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The purpose of the study is to evaluate the pharmacokinetics and safety of certolizumab pegol in adults with active rheumatoid arthritis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Certolizumab pegol | Experimental | Subjects in this arm will receive doses of certolizumab pegol for the treatment of Rheumatoid Arthritis, in accordance with the US label. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Certolizumab pegol | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing | Cmin is the Minimum observed plasma drug concentration during a dosage interval. | Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study Investigational Medicinal Product (IMP) administration, and Pre dose on Day 84 (Week 12) |
| Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol | AUCtau is the area Under the plasma concentration-time curve from time zero to tau for the dosing interval following administration at Week 10. | Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study IMP administration, and Pre dose on Day 84 (Week 12) |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma Concentration of Certolizumab Pegol (CZP) During the Study | Plasma samples were taken at Predose and during the study at different pre and post dose time points for all participants. | Predose (Day 0), Day 7, 14, 42, 70, 72, 75, 77, 80, 84, 126, and 168 |
| Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs) |
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Inclusion Criteria:
Participant must be 18 to 69 years of age inclusive, at the time of signing the informed consent
Participant must have a diagnosis of moderately-to-severely active rheumatoid arthritis (RA)
Participant must have had an inadequate response to, or intolerance to, at least 1 disease modifying antirheumatic drug (DMARD) (nonbiologic or biologic)
Participant has a negative interferon-gamma release assay (IGRA) at Screening
Participant has a body mass index within the range 18.0 kg/m2 to 35.0 kg/m2 (inclusive)
Male or female
A female participant is eligible to participate if:
i) she is not pregnant, ii) not breastfeeding, iii) at least one of the following conditions applies:
Not a woman of childbearing potential (WOCBP) OR
A WOCBP who agrees to follow the contraceptive guidance during the Treatment Period and until the Safety Follow-up (SFU) Visit
Exclusion Criteria:
Participant has a known hypersensitivity to any components of the study medication(including polyethylene glycol) or comparative drugs (and/or an investigational device) as stated in this protocol
Participant has clinically significant electrocardiogram (ECG) abnormalities at Screening
Participant has previously been exposed to certolizumab pegol (CZP)
Participant has failed treatment with ≥1 tumor necrosis factor (TNF) α inhibitor or was a primary failure for any TNFα antagonist. A primary failure is defined as no clinical disease improvement within the first 12 weeks of treatment (study participants who demonstrated clinical response within 12 weeks of treatment and subsequently lost response after 12 weeks of treatment are eligible)
Participant has received a live vaccination within 6 weeks prior to Screening or intends to have a live vaccination during the course of the study or within 3 months following CZP treatment in the study
Participant has received any investigational drug or experimental procedure within 90 days prior to the first dose of IMPinvestigational medicinal product (IMP)
Participant has a laboratory abnormality at Screening, including any of the following:
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| Name | Affiliation | Role |
|---|---|---|
| UCB Cares | 001 844 599 2273 (UCB) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ra0138 1009 | Phoenix | Arizona | 85032 | United States | ||
| Ra0138 1002 |
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| Label | URL |
|---|---|
| FDA Safety Alerts and Recalls | View source |
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Due to the small sample size in this trial, Individual Patient Data cannot be adequately anonymized and there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.
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The Participant Flow refers to the Safety Set.
The study started to enroll participants in February 2021 and concluded in June 2022.
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| ID | Title | Description |
|---|---|---|
| FG000 | Certolizumab Pegol (All Participants) | Participants received subcutaneous (sc) injections of certolizumab pegol (CZP) 400 milligram (mg) as loading dose at Weeks 0, 2, and 4, followed by CZP 200 mg as maintenance dose, every 2 Weeks (Q2W), up to Week 24 of the Treatment Period. |
| 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 | Mar 18, 2021 | Jan 24, 2023 |
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A treatment-emergent adverse event (TEAE) was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: Results in death, Is life-threatening, Requires in patient hospitalization or prolongation of existing hospitalization, Results in persistent disability/incapacity, Is a congenital anomaly or birth defect, Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above. |
| From Baseline to the Safety Follow-up Visit (up to Week 34) |
| Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal | An Adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication. A TEAE was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. | From Baseline to the Safety Follow-up Visit (up to Week 34) |
| Covina |
| California |
| 91722 |
| United States |
| Ra0138 1008 | Upland | California | 91786 | United States |
| Ra0138 1015 | Palm Harbor | Florida | 34684 | United States |
| Ra0138 1004 | Plantation | Florida | 33324 | United States |
| Ra0138 1001 | Lexington | Kentucky | 40504 | United States |
| Ra0138 1014 | Rockville | Maryland | 20850 | United States |
| Ra0138 1005 | Albuquerque | New Mexico | 87102 | United States |
| Ra0138 10025 | Duncansville | Pennsylvania | 16635 | United States |
| Ra0138 1003 | Duncansville | Pennsylvania | 16635 | United States |
| Ra0138 1016 | Memphis | Tennessee | 38119 | United States |
| Ra0138 1007 | Austin | Texas | 78731 | United States |
| Ra0138 1010 | Dallas | Texas | 75231 | United States |
| Ra0138 1011 | Tomball | Texas | 77375 | United States |
| COMPLETED |
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| NOT COMPLETED |
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Baseline Characteristics refer to the Safety Set (SS) which consisted of all study participants enrolled who received greater than or equal to (≥) 1 injection of study medication.
