ANDANTE: A Study To Assess The Efficacy And Safety Of PF-04236921 In Subjects With Crohn's Disease Who Failed Anti-TNF Therapy

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT01287897
Collaborator
(none)
250
193
3
48
1.3
0

Study Details

Study Description

Brief Summary

This is a proof of concept study to determine the efficacy and safety of a monoclonal antibody with three doses versus placebo. Subjects will be randomized to a treatment and the dose will be delivered subcutaneously twice, 4 weeks apart. All subjects will have moderate to severe refractory Crohn's Disease.

Condition or Disease Intervention/Treatment Phase
  • Drug: PF-04236921 SC injection
  • Drug: PF-04236921 SC injection
  • Drug: PF-04236921 SC injection
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
250 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Double-blind, Randomized, Placebo-controlled, Dose-ranging Study To Evaluate The Efficacy And Safety Of Pf-04236921 In Subjects With Crohn's Disease Who Are Anti-tnf Inadequate Responders (Andante)
Study Start Date :
Feb 1, 2011
Actual Primary Completion Date :
Sep 1, 2014
Actual Study Completion Date :
Feb 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo- SC injection

Drug: PF-04236921 SC injection
Placebo delivered SC, 2 doses separated by 4 weeks

Experimental: Drug Dose level 1 - SC injection

Drug: PF-04236921 SC injection
Drug dose level 1 delivered SC, 2 doses separated by 4 weeks

Experimental: Drug Dose level 2 - SC injection

Drug: PF-04236921 SC injection
Drug dose level 2 delivered SC, 2 doses separated by 4 weeks

Outcome Measures

Primary Outcome Measures

  1. The Crohn's Disease Activity Index (CDAI)-70 Response Rate at Week 8 in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg [Baseline and Week 8]

    CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 8 were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score greater than or equal to (>=) 0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

  2. The CDAI-70 Response Rate at Week 8 in Participants Who Received Placebo and PF-04236921 200 mg [Baseline and Week 8]

    CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 8 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 1, that will yield different estimates for placebo for the two different models.

  3. The CDAI-70 Response Rate at Week 12 in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg [Baseline and Week 12]

    CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 12 were compared between placebo and and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

  4. The CDAI-70 Response Rate at Week 12 in Participants Who Received Placebo and PF-04236921 200 mg [Baseline and Week 12]

    CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 12 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 3, that will yield different estimates for placebo for the two different models.

Secondary Outcome Measures

  1. The CDAI-70 Response Rate Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg [Baseline and Weeks 2, 4, 6, and 10]

    CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

  2. The CDAI-70 Response Rate Over Time in Participants Who Received Placebo and PF-04236921 200 mg [Baseline and Weeks 2, 4, 6, and 10]

    CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 5, that will yield different estimates for placebo for the two different models.

  3. The CDAI Remission Rate Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg [Baseline and Weeks 2, 4, 6, 8, 10, and 12]

    CDAI remission rate was defined as an absolute CDAI score less than (<) 150. The proportions of participants with CDAI remission were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

  4. The CDAI Remission Rate Over Time in Participants Who Received Placebo and PF-04236921 200 mg [Baseline and Weeks 2, 4, 6, 8, 10, and 12]

    CDAI remission rate was defined as an absolute CDAI score <150. The proportions of participants with CDAI remission were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 7, that will yield different estimates for placebo for the two different models.

  5. The CDAI-100 Response Rate Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg [Baseline and Weeks 2, 4, 6, 8, 10, and 12]

    CDAI-100 response was defined as a decrease in CDAI score of 100 or greater from baseline. The proportions of participants with CDAI-100 response at Week 12 were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

  6. The CDAI-100 Response Rate Over Time in Participants Who Received Placebo and PF-04236921 200 mg [Baseline and Weeks 2, 4, 6, 8, 10, and 12]

    CDAI-100 response was defined as a decrease in CDAI score of 100 or greater from baseline. The proportions of participants with CDAI-100 response at Week 12 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 9, that will yield different estimates for placebo for the two different models.

  7. Change From Baseline in CDAI Score Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg [Baseline and Weeks 2, 4, 6, 8, 10, and 12]

    CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit, and higher score indicate more severe disease. The Outcome included a Linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

  8. Change From Baseline in CDAI Score Over Time in Participants Who Received Placebo and PF-04236921 200 mg [Baseline and Weeks 2, 4, 6, 8, 10, and 12]

    CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit, and higher score indicate more severe disease. The Outcome included a Linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 11, that will yield different estimates for placebo for the two different models.

  9. Percentages of Participants With Confirmed Positive Anti-drug Antibodies (ADAs) [At baseline (Day 1) and at Weeks 4, 8, 12, 16, 24, 32 and 40]

    The percentage of participants with confirmed positive ADA was summarized for each treatment arm. ADA positive was defined as ADA titer defined as ADA titer (ie, the reciprocal of the highest dilution that gives a value equivalent to the cut point of the assay) >= 4.32.

  10. Percentages of Participants With Confirmed Positive Neutralizing Antibodies (NAbs) [At baseline (Day 1) and at Weeks 4, 8, 12, 16, 24, 32 and 40]

    The percentage of participants with confirmed positive NAbs was summarized for each treatment arm. Only ADA positive samples were analyzed for Nab. A multi-tiered approach was utilized to detect NAbs. NAb serum samples were screened at tier one, and those found presumptively NAb positive was further tested with the confirmatory assay (tier two). The percentage of subjects with confirmed positive NAbs was summarized for each treatment.

  11. Serum PF-04236921 Concentration Over Time [Day 1 (predose), and at Weeks 2, 4 (Day 28, predose), 8, 10, 12, 16, 20, 24, 28, 32, 36, and 40]

  12. Number of Participants Who Withdrew From the Study Due to Treatment-emergent Adverse Events (AEs) [Induction period: from Week 0 (Day 1) through Week 12; follow-up period: from Week 12 (or discontinuation from the induction period) through last subject visit (up to 28 weeks after completion of or discontinuation from the 12-week induction period)]

    An AE was any untoward medical occurrence without regard to causality in a participant who received study drug. Treatment-emergent were events between first dose of treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects must have failed or are intolerant to anti TNFs

  • hsCRP greater or equal to 5.0 mg/L

  • Ulcerations demonstrated by colonoscopy as defined by SES CD assessment performed within 8 weeks of study entry (screening) and able to retrospectively complete the SES-CD or colonoscopy performed during screening

