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CompletedNCT00844285SECUREUpdated May 6, 2023Results posted

SECURE, the Cimzia ® Crohn's Disease Post-Marketing Registry

An observational study in Crohn's Disease, sponsored by UCB BIOSCIENCES, Inc.. Completed at 197 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-06.

Sponsored by UCB BIOSCIENCES, Inc. (part of UCB S.A.) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,072
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to monitor safety outcomes of patients who have taken Cimzia® as compared to a non- Cimzia® control population. The SECURE Registry's target enrollment is 3045 patients and it's objective is to monitor patients for approximately 8 years.

Read the detailed description

Physicians are expected to manage patients as they would under normal practice conditions; patients will receive and use their medications according to their normal course of medical treatment.

02

Conditions studied

  • Crohn's Disease

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Keywords

  • Certolizumab Pegol, Cimzia ®
  • Crohn's Disease
03

In context

Crohn Disease

1,923 studies on the registry are indexed under Crohn Disease; 467 are open to participants now.

This study's enrollment of 3,072 is above the median of 166 across 624 observational studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

UCB BIOSCIENCES, Inc. is the lead sponsor of 29 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) 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

Patients of selected gastroenterologists and internal medicine physicians from both community-based and academic practice settings (75% and 25% respectively) Each physician should be able to recruit a minimum of 5 patients prescribed Cimzia® and/or 5 patients prescribed other treatments.

Recruitment into both cohorts will be monitored and controlled as needed in order to ensure balanced enrollment over time. In order to ensure reasonable balance between both cohorts, retrospective frequency matching will be applied for disease severity (mild/moderate/severe), age categories and gender.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient must have medically documented Crohn's disease (CD)
  • The decision to prescribe Cimzia or other medications has been made by the physician independent of inclusion in this study
  • Patient (or his/her legally acceptable representative) is able to provide written informed consent to permit collection of data
  • Patients participating in randomized, blinded clinical trials for CD or other conditions are not eligible for inclusion into the SECURE registry. Involvement in other registries, where patients follow routine clinical practice, is permitted, however
  • For the Cimzia cohort: Patient is receiving treatment with Cimzia for the first time. Patient must receive Cimzia treatment within 2 months of enrollment into the registry
  • Patient is currently receiving treatment with Cimzia for \<=12 months. Patient must also receive a Cimzia dose within 2 months following enrollment into the registry
  • For the comparison cohort: Patient is switching CD treatment or beginning CD treatment for the first time. Previous Cimzia treatment is prohibited in the comparator group. Patient must receive new CD treatment within 2 months of enrollment into the registry. Patient is currently receiving anti-TNF treatment for \<=12 months. Patient must receive anti-TNF treatment within 2 months following enrollment into the registry. Patient is currently receiving immunosuppressant therapy for \<=12 months. Patient must receive immunosuppressant therapy within 2 months following enrollment into the registry. Patient is currently receiving systemic steroid therapy for \<=12 months. Patient must receive systemic steroid therapy within 2 months following enrollment into registry.

Exclusion criteria

Exclusion Criteria:

  • See inclusion criteria
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,072 participants (actual)
Patient registry
No

Groups and cohorts

  • Cimzia Cohort:

    Patients about to receive treatment with Cimzia® as part of pre-existing management plan for Crohn's disease or has already been receiving treatment with Cimzia® for ≤12 months. Patients must also receive a Cimzia dose within 2 months following enrollment.

    Drug: Cimzia

  • Comparison cohort

    Patient must be about to receive treatment with any other medication as part of a pre-existing management plan for Crohn's disease or has already been receiving treatment (previous Cimzia® treatment is prohibited).

Interventions

  • DrugCimzia

    The associated drug description is a total of two 200 mg subcutaneous injections of Cimzia to total 400 mg.

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events of Interest Per 100 Participants-Years By Actual Treatment (Malignancy Rules)

    Incidence rate is defined as the number of participants experiencing the event of interest divided by the number person-years without an event (time up to the event for participants experiencing an event, and the full study time for those without). Adverse events of interest included malignant or unspecified tumor, serious infections, opportunistic infections, serious cardiovascular events, congestive heart failure, demyelinating-like disorders, aplastic anemia, pancytopenia, thrombocytopenia, neutropenia, leucopenia, serious bleeding events, lupus and lupus-like illness, serious skin reactions, hepatic events, hypersensitivity reactions and anaphylactic reactions, malignant lymphomas, non-melanoma skin cancer, autoimmune disorders. Treatment groups are based upon actual treatment conservatively assigning participant time and events to CZP even after stopping CZP. Data for malignant or unspecified tumor as per malignancy rules has been reported in this outcome measure.

