Safety and Efficacy of Adalimumab Versus Ustekinumab for One Year (SEAVUE)
Crohn Disease
About this trial
This is an interventional treatment trial for Crohn Disease
Eligibility Criteria
Inclusion Criteria:
- Has Crohn's Disease (CD) or fistulizing CD of at least 3 months' duration, with colitis, ileitis, or ileocolitis, confirmed at some time in the past by radiography, histology, and/or endoscopy
- Has moderately-to-severely active CD with a baseline Crohn's disease activity index (CDAI) score of greater than or equal to (>=) 220 and less than or equal to (<=) 450
- Has one or more ulceration on screening ileocolonoscopy (which by definition, would result in an Simple Endoscopic Score for Crohn's Disease [SES-CD] of at least 3)
- Has failed or was intolerant to conventional therapy (corticosteroids, azathioprine [AZA], 6-mercaptopurine [6-MP] and/or methotrexate [MTX]) at adequate doses or is corticosteroid dependent
- Has not previously received an approved biologic for Crohn's Disease (i.e., infliximab, adalimumab, certolizumab pegol, ustekinumab, natalizumab, vedolizumab or approved biosimilars of these agents)
- Participants on oral corticosteroids (e.g., prednisone, budesonide) at a prednisone-equivalent dose of <=40 or milligram/day (mg/day) or <=9 mg/day of budesonide are budesonide <=9 mg/day are permitted if doses are stable for 3 weeks prior to baseline
- Participants on AZA, 6-MP, or MTX at screening (or recently prior), must discontinue these medications at least 3 weeks prior to baseline
Exclusion Criteria:
- Has complications of CD that are likely to require surgery or would confound the ability to assess the effect of ustekinumab or adalimumab treatment using the CDAI, such as: active stoma; short-gut syndrome and severe or symptomatic strictures or stenosis
- Currently has, or is suspected to have, an abscess. Recent cutaneous and perianal abscesses are not exclusionary if drained and adequately treated at least 3 weeks prior to baseline, or 8 weeks prior for intra-abdominal abscesses, if there is no anticipated need for any further surgery. Participants with active fistulas may be included if there is no anticipation of a need for surgery and there are currently no abscesses present
- Has had any kind of bowel resection within 6 months prior to baseline or other intra-abdominal surgery or a hospital admission for bowel obstruction within 3 months prior to baseline
- Has a stool culture or other examination positive for an enteric pathogen, including Clostridium difficile toxin, in the last 4 months unless a repeat examination is negative and there are no signs of ongoing infection with that pathogen
- Has received a Bacillus Calmette-Guerin (BCG) vaccination within 12 months or any other live bacterial or live viral vaccination within 2 weeks of baseline
- Has a history of, or ongoing, chronic or recurrent infectious disease, including but not limited to, chronic renal infection, chronic chest infection, recurrent urinary tract infection (eg, recurrent pyelonephritis or chronic nonremitting cystitis), or infected skin wounds or ulcers
Sites / Locations
- Alabama Medical Group
- Precision Research Institute
- Peak Gastroenterology Associates
- Gastro Associates of Fairfield County PC
- Western Connecticut Health Network/Danbury Hospital
- Medstar Washington Hospital Center
- Gastro Florida
- Florida Research Network, LLC
- Florida Center For Gastroenterology
- Center for Advanced Gastroenterology
- Gastroenterology Group Of Naples
- Advanced Medical Research Center
- Apex Clinical Research
- Cleveland Clinic Florida
- Atlanta Gastroenterology Specialists, PC
- Grand Teton Research Group, PLLC
- Health Science Research Center
- Tri-State Gastroenterology Assoc
- Gastroenterology Associates Of Hazard
- University of Louisville
- Texas Digestive Disease Consultants
- CroNOLA, LLC
- Louisiana Research Center, LLC
- Chevy Chase Clinical Research
- Clinical Research Institute of Michigan, LLC
- Huron Gastroenterology Associates Center for Digestive Care
- Mayo Clinic
- Saint Louis University Hospital
- Mercy Clinic East Community
- Saratoga Schenectady Gastroenterology Associates
- NYU Langone Long Island Clinical Research Associates
- Weill Cornell Medical College
- Mount Sinai School of Medicine
- Columbia University Medical Center
- Premier Medical Group Of The Hudson Valley, Pc
- University of Rochester Medical Center
- Digestive Health Partners
- University of North Carolina at Chapel Hill
- Duke University Hospital Medical Center
- Wilmington Gastroenterology Associates
- Fargo Gastroenterology Clinic, PC
- Northshore Gastroenterology Research, LLC
- TriHealth Digestive Institute
- University Hospitals Case Medical Center
- Ohio State University Hospital
- Dayton Gastroenterology, Inc
- Great Lakes Gastroenterology Research, LLC
- Digestive Disease Specialists Inc
- Penn State Milton S. Hershey Medical Center
- Allegheny-Singer Research Institute
- Gastroenterology Associates P.A.