Exclusion Criteria:
  • Pregnant or breastfeeding women

  • Crohn's Disease with active fistulae or abscess

  • History of diverticulitis or symptomatic diverticulosis

  • Abnormality in hematology or chemistry profiles at screening

Contacts and Locations

Locations

Site City State Country Postal Code
1 UAB Hospital Birmingham Alabama United States 35249
2 University of Alabama at Birmingham Birmingham Alabama United States 35294
3 Simon Medical Imaging Scottsdale Arizona United States 85258
4 Digestive Health Research Unit Scottsdale Arizona United States 85260
5 Adobe Clinical Research, Llc Tucson Arizona United States 85712
6 Radiology Ltd Tucson Arizona United States 85712
7 UCSF Endoscopy Unit at Mount Zion San Francisco California United States 94115
8 University of California - San Francisco San Francisco California United States 94115
9 University of California San Francisco at Mount Zion San Francisco California United States 94115
10 Rocky Mountain Clinical Research, LLC Denver Colorado United States 80222
11 Rocky Mountain Gastroenterology Associates Lakewood Colorado United States 80215
12 Rocky Mountain Gastroenterology Lakewood Colorado United States 80215
13 Arapahoe Gastroenterology, PC Littleton Colorado United States 80120
14 Endoscopy Center of Connecticut, LLC Guilford Connecticut United States 06437
15 Endoscopy Center of Connecticut, LLC Hamden Connecticut United States 06518
16 Gastroenterology Center of Connecticut, PC Hamden Connecticut United States 06518
17 Medical Research Center of Connecticut, LLC Hamden Connecticut United States 06518
18 Clinical Research of West Florida, Inc. Clearwater Florida United States 33765
19 Gastroenterology Associates Crystal River Florida United States 34429
20 Nature Coast Clinical Research Inverness Florida United States 34452
21 Suncoast Endoscopy Center Inverness Florida United States 34453
22 Advanced Research Institute, Inc. New Port Richey Florida United States 34653
23 International Clinical Research - US, LLC Sanford Florida United States 32771
24 Atlanta Center for Gastroenterology, P.C. Decatur Georgia United States 30033
25 Atlanta Endoscopy Center Decatur Georgia United States 30033
26 Decatur Health Imaging Decatur Georgia United States 30033
27 Gastrointestinal Specialists of Georgia, PC Marietta Georgia United States 30060
28 GI Diagnostics Marietta Georgia United States 30067
29 Illinois Gastroenterology Group, LLC Arlington Heights Illinois United States 60005
30 The University of Chicago Medical Center (Ucmc) Chicago Illinois United States 60637
31 The University of Chicago Medical Center Chicago Illinois United States 60637
32 The University of Chicago Medical Chicago Illinois United States 60637
33 The University Of Chicago Chicago Illinois United States 60637
34 NorthShore University Health System Evanston Illinois United States 60201
35 Glenbrook Hospital Outpatient Pharmacy Glenview Illinois United States 60025
36 Glenbrook Hospital Glenview Illinois United States 60026
37 Central Indiana Gastroenterology Group Anderson Indiana United States 46016
38 Saint John's Research Institute Anderson Indiana United States 46016
39 University of Kentucky Lexington Kentucky United States 40536
40 University Of Louisville Healthcare Outpatient Center Louisville Kentucky United States 40202
41 University of Louisville Research Foundation Louisville Kentucky United States 40202
42 University Of Louisville Louisville Kentucky United States 40202
43 Digestive Disorders Associates Annapolis Maryland United States 21401
44 Disgestive Disorders Associates Annapolis Maryland United States 21401
45 Investigative Clinical Research Annapolis Maryland United States 21401
46 Maryland Diagnostics & Therapeutic Endo Center Annapolis Maryland United States 21401
47 Commonwealth Clinical Studies Brockton Massachusetts United States 02302
48 Prima CARE, PC Fall River Massachusetts United States 02721
49 St. Joseph Mercy Hospital Ann Arbor Michigan United States 48106
50 East Valley Endoscopy Grand Rapids Michigan United States 49546
51 Gastroenterology Associates of Western Michigan Wyoming Michigan United States 49519
52 Metro Health Hospital Endoscopy Unit Wyoming Michigan United States 49519
53 Metro Health Hospital Wyoming Michigan United States 49519
54 Huron Gastroenterology Associates Ypsilanti Michigan United States 48197
55 St. Joseph Mercy Hospital Ypsilanti Michigan United States 48197
56 Minnesota Gastroenterology, PA Plymouth Minnesota United States 55446
57 Weill Cornell Medical College of Cornell University-Greenberg New York New York United States 10021
58 Weill Cornell Medical College of Cornell University New York New York United States 10021
59 Present Chapman, Steinlauf and Marion New York New York United States 10028
60 Mount Sinai School of Medicine New York New York United States 10029
61 New York Presbyterian Hospital - Weill Cornell Medical College Investigational Pharmacy New York New York United States 10065
62 New York Presbyterian Hospital New York New York United States 10065
63 Weill Cornell Imaging at New York Presbyterian Hospital New York New York United States 10065
64 Arthur asher Kornbluth, MD PC New York New York United States 10128
65 PMG Research of Winston-Salem Winston-Salem North Carolina United States 27103
66 Oklahoma Foundation for Digestive Research Oklahoma City Oklahoma United States 73102
67 Pharmacy: Wheeler and Stuckey, Inc. Oklahoma City Oklahoma United States 73103
68 Colonoscopy and X-rays: OU Physicians Building Oklahoma City Oklahoma United States 73104
69 Hillcrest Medical Center Endoscopy Tulsa Oklahoma United States 74104
70 Hillcrest Medical Center Tulsa Oklahoma United States 74104
71 Options Health Research, LLC Tulsa Oklahoma United States 74104
72 Utica Park Clinic X-Ray Tulsa Oklahoma United States 74104
73 Advanced Imaging Tulsa Oklahoma United States 74137-4200
74 Pittsburgh Gastroenterology Associates Pittsburgh Pennsylvania United States 15243
75 Research Protocol Management Specialists Pittsburgh Pennsylvania United States 15243
76 Pharma Resource East Providence Rhode Island United States 02915
77 Omega Medical Research Warwick Rhode Island United States 02886
78 Gastro One Germantown Tennessee United States 38138
79 Vanderbilt University Medical Center Nashville Tennessee United States 37212
80 Professional Quality Research, Inc. Austin Texas United States 78705
81 Diagnostic Clinic of Houston, PA Houston Texas United States 77004
82 Houston Hospital for Specialized Surgery (Endoscopy Only) Houston Texas United States 77004
83 Baylor Clinic (Drug Storage) Houston Texas United States 77030
84 Baylor College of Medicine - Baylor Medical Center Houston Texas United States 77030
85 Ertan Digestive Disease Center Houston Texas United States 77030
86 Memorial Hermann Hospital Houston Texas United States 77030
87 The University of Texas Health Science Center at Houston Houston Texas United States 77030
88 The University of Texas Medical School at Houston Houston Texas United States 77030
89 Physicians Endoscopy Center (Colonoscopy) Houston Texas United States 77036
90 Texas Digestive Disease Consultants Southlake Texas United States 76092
