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Special Investigation in Patients With Crohn's Disease (All Patients Investigation)

Special Investigation (All Cases Investigation in Patients With Crohn's Disease)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01298648
Enrollment
1716
Registered
2011-02-18
Start date
2010-11-30
Completion date
2013-02-28
Last updated
2018-07-02

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

Conditions

Crohn's Disease

Keywords

Crohn's Disease

Brief summary

This study will be conducted to assess adverse drug reactions, incidence of adverse events, and factors that may affect the safety and effectiveness of Humira for the treatment of Crohn's disease.

Interventions

None listed

Sponsors

AbbVie (prior sponsor, Abbott)
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
16 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* All patients with moderate or severe active Crohn's disease who are not responding well to conventional therapy and receive Humira will be enrolled in the survey

Exclusion criteria

Contraindications according to the Package Insert * Patients who have serious infections * Patients who have tuberculosis * Patients with a history of hypersensitivity to any ingredient of Humira * Patients who have demyelinating disease or with a history of demyelinating disease * Patients who have congestive cardiac failure

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs)24 weeksAn AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious AE (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to adalimumab were assessed as being either probably or possibly related by the investigator. An Unexpected ADR is an ADR for which the nature or gravity is not consistent with the applicable product information.
Crohn's Disease Activity Index (CDAI) at Baseline and Week 4Baseline, Week 4The CDAI is used to evaluate the activity of Crohn's disease. The CDAI is calculated on the basis of a one-week evaluation of 8 items and ranges from 0 to about 600. The 8 items are frequency of liquid or very soft stool, abdominal pain, complications of Crohn's disease (e.g., uveitis, arthritis, fistula, and abscess), abdominal mass, hematocrit, body weight, use of antidiarrheals, and general condition. Low scores indicate low activity of Crohn's disease. In general, CDAI scores below 150 represent remission and scores over 450 represent very severe Crohn's disease.
Crohn's Disease Activity Index (CDAI) at Baseline and Week 8Baseline, Week 8The CDAI is used to evaluate the activity of Crohn's disease. The CDAI is calculated on the basis of a one-week evaluation of 8 items and ranges from 0 to about 600. The 8 items are frequency of liquid or very soft stool, abdominal pain, complications of Crohn's disease (e.g., uveitis, arthritis, fistula, and abscess), abdominal mass, hematocrit, body weight, use of antidiarrheals, and general condition. Low scores indicate low activity of Crohn's disease. In general, CDAI scores below 150 represent remission and scores over 450 represent very severe Crohn's disease.
Crohn's Disease Activity Index (CDAI) at Baseline and Week 24Baseline, Week 24The CDAI is used to evaluate the activity of Crohn's disease. The CDAI is calculated on the basis of a one-week evaluation of 8 items and ranges from 0 to about 600. The 8 items are frequency of liquid or very soft stool, abdominal pain, complications of Crohn's disease (e.g., uveitis, arthritis, fistula, and abscess), abdominal mass, hematocrit, body weight, use of antidiarrheals, and general condition. Low scores indicate low activity of Crohn's disease. In general, CDAI scores below 150 represent remission and scores over 450 represent very severe Crohn's disease.

Secondary

MeasureTime frameDescription
Improvement Rating by Investigator at Week 24Week 24Overall response rating, according to investigator's subjective clinical opinion. The level of improvement (markedly improved, improved, not improved, or not assessable) was categorized by comparing clinical condition at week 24 or at discontinuation with baseline condition.
Remission Rate at Week 4, Week 8, and Week 24Baseline, Week 4, Week 8, and Week 24The remission rate for each evaluation timepoint (Weeks 4, 8, and 24) was calculated as the number of participants that had CDAI \< 150 divided by the number of participants at Baseline that had CDAI scores ≥ 150.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Humira
Participants who were prescribed Humira per approved prescribing information of Humira in Japan.
1,693
Total1,693

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up21
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicHumira
Age, Continuous35.5 years
STANDARD_DEVIATION 11.7
Sex: Female, Male
Female
584 Participants
Sex: Female, Male
Male
1109 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
177 / 1,693
serious
Total, serious adverse events
147 / 1,693

Outcome results

Primary

Crohn's Disease Activity Index (CDAI) at Baseline and Week 24

The CDAI is used to evaluate the activity of Crohn's disease. The CDAI is calculated on the basis of a one-week evaluation of 8 items and ranges from 0 to about 600. The 8 items are frequency of liquid or very soft stool, abdominal pain, complications of Crohn's disease (e.g., uveitis, arthritis, fistula, and abscess), abdominal mass, hematocrit, body weight, use of antidiarrheals, and general condition. Low scores indicate low activity of Crohn's disease. In general, CDAI scores below 150 represent remission and scores over 450 represent very severe Crohn's disease.

