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

A Multi-Center, Open-Label Study to Evaluate the Pharmacokinetics of Certolizumab Pegol in Adults With Active Rheumatoid Arthritis Using an Electrochemiluminescent Immuno-Assay

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04740814
Enrollment
33
Registered
2021-02-05
Start date
2021-02-11
Completion date
2022-06-27
Last updated
2024-02-12

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

Conditions

Rheumatoid Arthritis

Keywords

Rheumatoid arthritis, Phase 1, Cimzia, Certolizumab pegol, Electrochemiluminescent immune-assay

Brief summary

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

Interventions

DRUGCertolizumab pegol

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

Sponsors

UCB Biopharma SRL
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 69 Years
Healthy volunteers
No

Inclusion criteria

* Participant must be 18 to 69 years of age inclusive, at the time of signing the informed consent * Participant must have a diagnosis of moderately-to-severely active rheumatoid arthritis (RA) * Participant must have had an inadequate response to, or intolerance to, at least 1 disease modifying antirheumatic drug (DMARD) (nonbiologic or biologic) * Participant has a negative interferon-gamma release assay (IGRA) at Screening * Participant has a body mass index within the range 18.0 kg/m2 to 35.0 kg/m2 (inclusive) * Male or female * A female participant is eligible to participate if: i) she is not pregnant, ii) not breastfeeding, iii) at least one of the following conditions applies: 1. Not a woman of childbearing potential (WOCBP) OR 2. A WOCBP who agrees to follow the contraceptive guidance during the Treatment Period and until the Safety Follow-up (SFU) Visit

Exclusion criteria

* Participant has a known hypersensitivity to any components of the study medication(including polyethylene glycol) or comparative drugs (and/or an investigational device) as stated in this protocol * Participant has clinically significant electrocardiogram (ECG) abnormalities at Screening * Participant has previously been exposed to certolizumab pegol (CZP) * Participant has failed treatment with ≥1 tumor necrosis factor (TNF) α inhibitor or was a primary failure for any TNFα antagonist. A primary failure is defined as no clinical disease improvement within the first 12 weeks of treatment (study participants who demonstrated clinical response within 12 weeks of treatment and subsequently lost response after 12 weeks of treatment are eligible) * Participant has received a live vaccination within 6 weeks prior to Screening or intends to have a live vaccination during the course of the study or within 3 months following CZP treatment in the study * Participant has received any investigational drug or experimental procedure within 90 days prior to the first dose of IMPinvestigational medicinal product (IMP) * Participant has a laboratory abnormality at Screening, including any of the following: 1. \>3.0x upper limit of normal (ULN) of any of the following: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP); or \>ULN total bilirubin (\>1.5x ULN total bilirubin if the participant has a documented pre-study diagnosis of Gilbert's syndrome) 2. white blood cell count \<3.00x103/μL 3. absolute neutrophil count (ANC) \<1.5x103/μL 4. lymphocyte count \<500 cells/μL 5. hemoglobin \<8.5 g/dL 6. Any other laboratory abnormality, which, in the opinion of the Investigator, will prevent the study participant from completing the study or will interfere with the interpretation of the study results

Design outcomes

Primary

MeasureTime frameDescription
Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol DosingPlasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study Investigational Medicinal Product (IMP) administration, and Pre dose on Day 84 (Week 12)Cmin is the Minimum observed plasma drug concentration during a dosage interval.
Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab PegolPlasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study IMP administration, and Pre dose on Day 84 (Week 12)AUCtau is the area Under the plasma concentration-time curve from time zero to tau for the dosing interval following administration at Week 10.

Secondary

MeasureTime frameDescription
Plasma Concentration of Certolizumab Pegol (CZP) During the StudyPredose (Day 0), Day 7, 14, 42, 70, 72, 75, 77, 80, 84, 126, and 168Plasma samples were taken at Predose and during the study at different pre and post dose time points for all participants.
Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs)From Baseline to the Safety Follow-up Visit (up to Week 34)A treatment-emergent adverse event (TEAE) was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: Results in death, Is life-threatening, Requires in patient hospitalization or prolongation of existing hospitalization, Results in persistent disability/incapacity, Is a congenital anomaly or birth defect, Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above.
Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to WithdrawalFrom Baseline to the Safety Follow-up Visit (up to Week 34)An Adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication. A TEAE was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit.

