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Study to Evaluate Efficacy and Safety of Certolizumab Pegol for Induction of Remission in Patients With Crohn's Disease

Phase IIIb, Multinational, Randomized, Double-blind, Placebo-controlled Trial to Assess the Efficacy and Safety of Certolizumab Pegol, a Pegylated Fab' Fragment of a Humanized Anti-Tumor Necrosis Factor(TNF)-Alpha Monoclonal Antibody, Administered in Subjects With Moderately to Severely Active Crohn's Disease.

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00552058
Enrollment
439
Registered
2007-11-01
Start date
2008-03-31
Completion date
2009-11-30
Last updated
2018-08-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Crohn Disease

Keywords

CDP 870, Certolizumab Pegol, CIMZIA ®, Crohn's disease, Induction, Clinical remission, Clinical response

Brief summary

The primary objective of the study is to evaluate efficacy of certolizumab pegol in inducing clinical remission in patients with moderate to severe Crohn's disease as compared with placebo based on Crohn's Disease Activity Index (CDAI) score at Week 6.

Interventions

OTHERPlacebo

Saline 0.9% sc injection 2 x 1 mL Placebo at Week 0, 2 and 4

BIOLOGICALcertolizumab pegol (CDP870, CZP)

Certolizumab Pegol 400 mg CZP sc injection 2 x 1 mL CZP (200 mg/mL) at Week 0, 2, and 4

Sponsors

UCB Pharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* male/female * 18 - 75 years inclusive * diagnosis of Crohn's disease confirmed * moderate to severe disease activity (Crohn's Disease Activity Index (CDAI) 225 - 450) * no previous treatment with anti-tumor necrosis factor (anti-TNF) medications

Exclusion criteria

* previous participation in a certolizumab pegol study * general

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Subjects in Clinical Remission at Week 6Week 6The percentage of subjects in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Secondary

MeasureTime frameDescription
Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 6Week 6The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 6 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.
Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 6Week 0 to Week 6The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 6. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Change in Harvey Bradshaw Index (HBI) Score From Week 0 to Week 6Week 0 to Week 6The change in Harvey Bradshaw Index (HBI) score from Week 0 to Week 6. HBI score consists of clinical parameters of general well-being (0 to 4), abdominal pain (0 to 3), number of liquid stools per day, abdominal mass (0 to 3), and complications (score 1 per item). The first three items are scored for the previous day. Lower scores indicated better well being.
Percentage of Subjects in Clinical Remission at Week 2Week 2The percentage of subjects in clinical remission at Week 2 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects in Clinical Remission at Week 4Week 4The percentage of subjects in clinical remission at Week 4 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects Achieving a Clinical Response at Week 2Week 0, Week 2The percentage of subjects achieving a clinical response at Week 2 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects Achieving a Clinical Response at Week 4Week 0, Week 4The percentage of subjects achieving a clinical response at Week 4 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects Achieving a Clinical Response at Week 6Week 0, Week 6The percentage of subjects achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 4Week 0, Week 4The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 4. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 2Week 2The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 2 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.
Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 4Week 4The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 4 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.
Percentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 6Week 6The percentage of subjects in the subgroup with less than 10 mg/L of C-reactive Protein (CRP) at Entry who are in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 6Week 6The percentage of subjects in the subgroup with 10 mg/L or greater C-reactive Protein (CRP) at Entry in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 6Week 0, Week 6The percentage of subjects in the subgroup with less than 10 mg/L C-reactive Protein (CRP) at Entry achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Percentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 6Week 0, Week 6The percentage of subjects in the subgroup with 10 mg/L or greater C-reactive Protein (CRP) at Entry achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.
Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 2Week 0 to Week 2The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 2. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Countries

Australia, Austria, Belgium, Brazil, Canada, Chile, Czechia, Estonia, Finland, Germany, Hungary, Israel, Italy, Latvia, New Zealand, Poland, Romania, Russia, Ukraine, United States

Participant flow

Pre-assignment details

Participants flow shows all subjects randomized. Safety analyses are based on actual treatment received; 1 subject randomized to placebo did not receive any treatment thus would be excluded due to the definition of the safety population.

