A Phase 2 interventional study of Certolizumab Pegol and Certolizumab Pegol in Crohn's Disease, sponsored by UCB Celltech. Terminated at 35 sites in 4 countries. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2018-08-07.
Sponsored by UCB Celltech · Phase 2, Interventional, and Treatment
The purpose of this study is to evaluate the safety, efficacy, pharmacokinetics, and immunogenicity of certolizumab pegol treatment in pediatric subjects, aged 6 to 17, with moderately to severely active Crohn's disease. The target enrollment is 160 subjects.
1,880 studies on the registry are indexed under Crohn Disease; 462 are open to participants now.
This study's enrollment of 99 is above the median of 66 across 1,188 interventional studies indexed under Crohn Disease.
Browse Crohn Disease studies →UCB Celltech is the lead sponsor of 8 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Maintenance High-Dose group: 400 mg Certolizumab Pegol for subjects ≥ 40 kg or 200 mg Certolizumab Pegol for subjects 20 to \< 40 kg
Drug: Certolizumab Pegol
Maintenance Low-Dose group: 200 mg Certolizumab Pegol for subjects ≥ 40 kg or 100 mg Certolizumab Pegol for subjects 20 to \< 40 kg
Drug: Certolizumab Pegol
400 mg administered subcutaneously at once every 4 weeks for subjects ≥ 40 kg or 200 mg for subjects 20 to \< 40 kg \*prior to this dosing regimen, subjects will undergo an induction of Certolizumab Pegol administered subcutaneously every 2 weeks (total 3 injections) at of either 400 mg for subjects ≥ 40 kg or 200 mg for subjects 20 to \< 40 kg
Also known as: Cimzia, CDP870
200 mg administered subcutaneously at once every 4 weeks for subjects ≥ 40 kg or 200 mg for subjects 20 to \< 40 kg \*prior to this dosing regimen, subjects will undergo an induction of Certolizumab Pegol administered subcutaneously every 2 weeks (total 3 injections) at of either 400 mg for subjects ≥ 40 kg or 200 mg for subjects 20 to \< 40 kg
Also known as: Cimzia, CDP870
Percentage of Subjects in Clinical Remission at Week 62
Clinical remission is defined as a Pediatric Crohn's Disease Activity Index (PCDAI) score ≤ 10. The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity.
Time frame: Week 62
Absolute Pediatric Crohn's Disease Activity Index (PCDAI) Scores at Week 62
The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity.
Time frame: Week 62
Change in Pediatric Crohn's Disease Activity Index (PCDAI) Scores From Week 0 to the End of the Study (Week 62)
The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity. A negative value in change from Baseline indicates an improvement from Baseline to Week 62.
Time frame: From Week 0 to Week 62
Percentage of Subjects Achieving Clinical Response From Week 0 to the End of the Study (Week 62)
Clinical response is defined as a decrease from Week 0 in Pediatric Crohn's Disease Activity Index (PCDAI) score of ≥ 15 points and a total PCDAI score ≤ 30 points. The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity.
Time frame: From Week 0 to Week 62
C-Reactive Protein (CRP) Levels at Week 62
The C-Reactive Protein (CRP) is a considered marker of inflammation in subjects with Crohn's Disease (CD)
Time frame: Week 62
Change in C-Reactive Protein (CRP) Levels From Week 0 to the End of the Study (Week 62)
The C-Reactive Protein (CRP) is a considered marker of inflammation in subjects with Crohn's Disease (CD). Changes from Baseline in CRP levels are expressed as a ratio with the value measured at Baseline as the denominator.
Time frame: From Week 0 to Week 62
Erythrocyte Sedimentation Rate (ESR) at Week 62
The Erythrocyte Sedimentation Rate (ESR) is a considered biomarker of inflammation in subjects with Crohn's Disease (CD).
Time frame: Week 62
Change in Erythrocyte Sedimentation Rate (ESR) From Week 0 to the End of the Study (Week 62)
The Erythrocyte Sedimentation Rate (ESR) is a considered biomarker of inflammation in subjects with Crohn's Disease (CD). Changes from Baseline in CRP levels are expressed as a ratio with the value measured at baseline as the denominator.
Time frame: From Week 0 to Week 62
Change in Growth Scores (Tanner Stage [Assessing Puberty]) From Week 0 to the End of the Study (Week 62)
The Tanner stage is an assessment of developmental stage on external genitalia and pubic hair (boys), and on breast and pubic hair (girls). Values range from 1 to 5 where a higher number indicates more development.
Time frame: From Week 0 to Week 62
Percentage of Subjects Who Initiated Steroid Tapering
Subjects receiving corticosteroids at Screening may start a defined tapering schedule between Weeks 2 and 8. Corticosteroid tapering must start at the latest by Week 8. Corticosteroid doses are tapered at different rates depending on the subject's dose.
Time frame: From Week 2 up to Week 8
Percentage of Subjects in Corticosteroid-free Remission at the End of the Study
Corticosteroid use at end of study is defined as 84 days past the last dose of study medication. Remission is assessed at the last visit where Pediatric Crohn's Disease Activity index (PCDAI) data is available.
