Special Investigation in Patients With Intestinal Behcet's Disease (All Case Investigation)

Sponsor
AbbVie (Industry)
Overall Status
Completed
CT.gov ID
NCT01960790
Collaborator
(none)
473
47.7

Study Details

Study Description

Brief Summary

This investigation was conducted to obtain the following information regarding the use of Adalimumab (Humira®) 40mg Syringe 0.8mL for Subcutaneous Injection in patients with Intestinal Behcet's Disease.

  1. Incidence and conditions of occurrence of adverse reactions in clinical practice

  2. Factors likely to affect the safety and effectiveness

Condition or Disease Intervention/Treatment Phase

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    473 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Humira® 40mg Syringe 0.8mL Subcutaneous Injection Special Investigation in Patients With Intestinal Behcet's Disease
    Study Start Date :
    May 25, 2013
    Actual Primary Completion Date :
    May 15, 2017
    Actual Study Completion Date :
    May 15, 2017

    Arms and Interventions

    Arm Intervention/Treatment
    Participants who received Humira®

    Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration

    Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Adverse Drug Reactions [Up to Week 156]

      The number of participants with adverse drug reactions with evaluation beginning upon administration of Humira® is assessed.

    Secondary Outcome Measures

    1. Global Assessment of Gastrointestinal Symptoms [Up to Week 156]

      Study participants completed a global assessment of their gastrointestinal symptoms on a 5-grade scale. Assessment is graded from 0 to 4: 0=free of symptoms; 1=symptoms existed since the last visit, but did not affect participant's daily life; 2=symptoms existed since the last visit and slightly affected participant's daily life; 3=symptoms existed since the last visit and affected participant's daily life; 4=symptoms existed since the last visit and critically affected participant's daily life.

    2. Global Assessment of Gastrointestinal Symptoms of Behcet's Disease [Up to Week 156]

      Study participants completed a global assessment of their gastrointestinal symptoms (including abdominal pain, diarrhea and other gastrointestinal symptoms such as abdominal distension, abdominal tenderness, and hemorrhage) on a 5-grade scale. Assessment is graded from 0 to 4: 0=free of symptoms; 1=symptoms existed since the last visit, but did not affect participant's daily life; 2=symptoms existed since the last visit and slightly affected participant's daily life; 3=symptoms existed since the last visit and affected participant's daily life; 4=symptoms existed since the last visit and critically affected participant's daily life.

    3. Number of Participants With Cardinal Symptoms of Behcet's Disease [Up to Week 156]

      The presence or absence of symptoms including recurrent aphthous ulcers of oral mucosa, cutaneous symptoms, eye symptoms and ulceration of vulva was assessed at weeks 52, 104 and 156 against presence or absence at baseline.

    4. Number of Participants With Accessory Symptoms of Behcet's Disease [Up to Week 156]

      The presence or absence of symptoms including arthritis without deformity or stiffness, epididymitis, vascular lesions and moderate to severe central nervous system (CNS) lesions was assessed at weeks 52, 104 and 156 against presence or absence at baseline.

    5. Number of Participants With Degree of Improvement of Endoscopic Findings [Up to Week 156]

      The number of participants with improvement in endoscopic findings is assessed.

    6. Changes in C-reactive Protein (CRP) [Up to Week 156]

      The change in CRP from baseline through the end of the study was assessed.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • All patients who received Adalimumab for the treatment of Intestinal Behcet's disease (not sufficiently responsive to existing therapies, e.g. steroids, immunomodulator)
    Exclusion Criteria:

    Contraindications according to the Package Insert include patients who had any of the following:

    • serious infections

    • tuberculosis

    • a history of hypersensitivity to any ingredient of Humira®

    • demyelinating disease or a history of demyelinating disease

    • congestive cardiac failure

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • AbbVie

    Investigators

    • Study Director: Osamu Mikami, MD, AbbVie GK.

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    AbbVie
    ClinicalTrials.gov Identifier:
    NCT01960790
    Other Study ID Numbers:
    • P14-152
    First Posted:
    Oct 11, 2013
    Last Update Posted:
    Mar 22, 2019
    Last Verified:
    May 1, 2018
    Keywords provided by AbbVie
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail A total of 473 participants were enrolled in the study; 462 participants were analyzed for safety and 383 participants were analyzed for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Period Title: Overall Study
    STARTED 473
    COMPLETED 462
    NOT COMPLETED 11