    Time frame: Baseline up to 10 years

  2. Incidence of Adverse Events of Interest Per 100 Participant-Years By Actual Treatment (Acute Event Rules)

    Incidence rate is defined as the number of participants experiencing the event of interest divided by the number person-years without an event (time up to the event for participants experiencing an event, and the full study time for those without an event of interest). Adverse events of interest (AEoI) included malignant or unspecified tumor, serious infections, opportunistic infections, serious cardiovascular events, congestive heart failure, demyelinating-like disorders, aplastic anemia, pancytopenia, thrombocytopenia, neutropenia, leucopenia, serious bleeding events, lupus and lupus-like illness, serious skin reactions, hepatic events, hypersensitivity reactions and anaphylactic reactions, malignant lymphomas, non-melanoma skin cancer, autoimmune disorders. Data for AEoIs as per acute event rules has been reported in this outcome measure where the AEoI is assigned to the treatment the participant is on at the time of the event.

    Time frame: Baseline up to 10 years

Secondary outcomes

  1. Change From Baseline in Physician's Harvey Bradshaw Index (HBI) Total Score to Each Post-Baseline Assessment

    HBI measured 5 parameters: the general well-being (0= very well to 4= terrible), abdominal pain (0= none to 3= severe), number of liquid stools per day (0 to no maximum score), presence of an abdominal mass on physical exam (0= none to 3= definite and tender), and whether there are any complications \[1 per item: joint pain (arthralgia), eye inflammation (uveitis), red nodules on skin (erythema nodosum), canker sores (aphthous ulcers), skin wound/ulcers (pyoderma gangrenosum), tear in skin of anal area (anal fissure), fluid or pus drainage from anal area (new fistula), and abscess\]. The total HBI score was sum of all the 5 individual parameters, where minimum score was 0 and there was no pre-specified maximum score as it was dependent on the number of liquids stools. Higher HBI scores indicated greater disease activity. A negative change indicated less disease activity.

    Time frame: Month 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, and 108, compared to Baseline

  2. Change From Baseline in Patient's Harvey Bradshaw Index (HBI) Total Score to Each Post-Baseline Assessment

    HBI response determined based on patient reported HBI total scores was defined as a drop of at least 3 points from baseline HBI total score. Patient reported HBI was composed of 4 parameters: the general well-being (0= very well to 4= terrible), abdominal pain (0= none to 3= severe), number of liquid stools per day (0 to no maximum score), and whether there are any complications \[1 per item: joint pain (arthralgia), eye inflammation (uveitis), red nodules on skin (erythema nodosum), canker sores (aphthous ulcers), skin wound/ulcers (pyoderma gangrenosum), tear in skin of anal area (anal fissure), fluid or pus drainage from anal area (new fistula), and abscess\]. The total HBI score was sum of all the 4 individual parameters, where minimum score was 0 and there was no pre-specified maximum score as it was dependent on the number of liquids stools. Higher HBI scores indicated greater disease activity. A negative change indicated less disease activity.

    Time frame: Month 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81, 84, 87, 90, 93, 96, 99, 102, 105 and 108, compared to Baseline

  3. Change From Baseline in Physician's Assessment of Disease Total Score to Each Post-Baseline Assessment

    Physician assessment of disease severity was measured by the general well-being component of HBI score and had a score range of 0= very well to 4= terrible. Higher scores indicated greater disease activity. A negative change indicated less disease activity.

    Time frame: Month 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, and 108, compared to Baseline

  4. Change From Baseline in Patient's Assessment of Disease Total Score to Each Post-Baseline Assessment

    Patient assessment of disease severity was measured by the general well-being component of HBI score and had a score range of 0= very well to 4= terrible. Higher scores indicated greater disease activity. A negative change indicated less disease activity.

    Time frame: Month 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81, 84, 87, 90, 93, 96, 99, 102, 105 and 108, compared to Baseline

07

Results

Posted May 6, 2023

Participant flow

The study started to enroll study participants in January 2009 and concluded in August 2020.

Participant flow — Overall Study
MilestoneCimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)
Started11311666275
Completed42623
Not completed10891604272
Withdrew: Other010
Withdrew: Other than specified9512912
Withdrew: Site closure25645050
Withdrew: Follow-up < 8 years16234
Withdrew: Protocol violation262854
Withdrew: Death22218
Withdrew: Withdrew consent34446670
Withdrew: Lost to follow-up33048674

Outcome measures

PrimaryIncidence of Adverse Events of Interest Per 100 Participants-Years By Actual Treatment (Malignancy Rules)

Incidence rate is defined as the number of participants experiencing the event of interest divided by the number person-years without an event (time up to the event for participants experiencing an event, and the full study time for those without). Adverse events of interest included malignant or unspecified tumor, serious infections, opportunistic infections, serious cardiovascular events, congestive heart failure, demyelinating-like disorders, aplastic anemia, pancytopenia, thrombocytopenia, neutropenia, leucopenia, serious bleeding events, lupus and lupus-like illness, serious skin reactions, hepatic events, hypersensitivity reactions and anaphylactic reactions, malignant lymphomas, non-melanoma skin cancer, autoimmune disorders. Treatment groups are based upon actual treatment conservatively assigning participant time and events to CZP even after stopping CZP. Data for malignant or unspecified tumor as per malignancy rules has been reported in this outcome measure.