Time frame: Last/Withdrawal Visit (up to Week 62)
The Participant Flow refers to the Safety Set (SS) population. The Safety Population includes all subjects enrolled who received at least 1 injection of study treatment.
| Milestone | Induction Only | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|---|
| Started | 27 | 37 | 35 |
| Completed | 2 | 37 | 35 |
| Not completed | 25 | 0 | 0 |
| Withdrew: Adverse event | 6 | 0 | 0 |
| Withdrew: Lack of efficacy | 17 | 0 | 0 |
| Withdrew: Protocol violation | 1 | 0 | 0 |
| Withdrew: Other reason | 1 | 0 | 0 |
| Milestone | Induction Only | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|---|
| Started | 0 | 37 | 35 |
| Completed | 0 | 12 | 7 |
| Not completed | 0 | 25 | 28 |
| Withdrew: Adverse event | 0 | 10 | 5 |
| Withdrew: Lack of efficacy | 0 | 11 | 18 |
| Withdrew: Protocol violation | 0 | 1 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 | 2 |
| Withdrew: Other reason | 0 | 2 | 2 |
Clinical remission is defined as a Pediatric Crohn's Disease Activity Index (PCDAI) score ≤ 10. The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity.
| percentage of participants | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Percentage of Subjects in Clinical Remission at Week 62 | 24.3 (10.5 to 38.1) | 17.1 (4.7 to 29.6) |
The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity.
| Score on a scale | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Absolute Pediatric Crohn's Disease Activity Index (PCDAI) Scores at Week 62 | 8.18 ± 6.900 | 7.14 ± 7.830 |
The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity. A negative value in change from Baseline indicates an improvement from Baseline to Week 62.
| units on a scale | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Change in Pediatric Crohn's Disease Activity Index (PCDAI) Scores From Week 0 to the End of the Study (Week 62) | -29.77 ± 8.097 | -27.14 ± 5.669 |
Clinical response is defined as a decrease from Week 0 in Pediatric Crohn's Disease Activity Index (PCDAI) score of ≥ 15 points and a total PCDAI score ≤ 30 points. The Pediatric Crohn's Disease Activity Index (PCDAI) consists of 4 domains (laboratory, height/weight, examination, and history) with several assessments that are converted into a PCDAI score which can range from 0 to 100 points, with a higher score indicating more severe disease activity.
| percentage of participants | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Percentage of Subjects Achieving Clinical Response From Week 0 to the End of the Study (Week 62) | 29.7 (15.0 to 44.5) | 20.0 (6.7 to 33.3) |
The C-Reactive Protein (CRP) is a considered marker of inflammation in subjects with Crohn's Disease (CD)
| mg/L | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| C-Reactive Protein (CRP) Levels at Week 62 | 7.2 (2.5 to 20.7) | 5.8 (2.1 to 15.7) |
The C-Reactive Protein (CRP) is a considered marker of inflammation in subjects with Crohn's Disease (CD). Changes from Baseline in CRP levels are expressed as a ratio with the value measured at Baseline as the denominator.
| ratio | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Change in C-Reactive Protein (CRP) Levels From Week 0 to the End of the Study (Week 62) | 0.49 (0.17 to 1.41) | 1.84 (0.27 to 12.71) |
The Erythrocyte Sedimentation Rate (ESR) is a considered biomarker of inflammation in subjects with Crohn's Disease (CD).
| mm/h | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Erythrocyte Sedimentation Rate (ESR) at Week 62 | 20.9 (11.8 to 37.2) | 25.2 (12.3 to 51.7) |
The Erythrocyte Sedimentation Rate (ESR) is a considered biomarker of inflammation in subjects with Crohn's Disease (CD). Changes from Baseline in CRP levels are expressed as a ratio with the value measured at baseline as the denominator.
| ratio | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Change in Erythrocyte Sedimentation Rate (ESR) From Week 0 to the End of the Study (Week 62) | 0.57 (0.31 to 1.04) | 1.08 (0.39 to 3.02) |
The Tanner stage is an assessment of developmental stage on external genitalia and pubic hair (boys), and on breast and pubic hair (girls). Values range from 1 to 5 where a higher number indicates more development.
| participants | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Increase from Stage I to Stage II | 2 | 0 |
| Increase from Stage I to Stage III | 1 | 1 |
| Increase from Stage II to Stage III | 0 | 1 |
| Increase from Stage III to Stage IV | 2 | 0 |
| Increase from Stage IV to Stage V | 0 | 1 |
| Decrease from Stage IV to Stage III | 1 | 1 |
| Subjects remained in Stage I | 0 | 1 |
| Subjects remained in Stage III | 0 | 2 |
| Subjects remained in Stage IV | 1 | 0 |
| Subjects remained in Stage V | 3 | 0 |
Subjects receiving corticosteroids at Screening may start a defined tapering schedule between Weeks 2 and 8. Corticosteroid tapering must start at the latest by Week 8. Corticosteroid doses are tapered at different rates depending on the subject's dose.
