A Phase 3 interventional study of Group 1: Placebo and Group 2 ustekinumab 130 mg in Crohn's Disease, Inflammatory Bowel Disease and IBD, sponsored by Janssen Research & Development, LLC. Completed at 220 sites in 22 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2017-01-06.
Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment
This study (UNITI-2) will compare the effects (both positive and negative) of an initial treatment with ustekinumab to a placebo over 8 weeks in patients with moderately to severely active Crohn's disease.
This study (CNTO1275CRD3002 or "UNITI-2") examines ustekinumab (an antibody medication that inhibits the inflammatory proteins IL-12 and IL-23) versus a placebo (otherwise identical except without the ustekinumab antibody) given intravenously (by an IV) in adults with moderately to severely active Crohn's disease. Ustekinumab (also known as Stelara) is approved as a treatment for the skin condition of moderate to severe plaque-type psoriasis, but this study will examine if ustekinumab can provide benefit in Crohn's disease and also assess for any risks or side effects. Both the positive and negative outcomes of IV placebo versus two different doses of IV ustekinumab will be tracked and compared over eight weeks, in approximately 612 patients who have previously failed or were intolerant to corticosteroids or immunomodulators (methotrexate, azathioprine, or 6-mercaptopurine) or are dependent on corticosteroid medications. Patients enrolling in this study will be assigned to one of the 3 treatment groups by chance (randomly, like rolling dice), and all will receive a single IV administration of study agent at the first study visit (after the screening period), and then will be asked to return for 3 additional visits through Week 8. Patients who complete this study through the Week 8 visit and remain eligible can enter the maintenance study (CNTO1275CRD3003 or "IM-UNITI"), where they will receive additional study agent, including the administration of ustekinumab in patients who receive placebo in this study and have not had improvement in their Crohn's disease. Patients who do not enter the CNTO1275CRD3003 study will have a final safety follow-up visit approximately 20 weeks after they received study agent when they entered into this study at the Week 0 visit. .All patients will receive a single intravenous (IV) administration of study drug (placebo or ustekinumab) at the start of the study.There are 3 treatment groups in this study: Group 1: Placebo; Group 2: ustekinumab 130 mg, Group 3: weight-range based ustekinumab doses approximating ustekinumab 6 mg/kg: 260 mg (weight \<= 55 kg), 390 mg (weight > 55 kg and \<= 85 kg), and 520 mg (weight > 85 kg).
1,923 studies on the registry are indexed under Crohn Disease; 467 are open to participants now.
This study's enrollment of 640 is above the median of 66 across 1,212 interventional studies indexed under Crohn Disease.
Browse Crohn Disease studies →Janssen Research & Development, LLC is the lead sponsor of 929 studies on the registry; 76 are open to participants now.
Of its 283 completed or terminated interventional studies of FDA-regulated products, 134 (47%) have results posted.
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Exclusion Criteria:
Group 1: Placebo Form=solution for injection route=intravenous use in a single dose.
Drug: Group 1: Placebo
Group 2 ustekinumab 130 mg Type=exact unit=mg number=130 form=solution for injection route= intravenous use in a single dose.
Drug: Group 2 ustekinumab 130 mg
Group 3: ustekinumab approximately 6 mg/kg Type=range unit=mg/kg number=6 form=solution for injection route= intravenous use in a single dose.weight-range based ustekinumab doses approximating ustekinumab 6 mg/kg: 260 mg (weight \<= 55 kg) 390 mg (weight \> 55 kg and \<= 85 kg) and 520 mg (weight \> 85 kg).
Drug: Group 3: ustekinumab approximately 6 mg/kg
Form=solution for injection, route=intravenous use, in a single dose.
Type=exact, unit=mg, number=130, form=solution for injection, route= intravenous use, in a single dose.
Type=range, unit=mg/kg, number=6, form=solution for injection, route= intravenous use, in a single dose.weight-range based ustekinumab doses approximating ustekinumab 6 mg/kg: 260 mg (weight \<= 55 kg), 390 mg (weight \> 55 kg and \<= 85 kg), and 520 mg (weight \> 85 kg).
Number of Participants With Clinical Response at Week 6
Clinical response at Week 6 was defined as a reduction from baseline in the Crohn's Disease Activity Index (CDAI) score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.
Time frame: Week 6
Number of Participants in Clinical Remission at Week 8
Clinical remission at Week 8 was defined as a Crohn's Disease Activity Index (CDAI) score of \<150 points.
Time frame: Week 8
Number of Participants in Clinical Response at Week 8
Clinical response at Week 8 was defined as a reduction from baseline in the CDAI score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.
Time frame: Week 8
Number of Participants With Crohn's Disease Activity Index (CDAI) 70 Point Response at Week 6
70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.
Time frame: Week 6
Number of Participants With CDAI 70 Point Response at Week 3
70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.
