CClinicalTrials.gg
CompletedNCT02155335SMARTUpdated Mar 15, 2019Results posted

Preference for a Prefilled Syringe or Smartject™ Device for Delivering Golimumab in Participants Suffering From Moderate-to-severe Ulcerative Colitis (MK-8259-027)

A Phase 4 interventional study of Prefilled Syringe delivery of Golimumab and Smartject Device delivery of Golimumab in Ulcerative Colitis, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-15.

Sponsored by Merck Sharp & Dohme LLC · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is designed to determine whether ulcerative colitis participants prefer delivery of golimumab via a prefilled syringe or the Smartject™ device.

02

Conditions studied

  • Ulcerative Colitis
03

In context

Colitis

1,074 studies on the registry are indexed under Colitis; 133 are open to participants now.

This study's enrollment of 100 is above the median of 60 across 771 interventional studies indexed under Colitis.

Browse Colitis 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

Inclusion criteria

  • Anti-tumor necrosis factor (anti-TNF) naive participants with a diagnosis of moderate-to-severe ulcerative colitis.
  • Mayo clinic score >= 6, including endoscopic subscore >=2;
  • Previous conventional therapy for a period of at least 3 months with aminosalicylates and at least 3 months with corticosteroids or 6-mercaptopurine (6-MP) or azathioprine (AZA), unless the participant is intolerant to, or has contraindications to these treatments;
  • Anti-TNF experienced participants with an established diagnosis of moderate-to-severe ulcerative colitis, either not responding or partially responding to treatment with Remicade (infliximab). The participant must also meet the following criteria prior to initiating first-line anti-TNF treatment: Mayo score ≥ 6, including an endoscopic subscore ≥ 2; and previous conventional therapy of at least 3 months with aminosalicylates and at least 3 months with corticosteroids or 6-mercaptopurine (6-MP) or azathioprine (AZA), unless the participant is intolerant to or have medical contraindications for such therapies (should be documented);
  • Sexually active women of child-bearing potential must agree to use a medically accepted method of contraception while receiving study drug and for 6 months after the stop of study drug

Exclusion criteria

Exclusion Criteria:

  • Has a history of prior self-injection for any reason;
  • Has concomitant use of other biologic agents;
  • Has active tuberculosis (TB) within 12 months prior to the first injection or has suspected latent TB as indicated by a positive tuberculin skin test.
  • Has an active clinical non-tuberculous mycobacterial infection or opportunistic infection within 6 months prior to the first injection;
  • Has had an active infection and/or serious infection within 6 months prior to the first study drug administration;
  • Has had a live viral or bacterial vaccination within 3 months prior to the first study injection or Bacillus Calmette-Guerin vaccination within 12 months prior to the first study drug injection;
  • Has evidence of heart failure of New York Heart Association class 3-4;
  • Has a history of demyelinating disease such as multiple sclerosis or optic neuritis;
  • Has a history of systemic lupus erythematosus;
  • Has a history of lymphoproliferative disease, or any unknown malignancy or history of malignancy within the prior 5 years, with the exception of non-melanoma skin cancer that has been treated with no evidence of recurrence;
  • Has had an active hepatitis B infection;
  • Has an allergy or sensitivity to golimumab or its excipients;
  • Is pregnant or breast feeding;
  • Is sensitive to latex.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Prefilled Syringe→Smartject™ Device

    Golimumab 50 mg supplied in a prefilled syringe administered 2 times (once by the treating physician and then by the participant under the supervision of the treating physician). Participant is then administered Golimumab 50 mg supplied in the Smartject 2 times, first by the physician and then by the participant. Participants receive a total of 200 mg of golimumbab).

    Drug: Prefilled Syringe delivery of Golimumab

  • Experimental
    Smartject™ Device→ Prefilled Syringe

    Golimumab 50 mg supplied in a Smartject administered 2 times (once by the treating physician and then by the participant under the supervision of the treating physician). Participant is then administered Golimumab 50 mg supplied a prefilled syringe 2 times, first by the physician and then by the participant. Participants receive a total of 200 mg of golimumbab.

