CLASSICII: Remission in Subjects With Crohn's Disease, Open Label Extension

Sponsor
Abbott (Industry)
Overall Status
Completed
CT.gov ID
NCT01070303
Collaborator
(none)
177
43
1
76
4.1
0.1

Study Details

Study Description

Brief Summary

The objectives were: (1) To demonstrate the efficacy of adalimumab in the long-term maintenance of clinical remission in participants with Crohn's disease; and (2) To delineate the long-term safety of adalimumab when administered to participants with Crohn's disease.

Condition or Disease Intervention/Treatment Phase
  • Biological: Adalimumab 40 mg eow or ew
Phase 3

Detailed Description

Study M02-433 was designed to evaluate the efficacy and safety of adalimumab in the maintenance of clinical remission in patients with Crohn's disease (CD). The study consisted of 2 phases: 1. a 1-year phase (Week 0 to Week 56) (NCT00055497) that consisted of a randomized, double-blind, placebo-controlled portion with a concomitant open label (OL) portion, and 2. a long-term open-label extension (OLE) phase (NCT01070303) that lasted 264 additional weeks (Week 56 to Week 320).

Participants who completed the lead-in study NCT00055523, were eligible to participate in the rollover study, NCT00055497. 176 participants were documented as having completed Year 1 (NCT00055497); however, 177 participants were still receiving study drug and were evaluated at Week 56 of NCT00055497; these participants are included in the OLE data (NCT01070303).

At Week 4 of NCT00055497, participants who demonstrated clinical remission (defined as a Crohn's Disease Activity Index [CDAI] score <150 points) at Baseline of NCT00055497 and who remained in clinical remission at Week 4 ("Remitters") were randomized to receive 1 of 3 blinded treatments: placebo, adalimumab 40 mg every other week (eow), or adalimumab 40 mg every week (ew). Participants who did not demonstrate clinical remission at Baseline of NCT00055497 or who were no longer in clinical remission at Week 4 of NCT00055497 ("Non-remitters") were assigned to receive OL adalimumab 40 mg eow. All study drug (placebo and active) was administered by subcutaneous (SC) injection.

At any time during Study NCT00055497, a participant receiving blinded study drug who developed a disease flare could be switched to OL adalimumab 40 mg eow. A participant receiving OL adalimumab 40 mg SC eow who developed a flare or was a non-responders could have had his/her dose increased to 40 mg SC ew.

After 1 year (Week 56 of NCT00055497), patients who were still participating could continue in the OLE phase (NCT01070303). Participants who were receiving blinded study drug were switched to OL adalimumab 40 mg SC eow, and participants who were receiving OL study drug continued on their previous OL adalimumab dose (adalimumab 40 mg SC eow or ew).

Data are summarized for Remitters and Non-remitters, with the exception of data for primary reason for noncompletion. Summaries of primary reason for noncompletion were available only for all participants, not for Remitters and Non-remitters. Data are reported for Weeks 104, 152, 212, and 260 of Study M02-433, starting from Week 0 of NCT00055497; these weeks correspond to 1, 2, 3, and 4 years of participation in NCT01070303. Change from Baseline results (clinical response 70, clinical response 100, Inflammatory Bowel Disease Questionnaire, and fistula remission) are calculated from Baseline of the lead-in study (NCT00055523). Results on each assessment at each measurement time point are presented as individual outcome measures because different numbers of participants were evaluated at each time point (as observed analysis).

Study Design

Study Type:
Interventional
Actual Enrollment :
177 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Maintenance of Clinical Remission in Subjects With Crohn's Disease, Open Label Extension
Study Start Date :
Aug 1, 2002
Actual Primary Completion Date :
Dec 1, 2008
Actual Study Completion Date :
Dec 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: Adalimumab 40 mg every other week or every week

Biological: Adalimumab 40 mg eow or ew
Adalimumab 40 mg by subcutaneous injection every other week or every week
Other Names:
  • Adalimumab
  • Humira
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants Achieving Clinical Remission (Crohn's Disease Activity Index[CDAI] <150 Points) at Week 104 of Study M02-433 (Starting From Week 0 of NCT00055497) (Through 1 Year of Participation in NCT01070303). [Week 104]

      Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.

    Secondary Outcome Measures

    1. Number of Participants Achieving Clinical Remission (CDAI < 150 Points) at Week 152 (Through 2 Years of Participation in NCT01070303). [Week 152]

      Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.

    2. Number of Participants Achieving Clinical Remission (CDAI < 150 Points) at Week 212 (Through 3 Years of Participation in NCT01070303). [Week 212]

      Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.

    3. Number of Participants Achieving Clinical Remission (CDAI < 150 Points) at Week 260 (4 Years of Participation in NCT01070303). [Week 260]

      Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.