Time frame:
Baseline up to 10 years
Reported as:
Number · no. of events per 100 participant-years
Incidence of Adverse Events of Interest Per 100 Participants-Years By Actual Treatment (Malignancy Rules)
no. of events per 100 participant-yearsCimziaComparator
Incidence of Adverse Events of Interest Per 100 Participants-Years By Actual Treatment (Malignancy Rules)0.45 (0.31 to 0.65)0.65 (0.48 to 0.86)
PrimaryIncidence of Adverse Events of Interest Per 100 Participant-Years By Actual Treatment (Acute Event Rules)

Incidence rate is defined as the number of participants experiencing the event of interest divided by the number person-years without an event (time up to the event for participants experiencing an event, and the full study time for those without an event of interest). Adverse events of interest (AEoI) included malignant or unspecified tumor, serious infections, opportunistic infections, serious cardiovascular events, congestive heart failure, demyelinating-like disorders, aplastic anemia, pancytopenia, thrombocytopenia, neutropenia, leucopenia, serious bleeding events, lupus and lupus-like illness, serious skin reactions, hepatic events, hypersensitivity reactions and anaphylactic reactions, malignant lymphomas, non-melanoma skin cancer, autoimmune disorders. Data for AEoIs as per acute event rules has been reported in this outcome measure where the AEoI is assigned to the treatment the participant is on at the time of the event.

Time frame:
Baseline up to 10 years
Reported as:
Number · no. of events per 100 participant-years
Incidence of Adverse Events of Interest Per 100 Participant-Years By Actual Treatment (Acute Event Rules)
no. of events per 100 participant-yearsCimziaComparatorOverlapGap (No Cimzia and no Comparator at Baseline)Cimzia + Overlap
Malignant or Unspecified Tumor0.35 (0.12 to 0.83)0.59 (0.44 to 0.77)0.60 (0.28 to 1.15)0.56 (0.29 to 0.97)0.48 (0.26 to 0.81)
Serious infections2.03 (1.35 to 2.94)1.59 (1.34 to 1.88)6.15 (4.90 to 7.61)1.46 (0.98 to 2.08)4.08 (3.36 to 4.91)
Opportunistic infections0.14 (0.02 to 0.50)0.08 (0.03 to 0.16)0.20 (0.04 to 0.59)0.09 (0.01 to 0.33)0.17 (0.06 to 0.40)
Serious cardiovascular events0.14 (0.02 to 0.50)0.13 (0.07 to 0.23)0.34 (0.11 to 0.78)0.23 (0.07 to 0.53)0.24 (0.10 to 0.49)
Congestive heart failure0 (0 to 0)0.08 (0.03 to 0.15)0.07 (0.00 to 0.37)0 (0 to 0)0.03 (0.00 to 0.19)
Demyelinating-like disorders0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Aplastic Anemia, Pancytopenia, Thrombocytopenia, Neutropenia, Leucopenia0 (0 to 0)0.08 (0.03 to 0.15)0.27 (0.07 to 0.68)0.14 (0.03 to 0.40)0.14 (0.04 to 0.35)
Serious bleeding events0.28 (0.08 to 0.73)0.23 (0.14 to 0.35)0.47 (0.19 to 0.97)0.14 (0.03 to 0.40)0.38 (0.19 to 0.68)
Lupus and lupus-like illness0 (0 to 0)0.06 (0.02 to 0.14)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Serious skin reactions0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)0 (0 to 0)
Hepatic Events0.07 (0.00 to 0.39)0.09 (0.04 to 0.17)0.13 (0.02 to 0.48)0.05 (0.00 to 0.25)0.10 (0.02 to 0.30)
Hypersensitivity reactions and anaphylactic reactions0.28 (0.08 to 0.72)0.11 (0.05 to 0.20)0.60 (0.28 to 1.14)0 (0 to 0)0.44 (0.24 to 0.76)
Malignant lymphomas0.07 (0.00 to 0.39)0.04 (0.01 to 0.11)0.13 (0.02 to 0.48)0 (0 to 0)0.10 (0.02 to 0.30)
Non-melanoma skin cancer0.14 (0.02 to 0.51)0.24 (0.15 to 0.36)0.20 (0.04 to 0.59)0.05 (0.00 to 0.25)0.17 (0.06 to 0.40)
Autoimmune disorders0.35 (0.11 to 0.82)0.36 (0.25 to 0.50)0.27 (0.07 to 0.69)0.23 (0.07 to 0.53)0.31 (0.14 to 0.59)
SecondaryChange From Baseline in Physician's Harvey Bradshaw Index (HBI) Total Score to Each Post-Baseline Assessment

