Study to Evaluate the Safety and Efficacy of Two Adalimumab Dosing Regimens in Subjects With Moderate to Severe Ulcerative Colitis
![]() |
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT02065622 |
Recruitment Status :
Completed
First Posted : February 19, 2014
Results First Posted : October 8, 2020
Last Update Posted : November 23, 2020
|
Sponsor:
AbbVie
Information provided by (Responsible Party):
AbbVie
- Study Details
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
Study Type | Interventional |
---|---|
Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Ulcerative Colitis (UC) |
Interventions |
Drug: Adalimumab Other: Placebo |
Enrollment | 952 |
Participant Flow
Recruitment Details |
This study included a Main Study (120 sites in 19 countries) and a Japan Sub-Study (22 sites in Japan). After a 3-week screening period, participants were randomized 3:2 to an 8-week double-blind (DB) Induction Period with 2 adalimumab dosing regimens (Induction Standard Dose [I-SD] or Induction Higher Dose [I-HD]). |
Pre-assignment Details | At Week 8, participants in Main Study were re-randomized (2:2:1) into 44-week DB Maintenance Period with 3 adalimumab dosing regimens (M-SD, M-HD, or an exploratory Therapeutic Drug Monitoring [TDM] Regimen). Participants in Japan Sub-study were re-randomized (1:1) into 44-week DB Maintenance Period with 2 adalimumab dosing regimens (M-SD, M-HD). |
Arm/Group Title | Induction (Main Study + Japan Sub-study): I-SD | Induction (Main Study + Japan Sub-study): I-HD | Maintenance (Main Study + Japan Sub-study): M-SD | Maintenance (Main Study + Japan Sub-study): M-HD | Maintenance (Main Study): TDM Regimen |
---|---|---|---|---|---|
![]() |
Induction Standard Dose (I-SD): Double-blind adalimumab regimen of 160 mg at Week 0 followed by 80 mg at Week 2, 40 mg at Week 4, and 40 mg at Week 6. | Induction Higher Dose (I-HD): Double-blind adalimumab regimen of 160 mg at Weeks 0, 1, 2, and 3 followed by 40 mg at Week 4 and 40 mg at Week 6. | Maintenance Standard Dose (M-SD): Double-blind adalimumab 40 mg every other week (eow), for 44 weeks. | Maintenance Higher Dose (M-HD): Double-blind adalimumab 40 mg every week (ew) for 44 weeks. | Exploratory Therapeutic Drug Monitoring (TDM) Regimen: Double-blind adalimumab 40 mg eow at Week 8 and Week 10, with possible dose adjustments at Weeks 12, 24, and 37 based on criteria assessing blinded adalimumab serum concentration and rectal bleeding subscore assessments. |
Period Title: Induction Study | |||||
Started | 379 | 573 | 0 | 0 | 0 |
Enrolled in Main Study | 340 | 512 | 0 | 0 | 0 |
Enrolled in Japan Sub-Study | 39 | 61 | 0 | 0 | 0 |
Completed | 332 | 514 | 0 | 0 | 0 |
Not Completed | 47 | 59 | 0 | 0 | 0 |
Reason Not Completed | |||||
Adverse Event | 13 | 19 | 0 | 0 | 0 |
Withdrawal by Subject | 3 | 5 | 0 | 0 | 0 |
Lost to Follow-up | 1 | 0 | 0 | 0 | 0 |
Lack of Efficacy | 22 | 27 | 0 | 0 | 0 |
Requires Alternative/Prohibited Therapy | 4 | 5 | 0 | 0 | 0 |
Subject Noncompliance | 1 | 1 | 0 | 0 | 0 |
Other, Not Specified | 3 | 2 | 0 | 0 | 0 |
Period Title: Maintenance Study | |||||
Started | 0 | 0 | 345 | 350 | 151 |
Completed | 0 | 0 | 221 | 246 | 105 |
Not Completed | 0 | 0 | 124 | 104 | 46 |
Reason Not Completed | |||||
Adverse Event | 0 | 0 | 25 | 22 | 11 |
Withdrawal by Subject | 0 | 0 | 11 | 5 | 7 |
Lost to Follow-up | 0 | 0 | 4 | 1 | 1 |
Lack of Efficacy | 0 | 0 | 70 | 55 | 19 |
Requires Alternative/Prohibited Therapy | 0 | 0 | 7 | 3 | 4 |
Subject Non-Compliance | 0 | 0 | 1 | 3 | 2 |
Other, Not Specified | 0 | 0 | 6 | 14 | 2 |
Unknown Reason | 0 | 0 | 0 | 1 | 0 |
Baseline Characteristics
Arm/Group Title | Induction (Main Study + Japan Sub-study): I-SD | Induction (Main Study + Japan Sub-study): I-HD | Total | |
---|---|---|---|---|
![]() |
Induction Standard Dose: Double-blind adalimumab regimen of 160 mg at Week 0 followed by 80 mg at Week 2, 40 mg at Week 4, and 40 mg at Week 6. | Induction Higher Dose: Double-blind adalimumab regimen of 160 mg at Weeks 0, 1, 2, and 3 followed by 40 mg at Week 4 and 40 mg at Week 6. | Total of all reporting groups | |
