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| ID | Type | Description | Link |
|---|---|---|---|
| EudraCT:2006-002078-23 |
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The purpose of this study is to evaluate the safety of adalimumab for treatment of patients with moderate to severe Crohn's Disease (CD) and to measure the effects of treatment on patient general well-being, health-related quality of life (QoL), fistula healing, CD-related extra-intestinal manifestations, work performance, and overall activity.
This is an open-label, multi-center, study designed to evaluate the safety and efficacy of adalimumab on inducing and maintaining clinical remission in subjects with moderate to severe Crohn's Disease.
Approximately 1000 subjects with a diagnosis of moderate to severe Crohn's Disease (Harvey Bradshaw Index score >= 7) will be enrolled at approximately 200 sites within Europe. Enrollment will be dependent on meeting all screening criteria.
Study medication will be administered by subcutaneous injection. At Baseline (Week 0), all subjects will receive a dose of 160 mg adalimumab. At Week 2, all subjects will receive a dose of 80 mg adalimumab. Starting at Week 4, all subjects will begin receiving injections of adalimumab 40 mg every other week and will continue every other week dosing through Week 20 except in the case of disease flare or non-response.
Starting at Week 12, subjects who experience a disease flare (flare is defined by an increase in the Harvey Bradshaw Index >=3 and a total Index score of >=7 when compared to Week 4) or are not responding to adalimumab treatment (non-response is defined as a decrease in the Harvey Bradshaw Index by fewer than 3 points compared to Baseline) will be permitted to increase study therapy to adalimumab 40 mg every week.
If the subject continues to demonstrate a lack of improvement on every week adalimumab therapy, they may be withdrawn from the study.
Prior to Week 8 subjects will not be allowed to increase or decrease Crohn's specific concomitant medications except in the event of concomitant Crohn's treatment-related toxicities assessed as moderate to severe. Changes in concomitant medications at/after Week 8 will be at the Investigator's discretion.
Subjects will be evaluated for safety and efficacy at Baseline (Week 0), Weeks 2, 4, 8, 12, and 20, and at unscheduled visits. Efficacy evaluations include HBI, Short Inflammatory Bowel Disease Questionnaire (SIBDQ), Work Productivity Activity Index (WPAI) questionnaire, fistula counts, health care resource utilization (HCRU), and evaluation of CD-related extra-intestinal manifestations (EIMs). Safety assessments include vital signs, physical examination, general laboratory analyses, urinalysis, and monitoring of adverse events (AEs).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Open Label | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| adalimumab | Biological | Adalimumab 40 mg Every Other Week dosing |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants in Clinical Remission at Treatment Week 20. Clinical Remission Defined as Harvey Bradshaw Index (HBI) Score Less Than 5. | 5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Maximum total score for HBI is not specified, is dependent on number of diarrhea times each day and number of complications. Clinical remission = HBI less than 5. Highest total score at Baseline was 47. Missing data were imputed using non-responder imputation (NRI). | Week 20 of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Were Responders at Week 20 of Treatment. A Responder Was Defined as a Participant Who Had a Decrease of 3 or More on the HBI. | 5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Participants who had a decrease from Baseline of at least 3 points in HBI total score were considered responders. Missing data were imputed using non-responder imputation (NRI). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paul Pollack, MD | Abbott | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site Ref # / Investigator 3077 | Graz | 8036 | Austria | |||
| Site Ref # / Investigator 2978 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22480772 | Derived | Louis E, Lofberg R, Reinisch W, Camez A, Yang M, Pollack PF, Chen N, Chao J, Mulani PM. Adalimumab improves patient-reported outcomes and reduces indirect costs in patients with moderate to severe Crohn's disease: results from the CARE trial. J Crohns Colitis. 2013 Feb;7(1):34-43. doi: 10.1016/j.crohns.2012.02.017. Epub 2012 Apr 4. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Open Label Adalimumab 40 mg Every Other Week or Every Week | Participants received adalimumab 160 mg by subcutaneous injection at Week 0 and adalimumab 80 mg by subcutaneous injection at Week 2. Beginning at Week 4 of the study, participants received adalimumab 40 mg every other week. Beginning at Week 12, participants who experienced a disease flare (increase in Harvey Bradshaw Index of 3 or more compared to Week 4 and a total Index score of 7 or higher) and participants who did not respond to every other week treatment (non-response defined as a decrease in HBI by fewer than 3 points compared to Baseline) could switch to adalimumab 40 mg every week. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| adalimumab | Biological | Adalimumab 40 mg Every Week dosing if participant experiences a disease flare or is not responding to treatment. A disease flare is defined as an increase of 3 points or more on the HBI compared to the Baseline score and a total HBI score of 7 or higher. Non-response is defined as a decrease by fewer than 3 points in the HBI compared to Baseline. |