HBI measured 5 parameters: the general well-being (0= very well to 4= terrible), abdominal pain (0= none to 3= severe), number of liquid stools per day (0 to no maximum score), presence of an abdominal mass on physical exam (0= none to 3= definite and tender), and whether there are any complications \[1 per item: joint pain (arthralgia), eye inflammation (uveitis), red nodules on skin (erythema nodosum), canker sores (aphthous ulcers), skin wound/ulcers (pyoderma gangrenosum), tear in skin of anal area (anal fissure), fluid or pus drainage from anal area (new fistula), and abscess\]. The total HBI score was sum of all the 5 individual parameters, where minimum score was 0 and there was no pre-specified maximum score as it was dependent on the number of liquids stools. Higher HBI scores indicated greater disease activity. A negative change indicated less disease activity.

Time frame:
Month 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, and 108, compared to Baseline
Reported as:
Mean · units on a scale
Change From Baseline in Physician's Harvey Bradshaw Index (HBI) Total Score to Each Post-Baseline Assessment
units on a scaleCimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)
Month 6-1.1 ± 4.3-0.7 ± 3.8-1.3 ± 4.7
Month 12-1.2 ± 5.3-0.8 ± 3.8-1.3 ± 4.9
Month 18-1.6 ± 4.6-0.8 ± 4.2-1.8 ± 5.5
Month 24-1.9 ± 4.7-1.2 ± 3.7-1.3 ± 4.9
Month 30-1.6 ± 4.7-1.1 ± 3.9-1.1 ± 4.5
Month 36-1.8 ± 5.2-1.1 ± 3.6-1.9 ± 5.1
Month 42-1.6 ± 5.1-0.9 ± 4.1-2.3 ± 4.0
Month 48-1.1 ± 4.8-0.8 ± 3.9-1.9 ± 4.0
Month 54-1.7 ± 4.8-0.8 ± 4.1-1.2 ± 4.4
Month 60-2.0 ± 4.9-0.6 ± 4.0-1.0 ± 5.3
Month 66-1.1 ± 4.5-0.8 ± 4.0-2.4 ± 4.6
Month 72-1.9 ± 4.8-0.6 ± 3.7-1.6 ± 3.2
Month 78-1.5 ± 4.7-0.6 ± 4.5-1.7 ± 4.2
Month 84-2.3 ± 4.9-0.8 ± 4.5-1.2 ± 4.5
Month 90-1.9 ± 4.7-0.9 ± 3.9-2.0 ± 3.9
Month 96-2.4 ± 4.3-1.0 ± 3.8-1.6 ± 4.2
Month 102-1.9 ± 3.9-1.6 ± 3.9-0.3 ± 3.0
Month 108-1.8 ± 1.9-0.8 ± 5.30.0 ± 1.5
SecondaryChange From Baseline in Patient's Harvey Bradshaw Index (HBI) Total Score to Each Post-Baseline Assessment

HBI response determined based on patient reported HBI total scores was defined as a drop of at least 3 points from baseline HBI total score. Patient reported HBI was composed of 4 parameters: the general well-being (0= very well to 4= terrible), abdominal pain (0= none to 3= severe), number of liquid stools per day (0 to no maximum score), and whether there are any complications \[1 per item: joint pain (arthralgia), eye inflammation (uveitis), red nodules on skin (erythema nodosum), canker sores (aphthous ulcers), skin wound/ulcers (pyoderma gangrenosum), tear in skin of anal area (anal fissure), fluid or pus drainage from anal area (new fistula), and abscess\]. The total HBI score was sum of all the 4 individual parameters, where minimum score was 0 and there was no pre-specified maximum score as it was dependent on the number of liquids stools. Higher HBI scores indicated greater disease activity. A negative change indicated less disease activity.

