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A Multicener, Postmarketing Study Evaluating the Transfer of Cimzia From the Mother to the Infant Via the Placenta (CRIB)

Primary Purpose

Axial Spondyloarthritis (AxSpA), Non-radiographic Evidence-AxSpA, Ankylosing Spondylitis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Blood sampling from mother
Blood sampling from infant
Blood sampling from umbilical cord
Certolizumab Pegol
Sponsored by
UCB BIOSCIENCES, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Axial Spondyloarthritis (AxSpA) focused on measuring Cimzia®, CZP, Placental transfer, Autoimmune diseases and pregnancy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • An IRB/IEC approved written Informed Consent form for the maternal subject and her infant(s) is signed and dated by the subject. Where applicable, the written Informed Consent form with respect to the infant(s) is also signed and dated by the holder of parental rights as designated by the maternal subject
  • Subject is considered reliable and capable of adhering to the protocol and visit schedule according to the judgment of the Investigator
  • Subject is female ≥18 years at the time of informed consent
  • Subject is ≥30 weeks pregnant with a singleton or twins at the time of informed consent
  • Subject is being treated with Certolizumab Pegol (CZP) per the current approved prescribing Information
  • Subject started or decided to continue treatment with CZP independently from and prior to participating in this study and in accordance with the treating physician
  • Subject expects to receive CZP until at least 35 days prior to expected delivery (date of injection counted as Day 1)

Additional criteria to be confirmed prior to first sample from infant at Visit 2 (delivery/birth):

  • Subject delivers a live born infant(s) at or near term (≥34 weeks gestation )
  • Subject received CZP within 35 days before delivery (date of injection counted as Day 1)
  • Subject has not received contraindicated medication

Exclusion Criteria:

  • Subject has participated in a study of an investigational medicinal product (IMP) or medical device within the previous 30 days or 5 half-lives (whichever is longer) prior to Screening or is currently participating in another study of an IMP or medical device - unless the study is UCB UP0016 [NCT02154425] or a registry study
  • Subject has any obstetrical or psychiatric condition, or she or her infant(s) has any medical condition that, in the opinion of the Investigator, could jeopardize or would compromise the subject's ability to participate in this study or the outcome of the pregnancy
  • Subject has history of chronic alcohol abuse or drug abuse during pregnancy
  • Subject has any pregnancy-related clinically significant abnormality noted on obstetric ultrasound, or other imaging assessment, or the subject has significant laboratory abnormalities during her pregnancy, as judged by the Investigator
  • Subject is taking or has taken any medication with strong positive evidence of a human fetal risk of teratogenicity (e.g., methotrexate or leflunomide) during pregnancy
  • Subject has evidence of a condition suggesting chronic or acute uteroplacental insufficiency such as intrauterine growth restriction, severe maternal hypertensive disorders of pregnancy, or abruption
  • Subject has a documented history of primary or secondary antiphospholipid syndrome or hypercoagulable state
  • Subject has received treatment with any biological therapeutic agent, including anti-TNFs other than certolizumab pegol (CZP), during pregnancy
  • Subject has previously participated in this study
  • Subject has a positive or indeterminate QuantiFERON®-TB GOLD In Tube test at Screening. In case of indeterminate result, a retest is allowed if time permits; 2 results of indeterminate require exclusion of the subject
  • Subject with known tuberculosis (TB) infection, at high risk of acquiring TB infection, or latent TB infection (LTB). If tested within the 6 months prior to Screening and the test was negative for TB, and there is no change in the subject's clinical status, nor social, family, or travel history, there is no need for an additional TB testing at Screening

Sites / Locations

  • 11
  • 9
  • 101
  • 203
  • 200
  • 202
  • 500
  • 20

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pharmacokinetic samples

Arm Description

Pharmacokinetic (PK) samples will be taken from the mother at Day 0 within 24 hours before/after delivery, from the infant within 24 hours after birth, at Week 4 and Week 8 and from the umbilical cord within one hour after delivery. Included are mothers who decided to continue on, or to start treatment with certolizumab pegol (CZP) for an approved indication with their treating physician prior to participation into this study. The mother is responsible for procuring her own supply of commercial CZP. The CZP dose and administration schedule will be as per the locally approved label.

Outcomes

Primary Outcome Measures

The Plasma Concentration of Certolizumab Pegol (CZP) in the Infant(s) at Birth
Blood samples will be taken within 24 hours after birth from the infant(s).