|
|
| Week 20 of treatment |
| Number of Participants Who Had a Reduction in Number of Draining Fistulas of at Least 50% From Baseline to Week 20 | A count of the number of cutaneous fistulas draining was performed during each physical examination. Among participants who had draining fistulas at Baseline, the number of participants who had a reduction in the number of draining fistulas of at least 50% from Baseline to Week 20 of treatment was determined. Fistulas were classified as abdominal or perianal. | Week 20 of treatment |
| Number of Participants Who Had Extra-intestinal Manifestations (EIM) at Baseline and Resolution by Week 20. | Number of participants who had EIM at baseline and had resolution of those manifestations at Week 20. EIM were skin lesions, eye lesions, joint complaints, CD-related hepatic disease, thrombosis, and nephrolithiasis. EIMs were determined by physical examination. | Week 20 of treatment |
| Mean Change in Total Score of Short Inflammatory Bowel Disease Questionnaire (SIBDQ) From Baseline to Week 20 | 10-item assessment of health-related quality of life (QoL) in patients with inflammatory bowel disease. Participant marks an option from 1 to 7 for each item. For some items, 1=None of the time; for other items, 1=All of the time. Value for all items are summed. Total score=10 to 70; a high score=good quality of life (QoL). An increase in score indicates improvement. An absolute change in the SIBDQ score of 9 is considered a minimum clinically important difference (MCID) for a patient. | Week 20 of treatment |
| Mean Change in Percent Work Time Missed Due to Crohn's Disease From Baseline to Week 20 of Treatment | Percent Work Time Missed (Absenteeism) due to CD is one component of the Work Productivity and Activity Impairment (WPAI) Questionnaire. Score of 0% = no impairment. A decrease in the mean indicates improvement. | Week 20 of treatment |
| Mean Change in Percent Impairment While Working From Baseline to Week 20 of Treatment | Percent impairment while working is a component of the Work Productivity and Activity Impairment measure. A score of 0% = no impairment. A decrease in mean score indicates lessening of impairment. | Week 20 of treatment |
| Mean Change in Overall Work Productivity and Activity Impairment Score From Baseline to Week 20 | 6-items that assess impairment in work productivity and daily activity during the 7 days before the assessment. It measures the percentage of overall impairment in work productivity and daily activity due to CD. A WPAI score of 0% = no impairment and a score of 100% = total loss of work productivity or activity. An absolute change in WPAI score of 7% is considered the minimum clinically important difference (MCID). | Week 20 of treatment |
| Mean Change in Activity Impairment Score From Baseline to Week 20 | Daily activity is one component of the Work Productivity and Activity Impairment Questionnaire. 0% = no impairment. A decrease in the mean indicates improvement. | Week 20 of treatment |
| Vienna |
| 1030 |
| Austria |
| Site Ref # / Investigator 2975 | Vienna | 1060 | Austria |
| Site Ref # / Investigator 2976 | Vienna | 1090 | Austria |
| Site Ref # / Investigator 2977 | Wels | A-4600 | Austria |
| Site Ref # / Investigator 3023 | Bonheiden | 2820 | Belgium |
| Site Ref # / Investigator 3021 | Brussels | 1090 | Belgium |
| Site Ref # / Investigator 3074 | Brussels | 1200 | Belgium |
| Site Ref # / Investigator 3020 | Edegem | 2650 | Belgium |
| Site Ref # / Investigator 3625 | Ghent | 9000 | Belgium |
| Site Ref # / Investigator 3773 | Leuven | 3000 | Belgium |
| Site Ref # / Investigator 3022 | Liège | 4000 | Belgium |
| Site Ref # / Investigator 3047 | Roeselare | 8800 | Belgium |
| Site Ref # / Investigator 3893 | Brno | 62500 | Czechia |
| Site Ref # / Investigator 4657 | Olomouc | 77520 | Czechia |
| Site Ref # / Investigator 4660 | Prague | 15006 | Czechia |
| Site Ref # / Investigator 4659 | Prague | 17000 | Czechia |
| Site Ref # / Investigator 3075 | Aalborg | 9000 | Denmark |
| Site Ref # / Investigator 3037 | Aarhus C | 8000 | Denmark |
| Site Ref # / Investigator 3088 | Elsinore | 3000 | Denmark |
| Site Ref # / Investigator 3076 | Hvidovre | 2650 | Denmark |
| Site Ref # / Investigator 3019 | Odense C | 5000 | Denmark |
| Site Ref # / Investigator 3623 | Hyvinkää | 05850 | Finland |