Overall Number of Baseline Participants | 379 | 573 | 952 | |
![]() |
[Not Specified]
|
|||
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||
Number Analyzed | 379 participants | 573 participants | 952 participants | |
40.2 (13.14) | 40.5 (12.89) | 40.4 (12.98) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||
Number Analyzed | 379 participants | 573 participants | 952 participants | |
Female |
166 43.8%
|
239 41.7%
|
405 42.5%
|
|
Male |
213 56.2%
|
334 58.3%
|
547 57.5%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
||||
White | Number Analyzed | 379 participants | 573 participants | 952 participants |
326 86.0%
|
484 84.5%
|
810 85.1%
|
||
Black or African American | Number Analyzed | 379 participants | 573 participants | 952 participants |
8 2.1%
|
16 2.8%
|
24 2.5%
|
||
Asian | Number Analyzed | 379 participants | 573 participants | 952 participants |
44 11.6%
|
70 12.2%
|
114 12.0%
|
||
Native Hawaiian/Other Pacific Islander | Number Analyzed | 379 participants | 573 participants | 952 participants |
0 0.0%
|
1 0.2%
|
1 0.1%
|
||
Multiracial | Number Analyzed | 379 participants | 573 participants | 952 participants |
1 0.3%
|
1 0.2%
|
2 0.2%
|
||
Missing | Number Analyzed | 379 participants | 573 participants | 952 participants |
0 0.0%
|
1 0.2%
|
1 0.1%
|
||
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
||||
Hispanic or Latino | Number Analyzed | 379 participants | 573 participants | 952 participants |
19 5.0%
|
28 4.9%
|
47 4.9%
|
||
Japanese | Number Analyzed | 379 participants | 573 participants | 952 participants |
39 10.3%
|
61 10.6%
|
100 10.5%
|
||
Other, Not Specified | Number Analyzed | 379 participants | 573 participants | 952 participants |
321 84.7%
|
484 84.5%
|
805 84.6%
|
||
Region
Measure Type: Count of Participants Unit of measure: Participants |
||||
United States | Number Analyzed | 379 participants | 573 participants | 952 participants |
65 17.2%
|
113 19.7%
|
178 18.7%
|
||
Non-United States | Number Analyzed | 379 participants | 573 participants | 952 participants |
314 82.8%
|
460 80.3%
|
774 81.3%
|
||
Full Mayo Score (FMS)
[1] [2] Mean (Standard Deviation) Unit of measure: Units on a scale |
||||
Number Analyzed | 379 participants | 570 participants | 949 participants | |
8.69 (1.509) | 8.87 (1.571) | 8.80 (1.548) | ||
[1]
Measure Description: The Mayo score is a tool designed to measure disease activity for ulcerative colitis. The FMS ranges from 0 (normal or inactive disease) to 12 (severe disease) and is calculated as the sum of 4 subscores (stool frequency, rectal bleeding, endoscopy, and physician's global assessment), each of which ranges from 0 (normal) to 3 (severe disease).
[2]
Measure Analysis Population Description: participants with an assessment
|
||||
FMS: Rectal Bleeding Subscore
[1] [2] Mean (Standard Deviation) Unit of measure: Units on a scale |
||||
Number Analyzed | 379 participants | 570 participants | 949 participants | |
1.68 (0.955) | 1.75 (0.967) | 1.72 (0.962) | ||
[1]
Measure Description: The Mayo score is a tool designed to measure disease activity for ulcerative colitis. The FMS ranges from 0 (normal or inactive disease) to 12 (severe disease) and is calculated as the sum of 4 subscores (stool frequency, rectal bleeding, endoscopy, and physician's global assessment), each of which ranges from 0 (normal) to 3 (severe disease).
[2]
Measure Analysis Population Description: participants with an assessment
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
Results Point of Contact
Name/Title: | Global Medical Services |
Organization: | AbbVie |
Phone: | 800-633-9110 |
EMail: | abbvieclinicaltrials@abbvie.com |
Responsible Party: | AbbVie |
ClinicalTrials.gov Identifier: | NCT02065622 |
Other Study ID Numbers: |
M14-033 2013-001682-16 ( EudraCT Number ) |
First Submitted: | February 17, 2014 |
First Posted: | February 19, 2014 |
Results First Submitted: | August 19, 2020 |
Results First Posted: | October 8, 2020 |
Last Update Posted: | November 23, 2020 |