Mucosal Healing Study in Crohn's Disease (CD) (MUSIC)
2011年8月30日 更新者:UCB Pharma
A Phase IIIB Multicentre Open Label 54 Weeks Clinical Trial Evaluating Certolizumab Pegol, a PEGylated Fab Fragment of Humanized Antibody to Tumor Necrosis Factor Alpha (TNFα) on Endoscopic and Mucosal Healing in Patients Suffering From Active Crohn's Disease.
The aim of the study will be to investigate the effect of certolizumab pegol on the intestinal mucosa in active Crohn's disease.
調査の概要
研究の種類
介入
入学 (実際)
89
段階
- フェーズ 3
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Patients suffering from active Crohn's disease [Crohn's Disease Activity Index(CDAI) ≥ 220 and ≤ 450] and at least 2 segments with endoscopic ulcerative lesions with Baseline Crohn's Disease Endoscopic Index of Severity (CDEIS) ≥ 8
- Patients who need to be treated by anti-tumor necrosis factor (anti-TNF) therapy
Exclusion Criteria:
- Obstructive intestinal strictures, bowel resection, proctocolectomy or total colectomy, current total parenteral nutrition, short bowel syndrome
- History of tuberculosis or positive tests for tuberculosis at screening
- All the concomitant diseases or pathological conditions that could interfere with Crohn's disease assessment or to be harmful for the well being of the patient
- Previous clinical trials and previous biological therapy that could interfere with the results in the present clinical trial
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
実験的:CDP870 400 mg
Certolizumab pegol (CDP870) 400 mg
|
Certolizumab pegol (CDP870) 400 mg administered subcutaneously (sc) at Weeks 0, 2 and 4 (induction doses), then every 4 weeks (Q4W) until Week 52.
Investigators can escalate dosage to CDP870 400 mg 2-weekly (Q2W) at any time after Week 10 for lack of response/remission.
After Week 52 patients can continue to receive treatment until study drug end, either Q4W or Q2W, according to their administration frequency at Week 52.
他の名前:
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Mean Change From Baseline in CDEIS (Crohn's Disease Endoscopic Index of Severity) Score at Week 10 Using Local Non-blinded Assessments
時間枠:Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation, thus a negative change from Baseline (i.e., Week 10 score minus Baseline score) indicates improvement.
|
Baseline, Week 10
|
Mean Change From Baseline in CDEIS (Crohn's Disease Endoscopic Index of Severity) Score at Week 10 Using Central Blinded Assessments
時間枠:Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation, thus a negative change from Baseline (i.e., Week 10 score minus Baseline score) indicates improvement.
|
Baseline, Week 10
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Percentage of Patients Achieving Mucosal Healing at Week 10 Using Local Non-blinded Assessments
時間枠:Week 10
|
Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
|
Week 10
|
Percentage of Patients Achieving Mucosal Healing at Week 10 Using Central Blinded Assessments
時間枠:Week 10
|
Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
|
Week 10
|
Percentage of Patients Achieving Mucosal Healing at Week 54 Using Local Non-blinded Assessments
時間枠:Week 54
|
Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
|
Week 54
|
Percentage of Patients Achieving Mucosal Healing at Week 54 Using Central Blinded Assessments
時間枠:Week 54
|
Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
|
Week 54
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 10 Using Local Non-blinded Assessments
時間枠:Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 10
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 10 Using Central Blinded Assessments
時間枠:Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 10
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 54 Using Local Non-blinded Assessments
時間枠:Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 54 Using Central Blinded Assessments
時間枠:Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 10 Using Local Non-blinded Assessments
時間枠:Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 10 Using Central Blinded Assessments
時間枠:Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 54 Using Local Non-blinded Assessments
時間枠:Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 54 Using Central Blinded Assessments
時間枠:Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 10 Using Local Non-blinded Assessments
時間枠:Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 10 Using Central Blinded Assessments
時間枠:Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 54 Using Local Non-blinded Assessments
時間枠:Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 54 Using Central Blinded Assessments
時間枠:Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
Change From Baseline in Histological Crohn's Disease Score at Week 10 Using Central Blinded Assessment
時間枠:Baseline, Week 10
|
The histological Crohn's disease score combines active inflammatory changes: infiltration of mononuclear cells, polymorphonuclear cells, presence of erosions and/or ulcers, and chronic architectural changes.
