CClinicalTrials.gg
CompletedNCT00705614ENCOREUpdated Mar 22, 2017Results posted

Postmarketing Safety Surveillance European Registry of Crohn's Disease Patients Treated With Remicade or Standard Therapy (MK-2155-035)

An observational study in Crohn's Disease, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-03-22.

Sponsored by Merck Sharp & Dohme LLC · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,662
Ages
18 Years and older
Sex
All
01

Study summary

Prospective, observational, parallel-group, postmarketing safety surveillance registry in participants treated with Remicade or standard therapy for active or fistulizing Crohn's disease (CD). The follow-up period is up to 5 years. The participants in the standard therapy group may switch over to Remicade any time during the follow-up period

02

Conditions studied

  • Crohn's Disease

Browse trials for

03

In context

Crohn Disease

1,880 studies on the registry are indexed under Crohn Disease; 462 are open to participants now.

This study's enrollment of 2,662 is above the median of 162 across 608 observational studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult subjects, ages 18 years and older, with a diagnosis of active or fistulizing CD with no previous exposure to Remicade will be eligible to enroll into the registry.

Inclusion criteria

  • At least 18 years of age, of either sex, and of any race.
  • Must have active or fistulizing CD and must have experienced at least 1 of the following:

    • failed a tapering regimen of corticosteroids and will be initiating immunosuppressive therapy
    • required corticosteroid treatments for the previous 6 months and will be initiating immunosuppressive therapy
    • luminal or fistulizing CD, which, in the treating physician's judgment, qualifies for initiation of Remicade.
  • Willing to give written informed consent and must be able to adhere to the procedural requirements of the registry.
  • Must be evaluated for active and inactive (latent) tuberculosis (TB) at the Baseline Visit. TB evaluation will consist of TB history questions (eg, medical history, possible previous contact with TB, TB vaccination history). TB evaluation and TB screening (eg, skin test, chest x-ray) are required when a subject starts treatment with Remicade. In these cases, subjects must be screened for TB within 3 months prior to initiating Remicade treatment.

Exclusion criteria

Exclusion Criteria:

  • Female who is pregnant or nursing.
  • Treated with Remicade prior to Baseline.
  • Previously treated with other tumor necrosis factor (TNF)-active agents and other investigational drugs for CD prior to Baseline.
  • Active or untreated latent TB or other severe infections such as sepsis, abscesses, or opportunistic infections.
  • Moderate or severe heart failure (New York Heart Association [NYHA] Class III: subjects with marked limitation of activity; they are comfortable only at rest/Class IV: subjects who should be at complete rest, confined to bed or chair; any physical activity brings on discomfort and symptoms occur at rest).
  • Have lymphoproliferative disorders (eg, lymphoma) or malignancies.
  • In a situation or have any condition that, in the opinion of the treating physician, may interfere with their optimal participation in the registry.
  • Are participating in any other clinical trials (excluding registries).

In addition, subjects will be excluded from treatment with Remicade if any of the criteria listed below are met:

  • Females of childbearing potential unwilling to use a medically accepted method of birth control during treatment with Remicade and to continue its use for at least 6 months after the last Remicade treatment.
  • History of hypersensitivity to murine proteins or to any excipients of Remicade formulation (sucrose, polysorbate 80, monobasic sodium phosphate, and dibasic sodium phosphate).
  • Other conditions that are contraindicated in the Remicade Summary of Product Characteristics (SPC).
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,662 participants (actual)
Patient registry
No

Groups and cohorts

  • Remicade Group

    Particpiants with no prior exposure to Remicade, who at the time of enrollment are scheduled to receive Remicade within 30 days of the Baseline Visit. Participants who start on Remicade will constitute the Remicade Group, regardless of whether they continue with Remicade or switch to another treatment.

    Biological: Remicade

  • Standard Therapy Group

    Participants who are being treated with standard therapy and are not adequately maintained and will be offered an alternative treatment that does not include Remicade. Standard therapy participants must not have previously received Remicade.

  • Switched to Remicade Group

    Participants who started in the Standard Therapy Group but switched over to Remicade sometime during the follow-up period. Participants who switch to Remicade are evaluated in the Standard Therapy group until the time of the switch and are evaluated in the Switched to Remicade group thereafter.

    Biological: Remicade

Interventions

  • BiologicalRemicade

    The treating physician will determine the treatment regimen and dose of Remicade.