Participants by arm

ArmCount
Certolizumab Pegol
Certolizumab pegol 400 mg for subcutaneous (sc) injection
223
Placebo
Placebo, saline solution for sc injection
215
Total438

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event87
Overall StudyLack of Efficacy15
Overall StudyLost to Follow-up10
Overall StudyOther: Crossed Over to a Follow-up Study01
Overall StudyOther: Early Roll Over10
Overall StudyOther: Low CDAI score, entry violation01
Overall StudyOther: Non Compliance12
Overall StudyOther: Positive Stool Result01
Overall StudyOther: Protocol Violation01
Overall StudyOther: Randomized in error01
Overall StudyOther: Sponsors Decision01
Overall StudyWithdrawal by Subject44

Baseline characteristics

CharacteristicCertolizumab PegolPlaceboTotal
Age, Categorical
<=18 years
6 Participants4 Participants10 Participants
Age, Categorical
>=65 years
4 Participants6 Participants10 Participants
Age, Categorical
Between 18 and 65 years
213 Participants205 Participants418 Participants
Age, Continuous36.3 years
STANDARD_DEVIATION 12.63
38.8 years
STANDARD_DEVIATION 12.76
37.5 years
STANDARD_DEVIATION 12.74
Region of Enrollment
Australia
8 participants12 participants20 participants
Region of Enrollment
Austria
5 participants3 participants8 participants
Region of Enrollment
Belgium
7 participants7 participants14 participants
Region of Enrollment
Brazil
16 participants10 participants26 participants
Region of Enrollment
Canada
34 participants32 participants66 participants
Region of Enrollment
Czech Republic
13 participants9 participants22 participants
Region of Enrollment
Estonia
2 participants2 participants4 participants
Region of Enrollment
Germany
4 participants4 participants8 participants
Region of Enrollment
Hungary
25 participants25 participants50 participants
Region of Enrollment
Israel
12 participants10 participants22 participants
Region of Enrollment
Italy
5 participants8 participants13 participants
Region of Enrollment
Latvia
3 participants5 participants8 participants
Region of Enrollment
New Zealand
10 participants9 participants19 participants
Region of Enrollment
Poland
15 participants15 participants30 participants
Region of Enrollment
Romania
4 participants3 participants7 participants
Region of Enrollment
Russian Federation
8 participants7 participants15 participants
Region of Enrollment
Ukraine
10 participants13 participants23 participants
Region of Enrollment
United States
42 participants41 participants83 participants
Sex: Female, Male
Female
118 Participants125 Participants243 Participants
Sex: Female, Male
Male
105 Participants90 Participants195 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
48 / 22342 / 215
serious
Total, serious adverse events
12 / 2238 / 215

Outcome results

Primary

Percentage of Subjects in Clinical Remission at Week 6

The percentage of subjects in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 6

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Clinical Remission at Week 631.6 percentage of subjects
PlaceboPercentage of Subjects in Clinical Remission at Week 625.4 percentage of subjects
Secondary

Change in Harvey Bradshaw Index (HBI) Score From Week 0 to Week 6

The change in Harvey Bradshaw Index (HBI) score from Week 0 to Week 6. HBI score consists of clinical parameters of general well-being (0 to 4), abdominal pain (0 to 3), number of liquid stools per day, abdominal mass (0 to 3), and complications (score 1 per item). The first three items are scored for the previous day. Lower scores indicated better well being.

Time frame: Week 0 to Week 6

Population: Of the 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 196 and 187 subjects respectively are included in this summary and have assessments at both Weeks 0 and 6. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (MEAN)Dispersion
Certolizumab PegolChange in Harvey Bradshaw Index (HBI) Score From Week 0 to Week 6-3.3 score on a scaleStandard Deviation 4
PlaceboChange in Harvey Bradshaw Index (HBI) Score From Week 0 to Week 6-2.6 score on a scaleStandard Deviation 3.9
Secondary

Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 2

The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 2. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0 to Week 2

Population: Of the 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 204 and 198 subjects respectively are included in this summary and have assessments at both Weeks 0 and 2. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (MEAN)Dispersion
Certolizumab PegolChange in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 2-72.6 score on a scaleStandard Deviation 81.26
PlaceboChange in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 2-41.8 score on a scaleStandard Deviation 82.06
Secondary

Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 4

The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 4. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0, Week 4

Population: Of the 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 198 and 184 subjects respectively are included in this summary and have assessments at both Weeks 0 and 4. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (MEAN)Dispersion
Certolizumab PegolChange in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 4-88.8 score on a scaleStandard Deviation 91.36
PlaceboChange in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 4-65.7 score on a scaleStandard Deviation 83.06
Secondary

Change in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 6

The change in total Crohn's Disease Activity Index (CDAI) score from Week 0 to Week 6. CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0 to Week 6

Population: Of the 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 192 and 183 subjects respectively are included in this summary and have assessments at both Weeks 0 and 6. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (MEAN)Dispersion
Certolizumab PegolChange in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 6-96.7 score on a scaleStandard Deviation 100.86
PlaceboChange in Total Crohn's Disease Activity Index (CDAI) Score From Week 0 to Week 6-73.1 score on a scaleStandard Deviation 95.07
Secondary

Percentage of Subjects Achieving a Clinical Response at Week 2

The percentage of subjects achieving a clinical response at Week 2 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0, Week 2

