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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-000612-14 | EudraCT Number |
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Primary Objective:
The primary objective of this trial is to compare the clinical efficacy of BI 695501 with EU-approved Humira® in patients with active Crohn's disease (CD).
Secondary Objectives:
The secondary objectives of this trial are to compare the efficacy and safety of BI 695501 with EU-approved Humira® across the induction and maintenance phases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BI 695501 | Experimental |
| |
| HUMIRA + BI 695501 | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BI 695501 | Drug |
| ||
| HUMIRA |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 4 | The Crohn's Disease Activity Index (CDAI) is a validated instrument to measure disease severity in Crohn's Disease (CD). The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease. The CDAI decrease at Week 4 was assessed as the decrease relative to baseline measurement, patients with a decrease ≥70 were responders. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to non-responder imputation (NRI) and last observation carried forward (LOCF). | Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 24 | The CDAI is a validated instrument to measure disease severity in CD. The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease. The CDAI decrease at Week 24 was assessed as the decrease relative to baseline measurement, patients with a decrease ≥70 were responders. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to NRI and LOCF. |
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Inclusion criteria:
Males and females aged >=18 and =<80 years at Screening who have a diagnosis of moderate to severely active Crohn's Disease (CD), confirmed by endoscopy or radiologic evaluation, for more than 4 months with evidence of mucosal ulceration. Patients must have all of the following:
Anti-tumor necrosis factor (TNF) patients or patients previously treated with infliximab who had initially responded and who meet one of the following criteria:
Further inclusion criteria apply
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Boehringer Ingelheim | Boehringer Ingelheim | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Borland-Groover Clinic | Jacksonville | Florida | 32256 | United States | ||
| Hope Clinical Research |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40498294 | Derived | Strand V. Summary of Research: Immunogenicity of Adalimumab Reference Product and Adalimumab-adbm in Patients with Rheumatoid Arthritis, Crohn's Disease, and Chronic Plaque Psoriasis: A Pooled Analysis of the VOLTAIRE trials. Rheumatol Ther. 2025 Aug;12(4):613-616. doi: 10.1007/s40744-025-00766-6. Epub 2025 Jun 11. | |
| 39551590 | Derived |
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The trial consisted of a screening period of up to a maximum of 28 days, a 48-week treatment period consisting of an induction period from baseline to Week 4 and a maintenance period from Week 5 to Week 48, and a 10-week safety follow-up period (starting after last dose of trial medication at Week 46).
This was an exploratory, randomized, 56-week, double-blind, parallel arm, multiple dose, active comparator trial of BI 695501 and EU-approved Humira, with a 48-week treatment period and a 10-week follow-up period (starting after last dose of trial medication at Week 46) in patients with moderately to severely active Crohn's Disease (CD)
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | BI 695501 | Patients randomized to BI 695501 received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders (Crohn's Disease Activity Index (CDAI) decrease of ≥70 compared to baseline), patients continued to receive BI 695501 every 2 weeks until the end of the treatment (EoT) period (Week 46). Patients were administered with a loading dose of 160 milligram (mg) BI 695501 on Day 1, followed by 80 mg BI 695501 2 weeks later (Day 15), and thereafter 40 mg BI 695501 every 2 weeks until Week 46. Trial medication was administered by subcutaneous (SC) injection. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 12, 2017 | Apr 23, 2020 |
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|
| Week 24 |