    Baseline Characteristics

    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Overall Participants 462
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    46.3
    (17.2)
    Sex: Female, Male (Count of Participants)
    Female
    225
    48.7%
    Male
    236
    51.1%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    Asian
    461
    99.8%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    Black or African American
    0
    0%
    White
    0
    0%
    More than one race
    0
    0%
    Unknown or Not Reported
    1
    0.2%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Adverse Drug Reactions
    Description The number of participants with adverse drug reactions with evaluation beginning upon administration of Humira® is assessed.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set: All participants who received at least one administration of Humira® during the study (after informed consent or first administration of Humira®) and for 70 days following the last scheduled administration of Humira®.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 462
    Infections and infestations
    47
    10.2%
    Neoplasms benign, malignant and unspecified
    5
    1.1%
    Blood and lymphatic system disorders
    6
    1.3%
    Immune system disorders
    1
    0.2%
    Endocrine disorders
    3
    0.6%
    Metabolism and nutrition disorders
    1
    0.2%
    Psychiatric disorders
    3
    0.6%
    Nervous system disorders
    7
    1.5%
    Eye disorders
    1
    0.2%
    Vascular disorders
    5
    1.1%
    Respiratory, thoracic and mediastinal disorders
    9
    1.9%
    Gastrointestinal Disorders
    20
    4.3%
    Hepatobiliary disorders
    4
    0.9%
    Skin and subcutaneous tissue disorder
    6
    1.3%
    Musculoskeletal and connective tissue disorder
    9
    1.9%
    Pregnancy, puerperium and perinatal conditions
    1
    0.2%
    General disorders and adminstration site condition
    19
    4.1%
    Investigations
    22
    4.8%
    Injury, poisoning and procedural complications
    1
    0.2%
    2. Secondary Outcome
    Title Global Assessment of Gastrointestinal Symptoms
    Description Study participants completed a global assessment of their gastrointestinal symptoms on a 5-grade scale. Assessment is graded from 0 to 4: 0=free of symptoms; 1=symptoms existed since the last visit, but did not affect participant's daily life; 2=symptoms existed since the last visit and slightly affected participant's daily life; 3=symptoms existed since the last visit and affected participant's daily life; 4=symptoms existed since the last visit and critically affected participant's daily life.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    All participants who received Humira® to treat gastro-intestinal Behcet's disease and were evaluable for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 383
    Global assessment score = 0
    52
    11.3%
    Global assessment score = 1
    55
    11.9%
    Global assessment score = 2
    76
    16.5%
    Global assessment score = 3
    88
    19%
    Global assessment score = 4
    98
    21.2%
    Global assessment score = 0
    153
    33.1%
    Global assessment score = 1
    85
    18.4%
    Global assessment score = 2
    44
    9.5%
    Global assessment score = 3
    33
    7.1%
    Global assessment score = 4
    8
    1.7%
    Global assessment score = 0
    176
    38.1%
    Global assessment score = 1
    72
    15.6%
    Global assessment score = 2
    38
    8.2%
    Global assessment score = 3
    19
    4.1%
    Global assessment score = 4
    10
    2.2%
    Global assessment score = 0
    169
    36.6%
    Global assessment score = 1
    72
    15.6%
    Global assessment score = 2
    32
    6.9%
    Global assessment score = 3
    12
    2.6%
    Global assessment score = 4
    7
    1.5%
    Global assessment score = 0
    152
    32.9%
    Global assessment score = 1
    44
    9.5%
    Global assessment score = 2
    34
    7.4%
    Global assessment score = 3
    8
    1.7%
    Global assessment score = 4
    2
    0.4%
    Global assessment score = 0
    142
    30.7%
    Global assessment score = 1
    45
    9.7%
    Global assessment score = 2
    22
    4.8%
    Global assessment score = 3
    10
    2.2%
    Global assessment score = 4
    2
    0.4%
    Global assessment score = 0
    112
    24.2%
    Global assessment score = 1
    38
    8.2%
    Global assessment score = 2
    18
    3.9%
    Global assessment score = 3
    8
    1.7%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    113
    24.5%
    Global assessment score = 1
    39
    8.4%
    Global assessment score = 2
    17
    3.7%
    Global assessment score = 3
    3
    0.6%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    29
    6.3%
    Global assessment score = 1
    12
    2.6%
    Global assessment score = 2
    8
    1.7%
    Global assessment score = 3
    0
    0%
    Global assessment score = 4
    1
    0.2%
    Global assessment score = 0
    32
    6.9%
    Global assessment score = 1
    8
    1.7%
    Global assessment score = 2
    9
    1.9%
    Global assessment score = 3
    0
    0%
    Global assessment score = 4
    0
    0%
    3. Secondary Outcome
    Title Global Assessment of Gastrointestinal Symptoms of Behcet's Disease
    Description Study participants completed a global assessment of their gastrointestinal symptoms (including abdominal pain, diarrhea and other gastrointestinal symptoms such as abdominal distension, abdominal tenderness, and hemorrhage) on a 5-grade scale. Assessment is graded from 0 to 4: 0=free of symptoms; 1=symptoms existed since the last visit, but did not affect participant's daily life; 2=symptoms existed since the last visit and slightly affected participant's daily life; 3=symptoms existed since the last visit and affected participant's daily life; 4=symptoms existed since the last visit and critically affected participant's daily life.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    All participants who received Humira® to treat gastro-intestinal Behcet's disease and were evaluable for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 368
    Global assessment score = 0
    89
    19.3%
    Global assessment score = 1
    56
    12.1%
    Global assessment score = 2
    74
    16%
    Global assessment score = 3
    82
    17.7%
    Global assessment score = 4
    67
    14.5%
    Global assessment score = 0
    181
    39.2%
    Global assessment score = 1
    69
    14.9%
    Global assessment score = 2
    39
    8.4%
    Global assessment score = 3
    27
    5.8%
    Global assessment score = 4
    6
    1.3%
    Global assessment score = 0
    202
    43.7%
    Global assessment score = 1
    59
    12.8%
    Global assessment score = 2
    28
    6.1%
    Global assessment score = 3
    20
    4.3%
    Global assessment score = 4
    5
    1.1%
    Global assessment score = 0
    193
    41.8%
    Global assessment score = 1
    54
    11.7%
    Global assessment score = 2
    26
    5.6%
