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A Study of Adalimumab After Dose Escalation in Japanese Subjects With Crohn's Disease

A Multicenter Open-label Study of the Human Anti-TNF Monoclonal Antibody Adalimumab to Investigate Efficacy, Safety and Pharmacokinetics After Dose Escalation in Japanese Subjects With Crohn's Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01958827
Enrollment
28
Registered
2013-10-09
Start date
2013-09-30
Completion date
2015-10-31
Last updated
2016-04-12

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

Conditions

Crohn's Disease

Keywords

Dose Escalation, Crohn's Disease

Brief summary

The purpose of this study is to investigate the efficacy, safety and pharmacokinetics after dose escalation in Japanese subjects with Crohn's Disease.

Detailed description

Subjects who are confirmed to meet all of the inclusion criteria and none of the exclusion criteria during screening period (≤ 21 days) will be given subcutaneous injections of open-label adalimumab 80 mg eow from Week 0 to Week 50. If a subject has an inadequate response at or after Week 8, the subject may be withdrawn from the study. Self-injection of study drug is permitted for the subjects who are willing to perform self-injection, if the investigator decided as appropriate. Disease activity will be evaluated by Crohn's disease activity index (CDAI) at Screening, Week 0 and every 4 weeks until Week 52. Follow-up will be performed at 70 days after the last dose of study drug by visit or telephone.

Interventions

BIOLOGICALAdalimumab

Adalimumab pre-filled syringe, administered by subcutaneous injection.

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subject ≥ 15 years of age at the time of informed consent. * Subject with Crohn's disease who received induction treatment of commercially available Humira® (160 mg initially and 80 mg at 2 weeks after initial dose), achieved response after initial dose, and then lost response during maintenance treatment with Humira®. * Subject with elevated C-reactive Protein (CRP) at Screening. * If female, subject is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy and/or hysterectomy) or is of childbearing potential and is practicing an approved method of birth control throughout the study and for 150 days after the last dose of study drug. * Subject has a negative tuberculosis (TB) screening assessment. If the subject has evidence of a latent TB infection; the subject must initiate and complete a minimum of 21 days of an ongoing TB prophylaxis (in such case, screening period can be prolonged until 21 days past after initiation of prophylaxis and study drug is administered) or have documented completion of a full course of TB prophylaxis, prior to Week 0.

Exclusion criteria

* Subject with suspicion of colitis other than Crohn's disease. * Subject with an ostomy or ileoanal pouch. (Subjects with a previous ileo-rectal anastomosis are not excluded). * Subject with abscess or suspicion of abscess, or subject with infection(s).

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) at Week 8Week 8CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Weeks 4, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used. Week 8 was the primary outcome measure.
Percentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.
Percentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.
C-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Baseline (Week 0) and Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52C-reactive protein (CRP) was measured from blood samples as a marker for inflammation. Higher levels are indicative of more inflammation. Normal concentration in healthy human serum is usually lower than 0.3 mg/dL, slightly increasing with age. Last Observation Carried Forward (LOCF) was used for missing data.
Number of Participants With Potentially Significant Hematology Parameters52 weeksBlood was collected for analysis at designated study visits; hematology results were provided by each site laboratory. The number of participants with an abnormal laboratory result (higher than upper limit of normal \[ULN\] or lower than lower limit of normal \[LLN\]) meeting Common Toxicity Criteria (CTC) of Grade 3 or higher is summarized. Increase is signified by ↑. n=the number of participants with CTC Grade \<3 at baseline and a post-baseline value.
Number of Participants With Potentially Significant Clinical Chemistry Parameters52 weeksBlood was collected for analysis at designated study visits; chemistry results were provided by a central laboratory. The number of participants with an abnormal laboratory result (higher than upper limit of normal \[ULN\] or lower than lower limit of normal \[LLN\]) meeting Common Toxicity Criteria (CTC) of Grade 3 or higher is summarized. n=the number of participants with CTC Grade \<3 at baseline and a post-baseline value for each parameter.
Systolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitBaseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52Blood pressure was measured while the participant was sitting. n=the number of participants with available data at each time point.
Diastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitBaseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52Blood pressure was measured while the participant was sitting. n=the number of participants with available data at each time point.
Heart Rate: Mean Change From Baseline (Week 0) to Each VisitBaseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52Heart rate was measured while the participant was sitting. n=the number of participants with available data at each time point.
Body Temperature: Mean Change From Baseline (Week 0) to Each VisitBaseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52n=the number of participants with available data at each time point.
Number of Participants With Adverse Events (AEs)60 weeksAn AE is any untoward medical occurrence in a participant which does not necessarily have a causal relationship with this treatment. A serious AE (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent events (TEAEs or TESAE) are defined as any event that began or worsened in severity after the first dose of study drug. The investigator assessed the relationship of each event to the use of study drug as either Reasonable possibility or No reasonable possibility of being related to study drug. For more details on adverse events please see the AE section below.
Percentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.