    Also known as: Infliximab, SCH 215596

06

What researchers measure

Primary outcomes

  1. Number of Participants With Serious Infections

    The number of participants experiencing serious infections was evaluated. Serious infections included, but were not limited to, tuberculosis, opportunistic infections (such as Pneumocystis carinii \[PCP\] pneumonia, listeriosis, atypical mycobacteria, and histoplasmosis), salmonellosis,and serious viral infections.

    Time frame: Up to 5 Years

  2. Number of Participants With Infusion-Related Reactions/Hypersensitivity

    The number of participants with infusion-related reactions and/or hypersensitivity was evaluated. An infuson-related reaction/hypersensitivity was defined as as an acute reaction, including anaphylactic shock that occurs after the onset of the infusion or within the 1- to 2-hour observation period following the end of the infusion. Delayed hypersensitivity reactions (myalgia and/or arthralgia with fever and rash within 14 days of the infusion) were included.

    Time frame: Up to 5 Years

  3. Number of Participant Fatalities

    The number of participant fatalities was evaluated throughout the study.

    Time frame: Up to 5 Years

  4. Number of Participants With New or Worsening Congestive Heart Failure

    The number of participants with new or worsening congestive heart failure was evaluated throughout the study.

    Time frame: Up to 5 Years

  5. Number of Participants With Demyelinating Neurological Disorders

    The number of participants with demyelinating neurological disorders was evaluated. Demyelinating neurological disorders were defined as multiple sclerosis, optic neuritis, peripheral syndromes such as peripheral neuropathy, mononeuropathy multipex, cranial neuropathies, Guillain-Barré syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, and transverse myelitis.

    Time frame: Up to 5 Years

  6. Number of Participants With Hematologic Conditions

    The number of participants wtih hematologic conditions was evaluated. A hematologic condition was defined as thrombocytopenia, neutropenia, pancytopenia, granulocytopenia, leukopenia, or aplastic anemia.

    Time frame: Up to 5 Years

  7. Number of Participants With Lymphoproliferative Disorders/Malignancies

    The number of participants wtih lymphoproliferative disorders and/or malignancies was evaluated. A lymphoproliferative disorder and /or malignancy included, but was not limited to, lymphoma, gastrointestinal cancer, skin cancer (including basocellular and squamous carcinoma, melanoma) and in situ cervical carcinoma.

    Time frame: Up to 5 Years

Secondary outcomes

  1. Participant Assessment of Overall Health Status By Study Visit

    The participant assessment of overall health status was evaluated at baseline and each study visit. The overall health status questionnaire asked participants to rate their current health status over the prior 24 hours as 1=best possible, 2=much better than average, 3=better than average, 4=average, 5=worse than average, 6=much worse than average, or 7=worst possible. Scores ranged from 1 to 7 with lower scores indicating better health status.

    Time frame: Up to 5 Years

  2. The Harvey-Bradshaw Index of Crohn's Disease Activity By Study Visit

    The Harvey-Bradshaw Index of Crohn's Disease Acitivity was evaluated at each study visit. The Harvey-Bradshaw Index evaluates participants' general health in the day prior in the domains of well being, abdominal pain, number of liquid stools per day, and abdominal mass and complications and was evaluated on the day of the study visit. The score is derived from a 0-4 score for general well being, 0-3 for abdmonial pain, raw score for number of liquid stools per day, 0-3 for abdominal mass, and raw score for complications. The total score is from 0 to infinity, with lower scores indicating better outcomes.

    Time frame: Up to 5 Years

  3. Work/Daily Activity Status Score By Study Visit

    The participant work/daily activity status score was evaluated at each study visit. The work/daily activity questionnaire asked participants to rate their level of daily functioning on a scale of 1 to 10 with a lower score indicating less of an impact of Crohn's disease on work or daily life functioning.

    Time frame: Up to 5 Years

  4. Number of Participants With a Draining Fistula By Study Visit

    The number of participants with a draining fistula was evaluated at each study visit.

    Time frame: Up to 5 Years

  5. Number of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

    The number of participant hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit.

    Time frame: Up to 5 Years

  6. Duration of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

    The duration of hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit.

    Time frame: Up to 5 Years

  7. Number of Participant Surgical Procedures for Crohn's Disease in the Prior 6 Months

    The number of participants undergoing surgical procedures for Crohn's Disease in the prior 6 months was evaluated at each study visit.