Time frame:
Month 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81, 84, 87, 90, 93, 96, 99, 102, 105 and 108, compared to Baseline
Reported as:
Mean · units on a scale
Change From Baseline in Patient's Harvey Bradshaw Index (HBI) Total Score to Each Post-Baseline Assessment
units on a scaleCimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)
Month 30.6 ± 4.40.2 ± 3.50.1 ± 4.7
Month 60.2 ± 4.9-0.1 ± 3.8-0.0 ± 4.0
Month 9-0.0 ± 4.70.1 ± 3.9-0.1 ± 4.7
Month 12-0.5 ± 4.4-0.0 ± 3.80.1 ± 4.6
Month 15-0.6 ± 4.4-0.2 ± 3.6-0.5 ± 4.1
Month 18-0.7 ± 4.6-0.1 ± 3.6-0.3 ± 4.0
Month 21-0.7 ± 4.9-0.2 ± 3.60.3 ± 5.5
Month 24-0.6 ± 5.1-0.1 ± 3.6-0.8 ± 4.7
Month 27-0.6 ± 4.9-0.0 ± 3.6-0.1 ± 4.7
Month 30-0.7 ± 5.0-0.1 ± 3.7-0.3 ± 5.3
Month 33-0.9 ± 4.8-0.1 ± 3.7-0.3 ± 5.0
Month 36-0.6 ± 5.6-0.3 ± 4.0-0.6 ± 6.0
Month 39-0.5 ± 5.8-0.3 ± 3.6-0.8 ± 5.3
Month 42-0.4 ± 4.8-0.2 ± 3.9-0.8 ± 5.2
Month 45-0.5 ± 4.7-0.0 ± 4.1-1.2 ± 4.4
Month 48-0.7 ± 5.1-0.0 ± 4.0-0.1 ± 4.7
Month 51-0.5 ± 5.0-0.1 ± 4.3-0.8 ± 5.0
Month 54-0.6 ± 4.9-0.2 ± 4.0-0.6 ± 7.7
Month 57-1.0 ± 4.9-0.2 ± 3.8-1.1 ± 5.9
Month 60-1.2 ± 4.8-0.2 ± 4.3-0.6 ± 6.2
Month 63-1.2 ± 4.6-0.4 ± 3.8-0.3 ± 5.7
Month 66-1.1 ± 4.9-0.2 ± 4.0-0.2 ± 6.7
Month 69-1.0 ± 4.7-0.3 ± 3.8-0.7 ± 5.3
Month 72-0.8 ± 5.1-0.2 ± 3.9-1.0 ± 3.9
Month 75-0.6 ± 5.9-0.1 ± 4.7-1.1 ± 3.6
Month 78-1.0 ± 5.1-0.1 ± 4.1-0.6 ± 4.7
Month 81-1.1 ± 5.1-0.3 ± 4.0-0.5 ± 3.2
Month 84-1.0 ± 5.0-0.3 ± 4.2-0.5 ± 3.0
Month 87-0.5 ± 5.4-0.2 ± 4.4-0.5 ± 3.5
Month 90-0.7 ± 5.20.0 ± 4.70.3 ± 5.2
Month 93-1.3 ± 5.0-0.4 ± 4.3-0.6 ± 3.4
Month 96-1.1 ± 5.7-0.5 ± 4.60.3 ± 3.3
Month 99-2.2 ± 6.1-0.4 ± 3.9-0.6 ± 3.5
Month 1020.2 ± 3.30.2 ± 2.41.3 ± 3.7
Month 105-1.5 ± 2.12.3 ± 2.30.7 ± 2.6
Month 1088.02.0 ± 1.71.3 ± 3.0
SecondaryChange From Baseline in Physician's Assessment of Disease Total Score to Each Post-Baseline Assessment

Physician assessment of disease severity was measured by the general well-being component of HBI score and had a score range of 0= very well to 4= terrible. Higher scores indicated greater disease activity. A negative change indicated less disease activity.

Time frame:
Month 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, and 108, compared to Baseline
Reported as:
Mean · units on a scale
Change From Baseline in Physician's Assessment of Disease Total Score to Each Post-Baseline Assessment
units on a scaleCimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)
Month 6-0.4 ± 0.9-0.2 ± 0.8-0.3 ± 0.9
Month 12-0.5 ± 1.0-0.3 ± 0.9-0.3 ± 0.9
Month 18-0.5 ± 1.0-0.3 ± 0.9-0.3 ± 0.9
Month 24-0.6 ± 1.0-0.3 ± 0.9-0.4 ± 0.9
Month 30-0.6 ± 1.0-0.3 ± 0.9-0.4 ± 0.9
Month 36-0.6 ± 1.0-0.4 ± 0.9-0.5 ± 0.9
Month 42-0.6 ± 1.0-0.3 ± 0.9-0.5 ± 0.8
Month 48-0.6 ± 1.0-0.3 ± 0.9-0.4 ± 0.9
Month 54-0.6 ± 1.0-0.4 ± 1.0-0.4 ± 1.0
Month 60-0.7 ± 1.0-0.3 ± 0.9-0.4 ± 0.9
Month 66-0.7 ± 0.9-0.3 ± 0.9-0.4 ± 0.8
Month 72-0.7 ± 1.0-0.3 ± 1.0-0.4 ± 0.9
Month 78-0.7 ± 0.9-0.4 ± 0.9-0.5 ± 0.9
Month 84-0.5 ± 1.0-0.4 ± 0.9-0.5 ± 0.8
Month 90-0.6 ± 0.9-0.4 ± 0.9-0.7 ± 0.8
Month 96-0.6 ± 1.0-0.3 ± 0.9-0.4 ± 1.0
Month 102-0.4 ± 1.1-0.4 ± 1.1-0.1 ± 0.8
Month 108-0.3 ± 1.0-0.1 ± 1.1-0.3 ± 0.5
SecondaryChange From Baseline in Patient's Assessment of Disease Total Score to Each Post-Baseline Assessment

Patient assessment of disease severity was measured by the general well-being component of HBI score and had a score range of 0= very well to 4= terrible. Higher scores indicated greater disease activity. A negative change indicated less disease activity.