91 One Step Diagnostic (X-Ray) Sugar Land Texas United States 77478
92 Pioneer Research Solutions, Inc. (Admin. Office) Sugar Land Texas United States 77479
93 Pioneer Research Solutions, Inc. SugarLand Texas United States 77479
94 Digestive Health Specialists of Tyler Tyler Texas United States 75701
95 University Of Utah HSC Salt Lake City Utah United States 84132
96 Virginia Commonwealth University Richmond Virginia United States 23298-0341
97 Virginia Commonwealth University Richmond Virginia United States 23298
98 VCU Medical Investigational Drug Service (IDS) Richmond Virginia United States 93298-5028
99 Concord Repatriation General Hospital Concord New South Wales Australia 2139
100 Nepean Public Hospital Kingswood New South Wales Australia 2747
101 Royal Brisbane and Women's Hospital Herston, Brisbane Queensland Australia 4029
102 Mater Health Services South Brisbane Queensland Australia 4101
103 Eastern Health, Box Hill Hospital Box Hill Victoria Australia 3128
104 Monash Medical Centre Clayton Victoria Australia 3168
105 The Royal Melbourne Hospital Parkville Victoria Australia 3050
106 St. Vincent's Hospital Melbourne Fitzroy Australia VIC 3065
107 University Hospital Leuven Leuven Vlaams Brabant Belgium 3000
108 CHU Saint-Pierre Bruxelles Belgium 1000
109 UZ Leuven Pharmacy Leuven Belgium 3000
110 An Spiessens H.-Hartziekenhuis Roeselare-Menen vzw Roeselare Belgium B-8800
111 Clinica do Coracao Samaritano Goiania GO Brazil 74535-170
112 Instituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda. Goiania GO Brazil 74535-170
113 Center X Diagnosticos Goiania GO Brazil 74535-900
114 Hospital Universitário Fraga Filho da UFRJ Rio de Janeiro RJ Brazil 21941-913
115 Hospital Sao Lucas da PUCRS Porto Alegre RS Brazil 90610-000
116 Faculdade de Medicina do ABC Santo Andre SP Brazil 09060-650
117 Hospital Israelita Albert Einstein São Paulo SP Brazil 05651-901
118 Hospital Nossa Senhora das Gracas Curitiba Brazil 80810-040
119 Heritage Medical Research Clinic - University of Calgary Calgary Alberta Canada T2N 4Z6
120 London Health Science Centre - University Hospital London Ontario Canada N6A 5A5
121 Mount Sinai Hospital Toronto Ontario Canada M5G 1X5
122 McGill University Health Centre - Royal Victoria Hospital Montreal Quebec Canada H3A 1A1
123 Hepato-Gastroenterologie HK, s.r.o. Hradec Kralove Czech Republic 500 12
124 Medial Pharma s.r.o., Hradec Kralove Czech Republic 500 12
125 Fakultni nemocnice Olomouc Olomouc Czech Republic 775 20
126 Klinicke centrum ISCARE I.V.F. - gastroenterologie Prague Czech Republic 170 04
127 Fakultni nemocnice Kralovske Vinohrady Praha 10 Czech Republic 100 34
128 Institut klinicke a experimentalni mediciny Praha 4 Czech Republic 14021
129 IBD Clinical and Research centre Praha 7 Czech Republic
130 Krajska zdravotni, a.s. Usti nad Labem Czech Republic 40113
131 Aalborg Sygehus Aalborg Denmark 9100
132 Aarhus Universitetshospital, Aarhus Sygehus Aarhus University Hospital Aarhus C Denmark 8000
133 Gastroenheden Herlev Denmark 2730
134 Kirurgisk Afdeling 0143 Hilleroed Denmark 3400
135 Hvidovre Hospital Hvidovre Denmark 2650
136 Afdeling I, Gastroenterologisk Sektion Koebenhavn NV Denmark 2400
137 Rigshospitalet Koebenhavn Denmark 2100
138 Medicinsk Afdeling, Gastroenterologisk Sektion Koege Denmark 4600
139 Hopital Huriez, CHRU de Lille Lille Cedex France 59037
140 Hopital Saint-Antoine - Service De Gastroenterologie Paris Cedex 12 France 75571
141 Hopital de Brabois Vandoeuvre Les Nancy France 54500
142 Medizinische Hochschule Hannover Hannover Niedersachsen Germany 30625
143 "Charite - Campus Benjamin Franklin Berlin Germany 12200
144 Praxis Dr. Howaldt Hamburg Germany 20148
145 Universitaetsklinikum Schleswig-Holstein Kiel Germany 24105
146 Gastroenterologische Gemeinschaftspraxis Minden Minden Germany 32423
147 Universitaetsklinik Regensburg Regensburg Germany 93053
148 University General Hospital "Attikon" Athens Greece 12462
149 General Hospital of Athens "Evangelismos",1st Gastroenterology Department Kolonaki Athens Greece 106 76
150 Semmelweis Egyetem II. Sz. Belgyogyaszati Klinika Budapest Hungary 1088
151 Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak./I. Belgyogyaszati-Gasztroenterologiai Budapest Hungary 1125
152 Pannonia Maganorvosi Centrum Kft. Budapest Hungary 1136
153 Debreceni Egyetem Orvos- es Egeszsegtudomanyi Centrum Debrecen Hungary 4032
154 Szegedi Tudomanyegyetem Altalanos Orvostudomanyi Kar / I. sz. Belgyogyaszati Klinika Szeged Hungary 6720
155 Clinfan Kft. Szekszard Hungary 7100
156 St. Vincents University Hospital Dublin 4 Ireland
157 Beaumont Hospital Dublin Ireland 9
158 National Virus Reference Laboratory Dublin Ireland Dublin 4
159 Pathology, Haematology and Biochemistry Laboratories, St Vincent's Healthcare Group Dublin Ireland Dublin 4
160 Mater Misericordiae Hospital, Department of Clinical Chemistry and Clinical Haematology Dublin Ireland Dublin 7
161 University Hospital Galway Galway Ireland
162 The Institute Of Gastroenterology & Liver Diseases Tel Hashomer Ramat Gan Israel 52621
163 Institute of Gastroenterology Haifa Israel 3339419
164 The E. Wolfson Medical Center Holon Israel 58100
165 Shaare Zedek Medical Center Jerusalem Israel 91031
166 Hadassah Medical Center Jerusalem Israel 91120
167 Dept of Gastroenterology & Hepatology Kfar Saba Israel 44281
168 Rabin Medical Center, Beilinson Hospital Petach Tikva Israel 49100
169 Tel Aviv Sourasky Medical Center Tel Aviv Israel 64239
170 Assaf Harofeh Medical Center Zerifin Israel 70300
171 Casa Sollievo della Sofferenza/Div.Gastroenterologia Endoscopia Digestiva San Giovanni Rotondo Fg Foggia Italy 71013
172 Istituto Clinico Humanitas IRCCS Rozzano Milano Italy 20089
173 A. Gemelli University Hospital-Department of Medical Sciences - Division of Internal Medicine and Rome Province of Rome Italy 00168
174 Azienda Ospedaliero Universitaria di Bologna Policlinico Sant'Orsola Malpighi Bologna Italy 40138
175 Azienda Ospedaliera - Universita di Padova Padova Italy 35128
176 Università Campus Biomedico Roma Italy 00128
177 Policlinico Tor Vergata Roma Italy 00133
178 Azienda Ospedaliera San Camillo Forlanini Roma Italy 00151
179 Shakespeare Specialist Group Milford Auckland New Zealand 0620
180 Christchurch Hospital Christchurch Canterbury New Zealand 8011
181 Department of Gastroenterology Research Hamilton Waikato New Zealand 3204
182 P3 Research Limited Wellington New Zealand 6021
183 Spitalul Clinic Colentina Bucuresti Sector 2 Romania 020125
184 Universitaetsspital Zuerich Zuerich Switzerland 8091
185 Hull and East Yorkshire Hospitals NHS Trust Hull East Yorkshire United Kingdom HU3 2JZ
186 Addenbrooke's Hospital, Department of Gastroenterology Cambridge United Kingdom CB2 0QQ
187 Glasgow Royal Infirmary Glasgow United Kingdom G40SS
188 Pharmacy Department Hull United Kingdom HU3 2JZ
189 Barts and The London NHS Trust London United Kingdom E1 1BB
190 Royal Free Hospital (Royal Free London NHS Foundation Trust) London United Kingdom NW3 2QG
191 Royal Victoria Hospital Newcastle-upon-Tyne United Kingdom NE1 4LP
192 New Cross Hospital Wolverhampton United Kingdom WV10 0QP
193 Newcross Hospital-The Royal Wolverhampton Hospitals NHS Trust Wolverhampton United Kingdom WV69AT