Other

MeasureTime frameDescription
Change in Mean Serum Adalimumab Concentration From Baseline (Week 0) to Week 52Baseline (Week 0) to Week 52Blood samples were drawn prior to drug administration. Adalimumab concentrations in serum were determined using a validated heterogeneous electrochemiluminescence (ECL)-immunoassay method. The assay captures adalimumab via biotinylated anti-idiotypic antibody, and detects it via sulfo-tagged TNF-alpha. n=the number of participants with available data at each time point.
Change in Number of Subjects Positive for Anti-Adalimumab Antibodies (AAA) From Baseline to Week 52Baseline (Week 0) to Week 52Serum samples with adalimumab concentration below 2 μg/mL were selected for AAA analyses. Samples were considered AAA positive if the measured AAA concentration was above 20 ng/mL. A subject was considered to be AAA positive if the subject had at least one AAA positive sample observed within 30 days following the subject's last adalimumab dose.

Participant flow

Pre-assignment details

This study included a 21-day screening period.

Participants by arm

ArmCount
Adalimumab 80 mg
All participants were to receive subcutaneous injections of open-label adalimumab 80 mg every other week from Week 0 to Week 50.
28
Total28

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event3
Overall StudyConcomitant Prohibited Medicine for AE1
Overall StudyLack of Efficacy6

Baseline characteristics

CharacteristicAdalimumab 80 mg
Age, Continuous33.6 years
STANDARD_DEVIATION 10.09
Sex: Female, Male
Female
12 Participants
Sex: Female, Male
Male
16 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
21 / 28
serious
Total, serious adverse events
8 / 28

Outcome results

Primary

Percentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) at Week 8

CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.

Time frame: Week 8

Population: Full Analysis Set (FAS): All enrolled participants who received at least one dose of study drug and had at least one post-treatment efficacy assessment.

ArmMeasureValue (NUMBER)
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) at Week 875 percentage of participants
Secondary

Body Temperature: Mean Change From Baseline (Week 0) to Each Visit

n=the number of participants with available data at each time point.

Time frame: Baseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: Safety Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 2 (n=28)-0.03 degrees CelciusStandard Deviation 0.558
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 4 (n=28)-0.02 degrees CelciusStandard Deviation 0.571
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 8 (n=25)-0.08 degrees CelciusStandard Deviation 0.569
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 12 (n=21)-0.14 degrees CelciusStandard Deviation 0.606
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 16 (n=21)-0.11 degrees CelciusStandard Deviation 0.558
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 20 (n=20)-0.16 degrees CelciusStandard Deviation 0.545
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 24 (n=20)-0.20 degrees CelciusStandard Deviation 0.701
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 28 (n=20)-0.23 degrees CelciusStandard Deviation 0.716
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 32 (n=20)-0.26 degrees CelciusStandard Deviation 0.762
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 36 (n=20)-0.36 degrees CelciusStandard Deviation 0.476
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 40 (n=20)-0.16 degrees CelciusStandard Deviation 0.555
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 44 (n=19)-0.24 degrees CelciusStandard Deviation 0.472
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 48 (n=19)-0.03 degrees CelciusStandard Deviation 0.781
Adalimumab 80 mgBody Temperature: Mean Change From Baseline (Week 0) to Each VisitWeek 52 (n=18)-0.13 degrees CelciusStandard Deviation 0.717
Secondary

C-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52

C-reactive protein (CRP) was measured from blood samples as a marker for inflammation. Higher levels are indicative of more inflammation. Normal concentration in healthy human serum is usually lower than 0.3 mg/dL, slightly increasing with age. Last Observation Carried Forward (LOCF) was used for missing data.