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| ID | Title | Description |
|---|---|---|
| BG000 | Certolizumab Pegol (All Participants) | Participants received subcutaneous (sc) injections of certolizumab pegol (CZP) 400 milligram (mg) as loading dose at Weeks 0, 2, and 4, followed by CZP 200 mg as maintenance dose, every 2 Weeks (Q2W), up to Week 24 of the Treatment Period. |
| 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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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | 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 | Minimum Observed Plasma Concentration (Cmin) Post 10 Weeks of Certolizumab Pegol Dosing | Cmin is the Minimum observed plasma drug concentration during a dosage interval. | The Pharmacokinetic Set (PKS) included the study participants who had provided plasma samples with measurable concentrations (with recorded sampling time) on at least 1 visit, and who had no important protocol deviations affecting the PK parameters. Here, Number of participants analyzed included those participants who were evaluable for the assessment. | Posted | Geometric Mean | Geometric Coefficient of Variation | micrograms per milliliter (ug/mL) | Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study Investigational Medicinal Product (IMP) administration, and Pre dose on Day 84 (Week 12) |
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| |||||||||||||||||||||||||
| Primary | Area Under the Concentration-time Curve Over One Dosing Interval (AUC0-tau) of Certolizumab Pegol | AUCtau is the area Under the plasma concentration-time curve from time zero to tau for the dosing interval following administration at Week 10. | The PKS included the study participants who had provided plasma samples with measurable concentrations (with recorded sampling time) on at least 1 visit, and who had no important protocol deviations affecting the PK parameters. Here, Number of participants analyzed included those participants who were evaluable for the assessment. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours*ug/mL | Plasma samples were collected at Pre dose on Day 70 (Week 10), 72, 75, 77 and 80 post-Week 10 study IMP administration, and Pre dose on Day 84 (Week 12) |
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| Secondary | Plasma Concentration of Certolizumab Pegol (CZP) During the Study | Plasma samples were taken at Predose and during the study at different pre and post dose time points for all participants. | The PKS included the study participants who had provided plasma samples with measurable concentrations (with recorded sampling time) on at least 1 visit, and who had no important protocol deviations affecting the PK parameters. Here, Number of participants analyzed included those participants who were evaluable for the assessment and 'n' (Number analyzed) signifies participants who were evaluable at specified time points. | Posted | Geometric Mean | Geometric Coefficient of Variation | ug/mL | Predose (Day 0), Day 7, 14, 42, 70, 72, 75, 77, 80, 84, 126, and 168 |
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| Secondary | Percentage of Participants With Treatment-emergent Serious Adverse Event (SAEs) | A treatment-emergent adverse event (TEAE) was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose: Results in death, Is life-threatening, Requires in patient hospitalization or prolongation of existing hospitalization, Results in persistent disability/incapacity, Is a congenital anomaly or birth defect, Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above. | The SS included all study participants enrolled who received ≥1 injection of study medication. | Posted | Number | percentage of participants | From Baseline to the Safety Follow-up Visit (up to Week 34) |
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| Secondary | Percentage of Participants With Treatment-emergent Adverse Event (TEAEs) Leading to Withdrawal | An Adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study medication. A TEAE was defined as events that have a start date on or following the first administration of study treatment in this study through the final administration of study treatment+70 days through Safety Follow-up (SFU) visit. | The SS included all study participants enrolled who received ≥1 injection of study medication. | Posted | Number | percentage of participants | From Baseline to the Safety Follow-up Visit (up to Week 34) |
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From Screening to the Safety Follow-up Visit (up to 38 Weeks)
An AE was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study medication, whether or not considered related to the study medication. The SS included all study participants enrolled who received ≥1 injection of study medication. All AEs from Screening until the End of study are reported here.
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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 | Certolizumab Pegol (All Participants) | Participants received subcutaneous (sc) injections of certolizumab pegol (CZP) 400 milligram (mg) as loading dose at Weeks 0, 2, and 4, followed by CZP 200 mg as maintenance dose, every 2 Weeks (Q2W), up to Week 24 of the Treatment Period. | 1 | 33 | 2 | 33 | 9 | 33 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac arrest | Cardiac disorders | MedDRA version 23.1 | Non-systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA version 23.1 | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA version 23.1 | Non-systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA version 23.1 | Non-systematic Assessment |
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| Rheumatoid arthritis | Musculoskeletal and connective tissue disorders | MedDRA version 23.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA version 23.1 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| UCB | Cares | 001 844 599 2273 | UCBCares@ucb.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 30, 2022 | Jan 24, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000068582 | Certolizumab Pegol |
| ID | Term |
|---|---|
| D011092 | Polyethylene Glycols |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
| D007140 | Immunoglobulin Fab Fragments |
| D007128 | Immunoglobulin Fragments |
| D010446 | Peptide Fragments |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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