| Site Ref # / Investigator 3032 | Amiens | 80054 | France |
| Site Ref # / Investigator 3012 | Besançon | 25000 | France |
| Site Ref # / Investigator 2983 | Béthune | 62408 | France |
| Site Ref # / Investigator 2993 | Bordeaux | 33075 | France |
| Site Ref # / Investigator 2982 | Caen | 14033 | France |
| Site Ref # / Investigator 3015 | Clichy | 92110 | France |
| Site Ref # / Investigator 3011 | Colombes | 92701 | France |
| Site Ref # / Investigator 3030 | Créteil | 94010 | France |
| Site Ref # / Investigator 3033 | Créteil | 94010 | France |
| Site Ref # / Investigator 3027 | Évry | 91014 | France |
| Site Ref # / Investigator 3048 | Grenoble | 38043 | France |
| Site Ref # / Investigator 3097 | Lille | 59037 | France |
| Site Ref # / Investigator 3031 | Marseille | 13015 | France |
| Site Ref # / Investigator 2985 | Montfermeil | 93370 | France |
| Site Ref # / Investigator 2994 | Montpellier | 34000 | France |
| Site Ref # / Investigator 3014 | Nantes | 44035 | France |
| Site Ref # / Investigator 3029 | Nice | 06202 | France |
| Site Ref # / Investigator 3017 | Paris | 75014 | France |
| Site Ref # / Investigator 2995 | Paris | 75018 | France |
| Site Ref # / Investigator 3025 | Paris | 75475 | France |
| Site Ref # / Investigator 2996 | Paris | 75571 | France |
| Site Ref # / Investigator 3016 | Paris | 75679 | France |
| Site Ref # / Investigator 4275 | Paris | 75908 | France |
| Site Ref # / Investigator 3026 | Pessac | 33600 | France |
| Site Ref # / Investigator 2974 | Pierre-Bénite | 69495 | France |
| Site Ref # / Investigator 3013 | Reims | 51092 | France |
| Site Ref # / Investigator 3024 | Rouen | 76031 | France |
| Site Ref # / Investigator 2973 | Strasbourg | 67089 | France |
| Site Ref # / Investigator 2986 | Toulouse | 31059 | France |
| Site Ref # / Investigator 3018 | Vandœuvre-lès-Nancy | 54511 | France |
| Site Ref # / Investigator 2969 | Augsburg | D-86156 | Germany |
| Site Ref # / Investigator 3096 | Berlin | 10117 | Germany |
| Site Ref # / Investigator 3041 | Berlin | 10367 | Germany |
| Site Ref # / Investigator 3070 | Berlin | 12200 | Germany |
| Site Ref # / Investigator 2980 | Berlin | 13353 | Germany |
| Site Ref # / Investigator 3089 | Berlin | 14089 | Germany |
| Site Ref # / Investigator 3084 | Bochum | 44791 | Germany |
| Site Ref # / Investigator 3051 | Bochum | D-44789 | Germany |
| Site Ref # / Investigator 3086 | Braunschweig | 38126 | Germany |
| Site Ref # / Investigator 3094 | Cottbus | D-03048 | Germany |
| Site Ref # / Investigator 2972 | Dachau | 85221 | Germany |
| Site Ref # / Investigator 3053 | Dresden | 01067 | Germany |
| Site Ref # / Investigator 3368 | Düren | 52351 | Germany |
| Site Ref # / Investigator 3052 | Erlangen | D-91054 | Germany |
| Site Ref # / Investigator 3085 | Essen | D-45239 | Germany |
| Site Ref # / Investigator 3092 | Frankfurt | 60318 | Germany |
| Site Ref # / Investigator 3040 | Freiburg im Breisgau | D-79106 | Germany |
| Site Ref # / Investigator 3066 | Halle | 06120 | Germany |
| Site Ref # / Investigator 2981 | Hamburg | 20148 | Germany |
| Site Ref # / Investigator 3044 | Hamburg | 20148 | Germany |
| Site Ref # / Investigator 2979 | Hamburg | 20246 | Germany |
| Site Ref # / Investigator 3043 | Hamburg | 22297 | Germany |
| Site Ref # / Investigator 3082 | Hamburg | 22559 | Germany |
| Site Ref # / Investigator 3081 | Hanover | 30625 | Germany |
| Site Ref # / Investigator 3072 | Heidelberg | 69120 | Germany |
| Site Ref # / Investigator 3093 | Herne | 44623 | Germany |
| Site Ref # / Investigator 3080 | Jena | 07747 | Germany |
| Site Ref # / Investigator 3034 | Karlsruhe | 76133 | Germany |
| Site Ref # / Investigator 3617 | Kiel | 24105 | Germany |
| Site Ref # / Investigator 3071 | Leipzig | 04103 | Germany |
| Site Ref # / Investigator 3091 | Lübeck | 23538 | Germany |
| Site Ref # / Investigator 3090 | Magdeburg | 39120 | Germany |
| Site Ref # / Investigator 3049 | Mainz | 55116 | Germany |
| Site Ref # / Investigator 3083 | Mainz | 55131 | Germany |
| Site Ref # / Investigator 3073 | Mannheim | 68161 | Germany |
| Site Ref # / Investigator 3050 | Minden | 32423 | Germany |
| Site Ref # / Investigator 3098 | Munich | 80639 | Germany |
| Site Ref # / Investigator 3055 | Munich | 81377 | Germany |
| Site Ref # / Investigator 3054 | Munich | 81925 | Germany |
| Site Ref # / Investigator 3056 | Münster | 48129 | Germany |
| Site Ref # / Investigator 3057 | Münster | 48159 | Germany |
| Site Ref # / Investigator 3046 | Osnabrück | 49076 | Germany |
| Site Ref # / Investigator 3078 | Regensburg | 93053 | Germany |
| Site Ref # / Investigator 3095 | Rostock | 18057 | Germany |
| Site Ref # / Investigator 2970 | Rottenburg | 72108 | Germany |
| Site Ref # / Investigator 3042 | Stade | 21682 | Germany |
| Site Ref # / Investigator 3045 | Stuttgart | 70565 | Germany |
| Site Ref # / Investigator 3079 | Stuttgart | D-70376 | Germany |
| Site Ref # / Investigator 4352 | Athens | 106 76 | Greece |
| Site Ref # / Investigator 4357 | Athens | 106-76 | Greece |