    Global assessment score = 3
    13
    2.8%
    Global assessment score = 4
    6
    1.3%
    Global assessment score = 0
    174
    37.7%
    Global assessment score = 1
    28
    6.1%
    Global assessment score = 2
    29
    6.3%
    Global assessment score = 3
    6
    1.3%
    Global assessment score = 4
    2
    0.4%
    Global assessment score = 0
    158
    34.2%
    Global assessment score = 1
    31
    6.7%
    Global assessment score = 2
    21
    4.5%
    Global assessment score = 3
    10
    2.2%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    129
    27.9%
    Global assessment score = 1
    26
    5.6%
    Global assessment score = 2
    14
    3%
    Global assessment score = 3
    8
    1.7%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    132
    28.6%
    Global assessment score = 1
    31
    6.7%
    Global assessment score = 2
    8
    1.7%
    Global assessment score = 3
    2
    0.4%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    36
    7.8%
    Global assessment score = 1
    8
    1.7%
    Global assessment score = 2
    4
    0.9%
    Global assessment score = 3
    1
    0.2%
    Global assessment score = 4
    1
    0.2%
    Global assessment score = 0
    36
    7.8%
    Global assessment score = 1
    5
    1.1%
    Global assessment score = 2
    8
    1.7%
    Global assessment score = 3
    0
    0%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    167
    36.1%
    Global assessment score = 1
    61
    13.2%
    Global assessment score = 2
    54
    11.7%
    Global assessment score = 3
    50
    10.8%
    Global assessment score = 4
    36
    7.8%
    Global assessment score = 0
    226
    48.9%
    Global assessment score = 1
    52
    11.3%
    Global assessment score = 2
    27
    5.8%
    Global assessment score = 3
    14
    3%
    Global assessment score = 4
    3
    0.6%
    Global assessment score = 0
    232
    50.2%
    Global assessment score = 1
    54
    11.7%
    Global assessment score = 2
    18
    3.9%
    Global assessment score = 3
    7
    1.5%
    Global assessment score = 4
    3
    0.6%
    Global assessment score = 0
    221
    47.8%
    Global assessment score = 1
    37
    8%
    Global assessment score = 2
    26
    5.6%
    Global assessment score = 3
    5
    1.1%
    Global assessment score = 4
    3
    0.6%
    Global assessment score = 0
    181
    39.2%
    Global assessment score = 1
    35
    7.6%
    Global assessment score = 2
    21
    4.5%
    Global assessment score = 3
    2
    0.4%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    176
    38.1%
    Global assessment score = 1
    28
    6.1%
    Global assessment score = 2
    12
    2.6%
    Global assessment score = 3
    4
    0.9%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    131
    28.4%
    Global assessment score = 1
    31
    6.7%
    Global assessment score = 2
    10
    2.2%
    Global assessment score = 3
    5
    1.1%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    135
    29.2%
    Global assessment score = 1
    26
    5.6%
    Global assessment score = 2
    10
    2.2%
    Global assessment score = 3
    2
    0.4%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    36
    7.8%
    Global assessment score = 1
    11
    2.4%
    Global assessment score = 2
    3
    0.6%
    Global assessment score = 3
    0
    0%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    37
    8%
    Global assessment score = 1
    8
    1.7%
    Global assessment score = 2
    4
    0.9%
    Global assessment score = 3
    0
    0%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    124
    26.8%
    Global assessment score = 1
    54
    11.7%
    Global assessment score = 2
    61
    13.2%
    Global assessment score = 3
    68
    14.7%
    Global assessment score = 4
    61
    13.2%
    Global assessment score = 0
    219
    47.4%
    Global assessment score = 1
    49
    10.6%
    Global assessment score = 2
    31
    6.7%
    Global assessment score = 3
    16
    3.5%
    Global assessment score = 4
    7
    1.5%
    Global assessment score = 0
    226
    48.9%
    Global assessment score = 1
    44
    9.5%
    Global assessment score = 2
    27
    5.8%
    Global assessment score = 3
    10
    2.2%
    Global assessment score = 4
    7
    1.5%
    Global assessment score = 0
    220
    47.6%
    Global assessment score = 1
    40
    8.7%
    Global assessment score = 2
    21
    4.5%
    Global assessment score = 3
    7
    1.5%
    Global assessment score = 4
    4
    0.9%
    Global assessment score = 0
    188
    40.7%
    Global assessment score = 1
    28
    6.1%
    Global assessment score = 2
    19
    4.1%
    Global assessment score = 3
    2
    0.4%
    Global assessment score = 4
    2
    0.4%
    Global assessment score = 0
    172
    37.2%
    Global assessment score = 1
    26
    5.6%
    Global assessment score = 2
    15
    3.2%
    Global assessment score = 3
    6
    1.3%
    Global assessment score = 4
    1
    0.2%
    Global assessment score = 0
    138
    29.9%
    Global assessment score = 1
    20
    4.3%
    Global assessment score = 2
    13
    2.8%
    Global assessment score = 3
    5
    1.1%
    Global assessment score = 4
    1
    0.2%
    Global assessment score = 0
    143
    31%
    Global assessment score = 1
    17
    3.7%
    Global assessment score = 2
    10
    2.2%
    Global assessment score = 3
    3
    0.6%
    Global assessment score = 4
    0
    0%
    Global assessment score = 0
    36
    7.8%
    Global assessment score = 1
    11
    2.4%
    Global assessment score = 2
    1
    0.2%
    Global assessment score = 3
    1
    0.2%
    Global assessment score = 4
    1
    0.2%
    Global assessment score = 0
    37
    8%
    Global assessment score = 1
    7
    1.5%
    Global assessment score = 2
    4
    0.9%
    Global assessment score = 3
    1
    0.2%
    Global assessment score = 4
    0
    0%
    4. Secondary Outcome
    Title Number of Participants With Cardinal Symptoms of Behcet's Disease
    Description The presence or absence of symptoms including recurrent aphthous ulcers of oral mucosa, cutaneous symptoms, eye symptoms and ulceration of vulva was assessed at weeks 52, 104 and 156 against presence or absence at baseline.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    All participants who received Humira® to treat gastro-intestinal Behcet's disease and were evaluable for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 220
    Assessment absence and baseline absence
    99
    21.4%
    Assessment absence and baseline presence
    84
    18.2%
    Assessment presence and baseline absence
    7
    1.5%
    Assessment presence and baseline presence
    29
    6.3%
    Assessment absence and baseline absence
    74
    16%
    Assessment absence and baseline presence
    59
    12.8%
    Assessment presence and baseline absence
    13
    2.8%
    Assessment presence and baseline presence
    26
    5.6%
    Assessment absence and baseline absence