    4. Number of Participants Achieving CR-100 at Week 104 (1 Year of Participation in NCT01070303) [From Baseline of lead-in study to Week 104]

      A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    5. Number of Participants Achieving CR-100 at Week 152 (2 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 152]

      A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    6. Number of Participants Achieving CR-100 at Week 212 (3 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 212]

      A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    7. Number of Participants Achieving CR-100 at Week 260 (4 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 260]

      A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    8. Number of Participants Achieving CR-70 at Week 104 (1 Year of Participation in NCT01070303) [Week 104]

      A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    9. Number of Participants Achieving CR-70 at Week 152 (2 Years of Participation in NCT01070303) [From Baseline of lead-in Study to Week 152]

      A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    10. Number of Participants Achieving CR-70 at Week 212 (3 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 212]

      CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    11. Number of Participants Achieving CR-70 at Week 260 (4 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 260]

      A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.

    12. Number of Participants Achieving Steroid-free Clinical Remission at Week 104 (1 Year of Participation in NCT01070303) [From Baseline of lead-in study to Week 104]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.

    13. Number of Achieving Steroid-free Clinical Remission at Week 152 (2 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 152]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.

    14. Number of Participants Achieving Steroid-free Clinical Remission at Week 212 (3 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 212]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.

    15. Number of Participants Achieving Steroid-free Clinical Remission at Week 260 (4 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 260]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.

    16. Number of Participants Achieving Steroid-free CR-100 at Week 104 (1 Year of Participation in NCT01070303) [From Baseline of lead-in study to Week 104]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.

    17. Number of Participants Achieving Steroid-free CR-100 at Week 152 (2 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 152]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.

    18. Number of Participants Achieving Steroid-free CR-100 at Week 212 (3 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 212]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.

    19. Number of Participants Achieving Steroid-free CR-100 at Week 260 (4 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 260]

      Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.

    20. Changes in Inflammatory Bowel Disease Questionnaire (IBDQ) Scores [Change from Baseline of lead-in study at Weeks 104, 152, 200, and 248]

      IBDQ is a validated disease-specific instrument that assesses the impact of IBD on patient quality of life during a 2-week recall period. It has 32 questions about bowel function and related symptoms, and their social and emotional impact. For each question, participants selected 1 of 7 responses, where 1=poor quality of life (e.g., feeling of fatigue "all of the time") and 7=good quality on the item (e.g., feeling of fatigue "none of the time"). IBDQ scores range from 32 to 224. Higher scores indicate better quality of life, and increases in IBDQ indicate improved overall quality of life.

    21. Number of Participants Achieving Fistula Remission at Week 104 (1 Year of Participation in NCT01070303) [From Baseline of lead-in study to Week 104]

      A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.

    22. Number of Participants Achieving Fistula Remission at Week 152 (2 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 152]

      A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.

    23. Number of Participants Achieving Fistula Remission at Week 212 (3 Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 212]

      A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.

    24. Number of Participants Achieving Fistula Remission at Week 260 (Years of Participation in NCT01070303) [From Baseline of lead-in study to Week 260]

      A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Participant had completed the Year 1 of Study M02-433 (NCT00055497)

    • Diagnosis of Crohn's disease

    • Willing and able to give informed consent

    Exclusion Criteria:
    • Diagnosis of ulcerative colitis

    • Pregnancy or breastfeeding

    • Previous use of infliximab or other anti-TNF (tumor necrosing factor) antagonists