Time frame:
Month 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81, 84, 87, 90, 93, 96, 99, 102, 105 and 108, compared to Baseline
Reported as:
Mean · units on a scale
Change From Baseline in Patient's Assessment of Disease Total Score to Each Post-Baseline Assessment
units on a scaleCimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)
Month 3-0.0 ± 0.8-0.0 ± 0.7-0.1 ± 0.9
Month 6-0.2 ± 0.9-0.1 ± 0.8-0.1 ± 0.8
Month 9-0.2 ± 0.9-0.1 ± 0.9-0.3 ± 0.9
Month 12-0.2 ± 0.9-0.1 ± 0.8-0.2 ± 0.8
Month 15-0.3 ± 0.9-0.1 ± 0.8-0.2 ± 0.9
Month 18-0.3 ± 0.9-0.2 ± 0.9-0.2 ± 0.8
Month 21-0.3 ± 0.9-0.2 ± 0.8-0.3 ± 1.0
Month 24-0.3 ± 1.0-0.2 ± 0.9-0.3 ± 1.0
Month 27-0.3 ± 1.0-0.2 ± 0.8-0.4 ± 0.9
Month 30-0.3 ± 1.0-0.2 ± 0.8-0.4 ± 0.9
Month 33-0.4 ± 1.0-0.2 ± 0.9-0.3 ± 0.9
Month 36-0.4 ± 1.0-0.2 ± 0.9-0.4 ± 0.9
Month 39-0.3 ± 1.0-0.2 ± 0.9-0.3 ± 1.1
Month 42-0.4 ± 1.0-0.2 ± 0.9-0.4 ± 0.9
Month 45-0.3 ± 1.0-0.1 ± 0.8-0.6 ± 0.8
Month 48-0.4 ± 1.0-0.2 ± 0.8-0.3 ± 0.9
Month 51-0.4 ± 1.0-0.2 ± 0.8-0.3 ± 0.9
Month 54-0.4 ± 1.0-0.2 ± 0.9-0.2 ± 1.0
Month 57-0.4 ± 1.0-0.2 ± 0.8-0.4 ± 0.9
Month 60-0.5 ± 1.0-0.3 ± 0.9-0.3 ± 0.9
Month 63-0.5 ± 1.0-0.2 ± 0.9-0.1 ± 1.0
Month 66-0.5 ± 0.9-0.2 ± 0.8-0.3 ± 0.9
Month 69-0.5 ± 1.0-0.2 ± 0.9-0.3 ± 0.9
Month 72-0.5 ± 0.9-0.2 ± 0.9-0.4 ± 0.8
Month 75-0.4 ± 0.9-0.2 ± 0.9-0.4 ± 0.9
Month 78-0.4 ± 0.9-0.2 ± 0.9-0.3 ± 0.9
Month 81-0.5 ± 0.9-0.3 ± 0.9-0.2 ± 0.9
Month 84-0.5 ± 0.9-0.3 ± 0.9-0.3 ± 0.9
Month 87-0.4 ± 0.9-0.2 ± 0.9-0.2 ± 0.8
Month 90-0.4 ± 0.9-0.2 ± 0.9-0.3 ± 0.8
Month 93-0.4 ± 0.9-0.2 ± 0.9-0.2 ± 1.0
Month 96-0.5 ± 0.9-0.2 ± 0.90.0 ± 0.9
Month 99-0.5 ± 0.9-0.2 ± 0.80.1 ± 0.8
Month 1020.1 ± 0.90.2 ± 0.70.0 ± 0.6
Month 1050.5 ± 0.70.3 ± 0.60.3 ± 0.5
Month 1081.00.3 ± 0.60.4 ± 0.5