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects Achieving a Clinical Response at Week 233.0 percentage of subjects
PlaceboPercentage of Subjects Achieving a Clinical Response at Week 220.1 percentage of subjects
Secondary

Percentage of Subjects Achieving a Clinical Response at Week 4

The percentage of subjects achieving a clinical response at Week 4 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0, Week 4

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects Achieving a Clinical Response at Week 435.3 percentage of subjects
PlaceboPercentage of Subjects Achieving a Clinical Response at Week 426.3 percentage of subjects
Secondary

Percentage of Subjects Achieving a Clinical Response at Week 6

The percentage of subjects achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0, Week 6

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects Achieving a Clinical Response at Week 640.5 percentage of subjects
PlaceboPercentage of Subjects Achieving a Clinical Response at Week 634.0 percentage of subjects
Secondary

Percentage of Subjects in Clinical Remission at Week 2

The percentage of subjects in clinical remission at Week 2 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 2

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Clinical Remission at Week 223.3 percentage of subjects
PlaceboPercentage of Subjects in Clinical Remission at Week 215.8 percentage of subjects
Secondary

Percentage of Subjects in Clinical Remission at Week 4

The percentage of subjects in clinical remission at Week 4 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 4

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Clinical Remission at Week 426.5 percentage of subjects
PlaceboPercentage of Subjects in Clinical Remission at Week 419.1 percentage of subjects
Secondary

Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 2

The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 2 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.

Time frame: Week 2

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 225.6 percentage of subjects
PlaceboPercentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 218.2 percentage of subjects
Secondary

Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 4

The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 4 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.

Time frame: Week 4

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 433.5 percentage of subjects
PlaceboPercentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 423.9 percentage of subjects
Secondary

Percentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 6

The percentage of subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) remission at Week 6 (IBDQ remission is defined as a total IBDQ score of 170 points or more). The IBDQ Global Score is the sum of 32 responses, each ranging from 0 to 7, thus the Global Score ranges from 0 to 224; a higher score indicating a better quality of life.

Time frame: Week 6

Population: Of the 223 (Certolizumab Pegol 400 mg) and 216 (Placebo) subjects randomized, 215 and 209 subjects are included in the Intent-to-treat (ITT) population, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 636.7 percentage of subjects
PlaceboPercentage of Subjects in Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Week 628.7 percentage of subjects
Secondary

Percentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 6

The percentage of subjects in the subgroup with 10 mg/L or greater C-reactive Protein (CRP) at Entry achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0, Week 6

Population: Of the 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 93 and 96 subjects are in the 10 mg/L or greater C-reactive Protein (CRP) subgroup at Entry, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 644.1 percentage of subjects
PlaceboPercentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 632.3 percentage of subjects
Secondary

Percentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 6

The percentage of subjects in the subgroup with 10 mg/L or greater C-reactive Protein (CRP) at Entry in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 6

Population: Of the 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 93 and 96 subjects are in the 10 mg/L or greater C-reactive Protein (CRP) subgroup at Entry, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 633.3 percentage of subjects
PlaceboPercentage of Subjects in Subgroup With 10 mg/L or Greater C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 619.8 percentage of subjects
Secondary

Percentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 6

The percentage of subjects in the subgroup with less than 10 mg/L C-reactive Protein (CRP) at Entry achieving a clinical response at Week 6 (clinical response is defined as at least a 100-point decrease from the Week 0 Crohn's Disease Activity Index (CDAI) score). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 0, Week 6

Population: Of 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 122 and 113 subjects are in the less than 10 mg/L C-reactive Protein (CRP) subgroup at Entry, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 637.7 percentage of subjects
PlaceboPercentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Achieving a Clinical Response at Week 635.4 percentage of subjects
Secondary

Percentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 6

The percentage of subjects in the subgroup with less than 10 mg/L of C-reactive Protein (CRP) at Entry who are in clinical remission at Week 6 (clinical remission is defined as a total Crohn's Disease Activity Index (CDAI) score of 150 points or less). CDAI is used to quantify the symptoms of subjects with Crohn's disease. A score of 150 points or below indicates clinical remission and a score above 450 points indicates extremely severe disease.

Time frame: Week 6

Population: Of 215 (Certolizumab Pegol 400 mg) and 209 (Placebo) subjects in the Intent-to-treat (ITT) population, 122 and 113 subjects are in the less than 10 mg/L C-reactive Protein (CRP) subgroup at Entry, respectively. ITT population: subjects who received at least one dose of study drug, and who had at least one efficacy measurement after first dose.

ArmMeasureValue (NUMBER)
Certolizumab PegolPercentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 630.3 percentage of subjects
PlaceboPercentage of Subjects in Subgroup With Less Than 10 mg/L C-reactive Protein (CRP) at Entry Who Are in Clinical Remission at Week 630.1 percentage of subjects

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026