A Phase 2 interventional study of Placebo (IP) and Ustekinumab 1mg/kg (IP) in Crohn's Disease, sponsored by Centocor, Inc.. Completed at 178 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-04-01.
Sponsored by Centocor, Inc. · Phase 2, Interventional, and Treatment
A medical research study in adult patients who have moderate to severe Crohn's disease designed to determine whether or not treatment with an experimental drug called ustekinumab (or CNTO1275) is safe or not and to determine if the treatment will reduce the symptoms of Crohn's disease.
In Crohn's disease there is inflammation (changes in body tissue which normally happen during injury or infection) and or ulceration (open sores) in the intestines.This occurs because the immune system (the part of the body that fights off infection) has an abnormal and overactive response against the intestine and bowel tissues of the body. Crohn's disease is usually treated with medications that either directly decrease inflammation or decrease the general activity of the immune system to improve the diarrhea, abdominal pain, and other symptoms of Crohn's Disease. Ustekinumab antibodies (natural substances made by your immune system to stick to and help remove foreign materials in your body that cause diseases) have been created to stick to and block the activity of two of the immune substances thought to cause abnormal inflammation of Crohn's disease. Patients who are eligible and who have received Remicade, Humira, or Cimzia and failed or been intolerant to one of these drugs will be randomized to either active drug (ustekinumab) or placebo. All patients will be randomized (like flipping a coin) at week 0 to be in one of 4 groups. At week 0 the study drug will be given by IV administration and at weeks 8 and 16 by subcutaneous injection. There will be 11 study visits in total and the study will continue until week 36. Blood and stool samples will be collected and studied, questionnaires to check on how you are doing in terms of your disease will be completed, an Electrocardiogram (EKG) obtained, safety evaluations conducted and diary cards distributed to be completed during the entire study. One of 4 groups: Grp 1-placebo, Grp 2-active drug 1mg/kg IV, Grp 3-active drug 3mg/kg IV, Grp 4-active drug 6mg/kg IV. Based on the clinical response status at Week 6, patients from Grps 2, 3 and 4 will be re-randomized at week 8 to receive either placebo or 90 mg SC at both weeks 8 and 16 and patients from Grp 1 will receive placebo at Week 8 and Week 16 or a 270 mg SC injection at Week 8 and 90 mg SC at Week 16.
1,880 studies on the registry are indexed under Crohn Disease; 462 are open to participants now.
This study's enrollment of 526 is above the median of 66 across 1,188 interventional studies indexed under Crohn Disease.
Browse Crohn Disease studies →Centocor, Inc. is the lead sponsor of 73 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Placebo (IP)
Drug: Ustekinumab 1mg/kg (IP)
Drug: Ustekinumab 3 mg/kg (IP)
Drug: Ustekinumab 6 mg/kg (IP)
Drug: Placebo IV - Responder - Placebo SC (MP)
Drug: Placebo IV - Nonresponder - Ustekinumab 270/90 mg SC (MP)
Drug: Ustekinumab IV - Responder - Placebo SC (MP)
Drug: Ustekinumab IV - Responder - Ustekinumab 90mg SC (MP)
Drug: Ustekinumab IV - Nonresponder - Placebo SC (MP)
Drug: Ustekinumab IV - Nonresponder - Ustekinumab 90mg SC (MP)
Induction phase (Week 0-8) (IP) - Placebo IV group
Induction phase (Week 0-8) (IP) - Ustekinumab 1 mg/kg IV group
Induction phase (Week 0-8) (IP) - Ustekinumab 3mg/kg IV group
Induction phase (Week 0-8) (IP) - Ustekinumab 6mg/kg IV group
Maintenance phase (Week 8-36) (MP) - Receiving Placebo IV at Week 0 - Responder at week 6 - Receiving Placebo SC at Week 8 and Week 16
Maintenance phase (Week 8-36) (MP) - Receiving Placebo IV at Week 0 - Nonresponder at week 6 - Receiving Ustekinumab 270 mg SC at Week 8 and 90 mg at Week 16
Maintenance phase (Week 8-36) (MP) - Receiving Ustekinumab IV at Week 0 - Responder at week 6 - Receiving Placebo SC at Week 8 and Week 16
Maintenance phase (Week 8-36) (MP) - Receiving Ustekinumab IV at Week 0 - Responder at week 6 - Receiving Ustekinumab 90 mg SC at Week 8 and Week 16
Maintenance phase (Week 8-36) (MP) - Receiving Ustekinumab IV at Week 0 - Nonresponder at week 6 - Receiving Placebo SC at Week 8 and Week 16
Maintenance phase (Week 8-36) (MP) - Receiving Ustekinumab IV at Week 0 - Nonresponder at week 6 - Receiving Ustekinumab 90 mg SC at Week 8 and Week 16
Number of Participants With Clinical Response at Week 6
As measured by the Crohn's Disease Activity Index (CDAI). CDAI scores range from 0 points (minimal disease activity) to over 600 points (severe disease activity). Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
Time frame: Baseline to Week 6
Number of Participants With Clinical Remission at Week 6
As measured by a CDAI score of \< 150 points.
