UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024566
Receipt number R000027990
Scientific Title Study on the selection of appropriate patients for the dose escalation of adalimumab in Crohn's disease therapy.
Date of disclosure of the study information 2016/11/01
Last modified on 2021/07/19 17:03:05

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Basic information

Public title

Study on the selection of appropriate patients for the dose escalation of adalimumab in Crohn's disease therapy.

Acronym

Study on the selection of appropriate patients for the dose escalation of adalimumab.

Scientific Title

Study on the selection of appropriate patients for the dose escalation of adalimumab in Crohn's disease therapy.

Scientific Title:Acronym

Study on the selection of appropriate patients for the dose escalation of adalimumab.

Region

Japan


Condition

Condition

Crohn'disease

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To define the appropriate patients for the dose escalation of adalimumab in Crohn'
s disease therapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Comparison of clinical remission rates at 1 year after randomization between dose escalation group and non-dose escalation group.

Key secondary outcomes

Comparison of CDAI/CRP, trough/AAA concentration in blood, and endoscopic remission rate at 24, 48 weeks after randomization.
Predictive factors for effectiveness of adalimumab dose escalation.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Dose comparison

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Dose escalation group
Administration of Adalimumab 80 mg every other week

Interventions/Control_2

Non-dose escalation group
Administration of Adalimumab 40 mg every other week

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Japanese individuals with Crohn's disease who received induction treatment with adalimumab (160/80 mg at Weeks 0/2), achieved CDAI<=150 AND a decrease in CDAI of >=70 at 4 weeks after initial dose and then lost response. The lost response is defined as "CRP>0.3 more than 2 times and CRP<3 all the time" or "175<=CDAI<300".

Key exclusion criteria

1.Patients who correspond to the warning or contraindication of the package insert of adalimumab
2.Patients under breast-feeding
3.Patients who do not agree to join the study
4.Patients with previous use of anti-TNF therapy
5.Patients who has neoplasm
6.Patients who had intestinal resection within 6 months
7.Patients with short bowel syndrome
8.When the doctor in charge determines that the patients are not suitable for the study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuo Suzuki

Organization

Toho University Medical Center Sakura Hospital

Division name

Department of Internal Medicine

Zip code


Address

564-1 Shimoshizu, Sakura, Chiba, Japan

TEL

043-462-8811

Email

yasuo-suzuki@sakura.med.toho-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasuo Suzuki

Organization

Toho University Medical Center Sakura Hospital

Division name

Department of Internal Medicine

Zip code


Address

564-1 Shimoshizu, Sakura, Chiba, Japan

TEL

043-462-8811

Homepage URL


Email

yasuo-suzuki@sakura.med.toho-u.ac.jp


Sponsor or person

Institute

Toho University Medical Center Sakura Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東邦大学医療センター佐倉病院(千葉県)


Other administrative information

Date of disclosure of the study information

2016 Year 11 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2016 Year 06 Month 08 Day

Date of IRB

2016 Year 08 Month 19 Day

Anticipated trial start date

2016 Year 11 Month 01 Day

Last follow-up date

2016 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 10 Month 26 Day

Last modified on

2021 Year 07 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027990


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name