    27
    5.8%
    Assessment absence and baseline presence
    12
    2.6%
    Assessment presence and baseline absence
    5
    1.1%
    Assessment presence and baseline presence
    5
    1.1%
    Assessment absence and baseline absence
    147
    31.8%
    Assessment absence and baseline presence
    56
    12.1%
    Assessment presence and baseline absence
    5
    1.1%
    Assessment presence and baseline presence
    11
    2.4%
    Assessment absence and baseline absence
    123
    26.6%
    Assessment absence and baseline presence
    34
    7.4%
    Assessment presence and baseline absence
    7
    1.5%
    Assessment presence and baseline presence
    9
    1.9%
    Assessment absence and baseline absence
    32
    6.9%
    Assessment absence and baseline presence
    13
    2.8%
    Assessment presence and baseline absence
    4
    0.9%
    Assessment presence and baseline presence
    0
    0%
    Assessment absence and baseline absence
    216
    46.8%
    Assessment absence and baseline presence
    3
    0.6%
    Assessment presence and baseline absence
    0
    0%
    Assessment presence and baseline presence
    1
    0.2%
    Assessment absence and baseline absence
    168
    36.4%
    Assessment absence and baseline presence
    4
    0.9%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    0
    0%
    Assessment absence and baseline absence
    48
    10.4%
    Assessment absence and baseline presence
    1
    0.2%
    Assessment presence and baseline absence
    0
    0%
    Assessment presence and baseline presence
    0
    0%
    Assessment absence and baseline absence
    184
    39.8%
    Assessment absence and baseline presence
    27
    5.8%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    8
    1.7%
    Assessment absence and baseline absence
    151
    32.7%
    Assessment absence and baseline presence
    14
    3%
    Assessment presence and baseline absence
    4
    0.9%
    Assessment presence and baseline presence
    4
    0.9%
    Assessment absence and baseline absence
    42
    9.1%
    Assessment absence and baseline presence
    5
    1.1%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    1
    0.2%
    5. Secondary Outcome
    Title Number of Participants With Accessory Symptoms of Behcet's Disease
    Description The presence or absence of symptoms including arthritis without deformity or stiffness, epididymitis, vascular lesions and moderate to severe central nervous system (CNS) lesions was assessed at weeks 52, 104 and 156 against presence or absence at baseline.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    All participants who received Humira® to treat gastro-intestinal Behcet's disease and were evaluable for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 221
    Assessment absence and baseline absence
    150
    32.5%
    Assessment absence and baseline presence
    39
    8.4%
    Assessment presence and baseline absence
    11
    2.4%
    Assessment presence and baseline presence
    21
    4.5%
    Assessment absence and baseline absence
    115
    24.9%
    Assessment absence and baseline presence
    36
    7.8%
    Assessment presence and baseline absence
    14
    3%
    Assessment presence and baseline presence
    9
    1.9%
    Assessment absence and baseline absence
    30
    6.5%
    Assessment absence and baseline presence
    14
    3%
    Assessment presence and baseline absence
    5
    1.1%
    Assessment presence and baseline presence
    0
    0%
    Assessment absence and baseline absence
    219
    47.4%
    Assessment absence and baseline presence
    0
    0%
    Assessment presence and baseline absence
    0
    0%
    Assessment presence and baseline presence
    2
    0.4%
    Assessment absence and baseline absence
    172
    37.2%
    Assessment absence and baseline presence
    2
    0.4%
    Assessment presence and baseline absence
    0
    0%
    Assessment presence and baseline presence
    0
    0%
    Assessment absence and baseline absence
    46
    10%
    Assessment absence and baseline presence
    1
    0.2%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    1
    0.2%
    Assessment absence and baseline absence
    213
    46.1%
    Assessment absence and baseline presence
    0
    0%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    7
    1.5%
    Assessment absence and baseline absence
    168
    36.4%
    Assessment absence and baseline presence
    4
    0.9%
    Assessment presence and baseline absence
    0
    0%
    Assessment presence and baseline presence
    2
    0.4%
    Assessment absence and baseline absence
    47
    10.2%
    Assessment absence and baseline presence
    1
    0.2%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    0
    0%
    Assessment absence and baseline absence
    217
    47%
    Assessment absence and baseline presence
    1
    0.2%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    2
    0.4%
    Assessment absence and baseline absence
    171
    37%
    Assessment absence and baseline presence
    1
    0.2%
    Assessment presence and baseline absence
    0
    0%
    Assessment presence and baseline presence
    2
    0.4%
    Assessment absence and baseline absence
    48
    10.4%
    Assessment absence and baseline presence
    0
    0%
    Assessment presence and baseline absence
    1
    0.2%
    Assessment presence and baseline presence
    0
    0%
    6. Secondary Outcome
    Title Number of Participants With Degree of Improvement of Endoscopic Findings
    Description The number of participants with improvement in endoscopic findings is assessed.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    All participants who received Humira® to treat gastro-intestinal Behcet's disease and were evaluable for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 383
    Cured or scarring
    64
    13.9%
    Diminished in size
    38
    8.2%
    Unchanged
    24
    5.2%
    Aggravated
    9
    1.9%
    Unassessable
    2
    0.4%
    Cured or scarring
    73
    15.8%
    Diminished in size
    29
    6.3%
    Unchanged
    12
    2.6%
    Aggravated
    6
    1.3%
    Unassessable
    8
    1.7%
    Cured or scarring
    42
    9.1%
    Diminished in size
    6
    1.3%
    Unchanged
    9
    1.9%
    Aggravated
    0
    0%
    Unassessable
    3
    0.6%
    Cured or scarring
    29
    6.3%
    Diminished in size
    6
    1.3%
    Unchanged
    7
    1.5%
    Aggravated
    5
    1.1%
    Unassessable
    2
    0.4%
    Cured or scarring
    16
    3.5%
    Diminished in size
    3
    0.6%
    Unchanged
    1
    0.2%
    Aggravated
    1
    0.2%
    Unassessable
    1
    0.2%
    Cured or scarring
    9
    1.9%
    Diminished in size
    1
    0.2%
    Unchanged
    0
    0%
    Aggravated
    0
    0%
    Unassessable
    1
    0.2%
    7. Secondary Outcome
    Title Changes in C-reactive Protein (CRP)
    Description The change in CRP from baseline through the end of the study was assessed.
    Time Frame Up to Week 156