Time frame: Baseline to Week 6
Number of Participants With Clinical Response at Week 4
As measured by the CDAI. Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
Time frame: Baseline to Week 4
Number of Participants With Clinical Response at Week 8
As measured by the CDAI. Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
Time frame: Baseline to Week 8
Number of Participants With Clinical Remission at Week 8
As measured by a CDAI score of \< 150 points.
Time frame: Baseline to Week 8
Number of Participants With Clinical Remission at Week 22 (Among Responders From Week 6)
As measured by a CDAI score of \< 150 points.
Time frame: Baseline to Week 22
Number of Participants With Clinical Response at Week 22 (Among Responders From Week 6)
As measured by the CDAI. Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
Time frame: Baseline to Week 22
| Milestone | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) | Placebo IV -> Responder -> Placebo SC (MP) | Placebo IV -> Nonresponder -> Ustekinumab 270/90 mg SC (MP) | Ustekinumab IV -> Responder -> Placebo SC (MP) | Ustekinumab IV -> Responder -> Ustekinumab 90mg SC (MP) | Ustekinumab IV -> Nonresponder -> Placebo SC (MP) | Ustekinumab IV -> Nonresponder -> Ustekinumab 90mg SC (MP) |
|---|---|---|---|---|---|---|---|---|---|---|
| Started | 132 | 131 | 132 | 131 | 0 | 0 | 0 | 0 | 0 | 0 |
| Completed | 113 | 121 | 120 | 123 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 19 | 10 | 12 | 8 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Adverse event | 5 | 2 | 4 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Lack of efficacy | 9 | 2 | 4 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Other | 4 | 6 | 3 | 4 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) | Placebo IV -> Responder -> Placebo SC (MP) | Placebo IV -> Nonresponder -> Ustekinumab 270/90 mg SC (MP) | Ustekinumab IV -> Responder -> Placebo SC (MP) | Ustekinumab IV -> Responder -> Ustekinumab 90mg SC (MP) | Ustekinumab IV -> Nonresponder -> Placebo SC (MP) | Ustekinumab IV -> Nonresponder -> Ustekinumab 90mg SC (MP) |
|---|---|---|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 28 | 85 | 73 | 72 | 110 | 109 |
| Completed | 0 | 0 | 0 | 0 | 26 | 78 | 63 | 67 | 88 | 92 |
| Not completed | 0 | 0 | 0 | 0 | 2 | 7 | 10 | 5 | 22 | 17 |
| Withdrew: Adverse event | 0 | 0 | 0 | 0 | 1 | 3 | 5 | 1 | 8 | 7 |
| Withdrew: Lack of efficacy | 0 | 0 | 0 | 0 | 1 | 3 | 3 | 2 | 11 | 7 |
| Withdrew: Other | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 2 | 3 | 3 |
As measured by the Crohn's Disease Activity Index (CDAI). CDAI scores range from 0 points (minimal disease activity) to over 600 points (severe disease activity). Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
| Participants | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) |
|---|---|---|---|---|
| Number of Participants With Clinical Response at Week 6 | 31 | 48 | 45 | 52 |
As measured by a CDAI score of \< 150 points.