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01287897
Other Study ID Numbers:
  • B0151003
  • 2010-023034-23
  • ANDANTE
First Posted:
Feb 2, 2011
Last Update Posted:
Jan 21, 2016
Last Verified:
Dec 1, 2015

Study Results

Participant Flow

Recruitment Details This study included a 28-day screening period, an induction period (Week 0-12) and a 28-week follow-up period. Participants who completed the induction treatment period could enter the follow-up period or an open-label extension study, NCT01345318. Participants who discontinued treatment during the induction period could enter the follow-up period.
Pre-assignment Detail A total of 250 participants were randomized via Interactive Voice Response System (IVRS); of which, 247 received investigational product and 3 were randomized inadvertently and not dosed (2 did not meet entrance criteria and 1 did not consent properly and was not included in clinical database because the randomization page was not completed).
Arm/Group Title Placebo PF-04236921 10 Milligram (mg) PF-04236921 50 mg PF-04236921 200 mg
Arm/Group Description Placebo administered subcutaneously (SC) in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Period Title: Overall Study
STARTED 70 69 71 40
Treated 69 67 71 40
Completed Treatment Period 58 52 58 29
Completed Follow-up Period 3 8 3 4
Enrolled in NCT01345318 56 50 56 29
COMPLETED 59 58 59 33
NOT COMPLETED 11 11 12 7

Baseline Characteristics

Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg Total
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. Total of all reporting groups
Overall Participants 69 67 71 40 247
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
38.4
(13.6)
38.9
(12.9)
38.9
(13.1)
42.2
(13.2)
39.3
(13.2)
Sex: Female, Male (Count of Participants)
Female
38
55.1%
34
50.7%
44
62%
25
62.5%
141
57.1%
Male
31
44.9%
33
49.3%
27
38%
15
37.5%
106
42.9%

Outcome Measures

1. Primary Outcome
Title The Crohn's Disease Activity Index (CDAI)-70 Response Rate at Week 8 in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Description CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 8 were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score greater than or equal to (>=) 0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
Primary analysis: full analysis set (FAS, defined as all randomized participants who received at least 1 dose of study treatment; 2 participants [10 mg arm] excluded due to a quality issue) excluding 200 mg (halted prematurely before reaching the planned sample size and thus no longer powered at the planned level to test against placebo).
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 65 71
Least Squares Mean (90% Confidence Interval) [Percentage of participants]
30.6
44.3%
35.0
52.2%
49.3
69.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3406
Comments Type I rate was controlled for the 2 time points (Week 8 and Week 12) at 0.05 (one sided).
Method Generalized linear mixed model (GLMM)
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 4.3
Confidence Interval (2-Sided) 90%
-13.0 to 21.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.5
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0438
Comments Type I rate was controlled for the 2 time points (Week 8 and Week 12) at 0.05 (one sided).
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 18.7
Confidence Interval (2-Sided) 90%
0.7 to 36.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 11.0
Estimation Comments
2. Primary Outcome
Title The CDAI-70 Response Rate at Week 8 in Participants Who Received Placebo and PF-04236921 200 mg
Description CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 8 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 1, that will yield different estimates for placebo for the two different models.
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
The analysis was performed on FAS participants of the 200 mg and placebo arms, referred to as FAS 200 mg versus (vs) placebo. The 200 mg arm was halted before reaching the planned sample size of approximately 60 and was no longer powered at the planned level to test against placebo. Thus, the 200 mg vs placebo comparison is a sensitivity analysis.
Arm/Group Title Placebo PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 40
Least Squares Mean (90% Confidence Interval) [Percentage of participants]
28.8
41.7%
39.0
58.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2258
Comments Type I rate was controlled for the 2 time points (Week 8 and Week 12) at 0.05 (one sided).
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 10.2
Confidence Interval (2-Sided) 90%
-12.1 to 32.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 13.6
Estimation Comments
3. Primary Outcome
Title The CDAI-70 Response Rate at Week 12 in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Description CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 12 were compared between placebo and and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
Primary analysis: FAS excluding 200 mg arm (halted prematurely before reaching the planned sample size and thus no longer powered at the planned level to test against placebo).
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 65 71
Least Squares Mean (90% Confidence Interval) [Percentage of participants]
28.6
41.4%
35.2
52.5%
47.4
66.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2627
Comments Type I rate was controlled for the 2 time points (Week 8 and Week 12) at 0.05 (one sided).
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 6.7
Confidence Interval (2-Sided) 90%
-10.6 to 23.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.5
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0425
Comments Type I rate was controlled for the 2 time points (Week 8 and Week 12) at 0.05 (one sided).
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 18.8
Confidence Interval (2-Sided) 90%
0.8 to 36.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.9
Estimation Comments
4. Primary Outcome
Title The CDAI-70 Response Rate at Week 12 in Participants Who Received Placebo and PF-04236921 200 mg
Description CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 12 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 3, that will yield different estimates for placebo for the two different models.
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on FAS 200 mg vs placebo. The 200 mg arm was halted before reaching the planned sample size of approximately 60 and was no longer powered at the planned level to test against placebo. Thus, the 200 mg vs placebo comparison is a sensitivity analysis.
Arm/Group Title Placebo PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 40
Least Squares Mean (90% Confidence Interval) [Percentage of participants]
26.7
38.7%
41.7
62.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1362
Comments Type I rate was controlled for the 2 time points (Week 8 and Week 12) at 0.05 (one sided).
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 15.1
Confidence Interval (2-Sided) 90%
-7.5 to 37.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 13.7
Estimation Comments
5. Secondary Outcome
Title The CDAI-70 Response Rate Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Description CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).
Time Frame Baseline and Weeks 2, 4, 6, and 10

