Study to Evaluate Efficacy and Safety of Two Drug Regimens in Subjects With Moderate to Severe Crohn's Disease
Crohn's Disease
About this trial
This is an interventional treatment trial for Crohn's Disease focused on measuring Crohn's Disease
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of Crohn's disease (CD) for at least 90 days, confirmed by endoscopy during the Screening Period.
- Active CD with a Crohn's Disease Activity Index (CDAI) despite treatment with oral corticosteroids and/or immunosuppressants.
- Mucosal ulceration on endoscopy.
Exclusion Criteria:
- Subject with ulcerative colitis or indeterminate colitis.
- Subject who has had surgical bowel resections in the past 6 months or is planning resection.
- Subjects with an ostomy or ileoanal pouch.
- Subject with symptomatic bowel stricture or abdominal or peri-anal abcess.
- Subject who has short bowel syndrome.
- Chronic recurring infections or active Tuberculosis (TB).
Sites / Locations
- Birmingham Gastroenterology Associates O.C /ID# 137282
- Digestive Health Specialists of the Southeast /ID# 122483
- Moore UC San Diego Cancer Center /ID# 119053
- Axis Clinical Trials /ID# 130390
- Rocky Mountain Gastroenterology /ID# 119038
- Medical Research Ctr CT /ID# 119037
- Gastroenterology Group Naples /ID# 122493
- Internal Med Specialists /ID# 137737
- Shafran Gastroenterology Ctr /ID# 119057
- Winship Cancer Institute of Emory University /ID# 136851
- Atlanta Gastro Assoc /ID# 119065
- Gastroenterology Associates of Central Georgia, LLC /ID# 119056
- Northwestern University Feinberg School of Medicine /ID# 119043
- University of Chicago DCAM /ID# 119077
- Carle Foundation Hospital Digestive Health Research Center /ID# 136008
- Louisana Research Center, LLC /ID# 136749
- Investigative Clinical Research /ID# 119033
- MGG Group Co, Inc.Chevy Chase Clinical Research /ID# 119042
- Commonwealth Clinical Studies /ID# 136850
- University of Michigan Health Systems /ID# 119076
- Minnesota Gastroenterology, P. A. /ID# 137280
- Mayo Clinic /ID# 122489
- Kansas City Research Institute /ID# 119034
- Ctr for Digest and Liver Dis /ID# 119040
- Albany Medical College /ID# 140200
- NYU Langone Long Island Clinical Research Associates /ID# 119035
- The Mount Sinai Hospital /ID# 127116
- Charlotte Gastroenterology and Hepatology, PLLC /ID# 119041
- Wake Research Associates, LLC /ID# 119029
- Consultants for Clinical Res /ID# 119052
- Gastro United of Tulsa /ID# 122485
- The Oregon Clinic, Gastroenterology - West /ID# 135272
- West Bay Clinical Research /ID# 138330
- Medical University of South Carolina /ID# 138122
- Erlanger Institute for Clinical Research /ID# 129008
- Gastro One /ID# 119068
- Nashville Med Res Inst /ID# 119050
- Vanderbilt Univ Med Ctr /ID# 125501
- Texas Digestive Disease Consultants - Dallas /ID# 138121
- Baylor College of Medicine /ID# 137277
- Austin Institute for Clinical Research /ID# 125500
- Texas Digestive Disease Consultants - Southlake /ID# 137283
- Advanced Research Institute /ID# 119048
- University of Utah /ID# 119062
- Gastro Assoc of Tidewater /ID# 135897
- New River Valley Research Inst /ID# 127807
- Wisconsin Center for Advanced Research, a division of GI Associates, LLC /ID# 119036
- Froedtert Memorial Lutheran Hospital /ID# 119081
- KH der Elisabethinen Linz GmbH /ID# 126280
- Medizinische Universitat Wien /ID# 126279
- Medizinische Universitat Innsbruck,Universitatsklinik fur Innere Medizin 1 /ID# 126249
- LKH Salzburg and Paracelsus /ID# 126248
- Krankenhaus der Barmherzigen Bruder /ID# 126270
- AZ Maria Middelares /ID# 126194
- AZ Sint-Lucas /ID# 126242
- UZ Leuven /ID# 126240
- CHU de Liege /ID# 126241
- AZ-Delta /ID# 126195
- University of Calgary Cumming School of Medicine Adult Cystic Fibrosis Clinic /ID# 119017
- University of Alberta /ID# 119022
- Winnipeg Regional Health Authority /ID# 119015
- Qe Ii Hsc /Id# 127115
- London Health Sciences Centre - University Hospital /ID# 119026
- Medicor Research Inc /ID# 119024
- Toronto Digestive Disease Asso /ID# 119019
- Montreal General Hospital - McGill University Health Center /ID# 119025
- Fakultni Nemocnice Olomouc /ID# 126264
- Nemocnice Ceske Budejovice a.s. /ID# 126266
- Hepato-Gastroenterologie HK s.r.o. /ID# 126269
- ISCARE a.s. /ID# 137977
- Krajska zdravotni a.s. Masarykova nemocnice v Usti nad Labem o.z. /ID# 138331
- Herlev Hospital /ID# 127741
- Silkeborg Hospital /ID# 126251
- CHRU Lille - Hopital Claude Huriez /ID# 127743
- CHU NANCY - Hopital Brabois Adultes /ID# 127742
- CHU Amiens-Picardie Site Sud /ID# 126237
- Centre Hospitalier Universitaire de Grenoble - Hopital Michallon /ID# 126200
- Hopital l'Archet 2 /ID# 126238
- CHU de Saint-Etienne, Hopital Nord /ID# 134450
- Hopital Rangueil /ID# 126239
