Crohn's Disease
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events (AEs) | 24 weeks | 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. |
| Crohn's Disease Activity Index (CDAI) at Baseline and Week 4 | Baseline, 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. |
| Crohn's Disease Activity Index (CDAI) at Baseline and Week 8 | Baseline, 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. |
| Crohn's Disease Activity Index (CDAI) at Baseline and Week 24 | Baseline, 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement Rating by Investigator at Week 24 | 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. |
| Remission Rate at Week 4, Week 8, and Week 24 | Baseline, 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. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Humira Participants who were prescribed Humira per approved prescribing information of Humira in Japan. | 1,693 |
| Total | 1,693 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 21 |
| Overall Study | Withdrawal by Subject | 2 |
Baseline characteristics
| Characteristic | Humira |
|---|---|
| Age, Continuous | 35.5 years STANDARD_DEVIATION 11.7 |
| Sex: Female, Male Female | 584 Participants |
| Sex: Female, Male Male | 1109 Participants |
Adverse events
| Event type | EG000 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
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Humira | Crohn's Disease Activity Index (CDAI) at Baseline and Week 24 | Baseline (n=1017) | 204.3 scores on a scale | Standard Deviation 105.7 |
| Humira | Crohn's Disease Activity Index (CDAI) at Baseline and Week 24 | Week 24 (n=982) | 149.1 scores on a scale | Standard Deviation 100.9 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Humira | Crohn's Disease Activity Index (CDAI) at Baseline and Week 4 | Baseline (n=1017) | 204.3 scores on a scale | Standard Deviation 105.7 |
| Humira | Crohn's Disease Activity Index (CDAI) at Baseline and Week 4 | Week 4 (n=912) | 142.9 scores on a scale | Standard Deviation 90.4 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Humira | Crohn's Disease Activity Index (CDAI) at Baseline and Week 8 | Baseline (n=1017) | 204.3 scores on a scale | Standard Deviation 105.7 |
| Humira | Crohn's Disease Activity Index (CDAI) at Baseline and Week 8 | Week 8 (n=818) | 142.7 scores on a scale | Standard Deviation 93.8 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Humira | Number of Participants With Adverse Events (AEs) | SAEs | 147 participants |
| Humira | Number of Participants With Adverse Events (AEs) | AEs | 453 participants |
| Humira | Number of Participants With Adverse Events (AEs) | ADRs | 360 participants |
| Humira | Number of Participants With Adverse Events (AEs) | SADRs | 96 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Humira | Improvement Rating by Investigator at Week 24 | Percentage of Participants Markedly improved | 20.6 percentage of participants |
| Humira | Improvement Rating by Investigator at Week 24 | Percentage of Participants Improved | 55.3 percentage of participants |
| Humira | Improvement Rating by Investigator at Week 24 | Percentage of Participants Not Improved | 17.2 percentage of participants |
| Humira | Improvement Rating by Investigator at Week 24 | Percentage of Participants Not Assessable | 7.0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Humira | Remission Rate at Week 4, Week 8, and Week 24 | Week 4 (284/607) | 46.8 percentage of participants |
| Humira | Remission Rate at Week 4, Week 8, and Week 24 | Week 8 (260/542) | 48.0 percentage of participants |
| Humira | Remission Rate at Week 4, Week 8, and Week 24 | Week 24 (304/649) | 46.8 percentage of participants |