Skip to content
← Full study record

NCT02065557 · OUTCOME

Co-Primary Endpoint 1: Percentage of Participants Who Achieved Clinical Remission as Measured by Partial Mayo Score (PMS) at Week 8 - Induction Period

Efficacy and Safety of Adalimumab in Pediatric Subjects With Moderate to Severe Ulcerative Colitis · Source last updated 2020-10-05

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Week 8

What was measured

The Mayo score is a tool designed to measure disease activity for ulcerative colitis. The PMS (Mayo score without endoscopy) ranges from 0 (normal or inactive disease) to 9 (severe disease) and is calculated as the sum of 3 sub scores (stool frequency, rectal bleeding and physician's global assessment), each of which ranges from 0 (normal) to 3 (severe disease). A negative change in PMS indicates improvement. Clinical remission was defined as a PMS ≤ 2 and no individual subscore \> 1.

Analysis population: Intent-to-Treat (ITT): all participants who received at least 1 dose of study drug during the Induction period; analyzed as enrolled/randomized. Non-responder imputation (NRI): missing data is imputed as not having met the endpoint.

Groups in this outcome

Main Study: I-SD

Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and matching placebo at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.

Main Study: I-HD

Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.

Main Study: I-SD + I-HD

Combined I-SD + I-HD arms (see above).

Main Study: I-HD-OL

(After Amendment 4) participants assigned to open-label adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.

Integrated Study (Main + Japan Sub-Study): I-SD

Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and matching placebo at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.

Integrated Study (Main + Japan Sub-Study): I-HD

Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.

Integrated Study (Main + Japan Sub-Study): I-SD + I-HD

Combined I-SD + I-HD arms (see above).

Integrated Study (Main + Japan Sub-Study): I-HD-OL

(After Amendment 4) participants assigned to open-label adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Main Study: I-SD30
Main Study: I-HD47
Main Study: I-SD + I-HD77
Main Study: I-HD-OL16
Integrated Study (Main + Japan Sub-Study): I-SD32
Integrated Study (Main + Japan Sub-Study): I-HD51
Integrated Study (Main + Japan Sub-Study): I-SD + I-HD83
Integrated Study (Main + Japan Sub-Study): I-HD-OL18