Time frame: Baseline (Week 0) and Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 52-0.570 mg/dLStandard Deviation 2.7635
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 4-0.570 mg/dLStandard Deviation 1.4902
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 8-0.426 mg/dLStandard Deviation 1.6072
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 12-0.710 mg/dLStandard Deviation 1.6769
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 16-0.923 mg/dLStandard Deviation 1.6981
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 20-0.907 mg/dLStandard Deviation 1.7532
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 24-0.813 mg/dLStandard Deviation 1.7924
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 28-0.833 mg/dLStandard Deviation 1.882
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 32-0.853 mg/dLStandard Deviation 2.0507
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 36-0.586 mg/dLStandard Deviation 2.3271
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 40-1.008 mg/dLStandard Deviation 2.0471
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 44-0.915 mg/dLStandard Deviation 2.2324
Adalimumab 80 mgC-reactive Protein (CRP): Mean Change From Baseline (Week 0) to Week 52Week 48-0.649 mg/dLStandard Deviation 2.5734
Secondary

Diastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each Visit

Blood pressure was measured while the participant was sitting. n=the number of participants with available data at each time point.

Time frame: Baseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: Safety Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 2 (n=28)-0.6 mm HgStandard Deviation 9.53
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 4 (n=28)0.2 mm HgStandard Deviation 8.56
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 8 (n=25)0.7 mm HgStandard Deviation 8.13
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 12 (n=21)1.1 mm HgStandard Deviation 7.12
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 16 (n=21)0.1 mm HgStandard Deviation 7.78
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 20 (n=20)0.8 mm HgStandard Deviation 9.38
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 24 (n=20)0.8 mm HgStandard Deviation 8.72
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 28 (n=20)-0.5 mm HgStandard Deviation 7.81
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 32 (n=20)-0.8 mm HgStandard Deviation 9.27
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 36 (n=20)-0.4 mm HgStandard Deviation 10.27
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 40 (n=20)0.7 mm HgStandard Deviation 10.66
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 44 (n=19)-1.2 mm HgStandard Deviation 8.57
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 48 (n=19)1.3 mm HgStandard Deviation 8.48
Adalimumab 80 mgDiastolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 52 (n=18)3.0 mm HgStandard Deviation 11.97
Secondary

Heart Rate: Mean Change From Baseline (Week 0) to Each Visit

Heart rate was measured while the participant was sitting. n=the number of participants with available data at each time point.

Time frame: Baseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: Safety Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 2 (n=28)-0.3 bpmStandard Deviation 11.94
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 4 (n=28)0.7 bpmStandard Deviation 12.78
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 8 (n=25)-1.1 bpmStandard Deviation 9.48
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 12 (n=21)-1.1 bpmStandard Deviation 11.59
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 16 (n=21)-1.9 bpmStandard Deviation 9.56
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 20 (n=20)-3.0 bpmStandard Deviation 8.68
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 24 (n=20)-0.9 bpmStandard Deviation 13.15
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 28 (n=20)-1.6 bpmStandard Deviation 11.3
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 32 (n=20)-5.6 bpmStandard Deviation 11.95
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 36 (n=20)-4.7 bpmStandard Deviation 12.88
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 40 (n=20)-3.7 bpmStandard Deviation 13.88
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 44 (n=19)-2.0 bpmStandard Deviation 10.78
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 48 (n=19)-1.3 bpmStandard Deviation 15.53
Adalimumab 80 mgHeart Rate: Mean Change From Baseline (Week 0) to Each VisitWeek 52 (n=18)-2.8 bpmStandard Deviation 11.8
Secondary

Number of Participants With Adverse Events (AEs)

An AE is any untoward medical occurrence in a participant which does not necessarily have a causal relationship with this treatment. A serious AE (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent events (TEAEs or TESAE) are defined as any event that began or worsened in severity after the first dose of study drug. The investigator assessed the relationship of each event to the use of study drug as either Reasonable possibility or No reasonable possibility of being related to study drug. For more details on adverse events please see the AE section below.