    • Previous history of active tuberculosis or listeria infection

    • Previous history of cancer other than successfully treated skin cancer

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Gastroenterology Associates of the East Bay Berkeley California United States 94705
    2 Long Beach Gastroenterology Assoc. Long Beach California United States 90806
    3 Sharp Rees-Stealy Medical Group San Diego California United States 92123
    4 Gastroenterology Assoc. of Fairfield Co. Bridgeport Connecticut United States 06606
    5 Cleveland Clinic Florida Weston Florida United States 33331
    6 Wake Research Associates Weston Florida United States 33331
    7 Shafran Gastroenterology Center Winter Park Florida United States 32789
    8 Atlanta Gastroenterology Assoc. Atlanta Georgia United States 30342
    9 Southeastern Digestive & Liver Disease Savannah Georgia United States 31404
    10 Northwest Gastroenterologists, S.C. Arlington Heights Illinois United States 60005
    11 University of Chicago Chicago Illinois United States 60637
    12 Drug Research Services, Inc. Metairie Louisiana United States 70001
    13 LSU School of Medicine New Orleans Louisiana United States 70115
    14 Digestive Disorders Associates Annapolis Maryland United States 21401
    15 Massachusetts General Hospital Boston Massachusetts United States 02114
    16 Brigham and Women's Hospital Boston Massachusetts United States 02115
    17 Clinical Pharmacology Study Group Worchester Massachusetts United States 01610
    18 Mayo Clinic and Mayo Foundation Rochester Minnesota United States 55905
    19 Gastroenterology and Hepatology Kansas City Missouri United States 64131
    20 Glenn Gordon, MD Mexico Missouri United States 65265
    21 Deaconess Billings Clinic Research Division Billings Montana United States 59101
    22 Gastroenterology Specialties, P.C. Lincoln Nebraska United States 68503
    23 Long Island Clinical Research Associates Great Neck New York United States 11021
    24 NY Center for Clinical Research Lake Success New York United States 11042
    25 New York Presbyterian Hospital New York New York United States 10021
    26 Daniel Present New York New York United States 10029
    27 Rochester Institute for Digestive Diseases Rochester New York United States 14607
    28 UNC School of Medicine Chapel Hill North Carolina United States 27599
    29 Charlotte Gastroenterology and Hepatology Charlotte North Carolina United States 28207
    30 Carolina Research Associates Charlotte North Carolina United States 28262
    31 Digestive Health Specialists Winston-Salem North Carolina United States 27103
    32 Consultants for Clinical Research Cincinnati Ohio United States 45219
    33 Oklahoma Foundation for Digestive Disease Oklahoma City Oklahoma United States 73104
    34 Research Solutions Tulsa Oklahoma United States 74104
    35 Altoona Center for Clinical Research Duncansville Pennsylvania United States 16635
    36 Peter Molloy, MD Pittsburgh Pennsylvania United States 15224
    37 Diseases of the Digestive System Chattanooga Tennessee United States 37421
    38 Nashville Medical Research Institute Nashville Tennessee United States 37205
    39 Charlottesville Medical Research Charlottesville Virginia United States 22902
    40 Northwest Gastroenterology Bellevue Washington United States 98004
    41 Inland Empire Gastroenterology Spokane Washington United States 99204
    42 Tacoma Digestive Disease Center Tacoma Washington United States 98405
    43 Wisconsin Center for Advanced Research Milwaukee Wisconsin United States 53207

    Sponsors and Collaborators

    • Abbott

    Investigators

    • Study Director: Anne Camez, MD, Abbott

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT01070303
    Other Study ID Numbers:
    • M02-433 Open Label
    First Posted:
    Feb 18, 2010
    Last Update Posted:
    Apr 11, 2011
    Last Verified:
    Apr 1, 2011
    Keywords provided by , ,
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Participants who were still receiving study drug and were evaluated at Week 56 of Study M02-433 (NCT00055497) are included in the open-label extension (OLE) (NCT01070303). Participants entered NCT00055497 from a lead-in adalimumab induction therapy study (NCT00055523).
    Pre-assignment Detail Clinical remission = CDAI <150. At Week 4 of NCT00055497, "remitters" (participants in clinical remission at Week 0 and Week 4 of NCT00055497) were randomized to double blind (DB) therapy and "non-remitters" (participants not in clinical remission at Week 0 or no longer in clinical remission at Week 4) were assigned to open-label (OL) adalimumab.
    Arm/Group Title All Participants in Open-Label Extension of Study M02-433
    Arm/Group Description Participants who were still receiving study drug and were evaluated at Week 56 of NCT00055497 could continue into the OLE. In the OLE, participants who received double-blind study drug (adalimumab 40 mg) during the DB portion were started on adalimumab 40 mg every other week (eow). Participants who received OL adalimumab 40 mg during the DB portion continued the dose they were receiving. Any participant who was receiving 40 mg adalimumab eow during the OLE and who experienced a disease flare (recurrence of active disease) could change to 40 mg adalimumab weekly. 176 participants were documented as completing Year 1 of the study; however, efficacy data were recorded for 177 participants at Week 56, and those participants are included in the OLE. Safety data are summarized for all participants (N = 276) who entered the study (NCT00055497).
    Period Title: Overall Study
    STARTED 177
    COMPLETED 88
    NOT COMPLETED 89

    Baseline Characteristics

    Arm/Group Title Remitters Non-Remitters Total
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497. Total of all reporting groups
    Overall Participants 45 132 177
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    35.5
    (10.88)
    38.9
    (12.53)
    38.1
    (12.19)
    Sex: Female, Male (Count of Participants)
    Female
    26
    57.8%
    60
    45.5%
    86
    48.6%
    Male
    19
    42.2%
    72
    54.5%
    91
    51.4%
    Region of Enrollment (participants) [Number]
    United States
    45
    100%
    132
    100%
    177
    100%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants Achieving Clinical Remission (Crohn's Disease Activity Index[CDAI] <150 Points) at Week 104 of Study M02-433 (Starting From Week 0 of NCT00055497) (Through 1 Year of Participation in NCT01070303).
    Description Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.
    Time Frame Week 104

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 104 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 34 103
    Number [Participants]
    29
    64.4%
    71
    53.8%
    2. Secondary Outcome
    Title Number of Participants Achieving Clinical Remission (CDAI < 150 Points) at Week 152 (Through 2 Years of Participation in NCT01070303).
    Description Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.
    Time Frame Week 152