Secondary Outcome Measures

The Plasma Concentration of Certolizumab Pegol (CZP) in the Mother at Delivery
Blood samples will be taken within 24 hours before/after delivery from the mothers.
The Ratio of Plasma Concentration of Certolizumab Pegol (CZP) Between the Infant(s) and Mother at Delivery/Birth
Blood samples were taken within 24 hours before/after delivery from the mothers and within 24 hours after birth from the infant(s). Values below limit of quantification (BLQ) are replaced by values of lower limit of quantification/2=0.016 in calculations of ratios, however if both concentrations for a subject are BLQ then the ratio for that subject will not be calculated.
The Plasma Concentration of Certolizumab Pegol (CZP) in the Umbilical Cord at Birth
Blood samples will be taken directly after delivery (within <= 1 hour) from the umbilical cord
The Plasma Concentration Level of Anti-CZP Antibodies in the Mother at Delivery
Blood samples will be taken within 24 hours before/after delivery from the mothers
The Plasma Concentration Level of Anti-CZP Antibodies in the Umbilical Cord(s) at Birth
Blood samples will be taken directly after delivery (within <= 1 hour) from the umbilical cord

Full Information

First Posted
December 18, 2013
Last Updated
March 26, 2019
Sponsor
UCB BIOSCIENCES, Inc.
Collaborators
PPD, Parexel
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1. Study Identification

Unique Protocol Identification Number
NCT02019602
Brief Title
A Multicener, Postmarketing Study Evaluating the Transfer of Cimzia From the Mother to the Infant Via the Placenta
Acronym
CRIB
Official Title
A Multicenter Postmarketing Study to Evaluate the Placental Transfer of Certolizumab Pegol in Pregnant Women Receiving Treatment With Cimzia® (Certolizumab Pegol)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
November 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UCB BIOSCIENCES, Inc.
Collaborators
PPD, Parexel

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary purpose is to assess whether there is transfer of Certolizumab Pegol (CZP) from pregnant women receiving treatment with Cimzia® across the placenta to infants by evaluating the concentration of CZP in the plasma of infants at birth.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Axial Spondyloarthritis (AxSpA), Non-radiographic Evidence-AxSpA, Ankylosing Spondylitis, Crohn's Disease, Psoriatic Arthritis, Rheumatoid Arthritis
Keywords
Cimzia®, CZP, Placental transfer, Autoimmune diseases and pregnancy

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pharmacokinetic samples
Arm Type
Experimental
Arm Description
Pharmacokinetic (PK) samples will be taken from the mother at Day 0 within 24 hours before/after delivery, from the infant within 24 hours after birth, at Week 4 and Week 8 and from the umbilical cord within one hour after delivery. Included are mothers who decided to continue on, or to start treatment with certolizumab pegol (CZP) for an approved indication with their treating physician prior to participation into this study. The mother is responsible for procuring her own supply of commercial CZP. The CZP dose and administration schedule will be as per the locally approved label.
Intervention Type
Procedure
Intervention Name(s)
Blood sampling from mother
Intervention Description
A blood sample from the mother will be taken within 24 hours before/after the delivery.
Intervention Type
Procedure
Intervention Name(s)
Blood sampling from infant
Intervention Description
Blood samples from the infant will be taken within 24 hours after birth, at Week 4 and at Week 8.
Intervention Type
Procedure
Intervention Name(s)
Blood sampling from umbilical cord
Intervention Description
A blood sample from the umbilical cord will be taken directly (within 1 hour ) after delivery.
Intervention Type
Biological
Intervention Name(s)
Certolizumab Pegol
Other Intervention Name(s)
Cimzia®
Intervention Description
Mothers who decided to continue on, or to start treatment with, CZP for an approved indication with their treating physician prior to participation into this study. The mother is responsible for procuring her own supply of commercial CZP. The CZP dose and administration schedule will be as per the locally approved label. Active Substance: Certolizumab Pegol Pharmaceutical Form: Solution for injection Concentration: 200 mg/ml Route of Administration: Subcutaneous Use
Primary Outcome Measure Information:
Title
The Plasma Concentration of Certolizumab Pegol (CZP) in the Infant(s) at Birth
Description
Blood samples will be taken within 24 hours after birth from the infant(s).
Time Frame
Day 0
Secondary Outcome Measure Information:
Title
The Plasma Concentration of Certolizumab Pegol (CZP) in the Mother at Delivery
Description
Blood samples will be taken within 24 hours before/after delivery from the mothers.
Time Frame
Day 0
Title
The Ratio of Plasma Concentration of Certolizumab Pegol (CZP) Between the Infant(s) and Mother at Delivery/Birth
Description
Blood samples were taken within 24 hours before/after delivery from the mothers and within 24 hours after birth from the infant(s). Values below limit of quantification (BLQ) are replaced by values of lower limit of quantification/2=0.016 in calculations of ratios, however if both concentrations for a subject are BLQ then the ratio for that subject will not be calculated.
Time Frame
Day 0
Title
The Plasma Concentration of Certolizumab Pegol (CZP) in the Umbilical Cord at Birth
Description
Blood samples will be taken directly after delivery (within <= 1 hour) from the umbilical cord
Time Frame
Day 0
Title
The Plasma Concentration Level of Anti-CZP Antibodies in the Mother at Delivery
Description
Blood samples will be taken within 24 hours before/after delivery from the mothers
Time Frame
Day 0
Title
The Plasma Concentration Level of Anti-CZP Antibodies in the Umbilical Cord(s) at Birth
Description
Blood samples will be taken directly after delivery (within <= 1 hour) from the umbilical cord
Time Frame
Day 0