| Site Ref # / Investigator 4358 | Athens | 124 62 | Greece |
| Site Ref # / Investigator 4606 | Heraklion | 71100 | Greece |
| Site Ref # / Investigator 4355 | Ioannina | 45500 | Greece |
| Site Ref # / Investigator 4353 | Nikaia | 184 54 | Greece |
| Site Ref # / Investigator 4359 | Thessaloniki | 54642 | Greece |
| Site Ref # / Investigator 4351 | Thessaloniki | 57010 | Greece |
| Site Ref # / Investigator 3326 | Cork | Ireland |
| Site Ref # / Investigator 3324 | Dublin | Ireland |
| Site Ref # / Investigator 3325 | Dublin | Ireland |
| Site Ref # / Investigator 3953 | Bologna | 40138 | Italy |
| Site Ref # / Investigator 3061 | Florence | 50134 | Italy |
| Site Ref # / Investigator 3035 | Milan | 20157 | Italy |
| Site Ref # / Investigator 3065 | Naples | 80131 | Italy |
| Site Ref # / Investigator 3036 | Padova | 35128 | Italy |
| Site Ref # / Investigator 3062 | Palermo | 90146 | Italy |
| Site Ref # / Investigator 3063 | Pavia | 27100 | Italy |
| Site Ref # / Investigator 3058 | Pescara | 65100 | Italy |
| Site Ref # / Investigator 3064 | Rome | 00133 | Italy |
| Site Ref # / Investigator 2991 | Rome | 00152 | Italy |
| Site Ref # / Investigator 3039 | Rome | 00186 | Italy |
| Site Ref # / Investigator 3087 | Rozzano | 20089 | Italy |
| Site Ref # / Investigator 3038 | San Donato Milanese | 20097 | Italy |
| Site Ref # / Investigator 3618 | Bergen | 5021 | Norway |
| Site Ref # / Investigator 3629 | Bodø | N-8092 | Norway |
| Site Ref # / Investigator 3630 | Hamar | N-2326 | Norway |
| Site Ref # / Investigator 3620 | Oslo | 0370 | Norway |
| Site Ref # / Investigator 3619 | Oslo | 0514 | Norway |
| Site Ref # / Investigator 3596 | Braga | 4700-308 | Portugal |
| Site Ref # / Investigator 3069 | Coimbra | 3000-075 | Portugal |
| Site Ref # / Investigator 4972 | Lisbon | 1150-069 | Portugal |
| Site Ref # / Investigator 3068 | Lisbon | 1649-035 | Portugal |
| Site Ref # / Investigator 3493 | Bratislava | SK-813 69 | Slovakia |
| Site Ref # / Investigator 4626 | Košice | 04001 | Slovakia |
| Site Ref # / Investigator 3494 | Prešov | 08001 | Slovakia |
| Site Ref # / Investigator 3448 | Alicante | 03010 | Spain |
| Site Ref # / Investigator 3009 | Badalona - Barcelona | 08916 | Spain |
| Site Ref # / Investigator 3005 | Barakaldo | 48903 | Spain |
| Site Ref # / Investigator 2990 | Barcelona | 08003 | Spain |
| Site Ref # / Investigator 2989 | Barcelona | 08035 | Spain |
| Site Ref # / Investigator 3002 | Barcelona | 08036 | Spain |
| Site Ref # / Investigator 3486 | Barcelona | 08097 | Spain |
| Site Ref # / Investigator 2998 | Cabuenes-Gijon | 33203 | Spain |
| Site Ref # / Investigator 2988 | Galdakano | 48960 | Spain |
| Site Ref # / Investigator 4383 | Las Palmas de Gran Canaria | 35020 | Spain |
| Site Ref # / Investigator 3484 | Madrid | 28035 | Spain |
| Site Ref # / Investigator 2997 | Madrid | 28040 | Spain |
| Site Ref # / Investigator 2999 | Madrid | 28041 | Spain |
| Site Ref # / Investigator 3447 | Madrid | 28046 | Spain |
| Site Ref # / Investigator 3595 | Madrid | 28299 | Spain |
| Site Ref # / Investigator 3008 | Palma de Mallorca | 07014 | Spain |
| Site Ref # / Investigator 3000 | Santander | 39008 | Spain |
| Site Ref # / Investigator 3003 | Valencia | 46010 | Spain |
| Site Ref # / Investigator 3007 | Zaragoza | 50009 | Spain |
| Site Ref # / Investigator 3010 | Zaragoza | 50009 | Spain |
| Site Ref # / Investigator 3895 | Gothenburg | 41345 | Sweden |
| Site Ref # / Investigator 3500 | Gothenburg | 416 85 | Sweden |
| Site Ref # / Investigator 3499 | Linköping | 581 85 | Sweden |
| Site Ref # / Investigator 3488 | Lund | 22185 | Sweden |
| Site Ref # / Investigator 3892 | Östersund | 83183 | Sweden |
| Site Ref # / Investigator 3498 | Skövde | 541 85 | Sweden |
| Site Ref # / Investigator 3489 | Stockholm | 114 86 | Sweden |
| Site Ref # / Investigator 3896 | Stockholm | 11883 | Sweden |
| Site Ref # / Investigator 3487 | Stockholm | 171 76 | Sweden |
| Site Ref # / Investigator 3594 | Umeå | 901 85 | Sweden |
| Site Ref # / Investigator 3323 | Basel | 4031 | Switzerland |
| Site Ref # / Investigator 3321 | Bern | 3010 | Switzerland |
| Site Ref # / Investigator 3322 | Lausanne | 1011 | Switzerland |
| Site Ref # / Investigator 3794 | Zurich | 8091 | Switzerland |
| Site Ref # / Investigator 4604 | Barnstaple | EX31 4JB | United Kingdom |
| Site Ref # / Investigator 4590 | Cardiff | CF14 4XW | United Kingdom |
| Site Ref # / Investigator 4603 | Dundee | DD1 9SY | United Kingdom |
| Site Ref # / Investigator 4579 | Edinburgh | EH4 2XU | United Kingdom |
| Site Ref # / Investigator 4588 | Harrow | HA1 3UJ | United Kingdom |
| Site Ref # / Investigator 4586 | Liverpool | L7 8XP | United Kingdom |
| Site Ref # / Investigator 4595 | London | NW1 2BU | United Kingdom |
| Site Ref # / Investigator 4607 | London | SE1 7EH | United Kingdom |
| Site Ref # / Investigator 4596 | London | SE5 9RS | United Kingdom |
| Site Ref # / Investigator 4580 | London | W12 ONN | United Kingdom |
