Efficacy and Safety of Adalimumab in Pediatric Subjects With Moderate to Severe Ulcerative Colitis
Ulcerative Colitis
About this trial
This is an interventional treatment trial for Ulcerative Colitis focused on measuring Ulcerative Colitis, adalimumab
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of UC for at least 12 weeks prior to screening, confirmed by endoscopy with biopsy.
- Active ulcerative colitis with a Mayo Score of 6 - 12 points and endoscopy subscore of 2 - 3 despite concurrent treatment with oral corticosteroids or immunosuppressants or both.
Exclusion Criteria:
- Subject with Crohn's disease (CD) or indeterminate colitis (IC).
- Current diagnosis of fulminant colitis and/or toxic megacolon.
- Subjects with disease limited to the rectum (ulcerative proctitis) during the screening endoscopy.
- Chronic recurring infections or active tuberculosis (TB).
Sites / Locations
- Childrens Hospital LA /ID# 147452
- Univ California, San Francisco /ID# 120901
- Arnold Palmer Hosp Children /ID# 120898
- Emory University Hospital /ID# 121858
- Children's Ctr Digestive, US /ID# 121855
- University of Chicago /ID# 120904
- Loyola University Medical Ctr /ID# 120900
- Indiana University /ID# 120908
- Massachusetts General Hospital /ID# 124551
- Boston Childrens Hospital /ID# 147714
- Mayo Clinic - Rochester /ID# 121056
- Minnesota Gastroenterology P.A /ID# 120895
- Goryeb Chidlren's Hospital /ID# 121860
- North Shore University Hospital /ID# 120905
- Univ Rochester Med Ctr /ID# 127776
- Multicare Institute for Research and Innovation /ID# 147716
- Womens and Childrens Hospital /ID# 127538
- Medizinische Universitat Wien /ID# 120802
- LKH Salzburg and Paracelsus /ID# 123457
- UZ Brussel /ID# 120798
- Cliniques Universitaires Saint Luc /ID# 120797
- Hosp Univ Enfants Reine Fabiol /ID# 120795
- London Health Sciences Centre /ID# 127777
- Palacky University /ID# 131388
- Univ Hosp, Plzen, CZ /ID# 120813
- Petz Aladar Megyei Oktato Korh /ID# 124323
- Balassa Janos County Hospital /ID# 128474
- Soroka Medical Ctr /ID# 147338
- Assaf Harofeh Medical Center /ID# 147791
- Rambam Health Care Campus /ID# 120827
- Shaare Zedek Medical Center /ID# 120830
- Schneider Childrens Med Ctr /ID# 120821
- Sheba Medical Center /ID# 124324
- Kaplan Medical Center /ID# 150245
- Kurume University Hospital /ID# 125476
- Gunma University Hospital /ID# 126345
- Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital /ID# 124482
- The Hospital of Hyogo College of Medicine /ID# 131665
- Saiseikai Yokohamashi Tobu /ID# 124486
- Yokohama City Univ Medical Ctr /ID# 147763
- Miyagi Children's Hospital /ID# 125475
- Saitama Children's Medical Center /ID# 124485
- Juntendo University Hospital /ID# 124536
- National Center for Child Health and Development /ID# 125203
- Osaka General Medical Center /ID# 124535
- Canterbury District Health Boa /ID# 120837
- Polish Mothers Memorial Hosp /ID# 148497
- Uni Szpital Dzieciecy w Krakowie /ID# 120915
- Centrum Zdrowia MDM /ID# 120910
- Gabinet Lekarski Bartosz Korcz /ID# 120916
- Samodzielny Publiczny Szpital /ID# 120839
- Univerzitna nemocnica Martin /ID# 120844
- FN s poliklinikou F.D. Rooseve /ID# 120847
- Univerzitna Nemocnica Bratislava /ID# 120842
- Hospital Univ Vall d'Hebron /ID# 120856
- Hospital Infantil Universitario Nino Jesus /ID# 121862
- The Royal London Hospital /ID# 120861
- The Royal Free Hospital /ID# 123142
- Royal Hosp for Sick Children /ID# 120864
- Manchester Royal Infirmary, Ma /ID# 120862
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Adalimumab Induction Standard Dose
Adalimumab Induction High Dose
Adalimumab Induction High Dose - Open Label
Maintenance Placebo
Adalimumab Maintenance Standard Dose
Adalimumab Maintenance High Dose
Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and matching placebo at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
(After Amendment 4) participants assigned to open-label adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
(Prior to Amendment 4) participants demonstrating a clinical response per PMS (defined as a decrease in PMS ≥ 2 points and ≥ 30% from Baseline) at Week 8 randomized to maintenance placebo. Participants were to continue their blinded treatment during the maintenance period until Week 52 unless they had ≥ 2 flares and got open label rescue therapy after the second flare.
Participants demonstrating a clinical response per PMS (defined as a decrease in PMS ≥ 2 points and ≥ 30% from Baseline) at Week 8 randomized to adalimumab maintenance standard dose (0.6 mg/kg [maximum dose of 40 mg] every other week). Participants were to continue their blinded treatment during the maintenance period until Week 52 unless they had ≥ 2 flares and got open label rescue therapy after second flare.
Participants demonstrating a clinical response per PMS (defined as a decrease in PMS ≥ 2 points and ≥ 30% from Baseline) at Week 8 randomized to adalimumab maintenance high dose (0.6 mg/kg [maximum dose of 40 mg] every week). Participants were to continue their blinded treatment during the maintenance period until Week 52 unless they had ≥ 2 flares and got open label rescue therapy after second flare.