    Time frame: Up to 5 Years

07

Results

Posted Aug 26, 2014

Participant flow

The Standard Therapy group includes both those who stayed on Standard Therapy and those who switched to Remicade after starting on Standard Therapy. Two hundred ninety-eight of the 1121 subjects enrolled in the Standard Therapy Group switched to Remicade during follow-up.

Initial Intervention
Participant flow — Initial Intervention
MilestoneRemicadeStandard Therapy Group
Started15411121
Completed1023800
Not completed518321
Withdrew: Adverse event4021
Withdrew: Lost to follow-up310191
Withdrew: Withdrawal by subject11471
Withdrew: Administrative reason5138
Withdrew: Status completion unknown30
Switch to Remicade
Participant flow — Switch to Remicade
MilestoneRemicadeStandard Therapy Group
Started0298
Completed0249
Not completed049
Withdrew: Adverse event05
Withdrew: Lost to follow-up023
Withdrew: Withdrawal by subject012
Withdrew: Administrative reason09

Outcome measures

PrimaryNumber of Participants With Serious Infections

The number of participants experiencing serious infections was evaluated. Serious infections included, but were not limited to, tuberculosis, opportunistic infections (such as Pneumocystis carinii \[PCP\] pneumonia, listeriosis, atypical mycobacteria, and histoplasmosis), salmonellosis,and serious viral infections.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With Serious Infections
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participants With Serious Infections1324718
PrimaryNumber of Participants With Infusion-Related Reactions/Hypersensitivity

The number of participants with infusion-related reactions and/or hypersensitivity was evaluated. An infuson-related reaction/hypersensitivity was defined as as an acute reaction, including anaphylactic shock that occurs after the onset of the infusion or within the 1- to 2-hour observation period following the end of the infusion. Delayed hypersensitivity reactions (myalgia and/or arthralgia with fever and rash within 14 days of the infusion) were included.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With Infusion-Related Reactions/Hypersensitivity
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participants With Infusion-Related Reactions/Hypersensitivity173128
PrimaryNumber of Participant Fatalities

The number of participant fatalities was evaluated throughout the study.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participant Fatalities
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participant Fatalities30144
PrimaryNumber of Participants With New or Worsening Congestive Heart Failure

The number of participants with new or worsening congestive heart failure was evaluated throughout the study.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With New or Worsening Congestive Heart Failure
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participants With New or Worsening Congestive Heart Failure110
PrimaryNumber of Participants With Demyelinating Neurological Disorders

The number of participants with demyelinating neurological disorders was evaluated. Demyelinating neurological disorders were defined as multiple sclerosis, optic neuritis, peripheral syndromes such as peripheral neuropathy, mononeuropathy multipex, cranial neuropathies, Guillain-Barré syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, and transverse myelitis.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With Demyelinating Neurological Disorders
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participants With Demyelinating Neurological Disorders410
PrimaryNumber of Participants With Hematologic Conditions

The number of participants wtih hematologic conditions was evaluated. A hematologic condition was defined as thrombocytopenia, neutropenia, pancytopenia, granulocytopenia, leukopenia, or aplastic anemia.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With Hematologic Conditions
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participants With Hematologic Conditions50117
PrimaryNumber of Participants With Lymphoproliferative Disorders/Malignancies

The number of participants wtih lymphoproliferative disorders and/or malignancies was evaluated. A lymphoproliferative disorder and /or malignancy included, but was not limited to, lymphoma, gastrointestinal cancer, skin cancer (including basocellular and squamous carcinoma, melanoma) and in situ cervical carcinoma.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With Lymphoproliferative Disorders/Malignancies
ParticipantsRemicadeStandard TherapySwitched to Remicade
Number of Participants With Lymphoproliferative Disorders/Malignancies49218
SecondaryParticipant Assessment of Overall Health Status By Study Visit

The participant assessment of overall health status was evaluated at baseline and each study visit. The overall health status questionnaire asked participants to rate their current health status over the prior 24 hours as 1=best possible, 2=much better than average, 3=better than average, 4=average, 5=worse than average, 6=much worse than average, or 7=worst possible. Scores ranged from 1 to 7 with lower scores indicating better health status.