- Universitaetsklinikum Schleswig-Holstein /ID# 126260
- Charite Universitaetsmedizin Berlin /ID# 126196
- Private Practice - Dr. Michael R. MroB Dipl. med. S. Schache /ID# 126257
- Israelitisches Krankenhaus Hamburg /ID# 136549
- Asklepios Westklinikum Hamburg /ID# 126275
- Universitaetsklinikum Jena /ID# 126261
- EUGASTRO GmbH /ID# 126259
- Universitatsklinikum Magdeburg /ID# 126256
- Gastro Campus Research GbR /ID# 126274
- Semmelweis Egyetem /ID# 137896
- Magyar Elhizastudomanyi KKft. /ID# 126276
- Pecsi Tudomanyegyetem Klinikai l.sz. Belgyogyaszati Klinika /ID# 137895
- University of Szeged /ID# 126263
- Rabin Medical Center /ID# 126198
- Soroka University Medical Center /ID# 126243
- Gastroenterology Institute, Division of Medicine /ID# 126245
- Kaplan Medical Center /ID# 126246
- UOSD - Azienda Ospedaliera San Camillo Forlanini /ID# 127745
- Policlinico Agostino Gemelli /ID# 127746
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 126221
- IBD Center - IRCCS Istituto Clinico Humanitas /ID# 126226
- Azienda Ospedaliera Spedali Civili /ID# 127744
- Azienda Ospedaliera di Padova /ID# 126267
- Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 129856
- Academisch Medical center Amsterdam /ID# 126227
- Erasmus Medisch Centrum /ID# 126228
- Sint Franciscus Gasthuis /ID# 127877
- Centrum.Medyczne. Szpital Swietej Rodziny /ID# 137974
- Endoterapia PFG sp. z o.o. /ID# 126199
- Centrum Endoskopii Zabiegowej /ID# 126272
- Centrum Medyczne sw. Lukasza Sp. z o.o. /ID# 126271
- KO-Med Centra Kliniczne Pulawi /ID# 126278
- NZOZ Vivamed /ID# 126255
- School of Medicine University of Puerto Rico-Medical Science Campus /ID# 137735
- Institutul Clinic Fundeni /ID# 127747
- Centrul Medical de Diagnostic si Tratament Ambulator Neomed SRL /ID# 126277
- Tvm Med Serv Srl /Id# 126268
- Cabinet Medical Dr. Fratila SRL /ID# 126247
- Salvo-san Ciobanca SRL / Medicina Interna /ID# 126224
- Gastroenterologicke centrum ASSIDUO a IBD centrum /ID# 126262
- Gastroenterologicka ambulancia /ID# 137964
- Vseobecna Nemocnica s poliklinikou Lucenec n.o. /ID# 127748
- Poliklinika Libris /ID# 126222
- Hospital Parc Tauli de Sabadell /ID# 138124
- Hospital Universitario Puerta de Hierro, Majadahonda /ID# 140425
- Hospital Clinic /ID# 127749
- Hospital Universitario de Girona Doctor Josep Trueta /ID# 137976
- Hospital de Leon /ID# 141675
- Hospital Clinico Universitario San Carlos /ID# 126253
- Complejo Hospitalario Universitario de Pontevedra /ID# 138126
- Hospital Clinico Universitario Lozano Blesa /ID# 126252
- Kantonsspital St. Gallen /ID# 127750
- Universitaetsspital Zuerich /ID# 127751
- State Institution L. T. Malaya Therapy National Institution of NAMS of Ukraine /ID# 127753
- Public Institution Kherson City Clinical Hospital named after le.le. Karabelesha /ID# 127754
- Kyiv City Clinical Hospital No.8 /ID# 126232
- Lviv Regional Clinical Hospital /ID# 126234
- Public Institution 6th City Clinical Hospital /ID# 126236
- Guy's and St Thomas' NHS Found /ID# 144366
- Norfolk and Norwich Univ Hosp /ID# 126197
- Hull University Teaching Hospitals NHS Trustust /ID# 126265
- University Hospital Southampton NHS Fundation Trust /ID# 126225
- The Royal Wolverhampton NHS Tr /ID# 126201
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Induction: Standard Induction Dose
Induction: Higher Induction Dose
Maintenance: Clinically Adjusted (CA) Regimen
Maintenance: Therapeutic Drug Monitoring (TDM) Regimen
Participants randomized to receive received blinded adalimumab 160 mg at Baseline and matching placebo at Week 1, adalimumab 80 mg and matching placebo at Week 2, matching placebo at Week 3, and then adalimumab 40 mg every other week (eow) starting at Week 4 through Week 12.
Participants randomized to receive blinded adalimumab 160 mg at Baseline, Week 1, Week 2, and Week 3. At Week 4, participants receive adalimumab 40 mg eow through Week 12.
Participants randomized to the CA regimen receive adalimumab 40 mg eow beginning at Week 12. The adalimumab dose will be escalated to every week (ew) starting as early as Week 14 and up to Week 54 based on Crohn's Disease Activity Index (CDAI) or high-sensitivity C-reactive protein (hs-CRP) values, using results from the prior or current study visit. Once participants in the CA regimen are escalated, they remain on adalimumab 40 mg ew dosing.
At Weeks 14, 28 and 42, the adalimumab dose for participants randomized to the TDM will be determined by protocol-established dose adjustment criteria. Doses will be determined using blinded serum concentrations at the prior visit (Weeks 12, 26 and 40, respectively) as well as the CDAI or hs-CRP values from the current or prior study visit. Participants who meet criteria for dose escalation at Weeks 14, 28 or 42 will receive 40 mg ew.