- Vanderbilt University Medical Center
- Aztec Clinical Research, Inc.
- DHAT Research Institute
- Baylor College of Medicine
- University of Texas at Houston Medical School
- Gastroenterology Research of America, LLC
- Texas Digestive Disease Consultants
- Tyler Research Institute, LLC
- Gastroenterology Associates of Tidewater
- Verity Research, Inc
- Gastroenterology Associates of Central Virginia
- Digestive And Liver Disease Specialists
- McGuire VAMC
- Virginia Gastroenterology Institute
- Washington Gastroenterology, PLLC
- Washington Gastroenterology, PLLC
- Monash Health, Monash Medical Centre
- Alfred Hospital
- Mater Hospital Brisbane (Inflammatory Bowel Diseases)
- St John of God Subiaco Hospital
- The Queen Elizabeth Hospital
- UZ Gent
- UZ Leuven
- CHwapi
- Hospital Das Clinicas Da Ufmg
- Inst Goiano Gastroenterologia e Endoscopia Digest Ltda - Clinica de Gastro
- Endogastro Clínica de Gastroenterologia e Endoscopia Digestiva Lida
- Hospital das Clinicas de Porto Alegre
- Hospital das Clínicas da Faculdade de Medicina de RPUSP - HCRP
- Universidade Federal do Rio de Janeiro - Faculdade de Medicina
- Hospital Copa D'Or
- Fundacao do ABC - Centro Universitario FMABC
- UMHAT 'Dr. Georgi Stranski', EAD
- MHAT Rousse
- 2-nd MHAT
- Diagnostic Consulting Center Mladost - M Varna
- University of Calgary
- McMaster University
- London Health Sciences Centre
- CISSS de la Monteregie Centre
- CMIIM, Centre médical L'Enjeu
- Fakultní nemocnice u sv. Anny v Brn
- Nemocnice Horovice, a.s.
- Hepato-gastroenterologie HK, s.r.o.
- Fakultni nemocnice Kralovske Vinohrady
- ISCARE a.s.