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS excluding 200 mg arm (which was halted prematurely). "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 65 71
Week 2 (n=64, 63, 65)
12.3
17.8%
19.4
29%
18.1
25.5%
Week 4 (n=66, 58, 59)
16.5
23.9%
34.6
51.6%
37.0
52.1%
Week 6 (n=58, 53, 60)
21.1
30.6%
35.0
52.2%
46.2
65.1%
Week 10 (n=54, 50, 51)
29.3
42.5%
38.9
58.1%
54.0
76.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 10-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1527
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 7.1
Confidence Interval (2-Sided) 90%
-4.3 to 18.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.0
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 10-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0235
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 18.1
Confidence Interval (2-Sided) 90%
3.1 to 33.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.1
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 10-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0792
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 13.9
Confidence Interval (2-Sided) 90%
-2.3 to 30.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.9
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 10-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1909
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 9.6
Confidence Interval () 90%
-8.4 to 27.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 11.0
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 50-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1981
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 5.8
Confidence Interval (2-Sided) 90%
-5.4 to 17.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 6.8
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 50-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0132
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 20.6
Confidence Interval (2-Sided) 90%
5.3 to 35.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.3
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 50-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0063
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 25.1
Confidence Interval (2-Sided) 90%
8.6 to 41.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.1
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 50-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0138
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 24.7
Confidence Interval (2-Sided) 90%
6.2 to 43.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 11.2
Estimation Comments
6. Secondary Outcome
Title The CDAI-70 Response Rate Over Time in Participants Who Received Placebo and PF-04236921 200 mg
Description CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 5, that will yield different estimates for placebo for the two different models.
Time Frame Baseline and Weeks 2, 4, 6, and 10