Scores range from 0 to 44, with higher scores indicating greater disease.
|
Baseline, Week 10
|
Change From Baseline in Histological Crohn's Disease Score at Week 54 Using Central Blinded Assessment
時間枠:Baseline, Week 54
|
The histological Crohn's disease score combines active inflammatory changes: infiltration of mononuclear cells, polymorphonuclear cells, presence of erosions and/or ulcers, and chronic architectural changes.
Scores range from 0 to 44, with higher scores indicating greater disease.
|
Baseline, Week 54
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Response (Defined as a Decrease of at Least 100 Points in CDAI Score From Baseline) at Week 10
時間枠:Baseline, Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 10
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Response (Defined as a Decrease of at Least 100 Points in CDAI Score From Baseline) at Week 54
時間枠:Baseline, Week 54
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 54
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Remission (Defined as a CDAI Score Less Than or Equal to 150) at Week 10
時間枠:Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Week 10
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Remission (Defined as a CDAI Score Less Than or Equal to 150) at Week 54
時間枠:Week 54
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Week 54
|
Geometric Mean C-Reactive Protein (CRP) Level (mg/L) at Week 10
時間枠:Week 10
|
Week 10
|
|
Ratio to Baseline of C-Reactive Protein (CRP) Level (mg/L) at Week 10
時間枠:Baseline, Week 10
|
Ratio is calculated as the Week 10 value divided by the Baseline value for patients with data at both timepoints.
|
Baseline, Week 10
|
Geometric Mean C-Reactive Protein (CRP) Level (mg/L) at Week 52
時間枠:Week 52
|
Week 52
|
|
Ratio to Baseline of C-Reactive Protein (CRP) Level (mg/L) at Week 52
時間枠:Baseline, Week 52
|
The ratio is calculated as the Week 52 value divided by Baseline value for patients with data at both timepoints.
|
Baseline, Week 52
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Crohn's Disease Activity Index (CDAI) Score at Week 10
時間枠:Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Week 10
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 10 Using Local Non-blinded Assessment
時間枠:Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 10 Using Central Blinded Assessment
時間枠:Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Histological Crohn's Disease Score at Week 10 Using Central Blinded Assessment
時間枠:Week 10
|
The histological Crohn's disease score combines active inflammatory changes: infiltration of mononuclear cells, polymorphonuclear cells, presence of erosions and/or ulcers, and chronic architectural changes.
Scores range from 0 to 44, with higher scores indicating greater disease
|
Week 10
|
Change From Baseline in Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 54 Using Local Non-blinded Assessment
時間枠:Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
Change From Baseline in Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 54 Using Central Blinded Assessment
時間枠:Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score at Week 10
時間枠:Baseline, Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 10
|
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score at Week 54
時間枠:Baseline, Week 54
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 54
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Colombel JF, Sandborn WJ, Allez M, Dupas JL, Dewit O, D'Haens G, Bouhnik Y, Parker G, Pierre-Louis B, Hebuterne X. Association between plasma concentrations of certolizumab pegol and endoscopic outcomes of patients with Crohn's disease. Clin Gastroenterol Hepatol. 2014 Mar;12(3):423-31.e1. doi: 10.1016/j.cgh.2013.10.025. Epub 2013 Nov 1.