Time frame:
Up to 5 Years
Reported as:
Mean · Score on a Scale
Participant Assessment of Overall Health Status By Study Visit
Score on a ScaleRemicadeStandard TherapySwitched to Remicade
Visit 1 (Baseline; n=1526, 1116, 0)4.3 ± 1.333.9 ± 1.38NA ± NA
Visit 2 (n=1344, 903, 95)3.3 ± 1.443.3 ± 1.443.9 ± 1.49
Visit 3 (n=1280, 809, 146)3.2 ± 1.413.1 ± 1.403.6 ± 1.41
Visit 4 (n=1217, 755, 162)3.2 ± 1.433.0 ± 1.383.5 ± 1.45
Visit 5 (n=1160, 704, 184)3.1 ± 1.443.1 ± 1.423.2 ± 1.52
Visit 6 (n=1110, 649, 202)3.1 ± 1.433.0 ± 1.413.4 ± 1.44
Visit 7 (n=1046, 606, 212)3.1 ± 1.473.0 ± 1.413.3 ± 1.42
Visit 8 (n=1044, 573, 221)3.1 ± 1.463.0 ± 1.443.2 ± 1.43
Visit 9 (n=999, 544, 223)3.1 ± 1.452.9 ± 1.413.2 ± 1.50
Visit 10 (n=963, 520, 227)3.0 ± 1.422.8 ± 1.443.1 ± 1.38
Visit 11 (n=956, 527, 235)3.0 ± 1.412.8 ± 1.433.1 ± 1.47
SecondaryThe Harvey-Bradshaw Index of Crohn's Disease Activity By Study Visit

The Harvey-Bradshaw Index of Crohn's Disease Acitivity was evaluated at each study visit. The Harvey-Bradshaw Index evaluates participants' general health in the day prior in the domains of well being, abdominal pain, number of liquid stools per day, and abdominal mass and complications and was evaluated on the day of the study visit. The score is derived from a 0-4 score for general well being, 0-3 for abdmonial pain, raw score for number of liquid stools per day, 0-3 for abdominal mass, and raw score for complications. The total score is from 0 to infinity, with lower scores indicating better outcomes.

Time frame:
Up to 5 Years
Reported as:
Mean · Score on a Scale
The Harvey-Bradshaw Index of Crohn's Disease Activity By Study Visit
Score on a ScaleRemicadeStandard TherapySwitched to Remicade
Visit 1 (Baseline; n=1505, 1106, 0)8.2 ± 5.366.2 ± 4.94NA ± NA
Visit 2 (n=1320, 876, 91)4.1 ± 4.133.8 ± 3.846.0 ± 5.28
Visit 3 (n=1250, 785, 143)3.7 ± 3.873.5 ± 3.644.4 ± 4.05
Visit 4 (n=1196, 742, 159)3.8 ± 4.013.2 ± 3.564.8 ± 4.47
Visit 5 (n=1127, 692, 181)3.7 ± 3.953.4 ± 3.514.9 ± 5.81
Visit 6 (n=1070, 647, 199)3.6 ± 4.003.1 ± 3.394.5 ± 4.29
Visit 7 (n=1023, 592, 209)3.6 ± 4.003.0 ± 3.364.1 ± 4.43
Visit 8 (n=1015, 562, 224)3.6 ± 3.973.2 ± 3.634.1 ± 4.69
Visit 9 (n=953, 546, 219)3.6 ± 4.502.9 ± 2.904.4 ± 5.23
Visit 10 (n=936, 526, 225)3.4 ± 4.232.7 ± 3.384.3 ± 4.66
Visit 11 (n=918, 525, 238)3.4 ± 3.932.7 ± 3.444.2 ± 4.29
SecondaryWork/Daily Activity Status Score By Study Visit

The participant work/daily activity status score was evaluated at each study visit. The work/daily activity questionnaire asked participants to rate their level of daily functioning on a scale of 1 to 10 with a lower score indicating less of an impact of Crohn's disease on work or daily life functioning.

Time frame:
Up to 5 Years
Reported as:
Mean · Score on a Scale
Work/Daily Activity Status Score By Study Visit
Score on a ScaleRemicadeStandard TherapySwitched to Remicade
Visit 1 (Baseline; n=1496, 1108, 0)5.9 ± 2.614.9 ± 2.83NA ± NA
Visit 2 (n=1316, 895, 94)4.2 ± 2.863.7 ± 2.795.5 ± 2.81
Visit 3 (n=1235, 797, 143)3.8 ± 2.763.2 ± 2.774.8 ± 2.94
Visit 4 (n=1192, 738, 159)3.6 ± 2.792.9 ± 2.604.3 ± 2.95
Visit 5 (n=1128, 694, 179)3.4 ± 2.763.0 ± 2.634.0 ± 2.89
Visit 6 (n=1077, 638, 201)3.3 ± 2.752.7 ± 2.563.9 ± 2.87
Visit 7 (n=1030, 601, 207)3.2 ± 2.702.8 ± 2.623.6 ± 2.85
Visit 8 (n=1025, 571, 221)3.3 ± 2.752.7 ± 2.593.5 ± 2.74
Visit 9 (n=982, 542, 222)3.3 ± 2.752.6 ± 2.463.5 ± 2.78
Visit 10 (n=934, 514, 225)3.1 ± 2.662.4 ± 2.533.6 ± 2.71
Visit 11 (n=925, 521, 235)3.2 ± 2.672.4 ± 2.443.6 ± 2.76
SecondaryNumber of Participants With a Draining Fistula By Study Visit