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS 200 mg vs placebo. The 200 mg arm was halted before reaching the planned sample size of approximately 60 participants. "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 40
Week 2 (n=64, 36)
11.2
16.2%
26.5
39.6%
Week 4 (n=66, 35)
15.2
22%
24.6
36.7%
Week 6 (n=58, 32)
19.5
28.3%
27.2
40.6%
Week 10 (n=54, 29)
27.2
39.4%
46.3
69.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 200-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0662
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 15.4
Confidence Interval (2-Sided) 90%
-1.4 to 32.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.2
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 200-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1708
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 9.5
Confidence Interval (2-Sided) 90%
-6.9 to 25.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.0
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 200-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2416
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 7.8
Confidence Interval (2-Sided) 90%
-10.5 to 26.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 11.1
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-70 response rate for the 200-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0880
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 19.1
Confidence Interval (2-Sided) 90%
-4.1 to 42.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 14.1
Estimation Comments
7. Secondary Outcome
Title The CDAI Remission Rate Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Description CDAI remission rate was defined as an absolute CDAI score less than (<) 150. The proportions of participants with CDAI remission were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).
Time Frame Baseline and Weeks 2, 4, 6, 8, 10, and 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS excluding 200 mg arm (which was halted prematurely). "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 65 71
Week 2 (n=64, 63, 68)
1.6
2.3%
3.6
5.4%
9.6
13.5%
Week 4 (n=66, 58, 62)
3.4
4.9%
4.1
6.1%
19.7
27.7%
Week 6 (n=58, 53, 63)
8.5
12.3%
7.3
10.9%
23.4
33%
Week 8 (n=58, 53, 58)
16.3
23.6%
10.8
16.1%
24.9
35.1%
Week 10 (n=54, 50, 54)
13.1
19%
19.9
29.7%
30.9
43.5%
Week 12 (n=57, 52, 57)
10.9
15.8%
10.8
16.1%
27.4
38.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 10-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2610
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 2.0
Confidence Interval (2-Sided) 90%
-3.2 to 7.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 3.2
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 10-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4291
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.7
Confidence Interval (2-Sided) 90%
-5.6 to 7.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 3.8
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 10-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5791
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.2
Confidence Interval (2-Sided) 90%
-11.0 to 8.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 6.0
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 10-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7544
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -5.5
Confidence Interval (2-Sided) 90%
-18.8 to 7.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 8.0
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 10-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2308
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 6.8
Confidence Interval () 90%
-8.3 to 21.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.2
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 10-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5038
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval (2-Sided) 90%
-11.8 to 11.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.1
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI remission rate for the 50-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0498
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 8.0
Confidence Interval (2-Sided) 90%
0.0 to 16.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.9
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI remission rate for the 50-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0155
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 16.3
Confidence Interval (2-Sided) 90%
3.9 to 28.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.6
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI remission rate for the 50-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0399
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 14.9
Confidence Interval (2-Sided) 90%
0.9 to 28.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 8.5
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI remission rate for the 50-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1866
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 8.5
Confidence Interval (2-Sided) 90%
-7.2 to 24.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.6
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI remission rate for the 50-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0415
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 17.8
Confidence Interval (2-Sided) 90%
0.9 to 34.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.3
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI remission rate for the 50-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0408
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 16.5
Confidence Interval (2-Sided) 90%
0.9 to 32.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.5
Estimation Comments
8. Secondary Outcome
Title The CDAI Remission Rate Over Time in Participants Who Received Placebo and PF-04236921 200 mg
Description CDAI remission rate was defined as an absolute CDAI score <150. The proportions of participants with CDAI remission were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 7, that will yield different estimates for placebo for the two different models.
Time Frame Baseline and Weeks 2, 4, 6, 8, 10, and 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS 200 mg vs placebo. The 200 mg arm was halted before reaching the planned sample size of approximately 60 participants. "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 40
Week 2 (n=64, 36)
1.1
1.6%
6.9
10.3%
Week 4 (n=66, 35)
2.4
3.5%
5.1
7.6%
Week 6 (n=58, 32)
6.1
8.8%
8.8
13.1%
Week 8 (n=58, 29)
11.9
17.2%
8.8
13.1%
Week 10 (n=54, 29)
9.4
13.6%
14.8
22.1%
Week 12 (n=57, 29)
7.8
11.3%
11.8
17.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 200-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1342
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 5.8
Confidence Interval (2-Sided) 90%
-2.8 to 14.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 5.3
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 200-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2623
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 2.7
Confidence Interval (2-Sided) 90%
-4.3 to 9.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.3
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 200-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3324
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 2.7
Confidence Interval (2-Sided) 90%
-7.7 to 13.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 6.3
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 200-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6637
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.2
Confidence Interval (2-Sided) 90%
-15.5 to 9.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.5
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 200-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2721
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 5.4
Confidence Interval () 90%
-9.3 to 20.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.0
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI remission rate for the 200-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3022
Comments
Method GLMM
Comments Status of anti-TNF experience and concomitant immunosuppressant therapy were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 4.0
Confidence Interval (2-Sided) 90%
-8.8 to 16.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.8
Estimation Comments
9. Secondary Outcome
Title The CDAI-100 Response Rate Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Description CDAI-100 response was defined as a decrease in CDAI score of 100 or greater from baseline. The proportions of participants with CDAI-100 response at Week 12 were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).
Time Frame Baseline and Weeks 2, 4, 6, 8, 10, and 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS excluding 200 mg arm (which was halted prematurely). "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 65 71
Week 2 (n=64, 63, 65)
12.4
18%
16.7
24.9%
12.6
17.7%
Week 4 (n=66, 58, 59)
13.0
18.8%
18.1
27%
26.3
37%
Week 6 (n=58, 53, 60)
14.5
21%
28.7
42.8%
32.2
45.4%
Week 8 (n=58, 53, 56)
24.1
34.9%
26.5
39.6%
37.9
53.4%
Week 10 (n=54, 50, 51)
21.0
30.4%
29.8
44.5%
38.2
53.8%
Week 12 (n=57, 52, 54)
22.2
32.2%
32.7
48.8%
36.2
51%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 10-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2687
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 4.3
Confidence Interval (2-Sided) 90%
-7.2 to 15.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.0
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 10-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2460
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 5.1
Confidence Interval (2-Sided) 90%
-7.1 to 17.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.4
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 10-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0633
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 14.2
Confidence Interval (2-Sided) 90%
-1.1 to 29.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.3
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 10-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4036
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 2.4
Confidence Interval (2-Sided) 90%
-13.8 to 18.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.9
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 10-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1921
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 8.9
Confidence Interval () 90%
-7.9 to 25.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.2
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 10-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1541
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 10.5
Confidence Interval (2-Sided) 90%
-6.5 to 27.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.3
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 50-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4893
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.2
Confidence Interval (2-Sided) 90%
-10.5 to 10.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 6.5
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 50-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0619
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 13.2
Confidence Interval (2-Sided) 90%
-0.9 to 27.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 8.6
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 50-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0290
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 17.7
Confidence Interval (2-Sided) 90%
2.3 to 33.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.3
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 50-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0988
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 13.8
Confidence Interval (2-Sided) 90%
-3.8 to 31.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.7
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 50-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0549
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 17.2
Confidence Interval (2-Sided) 90%
-0.5 to 35.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.8
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 50-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0920
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 14.0
Confidence Interval (2-Sided) 90%
-3.3 to 31.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.5
Estimation Comments
10. Secondary Outcome
Title The CDAI-100 Response Rate Over Time in Participants Who Received Placebo and PF-04236921 200 mg
Description CDAI-100 response was defined as a decrease in CDAI score of 100 or greater from baseline. The proportions of participants with CDAI-100 response at Week 12 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 9, that will yield different estimates for placebo for the two different models.
Time Frame Baseline and Weeks 2, 4, 6, 8, 10, and 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS 200 mg vs placebo. The 200 mg arm was halted before reaching the planned sample size of approximately 60 participants. "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 40
Week 2 (n=64, 36)
10.3
14.9%
12.0
17.9%
Week 4 (n=66, 35)
11.0
15.9%
22.1
33%
Week 6 (n=58, 32)
12.2
17.7%
22.2
33.1%
Week 8 (n=58, 29)
21.3
30.9%
18.7
27.9%
Week 10 (n=54, 29)
18.2
26.4%
30.4
45.4%
Week 12 (n=57, 29)
19.4
28.1%
26.9
40.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 200-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4031
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 1.7
Confidence Interval (2-Sided) 90%
-9.5 to 12.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 6.8
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 200-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1219
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 11.1
Confidence Interval (2-Sided) 90%
-4.6 to 26.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 9.6
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 200-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1600
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 9.9
Confidence Interval (2-Sided) 90%
-6.5 to 26.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.0
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 200-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6019
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -2.7
Confidence Interval (2-Sided) 90%
-19.5 to 14.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 10.3
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 200-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1601
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 12.3
Confidence Interval () 90%
-8.0 to 32.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 12.3
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in CDAI-100 response rate for the 200-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2622
Comments
Method GLMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 7.4
Confidence Interval (2-Sided) 90%
-11.8 to 26.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 11.7
Estimation Comments
11. Secondary Outcome
Title Change From Baseline in CDAI Score Over Time in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Description CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit, and higher score indicate more severe disease. The Outcome included a Linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).
Time Frame Baseline and Weeks 2, 4, 6, 8, 10, and 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS excluding 200 mg arm (which was halted prematurely). "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 65 71
Week 2 (n=64, 63, 65)
-18.9
-28.4
-16.2
Week 4 (n=66, 58, 59)
-25.1
-37.1
-50.7
Week 6 (n=58, 53, 60)
-32.6
-48.5
-54.9
Week 8 (n=58, 53, 56)
-34.6
-49.6
-63.5
Week 10 (n=54, 50, 51)
-19.8
-50.0
-64.7
Week 12 (n=57, 52, 54)
-27.3
-44.2
-66.8
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 10-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2173
Comments
Method Linear mixed model (LMM)
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -9.6
Confidence Interval (2-Sided) 90%
-29.8 to 10.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 12.22
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 10-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1778
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -12.0
Confidence Interval (2-Sided) 90%
-33.4 to 9.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 12.95
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 10-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1661
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -15.9
Confidence Interval (2-Sided) 90%
-43.0 to 11.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 16.37
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 10-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1993
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -14.9
Confidence Interval (2-Sided) 90%
-44.1 to 14.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 17.66
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 10-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0632
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -30.2
Confidence Interval (2-Sided) 90%
-62.7 to 2.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.66
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 10-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1975
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -16.8
Confidence Interval (2-Sided) 90%
-49.4 to 15.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.71
Estimation Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 50-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5868
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 2.7
Confidence Interval (2-Sided) 90%
-17.6 to 22.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 12.25
Estimation Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 50-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0243
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -25.7
Confidence Interval (2-Sided) 90%
-47.0 to -4.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 12.93
Estimation Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 50-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0834
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -22.4
Confidence Interval (2-Sided) 90%
-49.0 to 4.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 16.12
Estimation Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 50-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0499
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -28.8
Confidence Interval (2-Sided) 90%
-57.7 to -0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 17.43
Estimation Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 50-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0111
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -44.9
Confidence Interval (2-Sided) 90%
-77.1 to -12.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.45
Estimation Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 50 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 50-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0221
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -39.5
Confidence Interval (2-Sided) 90%
-71.7 to -7.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.49
Estimation Comments
12. Secondary Outcome
Title Change From Baseline in CDAI Score Over Time in Participants Who Received Placebo and PF-04236921 200 mg
Description CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score >=0 and without an upper limit, and higher score indicate more severe disease. The Outcome included a Linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 11, that will yield different estimates for placebo for the two different models.
Time Frame Baseline and Weeks 2, 4, 6, 8, 10, and 12