| Site Ref # / Investigator 4591 | Nottingham | NG7 2UH | United Kingdom |
| Site Ref # / Investigator 4589 | Plymouth | PL6 8DH | United Kingdom |
| Site Ref # / Investigator 4592 | Portsmouth | PO6 3LY | United Kingdom |
| Site Ref # / Investigator 4597 | Rotherham | S60 2UD | United Kingdom |
| Site Ref # / Investigator 4584 | Sheffield | S10 2JF | United Kingdom |
| Site Ref # / Investigator 4578 | Southampton | SO16 6YD | United Kingdom |
| Site Ref # / Investigator 4598 | Stockport | SK2 7JE | United Kingdom |
| Site Ref # / Investigator 4581 | Surrey | CR7 7YE | United Kingdom |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Open Label Adalimumab 40 mg Every Other Week or Every Week | Participants received adalimumab 160 mg by subcutaneous injection at Week 0 and adalimumab 80 mg by subcutaneous injection at Week 2. Beginning at Week 4 of the study, participants received adalimumab 40 mg every other week. Beginning at Week 12, participants who experienced a disease flare (increase in Harvey Bradshaw Index of 3 or more compared to Week 4 and a total Index score of 7 or higher) and participants who did not respond to every other week treatment (non-response defined as a decrease in HBI by fewer than 3 points compared to Baseline) could switch to adalimumab 40 mg every week. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants in Clinical Remission at Treatment Week 20. Clinical Remission Defined as Harvey Bradshaw Index (HBI) Score Less Than 5. | 5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Maximum total score for HBI is not specified, is dependent on number of diarrhea times each day and number of complications. Clinical remission = HBI less than 5. Highest total score at Baseline was 47. Missing data were imputed using non-responder imputation (NRI). | Intent-to-treat (ITT) population, defined as all participants who received at least 1 injection of adalimumab. Missing data were imputed using non-responder imputation; participants who discontinued the study prior to Week 20 and participants with no score on the Harvey-Bradshaw Index (missing value) at Week 20 were counted as "no" for remission. | Posted | Number | Participants | Week 20 of treatment |
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| Secondary | Number of Participants Who Were Responders at Week 20 of Treatment. A Responder Was Defined as a Participant Who Had a Decrease of 3 or More on the HBI. | 5-items that assess general well-being, abdominal pain, diarrhea, abdominal mass, and complications. Score is total of 1) subject well-being (0=very well; 4=terrible); 2) abdominal pain (0=none; 3=severe); 3) diarrhea (number of time per day); 4) abdominal mass (0=none; 3=definite and tender); 5) complications (number). Participants who had a decrease from Baseline of at least 3 points in HBI total score were considered responders. Missing data were imputed using non-responder imputation (NRI). | ITT Population, defined as all participants who received at least 1 injection of adalimumab. Missing data were imputed using non-responder imputation; participants who discontinued the study prior to Week 20 and participants with no score on the Harvey-Bradshaw Index (missing value) at Week 20 were counted as "no" for response. | Posted | Number | Participants | Week 20 of treatment |
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| Secondary | Number of Participants Who Had a Reduction in Number of Draining Fistulas of at Least 50% From Baseline to Week 20 | A count of the number of cutaneous fistulas draining was performed during each physical examination. Among participants who had draining fistulas at Baseline, the number of participants who had a reduction in the number of draining fistulas of at least 50% from Baseline to Week 20 of treatment was determined. Fistulas were classified as abdominal or perianal. | 171 participants in the ITT population (participants who received at least 1 injection of adalimumab) had draining fistulas at baseline. Data were available for 148 of the 171 participants at Week 20 of treatment. Missing values were not imputed. | Posted | Number | Participants | Week 20 of treatment |
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| Secondary | Number of Participants Who Had Extra-intestinal Manifestations (EIM) at Baseline and Resolution by Week 20. | Number of participants who had EIM at baseline and had resolution of those manifestations at Week 20. EIM were skin lesions, eye lesions, joint complaints, CD-related hepatic disease, thrombosis, and nephrolithiasis. EIMs were determined by physical examination. | 497 participants who received at least 1 injection of adalimumab (ITT population) had baseline EIM data. Missing data were imputed using non-responder imputation; participants who discontinued the study before Week 20 and participants with missing value at Week 20 were counted as "no" for resolution. | Posted | Number | Participants | Week 20 of treatment |