The number of participants with a draining fistula was evaluated at each study visit.

Time frame:
Up to 5 Years
Reported as:
Number · Participants
Number of Participants With a Draining Fistula By Study Visit
ParticipantsRemicadeStandard TherapySwitched to Remicade
Visit 1 (Baseline; n=1541, 1120, 0)34996NA
Visit 2 (n=1420, 920, 100)2115116
Visit 3 (n=1334, 827, 152)1704119
Visit 4 (n=1285, 779, 168)1463112
Visit 5 (n=1221, 714, 188)1252915
Visit 6 (n=1169, 666, 208)1142615
Visit 7 (n=1110, 615, 219)973115
Visit 8 (n=1097, 588, 233)1052316
Visit 9 (n=1046, 562, 229)983215
Visit 10 (n=1030, 535, 235)851520
Visit 11 (n=1006, 541, 248)871620
SecondaryNumber of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The number of participant hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit.

Time frame:
Up to 5 Years
Reported as:
Mean · Hospital Stays
Number of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months
Hospital StaysRemicadeStandard TherapySwitched to Remicade
Visit 1 (Baseline; n=1539, 1121, 0)0.7 ± 1.250.5 ± 0.81NA ± NA
Visit 2 (n=1418, 920, 100)0.3 ± 0.870.2 ± 0.500.5 ± 0.76
Visit 3 (n=1334, 827, 152)0.3 ± 0.920.1 ± 0.380.4 ± 0.86
Visit 4 (n=1285, 779, 168)0.2 ± 0.560.2 ± 3.080.2 ± 0.67
Visit 5 (n=1221, 714, 188)0.1 ± 0.540.1 ± 0.280.3 ± 0.72
Visit 6 (n=1170, 665, 208)0.1 ± 0.660.1 ± 0.330.1 ± 0.49
Visit 7 (n=1111, 615, 219)0.1 ± 0.400.1 ± 0.430.2 ± 0.55
Visit 8 (n=1099, 589, 233)0.1 ± 0.760.1 ± 0.420.1 ± 0.49
Visit 9 (n=1046, 562, 229)0.1 ± 0.680.1 ± 0.500.1 ± 0.31
Visit 10 (n=1031, 535, 235)0.1 ± 0.460.1 ± 0.420.1 ± 0.44
Visit 11 (n=1006, 541, 248)0.1 ± 0.350.1 ± 2.590.1 ± 0.42
SecondaryDuration of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months

The duration of hospital stays for Crohn's Disease in the prior 6 months was evaluated at each study visit.

Time frame:
Up to 5 Years
Reported as:
Mean · Days
Duration of Participant Hospital Stays for Crohn's Disease in the Prior 6 Months
DaysRemicadeStandard TherapySwitched to Remicade
Visit 1 (Baseline; n=657,418 ,0)12.2 ± 13.7310.8 ± 10.93NA ± NA
Visit 2 (n=304,126, 33)14.4 ± 17.8112.0 ± 14.2613.0 ± 12.23
Visit 3 (n=216, 58, 35)14.2 ± 16.839.4 ± 7.4913.5 ± 13.65
Visit 4 (n=151, 60, 24)12.6 ± 15.238.5 ± 11.879.1 ± 10.82
Visit 5 (n=105, 35, 34)11.7 ± 13.029.8 ± 9.497.1 ± 6.21
Visit 6 (n=107, 49, 19)10.8 ± 17.3313.7 ± 27.3418.3 ± 17.81
Visit 7 (n=109, 45, 25)10.6 ± 14.4110.2 ± 10.6310.0 ± 11.33
Visit 8 (n=98, 29, 23)9.5 ± 9.0416.3 ± 15.5214.7 ± 17.29
Visit 9 (n=80, 38, 17)12.4 ± 14.446.9 ± 5.7710.7 ± 17.20
Visit 10 (n=85, 29, 27)10.1 ± 12.028.0 ± 5.419.0 ± 6.40
Visit 11 (n=63, 19, 18)11.4 ± 13.248.7 ± 10.6418.1 ± 31.57
SecondaryNumber of Participant Surgical Procedures for Crohn's Disease in the Prior 6 Months

The number of participants undergoing surgical procedures for Crohn's Disease in the prior 6 months was evaluated at each study visit.