Time frame: 60 weeks

Population: Safety Analysis Set

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgNumber of Participants With Adverse Events (AEs)Any TEAE24 participants
Adalimumab 80 mgNumber of Participants With Adverse Events (AEs)TEAEs with reasonable possibility of being related5 participants
Adalimumab 80 mgNumber of Participants With Adverse Events (AEs)Any severe TEAE2 participants
Adalimumab 80 mgNumber of Participants With Adverse Events (AEs)TESAE8 participants
Adalimumab 80 mgNumber of Participants With Adverse Events (AEs)Any TEAE Leading to Discontinuation of Study4 participants
Adalimumab 80 mgNumber of Participants With Adverse Events (AEs)Death0 participants
Secondary

Number of Participants With Potentially Significant Clinical Chemistry Parameters

Blood was collected for analysis at designated study visits; chemistry results were provided by a central laboratory. The number of participants with an abnormal laboratory result (higher than upper limit of normal \[ULN\] or lower than lower limit of normal \[LLN\]) meeting Common Toxicity Criteria (CTC) of Grade 3 or higher is summarized. n=the number of participants with CTC Grade \<3 at baseline and a post-baseline value for each parameter.

Time frame: 52 weeks

Population: Safety Analysis Set

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersAlanine Aminotransferase >5xULN (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersAspartate Aminotransferase >5xULN (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersGamma-glutamyl Transpeptidase >5x ULN (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersAlkaline Phosphatase >5xU/L (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersTotal Bilirubin >3xULN (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersCreatine Phosphokinase >5x ULN (n=28)1 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersCreatinine >3xULN or >3xBL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersUric Acid >10.0 mg/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersInorganic Phosphate <2.0 mg/dL (n=28)3 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersCalcium <7.0 mg/dL (n=28)1 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersCalcium >12.5 mg/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersSodium <130 mEq/L (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersSodium >155 mEq/L (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersPotassium <3.0 mEq/L (n=27)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersPotassium >6.0 mEq/L (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersNon-fasting Glucose <40 mg/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersNon-fasting Glucose >250 mg/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersAlbumin <2.0 g/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersCholesterol >400 mg/dL(n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersTriglycerides >500 mg/dL(n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersMagnesium <0.9 mg/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Clinical Chemistry ParametersMagnesium >3.0 mg/dL (n=28)0 participants
Secondary

Number of Participants With Potentially Significant Hematology Parameters

Blood was collected for analysis at designated study visits; hematology results were provided by each site laboratory. The number of participants with an abnormal laboratory result (higher than upper limit of normal \[ULN\] or lower than lower limit of normal \[LLN\]) meeting Common Toxicity Criteria (CTC) of Grade 3 or higher is summarized. Increase is signified by ↑. n=the number of participants with CTC Grade \<3 at baseline and a post-baseline value.

Time frame: 52 weeks

Population: Safety Analysis Set: All enrolled participants who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgNumber of Participants With Potentially Significant Hematology ParametersHaemoglobin <8 g/dL (n=27)1 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Hematology ParametersHaemoglobin ↑ >4.0 g/dL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Hematology ParametersPlatelet Count <5.0x10^4/mcL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Hematology ParametersWhite Blood Cells <2.0x10^3/mcL (n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Hematology ParametersNeutrophils <1.0x10^3/mcL(n=28)0 participants
Adalimumab 80 mgNumber of Participants With Potentially Significant Hematology ParametersLymphocytes <0.5x10^3/mcL (n=28)4 participants
Secondary

Percentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52

CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.

Time frame: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: FAS

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 414.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 825.0 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 1228.6 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 1632.1 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 2035.7 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 2442.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 2835.7 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 3242.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 3639.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 4039.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 4442.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 4839.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Remission (CDAI < 150) Every 4 Weeks up to Week 52Week 5235.7 percentage of participants
Secondary

Percentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52

CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.

Time frame: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: FAS

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 432.1 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 835.7 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 1239.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 1646.4 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 2050.0 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 2450.0 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 2842.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 3250.0 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 3650.0 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 4057.1 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 4446.4 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 4850.0 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 100 (CR100; Crohn's Disease Activity Index [CDAI] Decrease of 100 From Week 0) Every 4 Weeks up to Week 52Week 5246.4 percentage of participants
Secondary

Percentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52

CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used. Week 8 was the primary outcome measure.