    Drug: Smartject Device delivery of Golimumab

Interventions

  • DrugPrefilled Syringe delivery of Golimumab

    Golimumab 50 mg solution for subcutaneous injection using prefilled syringe

  • DrugSmartject Device delivery of Golimumab

    Golimumab 50 mg solution for subcutaneous injection using Smartject Device.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Prefer Prefilled Syringe, Smartject™ Device, or Are Undecided (Day of Injections)

    Golimumab 50 mg supplied in a prefilled syringe administered 2 times (once by the treating physician and then by the participant under the supervision of the treating physician). Participant is then administered Golimumab 50 mg supplied in the Smartject 2 times, first by the physician and then by the participant. Following the completion of the last injection, the participants completed a questionnaire in which they indicated if they preferred the syringe, the Smartject or were undecided as to which they preferred.

    Time frame: Day 0 (post last injection)

  2. Percentage of Participants Who Prefer Prefilled Syringe, Smartject™ Device, or Are Undecided (2 Weeks Post Injections)

    Golimumab 50 mg supplied in a prefilled syringe administered 2 times (once by the treating physician and then by the participant under the supervision of the treating physician). Participant than is administered Golimumab 50 mg supplied in the Smartject 2 times, first by the physician and then by the participant. Participants completed a questionnaire 2 weeks after the injections in which they indicated if they preferred the syringe, the Smartject or were undecided as to which they preferred.

    Time frame: Day 14 (2 weeks post injections)

07

Results

Posted Jan 9, 2017

Participant flow

Period 1
Participant flow — Period 1
MilestonePrefilled Syringe→Smartject™ DeviceSmartject™ Device→ Prefilled Syringe
Started5050
Treated5049
Completed5049
Not completed01
Period 2
Participant flow — Period 2
MilestonePrefilled Syringe→Smartject™ DeviceSmartject™ Device→ Prefilled Syringe
Started5049
Completed5049
Not completed00

Outcome measures

PrimaryPercentage of Participants Who Prefer Prefilled Syringe, Smartject™ Device, or Are Undecided (Day of Injections)

Golimumab 50 mg supplied in a prefilled syringe administered 2 times (once by the treating physician and then by the participant under the supervision of the treating physician). Participant is then administered Golimumab 50 mg supplied in the Smartject 2 times, first by the physician and then by the participant. Following the completion of the last injection, the participants completed a questionnaire in which they indicated if they preferred the syringe, the Smartject or were undecided as to which they preferred.

Time frame:
Day 0 (post last injection)
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Prefer Prefilled Syringe, Smartject™ Device, or Are Undecided (Day of Injections)
Percentage of ParticipantsPer Protocl Set (PPS)
Preferred Prefilled Syringe20.9
Preferred Smatject Device76.9
Undecided2.2
PrimaryPercentage of Participants Who Prefer Prefilled Syringe, Smartject™ Device, or Are Undecided (2 Weeks Post Injections)

Golimumab 50 mg supplied in a prefilled syringe administered 2 times (once by the treating physician and then by the participant under the supervision of the treating physician). Participant than is administered Golimumab 50 mg supplied in the Smartject 2 times, first by the physician and then by the participant. Participants completed a questionnaire 2 weeks after the injections in which they indicated if they preferred the syringe, the Smartject or were undecided as to which they preferred.

Time frame:
Day 14 (2 weeks post injections)
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Prefer Prefilled Syringe, Smartject™ Device, or Are Undecided (2 Weeks Post Injections)
Percentage of ParticipantsPer Protocl Set (PPS)
Preferred Prefilled Syringe26.4
Preferred Smatject Device71.4
Undecided2.2

Adverse events

Collected over up to 14 days post injections. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Treated Participants—0/99 (0%)0/99 (0%)

Baseline characteristics

1 enrolled participant withdrew prior to treatment.

Age, Continuous
Age, Continuous(years)All Treated Participants
Mean42.6 ± 14.4
Sex: Female, Male
Sex: Female, Male(Participants)All Treated Participants
Female42
Male57
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Bossuyt P, Baert F, D'Heygere F, Nakad A, Reenaers C, Fontaine F, Franchimont D, Dewit O, Van Hootegem P, Vanden Branden S, Lambrecht G, Ferrante M; Belgian IBD Research and Development Group. Early Mucosal Healing Predicts Favorable Outcomes in Patients With Moderate to Severe Ulcerative Colitis Treated With Golimumab: Data From the Real-life BE-SMART Cohort. Inflamm Bowel Dis. 2019 Jan 1;25(1):156-162. doi: 10.1093/ibd/izy219. PubMed 29920582 ↗

Individual participant data

Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02155335
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jun 4, 2014
Start date
Jul 1, 2014
Primary completion
Oct 5, 2015
Completion
Oct 5, 2015
Results posted
Jan 9, 2017
Last update
Mar 15, 2019

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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