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Main Study: I-SD43.3Not reported25.4662.57Not reported
Main Study: I-HD59.6Not reported44.2773.63Not reported
Main Study: I-SD + I-HD53.2Not reported41.5264.71Not reported
Main Study: I-HD-OL68.8Not reported41.3488.98Not reported
Integrated Study (Main + Japan Sub-Study): I-SD40.6Not reported23.7059.36Not reported
Integrated Study (Main + Japan Sub-Study): I-HD58.8Not reported44.1772.42Not reported
Integrated Study (Main + Japan Sub-Study): I-SD + I-HD51.8Not reported40.5662.92Not reported
Integrated Study (Main + Japan Sub-Study): I-HD-OL66.7Not reported40.9986.66Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG002
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  2. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG001
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  3. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG000
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    0.382
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  4. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG006
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  5. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG005
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  6. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG004
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    0.344
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
Complete source fields
analyses
  1. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG002
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  2. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG001
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  3. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG000
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    0.382
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  4. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG006
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  5. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG005
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    < 0.001
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
  6. group Description
    Efficacy analysis was based on the Intent-To-Treat-Efficacy (ITT-E) population for the induction period. The ITT-E population was a subpopulation of the ITT population, which consisted of all participants who received at least one SC injection of the study medication during the induction period. Participants who received open-label high induction dose, because they enrolled after Protocol Amendment 4 was released, were excluded from the ITT-E population.
    group Ids
    1. OG004
    non Inferiority Comment
    one-sample two-sided Chi-square test
    non Inferiority Type
    SUPERIORITY
    p Value
    0.344
    p Value Comment
    Adjusted p-value from a sequentially rejective multiple test procedure, testing co-primary and ranked secondary endpoints 1st for I-SD+I-HD, then for individual adalimumab dose groups (I-HD, I-SD) against the respective external placebo rate (19.83%)
    statistical Comment
    controlling familywise Type I error of 5% in a strong sense
    statistical Method
    rejective multiple test procedure
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        25.46
        upper Limit
        62.57
        value
        43.3
      2. group Id
        OG001
        lower Limit
        44.27
        upper Limit
        73.63
        value
        59.6
      3. group Id
        OG002
        lower Limit
        41.52
        upper Limit
        64.71
        value
        53.2
      4. group Id
        OG003
        lower Limit
        41.34
        upper Limit
        88.98
        value
        68.8
      5. group Id
        OG004
        lower Limit
        23.70
        upper Limit
        59.36
        value
        40.6
      6. group Id
        OG005
        lower Limit
        44.17
        upper Limit
        72.42
        value
        58.8
      7. group Id
        OG006
        lower Limit
        40.56
        upper Limit
        62.92
        value
        51.8
      8. group Id
        OG007
        lower Limit
        40.99
        upper Limit
        86.66
        value
        66.7
denoms
  1. counts
    1. group Id
      OG000
      value
      30
    2. group Id
      OG001
      value
      47
    3. group Id
      OG002
      value
      77
    4. group Id
      OG003
      value
      16
    5. group Id
      OG004
      value
      32
    6. group Id
      OG005
      value
      51
    7. group Id
      OG006
      value
      83
    8. group Id
      OG007
      value
      18
    units
    Participants
description
The Mayo score is a tool designed to measure disease activity for ulcerative colitis. The PMS (Mayo score without endoscopy) ranges from 0 (normal or inactive disease) to 9 (severe disease) and is calculated as the sum of 3 sub scores (stool frequency, rectal bleeding and physician's global assessment), each of which ranges from 0 (normal) to 3 (severe disease). A negative change in PMS indicates improvement. Clinical remission was defined as a PMS ≤ 2 and no individual subscore \> 1.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and matching placebo at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
    id
    OG000
    title
    Main Study: I-SD
  2. description
    Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
    id
    OG001
    title
    Main Study: I-HD
  3. description
    Combined I-SD + I-HD arms (see above).
    id
    OG002
    title
    Main Study: I-SD + I-HD
  4. description
    (After Amendment 4) participants assigned to open-label adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
    id
    OG003
    title
    Main Study: I-HD-OL
  5. description
    Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and matching placebo at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
    id
    OG004
    title
    Integrated Study (Main + Japan Sub-Study): I-SD
  6. description
    Participants randomized to receive adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
    id
    OG005
    title
    Integrated Study (Main + Japan Sub-Study): I-HD
  7. description
    Combined I-SD + I-HD arms (see above).
    id
    OG006
    title
    Integrated Study (Main + Japan Sub-Study): I-SD + I-HD
  8. description
    (After Amendment 4) participants assigned to open-label adalimumab 2.4 mg/kg (maximum dose of 160 mg) at Baseline and at Week 1, 1.2 mg/kg (maximum dose of 80 mg) at Week 2, followed by 0.6 mg/kg (maximum dose of 40 mg) at Week 4 and Week 6.
    id
    OG007
    title
    Integrated Study (Main + Japan Sub-Study): I-HD-OL
param Type
NUMBER
population Description
Intent-to-Treat (ITT): all participants who received at least 1 dose of study drug during the Induction period; analyzed as enrolled/randomized. Non-responder imputation (NRI): missing data is imputed as not having met the endpoint.
reporting Status
POSTED
time Frame
Week 8
title
Co-Primary Endpoint 1: Percentage of Participants Who Achieved Clinical Remission as Measured by Partial Mayo Score (PMS) at Week 8 - Induction Period
type
PRIMARY
unit Of Measure
percentage of participants

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Not medical advice