    Outcome Measure Data

    Analysis Population Description
    All participants who received Humira® to treat gastro-intestinal Behcet's disease and were evaluable for efficacy.
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    Measure Participants 383
    Baseline
    2.0239
    (3.4242)
    Week 24
    0.5389
    (1.5150)
    Week 52
    0.5504
    (1.4651)
    Week 76
    0.3348
    (0.8126)
    Week 104
    0.4031
    (1.1279)
    Week 128
    0.5034
    (2.5356)
    Week 156
    0.2246
    (0.5808)

    Adverse Events

    Time Frame Adverse Events were collected from first dose of study drug until 70 days after the last dose of study drug (up to 156 weeks); Serious Adverse Events were collected from the time informed consent was obtained (156 weeks).
    Adverse Event Reporting Description
    Arm/Group Title Participants Who Received Humira®
    Arm/Group Description Humira® 40 mg (marketed product) every other week (eow) for subcutaneous injection after initial dosage of 160 mg and 2nd dosage of 80 mg in two weeks after the initial administration
    All Cause Mortality
    Participants Who Received Humira®
    Affected / at Risk (%) # Events
    Total 4/462 (0.9%)
    Serious Adverse Events
    Participants Who Received Humira®
    Affected / at Risk (%) # Events
    Total 75/462 (16.2%)
    Blood and lymphatic system disorders
    ANAEMIA MEGALOBLASTIC 1/462 (0.2%) 1
    PANCYTOPENIA 1/462 (0.2%) 1
    BONE MARROW FAILURE 1/462 (0.2%) 1
    Endocrine disorders
    ADRENAL DISORDER 1/462 (0.2%) 1
    DIABETES INSIPIDUS 1/462 (0.2%) 1
    THYROIDITIS SUBACUTE 1/462 (0.2%) 1
    Gastrointestinal disorders
    ABDOMINAL PAIN 1/462 (0.2%) 1
    ENTEROCOLITIS 1/462 (0.2%) 1
    GASTROINTESTINAL HAEMORRHAGE 1/462 (0.2%) 1
    ILEAL PERFORATION 2/462 (0.4%) 2
    ILEAL ULCER 2/462 (0.4%) 2
    ILEUS 2/462 (0.4%) 2
    INTESTINAL PERFORATION 3/462 (0.6%) 3
    LARGE INTESTINE PERFORATION 2/462 (0.4%) 2
    PANCREATITIS 1/462 (0.2%) 1
    SMALL INTESTINAL PERFORATION 1/462 (0.2%) 1
    STOMATITIS 1/462 (0.2%) 1
    LOWER GASTROINTESTINAL HAEMORRHAGE 1/462 (0.2%) 1
    SMALL INTESTINAL HAEMORRHAGE 1/462 (0.2%) 1
    FISTULA OF SMALL INTESTINE 1/462 (0.2%) 1
    DENTAL CYST 1/462 (0.2%) 1
    General disorders
    PYREXIA 7/462 (1.5%) 7
    Hepatobiliary disorders
    BILE DUCT STONE 1/462 (0.2%) 1
    CHOLECYSTITIS 2/462 (0.4%) 2
    CHOLECYSTITIS ACUTE 1/462 (0.2%) 1
    Infections and infestations
    BRONCHITIS 1/462 (0.2%) 1
    BRONCHOPULMONARY ASPERGILLOSIS 1/462 (0.2%) 1
    CAMPYLOBACTER GASTROENTERITIS 1/462 (0.2%) 1
    MENINGITIS LISTERIA 1/462 (0.2%) 1
    PERIODONTITIS 1/462 (0.2%) 1
    PHARYNGITIS 1/462 (0.2%) 1
    PNEUMONIA 5/462 (1.1%) 5
    PSEUDOMEMBRANOUS COLITIS 1/462 (0.2%) 1
    PULMONARY TUBERCULOSIS 1/462 (0.2%) 1
    SEPSIS 3/462 (0.6%) 3
    ANAL ABSCESS 1/462 (0.2%) 1
    INTERVERTEBRAL DISCITIS 1/462 (0.2%) 1
    ABDOMINAL ABSCESS 1/462 (0.2%) 1
    PNEUMONIA BACTERIAL 1/462 (0.2%) 1
    COLONIC ABSCESS 1/462 (0.2%) 1
    PNEUMOCYSTIS JIROVECII PNEUMONIA 2/462 (0.4%) 2
    VARICELLA ZOSTER VIRUS INFECTION 1/462 (0.2%) 1
    Injury, poisoning and procedural complications
    PELVIC FRACTURE 1/462 (0.2%) 1