| Percentage of Patients in Clinical Remission (CDAI <150) at Week 24 | The CDAI is a validated instrument to measure disease severity in CD. The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease. Patients with CDAI <150 at Week 24 were considered as clinical remission cases. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to NRI and LOCF. | at Week 24 |
| Percentage of Patients With Adverse Events (AEs), Serious AEs (SAEs), and AEs of Special Interest (AESIs) | Analysis of AEs focused on treatment-emergent AEs (TEAEs). For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. TEAEs and SAEs (including investigator-assessed trial medication-related TEAEs) and AESIs are reported. The following were considered an AESI: hepatic injury, anaphylactic reactions, serious infection and hypersensitivity reactions. | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| Percentage of Patients With Infections | The percentage of patients with TEAEs for infections are reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| Percentage of Patients With Serious Infections | The percentage of patients with TEAEs for serious infections are reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| Percentage of Patients Who Experienced Hypersensitivity Reactions | The percentage of patients with TEAEs for hypersensitivity reactions is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| Percentage of Patients Who Experienced Drug Induced Liver Injury (DILI) | The percentage of patients with TEAEs for DILIs is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| Percentage of Patients With Injection Site Reactions | The percentage of patients with TEAEs for injection site reactions is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| Kissimmee |
| Florida |
| 34741 |
| United States |
| Center for Advanced GI | Maitland | Florida | 32751 | United States |
| Advance Medical Research Center | Miami | Florida | 33155 | United States |
| Advanced Research Institute, Inc | New Port Richey | Florida | 34653 | United States |
| Doctors Clinical Research | East Point | Georgia | 30344 | United States |
| Southwest Gastroenterology | Oak Lawn | Illinois | 60453 | United States |
| University of Kansas Medical Center | Kansas City | Kansas | 66160-7702 | United States |
| MGG Group Co. Inc. / Chevy Chase Clinical Research, | Chevy Chase | Maryland | 20815 | United States |
| Gastro Center of Maryland | Columbia | Maryland | 21045 | United States |
| Healthcare Research Network | Hazelwood | Missouri | 63042 | United States |
| Asheville Gastroenterology Associates, PA | Asheville | North Carolina | 28801 | United States |
| Great Lakes Gastroenterology Research, LLC | Mentor | Ohio | 44060 | United States |
| Gastroenterology Associates, PA | Greenville | South Carolina | 29615 | United States |
| Houston Endoscopy and Research Center | Houston | Texas | 77079 | United States |
| Biopharma Informatic, Inc, dba Research Consultants | Katy | Texas | 77450 | United States |
| Sagact, Pllc | San Antonio | Texas | 78229 | United States |
| Baylor Scott and White Healthcare | Temple | Texas | 76508 | United States |
| Victoria Gastroenterology | Victoria | Texas | 77904 | United States |
| Gomel Regional Clinical | Homyel | 246012 | Belarus |
| City Clinical Hospital # 10 | Minsk | 220096 | Belarus |
| Vitebsk Regional Clinical Oncology Dispensary | Vitebsk | 210603 | Belarus |
| University Clinical Centre Sarajevo | Sarajevo | 71000 | Bosnia and Herzegovina |
| Clinical Hospital Osijek | Osijek | 31000 | Croatia |
| Polyclinic Bonifarm | Zagreb | 10000 | Croatia |
| Vojenska nemocnice Brno | Brno | 63600 | Czechia |
| Hepato-Gastroenterologie HK, s.r.o. | Hradec Králové | 50012 | Czechia |
| CTCenter Mave, s.r.o., Cllinical Trials Center, Olomouc | Olomouc | 779 00 | Czechia |
| Gregar s.r.o. | Olomouc | 779 00 | Czechia |
| PreventaMed, s.r.o. | Olomouc | 77900 | Czechia |
| University Hospital Ostrava | Ostrava-Poruba | 708 52 | Czechia |
| Vitkovice Hospital | Ostrava-Vitkovice | 703 84 | Czechia |
| Medicon, a.s. | Prague | 140 00 | Czechia |
| Axon Clinical, s.r.o. | Prague | 15000 | Czechia |
| University Hospital Na Bulovce | Prague | 27711 | Czechia |
| General Hospital Pribram | PÅ™Ãbram | 261 01 | Czechia |
| Masaryk Hospital, Internal Department | Ústà nad Labem | 401 13 | Czechia |