Adverse events

Collected over From Baseline up to 10 years. Non-serious events are listed at a 0.5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cimzia3/824 (0.4%)145/824 (17.6%)19/824 (2.3%)
Comparator25/2,478 (1%)638/2,478 (25.7%)70/2,478 (2.8%)
Overlap6/1,165 (0.5%)268/1,165 (23%)30/1,165 (2.6%)
Gap (No Cimzia and no Comparator at Baseline)17/1,022 (1.7%)152/1,022 (14.9%)9/1,022 (0.9%)
Cimzia + Overlap9/1,428 (0.6%)385/1,428 (27%)48/1,428 (3.4%)
Most frequent serious events
Showing 10 of 572
Most frequent serious events
EventCimziaComparatorOverlapGap (No Cimzia and no Comparator at Baseline)Cimzia + Overlap
Crohn's diseaseGastrointestinal disorders24/824192/2478101/116540/1022123/1428
Small intestinal obstructionGastrointestinal disorders23/82493/247823/116518/102245/1428
Abdominal painGastrointestinal disorders2/82428/247817/11654/102219/1428
Abdominal abscessInfections and infestations5/82414/247811/11650/102216/1428
Abortion spontaneousPregnancy, puerperium and perinatal conditions6/82421/24788/11655/102214/1428
Intestinal obstructionGastrointestinal disorders3/82424/24789/11655/102212/1428
PneumoniaInfections and infestations2/82424/247810/11654/102212/1428
CellulitisInfections and infestations2/8248/24789/11651/102211/1428
Small intestinal stenosisGastrointestinal disorders6/8245/24781/11650/10227/1428
Intestinal stenosisGastrointestinal disorders1/82415/24787/11650/10228/1428
Most frequent other events
Most frequent other events
EventCimziaComparatorOverlapGap (No Cimzia and no Comparator at Baseline)Cimzia + Overlap
Crohn's diseaseGastrointestinal disorders6/82413/247811/11651/102217/1428
Abdominal painGastrointestinal disorders6/82413/24786/11651/102211/1428
Herpes zosterInfections and infestations2/82419/24785/11653/10227/1428
ArthralgiaMusculoskeletal and connective tissue disorders5/8248/24785/11652/102210/1428
Clostridium difficile infectionInfections and infestations3/82413/24786/11651/10229/1428
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/82413/24781/11651/10221/1428

Baseline characteristics

Baseline Characteristics refer to the Enrolled Set which was defined as all participants enrolled and with an informed consent.

Age, Categorical
Age, Categorical(Participants)Cimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)Total
<=18 years347110115
Between 18 and 65 years101815102222750
>=65 years798543207
Age, Continuous
Age, Continuous(years)Cimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)Total
Mean39.8 ± 14.939.2 ± 14.945.0 ± 17.840.0 ± 15.3
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Cimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)Total
Female7069241661796
Male4257401041269
Missing0257
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)Total
American Indian /Alaskan native2417
Asian1319335
Black8211713212
Native Hawaiian or other Pacific Islander1247
White101714802432740
Other/mixed1435554
Missing29617
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cimzia at BaselineNo Cimzia at BaselineGap (No Cimzia and no Comparator at Baseline)Total
Hispanic or Latino447919142
Not Hispanic or Latino108615852502921
Missing1269
08