    Investigations
    C-REACTIVE PROTEIN INCREASED 2/462 (0.4%) 2
    PLATELET COUNT DECREASED 1/462 (0.2%) 1
    WHITE BLOOD CELL COUNT DECREASED 2/462 (0.4%) 2
    WHITE BLOOD CELL COUNT INCREASED 1/462 (0.2%) 1
    HEPATIC ENZYME INCREASED 1/462 (0.2%) 1
    Musculoskeletal and connective tissue disorders
    FISTULA 1/462 (0.2%) 1
    LUPUS-LIKE SYNDROME 1/462 (0.2%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BREAST CANCER 1/462 (0.2%) 1
    CHRONIC MYELOMONOCYTIC LEUKAEMIA 1/462 (0.2%) 1
    MYELODYSPLASTIC SYNDROME 1/462 (0.2%) 1
    GASTROINTESTINAL STROMAL TUMOUR 1/462 (0.2%) 1
    MYELODYSPLASTIC SYNDROME TRANSFORMATION 1/462 (0.2%) 1
    EPSTEIN-BARR VIRUS ASSOCIATED LYMPHOPROLIFERATIVE DISORDER 1/462 (0.2%) 1
    Nervous system disorders
    CEREBRAL HAEMORRHAGE 1/462 (0.2%) 1
    CEREBRAL INFARCTION 1/462 (0.2%) 1
    NEUROPATHY PERIPHERAL 1/462 (0.2%) 1
    Pregnancy, puerperium and perinatal conditions
    ABORTION MISSED 1/462 (0.2%) 1
    Psychiatric disorders
    COMPLETED SUICIDE 1/462 (0.2%) 1
    Renal and urinary disorders
    ACUTE KIDNEY INJURY 1/462 (0.2%) 1
    Respiratory, thoracic and mediastinal disorders
    INTERSTITIAL LUNG DISEASE 1/462 (0.2%) 1
    PLEURAL EFFUSION 1/462 (0.2%) 1
    PNEUMONIA ASPIRATION 2/462 (0.4%) 2
    RESPIRATORY FAILURE 1/462 (0.2%) 1
    Vascular disorders
    BEHCET'S SYNDROME 11/462 (2.4%) 11
    SHOCK HAEMORRHAGIC 1/462 (0.2%) 1
    PERIPHERAL ARTERIAL OCCLUSIVE DISEASE 1/462 (0.2%) 1
    Other (Not Including Serious) Adverse Events
    Participants Who Received Humira®
    Affected / at Risk (%) # Events
    Total 165/462 (35.7%)
    Blood and lymphatic system disorders
    ANAEMIA 3/462 (0.6%) 3
    ANAEMIA MEGALOBLASTIC 1/462 (0.2%) 1
    FEBRILE NEUTROPENIA 1/462 (0.2%) 1
    IRON DEFICIENCY ANAEMIA 1/462 (0.2%) 1
    LYMPHADENITIS 1/462 (0.2%) 1
    PANCYTOPENIA 1/462 (0.2%) 1
    BONE MARROW FAILURE 1/462 (0.2%) 1
    Endocrine disorders
    ADRENAL DISORDER 1/462 (0.2%) 1
    ADRENAL INSUFFICIENCY 1/462 (0.2%) 1
    DIABETES INSIPIDUS 2/462 (0.4%) 2
    THYROIDITIS SUBACUTE 1/462 (0.2%) 1
    Eye disorders
    CONJUNCTIVITIS ALLERGIC 1/462 (0.2%) 1
    VITREOUS FLOATERS 1/462 (0.2%) 1
    Gastrointestinal disorders
    ABDOMINAL PAIN 2/462 (0.4%) 2
    ABDOMINAL PAIN LOWER 1/462 (0.2%) 1
    ABDOMINAL PAIN UPPER 1/462 (0.2%) 1
    COLITIS 1/462 (0.2%) 1
    CONSTIPATION 3/462 (0.6%) 3
    DIARRHOEA 2/462 (0.4%) 2
    ENTEROCOLITIS 2/462 (0.4%) 2
    GASTRITIS ALCOHOLIC 1/462 (0.2%) 1
    GASTROOESOPHAGEAL REFLUX DISEASE 3/462 (0.6%) 3
    GASTROINTESTINAL HAEMORRHAGE 1/462 (0.2%) 1
    HAEMATOCHEZIA 1/462 (0.2%) 1
    ILEAL PERFORATION 2/462 (0.4%) 2
    ILEAL ULCER 2/462 (0.4%) 2
    ILEUS 2/462 (0.4%) 2
    INTESTINAL PERFORATION 3/462 (0.6%) 3
    INTESTINAL STENOSIS 1/462 (0.2%) 1
    INTESTINAL ULCER 1/462 (0.2%) 1
    IRRITABLE BOWEL SYNDROME 1/462 (0.2%) 1
    LARGE INTESTINE PERFORATION 2/462 (0.4%) 2
    NAUSEA 2/462 (0.4%) 2
    PANCREATITIS 1/462 (0.2%) 1
    SMALL INTESTINAL PERFORATION 1/462 (0.2%) 1
    STOMATITIS 5/462 (1.1%) 5
    VOMITING 3/462 (0.6%) 3
    LOWER GASTROINTESTINAL HAEMORRHAGE 1/462 (0.2%) 1
    SMALL INTESTINAL HAEMORRHAGE 1/462 (0.2%) 1
