Overview

An Efficacy and Safety Study of Anti-TNF Monoclonal Antibody in Patients With Crohn's Disease

Status:
Completed
Trial end date:
1996-10-01
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to evaluate the effectiveness and safety of anti-TNF chimeric monoclonal antibody (cA2) compared to placebo in patients with active Crohn's disease.
Phase:
Phase 2/Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Centocor, Inc.
Treatments:
Antibodies
Antibodies, Monoclonal
Antineoplastic Agents, Immunological
Immunoglobulins
Infliximab
Criteria
Inclusion Criteria:

- Patients with Crohn's disease of at least 6 months duration, with colitis, ileitis, or
ileocolitis confirmed by radiography or endoscopy

- Having a Crohn's Disease Activity Index (CDAI) of >=220 and <=400

- Treated with at least 1 of the following: current use of oral corticosteroid therapy
of <=40 mg/day (prednisone equivalent), current use of (or lack of response to) >=2
g/day of sulfasalazine (or equivalent) or >=800 mg of mesalamine, current use of (or
lack of response to) azathioprine or 6-mercaptopurine, failure to respond to
methotrexate or cyclosporine, (with a stop date at least 3 months prior to screening)

- If using oral corticosteroids, sulfasalazine or mesalamine, a start date at least 8
weeks prior to screening, with a stable dose of sulfasalazine or mesalamine for at
least 4 weeks prior to screening and a stable dose of oral corticosteroids for at
least 2 weeks prior to screening

- If not currently using oral corticosteroids, a stop date of any previous
corticosteroid regimen of at least 4 weeks prior to screening and if not using
sulfasalazine, mesalamine, azathioprine or 6-mercaptopurine, a stop date of any
previous treatment with these agents of at least 8 weeks prior to screening

Exclusion Criteria:

- Patients with Crohn's disease limited to the stomach or proximal small intestine

- Having symptomatic stenosis or ileal strictures that might have require surgical
intervention or that might render patients unresponsive to cA2 treatment

- Who have received treatment with parenteral corticosteroid or adrenocorticotrophic
hormone within 4 weeks prior to screening, or currently requiring oral or parenteral
corticosteroid therapy for another disease such as asthma

- Having a serious infection, such as hepatitis, pneumonia or pyelonephritis in the 3
months prior to screening, a history of opportunistic infection such as herpes zoster
within 2 months prior to screening, or evidence of active cytomegalovirus, active
pneumocystis carinii, or drug resistant atypical mycobacterium

- Having active signs or symptoms of severe, progressive or uncontrolled renal, hepatic,
hematologic, endocrine, pulmonary, cardiac, neurologic or cerebral disease, or any
current known malignancy or any history of malignancy which would put the patient at
an unacceptable risk for participation in the study or that would be expected to limit
life expectancy