Time frame: Baseline, Week 24

Population: Participants with available data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
HumiraCrohn's Disease Activity Index (CDAI) at Baseline and Week 24Baseline (n=1017)204.3 scores on a scaleStandard Deviation 105.7
HumiraCrohn's Disease Activity Index (CDAI) at Baseline and Week 24Week 24 (n=982)149.1 scores on a scaleStandard Deviation 100.9
p-value: <0.0001t-test, 2 sided
Primary

Crohn's Disease Activity Index (CDAI) at Baseline and Week 4

The CDAI is used to evaluate the activity of Crohn's disease. The CDAI is calculated on the basis of a one-week evaluation of 8 items and ranges from 0 to about 600. The 8 items are frequency of liquid or very soft stool, abdominal pain, complications of Crohn's disease (e.g., uveitis, arthritis, fistula, and abscess), abdominal mass, hematocrit, body weight, use of antidiarrheals, and general condition. Low scores indicate low activity of Crohn's disease. In general, CDAI scores below 150 represent remission and scores over 450 represent very severe Crohn's disease.

Time frame: Baseline, Week 4

Population: Participants with available data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
HumiraCrohn's Disease Activity Index (CDAI) at Baseline and Week 4Baseline (n=1017)204.3 scores on a scaleStandard Deviation 105.7
HumiraCrohn's Disease Activity Index (CDAI) at Baseline and Week 4Week 4 (n=912)142.9 scores on a scaleStandard Deviation 90.4
p-value: <0.0001t-test, 2 sided
Primary

Crohn's Disease Activity Index (CDAI) at Baseline and Week 8

The CDAI is used to evaluate the activity of Crohn's disease. The CDAI is calculated on the basis of a one-week evaluation of 8 items and ranges from 0 to about 600. The 8 items are frequency of liquid or very soft stool, abdominal pain, complications of Crohn's disease (e.g., uveitis, arthritis, fistula, and abscess), abdominal mass, hematocrit, body weight, use of antidiarrheals, and general condition. Low scores indicate low activity of Crohn's disease. In general, CDAI scores below 150 represent remission and scores over 450 represent very severe Crohn's disease.

Time frame: Baseline, Week 8

Population: Participants with available data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
HumiraCrohn's Disease Activity Index (CDAI) at Baseline and Week 8Baseline (n=1017)204.3 scores on a scaleStandard Deviation 105.7
HumiraCrohn's Disease Activity Index (CDAI) at Baseline and Week 8Week 8 (n=818)142.7 scores on a scaleStandard Deviation 93.8
p-value: <0.0001t-test, 1 sided
Primary

Number of Participants With Adverse Events (AEs)

An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious AE (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to adalimumab were assessed as being either probably or possibly related by the investigator. An Unexpected ADR is an ADR for which the nature or gravity is not consistent with the applicable product information.

Time frame: 24 weeks

Population: Safety analysis set: Excluding 21 patients who were transferred to other institutions during the surveillance period and 2 patients who made no visit after the first administration, 1693 patients were included in the safety analysis set.

ArmMeasureGroupValue (NUMBER)
HumiraNumber of Participants With Adverse Events (AEs)SAEs147 participants
HumiraNumber of Participants With Adverse Events (AEs)AEs453 participants
HumiraNumber of Participants With Adverse Events (AEs)ADRs360 participants
HumiraNumber of Participants With Adverse Events (AEs)SADRs96 participants
Secondary

Improvement Rating by Investigator at Week 24

Overall response rating, according to investigator's subjective clinical opinion. The level of improvement (markedly improved, improved, not improved, or not assessable) was categorized by comparing clinical condition at week 24 or at discontinuation with baseline condition.

Time frame: Week 24

ArmMeasureGroupValue (NUMBER)
HumiraImprovement Rating by Investigator at Week 24Percentage of Participants Markedly improved20.6 percentage of participants
HumiraImprovement Rating by Investigator at Week 24Percentage of Participants Improved55.3 percentage of participants
HumiraImprovement Rating by Investigator at Week 24Percentage of Participants Not Improved17.2 percentage of participants
HumiraImprovement Rating by Investigator at Week 24Percentage of Participants Not Assessable7.0 percentage of participants
Secondary

Remission Rate at Week 4, Week 8, and Week 24

The remission rate for each evaluation timepoint (Weeks 4, 8, and 24) was calculated as the number of participants that had CDAI \< 150 divided by the number of participants at Baseline that had CDAI scores ≥ 150.

Time frame: Baseline, Week 4, Week 8, and Week 24

Population: Participants with available data at each time point.

ArmMeasureGroupValue (NUMBER)
HumiraRemission Rate at Week 4, Week 8, and Week 24Week 4 (284/607)46.8 percentage of participants
HumiraRemission Rate at Week 4, Week 8, and Week 24Week 8 (260/542)48.0 percentage of participants
HumiraRemission Rate at Week 4, Week 8, and Week 24Week 24 (304/649)46.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026