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 152 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 30 87
    Number [Participants]
    26
    57.8%
    62
    47%
    3. Secondary Outcome
    Title Number of Participants Achieving Clinical Remission (CDAI < 150 Points) at Week 212 (Through 3 Years of Participation in NCT01070303).
    Description Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.
    Time Frame Week 212

    Outcome Measure Data

    Analysis Population Description
    Observed cases, that is, all participants who participating at Week 212 and had a CDAI measurement at that time point were included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 25 69
    Number [Participants]
    21
    46.7%
    45
    34.1%
    4. Secondary Outcome
    Title Number of Participants Achieving Clinical Remission (CDAI < 150 Points) at Week 260 (4 Years of Participation in NCT01070303).
    Description Clinical remission is defined as CDAI score <150. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. A lower score indicates less severe Crohn's disease activity.
    Time Frame Week 260

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 260 of Study NCT00055497 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 10 27
    Number [Participants]
    8
    17.8%
    21
    15.9%
    5. Secondary Outcome
    Title Number of Participants Achieving CR-100 at Week 104 (1 Year of Participation in NCT01070303)
    Description A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in study to Week 104

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 104 of Study NCT00055497 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 34 103
    Number [Participants]
    28
    62.2%
    87
    65.9%
    6. Secondary Outcome
    Title Number of Participants Achieving CR-100 at Week 152 (2 Years of Participation in NCT01070303)
    Description A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in study to Week 152

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 152 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 30 87
    Number [Participants]
    28
    62.2%
    74
    56.1%
    7. Secondary Outcome
    Title Number of Participants Achieving CR-100 at Week 212 (3 Years of Participation in NCT01070303)
    Description A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in study to Week 212

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 212
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 25 69
    Number [Participants]
    23
    51.1%
    58
    43.9%
    8. Secondary Outcome
    Title Number of Participants Achieving CR-100 at Week 260 (4 Years of Participation in NCT01070303)
    Description A CR-100 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 100 or more points, indicating significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in study to Week 260

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 260 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 10 27
    Number [Participants]
    8
    17.8%
    27
    20.5%
    9. Secondary Outcome
    Title Number of Participants Achieving CR-70 at Week 104 (1 Year of Participation in NCT01070303)
    Description A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame Week 104

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 104 .
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 34 103
    Number [Participants]
    31
    68.9%
    92
    69.7%
    10. Secondary Outcome
    Title Number of Participants Achieving CR-70 at Week 152 (2 Years of Participation in NCT01070303)
    Description A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in Study to Week 152

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who CDAI evaluation at Week 152 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 30 87
    Number [Participants]
    30
    66.7%
    77
    58.3%
    11. Secondary Outcome
    Title Number of Participants Achieving CR-70 at Week 212 (3 Years of Participation in NCT01070303)
    Description CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in study to Week 212

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation Week 212 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 25 69
    Number [Participants]
    24
    53.3%
    63
    47.7%
    12. Secondary Outcome
    Title Number of Participants Achieving CR-70 at Week 260 (4 Years of Participation in NCT01070303)
    Description A CR-70 is a decrease from Baseline of lead-in study (NCT00055523) in CDAI score of 70 or more points, indicating a significant improvement in disease severity. CDAI evaluates 8 Crohn's-related variables during a 1-week assessment period, yielding a composite score >/= 0 and without upper limit. The range of scores during Study NCT01070303 was 0 to 464. Scores at Baseline of the lead-in study (NCT00055523), which were used to calculate clinical response, ranged from 201 to 450. A lower score indicates less severe Crohn's disease activity.
    Time Frame From Baseline of lead-in study to Week 260

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had CDAI evaluation at Week 260 are included.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 10 27
    Number [Participants]
    10
    22.2%
    27
    20.5%
    13. Secondary Outcome
    Title Number of Participants Achieving Steroid-free Clinical Remission at Week 104 (1 Year of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.
    Time Frame From Baseline of lead-in study to Week 104

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 104.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 18 31
    Number [Participants]
    8
    17.8%
    12
    9.1%
    14. Secondary Outcome
    Title Number of Achieving Steroid-free Clinical Remission at Week 152 (2 Years of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.
    Time Frame From Baseline of lead-in study to Week 152

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 152.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 18 30
    Number [Participants]
    8
    17.8%
    14
    10.6%
    15. Secondary Outcome
    Title Number of Participants Achieving Steroid-free Clinical Remission at Week 212 (3 Years of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.
    Time Frame From Baseline of lead-in study to Week 212

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 212.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 14 23
    Number [Participants]
    5
    11.1%
    10
    7.6%
    16. Secondary Outcome
    Title Number of Participants Achieving Steroid-free Clinical Remission at Week 260 (4 Years of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free remission was achieved if the participant stopped taking corticosteroids before the visit and had a CDAI score < 150 points at that visit.
    Time Frame From Baseline of lead-in study to Week 260

