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CompletedNCT04740814Updated Feb 12, 2024Results posted

A Study to Assess the Pharmacokinetics of Certolizumab Pegol in Adults With Active Rheumatoid Arthritis

A Phase 1 interventional study of Certolizumab pegol in Rheumatoid Arthritis, sponsored by UCB Biopharma SRL. Completed at 14 sites in United States. Open to participants aged 18 Years to 69 Years. Per ClinicalTrials.gov, last updated 2024-02-12.

Sponsored by UCB Biopharma SRL · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years to 69 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the pharmacokinetics and safety of certolizumab pegol in adults with active rheumatoid arthritis.

02

Conditions studied

  • Rheumatoid Arthritis

Keywords

  • Rheumatoid arthritis
  • Phase 1
  • Cimzia
  • Certolizumab pegol
  • Electrochemiluminescent immune-assay
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 318 are open to participants now.

This study's enrollment of 33 is below the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

UCB Biopharma SRL is the lead sponsor of 128 studies on the registry; 19 are open to participants now.

Of its 69 completed or terminated interventional studies of FDA-regulated products, 48 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participant must be 18 to 69 years of age inclusive, at the time of signing the informed consent
  • Participant must have a diagnosis of moderately-to-severely active rheumatoid arthritis (RA)
  • Participant must have had an inadequate response to, or intolerance to, at least 1 disease modifying antirheumatic drug (DMARD) (nonbiologic or biologic)
  • Participant has a negative interferon-gamma release assay (IGRA) at Screening
  • Participant has a body mass index within the range 18.0 kg/m2 to 35.0 kg/m2 (inclusive)
  • Male or female
  • A female participant is eligible to participate if:

    i) she is not pregnant, ii) not breastfeeding, iii) at least one of the following conditions applies:

    1. Not a woman of childbearing potential (WOCBP) OR
    2. A WOCBP who agrees to follow the contraceptive guidance during the Treatment Period and until the Safety Follow-up (SFU) Visit

Exclusion criteria

Exclusion Criteria:

  • Participant has a known hypersensitivity to any components of the study medication(including polyethylene glycol) or comparative drugs (and/or an investigational device) as stated in this protocol
  • Participant has clinically significant electrocardiogram (ECG) abnormalities at Screening
  • Participant has previously been exposed to certolizumab pegol (CZP)
  • Participant has failed treatment with ≥1 tumor necrosis factor (TNF) α inhibitor or was a primary failure for any TNFα antagonist. A primary failure is defined as no clinical disease improvement within the first 12 weeks of treatment (study participants who demonstrated clinical response within 12 weeks of treatment and subsequently lost response after 12 weeks of treatment are eligible)
  • Participant has received a live vaccination within 6 weeks prior to Screening or intends to have a live vaccination during the course of the study or within 3 months following CZP treatment in the study
  • Participant has received any investigational drug or experimental procedure within 90 days prior to the first dose of IMPinvestigational medicinal product (IMP)
  • Participant has a laboratory abnormality at Screening, including any of the following:

    1. >3.0x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP); or >ULN total bilirubin (>1.5x ULN total bilirubin if the participant has a documented pre-study diagnosis of Gilbert's syndrome)
    2. white blood cell count \<3.00x103/μL
    3. absolute neutrophil count (ANC) \<1.5x103/μL
    4. lymphocyte count \<500 cells/μL
    5. hemoglobin \<8.5 g/dL
    6. Any other laboratory abnormality, which, in the opinion of the Investigator, will prevent the study participant from completing the study or will interfere with the interpretation of the study results
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Certolizumab pegol

    Subjects in this arm will receive doses of certolizumab pegol for the treatment of Rheumatoid Arthritis, in accordance with the US label.

    Drug: Certolizumab pegol

Interventions

  • DrugCertolizumab pegol

    * Pharmaceutical form: Solution for injection * Route of administration: Subcutaneous Subjects will receive certolizumab pegol in a pre-specified sequence during the study.

06

What researchers measure

Primary outcomes

  1. Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing

    Cmin is the Minimum observed plasma drug concentration during a dosage interval.

    Time frame: Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study Investigational Medicinal Product (IMP) administration, and Pre dose on Day 84 (Week 12)

  2. Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol

    AUCtau is the area Under the plasma concentration-time curve from time zero to tau for the dosing interval following administration at Week 10.

    Time frame: Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study IMP administration, and Pre dose on Day 84 (Week 12)

Secondary outcomes

  1. Plasma Concentration of Certolizumab Pegol (CZP) During the Study

    Plasma samples were taken at Predose and during the study at different pre and post dose time points for all participants.

    Time frame: Predose (Day 0), Day 7, 14, 42, 70, 72, 75, 77, 80, 84, 126, and 168

  2. Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs)

    A treatment-emergent adverse event (TEAE) was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: Results in death, Is life-threatening, Requires in patient hospitalization or prolongation of existing hospitalization, Results in persistent disability/incapacity, Is a congenital anomaly or birth defect, Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above.

    Time frame: From Baseline to the Safety Follow-up Visit (up to Week 34)

  3. Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal

    An Adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication. A TEAE was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit.

    Time frame: From Baseline to the Safety Follow-up Visit (up to Week 34)

07

Results

Posted Nov 13, 2023

Participant flow

The study started to enroll participants in February 2021 and concluded in June 2022.

Participant flow — Overall Study
MilestoneCertolizumab Pegol (All Participants)
Started33
Completed23
Not completed10
Withdrew: Adverse event3
Withdrew: Protocol violation2
Withdrew: Lost to follow-up2
Withdrew: Withdrawal by subject3

Outcome measures

PrimaryMinimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing

Cmin is the Minimum observed plasma drug concentration during a dosage interval.