Countries

United States

Participant flow

Recruitment details

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

Pre-assignment details

The Participant Flow refers to the Safety Set.

Participants by arm

ArmCount
Certolizumab Pegol (All Participants)
Participants received subcutaneous (sc) injections of certolizumab pegol (CZP) 400 milligram (mg) as loading dose at Weeks 0, 2, and 4, followed by CZP 200 mg as maintenance dose, every 2 Weeks (Q2W), up to Week 24 of the Treatment Period.
33
Total33

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event3
Overall StudyLost to Follow-up2
Overall StudyProtocol Violation2
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicCertolizumab Pegol (All Participants)
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
6 Participants
Age, Categorical
Between 18 and 65 years
27 Participants
Age, Continuous55.9 years
STANDARD_DEVIATION 10.6
Race/Ethnicity, Customized
Black
7 Participants
Race/Ethnicity, Customized
Hispanic or Latino
9 Participants
Race/Ethnicity, Customized
Missing
1 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
24 Participants
Race/Ethnicity, Customized
White
25 Participants
Sex: Female, Male
Female
22 Participants
Sex: Female, Male
Male
11 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
1 / 33
other
Total, other adverse events
9 / 33
serious
Total, serious adverse events
2 / 33

Outcome results

Primary

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

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

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

Population: The PKS included the study participants who had provided plasma samples with measurable concentrations (with recorded sampling time) on at least 1 visit, and who had no important protocol deviations affecting the PK parameters. Here, Number of participants analyzed included those participants who were evaluable for the assessment.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Certolizumab Pegol (All Participants)Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol11890 hours*ug/mLGeometric Coefficient of Variation 39.6
Primary

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

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

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

Population: The Pharmacokinetic Set (PKS) included the study participants who had provided plasma samples with measurable concentrations (with recorded sampling time) on at least 1 visit, and who had no important protocol deviations affecting the PK parameters. Here, Number of participants analyzed included those participants who were evaluable for the assessment.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Certolizumab Pegol (All Participants)Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing24.93 micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 44.9
Secondary

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

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

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

Population: The SS included all study participants enrolled who received ≥1 injection of study medication.

ArmMeasureValue (NUMBER)
Certolizumab Pegol (All Participants)Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal9.1 percentage of participants
Secondary

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

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

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

Population: The SS included all study participants enrolled who received ≥1 injection of study medication.

ArmMeasureValue (NUMBER)
Certolizumab Pegol (All Participants)Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs)6.1 percentage of participants
Secondary

Plasma Concentration of Certolizumab Pegol (CZP) During the Study

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

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

Population: The PKS included the study participants who had provided plasma samples with measurable concentrations (with recorded sampling time) on at least 1 visit, and who had no important protocol deviations affecting the PK parameters. Here, Number of participants analyzed included those participants who were evaluable for the assessment and 'n' (Number analyzed) signifies participants who were evaluable at specified time points.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyPredose (Day 0)NA ug/mL
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 738.7959 ug/mLGeometric Coefficient of Variation 31.2
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 1428.7381 ug/mLGeometric Coefficient of Variation 25.1
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 4249.7912 ug/mLGeometric Coefficient of Variation 42.6
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 7029.6138 ug/mLGeometric Coefficient of Variation 53.6
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 7235.8456 ug/mLGeometric Coefficient of Variation 53
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 7538.8787 ug/mLGeometric Coefficient of Variation 42.2
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 7737.4564 ug/mLGeometric Coefficient of Variation 38.1
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 8033.9728 ug/mLGeometric Coefficient of Variation 39.1
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 8427.9509 ug/mLGeometric Coefficient of Variation 45.9
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 12621.2735 ug/mLGeometric Coefficient of Variation 129.1
Certolizumab Pegol (All Participants)Plasma Concentration of Certolizumab Pegol (CZP) During the StudyDay 16822.9050 ug/mLGeometric Coefficient of Variation 46.6

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026