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 260.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 6 12
    Number [Participants]
    2
    4.4%
    4
    3%
    17. Secondary Outcome
    Title Number of Participants Achieving Steroid-free CR-100 at Week 104 (1 Year of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.
    Time Frame From Baseline of lead-in study to Week 104

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 104.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 18 31
    Number [Participants]
    9
    20%
    15
    11.4%
    18. Secondary Outcome
    Title Number of Participants Achieving Steroid-free CR-100 at Week 152 (2 Years of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.
    Time Frame From Baseline of lead-in study to Week 152

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 152.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 18 30
    Number [Participants]
    9
    20%
    15
    11.4%
    19. Secondary Outcome
    Title Number of Participants Achieving Steroid-free CR-100 at Week 212 (3 Years of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.
    Time Frame From Baseline of lead-in study to Week 212

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 212.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 14 23
    Number [Participants]
    6
    13.3%
    12
    9.1%
    20. Secondary Outcome
    Title Number of Participants Achieving Steroid-free CR-100 at Week 260 (4 Years of Participation in NCT01070303)
    Description Among participants who were taking systemic corticosteroids at Baseline of the lead-in study (NCT00055523), steroid-free CR-100 was achieved if the participant stopped taking steroids before the visit and had a decrease from Baseline in CDAI score of 100 or more points at that visit.
    Time Frame From Baseline of lead-in study to Week 260

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who were taking systemic corticosteroids at Baseline of NCT00055523 and who had CDAI evaluation and documentation of concomitant corticosteroid use (yes or no) at Week 260.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 6 12
    Number [Participants]
    2
    4.4%
    5
    3.8%
    21. Secondary Outcome
    Title Changes in Inflammatory Bowel Disease Questionnaire (IBDQ) Scores
    Description IBDQ is a validated disease-specific instrument that assesses the impact of IBD on patient quality of life during a 2-week recall period. It has 32 questions about bowel function and related symptoms, and their social and emotional impact. For each question, participants selected 1 of 7 responses, where 1=poor quality of life (e.g., feeling of fatigue "all of the time") and 7=good quality on the item (e.g., feeling of fatigue "none of the time"). IBDQ scores range from 32 to 224. Higher scores indicate better quality of life, and increases in IBDQ indicate improved overall quality of life.
    Time Frame Change from Baseline of lead-in study at Weeks 104, 152, 200, and 248

    Outcome Measure Data

    Analysis Population Description
    The analysis population is observed cases, that is, all participants who had an IBDQ score at the visit time point.
    Arm/Group Title Change From Baseline-Week 104 Change From Baseline-Week 152 Change From Baseline-Week 200 Change From Baseline-Week 248
    Arm/Group Description The last non-missing measure collected on or before the first dose of study drug in the lead-in study, NCT00055523, was used as Baseline to determine efficacy changes. Only participants who had Baseline and post Baseline visits were included in the analyses. The last non-missing measure collected on or before the first dose of study drug in the lead-in study, NCT00055523, was used as Baseline to determine efficacy changes. Only participants who had Baseline and post Baseline visits were included in the analyses. The last non-missing measure collected on or before the first dose of study drug in the lead-in study, NCT00055523, was used as Baseline to determine efficacy changes. Only participants who had Baseline and post Baseline visits were included in the analyses. The last non-missing measure collected on or before the first dose of study drug in the lead-in study, NCT00055523, was used as Baseline to determine efficacy changes. Only participants who had Baseline and post Baseline visits were included in the analyses.
    Measure Participants 142 114 99 69
    Mean (Standard Deviation) [Scores on a scale]
    42.4
    (36.27)
    47.9
    (33.70)
    51.0
    (32.77)
    51.7
    (32.67)
    22. Secondary Outcome
    Title Number of Participants Achieving Fistula Remission at Week 104 (1 Year of Participation in NCT01070303)
    Description A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.
    Time Frame From Baseline of lead-in study to Week 104

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who draining fistulas at Baseline of NCT00055523 and who had data on draining fistulas(yes or no) at Week 104.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 3 15
    Number [Participants]
    1
    2.2%
    11
    8.3%
    23. Secondary Outcome
    Title Number of Participants Achieving Fistula Remission at Week 152 (2 Years of Participation in NCT01070303)
    Description A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.
    Time Frame From Baseline of lead-in study to Week 152

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who draining fistulas at Baseline of NCT00055523 and who had data on draining fistulas(yes or no) at Week 152.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 3 14
    Number [Participants]
    2
    4.4%
    11
    8.3%
    24. Secondary Outcome
    Title Number of Participants Achieving Fistula Remission at Week 212 (3 Years of Participation in NCT01070303)
    Description A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.
    Time Frame From Baseline of lead-in study to Week 212