| Crohn Colitis Centrum Rhein Main | Frankfurt | 60594 | Germany |
| General Hospital of Athens Evangelismos | Athens | 10676 | Greece |
| University General Hospital of Heraklion | Heraklion, Crete | 71110 | Greece |
| General Hospital of Rhodes | Rhodes | 85100 | Greece |
| Haemek Medical Center | Afula | 18101 | Israel |
| Wolfson Medical Center | Holon | 58100 | Israel |
| Hadassah Medical Center, Ein-Karem | Jerusalem | 9112001 | Israel |
| Meir Medical Center | Kfar Saba | 4428164 | Israel |
| The Chaim Sheba Medical Center Tel Hashomer | Ramat Gan | 52621 | Israel |
| Kaplan Medical Center | Rehovot | 76100 | Israel |
| KLIMED Marek Klimkiewicz | Bialystok | 15-765 | Poland |
| NZOZ Centrum Medyczne KERmed | Bydgoszcz | 85231 | Poland |
| Medical Center Pleiades | Cracow | 30-363 | Poland |
| Polimedica Centrum Badan | Kielce | 25634 | Poland |
| Indywidualna Specjalistyczna Praktyka Lekarska Maciej Zymla | Knurów | 44190 | Poland |
| SANTA FAMILIA Centrum Badan, Profilaktyki i Leczenia | Lodz | 90-302 | Poland |
| Clinic Medical Center; Nowa Sol | Nowa Sól | 67-100 | Poland |
| Ai Medical Center, private practice, Poznan | Poznan | 61-113 | Poland |
| Gabinet Lekarski Bartosz Korczowski | Rzeszów | 35302 | Poland |
| Specialized Medical Practice. Dr med. Marek Horynski | Sopot | 81756 | Poland |
| Twoja Przychodnia-Szczecinskie Centrum Medyczne | Szczecin | 71270 | Poland |
| Multidisciplinary Medical Clinic "Anthurium" | Barnaul | 656043 | Russia |
| GUZ Reg. Clinical Hospital, Kemerovo | Kemerovo | 650066 | Russia |
| Clinical Hospital No. 24, Moscow | Moscow | 127015 | Russia |
| Murmansk Regional Clinical Hospital named after Bayandin | Murmansk | 183047 | Russia |
| Reg.Clin.Hosp.n.a.Semashko | Nizhny Novgorod | 603126 | Russia |
| State Novosibirsk Regional Clinical Hospital | Novosibirsk | 630091 | Russia |
| FSBSI "Scientific and Research Institute of Physiology and Basic Medicine" | Novosibirsk | 630117 | Russia |
| BHI of Omsk region - Clinical Oncology Dispensary | Omsk | 644013 | Russia |
| SBIH City Clinical Hospital #31 | Saint Petersburg | 194291 | Russia |
| Baltic Med,LLC Clinic BaltMed Ozerki | Saint Petersburg | 194356 | Russia |
| EKO-Bezopasnost, St. Petersburg | Saint Petersburg | 196143 | Russia |
| LLC IClinic | Saint Petersburg | 197110 | Russia |
| Private Educational Institution of Higher Education "Medical University "REAVIZ" | Samara | 443001 | Russia |
| NonState Healthcare Institution Central Clinical Hospital, Samara station JSC "Russian Railways" | Samara | 443041 | Russia |
| Clinical Medical Center Zvezdara, Belgrade | Belgrade | 11000 | Serbia |
| Military Medical Academy | Belgrade | 11000 | Serbia |
| Clinical Center Bezanijska kosa, Belgrade | Belgrade | 11080 | Serbia |
| Clinical Center Zemun | Belgrade | 11080 | Serbia |
| Clinical Center Kragujevac | Kragujevac | 34000 | Serbia |
| Gazi University Medical Faculty | Ankara | 06500 | Turkey (Türkiye) |
| Gaziantep University Medical Faculty Sahinbey Educational Research Hospital | Gaziantep | 27310 | Turkey (Türkiye) |
| Kartal Lutfi Kirdar Research and Training Hospital | Istanbul | 34890 | Turkey (Türkiye) |
| Kocaeli University Research and Training Hospital | Kocaeli | 41380 | Turkey (Türkiye) |
| CI Cherkasy RH of Cherkasy Reg.Council | Cherkasy | 18009 | Ukraine |
| CHI Prof.O.O.Shalimov Kharkiv City Clinical Hospital #2 | Kharkiv | 61037 | Ukraine |
| Med Center 'Ok!Clinic+' of International Institute of Clinical Trials LLC | Kiev | 02091 | Ukraine |
| Private Enterprise Private Manufacturing Company "Acinus" | Kirovohrad | 25006 | Ukraine |
| Medical Center Medical Clinic Kyiv | Kyiv | 01601 | Ukraine |
| Clin Hosp.8 P.L.Shupyk NMA of PGE | Kyiv | 04201 | Ukraine |
| Vinnytsia M.I. Pyrogov NMU Ch of internal medicine #3 | Vinnytsia | 21005 | Ukraine |
| M.I. Pyrogov VRCH, Vinnytsia | Vinnytsia | 21018 | Ukraine |
| Clin.Hosp#1,Zaporizhzhia | Zaporizhzhia | 69104 | Ukraine |
| Royal Bournemouth and Christchurch Hospital | Bournemouth | BH7 7DW | United Kingdom |
| Walsall Manor Hospital | Walsall | WS2 9PS | United Kingdom |
| Strand V, McCabe D, Bender S. Immunogenicity of adalimumab reference product and adalimumab-adbm in patients with rheumatoid arthritis, Crohn's disease and chronic plaque psoriasis: a pooled analysis of the VOLTAIRE trials. BMJ Open. 2024 Nov 17;14(11):e081687. doi: 10.1136/bmjopen-2023-081687. |