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| Secondary | Mean Change in Total Score of Short Inflammatory Bowel Disease Questionnaire (SIBDQ) From Baseline to Week 20 | 10-item assessment of health-related quality of life (QoL) in patients with inflammatory bowel disease. Participant marks an option from 1 to 7 for each item. For some items, 1=None of the time; for other items, 1=All of the time. Value for all items are summed. Total score=10 to 70; a high score=good quality of life (QoL). An increase in score indicates improvement. An absolute change in the SIBDQ score of 9 is considered a minimum clinically important difference (MCID) for a patient. | The ITT population, defined as participants who received at least 1 injection of adalimumab, was used in the analysis. 907 participants had data available for calculating change in total score of SIBDQ. Missing values were imputed using LOCF. | Posted | Mean | Standard Deviation | Change in total score | Week 20 of treatment |
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| Secondary | Mean Change in Percent Work Time Missed Due to Crohn's Disease From Baseline to Week 20 of Treatment | Percent Work Time Missed (Absenteeism) due to CD is one component of the Work Productivity and Activity Impairment (WPAI) Questionnaire. Score of 0% = no impairment. A decrease in the mean indicates improvement. | The ITT population, defined as participants who received at least 1 injection of adalimumab, was used in the analysis. 369 participants had data available for calculating change in Percent Work Time Missed. Missing values were imputed using LOCF. | Posted | Mean | Standard Deviation | Percent of work time missed | Week 20 of treatment |
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| Secondary | Mean Change in Percent Impairment While Working From Baseline to Week 20 of Treatment | Percent impairment while working is a component of the Work Productivity and Activity Impairment measure. A score of 0% = no impairment. A decrease in mean score indicates lessening of impairment. | The ITT population, defined as participants who received at least 1 injection of adalimumab, was used in the analysis. Data were available for 382 participants for the calculation of mean change in Percent Impairment While Working from Baseline to Week 20. Data were imputed using LOCF. | Posted | Mean | Standard Deviation | Percent impairment at work | Week 20 of treatment |
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| Secondary | Mean Change in Overall Work Productivity and Activity Impairment Score From Baseline to Week 20 | 6-items that assess impairment in work productivity and daily activity during the 7 days before the assessment. It measures the percentage of overall impairment in work productivity and daily activity due to CD. A WPAI score of 0% = no impairment and a score of 100% = total loss of work productivity or activity. An absolute change in WPAI score of 7% is considered the minimum clinically important difference (MCID). | The ITT population, defined as participants who received at least 1 injection of adalimumab, was used in the analysis. Data were available for 346 participants for the calculation of mean change in Overall Impairment from Baseline to Week 20. Data were imputed using LOCF. | Posted | Mean | Standard Deviation | Percent total impairment | Week 20 of treatment |
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| Secondary | Mean Change in Activity Impairment Score From Baseline to Week 20 | Daily activity is one component of the Work Productivity and Activity Impairment Questionnaire. 0% = no impairment. A decrease in the mean indicates improvement. | The ITT population, defined as participants who received at least 1 injection of adalimumab, was used. Data for 902 participants were available for calculating change from Baseline at Week 20 of treatment. Missing values were imputed by LOCF. | Posted | Mean | Standard Deviation | Percent activity impairment | Week 20 of treatment |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Open Label Adalimumab 40 mg Every Other Week or Every Week | Participants received adalimumab 160 mg by subcutaneous injection at Week 0 and adalimumab 80 mg by subcutaneous injection at Week 2. Beginning at Week 4 of the study, participants received adalimumab 40 mg every other week. Beginning at Week 12, participants who experienced a disease flare (increase in Harvey Bradshaw Index of 3 or more compared to Week 4 and a total Index score of 7 or higher) and participants who did not respond to every other week treatment (non-response defined as a decrease in HBI by fewer than 3 points compared to Baseline) could switch to adalimumab 40 mg every week. | 181 | 395 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| CD | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Perianal abscess | Infections and infestations | MedDRA 11.0 | Systematic Assessment |
| |
| Intestinal obstruction | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Subileus | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Abdominal abscess | Infections and infestations | MedDRA 11.0 | Systematic Assessment |