| percentage of subjects | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Percentage of Subjects Who Initiated Steroid Tapering | 71.4 (52.1 to 90.8) | 65.0 (44.1 to 85.9) |
Corticosteroid use at end of study is defined as 84 days past the last dose of study medication. Remission is assessed at the last visit where Pediatric Crohn's Disease Activity index (PCDAI) data is available.
| percentage of paticipants | Maintenance Low-Dose | Maintenance High-Dose |
|---|---|---|
| Percentage of Subjects in Corticosteroid-free Remission at the End of the Study | 23.8 (5.6 to 42.0) | 15.0 (0.0 to 30.6) |
Collected over Adverse Events (AEs) were collected over 68 weeks (from Week -6 to Week 62).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Induction Period | — | 6/99 (6.1%) | 59/99 (59.6%) |
| Maintenance Low-Dose | — | 4/37 (10.8%) | 28/37 (75.7%) |
| Maintenance High-Dose | — | 4/35 (11.4%) | 27/35 (77.1%) |
| Overall Study | — | 14/99 (14.1%) | 78/99 (78.8%) |
| Event | Induction Period | Maintenance Low-Dose | Maintenance High-Dose | Overall Study |
|---|---|---|---|---|
| Abdominal PainGastrointestinal disorders | 0/99 | 0/37 | 1/35 | 1/99 |
| HaematocheziaGastrointestinal disorders | 1/99 | 0/37 | 1/35 | 2/99 |
| GastroenteritisInfections and infestations | 0/99 | 0/37 | 1/35 | 1/99 |
| Viral infectionInfections and infestations | 0/99 | 0/37 | 1/35 | 1/99 |
| Weight decreasedInvestigations | 0/99 | 0/37 | 1/35 | 1/99 |
| Anal fistulaGastrointestinal disorders | 0/99 | 1/37 | 0/35 | 1/99 |
| DiarrhoeaGastrointestinal disorders | 0/99 | 1/37 | 0/35 | 1/99 |
| PyrexiaGeneral disorders | 0/99 | 1/37 | 0/35 | 1/99 |
| CandidiasisInfections and infestations | 0/99 | 1/37 | 0/35 | 1/99 |
| Oral herpesInfections and infestations | 0/99 | 1/37 | 0/35 | 1/99 |
| Event | Induction Period | Maintenance Low-Dose | Maintenance High-Dose | Overall Study |
|---|---|---|---|---|
| PyrexiaGeneral disorders | 9/99 | 6/37 | 9/35 | 20/99 |
| Injection site painGeneral disorders | 22/99 | 4/37 | 6/35 | 22/99 |
| Upper respiratory tract infectionInfections and infestations | 0/99 | 8/37 | 2/35 | 10/99 |
| Crohn's diseaseGastrointestinal disorders | 0/99 | 5/37 | 7/35 | 12/99 |
| VomitingGastrointestinal disorders | 6/99 | 3/37 | 6/35 | 13/99 |
| Abdominal pain upperGastrointestinal disorders | 4/99 | 5/37 | 2/35 | 9/99 |
| DiarrhoeaGastrointestinal disorders | 7/99 | 3/37 | 3/35 | 12/99 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 6/99 | 4/37 | 2/35 | 12/99 |
| HeadacheNervous system disorders | 9/99 | 4/37 | 3/35 | 12/99 |
| Abdominal painGastrointestinal disorders | 4/99 | 3/37 | 4/35 | 10/99 |
The Baseline characteristics refer to the Safety Set (SS) population. The Safety Population includes all subjects enrolled who received at least 1 injection of study treatment.
| Age, Continuous(years) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| Mean | 13.8 ± 2.67 | 13.2 ± 2.41 | 13.4 ± 2.46 | 13.4 ± 2.48 |
| Age, Customized(participants) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| 6-11 years | 6 | 9 | 8 | 23 |
| 12-17 years | 21 | 28 | 27 | 76 |
| Sex: Female, Male(Participants) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| Female | 10 | 10 | 21 | 41 |
| Male | 17 | 27 | 14 | 58 |
| Race/Ethnicity, Customized(participants) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| American Indian / Alaskan Native | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 0 | 1 |
| Black | 3 | 3 | 8 | 14 |
| Native Hawaiian or other Pacific islander | 0 | 0 | 0 | 0 |
| White | 22 | 32 | 27 | 81 |
| Other / Mixed | 1 | 2 | 0 | 3 |
| Weight(kilogram) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| Mean | 46.50 ± 12.565 | 45.67 ± 14.638 | 50.35 ± 18.569 | 47.55 ± 15.642 |
| Height(centimeter) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| Mean | 157.46 ± 13.841 | 155.32 ± 13.589 | 157.22 ± 13.320 | 156.57 ± 13.460 |
| Body Mass Index (BMI)(kilogram per square meter) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| Mean | 18.39 ± 2.504 | 18.51 ± 3.531 | 19.79 ± 4.897 | 18.93 ± 3.869 |
| Body Surface Area (BSA)(square meter) | Induction Only | Maintenance Low-Dose | Maintenance High-Dose | Total |
|---|---|---|---|---|
| Mean | 1.42 ± 0.250 | 1.39 ± 0.272 | 1.47 ± 0.319 | 1.43 ± 0.283 |
This study is terminated, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
UCB Celltech