| 36511191 | Derived | Hanauer S. Plain language summary of the VOLTAIRE-CD study in people with moderate-to-severe active Crohn's disease. Immunotherapy. 2022 Dec;14(17):1353-1359. doi: 10.2217/imt-2022-0129. Epub 2022 Dec 13. |
| 34388360 | Derived | Hanauer S, Liedert B, Balser S, Brockstedt E, Moschetti V, Schreiber S. Safety and efficacy of BI 695501 versus adalimumab reference product in patients with advanced Crohn's disease (VOLTAIRE-CD): a multicentre, randomised, double-blind, phase 3 trial. Lancet Gastroenterol Hepatol. 2021 Oct;6(10):816-825. doi: 10.1016/S2468-1253(21)00252-1. Epub 2021 Aug 11. |
| FG001 | Humira EU | Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
| COMPLETED |
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| NOT COMPLETED |
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|
The Safety Analysis Set (SAF) contained all randomized patients who received at least 1 dose (full or partial) of trial medication
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | BI 695501 | Patients randomized to BI 695501 received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders (Crohn's Disease Activity Index (CDAI) decrease of ≥70 compared to baseline), patients continued to receive BI 695501 every 2 weeks until the end of the treatment (EoT) period (Week 46). Patients were administered with a loading dose of 160 milligram (mg) BI 695501 on Day 1, followed by 80 mg BI 695501 2 weeks later (Day 15), and thereafter 40 mg BI 695501 every 2 weeks until Week 46. Trial medication was administered by subcutaneous (SC) injection. |
| BG001 | Humira EU | Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Crohn's Disease Activity Index score at baseline | Crohn's Disease Activity Index (CDAI) is a valid instrument to measure severity in Crohn's disease. The CDAI is composed of 8 factors (Number of liquid stools, abdominal pain, general well being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit, body weight) the score is calculated by adding up the scores after adjustment with a weighting factor. The total score ranges from 0 to approx. 600, higher scores indicates more severe disease. A score of less than or equal to 150 is evaluated as a remission while 220 and 450 indicate moderate to severely active disease. | Mean | Standard Deviation | Scores on a scale |
|
| 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 | Percentage of Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 4 | The Crohn's Disease Activity Index (CDAI) is a validated instrument to measure disease severity in Crohn's Disease (CD). The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease. The CDAI decrease at Week 4 was assessed as the decrease relative to baseline measurement, patients with a decrease ≥70 were responders. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to non-responder imputation (NRI) and last observation carried forward (LOCF). | The full analysis set (FAS) contained all randomized patients who received at least 1 dose of trial medication, and had all efficacy measures relevant for the CDAI, measured at baseline and at least once postbaseline. | Posted | Number | Percentage of participants | Week 4 |
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| Secondary | Percentage of Patients With a Clinical Response (CDAI Decrease of ≥70 Compared With Baseline) at Week 24 | The CDAI is a validated instrument to measure disease severity in CD. The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease. The CDAI decrease at Week 24 was assessed as the decrease relative to baseline measurement, patients with a decrease ≥70 were responders. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to NRI and LOCF. | The FAS contained all randomized patients who received at least 1 dose of trial medication, and had all efficacy measures relevant for the CDAI, measured at baseline and at least once postbaseline. | Posted | Number | Percentage of participants | Week 24 |