    EPIGASTRIC DISCOMFORT 1/462 (0.2%) 1
    FISTULA OF SMALL INTESTINE 1/462 (0.2%) 1
    FAECES SOFT 1/462 (0.2%) 1
    DENTAL CYST 1/462 (0.2%) 1
    General disorders
    ASTHENIA 1/462 (0.2%) 1
    INJECTION SITE ERYTHEMA 1/462 (0.2%) 1
    INJECTION SITE REACTION 4/462 (0.9%) 4
    MALAISE 5/462 (1.1%) 5
    PAIN 1/462 (0.2%) 1
    PYREXIA 13/462 (2.8%) 13
    Hepatobiliary disorders
    ALCOHOLIC LIVER DISEASE 1/462 (0.2%) 1
    BILE DUCT STONE 1/462 (0.2%) 1
    CHOLECYSTITIS 2/462 (0.4%) 2
    CHOLECYSTITIS ACUTE 1/462 (0.2%) 1
    HEPATIC FUNCTION ABNORMAL 2/462 (0.4%) 2
    HEPATIC STEATOSIS 1/462 (0.2%) 1
    LIVER DISORDER 1/462 (0.2%) 1
    Immune system disorders
    HYPOGAMMAGLOBULINAEMIA 1/462 (0.2%) 1
    SEASONAL ALLERGY 1/462 (0.2%) 1
    Infections and infestations
    ANGULAR CHEILITIS 1/462 (0.2%) 1
    BRONCHITIS 3/462 (0.6%) 3
    BRONCHOPULMONARY ASPERGILLOSIS 2/462 (0.4%) 2
    CAMPYLOBACTER GASTROENTERITIS 1/462 (0.2%) 1
    CELLULITIS 1/462 (0.2%) 1
    CYSTITIS 1/462 (0.2%) 1
    GASTROENTERITIS 2/462 (0.4%) 2
    HERPES ZOSTER 2/462 (0.4%) 2
    INFLUENZA 2/462 (0.4%) 2
    MENINGITIS LISTERIA 1/462 (0.2%) 1
    NASOPHARYNGITIS 10/462 (2.2%) 10
    ORAL CANDIDIASIS 2/462 (0.4%) 2
    OTITIS MEDIA 2/462 (0.4%) 2
    OTITIS MEDIA CHRONIC 1/462 (0.2%) 1
    PERIODONTITIS 1/462 (0.2%) 1
    PHARYNGITIS 1/462 (0.2%) 1
    PNEUMONIA 7/462 (1.5%) 7
    PSEUDOMEMBRANOUS COLITIS 1/462 (0.2%) 1
    PULMONARY TUBERCULOSIS 1/462 (0.2%) 1
    PYELONEPHRITIS 1/462 (0.2%) 1
    SEPSIS 3/462 (0.6%) 3
    SINUSITIS 1/462 (0.2%) 1
    TINEA PEDIS 1/462 (0.2%) 1
    TONSILLITIS 2/462 (0.4%) 2
    UPPER RESPIRATORY TRACT INFECTION 2/462 (0.4%) 2
    VULVOVAGINAL CANDIDIASIS 2/462 (0.4%) 2
    ANAL ABSCESS 3/462 (0.6%) 3
    ENTERITIS INFECTIOUS 1/462 (0.2%) 1
    INTERVERTEBRAL DISCITIS 1/462 (0.2%) 1
    ABDOMINAL ABSCESS 1/462 (0.2%) 1
    PNEUMONIA BACTERIAL 2/462 (0.4%) 2
    LUNG INFECTION 1/462 (0.2%) 1
    ENTEROCOLITIS VIRAL 1/462 (0.2%) 1
    DEVICE RELATED INFECTION 1/462 (0.2%) 1
    LATENT TUBERCULOSIS 2/462 (0.4%) 2
    ORAL HERPES 1/462 (0.2%) 1
    COLONIC ABSCESS 1/462 (0.2%) 1
    PNEUMOCYSTIS JIROVECII PNEUMONIA 2/462 (0.4%) 2
    VARICELLA ZOSTER VIRUS INFECTION 1/462 (0.2%) 1
    Injury, poisoning and procedural complications
    FOOT FRACTURE 2/462 (0.4%) 2
    RIB FRACTURE 1/462 (0.2%) 1
    PELVIC FRACTURE 1/462 (0.2%) 1
    Investigations
    ALANINE AMINOTRANSFERASE INCREASED 1/462 (0.2%) 1
    C-REACTIVE PROTEIN INCREASED 12/462 (2.6%) 12
    LIVER FUNCTION TEST ABNORMAL 1/462 (0.2%) 1
    PLATELET COUNT DECREASED 2/462 (0.4%) 2
    WHITE BLOOD CELL COUNT DECREASED 5/462 (1.1%) 5
    WHITE BLOOD CELL COUNT INCREASED 2/462 (0.4%) 2
    ANTITHROMBIN III DECREASED 1/462 (0.2%) 1
    BLOOD BETA-D-GLUCAN INCREASED 2/462 (0.4%) 2
    BRAIN NATRIURETIC PEPTIDE INCREASED 1/462 (0.2%) 1
    TRANSAMINASES INCREASED 1/462 (0.2%) 1
    COMPUTERISED TOMOGRAM THORAX ABNORMAL 2/462 (0.4%) 2
    HEPATIC ENZYME INCREASED 1/462 (0.2%) 1
    LIVER FUNCTION TEST INCREASED 1/462 (0.2%) 1
    Metabolism and nutrition disorders
    HYPERURICAEMIA 1/462 (0.2%) 1
    DYSLIPIDAEMIA 1/462 (0.2%) 1
    DECREASED APPETITE 2/462 (0.4%) 2