- Hebuterne X, Lemann M, Bouhnik Y, Dewit O, Dupas JL, Mross M, D'Haens G, Mitchev K, Ernault E, Vermeire S, Brixi-Benmansour H, Moreels TG, Mary JY, Marteau P, Colombel JF. Endoscopic improvement of mucosal lesions in patients with moderate to severe ileocolonic Crohn's disease following treatment with certolizumab pegol. Gut. 2013 Feb;62(2):201-8. doi: 10.1136/gutjnl-2012-302262. Epub 2012 Apr 23.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2006年2月1日
一次修了 (実際)
2008年1月1日
研究の完了 (実際)
2009年12月1日
試験登録日
最初に提出
2006年2月27日
QC基準を満たした最初の提出物
2006年2月27日
最初の投稿 (見積もり)
2006年2月28日
学習記録の更新
投稿された最後の更新 (見積もり)
2011年8月31日
QC基準を満たした最後の更新が送信されました
2011年8月30日
最終確認日
2011年2月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
クローン病の臨床試験
-
Adelphi Values LLCBlueprint Medicines Corporation完了肥満細胞性白血病 (MCL) | 攻撃的な全身性肥満細胞症 (ASM) | SM w Assoc Clonal Hema Non-mast Cell Lineage Disease (SM-AHNMD) | くすぶり全身性肥満細胞症 (SSM) | 無痛性全身性肥満細胞症 (ISM) ISM サブグループが完全に募集されましたアメリカ
Certolizumab pegolの臨床試験
-
University of Maryland, Baltimore積極的、募集していない
-
Baxalta now part of Shire積極的、募集していない血友病Aスペイン, タイ, ハンガリー, 台湾, 大韓民国, チェコ, ドイツ, スウェーデン, イタリア, クロアチア, アメリカ, ブルガリア, オランダ
-
TME Pharma AGMerck Sharp & Dohme LLC完了
-
OHSU Knight Cancer InstituteGenentech, Inc.; Oregon Health and Science University; Servier Pharmaceuticals, LLC募集ステージ II 膵臓がん AJCC v8 | ステージ III 膵臓がん AJCC v8 | ステージ IV 膵臓がん AJCC v8 | 転移性膵臓腺癌 | 局所進行膵腺癌 | ステージ IIA 膵臓がん AJCC v8 | ステージ IIB 膵臓がん AJCC v8アメリカ
-
Children's Oncology Group募集リンパ芽球性リンパ腫 | B 急性リンパ芽球性白血病 | B t(9;22)(q34.1;q11.2)を伴う急性リンパ芽球性白血病; BCR-ABL1 | T 急性リンパ芽球性白血病 | 混合型急性白血病 | B 急性リンパ芽球性白血病、BCR-ABL1 様アメリカ, カナダ
-
Children's Oncology GroupNational Cancer Institute (NCI)募集再発B型急性リンパ芽球性白血病 | 難治性 B 急性リンパ芽球性白血病 | 再発 B リンパ芽球性リンパ腫 | 難治性 B リンパ芽球性リンパ腫アメリカ, プエルトリコ
-
Children's Oncology Group募集再発性急性リンパ芽球性白血病 | 難治性急性リンパ芽球性白血病 | 再発混合表現型急性白血病 | 難治性混合表現型急性白血病 | 血統不明の難治性急性白血病 | 血統不明再発急性白血病 | 系統不明の急性白血病からの系統転換による再発性急性骨髄性白血病 | B型急性リンパ芽球性白血病、KMT2A再構成からの系統転換による再発性急性骨髄性白血病 | 混合表現型急性白血病からの系統転換による再発性急性骨髄性白血病 | 系統不明の急性白血病からの系統転換による難治性急性骨髄性白血病 | B型急性リンパ芽球性白血病、KMT2A再構成からの系統転換による難治性急性骨髄性白血病 | 混合表現型急性白血病からの系統転換による難治性急性骨髄性白血病アメリカ
-
Children's Oncology GroupNational Cancer Institute (NCI)完了急性リンパ芽球性白血病 | 成人B型急性リンパ芽球性白血病 | 小児B 急性リンパ芽球性白血病アメリカ