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| Secondary | Percentage of Patients in Clinical Remission (CDAI <150) at Week 24 | The CDAI is a validated instrument to measure disease severity in CD. The CDAI score is a sum of the 8 factors (number of liquid stools, abdominal pain, general well-being, extra-intestinal complications, antidiarrheal drugs, abdominal mass, hematocrit and body weight) after adjustment with a weighting factor. Higher CDAI scores indicating more active disease. Patients with CDAI <150 at Week 24 were considered as clinical remission cases. Percentage=least squares means per treatment group back transformed using inverse logit function. Missing data were imputed according to NRI and LOCF. | The FAS contained all randomized patients who received at least 1 dose of trial medication, and had all efficacy measures relevant for the CDAI, measured at baseline and at least once postbaseline. | Posted | Number | Percentage of participants | at Week 24 |
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| Secondary | Percentage of Patients With Adverse Events (AEs), Serious AEs (SAEs), and AEs of Special Interest (AESIs) | Analysis of AEs focused on treatment-emergent AEs (TEAEs). For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. TEAEs and SAEs (including investigator-assessed trial medication-related TEAEs) and AESIs are reported. The following were considered an AESI: hepatic injury, anaphylactic reactions, serious infection and hypersensitivity reactions. | The Safety Analysis Set (SAF) contained all randomized patients who received at least 1 dose (full or partial) of trial medication. | Posted | Number | Percentage of participants | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
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| Secondary | Percentage of Patients With Infections | The percentage of patients with TEAEs for infections are reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | The SAF contained all randomized patients who received at least 1 dose (full or partial) of trial medication. | Posted | Number | Percentage of participants | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
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| Secondary | Percentage of Patients With Serious Infections | The percentage of patients with TEAEs for serious infections are reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | The SAF contained all randomized patients who received at least 1 dose (full or partial) of trial medication. | Posted | Number | Percentage of participants | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Patients Who Experienced Hypersensitivity Reactions | The percentage of patients with TEAEs for hypersensitivity reactions is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | The SAF contained all randomized patients who received at least 1 dose (full or partial) of trial medication. | Posted | Number | Percentage of participants | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
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| Secondary | Percentage of Patients Who Experienced Drug Induced Liver Injury (DILI) | The percentage of patients with TEAEs for DILIs is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | The SAF contained all randomized patients who received at least 1 dose (full or partial) of trial medication. | Posted | Number | Percentage of participants | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
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| Secondary | Percentage of Patients With Injection Site Reactions | The percentage of patients with TEAEs for injection site reactions is reported. For the period 1 'Baseline - Week 24', TEAEs were defined as AEs that started or worsened on or after first dose of trial medication and prior to date of the Week 24 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients who discontinued treatment before Week 24. For the period 2 'Week 24 - Week 46', TEAEs were defined as AEs that started or worsened on Week 24 visit and prior to or on Week 56 visit or within 10 weeks (70 days, inclusive) after last dose of trial medication for patients discontinuing treatment prior to Week 46. | The SAF contained all randomized patients who received at least 1 dose (full or partial) of trial medication. | Posted | Number | Percentage of participants | From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks. |
|
From first administration of trial medication until 10 weeks after last administration, up to a maximum of 56 weeks.