- CHU Amiens
- CHRU Montpellier - Hopital Saint-Eloi
- Hotel Dieu
- Hopital Saint-Louis
- CHU Saint-etienne
- Clinique Ambroise Pare
- Universitatsklinikum Freiburg
- Asklepios Westklinikum
- Uniklinikum Heidelberg
- MVZ Portal10
- Magyar Honvedseg Egeszsegugyi Kozpont
- Semmelweis Egyetem
- Réthy Pál Kórház - Rendelőintézet
- Debreceni Egyetem Klinikai Kozpont
- Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz
- Markusovszky Egyetemi Oktatokorhaz
- Policlinico Sant'Orsola Malpighi
- AOU Policlinico G.Martino
- ASST Fatebenefratelli Sacco
- Azienda Ospedaliera di Padova
- Ospedale Villa Sofia-Cervello
- Azienda Ospedaliera G.Salvini Ospedale di Rho
- Azienda Ospedaliera Universitaria 'Policlinico Tor Vergata'
- Azienda Complesso Ospedaliero San Filippo Neri
- Fondazione Policlinico Gemelli Università Cattolica
- Istituto Clinico Humanitas
- AO Ordine Mauriziano
- Yeungnam University Hospital
- The Catholic university of Korea, St. Vincent's Hospital
- Seoul National University Bundang Hospital
- Seoul National University Hospital
- Asan Medical Center
- Samsung Medical Center
- Severance Hospital, Yonsei University Health System
- VUMC Amsterdam
- Rijnstate Ziekenhuis
- UMCG
- Leiden University Medical Center
- Radboudumc
- Sint Franciscus Gasthuis
- Ikazia Ziekenhuis
- Gastromed Kralisz Romatowski Stachurska Sp. j.
- Synexus Polska Sp. z o.o.
- Centrum Medyczne Plejady
- Centrum Medyczne Pratia Poznan
- Uniwersytecki Szpital Kliniczny nr 1 im. N. Barlickiego
- Samodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie, Oddział Gastroenterologii
- Centrum Medyczne Medyk
- Endoskopia Sp. z o.o. z siedzibą w Sopocie
- Centralny Szpital Kliniczny MSWiA w Warszawie
- Niepubliczny Zakład Opieki Zdrowotnej Vivamed Jadwiga Miecz
- Gabinety Lekarskie Bodyclinic
- Melita Medical Sp. z o.o.
- ETG Zamosc
- OOO MO New Hospital
- Irkutsk State Medical Academy of Postgraduate Education
- GU Moscow Regional Research Clinical Institute n.a. M.F.Vla
- Rostov State Medical University
- Elizavetinskaya hospital
- City Clinical Hospital #31
- GBUZ Respublican Clinical Hospital n.a. GG Kuvatova
- City Clinical Hospital # 21
- Clinical Hospital Center Zemun
- Clinical Hospital Center Zvezdara
- University Clinical Center Kragujevac
- University Clinical Center NIS
- Clinical Center of Vojvodina
- Clinical Hospital Center Bezanijska Kosa
- Hosp. Del Mar
- Hosp. de La Santa Creu I Sant Pau
- Hosp. Univ. Dr. Josep Trueta
- Hosp. Univ. Central de Asturias
- Corporacio Sanitari Parc Tauli
- Hosp. Clinico Univ. de Salamanca
- Hosp. Univ. Marques de Valdecilla
- Hosp. Virgen Macarena
- Hosp. Univ. Rio Hortega
- Hosp. Univ. Miguel Servet
- Royal United Hospital
- Pennine Acute Hospitals-Fairfield General Hospital
- Kingston Hospital
- Guy's and St Thomas' Hospital
- St George's Hospital
- Southampton University Hospitals NHS Trust
- Musgrove Park Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Group 1 (Ustekinumab)
Group 2 (Adalimumab)
Participants will receive intravenous (IV) infusion of ustekinumab (approximately 6 milligram/kilogram [mg/kg]) and 4 subcutaneous (SC) injections of placebo for adalimumab at Week 0, followed by 2 SC injections of placebo at Week 2. From Week 4 to Week 56, participants will self-administer one SC injection of ustekinumab 90 milligram (mg) every 8 weeks (q8w) starting at Week 8 and placebo adalimumab at the other designated every 2 weeks (q2w) dosing intervals.
Participants will receive IV infusion of placebo for ustekinumab and 4 SC injections of adalimumab (each 40 mg, total dose 160 mg) at Week 0, followed by 2 SC injections of adalimumab (each 40 mg, total dose 80 mg) at Week 2. From Week 4 to Week 56, participants will self-administer 1 SC injection of adalimumab 40 mg q2w.