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who draining fistulas at Baseline of NCT00055523 and who had data on draining fistulas(yes or no) at Week 212.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 3 11
    Number [Participants]
    1
    2.2%
    10
    7.6%
    25. Secondary Outcome
    Title Number of Participants Achieving Fistula Remission at Week 260 (Years of Participation in NCT01070303)
    Description A count of the number of cutaneous fistulas draining upon gentle compression was performed at Baseline of the lead-in study (NCT00055523) and at study visits. Among participants with draining fistulas at Baseline of NCT00055523, a participant was considered to have achieved fistula remission at a study visit if the participant had no draining cutaneous fistulas at that visit.
    Time Frame From Baseline of lead-in study to Week 260

    Outcome Measure Data

    Analysis Population Description
    The analysis population was observed cases, that is, all participants who draining fistulas at Baseline of NCT00055523 and who had data on draining fistulas(yes or no) at Week 260.
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    Measure Participants 2 7
    Number [Participants]
    2
    4.4%
    6
    4.5%

    Adverse Events

    Time Frame Treatment-emergent adverse events (AEs), defined as AEs beginning on or after first dose of adalimumab (in NCT00055523, NCT00055497, or NCT01070303) are reported. Treatment-emergent AEs were recorded up to 70 days after last dose of adalimumab.
    Adverse Event Reporting Description Adverse events are reported for all participants who entered the study (NCT00055497), N=276. These 276 participants include the 177 participants who continued into the open-label extension (NCT01070303).
    Arm/Group Title Remitters Non-Remitters
    Arm/Group Description Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline remitters were subjects who demonstrated clinical remission (CDAI score < 150 points) at Week 0 of NCT00055497 and remained in clinical remission at Week 4 of NCT00055497. Adalimumab 40 mg by subcutaneous injection every other week or every week. Baseline non-remitters were subjects who did not demonstrate clinical remission at Week 0 of NCT00055497, or who were no longer in remission at Week 4 of NCT00055497.
    All Cause Mortality
    Remitters Non-Remitters
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Remitters Non-Remitters
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 6/55 (10.9%) 69/221 (31.2%)
    Blood and lymphatic system disorders
    Anaemia 0/55 (0%) 2/221 (0.9%)
    Cardiac disorders
    Atrial fibrillation 0/55 (0%) 2/221 (0.9%)
    Cardiac tamponade 0/55 (0%) 1/221 (0.5%)
    Coronary artery disease 1/55 (1.8%) 1/221 (0.5%)
    Coronary artery occlusion 0/55 (0%) 1/221 (0.5%)
    Congenital, familial and genetic disorders
    Pyloric stenosis 0/55 (0%) 1/221 (0.5%)
    Gastrointestinal disorders
    Abdominal pain 0/55 (0%) 1/221 (0.5%)
    Colonic stenosis 1/55 (1.8%) 1/221 (0.5%)
    Constipation 1/55 (1.8%) 0/221 (0%)
    Crohn's disease 0/55 (0%) 17/221 (7.7%)
    Gastric ulcer 0/55 (0%) 1/221 (0.5%)
    Gastritis 0/55 (0%) 1/221 (0.5%)
    Gastrooesophageal reflux disease 0/55 (0%) 1/221 (0.5%)
    Ileal stenosis 1/55 (1.8%) 3/221 (1.4%)
    Intestinal ischaemia 0/55 (0%) 1/221 (0.5%)
    Intestinal obstruction 1/55 (1.8%) 1/221 (0.5%)
    Large intestine perforation 0/55 (0%) 1/221 (0.5%)
    Oesophageal ulcer 0/55 (0%) 1/221 (0.5%)
    Peritonitis 0/55 (0%) 1/221 (0.5%)
    Small intestinal obstruction 0/55 (0%) 8/221 (3.6%)
    Small intestinal stenosis 1/55 (1.8%) 3/221 (1.4%)