    HYPERLIPIDAEMIA 1/462 (0.2%) 1
    HYPERAMYLASAEMIA 1/462 (0.2%) 1
    TYPE 2 DIABETES MELLITUS 2/462 (0.4%) 2
    HYPERLIPASAEMIA 1/462 (0.2%) 1
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA 6/462 (1.3%) 6
    ARTHRITIS 2/462 (0.4%) 2
    BACK PAIN 1/462 (0.2%) 1
    FISTULA 1/462 (0.2%) 1
    MUSCULAR WEAKNESS 1/462 (0.2%) 1
    OSTEOPOROSIS 1/462 (0.2%) 1
    PAIN IN EXTREMITY 1/462 (0.2%) 1
    LUPUS-LIKE SYNDROME 1/462 (0.2%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BREAST CANCER 1/462 (0.2%) 1
    CHRONIC MYELOMONOCYTIC LEUKAEMIA 1/462 (0.2%) 1
    MYELODYSPLASTIC SYNDROME 1/462 (0.2%) 1
    COLON ADENOMA 1/462 (0.2%) 1
    GASTROINTESTINAL STROMAL TUMOUR 1/462 (0.2%) 1
    MYELODYSPLASTIC SYNDROME TRANSFORMATION 1/462 (0.2%) 1
    EPSTEIN-BARR VIRUS ASSOCIATED LYMPHOPROLIFERATIVE DISORDER 1/462 (0.2%) 1
    Nervous system disorders
    CEREBRAL HAEMORRHAGE 1/462 (0.2%) 1
    CEREBRAL INFARCTION 1/462 (0.2%) 1
    DYSGEUSIA 1/462 (0.2%) 1
    DYSLALIA 1/462 (0.2%) 1
    HEADACHE 4/462 (0.9%) 4
    HYPOAESTHESIA 1/462 (0.2%) 1
    NEUROPATHY PERIPHERAL 1/462 (0.2%) 1
    PRESYNCOPE 1/462 (0.2%) 1
    TREMOR 1/462 (0.2%) 1
    Pregnancy, puerperium and perinatal conditions
    ABORTION MISSED 1/462 (0.2%) 1
    Psychiatric disorders
    COMPLETED SUICIDE 1/462 (0.2%) 1
    INSOMNIA 3/462 (0.6%) 3
    OBSESSIVE-COMPULSIVE DISORDER 1/462 (0.2%) 1
    DEPRESSIVE SYMPTOM 1/462 (0.2%) 1
    Renal and urinary disorders
    ACUTE KIDNEY INJURY 1/462 (0.2%) 1
    Reproductive system and breast disorders
    BENIGN PROSTATIC HYPERPLASIA 1/462 (0.2%) 1
    Respiratory, thoracic and mediastinal disorders
    ASTHMA 1/462 (0.2%) 1
    COUGH 1/462 (0.2%) 1
    DYSPNOEA 1/462 (0.2%) 1
    INTERSTITIAL LUNG DISEASE 2/462 (0.4%) 2
    PHARYNGEAL ULCERATION 1/462 (0.2%) 1
    PLEURAL EFFUSION 1/462 (0.2%) 1
    PNEUMONIA ASPIRATION 2/462 (0.4%) 2
    RESPIRATORY FAILURE 1/462 (0.2%) 1
    UPPER RESPIRATORY TRACT INFLAMMATION 4/462 (0.9%) 4
    PULMONARY MASS 1/462 (0.2%) 1
    Skin and subcutaneous tissue disorders
    DERMAL CYST 1/462 (0.2%) 1
    DYSHIDROTIC ECZEMA 1/462 (0.2%) 1
    ERYTHEMA NODOSUM 1/462 (0.2%) 1
    HAEMORRHAGE SUBCUTANEOUS 1/462 (0.2%) 1
    PRURIGO 1/462 (0.2%) 1
    URTICARIA 2/462 (0.4%) 2
    GENERALISED ERYTHEMA 1/462 (0.2%) 1
    DERMATITIS PSORIASIFORM 1/462 (0.2%) 1
    Vascular disorders
    ARTERIOSCLEROSIS 1/462 (0.2%) 1
    BEHCET'S SYNDROME 15/462 (3.2%) 15
    HYPOTENSION 1/462 (0.2%) 1
    SHOCK HAEMORRHAGIC 1/462 (0.2%) 1
    PERIPHERAL ARTERIAL OCCLUSIVE DISEASE 1/462 (0.2%) 1

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    AbbVie 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. AbbVie 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 AbbVie needs to secure patent or proprietary protection.

    Results Point of Contact

    Name/Title Global Medical Services
    Organization AbbVie
    Phone 800-633-9110
    Email abbvieclinicaltrials@abbvie.com
    Responsible Party:
    AbbVie
    ClinicalTrials.gov Identifier:
    NCT01960790
    Other Study ID Numbers:
    • P14-152
    First Posted:
    Oct 11, 2013
    Last Update Posted:
    Mar 22, 2019
    Last Verified:
    May 1, 2018