a score above 450 indicates extremely severe disease.]
Week 38
Time to Relapse/Treatment Failure During the 38-week Double-blind Treatment Period
Lasso di tempo: During the 38-week double-blind treatment period
A subject with relapse/ treatment failure has a Crohn's Disease Activity Index (CDAI) > 150 and an increase in CDAI of >= 70 points versus Week 0. [The CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates disease remission and a score above 450 indicates extremely severe disease.]
During the 38-week double-blind treatment period
Per-subject Median Weekly Dose of Corticosteroids Over the 38-week Double-blind Treatment Period
Lasso di tempo: Over the 38-week double-blind treatment period
The median weekly dose of corticosteroids is calculated for each subject, and these per-subject median values are further summarized by treatment group. The mean of the per-subject median doses in each treatment group is presented here.
Over the 38-week double-blind treatment period
Per-subject Cumulative Dose of Corticosteroids Over the 48-week Study Period
Lasso di tempo: Over the 48-week study period
The cumulative dose of corticosteroids over the 48-week study period is calculated for each subject individually. The mean of these values for each treatment group is presented here.
Over the 48-week study period
Change From the 6-week run-in Period in Per-subject Median Weekly Dose of Corticosteroids Over the 38-week Double-blind Treatment Period
Lasso di tempo: 6-week run-in period, 38-week double-blind treatment period
The run in period lasted a minimum of 1 week and a maximum of 6 weeks. During this period subjects were treated with any dose or type of systemic corticosteroids the Investigator felt was appropriate. To be eligible for study randomization, subjects must have been in remission (CDAI ≤150 points) and receiving corticosteroids at a dose no higher than 30 mg/day prednisone or equivalent during the week prior to randomization. Subjects who did not meet these criteria were not randomized and were withdrawn from the study.
6-week run-in period, 38-week double-blind treatment period
Crohn's Disease Activity Index (CDAI) Score at Week 38
Lasso di tempo: Week 38
The Crohn's Disease Activity Index (CDAI) is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates disease remission and a score above 450 indicates extremely severe disease. A decrease in CDAI over time indicates improvement in disease activity.
Week 38
Change From Baseline in CDAI Score at Week 38
Lasso di tempo: Week 0, Week 38
The Crohn's Disease Activity Index (CDAI) is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates disease remission and a score above 450 indicates extremely severe disease. A decrease in CDAI over time indicates improvement in disease activity.
Week 0, Week 38
Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 38
Lasso di tempo: Week 38
The total IBDQ score will be derived as the sum of the responses (each ranging from 1 to 7) to all 32 questions on the IBDQ and can therefore range from 32 to 224. A higher score indicates a better quality of life. IBDQ remission is defined as a subject having an IBDQ total score >= 170 points.
Week 38
Change From Baseline in Inflammatory Bowel Disease Questionnaire (IBDQ) Total Score at Week 38
Lasso di tempo: Week 0, Week 38
The total IBDQ score will be derived as the sum of the responses (each ranging from 1 to 7) to all 32 questions on the IBDQ and can therefore range from 32 to 224. A higher scores indicates a better quality of life. IBDQ response is defined as an increase from baseline in the IBDQ total score >= 16 points.
Week 0, Week 38

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

UCB Pharma

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Collegamenti utili

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 novembre 2006

Completamento primario (Effettivo)

1 luglio 2009

Completamento dello studio (Effettivo)

1 luglio 2009

Date di iscrizione allo studio

Primo inviato

30 giugno 2006

Primo inviato che soddisfa i criteri di controllo qualità

6 luglio 2006

Primo Inserito (Stima)

10 luglio 2006

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

9 agosto 2018

Ultimo aggiornamento inviato che soddisfa i criteri QC

10 luglio 2018

Ultimo verificato

1 ottobre 2010

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • C87059
  • 2006-003870-88 (Numero EudraCT)

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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