Denne siden ble automatisk oversatt og nøyaktigheten av oversettelsen er ikke garantert. Vennligst referer til engelsk versjon for en kildetekst.

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

10. juli 2018 oppdatert av: 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.

Studieoversikt

Status

Avsluttet

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

174

Fase

  • Fase 3

Utvidet tilgang

Tilgjengelig utenfor den kliniske utprøvingen. Se utvidet tilgangspost.

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Placebo komparator: Placebo
Annen: 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.
Eksperimentell: Certolizumab pegol 400 mg
Biologisk: 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.
Andre navn:
  • Cimzia
  • CZP
  • CDP870

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
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
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Percentage of Subjects With Continuous Remission Off Steroids at Week 38
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

UCB Pharma

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. november 2006

Primær fullføring (Faktiske)

1. juli 2009

Studiet fullført (Faktiske)

1. juli 2009

Datoer for studieregistrering

Først innsendt

30. juni 2006

Først innsendt som oppfylte QC-kriteriene

6. juli 2006

Først lagt ut (Anslag)

10. juli 2006

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. august 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. juli 2018

Sist bekreftet

1. oktober 2010

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

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

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Kliniske studier på certolizumab pegol 400 mg

Søk i lignende forsøk

Sponsorer og samarbeidspartnere

Medisinsk tilstand

Legemiddelintervensjoner

CROs by country

CROs in Peru

Forhold

Sjeldne sykdommer

Legemiddelintervensjoner

Kosttilskudd

Sponsor / samarbeidspartnere

Steder

3
Abonnere