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: An IRB/IEC approved written Informed Consent form for the maternal subject and her infant(s) is signed and dated by the subject. Where applicable, the written Informed Consent form with respect to the infant(s) is also signed and dated by the holder of parental rights as designated by the maternal subject Subject is considered reliable and capable of adhering to the protocol and visit schedule according to the judgment of the Investigator Subject is female ≥18 years at the time of informed consent Subject is ≥30 weeks pregnant with a singleton or twins at the time of informed consent Subject is being treated with Certolizumab Pegol (CZP) per the current approved prescribing Information Subject started or decided to continue treatment with CZP independently from and prior to participating in this study and in accordance with the treating physician Subject expects to receive CZP until at least 35 days prior to expected delivery (date of injection counted as Day 1) Additional criteria to be confirmed prior to first sample from infant at Visit 2 (delivery/birth): Subject delivers a live born infant(s) at or near term (≥34 weeks gestation ) Subject received CZP within 35 days before delivery (date of injection counted as Day 1) Subject has not received contraindicated medication Exclusion Criteria: Subject has participated in a study of an investigational medicinal product (IMP) or medical device within the previous 30 days or 5 half-lives (whichever is longer) prior to Screening or is currently participating in another study of an IMP or medical device - unless the study is UCB UP0016 [NCT02154425] or a registry study Subject has any obstetrical or psychiatric condition, or she or her infant(s) has any medical condition that, in the opinion of the Investigator, could jeopardize or would compromise the subject's ability to participate in this study or the outcome of the pregnancy Subject has history of chronic alcohol abuse or drug abuse during pregnancy Subject has any pregnancy-related clinically significant abnormality noted on obstetric ultrasound, or other imaging assessment, or the subject has significant laboratory abnormalities during her pregnancy, as judged by the Investigator Subject is taking or has taken any medication with strong positive evidence of a human fetal risk of teratogenicity (e.g., methotrexate or leflunomide) during pregnancy Subject has evidence of a condition suggesting chronic or acute uteroplacental insufficiency such as intrauterine growth restriction, severe maternal hypertensive disorders of pregnancy, or abruption Subject has a documented history of primary or secondary antiphospholipid syndrome or hypercoagulable state Subject has received treatment with any biological therapeutic agent, including anti-TNFs other than certolizumab pegol (CZP), during pregnancy Subject has previously participated in this study Subject has a positive or indeterminate QuantiFERON®-TB GOLD In Tube test at Screening. In case of indeterminate result, a retest is allowed if time permits; 2 results of indeterminate require exclusion of the subject Subject with known tuberculosis (TB) infection, at high risk of acquiring TB infection, or latent TB infection (LTB). If tested within the 6 months prior to Screening and the test was negative for TB, and there is no change in the subject's clinical status, nor social, family, or travel history, there is no need for an additional TB testing at Screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
UCB Cares
Organizational Affiliation
+1 877 822 9493 (UCB)
Official's Role
Study Director
Facility Information:
Facility Name
11
City
Scottsdale
State/Province
Arizona
Country
United States
Facility Name
9
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
101
City
Salt Lake City
State/Province
Utah
Country
United States
Facility Name
203
City
Lille
Country
France
Facility Name
200
City
Paris
Country
France
Facility Name
202
City
Paris
Country
France
Facility Name
500
City
Maastricht
Country
Netherlands
Facility Name
20
City
Bern
Country
Switzerland

12. IPD Sharing Statement

Citations:
PubMed Identifier
29030361
Citation
Mariette X, Forger F, Abraham B, Flynn AD, Molto A, Flipo RM, van Tubergen A, Shaughnessy L, Simpson J, Teil M, Helmer E, Wang M, Chakravarty EF. Lack of placental transfer of certolizumab pegol during pregnancy: results from CRIB, a prospective, postmarketing, pharmacokinetic study. Ann Rheum Dis. 2018 Feb;77(2):228-233. doi: 10.1136/annrheumdis-2017-212196. Epub 2017 Oct 13.
Results Reference
result

Learn more about this trial

A Multicener, Postmarketing Study Evaluating the Transfer of Cimzia From the Mother to the Infant Via the Placenta

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