Outcome Measure Data

Analysis Population Description
The analysis was performed on the FAS 200 mg vs placebo. The 200 mg arm was halted before reaching the planned sample size of approximately 60 participants. "n" signifies the number of subjects with observed data of each arm at each time point.
Arm/Group Title Placebo PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 40
Week 2 (n=64, 36)
-21.3
-30.1
Week 4 (n=66, 35)
-26.6
-30.5
Week 6 (n=58, 32)
-36.7
-42.2
Week 8 (n=58, 29)
-39.1
-48.1
Week 10 (n=54, 29)
-26.3
-56.1
Week 12 (n=57, 29)
-35.2
-66.2
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 200-mg arm at Week 2.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3157
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -8.8
Confidence Interval (2-Sided) 90%
-39.0 to 21.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 18.27
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 200-mg arm at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4171
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.8
Confidence Interval (2-Sided) 90%
-34.0 to 26.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 18.28
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 200-mg arm at Week 6.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3837
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -5.6
Confidence Interval (2-Sided) 90%
-36.6 to 25.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 18.79
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 200-mg arm at Week 8.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3204
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -9.0
Confidence Interval (2-Sided) 90%
-40.8 to 22.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.27
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 200-mg arm at Week 10.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0649
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -29.9
Confidence Interval (2-Sided) 90%
-62.3 to 2.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.64
Estimation Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, PF-04236921 10 mg
Comments LSM difference from placebo in change from baseline in CDAI score for the 200-mg arm at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0598
Comments
Method LMM
Comments Status of anti-TNF experience, concomitant immunosuppressant therapy, and baseline were included as covariates.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -31.0
Confidence Interval (2-Sided) 90%
-63.9 to 1.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 19.87
Estimation Comments
13. Secondary Outcome
Title Percentages of Participants With Confirmed Positive Anti-drug Antibodies (ADAs)
Description The percentage of participants with confirmed positive ADA was summarized for each treatment arm. ADA positive was defined as ADA titer defined as ADA titer (ie, the reciprocal of the highest dilution that gives a value equivalent to the cut point of the assay) >= 4.32.
Time Frame At baseline (Day 1) and at Weeks 4, 8, 12, 16, 24, 32 and 40

Outcome Measure Data

Analysis Population Description
The SAS consisted of all participants who received at least 1 dose of study drug. "n" signifies number of participants with observed data at the time point of each arm. From Weeks 16 to 40, only participants who remained in the follow-up period of this study and did not enter NCT01405196 were analyzed.
Arm/Group Title PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Arm/Group Description PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 67 71 40
Day 1 (n=56, 66, 36)
0.0
0%
0.0
0%
0.0
0%
Week 4 (n=58, 62, 29)
0.0
0%
1.6
2.4%
0.0
0%
Week 8 (n=53, 53, 27)
0.0
0%
0.0
0%
0.0
0%
Week 12 (n=46, 49, 24)
0.0
0%
0.0
0%
0.0
0%
Week 16 (n=2, 1, 0)
0.0
0%
0.0
0%
NA
NaN
Week 24 (n=2, 1, 0)
0.0
0%
0.0
0%
NA
NaN
Week 32 (n=1, 0, 0)
0.0
0%
NA
NaN
NA
NaN
Week 40 (n=2, 1, 0)
0.0
0%
0.0
0%
NA
NaN
14. Secondary Outcome
Title Percentages of Participants With Confirmed Positive Neutralizing Antibodies (NAbs)
Description The percentage of participants with confirmed positive NAbs was summarized for each treatment arm. Only ADA positive samples were analyzed for Nab. A multi-tiered approach was utilized to detect NAbs. NAb serum samples were screened at tier one, and those found presumptively NAb positive was further tested with the confirmatory assay (tier two). The percentage of subjects with confirmed positive NAbs was summarized for each treatment.
Time Frame At baseline (Day 1) and at Weeks 4, 8, 12, 16, 24, 32 and 40

Outcome Measure Data

Analysis Population Description
The SAS consisted of all participants who received at least 1 dose of study drug. "n" signifies number of participants with observed data at the time point of each arm. From Weeks 16 to 40, only participants who remained in the follow-up period of this study and did not enter NCT01405196 were analyzed.
Arm/Group Title PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Arm/Group Description PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 67 71 40
Day 1 (n=56, 66, 36)
0.0
0%
0.0
0%
0.0
0%
Week 4 (n=58, 62, 29)
0.0
0%
1.6
2.4%
0.0
0%
Week 8 (n=53, 53, 27)
0.0
0%
0.0
0%
0.0
0%
Week 12 (n=46, 49, 24)
0.0
0%
0.0
0%
0.0
0%
Week 16 (n=2, 1, 0)
0.0
0%
0.0
0%
NA
NaN
Week 24 (n=2, 1, 0)
0.0
0%
0.0
0%
NA
NaN
Week 32 (n=1, 0, 0)
0.0
0%
NA
NaN
NA
NaN
Week 40 (n=2, 1, 0)
0.0
0%
0.0
0%
NA
NaN
15. Secondary Outcome
Title Serum PF-04236921 Concentration Over Time
Description
Time Frame Day 1 (predose), and at Weeks 2, 4 (Day 28, predose), 8, 10, 12, 16, 20, 24, 28, 32, 36, and 40

Outcome Measure Data

Analysis Population Description
The pharmacokinetic (PK) analysis set was the subset of participants from the SAS who provided at least 1 PK concentration (2 participants [10 mg arm] excluded due to a quality issue). "n" is the number of participants with PK data at the visit. From Weeks 16 to 40, only participants who remained in the follow-up period of this study were analyzed.
Arm/Group Title PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Arm/Group Description PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 65 71 40
Day 1 (n=54, 64, 37)
4.52
(33.20)
2.05
(16.38)
NA
(NA)
Week 2 (n=46, 56, 30)
1060
(531.3)
4580
(1938)
21300
(9547)
Week 4 (n=56, 63, 29)
674
(339.3)
3180
(1555)
14800
(6641)
Week 6 (n=48, 57, 28)
1470
(863.0)
6610
(2668)
32200
(13240)
Week 8 (n=51, 52, 28)
992
(501.7)
4500
(1993)
20200
(8683)
Week 10 (n=47, 54, 29)
695
(428.5)
3280
(1961)
13600
(7350)
Week 12 (n=43, 51, 26)
504
(435.5)
2110
(1333)
10900
(7802)
Week 16 (n=2, 1, 0)
177
(250.3)
1290
(NA)
NA
(NA)
Week 20 (n=2, 1, 0)
102
(143.5)
425
(NA)
NA
(NA)
Week 24 (n=2, 1, 0)
63.5
(89.80)
NA
(NA)
NA
(NA)
Week 28 (n=2, 0, 0)
NA
(NA)
NA
(NA)
NA
(NA)
Week 32 (n=2, 0, 0)
NA
(NA)
NA
(NA)
NA
(NA)
Week 36 (n=2, 1, 0)
NA
(NA)
109
(NA)
NA
(NA)
Week 40 (n=2, 1, 0)
NA
(NA)
NA
(NA)
NA
(NA)
16. Secondary Outcome
Title Number of Participants Who Withdrew From the Study Due to Treatment-emergent Adverse Events (AEs)
Description An AE was any untoward medical occurrence without regard to causality in a participant who received study drug. Treatment-emergent were events between first dose of treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state.
Time Frame Induction period: from Week 0 (Day 1) through Week 12; follow-up period: from Week 12 (or discontinuation from the induction period) through last subject visit (up to 28 weeks after completion of or discontinuation from the 12-week induction period)