    Vomiting 0/55 (0%) 2/221 (0.9%)
    General disorders
    Fatigue 0/55 (0%) 1/221 (0.5%)
    Non-cardiac chest pain 0/55 (0%) 1/221 (0.5%)
    Pain 0/55 (0%) 1/221 (0.5%)
    Pyrexia 0/55 (0%) 1/221 (0.5%)
    Hepatobiliary disorders
    Cholecystitis 0/55 (0%) 1/221 (0.5%)
    Cholecystitis chronic 0/55 (0%) 1/221 (0.5%)
    Sphincter of Oddi dysfunction 0/55 (0%) 1/221 (0.5%)
    Infections and infestations
    Abdominal abscess 0/55 (0%) 2/221 (0.9%)
    Abdominal wall abscess 0/55 (0%) 1/221 (0.5%)
    Abscess 0/55 (0%) 1/221 (0.5%)
    Abscess intestinal 0/55 (0%) 1/221 (0.5%)
    Anal abscess 0/55 (0%) 1/221 (0.5%)
    Appendicitis 0/55 (0%) 1/221 (0.5%)
    Clostridium difficile colitis 0/55 (0%) 1/221 (0.5%)
    Diverticulitis 0/55 (0%) 1/221 (0.5%)
    Folliculitis 0/55 (0%) 1/221 (0.5%)
    Gastroenteritis 0/55 (0%) 1/221 (0.5%)
    Lobar pneumonia 0/55 (0%) 1/221 (0.5%)
    Meningitis viral 0/55 (0%) 1/221 (0.5%)
    Nocardiosis 0/55 (0%) 1/221 (0.5%)
    Parvovirus infection 0/55 (0%) 1/221 (0.5%)
    Pneumonia 1/55 (1.8%) 0/221 (0%)
    Pyelonephritis 0/55 (0%) 1/221 (0.5%)
    Rectal abscess 0/55 (0%) 2/221 (0.9%)
    Retroperitoneal abscess 0/55 (0%) 1/221 (0.5%)
    Sepsis 0/55 (0%) 1/221 (0.5%)
    Septic shock 0/55 (0%) 1/221 (0.5%)
    Injury, poisoning and procedural complications
    Ankle fracture 0/55 (0%) 1/221 (0.5%)
    Post procedural haemorrhage 0/55 (0%) 1/221 (0.5%)
    Spinal compression fracture 0/55 (0%) 1/221 (0.5%)
    Wound dehiscence 0/55 (0%) 1/221 (0.5%)
    Metabolism and nutrition disorders
    Dehydration 0/55 (0%) 2/221 (0.9%)
    Obesity 0/55 (0%) 1/221 (0.5%)
    Musculoskeletal and connective tissue disorders
    Back pain 1/55 (1.8%) 0/221 (0%)
    Intervertebral disc degeneration 0/55 (0%) 1/221 (0.5%)
    Intervertebral disc protrusion 0/55 (0%) 2/221 (0.9%)
    Muscular weakness 0/55 (0%) 1/221 (0.5%)
    Osteonecrosis 0/55 (0%) 1/221 (0.5%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Langerhans' cell granulomatosis 0/55 (0%) 1/221 (0.5%)
    Non-Hodgkin's lymphoma 0/55 (0%) 1/221 (0.5%)
    Nervous system disorders
    Cerebrovascular accident 0/55 (0%) 1/221 (0.5%)
    Dizziness 0/55 (0%) 1/221 (0.5%)
    Headache 0/55 (0%) 2/221 (0.9%)
    Optic neuritis 0/55 (0%) 1/221 (0.5%)
    Renal and urinary disorders
    Nephrolithiasis 0/55 (0%) 1/221 (0.5%)
    Renal failure acute 0/55 (0%) 1/221 (0.5%)
    Reproductive system and breast disorders
    Menorrhagia 0/55 (0%) 1/221 (0.5%)
    Ovarian cyst 0/55 (0%) 2/221 (0.9%)
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease 1/55 (1.8%) 0/221 (0%)
    Pleural effusion 0/55 (0%) 1/221 (0.5%)
    Pulmonary embolism 0/55 (0%) 1/221 (0.5%)
    Skin and subcutaneous tissue disorders
    Hyperhidrosis 0/55 (0%) 1/221 (0.5%)
    Vascular disorders
    Deep vein thrombosis 0/55 (0%) 1/221 (0.5%)
    Haemorrhage 0/55 (0%) 1/221 (0.5%)
    Other (Not Including Serious) Adverse Events
    Remitters Non-Remitters
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 50/55 (90.9%) 207/221 (93.7%)
    Blood and lymphatic system disorders
    Lymphadenopathy 3/55 (5.5%) 11/221 (5%)
    Gastrointestinal disorders
    Abdominal discomfort 3/55 (5.5%) 5/221 (2.3%)
    Abdominal distension 3/55 (5.5%) 23/221 (10.4%)
    Abdominal pain 12/55 (21.8%) 42/221 (19%)
    Abdominal pain upper 3/55 (5.5%) 10/221 (4.5%)
    Abdominal tenderness 3/55 (5.5%) 23/221 (10.4%)
    Anal fistula 1/55 (1.8%) 17/221 (7.7%)
    Constipation 5/55 (9.1%) 17/221 (7.7%)
    Crohn's disease 23/55 (41.8%) 70/221 (31.7%)
    Diarrhoea 8/55 (14.5%) 36/221 (16.3%)
    Dyspepsia 4/55 (7.3%) 23/221 (10.4%)