Time frame: Weeks 4, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: FAS

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 467.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 1267.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 1667.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 2067.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 2471.4 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 2864.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 3271.4 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 3667.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 4064.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 4460.7 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 4864.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 50 (CR50; Crohn's Disease Activity Index [CDAI] Decrease ≥ 50 From Week 0) Every 4 Weeks up to Week 52Week 5257.1 percentage of participants
Secondary

Percentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52

CDAI is used to quantify the signs and symptoms of patients with Crohn's Disease. A score below 150 indicates remission and a score above 450 indicates severe disease. Non-responder imputation (NRI) for missing CDAI observations was used.

Time frame: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: FAS

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 446.4 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 857.1 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 1264.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 1664.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 2064.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 2467.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 2864.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 3267.9 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 3664.3 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 4060.7 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 4457.1 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 4860.7 percentage of participants
Adalimumab 80 mgPercentage of Participants Who Achieved Clinical Response 70 (CR70; Crohn's Disease Activity Index [CDAI] Decrease ≥ 70 From Week 0) Every 4 Weeks up to Week 52Week 5257.1 percentage of participants
Secondary

Systolic Blood Pressure: Mean Change From Baseline (Week 0) to Each Visit

Blood pressure was measured while the participant was sitting. n=the number of participants with available data at each time point.

Time frame: Baseline (Week 0) and Weeks 2, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, and 52

Population: Safety Analysis Set

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 2 (n=28)-3.9 mm HgStandard Deviation 11.98
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 4 (n=28)-2.5 mm HgStandard Deviation 9.41
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 8 (n=25)-1.1 mm HgStandard Deviation 9.98
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 12 (n=21)-1.3 mm HgStandard Deviation 9.34
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 16 (n=21)-0.2 mm HgStandard Deviation 11.72
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 20 (n=20)1.9 mm HgStandard Deviation 12.64
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 24 (n=20)2.0 mm HgStandard Deviation 8.89
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 28 (n=20)0.8 mm HgStandard Deviation 8.91
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 32 (n=20)-1.7 mm HgStandard Deviation 7.41
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 36 (n=20)-0.5 mm HgStandard Deviation 10.79
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 40 (n=20)2.3 mm HgStandard Deviation 9.55
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 44 (n=19)1.9 mm HgStandard Deviation 14.12
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 48 (n=19)4.6 mm HgStandard Deviation 11.66
Adalimumab 80 mgSystolic Blood Pressure: Mean Change From Baseline (Week 0) to Each VisitWeek 52 (n=18)-0.3 mm HgStandard Deviation 9.41
Other Pre-specified

Change in Mean Serum Adalimumab Concentration From Baseline (Week 0) to Week 52

Blood samples were drawn prior to drug administration. Adalimumab concentrations in serum were determined using a validated heterogeneous electrochemiluminescence (ECL)-immunoassay method. The assay captures adalimumab via biotinylated anti-idiotypic antibody, and detects it via sulfo-tagged TNF-alpha. n=the number of participants with available data at each time point.

Time frame: Baseline (Week 0) to Week 52

Population: All participants in the FAS with available data at both time points.

ArmMeasureGroupValue (MEAN)Dispersion
Adalimumab 80 mgChange in Mean Serum Adalimumab Concentration From Baseline (Week 0) to Week 52Baseline (Week 0) (n=28)3.06 µg/mLStandard Deviation 2.19
Adalimumab 80 mgChange in Mean Serum Adalimumab Concentration From Baseline (Week 0) to Week 52Week 52 (n=18)9.47 µg/mLStandard Deviation 5.34
Other Pre-specified

Change in Number of Subjects Positive for Anti-Adalimumab Antibodies (AAA) From Baseline to Week 52

Serum samples with adalimumab concentration below 2 μg/mL were selected for AAA analyses. Samples were considered AAA positive if the measured AAA concentration was above 20 ng/mL. A subject was considered to be AAA positive if the subject had at least one AAA positive sample observed within 30 days following the subject's last adalimumab dose.

Time frame: Baseline (Week 0) to Week 52

Population: FAS

ArmMeasureGroupValue (NUMBER)
Adalimumab 80 mgChange in Number of Subjects Positive for Anti-Adalimumab Antibodies (AAA) From Baseline to Week 52Baseline (Week 0)3 participants
Adalimumab 80 mgChange in Number of Subjects Positive for Anti-Adalimumab Antibodies (AAA) From Baseline to Week 52Week 524 participants

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026