The Safety Analysis Set (SAF) contained all randomized patients who received at least 1 dose (full or partial) of trial medication.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BI 695501 (Baseline - Week 24 + 10 Weeks [70 Days]) | Patients randomized to BI 695501 received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders (CDAI decrease of ≥70 compared to baseline), patients continued to receive BI 695501 every 2 weeks until the end of the treatment (EoT) period (Week 46). Patients were administered with a loading dose of 160 milligram (mg) BI 695501 on Day 1, followed by 80 mg BI 695501 2 weeks later (Day 15), and thereafter 40 mg BI 695501 every 2 weeks until Week 46. Trial medication was administered by subcutaneous (SC) injection. | 0 | 72 | 6 | 72 | 23 | 72 |
| EG001 | Humira (Baseline - Week 24 + 10 Weeks [70 Days]) | Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. | 0 | 75 | 8 | 75 | 16 | 75 |
| EG002 | BI 695501 (Week 24 - Week 46 + 10 Weeks [70 Days]) | Patients randomized to BI 695501 received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders (CDAI decrease of ≥70 compared to baseline), patients continued to receive BI 695501 every 2 weeks until the end of the treatment (EoT) period (Week 46). Patients were administered with a loading dose of 160 milligram (mg) BI 695501 on Day 1, followed by 80 mg BI 695501 2 weeks later (Day 15), and thereafter 40 mg BI 695501 every 2 weeks until Week 46. Trial medication was administered by subcutaneous (SC) injection. | 0 | 72 | 2 | 72 | 13 | 72 |
| EG003 | Humira (Week 24 - Week 46 + 10 Weeks [70 Days]) | Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. | 0 | 75 | 9 | 75 | 12 | 75 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute sinusitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Anal abscess | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Postoperative wound infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Pulmonary tuberculosis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Psoas abscess | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Rotavirus infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Multiple sclerosis | Nervous system disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Crohn's disease | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Anal fistula | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Large intestinal haemorrhage | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pancreatitis chronic | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Ruptured ectopic pregnancy | Pregnancy, puerperium and perinatal conditions | MedDRA 22.0 | Systematic Assessment |
| |
| Joint injury | Injury, poisoning and procedural complications | MedDRA 22.0 | Systematic Assessment |
| |
| Dermatitis | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Palmoplantar pustulosis | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Pyoderma gangrenosum | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Joint swelling | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA 22.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Respiratory tract infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 22.0 | Systematic Assessment |
| |
| Crohn's disease | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 22.0 | Systematic Assessment |
| |
| Weight increased | Investigations | MedDRA 22.0 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Boehringer Ingelheim, Call Center | Boehringer Ingelheim | 1-800-243-0127 | clintriage.rdg@boehringer-ingelheim.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 22, 2019 | Apr 23, 2020 | SAP_001.pdf |
| 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 |
|---|---|
| C000632724 | BI 695501 |
| 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 |
Not provided
Not provided
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
Was to be analyzed using a log-linked binomial model, described as: response to treatment at Week 4 = treatment+prior infliximab exposure+screening Simple Endoscopic Score for Crohn's Disease (SES-CD) |
| Risk Ratio (RR) |
| 0.945 |
| 2-Sided |
| 95 |
| 0.856 |
| 1.044 |
BI 695501 as numerator Humira EU as denominator |
| Other |
| OG001 | Humira EU | Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
|
| Humira EU |
Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
|
| OG001 | Humira EU | Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
| Humira EU |
Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
| OG001 |
| Humira EU |
Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
| OG001 |
| Humira EU |
Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
| OG001 |
| Humira EU |
Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|
| OG001 |
| Humira EU |
Patients randomized to EU-approved Humira received treatment every 2 weeks until Week 4 when they were assessed for clinical response. If classified as responders, patients continued to receive EU-approved Humira until Week 22 and then switched to receive BI 695501 every 2 weeks from Week 24 until the EoT period (Week 46). Patients were administered with a loading dose of 160 mg EU-approved Humira on Day 1, followed by 80 mg EU-approved Humira 2 weeks later (Day 15), and 40 mg EU-approved Humira every 2 weeks until Week 22. Patients were then switched to receive 40 mg BI 695501 every 2 weeks from Week 24 until Week 46. Trial medication was administered by SC injection. |
|
|