    Flatulence 2/55 (3.6%) 17/221 (7.7%)
    Gastrooesophageal reflux disease 2/55 (3.6%) 22/221 (10%)
    Nausea 8/55 (14.5%) 51/221 (23.1%)
    Rectal haemorrhage 3/55 (5.5%) 19/221 (8.6%)
    Tooth impacted 3/55 (5.5%) 0/221 (0%)
    Vomiting 4/55 (7.3%) 28/221 (12.7%)
    General disorders
    Chest pain 2/55 (3.6%) 14/221 (6.3%)
    Fatigue 6/55 (10.9%) 26/221 (11.8%)
    Influenza like illness 2/55 (3.6%) 18/221 (8.1%)
    Injection site irritation 9/55 (16.4%) 21/221 (9.5%)
    Injection site pain 3/55 (5.5%) 12/221 (5.4%)
    Injection site reaction 2/55 (3.6%) 22/221 (10%)
    Pain 0/55 (0%) 12/221 (5.4%)
    Pyrexia 5/55 (9.1%) 33/221 (14.9%)
    Immune system disorders
    Seasonal allergy 3/55 (5.5%) 2/221 (0.9%)
    Infections and infestations
    Bronchitis 3/55 (5.5%) 15/221 (6.8%)
    Fungal infection 1/55 (1.8%) 12/221 (5.4%)
    Gastroenteritis 1/55 (1.8%) 13/221 (5.9%)
    Influenza 8/55 (14.5%) 28/221 (12.7%)
    Nasopharyngitis 15/55 (27.3%) 50/221 (22.6%)
    Pharyngitis streptococcal 3/55 (5.5%) 4/221 (1.8%)
    Respiratory tract infection viral 3/55 (5.5%) 3/221 (1.4%)
    Sinusitis 6/55 (10.9%) 34/221 (15.4%)
    Tooth abscess 3/55 (5.5%) 8/221 (3.6%)
    Upper respiratory tract infection 8/55 (14.5%) 30/221 (13.6%)
    Urinary tract infection 4/55 (7.3%) 24/221 (10.9%)
    Viral infection 5/55 (9.1%) 12/221 (5.4%)
    Injury, poisoning and procedural complications
    Excoriation 3/55 (5.5%) 5/221 (2.3%)
    Investigations
    Antinuclear antibody positive 3/55 (5.5%) 4/221 (1.8%)
    Metabolism and nutrition disorders
    Hypokalaemia 0/55 (0%) 12/221 (5.4%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 8/55 (14.5%) 43/221 (19.5%)
    Back pain 4/55 (7.3%) 31/221 (14%)
    Muscle spasms 1/55 (1.8%) 13/221 (5.9%)
    Muscular weakness 3/55 (5.5%) 1/221 (0.5%)
    Musculoskeletal pain 3/55 (5.5%) 13/221 (5.9%)
    Myalgia 3/55 (5.5%) 12/221 (5.4%)
    Pain in extremity 0/55 (0%) 19/221 (8.6%)
    Nervous system disorders
    Dizziness 5/55 (9.1%) 12/221 (5.4%)
    Headache 8/55 (14.5%) 47/221 (21.3%)
    Psychiatric disorders
    Anxiety 5/55 (9.1%) 13/221 (5.9%)
    Depression 4/55 (7.3%) 16/221 (7.2%)
    Insomnia 4/55 (7.3%) 26/221 (11.8%)
    Renal and urinary disorders
    Haematuria 3/55 (5.5%) 10/221 (4.5%)
    Nephrolithiasis 2/55 (3.6%) 13/221 (5.9%)
    Respiratory, thoracic and mediastinal disorders
    Cough 3/55 (5.5%) 17/221 (7.7%)
    Epistaxis 4/55 (7.3%) 5/221 (2.3%)
    Oropharyngeal pain 5/55 (9.1%) 17/221 (7.7%)
    Sinus congestion 3/55 (5.5%) 12/221 (5.4%)
    Wheezing 4/55 (7.3%) 6/221 (2.7%)
    Skin and subcutaneous tissue disorders
    Acne 2/55 (3.6%) 12/221 (5.4%)
    Eczema 3/55 (5.5%) 14/221 (6.3%)
    Erythema 7/55 (12.7%) 9/221 (4.1%)
    Pruritis 5/55 (9.1%) 10/221 (4.5%)
    Psoriasis 3/55 (5.5%) 7/221 (3.2%)
    Rash 8/55 (14.5%) 32/221 (14.5%)
    Rash erythematous 4/55 (7.3%) 4/221 (1.8%)
    Skin exfoliation 3/55 (5.5%) 2/221 (0.9%)
    Vascular disorders
    Hypertension 1/55 (1.8%) 15/221 (6.8%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    Abbott requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. Abbott requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if Abbott needs to secure patent or proprietary protection.

    Results Point of Contact

    Name/Title Global Medical Services
    Organization Abbott
    Phone 800-633-9110
    Email
    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT01070303
    Other Study ID Numbers:
    • M02-433 Open Label
    First Posted:
    Feb 18, 2010
    Last Update Posted:
    Apr 11, 2011
    Last Verified:
    Apr 1, 2011