| Participants | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) |
|---|---|---|---|---|
| Number of Participants With Clinical Remission at Week 6 | 14 | 21 | 21 | 16 |
As measured by the CDAI. Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
| Participants | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) |
|---|---|---|---|---|
| Number of Participants With Clinical Response at Week 4 | 22 | 36 | 49 | 40 |
As measured by the CDAI. Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
| Participants | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) |
|---|---|---|---|---|
| Number of Participants With Clinical Response at Week 8 | 23 | 42 | 42 | 57 |
As measured by a CDAI score of \< 150 points.
| Participants | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) |
|---|---|---|---|---|
| Number of Participants With Clinical Remission at Week 8 | 14 | 23 | 24 | 24 |
As measured by a CDAI score of \< 150 points.
| Participants | Placebo SC | Ustekinumab 90 mg SC |
|---|---|---|
| Number of Participants With Clinical Remission at Week 22 (Among Responders From Week 6) | 20 | 30 |
As measured by the CDAI. Clinical response was defined as a reduction from baseline of ≥ 100 points. Participants with a baseline CDAI of ≥ 220 to ≤ 248 were considered to be in clinical response if a CDAI score of \< 150 was attained.
| Participants | Placebo SC | Ustekinumab 90 mg SC |
|---|---|---|
| Number of Participants With Clinical Response at Week 22 (Among Responders From Week 6) | 31 | 50 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo (IP) | — | 11/132 (8.3%) | 53/132 (40.2%) |
| Ustekinumab 1 mg/kg (IP) | — | 6/130 (4.6%) | 51/130 (39.2%) |
| Ustekinumab 3 mg/kg (IP) | — | 8/133 (6%) | 50/133 (37.6%) |
| Ustekinumab 6 mg/kg (IP) | — | 9/131 (6.9%) | 47/131 (35.9%) |
| Placebo IV -> Responder -> Placebo SC (MP) | — | 8/28 (28.6%) | 18/28 (64.3%) |
| Placebo IV -> Nonresponder -> Ustekinumab 270/90 mg SC (MP) | — | 16/85 (18.8%) | 47/85 (55.3%) |
| Ustekinumab IV -> Responder -> Placebo SC (MP) | — | 12/73 (16.4%) | 39/73 (53.4%) |
| Ustekinumab IV -> Responder -> Ustekinumab 90mg SC (MP) | — | 9/72 (12.5%) | 39/72 (54.2%) |
| Ustekinumab IV -> Nonresponder -> Placebo SC (MP) | — | 21/110 (19.1%) | 64/110 (58.2%) |
| Ustekinumab IV -> Nonresponder -> Ustekinumab 90mg SC (MP) | — | 22/109 (20.2%) | 52/109 (47.7%) |
| Event | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) | Placebo IV -> Responder -> Placebo SC (MP) | Placebo IV -> Nonresponder -> Ustekinumab 270/90 mg SC (MP) | Ustekinumab IV -> Responder -> Placebo SC (MP) | Ustekinumab IV -> Responder -> Ustekinumab 90mg SC (MP) | Ustekinumab IV -> Nonresponder -> Placebo SC (MP) | Ustekinumab IV -> Nonresponder -> Ustekinumab 90mg SC (MP) |
|---|---|---|---|---|---|---|---|---|---|---|
| Crohn's diseaseGastrointestinal disorders | 5/132 | 2/130 | 4/133 | 2/131 | 3/28 | 8/85 | 7/73 | 4/72 | 8/110 | 10/109 |
| ConstipationGastrointestinal disorders | 1/132 | 0/130 | 0/133 | 0/131 | 1/28 | 0/85 | 0/73 | 0/72 | 0/110 | 0/109 |
| Perirectal abscessInfections and infestations | 0/132 | 0/130 | 0/133 | 0/131 | 1/28 | 0/85 | 0/73 | 0/72 | 0/110 | 0/109 |