Time frame: Week 3
A total of 640 participants were randomly assigned to receive study agent. The analyses (efficacy) were based on the 628 participants who were randomized after the study was restarted. However, one additional participant was excluded from efficacy analyses due to misconduct by the investigative site.
| Milestone | Placebo IV | Ustekinumab 130 Milligram (mg) | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Started | 214 | 213 | 213 |
| Completed | 201 | 204 | 210 |
| Not completed | 13 | 9 | 3 |
| Withdrew: Withdrawal by subject | 7 | 7 | 2 |
| Withdrew: Lost to follow-up | 5 | 2 | 1 |
| Withdrew: Not treated | 1 | 0 | 0 |
Clinical response at Week 6 was defined as a reduction from baseline in the Crohn's Disease Activity Index (CDAI) score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.
| participants | Placebo | Ustekinumab 130 mg | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Number of Participants With Clinical Response at Week 6 | 60 | 108 | 116 |
Clinical remission at Week 8 was defined as a Crohn's Disease Activity Index (CDAI) score of \<150 points.
| participants | Placebo | Ustekinumab 130 mg | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Number of Participants in Clinical Remission at Week 8 | 41 | 64 | 84 |
Clinical response at Week 8 was defined as a reduction from baseline in the CDAI score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.
| participants | Placebo | Ustekinumab 130 mg | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Number of Participants in Clinical Response at Week 8 | 67 | 99 | 121 |
70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.
| participants | Placebo | Ustekinumab 130 mg | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Number of Participants With Crohn's Disease Activity Index (CDAI) 70 Point Response at Week 6 | 81 | 123 | 135 |
70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.
| participants | Placebo | Ustekinumab 130 mg | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Number of Participants With CDAI 70 Point Response at Week 3 | 66 | 103 | 106 |
Collected over Up to Week 8 for all participants (for participants who do not enter the maintenance study, adverse events will be collected up to 20 weeks after the study agent administration). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo IV | — | 15/212 (7.1%) | 44/212 (20.8%) |
| Ustekinumab 130 Milligram (mg) | — | 10/216 (4.6%) | 40/216 (18.5%) |
| Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) | — | 9/211 (4.3%) | 44/211 (20.9%) |
| Event | Placebo IV | Ustekinumab 130 Milligram (mg) | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| Crohn's DiseaseGastrointestinal disorders | 5/212 | 5/216 | 2/211 |
| Anal AbscessInfections and infestations | 3/212 | 2/216 | 0/211 |
| Small Intestinal ObstructionGastrointestinal disorders | 1/212 | 1/216 | 2/211 |
| ColitisGastrointestinal disorders | 0/212 | 0/216 | 1/211 |
| Chest PainGeneral disorders | 0/212 | 0/216 | 1/211 |
| GastroenteritisInfections and infestations | 0/212 | 0/216 | 1/211 |
| Pneumothorax SpontaneousRespiratory, thoracic and mediastinal disorders | 0/212 | 1/216 | 1/211 |
| Pulmonary GranulomaRespiratory, thoracic and mediastinal disorders | 0/212 | 0/216 | 1/211 |
| AnaemiaBlood and lymphatic system disorders | 1/212 | 1/216 | 0/211 |
| PancytopeniaBlood and lymphatic system disorders | 1/212 | 0/216 | 0/211 |
| Event | Placebo IV | Ustekinumab 130 Milligram (mg) | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) |
|---|---|---|---|
| HeadacheNervous system disorders | 14/212 | 20/216 | 10/211 |
| NasopharyngitisInfections and infestations | 10/212 | 10/216 | 14/211 |
| NauseaGastrointestinal disorders | 5/212 | 7/216 | 11/211 |
| PyrexiaGeneral disorders | 10/212 | 6/216 | 11/211 |
| Upper Respiratory Tract InfectionInfections and infestations | 11/212 | 4/216 | 7/211 |
| Age, Continuous(years) | Placebo IV | Ustekinumab 130 Milligram (mg) | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) | Total |
|---|---|---|---|---|
| Mean | 40.1 ± 13.09 | 39.2 ± 13.74 | 38.8 ± 13.65 | 39.4 ± 13.48 |
| Gender(Participants) | Placebo IV | Ustekinumab 130 Milligram (mg) | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) | Total |
|---|---|---|---|---|
| Female | 113 | 107 | 122 | 342 |
| Male | 101 | 106 | 91 | 298 |
| Region of Enrollment(participants) | Placebo IV | Ustekinumab 130 Milligram (mg) | Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) | Total |
|---|---|---|---|---|
| Australia | 8 | 7 | 5 | 20 |
| Belgium | 1 | 1 | 2 | 4 |
| Bulgaria | 8 | 5 | 11 | 24 |
| Brazil | 2 | 5 | 2 | 9 |
| Canada | 14 | 18 | 10 | 42 |
| Germany | 19 | 15 | 13 | 47 |
| Spain | 0 | 1 | 0 | 1 |
| France | 3 | 2 | 5 | 10 |
| United Kingdom | 8 | 8 | 5 | 21 |
| Croatia | 1 | 2 | 1 | 4 |
| Hungary | 23 | 20 | 18 | 61 |
| Iceland | 0 | 1 | 1 | 2 |
| Israel | 2 | 3 | 6 | 11 |
| Italy | 2 | 2 | 5 | 9 |
| Japan | 9 | 8 | 9 | 26 |
| Korea | 7 | 7 | 6 | 20 |
| Netherland | 1 | 1 | 2 | 4 |
| New Zealand | 2 | 8 | 4 | 14 |
| Poland | 8 | 8 | 10 | 26 |
| Russia | 6 | 6 | 5 | 17 |
| Serbia | 4 | 8 | 3 | 15 |
| United States | 72 | 72 | 76 | 220 |
| South Africa | 14 | 5 | 14 | 33 |
Showing the first 100 of 220 sites across 22 countries.
The record gives a start of Jul 2011, a primary completion of Aug 2014 and a completion of Oct 2014. It does not say whether these dates are actual or estimated.
Results were first posted in Jan 2017, 2 years 5 months after primary completion. A results delay was requested in Jul 2015.
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