| |
| Anastomotic stenosis | Injury, poisoning and procedural complications | MedDRA 11.0 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Fistula discharge | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Ileal stenosis | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Lymph node pain | Blood and lymphatic system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Normochromic normocytic anaemia | Blood and lymphatic system disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Cardiovascular disorder | Cardiac disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Acute vestibular syndrome | Ear and labyrinth disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Anal fistula | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Anal skin tags | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Colonic stenosis | Gastrointestinal disorders | MedDRA | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Enteritis | Gastrointestinal disorders | MedDRA 11.0 | Systematic Assessment |
| |
| Enterocolonic fistula | Gastrointestinal disorders | Systematic Assessment |
| ||
| Frequent bowel movements | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Gastrointestinal hypomotility | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Gastrointestinal fistula | Gastrointestinal disorders | Systematic Assessment |
| ||
| Haemorrhoidal haemorrrhage | Gastrointestinal disorders | Systematic Assessment |
| ||
| Ileitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Ileorectal fistula | Gastrointestinal disorders | Systematic Assessment |
| ||
| Inflammatory bowel disease | Gastrointestinal disorders | Systematic Assessment |
| ||
| Intestinal fistula | Gastrointestinal disorders | Systematic Assessment |
| ||
| Intestinal functional disorder | Gastrointestinal disorders | Systematic Assessment |
| ||
| Intestinal stenosis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Large intestinal ulcer | Gastrointestinal disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Pancreatitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Peritonitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Rectal haemorrhage | Gastrointestinal disorders | Systematic Assessment |
| ||
| Small intestinal obstruction | Gastrointestinal disorders | Systematic Assessment |
| ||
| Small intestinal perforation | Gastrointestinal disorders | Systematic Assessment |
| ||
| Asthenia | Gastrointestinal disorders | Systematic Assessment |
| ||
| Disease progression | General disorders | Systematic Assessment |
| ||
| Influenza like illness | General disorders | Non-systematic Assessment |
| ||
| Malaise | General disorders | Non-systematic Assessment |
| ||
| Biliary colic | Hepatobiliary disorders | Systematic Assessment |
| ||
| Cholelithiasis | Hepatobiliary disorders | Systematic Assessment |
| ||
| Hepatomegaly | Hepatobiliary disorders | Systematic Assessment |
| ||
| Portal vein thrombosis | Hepatobiliary disorders | Systematic Assessment |
| ||
| Abdominal wall abscess | Infections and infestations | Systematic Assessment |
| ||
| Abscess | Infections and infestations | Systematic Assessment |
| ||
| Abscess intestinal | Infections and infestations | Systematic Assessment |
| ||
| Anogenital warts | Infections and infestations | Systematic Assessment |
| ||
| Bacterial infection | Infections and infestations | Systematic Assessment |
| ||
| Bronchiectasis | Infections and infestations | Systematic Assessment |
| ||
| Bronchitis | Infections and infestations | Systematic Assessment |
| ||
| Bronchopneumonia | Infections and infestations | Systematic Assessment |
| ||
| Campylobacter intestinal infection | Infections and infestations | Systematic Assessment |
| ||
| Clostridial infection | Infections and infestations | Systematic Assessment |
| ||
| Clostridium difficile colitis | Infections and infestations | Systematic Assessment |
| ||
| Diverticulitis | Infections and infestations | Systematic Assessment |
| ||
| Enteritis infectious | Infections and infestations | Systematic Assessment |
| ||
| Enterocolitis bacterial | Infections and infestations | Systematic Assessment |
| ||
| Epstein-Barr virus infection | Infections and infestations | Systematic Assessment |
| ||
| Folliculitis | Infections and infestations | Systematic Assessment |
| ||
| Gastroenteritis | Infections and infestations | Systematic Assessment |
| ||
| Gastroenteritis viral | Infections and infestations | Systematic Assessment |
| ||
| Infection | Infections and infestations | Systematic Assessment |
| ||
| Klebsiella sepsis | Infections and infestations | Systematic Assessment |
| ||
| Oesophageal candidiasis | Infections and infestations | Systematic Assessment |
| ||
| Pelvic abscess | Infections and infestations | Systematic Assessment |
| ||
| Perineal abscess | Infections and infestations | Systematic Assessment |
| ||