| Decreased appetiteMetabolism and nutrition disorders | 0/132 | 0/130 | 0/133 | 0/131 | 1/28 | 1/85 | 0/73 | 0/72 | 0/110 | 0/109 |
| Intervertebral disc disorderMusculoskeletal and connective tissue disorders | 0/132 | 0/130 | 0/133 | 0/131 | 1/28 | 0/85 | 0/73 | 0/72 | 0/110 | 0/109 |
| Ovarian cystReproductive system and breast disorders | 0/132 | 0/130 | 0/133 | 0/131 | 1/28 | 0/85 | 0/73 | 0/72 | 0/110 | 0/109 |
| Abdominal painGastrointestinal disorders | 0/132 | 0/130 | 1/133 | 0/131 | 0/28 | 1/85 | 1/73 | 0/72 | 1/110 | 3/109 |
| Abdominal abscessInfections and infestations | 0/132 | 0/130 | 0/133 | 0/131 | 0/28 | 0/85 | 0/73 | 0/72 | 2/110 | 0/109 |
| Anal abscessInfections and infestations | 2/132 | 0/130 | 0/133 | 1/131 | 0/28 | 0/85 | 0/73 | 1/72 | 0/110 | 0/109 |
| ProctalgiaGastrointestinal disorders | 0/132 | 1/130 | 0/133 | 0/131 | 0/28 | 0/85 | 0/73 | 1/72 | 0/110 | 0/109 |
| Event | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) | Placebo IV -> Responder -> Placebo SC (MP) | Placebo IV -> Nonresponder -> Ustekinumab 270/90 mg SC (MP) | Ustekinumab IV -> Responder -> Placebo SC (MP) | Ustekinumab IV -> Responder -> Ustekinumab 90mg SC (MP) | Ustekinumab IV -> Nonresponder -> Placebo SC (MP) | Ustekinumab IV -> Nonresponder -> Ustekinumab 90mg SC (MP) |
|---|---|---|---|---|---|---|---|---|---|---|
| Crohn's diseaseGastrointestinal disorders | 8/132 | 5/130 | 3/133 | 3/131 | 10/28 | 9/85 | 16/73 | 7/72 | 19/110 | 10/109 |
| CoughRespiratory, thoracic and mediastinal disorders | 3/132 | 6/130 | 4/133 | 3/131 | 4/28 | 2/85 | 4/73 | 1/72 | 3/110 | 4/109 |
| NasopharyngitisInfections and infestations | 6/132 | 7/130 | 7/133 | 8/131 | 1/28 | 12/85 | 6/73 | 5/72 | 0/110 | 6/109 |
| Abdominal painGastrointestinal disorders | 9/132 | 5/130 | 8/133 | 7/131 | 1/28 | 4/85 | 8/73 | 3/72 | 10/110 | 7/109 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 4/132 | 8/130 | 8/133 | 6/131 | 2/28 | 7/85 | 3/73 | 5/72 | 12/110 | 5/109 |
| NauseaGastrointestinal disorders | 11/132 | 9/130 | 1/133 | 8/131 | 3/28 | 8/85 | 5/73 | 7/72 | 8/110 | 4/109 |
| HeadacheNervous system disorders | 8/132 | 8/130 | 9/133 | 13/131 | 1/28 | 5/85 | 4/73 | 4/72 | 7/110 | 8/109 |
| PyrexiaGeneral disorders | 3/132 | 5/130 | 4/133 | 3/131 | 1/28 | 8/85 | 2/73 | 1/72 | 9/110 | 6/109 |
| VomitingGastrointestinal disorders | 3/132 | 2/130 | 3/133 | 3/131 | 0/28 | 2/85 | 4/73 | 6/72 | 6/110 | 5/109 |
| Upper respiratory tract infectionInfections and infestations | 0/132 | 5/130 | 4/133 | 5/131 | 2/28 | 2/85 | 4/73 | 6/72 | 7/110 | 7/109 |
| Age Continuous(years) | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) | Total |
|---|---|---|---|---|---|
| Mean | 39.5 ± 13.05 | 38.8 ± 11.95 | 38.2 ± 12.63 | 39.4 ± 13.21 | 39 ± 12.69 |
| Sex: Female, Male(Participants) | Placebo (IP) | Ustekinumab 1 mg/kg (IP) | Ustekinumab 3 mg/kg (IP) | Ustekinumab 6 mg/kg (IP) | Total |
|---|---|---|---|---|---|
| Female | 68 | 83 | 75 | 83 | 309 |
| Male | 64 | 48 | 57 | 48 | 217 |
Showing the first 100 of 178 sites across 12 countries.
This study is completed, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.
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Centocor, Inc.