Outcome Measure Data

Analysis Population Description
The SAS consisted of all participants who received at least 1 dose of study drug. "n" signifies number of participants with observed data at the time point of each arm. From Weeks 16 to 40, only participants who remained in the follow-up period of this study and did not enter NCT01405196 were analyzed.
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
Measure Participants 69 67 71 40
Induction period (Weeks 0 to 12)
7
10.1%
6
9%
6
8.5%
8
20%
Follow-up period (after Week 12)
0
0%
0
0%
0
0%
0
0%

Adverse Events

Time Frame The reporting period was from the time of the first dose of study treatment through last subject visit up to 40 weeks post the first dose of study treatment for serious adverse events (SAEs) and other adverse events (AEs).
Adverse Event Reporting Description The same event may appear as both an AE and an SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as non-serious in another subject, or one subject may have experienced both a serious and non-serious event during the study.
Arm/Group Title Placebo PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Arm/Group Description Placebo administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 10 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 50 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study. PF-04236921 200 mg administered SC in the anterolateral right and left thighs on Day 1 and Day 28. Each participant received 2 injections due to the double-dummy design of the study.
All Cause Mortality
Placebo PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 11/69 (15.9%) 11/67 (16.4%) 12/71 (16.9%) 11/40 (27.5%)
Ear and labyrinth disorders
Vertigo positional 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Gastrointestinal disorders
Abdominal pain 0/69 (0%) 2/67 (3%) 0/71 (0%) 0/40 (0%)
Anal fistula 0/69 (0%) 0/67 (0%) 2/71 (2.8%) 1/40 (2.5%)
Colitis 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Crohn's disease 6/69 (8.7%) 6/67 (9%) 5/71 (7%) 4/40 (10%)
Haematochezia 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
Ileal fistula 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Intestinal perforation 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
Large intestinal stenosis 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Large intestine perforation 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Pancreatitis acute 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
General disorders
Chest pain 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Chills 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Device occlusion 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Malaise 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Pyrexia 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Infections and infestations
Abscess 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Anal abscess 0/69 (0%) 1/67 (1.5%) 2/71 (2.8%) 0/40 (0%)
Groin abscess 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
Pneumonia 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
Retroperitoneal abscess 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Sepsis 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Abscess intestinal 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Perirectal abscess 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Injury, poisoning and procedural complications
Road traffic accident 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Investigations
Liver function test abnormal 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Alanine aminotransferase increased 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Metabolism and nutrition disorders
Malnutrition 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Musculoskeletal and connective tissue disorders
Back pain 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Fistula 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Nervous system disorders
Headache 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
VIIth nerve paralysis 1/69 (1.4%) 0/67 (0%) 0/71 (0%) 0/40 (0%)
Renal and urinary disorders
Acute kidney injury 0/69 (0%) 1/67 (1.5%) 0/71 (0%) 0/40 (0%)
Nephrolithiasis 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
Respiratory, thoracic and mediastinal disorders
Atelectasis 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Pulmonary embolism 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 1/40 (2.5%)
Respiratory failure 0/69 (0%) 0/67 (0%) 1/71 (1.4%) 0/40 (0%)
Vascular disorders
Deep vein thrombosis 0/69 (0%) 0/67 (0%) 0/71 (0%) 1/40 (2.5%)
Other (Not Including Serious) Adverse Events
Placebo PF-04236921 10 mg PF-04236921 50 mg PF-04236921 200 mg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 36/69 (52.2%) 38/67 (56.7%) 48/71 (67.6%) 20/40 (50%)
Blood and lymphatic system disorders
Anaemia 4/69 (5.8%) 1/67 (1.5%) 2/71 (2.8%) 2/40 (5%)
Gastrointestinal disorders
Abdominal pain 8/69 (11.6%) 6/67 (9%) 8/71 (11.3%) 6/40 (15%)
Abdominal pain upper 0/69 (0%) 1/67 (1.5%) 1/71 (1.4%) 3/40 (7.5%)
Crohn's disease 4/69 (5.8%) 2/67 (3%) 7/71 (9.9%) 4/40 (10%)
Nausea 1/69 (1.4%) 8/67 (11.9%) 7/71 (9.9%) 1/40 (2.5%)
Proctalgia 0/69 (0%) 2/67 (3%) 5/71 (7%) 0/40 (0%)
Vomiting 2/69 (2.9%) 4/67 (6%) 5/71 (7%) 2/40 (5%)
General disorders
Fatigue 0/69 (0%) 2/67 (3%) 4/71 (5.6%) 0/40 (0%)
Pyrexia 7/69 (10.1%) 5/67 (7.5%) 5/71 (7%) 1/40 (2.5%)
Infections and infestations
Nasopharyngitis 3/69 (4.3%) 11/67 (16.4%) 8/71 (11.3%) 3/40 (7.5%)
Upper respiratory tract infection 2/69 (2.9%) 0/67 (0%) 4/71 (5.6%) 0/40 (0%)
Urinary tract infection 3/69 (4.3%) 4/67 (6%) 3/71 (4.2%) 5/40 (12.5%)
Musculoskeletal and connective tissue disorders
Arthralgia 8/69 (11.6%) 5/67 (7.5%) 5/71 (7%) 0/40 (0%)
Back pain 4/69 (5.8%) 4/67 (6%) 3/71 (4.2%) 1/40 (2.5%)
Pain in extremity 4/69 (5.8%) 2/67 (3%) 1/71 (1.4%) 1/40 (2.5%)
Nervous system disorders
Headache 6/69 (8.7%) 4/67 (6%) 9/71 (12.7%) 2/40 (5%)
Skin and subcutaneous tissue disorders
Erythema 0/69 (0%) 1/67 (1.5%) 5/71 (7%) 1/40 (2.5%)
Rash 1/69 (1.4%) 3/67 (4.5%) 7/71 (9.9%) 1/40 (2.5%)

Limitations/Caveats

Enrollment into the 200 mg arm was halted on 14 August 2013 before reaching the planned sample size due to safety findings in NCT01405196. Hence the 200 mg vs placebo comparisons were excluded from the primary analyses and reported separately.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigators will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01287897
Other Study ID Numbers:
  • B0151003
  • 2010-023034-23
  • ANDANTE
First Posted:
Feb 2, 2011
Last Update Posted:
Jan 21, 2016
Last Verified:
Dec 1, 2015