Time frame:
Up to 5 Years
Reported as:
Number · Surgical Procedures
Number of Participant Surgical Procedures for Crohn's Disease in the Prior 6 Months
Surgical ProceduresRemicadeStandard TherapySwitched to Remicade
Visit 1 (Basline; n=660, 419, 0)17181NA
Visit 2 (n=304, 126, 33)135517
Visit 3 (n=217, 57, 36)1212312
Visit 4 (n=153, 60, 24)68168
Visit 5 (n=106, 36, 34)501414
Visit 6 (n=108, 49, 19)492111
Visit 7 (n=109, 45, 25)48206
Visit 8 (n=98, 29, 23)43127
Visit 9 (n=82, 38, 17)38138
Visit 10 (n=85, 29, 27)38138
Visit 11 (n=63, 19, 18)3468

Adverse events

Collected over Up to 5 Years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard Therapy—391/1,121 (34.9%)173/1,121 (15.4%)
Remicade—792/1,541 (51.4%)441/1,541 (28.6%)
Switched to Remicade—136/298 (45.6%)51/298 (17.1%)
Most frequent serious events
Showing 10 of 670
Most frequent serious events
EventStandard TherapyRemicadeSwitched to Remicade
CROHN'S DISEASEGastrointestinal disorders131/1121298/154147/298
ANAL ABSCESSInfections and infestations17/112161/15418/298
ANAL FISTULAGastrointestinal disorders11/112147/15414/298
ABDOMINAL PAINGastrointestinal disorders29/112142/15419/298
ILEAL STENOSISGastrointestinal disorders20/112141/15419/298
INTESTINAL OBSTRUCTIONGastrointestinal disorders9/112136/15414/298
SUBILEUSGastrointestinal disorders11/112117/15416/298
EXPOSURE DURING PREGNANCYInjury, poisoning and procedural complications0/11211/15415/298
DIARRHOEAGastrointestinal disorders6/112111/15414/298
ILEUSGastrointestinal disorders12/112117/15414/298
Most frequent other events
Most frequent other events
EventStandard TherapyRemicadeSwitched to Remicade
ARTHRALGIAMusculoskeletal and connective tissue disorders124/1121281/154137/298
CROHN'S DISEASEGastrointestinal disorders64/1121153/154119/298
ABDOMINAL PAINGastrointestinal disorders41/1121100/154115/298

Baseline characteristics

298 of the 1121 participants enrolled in the Standard Therapy Group switched to Remicade during follow-up. They are included in both the Standard Therapy and Switched to Remicade treatment groups, but baseline measures (obtained at the time of their switch to Remicade) are shown as separate rows in the Baseline Measures table.

Age, Continuous
Age, Continuous(Years)RemicadeStandard Therapy GroupTotal
All Participants36.1 ± 12.9037.5 ± 12.8636.7 ± 12.90
Switched to RemicadeNA ± NA36.7 ± 12.336.7 ± 12.3
Sex/Gender, Customized
Sex/Gender, Customized(Participants)RemicadeStandard Therapy GroupTotal
Female (All Participants)9356771612
Male (All Participants)6064441050
Female (Switched to Remicade)NA191NA
Male (Switched to Remicade)NA107NA
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • D'Haens G, Reinisch W, Colombel JF, Panes J, Ghosh S, Prantera C, Lindgren S, Hommes DW, Huang Z, Boice J, Huyck S, Cornillie F; ENCORE investigators. Five-year Safety Data From ENCORE, a European Observational Safety Registry for Adults With Crohn's Disease Treated With Infliximab [Remicade(R)] or Conventional Therapy. J Crohns Colitis. 2017 Jun 1;11(6):680-689. doi: 10.1093/ecco-jcc/jjw221. PubMed 28025307 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00705614
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jun 26, 2008
Start date
Jul 2003
Primary completion
Feb 2013
Completion
Feb 2013
Results posted
Aug 26, 2014
Last update
Mar 22, 2017

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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