Study locations

197 sites
  • C87075 931
    Birmingham, Alabama 35209, United States
  • C87075 198
    Birmingham, Alabama 35233, United States
  • C87075 286
    Huntsville, Alabama 35802, United States
  • C87075 032
    Montgomery, Alabama 36116, United States
  • C87075 253
    Scottsdale, Arizona 85260, United States
  • C87075 307
    Tucson, Arizona 85710, United States
  • C87075 377
    Tucson, Arizona 85724, United States
  • C87075 574
    North Little Rock, Arkansas 72117, United States
  • C87075 059
    Beverly Hills, California 90211, United States
  • C87075 580
    Encino, California 91436, United States
  • C87075 021
    Fountain Valley, California 92708, United States
  • C87075 261
    La Jolla, California 92037, United States
  • C87075 220
    Los Angeles, California 90027, United States
  • C87075 728
    Oceanside, California 92056, United States
  • C87075 571
    Palm Springs, California 92262, United States
  • C87075 485
    San Carlos, California 94070, United States
  • C87075 027
    Torrance, California 90505, United States
  • C87075 946
    Boulder, Colorado 80304, United States
  • C87075 491
    Lonetree, Colorado 80124, United States
  • C87075 087
    Hamden, Connecticut 06518, United States
  • C87075 077
    Hartford, Connecticut 06106, United States
  • C87075 097
    Torrington, Connecticut 06790, United States
  • C87075 639
    Altamonte Springs, Florida 32701, United States
  • C87075 049
    Boca Raton, Florida 33428, United States
  • C87075 871
    Boca Raton, Florida 33486, United States
  • C87075 002
    Gainesville, Florida 32610, United States
  • C87075 759
    Hialeah, Florida 33016, United States
  • C87075 893
    Hollywood, Florida, United States
  • C87075 143
    Lakeland, Florida 33805, United States
  • C87075 970
    Largo, Florida 33777, United States
  • C87075 030
    Lauderdale Lakes, Florida 33319, United States
  • C87075 009
    Maitland, Florida 32751, United States
  • C87075 003
    Miami, Florida 33136, United States
  • C87075 004
    Miami, Florida 33156, United States
  • C87075 102
    Miami, Florida 33156, United States
  • C87075 420
    Miami, Florida 33156, United States
  • C87075 034
    Naples, Florida 34102, United States
  • C87075 031
    Orlando, Florida 32803, United States
  • C87075 487
    Orlando, Florida 32803, United States
  • C87075 935
    Orlando, Florida 32819, United States
  • C87075 074
    Palm Coast, Florida 32164, United States
  • C87075 183
    Sarasota, Florida 34239, United States
  • C87075 144
    Tampa, Florida 33626, United States
  • C87075 046
    Titusville, Florida 32796, United States
  • C87075 271
    Vero Beach, Florida 32960, United States
  • C87075 280
    Weston, Florida 33331, United States
  • C87075 729
    Winter Park, Florida 32789, United States
  • C87075 399
    Atlanta, Georgia 30322, United States
  • C87075 288
    Atlanta, Georgia 30342, United States
  • C87075 849
    Atlanta, Georgia 30342, United States
  • C87075 232
    Covington, Georgia 30014, United States
  • C87075 357
    Cumming, Georgia 30041, United States
  • C87075 336
    Decatur, Georgia 30032, United States
  • C87075 113
    Decatur, Georgia 30033, United States
  • C87075 988
    Decatur, Georgia 30033, United States
  • C87075 698
    Johns Creek, Georgia 30342, United States
  • C87075 083
    Lawrenceville, Georgia 30045, United States
  • C87075 067
    Macon, Georgia 31201, United States
  • C87075 897
    Macon, Georgia 31210, United States
  • C87075 488
    Marietta, Georgia 30067, United States
  • C87075 229
    Boise, Idaho 83712, United States
  • C87075 245
    Idaho Falls, Idaho 83404, United States
  • C87075 037
    Meridian, Idaho 83702, United States
  • C87075 278
    Arlington Heights, Illinois 60005, United States
  • C87075 418
    Chicago, Illinois 60612, United States
  • C87075 168
    Chicago, Illinois 60637, United States
  • C87075 858
    Evanston, Illinois 60201, United States
  • C87075 208
    Hoffman Estates, Illinois 60169, United States
  • C87075 368
    Oak Lawn, Illinois 60453, United States
  • C87075 370
    Oakbrook Terrace, Illinois 60181, United States
  • C87075 151
    Indianapolis, Indiana 46202, United States
  • C87075 124
    Indianapolis, Indiana 46237, United States
  • C87075 343
    Clive, Iowa 50325, United States
  • C87075 204
    Lexington, Kentucky 40536, United States
  • C87075 072
    Baton Rouge, Louisiana 70808, United States
  • C87075 214
    Hammond, Louisiana 70403, United States
  • C87075 108
    Metairie, Louisiana 70006, United States
  • C87075 997
    New Orleans, Louisiana 70121, United States
  • C87075 987
    Shreveport, Louisiana 71103, United States
  • C87075 235
    Annapolis, Maryland 21041, United States
  • C87075 040
    Annapolis, Maryland 21401, United States
  • C87075 181
    Baltimore, Maryland 21201, United States
  • C87075 953
    Baltimore, Maryland 21202, United States
  • C87075 591
    Towson, Maryland 21204, United States
  • C87075 091
    Boston, Massachusetts 02111, United States
  • C87075 567
    Boston, Massachusetts 02215, United States
  • C87075 395
    Newton, Massachusetts 02114, United States
  • C87075 939
    North Adams, Massachusetts 01247, United States
  • C87075 869
    Ann Arbor, Michigan 48109, United States
  • C87075 260
    Chesterfield, Michigan 48047, United States
  • C87075 195
    Kalamazoo, Michigan 49048, United States
  • C87075 349
    Novi, Michigan 48377, United States
  • C87075 579
    Troy, Michigan 48098, United States
  • C87075 373
    Wyandotte, Michigan 48192, United States
  • C87075 167
    Wyoming, Michigan 49519, United States
  • C87075 843
    Wyoming, Michigan 49519, United States
  • C87075 829
    Ypsilanti, Michigan 48197, United States
  • C87075 215
    Plymouth, Minnesota 55446, United States
  • C87075 501
    Rochester, Minnesota 55905, United States
  • C87075 867
    Ocean Springs, Mississippi 39564, United States

Showing the first 100 of 197 sites.

09

References and documents

Publications

  • Lichtenstein GR, Lee SD, Feagan BG, Loftus EV Jr, Ng S, Dehlin K, Quinn P, Coarse J, Rosario-Jansen T, Arendt C, Stark JL. Certolizumab Pegol Treatment in Patients With Crohn's Disease: Final Safety Data From the SECURE Registry. Crohns Colitis 360. 2025 Jan 25;7(1):otae083. doi: 10.1093/crocol/otae083. eCollection 2025 Jan. PubMed 39895830 ↗

Study documents

  • Study protocol · Sep 8, 2017
  • Statistical analysis plan · Sep 1, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00844285
Responsible party
Sponsor
First posted
Feb 16, 2009
Start date
Jan 30, 2009
Primary completion
Aug 21, 2020
Completion
Aug 21, 2020
Results posted
May 6, 2023
Last update
May 6, 2023

Study contacts

UCB Cares
study director · 001 844 599 2273(UCB)

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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