| Perirectal abscess | Infections and infestations | Systematic Assessment |
| ||
| Pharyngitis | Infections and infestations | Systematic Assessment |
| ||
| Pneumonia | Infections and infestations | Systematic Assessment |
| ||
| Pseudomembranous colitis | Infections and infestations | Systematic Assessment |
| ||
| Pyelonephritis | Infections and infestations | Systematic Assessment |
| ||
| Rectal abscess | Infections and infestations | Systematic Assessment |
| ||
| Sepsis | Infections and infestations | Systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Systematic Assessment |
| ||
| Viral infection | Infections and infestations | Systematic Assessment |
| ||
| Jaw fracture | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Post procedural complication | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Rib fracture | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Colonoscopy | Investigations | Non-systematic Assessment |
| ||
| Diagnostic procedure | Investigations | Non-systematic Assessment |
| ||
| Platelet count decreased | Investigations | Systematic Assessment |
| ||
| Tuberculin test positive | Investigations | Systematic Assessment |
| ||
| Type 1 diabetes mellitus | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Arthritis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Bursitis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Fibromyalgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Fistula | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Muscular weakness | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Myalgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Osteoporotic fracture | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Rhabdomyolysis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Follicular thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Small intestine carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Benign intracranial hypertension | Nervous system disorders | Systematic Assessment |
| ||
| Demyelination | Nervous system disorders | Systematic Assessment |
| ||
| Headache | Nervous system disorders | Non-systematic Assessment |
| ||
| Hypoaesthesia | Nervous system disorders | Non-systematic Assessment |
| ||
| Lethargy | Nervous system disorders | Non-systematic Assessment |
| ||
| Neuralgic amyotrophy | Nervous system disorders | Systematic Assessment |
| ||
| Neuropathy peripheral | Nervous system disorders | Systematic Assessment |
| ||
| Syncope | Nervous system disorders | Systematic Assessment |
| ||
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | Non-systematic Assessment |
| ||
| Panic attack | Psychiatric disorders | Non-systematic Assessment |
| ||
| Suicide attempt | Psychiatric disorders | Systematic Assessment |
| ||
| Cystitis noninfective | Renal and urinary disorders | Systematic Assessment |
| ||
| Nephritis | Renal and urinary disorders | Systematic Assessment |
| ||
| Nephrolithiasis | Renal and urinary disorders | Systematic Assessment |
| ||
| Renal colic | Renal and urinary disorders | Systematic Assessment |
| ||
| Cervical dysplasia | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Female genital tract fistula | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Menorrhagia | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Metrorrhagia | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Ovarian hemorrhage | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Haemothorax | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Lung infiltration | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Productive cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Cold sweat | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Eczema | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Pustular psoriasis | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Thrombosis | Vascular disorders | Systematic Assessment |
| ||
| Abortion induced | Surgical and medical procedures | Systematic Assessment |
| ||
| Intestinal anastomosis | Surgical and medical procedures | Systematic Assessment |
| ||
| Medical device removal | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Adrenal insufficiency | Endocrine disorders | Systematic Assessment |
| ||
| Anal abscess | Infections and infestations | Systematic Assessment |
| ||
| Influenza | Infections and infestations | Systematic Assessment |
| ||
| Vaginal infection | Infections and infestations | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Crohn's disease | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
|
Provide ABBOTT at least thirty (30) days prior to submission for review, ABBOTT shall return comments promptly. Proposed draft shall be delayed an additional sixty (60) days in addition to the Review Period.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Services | Abbott | 800-633-9110 |
| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000068879 | Adalimumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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