Time frame:
Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study Investigational Medicinal Product (IMP) administration, and Pre dose on Day 84 (Week 12)
Reported as:
Geometric mean · micrograms per milliliter (ug/mL)
Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing
micrograms per milliliter (ug/mL)Certolizumab Pegol (All Participants)
Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing24.93 ± 44.9
PrimaryArea Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol

AUCtau is the area Under the plasma concentration-time curve from time zero to tau for the dosing interval following administration at Week 10.

Time frame:
Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study IMP administration, and Pre dose on Day 84 (Week 12)
Reported as:
Geometric mean · hours*ug/mL
Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol
hours*ug/mLCertolizumab Pegol (All Participants)
Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol11890 ± 39.6
SecondaryPlasma Concentration of Certolizumab Pegol (CZP) During the Study

Plasma samples were taken at Predose and during the study at different pre and post dose time points for all participants.

Time frame:
Predose (Day 0), Day 7, 14, 42, 70, 72, 75, 77, 80, 84, 126, and 168
Reported as:
Geometric mean · ug/mL
Plasma Concentration of Certolizumab Pegol (CZP) During the Study
ug/mLCertolizumab Pegol (All Participants)
Predose (Day 0)NA ± NA
Day 738.7959 ± 31.2
Day 1428.7381 ± 25.1
Day 4249.7912 ± 42.6
Day 7029.6138 ± 53.6
Day 7235.8456 ± 53.0
Day 7538.8787 ± 42.2
Day 7737.4564 ± 38.1
Day 8033.9728 ± 39.1
Day 8427.9509 ± 45.9
Day 12621.2735 ± 129.1
Day 16822.9050 ± 46.6
SecondaryPercentage of Participants With Treatment-emergent Serious Adverse Event (SAEs)

A treatment-emergent adverse event (TEAE) was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: Results in death, Is life-threatening, Requires in patient hospitalization or prolongation of existing hospitalization, Results in persistent disability/incapacity, Is a congenital anomaly or birth defect, Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above.

Time frame:
From Baseline to the Safety Follow-up Visit (up to Week 34)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs)
percentage of participantsCertolizumab Pegol (All Participants)
Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs)6.1
SecondaryPercentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal

An Adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication. A TEAE was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit.

Time frame:
From Baseline to the Safety Follow-up Visit (up to Week 34)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal
percentage of participantsCertolizumab Pegol (All Participants)
Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal9.1

Adverse events

Collected over From Screening to the Safety Follow-up Visit (up to 38 Weeks). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Certolizumab Pegol (All Participants)1/33 (3%)2/33 (6.1%)9/33 (27.3%)
Most frequent serious events
Most frequent serious events
EventCertolizumab Pegol (All Participants)
Cardiac arrestCardiac disorders1/33
Cerebrovascular accidentNervous system disorders1/33
Most frequent other events
Most frequent other events
EventCertolizumab Pegol (All Participants)
Upper respiratory tract infectionInfections and infestations3/33
NauseaGastrointestinal disorders2/33
Rheumatoid arthritisMusculoskeletal and connective tissue disorders2/33
Urinary tract infectionInfections and infestations2/33

Baseline characteristics

Baseline Characteristics refer to the Safety Set (SS) which consisted of all study participants enrolled who received greater than or equal to (≥) 1 injection of study medication.

Age, Categorical
Age, Categorical(Participants)Certolizumab Pegol (All Participants)
<=18 years0
Between 18 and 65 years27
>=65 years6
Age, Continuous
Age, Continuous(years)Certolizumab Pegol (All Participants)
Mean55.9 ± 10.6
Sex: Female, Male
Sex: Female, Male(Participants)Certolizumab Pegol (All Participants)
Female22
Male11
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Certolizumab Pegol (All Participants)
Black7
White25
Missing1
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Certolizumab Pegol (All Participants)
Hispanic or Latino9
Not Hispanic or Latino24
08

Study locations

14 sites
  • Ra0138 1009
    Phoenix, Arizona 85032, United States
  • Ra0138 1002
    Covina, California 91722, United States
  • Ra0138 1008
    Upland, California 91786, United States
  • Ra0138 1015
    Palm Harbor, Florida 34684, United States
  • Ra0138 1004
    Plantation, Florida 33324, United States
  • Ra0138 1001
    Lexington, Kentucky 40504, United States
  • Ra0138 1014
    Rockville, Maryland 20850, United States
  • Ra0138 1005
    Albuquerque, New Mexico 87102, United States
  • Ra0138 10025
    Duncansville, Pennsylvania 16635, United States
  • Ra0138 1003
    Duncansville, Pennsylvania 16635, United States
  • Ra0138 1016
    Memphis, Tennessee 38119, United States
  • Ra0138 1007
    Austin, Texas 78731, United States
  • Ra0138 1010
    Dallas, Texas 75231, United States
  • Ra0138 1011
    Tomball, Texas 77375, United States
09

References and documents

Study documents

  • Study protocol · Mar 18, 2021
  • Statistical analysis plan · Aug 30, 2022

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

Individual participant data

Plan to share: No — Due to the small sample size in this trial, Individual Patient Data cannot be adequately anonymized and there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04740814
Lead sponsor
UCB Biopharma SRL
Responsible party
Sponsor
First posted
Feb 5, 2021
Start date
Feb 11, 2021
Primary completion
Jan 24, 2022
Completion
Jun 27, 2022
Results posted
Nov 13, 2023
Last update
Feb 12, 2024

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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